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Today, C. is protective of her father. “He tried to get her help,” she said. “He had reached out to my grandfather, my mom’s dad, and said: ‘Something’s wrong with Christy. Something’s changing.’ And he just brushed it off.” She is equally protective of her own privacy. (She mentioned — and several others in the family told me this — that two of her aunts lost their jobs after speaking openly about their family’s illness.) She is also charitable toward Christy. “I do remember her being a wonderful person, just fun and active,” she said. But those happier memories seem less accessible to C. now, overshadowed by everything that occurred after the disease took over. During her teenage years, she watched from a distance as her aunt Susan handled a host of challenges. Christy owed the I.R.S. $10,000 in back taxes. Christy ballooned to 250 pounds, until Susan finally padlocked the refrigerator. Once, Christy bolted from the mall on a shopping trip and wandered five miles in the c...
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