While you didn't really provide us with any possible goals which one might consider to be least or most realistic - What one shouldn't do if one wants to attain mental and emotional health is to set up healthy and achievable goals, that one doesn't expect too much from himself or that one can be able to say no to a request etc.
My immediate concern is that she has cancer or skin disease.
Explanation:
This is my concern because the mole has changed into something dangerous. Those signs mean something is wrong with her and we need to send her to the hospital asap.
