hate to ask this.. is my girlfriend losing her mind? or just stressed?

I will make this quick. My girlfriend, especially when we're out in public, acts very strange. She might act like she has been severely yelled at, like she's scared. she will be very very quiet and say I'm sorry and look down or look extremely droopy and down. or, she repeatedly will interrupt a conversation I'm having (maybe with a waiter toll booth operator etc) and tell them that I misunderstood something. she will ask them to do something another way or tell them I need clarification. This is with me either tugging on her sleeve asking her to stop or looking at her asking "what are you doing? Please stop babe." She doesn't stop. When I ask her why she just did that, she has no idea and sometimes even asks me what she did. I'm worried about her mental health. The other day, we were at her brother's house. They have a daughter and another on the way. For some reason, this little girl likes to get dirty like in the mud dog food bowl or might raise the toilet seat just being curious. She did that and touched the water. my gf was closest so we asked her to get her and wash her hands if she's in the water. she brought her back in there and set her down. We asked her if she washed her hands, and she said "she might have a little water, but not a lot" her brother was like "take that child in there and wash her hands and yours too". It's always something like this, some misunderstanding. I have to break down things to absolute baby food for her to understand. Let me say also: she works long shifts and goes to college full time. I don't know medically what stress can do; probably a lot. She does take medication, but has always been this way. I always figured she's just very smart; that's how she is? but it's too much; she is literally unresponsive at times. Others, perfectly fine. She is well-liked at her job and is actually a valuable resource there. She makes excellent grades. That said, she will sleep til afternoon if I let her. She can lie down and fall asleep the same second. Is there something I should look for (or be worried about)? We do not sleep together due to my light sleeping; I have thought about being attacked or something in my sleep. If that's insulting to mentally challenged people I'm sorry, but I don't really know what I may be dealing with here. thank you guys very much.

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