If the woman prays and has no aversion to God, the problem is purely mental. If she is antagonistic towards prayer or religion (even if she goes to Church), then there is a spiritual issue. Sometimes there is both. But i'd rather deal with a purely mental issue, rather than a spiritual one, as if demonic oppression is involved, there is no chance for anyone to help her except herself (free will), or a priest.
I'm not an expert but I listened to an in-depth podcast where an exorcist was talking about current events. He was not Fr Ripperberger, but he's in close contact with him and other exorcists in the US. They compare notes and statistics to keep up to date on trends. This priest said that, in their collective opinion, the number of possessions are about the same as always, less than 5%. But the number of demonic oppression cases are up sharply, around 20-25%. Demonic oppression is where a person's sins have made them open to demonic attack. The person isn't possessed, they still have free will, but they are attacked mentally and physically beyond normal temptations.
Don't know if this applies to the woman in question, but maybe it does.