From one ugly person to another, it is entirely likely that she lost the genetic lottery in enough places that she can very much be considered as such. In which case, constantly calling her "cute" or "beautiful" would have a drastically opposite effect than intended. Source: various anecdotal situations throughout my teenage and early-YA years with my friends. It's also likely that she isn't ugly at all, and this is just the tapeworm eating away at her brain chemicals. Either way, probably not a good idea to focus on looks so much, in this current mental state.