The overall mood and tones are well done, even though I might have approached things a little differently.
Reading through all the comments and defenses, what struck me was this: There's no depth of feelings nor expressions.
There's hardly any tension. There's no semblance of 'insanity' or even rage, confusion, derangement, dementia, lunacy, mania, irrationality, delirium, frenzy, hysteria, neurosis, psychosis, abnormality or unsoundness. Any of these symptoms could have been used to help portray someone disturbed or insane.
The main challenges when taking on such heavy-weight themes like 'insanity', (or some time back when someone else tried one involving a 'girl dying from cancer or in her last days') is to get a better understanding of the topic, and identify visual elements and to get the model to actually internalise, and project the range and depth of feelings. Not an easy task.
A quick look at the list of descriptions alone would have clued a Director or Stylist into what sort of lighting, moods, angles, wardrobe, expressions and feelings have to be portrayed to successfully, and convincingly carry and project a theme.
However, even if the shoot director or stylist grasps the plethora of feelings and has an idea of what specific looks and angles he or she wants, the model also has to understand from a photographic POV what expressions convincingly portray a demented girl.
Then there's external factors like location, angles, lighting, accessories and what is done with those elements, including what the model does with the accessories (to project insanity, or any of it's symptomatic descriptions).
Kendrick, you said it stormed, or rained that day ... that could have been a very powerful visual accessory - the rain.
You and your model were very brave to take on such a topic.
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