She looked utterly lost when he sat there and tried to ask "how?" because she had no idea. And if he believed it was her, then she had to come to terms with the fact that she wasn't hallucinating. She had somehow turned into this man.
She wanted to cry. Since college when she had finally found herself she had always been comfortable in her own skin. But now....how could she deal with this? This wasn't her.
"You need a drink?!" she said, voice rising in slight hysterics. "I.....I....look at me!" She needed a whole fucking bottle right now. Maybe two or three.