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I too think its about the possibility of losing her dog. In the scenes when she is crying on the couch she is mourning his loss, remembering the moments when he was alive (the moments when we flashback to ehr with the dog on the same couch). The ink scene could represent a tattoo maybe? Like she wants to remember him by a tattoo but she wants to remember him so much and always that she totally covers herself in ink, so that she will remember him forever.
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