Photoshop Elements 6.0 question please help?

OK this girl did a picture for me and I want to know how did she do it on Photoshop Elements 6.0 (that's what she said she used)?

Here is the link to the pic.

http://i81.photobucket.com/albums/j219/j...

IF IT DOESNT WORK PLEASE LET ME KNOW SO I CAN CHANGE IT.

Photoshop Elements 6.0 question please help?internet

LOLOLOL.

I made that picture,

Bekka :)

Crazey how I found this.

lmfao.