When Obsessive-Compulsive Disorder Is a Medical Emergency
A few years ago, a family brought their 9-year-old daughter Sarah* to my office for an evaluation. While emergencies aren’t the norm in my outpatient private practice, I determined that the situation was dire and needed an immediate medical evaluation based on her story and how she looked. What made it so clear? Sarah’s parents, Joan and Marc, told me that Sarah had become a completely different child in the last few weeks. About a month before I met her, Sarah had been sick for a few days, but nothing remarkable. She stayed home from school for a few days and then went back on a Monday morning, feeling a lot better. Things took a dramatic turn on Tuesday morning when she struggled to get out of bed and then refused to eat or drink anything, telling her parents she was afraid the food would make her sick. Her parents thought maybe she was having a recurrence of her illness so they kept her home, but things kept getting worse over the next few days. …