Question: My 23 yr old daughter has had mild anxiety and emetophobia along with attention type ADHD her whole life. Since she graduated college and began working full time as a Gallery Assistant at a museum a year and half ago her life has taken a turn for the worse. She has lost 110 pounds and is 5'7'' and looks severely underweight. Additionally, she has low blood pressure (80's/40's and sometimes lower), low resting heart rate (low 40's), lightheadedness, loss of monthly cycle, stomach aches, fatigue, sleep trouble, depression, obsessive worry and anxiety about health and disease. She runs 7 days a week and simply cannot force herself to skip a day. She has quit her Gallery Assistant position because the mindless empty boredom was clearly increasing her anxiety. We convinced her to see a physician, although the doctor gave her prescriptions for anxiety, sleeping pills, antacids and Levothyroxine (hers Free T3 1.9 out of 2.3-4.2 normal range), none of which she will take because she thinks they will make her vomit. All other lab results were within normal range, although Free T4 was .77 out of .73-1.95 normal range. She begs me for help but is reluctant to believe my reassurances. I believe the physicianshe went to is limited in her perspecitve and she has a reputation of over prescribing medication. My daughter is brilliant and thrives in intellectual settings. I believe that graduating university and immediately taking a full time Gallery Assistant position threw her into high anxiety and downward spiral. Her intention was to save money for grad school but is now almost dibilitated. She is working 2 parttime internships--one prestigious for stipend. She is smart and ambitious but she is She is afraid she is consumed with anxiety, stomach cancer or gaining 100 pound with hypothyroidism.