Hi Dr. Meeker,

I am hoping you can give me some direction with my 10-year-old daughter, Lily. When she was 5 years old, she was exhibiting sensory integration issues to the point that we almost couldn’t leave the house. I wanted to take her to an occupational therapist but at the time we couldn’t afford this, so I turned to some self-help books and felt with time, the issues were getting better. Things have been fine the last 4 years until recently, she has become obsessed with her weight and appearance. She is trying to spend hours in from of the mirror and looking down at her stomach and thighs so frequently it almost looks like she has a tic. She is very repetitive with brushing her hair, ironing her clothes, checking her pants, etc. It seems a little OCD, and she exhibited repetitive behavior like this 5 years ago but in other ways. It makes me wonder if this obsessive concern about her weight is linked more to her sensory problems instead of an eating disorder. I’m not sure if I should take her to an eating disorder therapist, or an occupational therapist. I thought that she would grow out…