Consult Note to PCP: Eliza Petrova

Dear Dr. Chang,

Thank you for your ongoing care for Eliza Petrova. I am writing to update you following her initial psychological assessment conducted on March 27, 2024.

The primary presenting concern is a severe fear of vomiting (emetophobia). Based on the assessment, Eliza meets the criteria for Specific Phobia, Emetophobia Subtype (F40.218). This is characterized by intense fear and anxiety related to vomiting (self or others), significant avoidance behaviors (e.g., food restriction, school cafeteria, social events), and associated distress that markedly impacts her daily functioning across home, school, and social domains. We also acknowledge your existing diagnosis of Generalized Anxiety Disorder (F41.1), and the current phobic presentation appears to be the most prominent driver of her current distress and impairment.

Our proposed treatment plan involves Cognitive Behavioral Therapy (CBT) with a strong emphasis on Exposure and Response Prevention (ERP) tailored to emetophobia. This will be complemented by parent coaching to support Eliza's progress and ensure consistent strategies at home.

We will, of course, keep you informed of her progress. Please do not hesitate to contact me if you have any questions or would like to discuss her care further.

Sincerely,

Dr. Anya Sharma (Therapist, Little Otter)