my sister-in-law is having severe complications after 40 years of obsessive compulsive behavior and anorexia.  She is now 60.  We live on the west coast and she on the east and have not have much contact for those 40 years.  Is there an intervention that can help at this point?
Hello, at such a distant relationship you can motivate her to take treatment on regular basis. Can call her up at least daily or thrice a week and talk to her. Talking and sharing gives peace and solace to these patients. You may also look out for a councillor and arrange ERP therapy sessions for her. These therapy sessions are designed specially for OCD patients and when done along with meds provide good results. It is never late to help anyone in need...when you have a feeling to do something good-always move on, with some efforts you will be able to help her a lot even without meeting her in person. Clomipramine or venlafaxine are good choices for OCD management. Good luck.