542
New England Law Review
v. 49 | 541
I
NTRODUCTION
n January 30, 2014, Sarah was hospitalized at the Connecticut Children
’
s Medical Center for out of control behavior, triggered by trivial issues at home.
1
She was aggressive, hostile to the point of hitting, yelling, screaming, and trying to break a wall. She also attacked one of the police officers responding to the incident.
2
Sarah is fourteen years old and in eighth grade at a Connecticut middle school.
3
She has multiple daily episodes of out of control behavior both at home and at school
—
at times hitting other students.
4
In addition, she has numerous daily episodes of syncope
5
in which she falls unconscious and refuses to wake up.
6
Sarah also reports mood dysregulation,
7
which entails headaches, nausea, vomiting, body aches and pains, stomach aches, back pain, feeling tired, lethargic, and poor sleep at night.
8
Sarah is diagnosed with autism, ADHD, reactive attachment disorder, and possibly anxiety and other mood disorders.
9
Sarah sees a psychiatrist monthly and had a
1
Telephone Interview with Anonymous Teacher, Teacher, Middle School in Conn. (Feb. 23, 2014) (on file with Author). All personally identifiable information of students, teachers, and the school district have been changed for confidentiality reasons. All subsequent information is based on real events, real diagnoses, and actual support services the student currently receives.
2
Id.
3
Id.
Sarah was adopted at age four from Guatemala, and little is known about her family history.
Id.
4
Id.
5
See, e.g.
,
Syncope or Fainting
, B
ETH
I
SRAEL
D
EACONESS
M
ED
.
C
TR
., http://www.bidmc.org/ Centers-and-Departments/Departments/Medicine/Divisions/Cardiovascular-Medicine/For-Patients/Diseases-and-Conditions/Arrhythmias/Syncope-or-Fainting.aspx (last visited Apr. 9,
2015) (“Syncope, better known as fainting, is a transient loss of consciousness and posture.”).
6
Telephone Interview with Anonymous Teacher,
supra
note 1. There are concerns about Sarah's afunctional-type seizure episodes, which she feels she has been suffering from for the past two and a half years.
Id.
She reports multiple somatic complaints, including anxiety, nervousness, and feeling scared.
Id.
7
See
generally
Disruptive Mood Dysregulation Disorder (DMDD)
, A
M
.
A
CAD
.
OF
C
HILD
&
A
DOLESCENT
P
SYCHIATRY
(May 2013),
available at
http://www.aacap.org/App_Themes/AAC
AP/Docs/facts_for_families/110_disruptive_mood_dysregulation_disorder.pdf (“Disruptive
Mood Dysregulation Disorder (DMDD) is a relatively new diagnosis in the field of mental health. Children with DMDD have severe and frequent temper tantrums that interfere with
their ability to function at home, in school or with their friends.”).
8
Telephone Interview with Anonymous Teacher,
supra
note 1. Sarah reports feelings of hopelessness but denies any thoughts of harm to herself or others.
Id.
However, on numerous occasions she exhibited out-of-control behavior with aggression towards others.
Id.
9
Id.
Sarah is currently medicated with Prozac to alleviate mood and anxiety issues, but it
O