Answer:
In order to answer the question i need a story, picture, note, etc... to examine this sara character but you provided nothing but "What possible problems could Sara be experiencing?" Im sorry but you need to add more information about sara.
Explanation:
The answer is narcotic. It is any of a class of substances that limit the faculties, as opium, morphine, belladonna, and liquor, that in expansive amounts deliver elation, trance, or trance state, that when utilized continually can bring about habituation or enslavement, and that are utilized as a part of medication to alleviate torment, cause sedation, and instigate rest.
A dangerous level of bilirubin is around 20
I would say reverse psychology