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| Hpathy Ezine - Aug., 2004 | ||||
A Case of Alopecia areata and Depression-- Dr.Santosh Joshi |
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The patient came to me with the complaint of total loss of hair in five different areas on the scalp. This had started in July 2000. The hair fall was severe. Another interesting symptom was that there was pain when the hair was touched ++. The other complaints the patient described were - tension, stress, depression, constipation, severe headache, and regular nose blockage, overweight and severe backache. She had mentioned the following points- she is short tempered and gets angry easily; sentimental, emotional, deep thinker, helpful, practical and intellectual. The patient wants to be very successful in life. She is in the fashion designing profession. The hurdles experienced were that things are not going the way they should go. She had lot of friends and she said she was close to one of them. She does not open up easily to anybody. She is helpful to others but she doesn't expect much because whenever she has expected something, she has got negative results. She says I am quite a social person. On further case taking the patient told she becomes depressed which may be because she is at home. She gets hurt easily and is dissatisfied and unhappy. She weeps when she is alone and feels better after it. At this point there was a short silence and then she said there was a break up with her close friend recently with whom she had plans to get married. But she had never told these things to him. As he was unaware of her feeling, one fine day he told her that he is carrying on with another girl and this was like a shock to the patient. The patient says she cannot forget him. She becomes angry and retaliates, she feels like throwing things and breaking them but she controls her anger. If somebody tries to console her she just cannot bear it. It aggravates all her complaints. When questioned about her childhood, she told she wanted things her way but they never were the way she wanted. She wanted her parents to pamper her a lot but they never did so. She felt very bad about it. She also had a younger brother who was pampered a lot. She feels there is nobody on her side. She also has lot of suicidal impulses but she says she cannot do it. The sleep is disturbed and she gets scary dreams like falling in a valley and somebody is pulling her down, dreams of her ex-lover. She has fear of animals, dogs. She dislikes going in a crowd. There is a feeling of insecurity. She dislikes wearing tight clothes. Personal history Diet: Non vegetarian Objective s/s Symptoms considered 1. Ailments from: Love Disappointed, unhappy |
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