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| Hpathy Ezine - May, 2004 | |||||||||||||||||||||||
Behavioural and Psychiatric Problems of Children- by Dr. Jawahar Shah |
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CASE II : Disruptive Behavioral Disorder + Childhood Onset Alopecia Areata A child of 8 yrs was brought to me for hair loss since 7-8 months. He also had eruptions on the head which were better by hot bath. When the child was bought to the clinic, he appeared to be very mild and very well behaved in our presence. On interviewing the case in details, few interesting facts were revealed ...This child would derive a lot of pleasure by killing lizards, chameleons, and other animals. He would tie them with strings and hang them on the door. He would catch insects and throw them on his friends. This act would give him a lot of happiness. The child was not scared of anything. He likes people, mixes with everyone easily but does not get along well with his brother. It was quite interesting to observe this child, who was very mild and gentle in the clinic but was destructive & cruel, when he was left to himself. It was evident from this behavior that the child had a dual personality.
This case fits into the Disruptive Behavioural Disorder and satisfies the Diagnostic Crieria for 312.8 Conduct Disorder as follows: · Aggression to people and animals · Often bullies, threatens and intimidates others. · Often initiates physical fights. · Has been physically cruel to animals. · This disturbance has caused impairment in social and academic functioning. · This disorder is Childhood- Onset type since this Conduct disorder has started at 8 years. · It is a Moderate type of Conduct Disorder since: Number of conduct problems and effects on others intermediate between ‘mild’ and ‘severe’. Prescription: Based on this PQRS symptom of dual personality, the child received Anacardium orientale
4.10.1993 >> All patches are full of hair, No cruelty, No troubles at all, Listens to family members, Advised to report any problems if required. 23.4.2001 Response : Patient had called up. He is fine now. No major trouble from that day till date. ===================================================== CASE III : Case of Masturbatory Behavior A young boy of four and a half years was brought to me on 25.03 97. Apparently, the child appeared healthy and had no problems. Life situation: The child belonged to a particular Marwari community where a male child is a must to continue the family traditions. The lady from this community keeps on conceiving, till at least she has one male child. I have seen cases where even after 5or more daughters they want a male child.This child was born after 20 yrs. of married life; he has 6 elder sisters. Even though both parents were 40 +, they had gone for a male child. The presenting complaint which the mother said was that the child would go around any corner, of a sofa, or of a chair, and rub against the sofa or chair, till he would have erections. Once he had an erection, then he would go around the whole house. This act was very embarrassing for the family members. This was a daily affair, and would be repeated quite a few times in a day. It was a big concern for parents because this community was very orthodox and such a scene was a big taboo. The child was taken to Allopaths but there was no relief or results. The parents tried their best to make the child understand this problem, but it was of no use. The child would do it more & more frequently and in fact he would enjoy this act a lot. Based on ‘Diagnostic and Statistical Manual of Mental Disorders’ –Fourth Edition by the American Psychiatric Association, Washington, DC, we can classify each of the cases in the following way: Remedy: Lachesis 200, 1 dose was given which cured the case completely. Child started behaving normally. Within 3 weeks, the child was absolutely alright. ======================================= * S.L. - Sac Lac/Sugar of Milk/Placebo |
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