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| Hpathy Ezine - June, 2004 | ||||||||||||||
Behavioural and Psychiatric Problems of Children- by Dr. Jawahar Shah |
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CASE VI - Childhood Schizophrenia A young child was brought to me for poor performance in exams. This child was previously a brilliant student. He would perform very well academically and always stood first in the class without any problem. He could not expect a rank lower than within the first five. When he was 11 yrs old, the normal SSC education pattern of the school changed to a Cambridge based education which obviously is a much tougher and complex system of education. All the problems of this child started thereafter…. This change in education came as a big shock to him. He developed this idea that he would not be able to cope up with the new education. He had a constant anxiety that he had not studied at all, and would surely fail in his exams. He felt that the other students would go ahead of him. Every half an hour, he would call up his friends to ask how much portion they had completed. The child became very sensitive, irritable, anxious and fearful of everything. He developed fear of studies, of dark, of lonely places, of exams, of failure. He started developing delusions and hallucinations, like he would hear noises and voices from far off places, had a feeling that there is something wrong with him or that somebody is chasing him, etc. His concentration level dropped down, he forgot what ever he had done. He developed a lot of confusion, would read the same page again and again as if he had never understood what he had read. He did not feel like studying anymore, felt that he should leave the studies; he started praying that he should get some illness which prevents him from appearing for the exams. Sleep was disturbed; the child would often get up from sleep or would not get sleep for hours together. Sensitivity to noise increased, even if the television was on four rooms away, he could hear it, he could hear the noises from 2 or 3 buildings away. He developed marked sighing, and cried often. It was quite evident from this case that the child could not bear the stress of the new advanced pattern of education and he was collapsing under this stress. Developmental milestones Birth wt. 6 ½ pounds Talking 11 months Walk 11/4 yr Teething 7 months Calcarea has fear of going insane, or that people will observe her and suppose her to be crazy; talks about fire and murder; imagines someone is walking beside her, and even though alone, believes that someone is in the same room. Characteristic symptoms : Two of these symptoms were present for a significant portion of time during a 1-month period or more: 1] Delusions 2] Hallucinations · Social/ Occupational Dysfunction: For a significant portion of time, since the onset of the disturbance, the major areas of functioning of Work & Self-care are markedly below the level achieved. · Duration: Continuous signs of disturbance persist for at least 6 months or more. This has been ruled out as a Schizoaffective and Mood Disorder Exclusion because: No Major Depressive, Manic or Mixed Episodes have occurred concurrently with the active-phase symptoms.
============================================== CASE VII : Autism - Pervasive Development DisorderA young girl of seven years was brought to me, with the following complaints: The child would sit in a corner, for hours and days together. She had no interest in food, play or studies. This attitude was there from childhood. When I first saw her in the clinic, I observed that her face was flat & showed no expressions. This child would not mix or play with anybody and always wanted to stay alone. She would sit alone, as if she was in her own world and had nothing to with the worldly affairs. She took no interest in her studies. [There was no problem of intelligence, because the IQ was 80 +] She would not emote to anything, there was no reaction from her even if she was scolded, explained or persuaded. Physical complaints: Constipation; could not pass stools for 6-8 days. Stools - hard with lot of pain and discomfort. Severe diarrhea when forced to eat. Perspiration offensive 3+, staining the clothes. Sleep disturbed, would get up a number of times, occasional weeping & talking during sleep. On further detailed study, it was revealed that this child was adopted by the couple, as they did not have any children, after 10 yrs of marriage. The child was bought from an orphanage, and no details were available about her parents or about her background. Diagnosis : Autism 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: A total Of 6 or more items of the following with at least 2 from [1], and one each from [2] and [3] are satisfied by the patient: [1] Qualitative impairment in social interaction: · Marked impairment in facial expression. · Failure to develop peer relationships. · A lack of spontaneity in sharing interests. · Lack of social or emotional reciprocity. [2] Qualitative impairment in communication: · Marked inability to initiate or sustain conversation with others. [3] Restricted, repetitive and stereotyped pattern of behaviour. · Encompassing preoccupation with one stereotyped and restricted pattern. Prescription
Follow up
Conclusion : Few points which are very interesting which can be concluded from running of this child guidance clinic: 1. We run a parent’s guidance clinic 2. Mind and body cannot be separated. That means the mind, body and nucleus of the remedy has to match with that of the patient. Unless you have this you cannot get the Similimum, and you cannot cure a case. 3. In cases most simple or complicated you can change the pathology at the level of mind and body, very easily if you find a right Similimum. 4. In most of the circumstances simple indicated medicine produces better results than searching for a rare uncommon, or lesser known medicines. 5. Substantial improvement occurs in all cases at the emotional, intellectual and physical level. Full potential of the individual can be realized. Homoeopathy can be best learned, from patients, In fact I would strongly recommend, that students should be exposed to clinical homoeopathy right from day one of their studies. By adopting this procedure students will have confidence in homoeopathic system of medicine and once they see the result they will be able to help humanity in a homoeopathic way. Every case can give us totality of learning, 1. Interview technique -diagnostic & therapeutic 2. Disease diagnosis 3. Analysis / evaluation of case 4. Approach to a case -Repertorial -Non reportorial -Intuitive 5. Differentiation between closely related remedies 6. Remedy relationships 7. Auxillary measures and management of the patient 8. Understanding of miasms and correlating with prognosis of the patient 9. Second prescription 10. Follow up 11. Following of Hering’s law of cure in patient management. Dr. Jawahar Shah 8, New Hari Niwas, Dattatray Road, Santacruz (W), Mumbai - 54 |
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