OCD is an anxiety disorder & characterised by obsessive
thoughts which are recurrent, unwanted & usually anxiety-provoking,
& by compulsions, repeated acts which relieve feelings of
tension.
Example:Repeated hand-washing because of recurrent
thoughts of contamination.
Cause of Obsessive Compulsive Disorder
OCD is widely accepted to result from genetic vulnerability &/or
chemical changes in some area of brain.
Pathology:
The precise pathology is not completely understood.
According to psychological school – obsessions are considered
anxiogenic. OCD patients cannot escape this anxiety & therefore
develop compulsion in an attempt to reduce or prevent the feared
consequences. Reduction of anxiety reinforces the compulsive behaviour.
Symptoms of OCD:
Arise acutely or insidiously.
Obsessions: Are frequent & persistent
thoughts, impulses or images that are normally experienced as intrusive
& senseless. They are usually accompanied by marked anxiety.
Common obsessions are- contamination, aggression & sexual or
religious ruminations.
Compulsions: Are repetitive behaviours;
e.g. hand washing, checking, ordering, or mental acts (e.g. counting,
repeating words silently)
DIAGNOSIS: Clinically.
Differential diagnosis:
1) Obsessive compulsive personality.
2) Depressive disorders.
3) Phobic disorders.
4) Generalised anxiety disorders.
5) Post-traumatic stress disorders.
6) Tic disorders.
7) Anorexia nervosa.
Management of OCD:
Cognitive behaviour therapy- The main approach in OCD is graded
exposure & self-imposed response prevention. This requires patients
to face their feared obsessions without undoing them with their
compulsions. Exposure should be of sufficient duration to be effective.
Homeopathic Remedies for Obsessive
Compulsive Disorder
Homeopathy treats the person as a whole. It means that homeopathic
treatment focuses on the patient as a person, as well as his pathological
condition. The homeopathic medicines are selected after a full individualizing
examination and case-analysis, which includes the medical history
of the patient, physical and mental constitution etc. A miasmatic
tendency (predisposition/susceptibility) is also often taken into
account for the treatment of chronic conditions. The medicines given
below indicate the therapeutic affinity but this is not a complete
and definite guide to the treatment of this condition. The symptoms
listed against each medicine may not be directly related to this
disease because in homeopathy general symptoms and constitutional
indications are also taken into account for selecting a remedy.
To study any of the following remedies in more detail, please visit
our Materia Medica
section. None of these medicines should be taken without professional
advice.
Repertory rubrics:
1) Mind-thoughts-persistent
2) Mind-thoughts-compelling
HOMEOPATHIC MEDICINES:
1) Arsenic album
2) Cannabis indica
3) Lachesis
4) Medorrhinum.
5) Natrum mur.
6) Pulsatilla
7) Rhus-tox.
8) Carcinocin etc
1) Ars.alb:
Conscience, as if a crime had been committed. Inconsolable anguish,
with complaints and lamentation. Hypochondriacal humour, with restlessness
and anxiety. Fear of solitude, of spectres, and of robbers, with
desire to hide oneself. Indecision and Changeable humour, which
demands this at one time, that at another, and rejects everything
after having obtained it. Despair, he finds no rest, especially
at night, with anguish. Despondency, despair, weariness of life,
inclination to suicide, or excessive fear of death, which is sometimes
believed to be very near. Too great sensibility and scrupulousness
of conscience, with gloomy ideas, as if one had offended all the
world. Ill-humour, impatience, vexation, inclination to be angry,
repugnance to conversation, inclination to criticise, and great
susceptibility. Caustic and jesting spirit. Extreme sensibility
of all the organs, all noise, conversation, and clear lights are
insupportable. Great apathy and indifference. Great weakness of
memory. Stupidity and dullness’. Delirium. Delirium, with
great flow of ideas. Loss of consciousness, and of sensation, dotage,
maniacal actions and frenzy. Madness, loss of mind (from the abuse
of alcoholic drinks).Great Prostration, with rapid sinking of the
vital forces; fainting. The disposition is:
a. Depression, melancholy, despairing, indifferent.
b. Anxious, fearful, restless, full of anguish
c. Irritable, sensitive, peevish, easily vexed.
The greater the suffering the greater the anguish, restlessness
and fear of death.
2) Cannabis indica:
Exaltation spirit, with excessive loquacity. Full of fun and mischief,
and laughs immoderately. Hallucinations and imaginations innumerable.
Anguish, accompanied by great oppression: better in the open air.
Constant fear of becoming insane. Exaggeration of duration of time
and extent of space, seconds seem ages, a few rods an immense distance.
Horror of darkness. Fear of approaching death. Inability to recall
any thought or event, on account of different thoughts crowding
on his brain. Sudden loss of speech, begins a sentence but cannot
finish it. Stammering and stuttering. Exaltation of spirits, with
excessive loquacity. Very absent-minded. Every few minutes he would
lose himself, and then wake up, as it were, to those around him.
Constantly theorizing. Clairvoyance. Delirium tremens, trembling,
hallucinations, tendency to become furious, nausea, unquenchable
thirst. Laughs at merest trifle. Sudden loss of memory.
3) Lachesis:
Timidity of character, with variableness and indecision. Great
apathy and xtraordinary weakness of memory, everything that is heard
is, as it were, effaced, even orthography is no longer remembered,
and there is forgetfulness even of things on the point of utterance.
Confusion as to time. Mistakes are made in speaking and writing,
as well as in the hours of the day and the days of the week. Imbecility
and loss of every mental faculty. Over-excitement and excessive
nervous irritability, with a tendency to be frightened. Perfect
happiness and cheerfulness followed by gradual fading of spirituality,
want of self-control and lasciviousness, felt as if she was somebody
else and in the hands of a stronger power. Amativeness. Affections
of the intellect in general. State of ecstasy and exaltation which
even induces tears, desire to meditate, and to compose intellectual
works, with a sort of pride. Frantic loquacity with elevated language,
nicely chosen words, rapid and continual change of subject-matter.
Loquaciousness, with mocking jealousy, with frightful images, great
tendency to mock, satire and ridiculous ideas. Nocturnal delirium
with much talking, or with murmuring. Dementia and loss of consciousness.
4) Medorrhinum:
The thread of her talk. Seems to herself to make wrong statements,
because she does not know what to say next, begins all right but
does not know how to finish, weight on vertex, which seems to affect
the mind. Difficulty in cncentrating his thoughts on abstract subjects.
Could not read or use mind at all from pain in head. Thinks some
one is behind her, hears whispering, sees faces that peer at her
from behind bed and furniture. One night saw large people in room,
large rats running, felt a delicate hand smoothing her head from
front to back. Is sure she is going to die. Sensation as if all
life were unreal, like a dream. Wild and desperate feeling, as of
incipient insanity. Cannot speak without crying. Suicidal. Is in
a great hurry, when doing anything is in such a hurry that she gets
fatigued. Spirits in the depths, weighed down with heavy, solid
gloom. Better by torrents of tears. Is always anticipating, feels
most matters sensitively before they occur and generally correctly.
Dread of saying the wrong thing when she has headache. Apprehensive.
Fear of the dark. Feeling as if he had ommitted the unpardonable
sin and was going to hell. Irritated at little things. Very impatient.
Great selfishness.
5) Nat.mur:
Unpleasant recollections & much weeping all attempts at consolation
worse _ obliged to weep. Hypochondriacal, tired of life. Joyless,
taciturn. Great tendency to start. Hurriedness, with anxiety and
fluttering of heart. Prefers to be alone. Anthropophobia. Anxiety
respecting the future. Anguish, sometimes during a storm, but especially
at night. Indifference, laconic speech, moroseness, and unfitness
for labour. Impatient precipitation and irritability. Timidity.
Hatred to persons who have formerly given offence. Irascibility
and rage, easily provoked. Inclination to laugh. Laughs so immoderately
at something not ludicrous that tears come into her eyes and she
looks as if she had been weeping. Alternative gaiety and ill-humour.
Laughs immoderately and cannot be quieted. Difficulty of thinking,
absence of mind. Weakness of memory and excessive forgetfulness.
Heedlessness and distraction. Tendency to make mistakes in speaking
and writing. Brain-fag, with sleeplessness, gloomy forebodings.
Exhaustion after talking, embarrassment of rain. Incapacity for
reflection, and fatigue from intellectual labour. Distraction, does
not know what he ought to say. Awkwardness.
6) Puls:
Impulse to hide or to run away, mistrust and suspicion. Covetousness.
Taciturn madness, with sullen, cold, and wandering air, sighs, often
seated with the hands joined, but without uttering any complaint.
Despair of eternal happiness, with continual praying. Discouragement,
indecision, dread of occupation, and obstructed respiration. Disposition
envious, discontented, and covetous, exhibiting itself in a wish
to appropriate everything. Caprice, with desire at one time for
one thing, at another time for something else, either being rejected
as soon as obtained. Hysterical laughter after meals. Hypochondriacal
humour and moroseness, worse evening, often with repugnance to conversation,
great sensitiveness, choleric disposition, cries, and weeping. Ill-humour,
sometimes with a dread of labour, and disgust or contempt for everything.
Inadvertence, precipitation, and absence of mind. Difficulty in
expressing thoughts correctly when speaking, and tendency to omit
letters when writing.iddiness, patient neither knows where he is
nor what he does. Great flow of very changeful ideas. Nocturnal
raving, violent delirium and loss of consciousness. Frightful visions.
Weakness of memory. Fixed ideas. Stupidity.
7) Rhus-tox:
Anxious sadness and excessive anguish, especially (at twilight)
in evening and at night, with wish for solitude and inclination
to weep. Restlessness which will not suffer the patient to remain
seated, and compels him to throw himself about in bed. Anguish with
fear of death and sighs. Fear of being poisoned. Suicidal mania
(desire to throw himself into the water). Irritability and ill-humour,
with repugnance to labour. Moral dejection with anthropophobia.
Helplessness and profound despondency. Uneasiness respecting one's
children, affairs, and the future, with want of self-confidence.
Weakness of memory and forgetfulness (cannot remember the most recent
events). Want of ideas and of mental energy. Difficult comprehension.
Slowness of conception and mental dullness. Delusions of the imagination
and visions. Mild delirium, with insensibility.
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