a case of childhood schizophrenia by dr. jawahar shah a straight jump to sycotic phase
TRANSCRIPT
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A case of
Childhood
Schizophrenia
By Dr. Jawahar Shah
A straight jump to
Sycotic phase
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A young child was brought for
poor performance in exams.
On detailed interview,
we came up with
following facts ...
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The child was
previously a
brilliant student…
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Would perform
very well
academically
and always
stood first in
the class without any problem.
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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.
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All the problems of this child
started thereafter…
This change in education
came as a big shock to him.
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Developed this idea
that he would not be
able to cope up with
the new education.
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Had a
constant anxiety
that he had not
studied at all,
and would surely
fail in his exams.
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Felt that
other students
would go ahead of him.
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Every
half an hour,
he would call
up his friends
to ask how
much portion they had
completed.
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Child became very sensitive,
irritable , anxious and fearful
of everything.
He developed fear of studies,
of dark, of lonely places, of
exams, of failure.
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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.
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• 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.
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He did not
feel like
studying
anymore
Felt that … he should leave the studies
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Started
praying
that he
should
get some
illness…
which prevents him
from appearing for exams.
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Sleep was disturbed,
Child would often get up
from sleep or would not
get sleep for hours together.
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Sensitivity to noise increased
even if the television was on
four rooms away,he could hear
it , could hear the noises from
2 or 3 buildings away.
Developed marked
sighing and cried often.
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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.
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Developmental milestones :
• Birth wt. 6 ½ pounds
• Talking 11 months
• Walk 1 1/4 year
• Teething 7 months
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Case of Childhood Schizophrenia due to the following Diagnostic Criterias :
Characteristic symptoms :Two of these symptoms were present for a significant portion of time during a six month period or
more : Delusions Hallucinations
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Social / Occupational Dysfunction :
For a significant portion of time, since the onset of the disturbance, the major areas of functioning of
Work and Self careAre markedly below the level achieved.
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Duration :
Continuous signs of
disturbance persist for
at least 6 months or more.
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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.
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Symptoms considered :
Fear : Failure, of
Mood, disposition :
despairing, hopeless,
discourage
Fear : Dark
Fear : Alone, of being
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Symptoms considered :
Delusions, Imaginations :
Walk : Someone walks behind
Concentration difficult
[see comprehension thinking]:
Dullness, sluggishness difficulty of
Thinking and comprehending
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Symptoms considered :
Delusions : imaginations:Noise,hears
Work : Aversion to mental
Sensitive, oversensitive : Noise to:
Weeping, tearful mood : Tendency
Illusions, delusions, visions, etc.,
wrong, everything
Walking delay in
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I recorded the first symptom of the case from complete mind..
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Next symptom I typed in the repertory search feature…and recorded this symptom …
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Few other symptoms I directly typed in the quick rep and recorded it
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The patient had a lot of dullness…
I went to the Thematic search of the program
… and got all the symptoms related to
‘Dullness’ to record two rubrics…
Concentration difficult
Dullness sluggishness
Difficulty of Thinking and Comprehending
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Last I searched for the symptom ‘walking delayed to’…
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…which I got from the ‘Clarke clinical’ repertory
Walking delayed in
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Following was the repertorisation table:
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Following were the remedies that came up
Calc 24 / 13 Phos 21 / 9
Nux-v 20 / 10
Sil 20 / 10
I proceeded with the case … with
application of repertorisation strategies
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I put the most important symptoms of
the case in the clipboard
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Calc was coming up strongly….
I decided to apply the
‘Mineral’ filter…to see which all
‘Calcareas’ were covering the case…
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The three closely related remedies were…Calc..
Phos..
Sil…
I used the differentiate mat med feature, in this case using these remedies
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All the Delusions were covered by Calc…the other two remedies didn’t cover them at all
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On a right click I applied the ‘Symp covd /
not covered feature’’…
…Calc
covered
all the
symptoms
of the case…
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I went to confirm the remedy thro’
Materia Medica
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Compilation of Mental symptoms
from Boericke:
Apprehensive;
worse towards evening;
Fears Loss Of Reason,
Misfortune, contagious diseases.
Forgetful, confused,
low-spirited.
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Anxiety with palpitation.
Obstinacy :
slight mental effort
produces hot head.
Averse to work or exertion.
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From Archives,
Clarke has mentioned that:
Calc. patient is slow in
movements.State of mind is one of
apprehension. Patient fears she will
lose her reason, or that people will
notice her mental confusion.
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Symptoms from Hering :
• Imagines
some one is walking beside her
• Feels as if she would
lose her senses.
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From HOMPATH Tresorie
The Homoeopathic Recorder By Allan D Sutherland
Volume: April/June 1935. VOL. L. NO.2
Author: Joseph L. Kaplowe, M.D.
Remedy: CALCAREA CARB.
‘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.
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Prescription :
15th March, 1997
Remedy :
Calc . Carb 200 one dose
S. L 2-2-2 * 3 days
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17th March, 1997 Depression > Concentration > Was able to study, was worried about his position
Remedy :SL. 3
powders nightS.L 2 pills 2
hourly
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21st March, 1997 >> Able to appear for the exams and no problems 25th April, 1997
Patient reports that he has stood 1st in the class.
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21st April, 2001
• Studying very well•Has stood first in all
exams without any
anxiety
episodes.
•No other complication or problems.
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Learning
1)Step by step use of Repertory
2)Uses of different functions of
search
3)Importance of recording
Symptoms while taking a case.
4)Differential diagnosis of a Remedy
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5) Importance of calcarea group - its
appearance & expression in a
given case.
6) Importance of particular
symptoms in final differential
approach of remedies.
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7) Confirmation of a prescription
from Materia Medica.
8) A single dose can help to cure an
illness if detected early and managed
with right Homoeopathic Medicines.
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A Sycotic expression
reversing to healthy state
with a perfect Similimum