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A case of
Childhood
Schizophrenia
By Dr. Jawahar Shah
A straight jump to
Sycotic phase
A young child was brought for
poor performance in exams.
On detailed interview,
we came up with
following facts ...
The child was
previously a
brilliant student…
Would perform
very well
academically
and always
stood first in
the class without any problem.
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.
Developed this idea
that he would not be
able to cope up with
the new education.
Had a
constant anxiety
that he had not
studied at all,
and would surely
fail in his exams.
Felt that
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.
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.
• 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
Started
praying
that he
should
get some
illness…
which prevents him
from appearing for exams.
Sleep was disturbed,
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 , could hear the noises from
2 or 3 buildings away.
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 1 1/4 year
• Teething 7 months
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
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.
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.
Symptoms considered :
Fear : Failure, of
Mood, disposition :
despairing, hopeless,
discourage
Fear : Dark
Fear : Alone, of being
Symptoms considered :
Delusions, Imaginations :
Walk : Someone walks behind
Concentration difficult
[see comprehension thinking]:
Dullness, sluggishness difficulty of
Thinking and comprehending
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
I recorded the first symptom of the case from complete mind..
Next symptom I typed in the repertory search feature…and recorded this symptom …
Few other symptoms I directly typed in the quick rep and recorded it
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
Last I searched for the symptom ‘walking delayed to’…
…which I got from the ‘Clarke clinical’ repertory
Walking delayed in
Following was the repertorisation table:
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
I put the most important symptoms of
the case in the clipboard
Calc was coming up strongly….
I decided to apply the
‘Mineral’ filter…to see which all
‘Calcareas’ were covering the case…
The three closely related remedies were…Calc..
Phos..
Sil…
I used the differentiate mat med feature, in this case using these remedies
All the Delusions were covered by Calc…the other two remedies didn’t cover them at all
On a right click I applied the ‘Symp covd /
not covered feature’’…
…Calc
covered
all the
symptoms
of the case…
I went to confirm the remedy thro’
Materia Medica
Compilation of Mental symptoms
from Boericke:
Apprehensive;
worse towards evening;
Fears Loss Of Reason,
Misfortune, contagious diseases.
Forgetful, confused,
low-spirited.
Anxiety with palpitation.
Obstinacy :
slight mental effort
produces hot head.
Averse to work or exertion.
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.
Symptoms from Hering :
• Imagines
some one is walking beside her
• Feels as if she would
lose her senses.
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.
Prescription :
15th March, 1997
Remedy :
Calc . Carb 200 one dose
S. L 2-2-2 * 3 days
17th March, 1997 Depression > Concentration > Was able to study, was worried about his position
Remedy :SL. 3
powders nightS.L 2 pills 2
hourly
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.
21st April, 2001
• Studying very well•Has stood first in all
exams without any
anxiety
episodes.
•No other complication or problems.
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
5) Importance of calcarea group - its
appearance & expression in a
given case.
6) Importance of particular
symptoms in final differential
approach of remedies.
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.
A Sycotic expression
reversing to healthy state
with a perfect Similimum