Passive Case Witnessing Problem

It’s a case of a 6 year old girl who consulted me on 18/12/08.

The very first peculiar thing we observe about the child is …she enters the consulting room holding mothers hand tightly.

M: She has made a drawing for you.

(Child’s sibling is also our patient. Every time when this child used to accompany her sister, she would draw and now also she has got the following drawings. This itself shows us the child’s intense connection with her subconscious through this form of art.)

M: She does not have any health problem as such but I wanted to start treatment for her overall development.

PASSIVE CASE WITNESSING PROCESS

D:        Tell me what’s happening to you..? Can I send your mother out?

P: No.

OBSERVATION: Clings tightly to her mother.

D:        Okay, tell me what’s your name?

P: OBSERVATION: Sitting in mothers lap with her hands around mother’s neck. N……P……

D:        Tell me more about you?

P: PAUSE

OBSERVATION: Smiles and clings more to the mother.

D:        Tell me what are your interest and hobbies? What you like to do?

P: I like to swim, like to draw, I like running…playing.

D:        Wow! What else?

P: I like to play on the computer, like to watch TV.

OBSERVATION: Now she removes her hand from the mother’s neck and sits leaning on the table, yet she is in her mothers lap.

D:        What else you like to do?

P: Like to go to school.

D:        Very nice, very nice you are talking?

M: You sit on the chair and talk to the doctor.

P: OBSERVATION; child sits on a chair next to the mother but still holding her arm.

As the mother starts to leave the room, the child jumps off the chair, starts crying and goes and hugs the mother, and goes out with her.)

(The mother comes in with her after some time but now the child sits on the chair and mother on the sofa behind her.)

D:        OK, so tell me what else you like to do?

P: I’ll like to play – go on a slide. Like to read books.

D:        Very nice. You are speaking so well. What else you like to do?

P: Like to dance… then I like to play, then I do homework.

OBSERVATION: Looks behind towards the  mother.

ACTIVE CASE WITNESSING PROCESS

D:        And what are you scared of?

P: Scared of lions, tigers…

D:        What else?

P: Bhoot.

The mother had some work and she had to go out of the room. Immediately the child said no.

D:        You are speaking so well. Just talk with me and your mother will come in 2 minutes.

P: No…no…(OBSERVATION: She gets up and clings to mother and starts crying)

D:        OK you don’t talk, but can you draw till your mom comes back?

(She sits on the chair and starts drawing.)

(Since she was not ready to communicate even after so much of encouragement and the fact that at the beginning she had brought drawings, we ask her to draw.)

OBSERVATION: She covers the paper with the hand and also draws at one lower section of the page.)

D:        Wow! What is this?

P: This is my sister & me, & this is my father and my brother.

D:        And what is this?

P: A heart.

ACTIVE – ACTIVE CASE WITNESSING PROCESS…

D:        What is this heart doing here?

P: I love heart so I drew it.

D:        Earlier also you drew hearts. What about this heart you love?

P: I love heart like that only.

D:        Heart with arrows what does this mean?

P: Looking into the drawing. (PAUSE)

D:        What are you all doing?

P: We all are looking at the heart and thinking what is it.

D:        What does the heart mean?

P: I don’t know.

D:        You like drawing heart huh. When do you draw it?

P: In school. In my drawing class. I draw heart and stars and one day I drew heart and star in the Christmas tree.

D:        In this drawing who is having the flower? (We spotted a flower in the drawing she had made.)

P: My sister- she is just holding it.

D:        She is going to give it to someone or what?

P: Me.

D:        And heart will go to whom.

P: To my brother and father.

D:        Why?

P: Like that only.

D:        Like that only. OK… Would you like to draw something more for me?

D:        Wow! What is this?

P: A drawing.

D:        Of what?

P: Drawing of a garden. This is me and my brother.

D:        What are you both doing here?

P: We have come here to play.

D:        What are you playing?

P: Running and catching.

D:        What is this?

P: Flowers.

D:        Which flower are they?

P: This is flower, this rose and…this …this is pink flower.

D:        Draw one more thing for me?

P: OBSERVATION:  She draws human figures and then joins all of them together.

D:        Wow! What is this? I don’t know what it is.

P: My family.

D:        What’s your family doing here?

P: Ring-a-ring-a-roses.

D:        Ring-a-ring-a-roses. What’s that?

P: I don’t know.

D:        Whom you like the most in your family?

P: My mom.

D:        What about mom you like the most.

P: (PAUSE)

D:        You like or your sister likes?

P: I like more.

D:        What else?

P: (PAUSE)

ACTIVE – ACTIVE IN DIFFERENT AREA – FEAR

D:        What are you scared the most.

P: Lion and tiger.

D:        What about them scares you the most?

P: Because lion crawls and eat us.

D:        What else do they do.

P: Smiles.

D:        You said previously that you are also scared of ghost. What about them scares you?

P: (PAUSE) … I saw the movie called Road side Romeo. (This is a bollywood movie)

(Here when we ask her about fears, she herself goes to the area of movies, so we become active- active to explore this area.)

ACTIVE – ACTIVE IN DIFFERENT AREA -MOVIES

D:        What is there in that movie?

P: There’s a dog, many dogs but 1 dog’s name is Romeo.

D:        Go on?

P: There is a girl called Leila and she loved…. and that dog he loved Leila..

D:        I don’t know what they do? Love means what?

P: I don’t know.

D:        What about the movie do you like the most?

P: I like Leila.

D:        What about Leila you like?

P: (PAUSE)

OBSERVATION: leans on the table and hides mouth behind both palms.

D:        Which other movies you like?

P: Romeo & Jaane tu… (It’s a Bollywood romantic movie.)

D:        And what is there in that movie Jaane tu…?

P: I forget.

D:        Anything else about you.

P: Nods no.

D:        So you like all movies with love/

P: Nods Yes.

D:        What about it you like?

P: I don’t know… because nice things happen.

D:        What?

P: Like they don’t shout, they don’t hit and all.

D:        Anything else.

P: No.

Child goes out and comes back with another drawing along with the mother.

MOTHER’S OBSERVATION OF THE CHILD

She is very affectionate child.  She will go and give big hugs even to strangers. She is very fond of her younger brother and she will make him understand things by saying you can win this or that and she lets him win. Actually she is friendly with anybody and everybody.

END OF THE CASE

—————————————————

UNDERSTANDING OF THE CASE

OU OF PLACE/ OUT OF ORDER

Passive case witnessing process

Verbally the child didn’t speak anything peculiar but our observations regarding the child were very peculiar…

• Her clinging.
• Sitting in the mother’s lap.
• Holding mother tightly.
• Holding her hand while talking.
• Hugging the mother.

Active case witnessing process

• Clings to mother as she tries to go out of the room.
• Covering the paper with hand while drawing.
• A heart.

Active-Active case witnessing process

• I love heart .
• I drew heart and star in the Christmas tree.
• Drawing of a garden
• Flowers.
• Draws human figures and then joins all of them together.
• Too much family attachment.
• Ring-a-ring-a-roses.
• That dog he loved Laila Leila
• Like they don’t shout, they don’t hit and all.

WHAT IS THE FOCUS/CENTRE/ESSENCE OF THE CASE

• Love, attachment and togetherness.
• Love for heart.

This is very evident from her body language and all her drawings. Also this further gets confirmed from the mother’s observation of the child.

WHICH KINGDOM?

• Pure sensitivity seen.
• Drawings of garden, flowers.

This clearly points to the PLANT KINGDOM.

WHICH FAMILY?

This tremendous attachment to the mother, togetherness of the family, hugging and clinginess, love for hearts is very suggestive of the MALVALES family.

WHICH MIASM?

We observed that whenever she draws she covers the paper with her hand. This gives a hint of the SYCOTIC MIASM.

WHICH REMEDY?

The remedy from the Malvales family with Sycotic miasm running in the centre is TILIA EUROPA. BUT in the case we observed that along with the general theme of the Malvales family, the child’s focus was “Heart”. So when a further inquisitive search was made keeping focus on the “Heart” interestingly we found out a remedy TILIA CORDATA which also belongs to the same family where the leaves of the tree are heart shaped.
Thus the remedy given was TILIA CORDATA.

WHICH POTENCY?

At the end of Passive case witnessing process, verbally the child seemed to be at the ‘Name and Fact’ level but the peculiar body language which we didn’t understand initially and which got connected later on with the whole phenomenon, represented the child’s complete altered energy pattern. Thus the child (non-verbally) vibrated at the Delusion level. Therefore the potency given was 1M, single dose.

A follow up drawing

END OF THE CASE

Homeopathic Treatment of PTSD



Hpathy Ezine, January, 2011 | Print This Post |

Psychiatrist and homeopath Dr. Edward Shalts discusses PTSD, including its history, symptoms, etiology and the homeopathic approach. He includes cases to illustrate.

My first encounter with Post traumatic Stress Disorder, or PTSD dates all the way back to the early 80’s in Moscow, USSR. I was a young family physician then. One day, during routine home visits I meet a young man who just recently came back from Afghanistan. At that time the war was between the Soviet Union and Afghan rebels. As we are learning now, the consequences to both parties involved were and remain the same. They were and are disastrous. That young man apparently witnessed a number of atrocities. He was visibly anxious to the point of sheer panic. He also complained of frequent flashbacks and night terrors he experienced almost every night. Unfortunately, at that time I was just beginning to practice homeopathy and could not fully appreciate this and adequately prescribe for the young man. Later in my life I had another opportunity to face PTSD. Lamentably, this opportunity is known worldwide as 9/11. I was in New York working at the Center for Health and Healing of the Beth Israel Medical Center. I was surprised that very few patients came. But slowly, more and more surfaced, frequently coming with seemingly unrelated complaints. I’ve seen a significant number of patients since then and as it turned out, this time I was well prepared. Homeopathy brought about amazing results of the kind that conventional (allopathic) psychiatry has not been able to achieve. The goal of this article is to share my experience with my fellow homeopaths, and anyone willing to learn and apply this miraculous healing practice of homeopathy.

Definition

Posttraumatic Stress Disorder, or PTSD, is a psychiatric disorder that can occur following the experience or witnessing of life-threatening events, such as military combat, natural disasters, terrorist incidents, serious accidents, or violent personal assault like rape. People who suffer from PTSD often relive the experience through nightmares and flashbacks, have difficulty sleeping and feel detached or estranged. These symptoms can be severe enough and last long enough to significantly impair the person’s daily life.

Data from a number of studies indicates that up to 30% of individuals of various age groups, including children and adolescents exposed to life-threatening events, present with a clinical picture of PTSD 1-4.  Unfortunately, only about a fourth of victims discuss their problems. For example, despite universal health coverage and the benefits of an employee assistance program for all employees, only 28.5% of those with PTSD symptoms have talked to a health professional about the events of Hurricane Katrina or issues encountered since the storm 4.

To memorize all the key signs of PTSD, psychiatrists suggest the following mnemonic:

PTSD Mnemonic

E – Event/experience (threatening to life or physical integrity of self or others)

R – Re-experiencing (flashbacks, nightmares etc)

A – Arousal (anxiety, startle, hypervigilance, irritability)

A – Avoidance (of things, places, images etc. reminiscent of event)

D – Duration of plus one month

It is important to remember that PTSD can occur at any age, including childhood. Not surprisingly, PTSD is generally more severe or long-lasting when the trauma is of human design (e.g., torture, terrorist attack) vs. a natural disaster (e.g., earthquake)

History of PTSD

As one can easily imagine, even from such a basic fact as having had wars throughout human history, PTSD has always been there. Below are some highlights of historical development for better understanding of PTSD.

1900 B.C. – Egyptian physicians report hysterical reaction.

VIII Century B.C. – Homer in The Odyssey describes flashbacks and survivor’s guilt.

490 B.C. – Herodotus writes of a soldier going blind after witnessing the death of a comrade next to him.

1597 – Shakespeare vividly describes war sequelae in King Henry IV

1600 – Samuel Pepys describes symptoms in survivors of the great fire of London.

1879 –  Rigler coins term Compensation Neurosis

1880’s  – Pierre Janet studies and treats traumatic stress. He describes “hysterical and dissociative symptoms”, inability to integrate memories, by “phasic nature” of suppression and intrusion.

1899 – Helmut Oppenheim   coins term  Traumatic  Neurosis

WW I:  –  “Shell Shock”

WW II:   -“Battle fatigue”, “Combat exhaustion”, and, again, “Traumatic Neurosis”

1980 – PTSD becomes a diagnostic category  in DSM III

Careful research and documentation of PTSD began in earnest after the Vietnam War. The National Vietnam Veterans Readjustment Study estimated in 1988 that the prevalence of PTSD in that group was 15.2% and that 30% had experienced the disorder at some point since returning from Vietnam.

Nowadays clinical criteria characteristic to the majority of patients is best described in the Fourth Edition of the Diagnostic and Statistical Manual of Mental Disorders 5.

• Exposure to a Trauma – The person has been exposed to a trauma, in which he or she has experienced or witnessed an event involving the threat of death, serious injury, or a threat to the physical well-being of oneself or others. Note that only physical threats count in the definition of a trauma in PTSD. Situations that represent a psychological threat (e.g., a divorce, being criticized by a loved one, being teased) are not considered traumas in the definition of PTSD, even though they may lead to difficulties for the individual.

• A Response of Fear, Helplessness, or Horror – The immediate response to the trauma is one of fear, helplessness or horror (in children, it may be a response involving disorganized behavior or agitation). If an individual’s response to the trauma is primarily one of sadness or loss, rather than fear (this is often the case following the death of a loved one who was ill), PTSD would likely not be diagnosed.

• Symptoms of Re-Experiencing the Trauma – The individual persistently re-experiences the event in at least one of the following ways:

1. Recurrent and disturbing memories, images, and thoughts about the trauma.

2. Recurrent and disturbing dreams or nightmares about the trauma

3. Acting or feeling as if the trauma was occurring again (these experiences are often called flashbacks). This may include hallucinations (e.g., seeing things or hearing voices that were present during the trauma, even though they are not really there currently), misinterpreting things that are heard or seen (e.g., being convinced that the sound of fireworks in the distance is actually the sound of gunfire).

Edward Shalts

Edward Shalts, M.D., D.Ht., served as a Vice President of the National Center for Homeopathy and 2nd Vice President of the American Institute of Homeopathy. He authored two books: "The American Institute of Homeopathy Handbook for Parents" and "Easy Homeopathy". He is on faculty of the Center for Health and Healing at the Beth Israel Medical Center, New York, the Institute for Complementary and Alternative Medicine, UMDNJ and the New York College of Osteopathic Medicine. Dr. Shalts worked for 4 years as a staff homeopath at the Center for Health and Healing (Beth Israel, NY) and then opened his private homeopathic practice in Manhattan. He has been practicing homeopathy for over 25 years.

Comments

  1. colin harrison

    January 19, 2011

    Fantasic article with some great insights, thanks very much.

  2. Kesavan Nair

    February 10, 2011

    It is wonderful to see such an in depth article today when most resort to take very strong anti depressives or similar medicines which merely suppresses the sypmtoms. A pity that more people do not seeki homeopathy for emotional problems. Thanks to Shalt for the detailed article with demostration through repertory.

  3. brra2006

    ana almeida

    February 10, 2011

    It is a very interesting article in which one more time enphasis is in individualisation of the constitution, the reaction to a traumatic situation and Unicist Homeopathy . Thanks for sharing your clinical experience !

  4. Linlee Jordan

    February 10, 2011

    Dear Edward,
    Thank you for this article on PTSD, it is an area of great potential and promise in homeopathy and I am interested to read the references but they don’t seem to show at the end of the article. Is it possible that they could be emailed to me or included in these comments to see?

  5. Darlene Nixon, BGS, CHom

    February 10, 2011

    Excellent case work, doctor. I have a patient that complained of ‘adrenal shutdown’ and manic rage followed by collapse. It took 6 months of prescribing to ‘uncover’ the exciting cause: witnessing a fatal car crash which involved a driver that passed her on a mountain road only to crash head on into an oncoming vehicle within several hundred meters of her own car. I did not get this information during her initial intake or carefully working with her to get a timeline of her social and health history. Mention of this event finally emerged after prescribing Aconitum napellus.

    The exciting cause was 18 years ago. My clues to PTSD were her narratives of these ‘attacks’ of fright and rage while in a car, either driving or as a passenger. Her statements were very characteristic: “I didn’t do anything wrong; It’s not my fault; I hate it when people do stupid things.”

  6. PAM BENNINGFIELD

    February 24, 2011

    I have suffered for almost 30 yrs from panic attacks, depression and phobias. I was involved in an accident in 1981 where I was the passenger and we got hit, and even though no one was injured, I started having what my psychiatrist termed “depersonalization” accompanied with horrible panic attacks. Have been on Zanax all these years, 2 mg. 3 times daily, the legal limit. Still have panic attacks, am very addicted to the Zanax because I don’t want those horrible feelings. I have them when I drive sometimes, and can’t ride with anyone… it’s terrible. Any suggestions please? Desparately need help!
    Thank you.
    Pam Benningfield

    • Paul Labrèche

      May 20, 2011

      Mrs Benningfield,

      As you probably read the article, the only way we can help you is by having an appointment with an homeopath to discuss your situation in lenght. Homeopathic prescribing cannot be done over the counter in this case. I strongly encourage you to seek this professionnal guidance.

  7. Debby Bruck

    March 31, 2011

    Wonderful article on a much needed topic of Post Traumatic Stress Disorder in today’s frightening and dangerous world in war torn countries, broken dysfunctional and abusive families, natural disasters and shifts in the earth, shocks and accidents in our fast-paced societies. Many great stories and contributions by those who have commented here. Thanks so very much.
    In gratitude, Debby
    http://www.twitter.com/DebbyBruck

  8. R.C.TAMILSELVAN

    April 10, 2011

    Dear doctor Edward shalts.

    I read your piece about POST TRAUMATIC STRESS DISORDER,an excellent,informative and interesting read.Like any other disease PTSD has real causes that create a chemical imbalance.It is found that drug treatment such as antidepressents and tranquilisers appear to be less effective than homoeopathic treatment.Homoeo remedies such as IGNATIA followed by NATRUM-MUR.and bio remedy KALI.PHOS are found effective cure for psychic problems.However PSYCHO DYNAMIC and COGNITIVE BEHAVIORAL THERAPY have been found successful.Thank yoy,sir.
    Thanks to the Executive director,HPATHY.COM and his team members for providing such useful health related information and promoting health service thru Homoeopathy.

  9. cm

    November 10, 2012

    Dear Dr. Shaltz, could you recommend a Homeopathic doctor in the San Diego, CA area, who has experience treating PTSD?

    Thank you,

    Cm

  10. D bowman

    February 19, 2013

    You mentioned giving a patient a book, what s the name of that book please? My son is back from Afganistan and is suffering from PTSD and needs help . He lives in San Clemente ,CA and getting ready to go to training in N.C. The meds you mentioned seemed as if different ones were used according to symptoms- please direct the process to go by to direct him for help. Thank you for your info!

  11. Cheryl

    April 19, 2015

    Dear Doctor Shultz

    I am writing to you from Australia.
    I suffer from complex PTSD.
    IM URGENTLY SEEKING HELP.
    I m sure its a long shot but would you know of any homeopaths that you could recommend in Brisbane ?

    I have been under. The guidance if my teacher Dr Ursula Gehring for many years. She has done a beautiful jobbut due to our friendship uts been hard fir her to see my picture .
    I would. Love to heal.
    Kind regard.
    Cheryl

    Os if you have time could you please reply via my email address. Thank you.

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