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Imagine a world in which even soft sounds like the buzz of fluorescent
lights are painfully piercing. A t-shirt's nylon tag feels scratchy
and irritating to the point of distraction. The feeling of mashed
potatoes on your tongue induces an immediate grimace. These are
the types of sensory experiences a child with Sensory Processing
Disorder (SPD) struggles with each day-a world perceived as prickly
and painful.
What is Sensory Processing Disorder (SPD)?
SPD is a neurological condition that interferes with the brain's
processing of information received through the five senses of touch,
taste, hearing, smell, and sight. SPD may also affect the sense
of balance and movement. A child with SPD is able to perceive sensory
information, but the perception of the sensation is out of proportion
to the actual experience. SPD may affect a child's capacity to focus
in the classroom, to function in a socially appropriate manner,
or to perform everyday tasks of living such as brushing his teeth
or hair.
When children are able to fully integrate their sensory experience,
their central nervous system accurately processes the frequency,
intensity, duration, and novelty of the sensation. An integrated
experience will help to create behavioral responses in proportion
to the sensations, giving a child the capacity to neither over-react
nor under-react.
In my experience treating autism (a neurological disorder affecting
social interaction and communication skills) and Asperger Syndrome
(a milder form of autism), a majority, if not all, of the children
on the autism spectrum have some degree of SPD. Some high-functioning
adults with autism, like Temple Grandin, consider SPD to be the
greatest of their challenges.
The Tale of a Sensitive King
There is an old tale about a sensitive and clumsy king constantly
stubbing his toes and bumping into objects throughout his kingdom.
Desiring a solution to this problem, he calls together his top advisors.
One advisor suggests that he carpet the kingdom by sewing enough
scraps of leather together to cover all the land. The king is pleased
with this solution until a wise old villager reminds him that if
the kingdom is completely covered, nothing will grow. The animals
will starve and the people will go hungry. The villager shows the
king a better way to protect his feet; he cuts the leather to the
right size so that the king can cover his feet with leather pieces--and
this is how shoes came into being. (1)
If The Shoe Fits...
As with the tale of the king, completely adapting the external
environment to a child's sensory needs is impossible. Homeopathy
provides an alternative more akin to fitting the child with a good
pair of shoes! The right homeopathic remedy, or simillimum, creates
a situation of dynamic balance that enables a child with SPD to
more easily process sensations and to adapt himself to the environment.
Because a majority of my practice involves treating autism spectrum
disorder, I have had numerous opportunities to successfully treat
children struggling with SPD. In my experience, homeopathy is a
perfect fit for this condition. It is gentle medicine for sensitive
kids. In fact, in many of my SPD cases, a sensory issue is often
the first problem to resolve with the right homeopathic remedy.
Lilly
Lilly, a five-year-old girl suffering from autistic spectrum disorder
and SPD, first visited my office two years ago. Her mother, Ann,
described her energetic daughter:
"Nothing is calm or relaxing about Lilly. She has very intense
emotions. She is stubborn and controlling, and transitions from
one activity to the next are difficult. Lilly is very impatient--things
need to be right now!"
Ann explained how Lilly lived in a very prickly world where sound,
touch, sunlight, and heat induced great discomfort. "She has
lots of sensory issues. She hates the feeling of hair-brushing or
teeth-brushing. She can't stand the feeling of soft touch on her
skin, and she won't hold hands with the other children at her school.
She is very sensitive to heat. Frequently, she will tell people
to be quiet because she is sensitive to noise."
Ann said that Lilly would sometimes hit or bite her classmates.
If Lilly perceives someone is about to "invade" her space,
she might strike or bite pre-emptively; presumably reacting out
of fear that someone might touch her. Ann gave an example of this
type of over-reaction: "If Lilly is sitting at a table and
you reach for an item on the table, she might just hit your arm!"
Ann described how Lilly's eyes were frequently dilated, "like
when people are on drugs," she said. Very sensitive to sunlight,
Lilly required sunglasses to protect her eyes.
Lilly's communication skills and use of language were unusual.
"She makes up languages, makes up words, and loves to get up
on a pedestal and perform," Ann told me.
Prone to terrifying dreams, Lilly would wake up screaming, "Mom,
where are you?!" Sometimes, Lilly's scary dreams involved spiders
or insects in her bed. Not surprisingly, she had an intense fear
of insects.
Lilly suffered from chronic sinus congestion. She had one bout
of sinusitis when she was two years old and developed a rash from
the antibiotics her pediatrician prescribed.
Also, Lilly had a history of high fevers as an infant.
After talking with Ann, I interviewed Lilly. She entered my office,
alternately hopping and walking on her tippy toes. I observed her
dilated pupils and how she would occasionally flap her hands. Her
movements were sudden, uncoordinated, and jerky. She stood right
by my desk with little concept of spatial boundaries. Her language
was nearly unintelligible and she was making up words.
Special features of Lilly's case
Lilly's great sensitivity to touch, noise, and heat played a significant
role in my selection of her remedy. Her marked tendency to strike
or bite when she perceived a threat or a potential invasion of her
space was also significant. Lilly's intensity and predisposition
to have frightful dreams seemed characteristic, as did her tendency
to make up words and speak unintelligibly. On a physical level,
her dilated pupils (mydriasis), chronic sinus congestion, sensitivity
to sunlight, and history of high fevers also helped me to confirm
her simillimum--Belladonna.
Though often considered an acute remedy, Belladonna, is also a
very useful constitutional remedy, especially when there are sensory
issues involved. Samuel Hahnemann describes Belladonna in his Materia
Medica Pura: "the great irritability and acuteness of the senses;
everything tastes and smells stronger; the sense of touch, the sight,
and the hearing are more acute." (2)
The combination of Lilly's violent reactivity to a perceived violation
of her space and her dilated pupils are characteristic of the "fight
or flight" response of an overactive sympathetic nervous system.
Interestingly, the plant Belladonna contains a chemical constituent
called atropine that blocks the parasympathetic nervous system,
thereby inducing a sympathetic nervous system response. In accordance
with the Law of Similars, Belladonna mirrored Lilly's constitutional
picture.
I also considered choosing Stramonium as a remedy for Lilly; like
Belladonna, Stramonium is a plant from the Solanaceae family. Children
needing homeopathically prepared Stramonium can have hyper-sensitivities
to sound, touch, and pain. Stramonium is also a well-known remedy
for horrifying dreams and night terrors. As fear and violence are
common bedfellows, the Stramonium symptom picture may include sudden,
wild rage. Like Belladonna, Stramonium contains the chemical constituent
atropine, so it isn't surprising that dilated pupils are part of
the Stramonium picture too. Belladonna seemed a better fit for Lilly,
however, because it covered more of her constitutional picture,
including her sensitivity to heat and her history of high fevers.
The Shoe Fits!
Six weeks later, during Lilly's first follow-up visit, Ann described
the changes in her daughter since her first dose of Belladonna 1M.
"She is really good! Quite different! She isn't biting or becoming
as agitated as before. And she is less stubborn. Her sensory issues
are better. She is now able to hold hands with her classmates. Also,
when she told us she was having some back pain, she allowed us to
massage her, which was new! Brushing her hair and teeth are going
better. They are less of an issue."
Often, one of the early signs that a remedy is acting is a change
in the patient's dreams. I listened with great interest as Ann described
Lilly's dreams.
"She began having lots of dreams after taking the remedy.
Dreams of Native Americans showing her bones and giving her teachings.
She wakes up excited and not frightened by these dreams. In fact,
she hasn't had any scary dreams recently."
"What hasn't changed?" I asked. "Lilly is still
having trouble with transitions," Ann answered, "but overall
she is much better."
Lilly's progress held for four months after the first dose of Belladonna,
and then some of her symptoms slowly began to return. For example,
her frightful dreams of bugs infesting her bed returned, and she
would wake up screaming for her mom. Though she wasn't biting or
striking when she felt overwhelmed, she would flick others with
her fingers. Additionally, her sensitivity to having her hair brushed
returned. Based on these symptoms, I decided to give her a second
dose of Belladonna 1M, and her symptoms cleared rapidly.
Over the last two years, Lilly has needed four doses of Belladonna
1M. Her sensory issues are much better. Ann recently told me, "Before,
we couldn't even take her into a grocery store because she was so
sensitive...but recently we went to a carnival and she did fine
with it!"
On a physical level, Lilly's chronic sinus congestion improved.
When she gets a cold, her sinus congestion will temporarily return.
Lilly's pupils still dilate when she's excited, but overall, she
is in less of a chronic "fight or flight" state, and her
eyes reflect this change.
Occupational Therapy and SPD
Lilly was seeing an occupational therapist regularly before and
during her homeopathic treatment. Though in Lilly's case, she experienced
the most dramatic symptom improvement after receiving Belladonna,
occupational therapy is another very effective approach for SPD.
Occupational therapy for SPD can be used simultaneously with homeopathy,
and can help generalize and magnify homeopathy's positive results.
Homeopathy: A Gentle Salve for a Prickly World
In my experience working with children struggling with SPD, homeopathy
is a gentle, effective, and safe medicine. A child's behavior, ability
to remain focused in school, and general quality of life can improve
when "fitted" with the right remedy.
References:
1. I am not sure as to the origin of this tale. Some have said
it is a Hasidic Jewish story, others have said it is Buddhist. If
anyone knows the source, please let me know. iluepker@earthlink.net
2. Samuel Hahnemann, Materia Medica Pura, p.254 Calcutta : Bhattacharyya
& Co., 1952.
(This article is excerpted with permission from a longer article
recently published in the fall, 2006 issue of Homeopathy Today.
Contact www.homeopathic.org for subscription information.)
About the author
Ian Luepker, ND, DHANP is a homeopathic and naturopathic physician
licensed in the states of Washington and Oregon. Dr. Luepker practices
in Ashland, Oregon and is co-author of A Drug-Free Approach to Asperger
Syndrome and Autism: Homeopathic Care for Exceptional Kids. He treats
patients in person, by phone, and by video-conferencing. He welcomes
questions and can be reached by phone at : 541-482-2824 or via email
at iluepker@earthlink.net
Ian R. Luepker, ND
www.MadronaHomeopathy.com
541.482.2824
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