A Case of ADHD / HYPERKINESIS

Dr. Shilpi Gupta presents a case of ADHD in a 13 yr old boy.

Name: Master AB

Age:     13 yrs.

Description: Parents of this 13 yr old boy visited me with their son in mid February 2010. In prima facie, I observed that he is very impulsive and short tempered. While having a conversation with the parents, I found the child restless ++, very sensitive to external stimuli like sound & light and things happening around him. The child was tall, emaciated, thin, weak yet running around the place constantly without a pause. The child was very forgetful and had difficulty even remembering what he ate.  He was outgoing, delicate and friendly after a short time. After a thorough conversation with the parents and child, I started the treatment.

First Consultation: 14 – Feb 2010

1.    Present Complaint: The child is overactive, impulsive and cannot be controlled by the parents at any given time. However, after a short period, he is calm, lovable and sympathetic.  He shifts places constantly, cannot stay in a place for seconds. He gets colds on change of weather. Always constipated and difficulty in passing stool.  Craves cold things and drinks ++. Sleep disturbed, startles and take naps.
2.    Past history: Since the age of 4 he started having sleeplessness, unpredictable movements of hands and legs. Hyperactivity was mild earlier but gradually got severe. History of hepatitis and jaundice. The symptoms have been persisting for more than a year now.  Investigations had been made with no evidence of underlying pathology. MRI reveals –none.
3.    Family History: Hypertension and DM.
4.    Obstetric and Perinatal history: The mother had a normal obstetric and perinatal history, apart from the common first trimester symptoms and weakness.
5.    Physical General:

a)    Build: Lean, Thin, Delicate, Weak, Tall, Emaciated, Narrow chested boy with earthy complexion.

b)   Sleep:  Poor, Startles, Cat Nap sleeps

c)    Dreams: Not specific

d)   Thirst: Longing for cold water and drinks

e)    Tongue: Dry, Slightly white coated.

f)    Appetite: Hungry.

g)   Desires:  Cold drinks, salty snacks.

h)    Aversion: Spicy food.

i)     Stool: Offensive, Hard stool. Passes flatus.

j)     Perspiration: Sour, Offensive, Much perspiration.

k)   Thermals: Chilly.

6.    Mental General: Irritable, Unpredictable, forgetful, cannot stay in
7.    place for short duration. Aggressive, unable to concentrate and impatient. Fear of darkness and sensitive to noise. He was very impulsive, restless at given time, but after some time you may find him to be a great companion and very friendly. The boy was very anxious about the illness of one of his friends and was concerned about his friend not attending the school. The boy said his friend is ill and ran away. He is outgoing, delicate, friendly, shook hands with me.  Intelligent, very warm and it was a pleasure to be with him.
8.    Modality:

a)    Aggravation: From Warmth, noise ,touch

b)   Amelioration: From cold things and drinks and open air.

9.    Summary of Selection:

a)    I found the boy mentally restless, over sensitive, to external stimuli like sounds, light and noises, forgetful, concerned about his friend’s health.

b)    There were two extremes from being friendly: gentle to impulsive and uncontrolled. I saw concerns about his friend’s illness.

c)     Too much longing for cold things and drink, and aggravation from warmth, was an important observation that made me differentiate the selection of medicine from the other.

d)   I found the patient had difficulty in listening to conversation.

e)    Tall, lean, thin, delicate weak physical appearance.

f)    Stool hard and offensive. Had to wait long to pass stool.

g)    In the past history I found all hepatic affections. All the above things including the physical appearance, mental makeup and modalities, along with the family and past history made my selection of medicine easier.  I decided to go along with phosphorus as I got the totality of symptoms and on the basis of symptom similarity and miasmatic approach I found phosphorus to be the exact medicine.

10.                  Remedy:

Phosphorous 30 – three doses 6 hourly a day.

Follow Ups:

a)    On 15th March 2010: Repetition of dose.  Phosphorous 30 – three doses 6 hourly a day.

Reason: Slight improvement in restlessness. Now patient stable in a place for short while. But still the patient use to get impulsive at times and there was lack of concentration.

b)   On 14Th April2010:  Phosphorous 200 – three doses 6 hourly a day.

Reason: On this day as the boy entered in my clinic, I noticed that he was in a good mood.

His mother said that he is not getting so volatile as he used to. Distraction by  things like external stimuli was still persistent.

c)    On 26TH April2010:  Clematis 30 five doses were given for acute troubles.

d)   On 14Th June 2010: Phosphorous 200 three doses six hourly a day.

Reason: This time he talked about his friends and greeted me. He was at a certain level of comfort. Again I found the over talkativeness of the child. There was loss of appetite.

e)    On 13th Sep 2010: Phosphorous 200 three doses six hourly a day.

Reason: The case was going well.The child is more stable and less reactive and calm. Appetite and general health of the boy was better. Bowel movement was good.

f)    On 15th March 2011: Phosphorous 200 three doses six hourly a day.

Reason: This time he sat with me and was not that sensitive to the surrounding as he  used to be, less reactive to noise, sound and things around, more focused.

g)   On 14th December2011­ Phosphorous 200 three doses six hourly.

Reason: His mother said that he sincerely attends classes, does homework and is making friends in school and can spend a longer duration (hours) to study or play. Now he enjoys time with them and his mood doesn’t swing. I decided to end the treatment after a single repetition of the dose a year after. He was almost a normal child with normal routine as reported by the parents.

About the author

Shilpi Gupta

Dr. Shilpi Gupta is an alumnus of Maharana Pratap College of Homeopathy and did her BHMS in 2009. Since then she has been practicing in Bangalore where she set up her own clinic. She sees her mission as bringing homeopathic medicine to its rightful place in the healthcare system. Dr. Shilpi also writes articles and blogs.

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