A young girl of 12 was brought by her mother. “Since the time her exams were announced, she has become very anxious, doctor.”, the mother stated. “She is a very sincere child. We do not have to tell her to study. She manages her studies on her own. She is obedient, doing very well at school. The teachers are all praises for her because she is helpful and does her work perfectly. In fact, she stresses over small things. If the teacher has told them to submit an assignment, she will take extra pains to do it well, even when it is not required. She is very sensitive if ever the teacher speaks harshly to her. She keeps biting her nails when anxious. Of late, she has become very irritable. I presume because she is stressed out.”
I asked the child what was bothering her. She replied, “Since the time the dates of the exam were announced, I am very anxious. I feel something rumbling in my stomach. When I sit to study, I am not able to concentrate. I feel the portion is so much, that scares me. I worry whether I shall be able to complete all of it? What if I am not able to complete it? I am very worried, what will happen. When I sit to study a particular subject, I feel I need to do math, that seems more important. Again, when I take up math, I feel the need to do some other subject. In such a state I am not able to finish anything. Then I get all the more anxious that I could not do much. With this stress I make silly mistakes. Then I worry what will the teachers say on seeing my answer sheets. What if I am not able to stand first this time?”
“What if you do not stand first?” I asked.
“I, myself will not like it, especially because I work very hard and give my best. From the time the schools have reopened, the assignments, projects, tests are going on and on. I am not getting time to sit and study. All I want now is that the exams get over soon, only then I shall be relieved.”
Rx: I very confidently gave her Carcinosin
The Rubrics :
Delusion Enlarged (the portion is so much )
Fear of failure (what if I am not able to do it )
Ambitious (I need to stand first in class )
Sensitive reprimands to
Anxiety, do something compelled to when
Delusion persecuted ( this is going on and on )
Handle things cannot, overwhelmed by stress.
Anxiety, felt in stomach.
Surprisingly, she did not get better. I was so sure it was Carcinosin, I could not get myself to think any other way. One day I called her and asked her to define exactly what her present state was. Maybe her constitutional remedy was Carcinosin , but this acute state was not being addressed. I retook her case only focusing on the problem at hand. I shall keep adding the rubrics/understanding in the conversation simultaneously.
D : What are the predominant thoughts that go on in your mind regarding the situation now ?
P : Doctor, as I told you I am very tensed. I only keep thinking , what will happen, what will happen! [ Ailments from anticipation]
D : But exams keep happening otherwise too, isn’t it ? What is different this time?
P : Yes. Earlier my mother used to take my studies. Meaning, she would tell me what I needed to do in a particular day. I did not have to worry. I would just finish that and be free. I do not mind studying, but I do not like to decide which subject to study first. It was better when my mom managed my studies. [Responsibility aversion to]
Since, the time I am in grade 7, studies have increased so much. The assignments , projects, tests, it goes on and on. I do not get time to sit and study. [Delusion persecuted.] I never had problems earlier, but now I wonder whether I shall be able to do all this. [Confidence, want of self, inadequate feels.] It is not possible at all to finish whatever work they give us in a day. [Delusion, work cannot be accomplished]. Sometimes, I get fed up and tell my mother that I want to change my school, but I guess everywhere it shall be the same scenario. [Escape desire to.] My mother tells me to relax, watch tv, go play out. But when I do watch tv, instead of feeling fresh, I feel I shouldn’t have wasted so much time. There is so much to study and I have lost the time. [Delusion, wrong he has done.]
D : What will happen if you are not able to do well or get good marks ?
P : (laughing slightly ) That is not possible. I have been getting very good marks in all subjects right from Grade 1. [Egotism.] That is why I am worried my marks should not drop. [Fear of falling.] Because, when I am tensed, I feel like finishing the paper soon and tend to make silly mistakes. [Mistakes, makes hurry from.] When I read the paper, I know the answer. But, when I start writing, I tend to forget. [Memory, weakness of, write what is about to.]
D : What do you experience in your body when you are very tensed ?
P : When I think , the exams are on the 19th, I suddenly get very tensed.
[Anxiety, time is set when; Anxiety, sudden, paroxysmal.]
I feel something in my stomach , some uneasiness, I feel nauseous and find it difficult to breathe. [Anxiety, stomach in; Anxiety, nausea with; Anxiety, respiration, difficult, anxious with]. I start biting my nails. [Biting, nails.]
I had forgotten to tell you, I had asthma in childhood which was better after I grew up.
D : Anything else that bothers you ?
P : You know doctor, I used to love school till I was in Primary class. We did whatever homework was given. There were no exams, just class tests. That too, we were given the question, answers in class. I would memorise them, my mother used to take my studies and I would get very good marks. I would get time to study, play. Since I was doing very well, my parents changed my school in the Secondary class. They moved me to a better one. I was in my old school since play school and was very used to it. I did not like the change. The new school was good, no doubt. But there were many rules. Not much freedom. There were fewer children in class, so the teachers were always aware what you are doing. I always felt what would the teacher say if I made a mistake. If I would play or watch Tv, I felt I am doing wrong, my teacher would know I have wasted time.
[Change aversion to;
Looked at, cannot bear to be;
Delusion, watched that she is being;
Delusion, pursued of being;
Delusion, crime committed he has;
Freedom, desire for. ]
Slowly, then I started fearing exams. [ Fear, exams of] And like I said last time, started developing panic attacks.
I gave her MEDORRHINUM 1 M.
1: A fortnight later, she was much relaxed.
Her follow up: “ I am quite relaxed now. I do not feel that pressure, tension any more. I am able to concentrate on my studies. Also, earlier I would keep jumping from one subject to another without finishing any. Now, I have made a time table and thankfully I am able to stick to that. Also, since I have finished the portion in most subjects, I feel confident.”
I gave her S.L.
2: A month after the first follow up, she came back. Her exams had been over.
She reported, “I was very relaxed during my exams. Usually, I make mistakes because I want to complete the paper on time. This time, I did not get confused seeing the questions. I picked the ones I knew well and attempted those first followed by the others. I realised this time, I can do a much better job when I am relaxed. I could complete the paper in time. Today, I had an ice cream and have a throat irritation and slight running nose.”
Again I gave her only S.L.
3: A month later her mother had visited. Her school had reopened after vacations. The mother reported she was doing well. Had adjusted well in her new class, was happier. she was not getting too anxious. She had now got into the habit of proper planning. On coming home, she would plan her studies and was studying regularly.”
After this, I stopped her medicines and she continues to do well, since the mother visits me for her treatment.