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Autism, or autism spectrum disorder, refers to a range of conditions characterized by challenges with social skills, repetitive behaviors, speech and nonverbal communication, as well as by unique strengths and differences. When clubbed with Attention-deficit/hyperactivity disorder (ADHD) this can make the situation more difficult for the child, parents, care-givers and us as doctors.

A 3 yrs. old child was brought to us by his mother. He was already diagnosed early Autism and ADHD. The child does not speak sentences and repeats a few words. The mother complained of hyperactivity. He doesn’t sit in the school class. He just wants to roam around the whole time. After complaints from school on lack of speech, hyperactivity the child was taken to the psychiatrist for diagnosis and treatment.  The  mother did not want to start allopathic medicines so came for homeopathic treatment.

Case history

Patient is very restless, doesn’t sit at one place in class. He cannot concentrate on studies. Though his IQ level is very good.  He is very stubborn, demand things. If they are not given to him, then he keeps crying until he gets it. If he is angry then he will not let mother go anywhere. He always needs her attention, if not given, he throws temper tantrums.  He keeps on babbling. He cannot say words which are clear. He cannot frame sentences. He cannot speak much, only monosyllables like papa, dada, and mama. He doesn’t make eye contact with anybody.

He also complains of constipation and frequent URTI. The constipation is since birth and he is currently on gluten free diet.

He likes to dance; on peppy songs. He likes to jump. He easily remembers the steps. He doesn’t play with other kids, hits them. He loves moving objects like cars, trains. He plays with toys and arranges them in linear position. He studies well. He is very violent, hits. He used to pull mothers hair in anger. He likes to see flowing water. Whenever he is in motion he feels relieved.  He always wants to play hide and sneak with people. He would go hide behind a furniture or his mother when he meets other people. He is very sensitive to loud noise, he gets startled. If someone touches him or hugs him; kisses him, he doesn’t respond to it but gets hyper responsive to it. He doesn’t want to go near that person. He doesn’t understand how to care, love his surrounding family members. He never plays with his sister. Even if she tries to, he will not listen to her. He sleeps less and wakes up irritated in morning.

In school, teacher complaints, that he doesn’t finish his work. He cannot sit at one place and write numbers from 1 to 10. He doesn’t concentrate.

Physical generals:

Av: fruits

Cr: lemon juice, orange juice. Milk.  

Mother’s history during Pregnancy.

No complaints. It was LSCS due to previous delivery. 

 

Reportorial totality:

  1. Restlessness in children.
  2. Music ameliorates
  3. Patient wants to arrange toys in linear position.
  4. Hair pulls, Anger in.
  5. Restlessness. Hyperactivity.

 

Differential diagnosis of Remedy:

  1. Belladonna
  2. Arsenic Album
  3. Tarantula
  4. Tuberculinum

 

Analysis of case:

The patient is very restless, hyperactive, and destructive. So we understand sensitivity towards things, which are sudden, violent, attacking. And expressions to this sensitivity are in form of rage, fury, explosive anger, fear.

His reactions are very violent, sudden and he tries to run or go mad with this. He becomes destructive and try to pull others hair. He is very sensitive to external impressions like touch, loud music, and light.

The case represents more of child heightened sensitivity rather than issues of survival. Central theme of the case includes hyperactivity with violence, destructiveness, tearing things.

Remedy selected:

Belladonna 10m once a day.

After the remedy:

Patient felt partially better with the selected remedy but was not optimal hence re-analysis was done.

Along with restlessness, destructiveness there were symptoms of deceitfulness, longing for fast, rhythmic music, jumping. Constipation since birth, wherein laxatives does not give relief is the symptom mentioned in Pathak’s materia medica. This led us to Tarantula Hispanica.

Tarantula Hispanica was continued for 4 months, but it did not give satisfactory results. Further study of the state of patient was done.

Dr. Rajan Sankaran has mentioned in the book Soul of remedies, the industriousness, and busy, restless, desire for air, bring Tarantula very close to tubercular miasm. Tarantula is very similar to Tuberculinum remedy in its manifestation. Sometimes it’s difficult to differentiate.

An article in American Journal of Homeopathy stated that Tuberculinum ascending doses on consecutive days give better results when it is indicated remedy. (Reference Borland Children, Tuberculinum)

Considering this and the indication, Patient was given medicines in ascending order of the potencies. Tuberculinum started with 6c to cm daily for 2 days consecutively.

Follow up

Duration

15 days

1month

3months

6months

1 year

Patient Fu

-He wakes up cheerful daily in morning.

-He is not as irritated as he was before.

-He stopped pulling hair.

-He is giving response to Dora cartoon.

-He sings rhymes.

He is eating when he is hungry.

-Restlessness decreased 15%.

- He had URTI episode with cold and fever (old Complaint) so was more irritable. Irritation in throat made him more restless.

No other allopathic medicines were given.

- He felt better 40% in his complaints.

 

- No change in eye contact.

- Hyperactivity further reduced.

- Recase was done. 

 - Continuous monitoring was done every week from mother.

- Continuous monitoring weekly done with the mother.

- His restlessness reduced.

- He started sitting in classroom.

- He started playing with his sister and obeys her.

 

His restlessness decreased 75 to 80%. He started concentrating in school.

Teachers gave report card with positive remarks. He started speaking clear words. He started listening to parent’s instruction. Mother narrated that his emotions started developing. He is very happy when he gets up. He is interacting with other children. He sleeps well at night. He mixes with other children. 

 

-His restlessness significantly reduced.

-Obstinacy reduced.

-He Started listening to teachers.

-His speech improved.

-He understands and pays more attention to the service.

-His beating to other children is decreased.

-His long time constipation is relieved.

-His babbling decreased.

He sleeps well at night.

 

 

 

 

 

 

 

Understanding and Analysis

Partially amelioration

Partial amelioration

Tarantula gave him relief for 50% in his complaints but not satisfactory results.

 

Amelioration

Continued Amelioration

 

 

 

 

 

 

Treatment Given

Belladonna 10m BD

 

Tarantula 10m BD

Tuberculinum 10m BD

Tuberculinum Ascending doses

( 6c to cm)

Tuberculinum Ascending doses  

( 6c to cm )

 

Other Alternative therapies

  1. Patient was advised to continue counseling sessions in school for his overall behavior.
  2. Patient was regularly attending Occupational therapy sessions.

Conclusion

  1. After 1 and half year treatment patient improved with regards to his hyperactivity, restlessness. His anger is in control. He doesn’t hit others.
  2. His senses started improving; he started feeling the soothing emotions like hug, touch. He started responding when somebody touches him and calls.
  3. He started playing with his sister and respond to her. If mother or sister cries he comes near and tries to ask in words.
  4. His eye contact has improved. He started mixing with kids in school.
  5. His constipation completed resolved.
  6. His sleep has improved, he doesn’t get up with irritation.
  7. School teachers are giving good feedback about his behavior, he doesn’t run as much as he used to. Tries to complete the task or game in class.
  8. As of date the patient continues to be on homeopathy treatment, and not taking any other psychiatric medicines. His acute conditions like URTI, Fever, and Constipation are treated with homeopathy.
  9. He continues to be in regular school and coping well.

 

About Us:

Dr. Prajakta Vaidya, MD and myself operate two clinics called Healing Harmony, which is a homeopathic holistic healing initiative. Our approach is multi-dimensional and they offer a range of holistic therapies along with homeopathic treatment. We are a dynamic duo with over 10 years of practice together. We are both staunch believers in the “wholistic” concept of health and tactfully interweave the science and art of homeopathy with diet, yoga, meditation, counselling.

Would you like to refer someone who may benefit? To book an appointment with us, please, visitwww.healingharmony.in

Appointments happen over phone or skype or whatsapp as per your convenience. Of course if you are in Mumbai we look forward to meeting you in our zen like centers in Malad over a cup of chai!

 

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Comment by Kavitha Kukunoor on June 19, 2019 at 11:47pm

That is a wonderful case Preety.

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