A Case of Anxiety
© Dr Ravinder S Mann 2014
A 19 yrs old boy from Ranikhet presented on November 11,2013
with symptoms of depressive mood disorder, after a loss in college body
elections. Patient is a college student and attempted to face an election for
college student’s body but failed 3 months back. Now he is unable to face
colleagues and other people around him. He said he was defeated in an
unjustified manner and manipulated against him. Feel insulted. Want not to meet
anyone and to seek aloneness he gone somewhere from home for a time. Very
anxious and desperate. Brooding. He said he thinks about his election all the
time. Very hurried and anxious. Spells of anger and irritability with family
members. Sad, gloomy, ill tempered over trifles, fretful. Sometimes want to
weep. Unable to make right decisions, even he says I feel I am unable to decide
anything, want of confidence. Wavering in decisions constantly, sometimes want
to do this and at other time want to do opposite. Forgetful and unable to concentrate.
Perspiring profusely, on walking. Palpitations. Sweating on
head, face and cervical regions is visible. Has painful eruptions on head.
Warts on face, cervical region, back with itching.
Desire to eat salt very much. Thirst, sleep and other systems
are not detected any abnormality.
Patient has lost his father at younger age.
Rubrics selected:
31 rubrics are selected.
MIND - AILMENTS FROM - indignation
MIND - ANGER - easily
MIND - ANXIETY
MIND - ANXIETY - hurry, with
MIND - BROODING
MIND - COMPANY - aversion to
MIND - CONCENTRATION - difficult
MIND - DESPAIR
MIND - DISCONTENTED
MIND - DWELLS - past disagreeable occurrences, on
MIND - HURRY
MIND - IRRITABILITY
MIND - MOROSE
MIND - THOUGHTS - persistent
MIND - WEEPING
MIND - WEEPING - desire to weep
HEAD - ERUPTIONS - painful
HEAD - HAIR - falling
FACE - WARTS
CHEST - PALPITATION of heart
BACK - WARTS - Cervical region
SKIN - WARTS
SKIN - WARTS - itching
GENERALS - FOOD and DRINKS - salt - desire
MIND - CONFIDENCE - want of self-confidence
MIND - FORGETFUL
MIND - IRRESOLUTION
HEAD - PERSPIRATION of scalp - Forehead
FACE - PERSPIRATION
PERSPIRATION - PROFUSE
PERSPIRATION - WALKING – while
Repertorization Chart
Prescription on November
11, 2013
Natrum Mur 1M 3 doses
prescribed to take with interval of 30 minutes.
Sac lac prescribed for a 3 weeks.
Patient reported with relaxed and eased clinical features.
His thoughts about his failure in elections are vanished. Feel happy and calm.
No constant thoughts of painful experiences.
Earlier he felt he was in hurry all the time but now patient
is relaxed and able to concentrate on his different tasks. All the painful
eruptions on head healed. But yet he feels very low and lack of self-esteem.
Many acute clinical features are subsided but yet many of
the symptoms are remaining. New repertorization chart is prepared by deleting
few rubrics from last repertorization chart. Rubrics which are deleted, based
on symptoms that are subsided now. 25 rubrics selected now.
MIND - AILMENTS FROM - indignation
MIND - ANGER - easily
MIND - ANXIETY
MIND - BROODING
MIND - COMPANY - aversion to
MIND - CONCENTRATION - difficult
MIND - DESPAIR
MIND - DISCONTENTED
MIND - IRRITABILITY
MIND - WEEPING
MIND - WEEPING - desire to weep
HEAD - HAIR - falling
FACE - WARTS
CHEST - PALPITATION of heart
BACK - WARTS - Cervical region
SKIN - WARTS
SKIN - WARTS - itching
GENERALS - FOOD and DRINKS - salt - desire
MIND - CONFIDENCE - want of self-confidence
MIND - FORGETFUL
MIND - IRRESOLUTION
HEAD - PERSPIRATION of scalp - Forehead
FACE - PERSPIRATION
PERSPIRATION - PROFUSE
PERSPIRATION - WALKING - while
Following 6 Rubrics are deleted from first chart :-
MIND - ANXIETY - hurry, with
MIND - MOROSE
MIND - DWELLS - past disagreeable occurrences, on
MIND - HURRY
MIND - THOUGHTS - persistent
HEAD - ERUPTIONS - painful
Repertorization chart
Prescription on December
9, 2013
Many acute symptoms of anxiety are subsided but patient’s
basic trait of low level of self confidence and low self esteem which always
dominate his personality needs to e address now.
Thuja Occidentalis 1M
3 doses prescribed to take with interval of 30 minutes.
Sac Lac prescribed for 3 weeks.
Patient reported with much more reduction in anxiety. Now he
feels very less mental stress. His low self-esteem is a bit improved. Warts
start to reduce. But sometimes again remembers his defeat in elections and then
become anxious for a little time. Forgetfulness a bit increased. Acute symptoms
seems to be increased a bit again.
Prescription on January
6, 2014
Natrum Mur 1M 3 doses prescribed to take with interval of 30
minutes.
Sac Lac prescribed for 3 weeks.
Warts improved a lot much but yet present. Acute symptoms of
anxiety are reduced but still present. Forgetfulness same. Patient seems stuck
on the path of recovery. Many symptoms seems a bit improved.
Prescription on February
4, 2014
Sac Lac prescribed for next 3 weeks. No medicine was given.
Patient consulted with much worse symptoms. Eruptions on
scalp with pain and itching.
Poor concentration. Anything bad happened in day remains
persistent in thoughts for a long time. Warts again increasing in size.
Repertorization Chart
Same repertorization chart is used without any changes.
Natrum Mur and Thuja both helped the case but partially. Both medicines were
partial similar to case.
Prescription on March
5, 2014
Calc Carb 1M 3 doses prescribed to take with interval
of 30 minutes.
Sac Lac prescribed for 3 weeks.
All the symptoms of stress, anxiety, sadness, irritability,
hurried nature, poor concentration,
weeping mood, hopelessness, brooding cured. Patient is happy
and charming. Patient has confidence to make right decisions without wavering. Hairs
falling come under normal range. Many warts are vanished. A fade mark of few
warts is remained behind.
Prescription on April
25, 2014
Sac Lac is prescribed for 2 weeks and advised to discontinue
the medicine after that.
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