Casi clinici


    Homeopath: from the U.S.A.

    Abstract case Stramonium:

    The Shadow of PTSD in Chronic Disease: A case (post traumatic stress disorder) PTSD is explicit in this case, however it can also present in a more insidious fashion. The main themes I?ve observed to help me consider PTSD as the primary diagnosis are: 1. Escape: a. Unconsciousness, Numbness, Floating, Disassociation, Painlessness, Restlessness/Occupation 2. Hyper vigilance: a. Someone is in the house, behind me, or lurking b. Hypersensitivity ? noises, touch, smells, etc. c. Mistrust and suspiciousness (especially if harm was perpetrated by people rather than natural disasters, accidents, etc.) d. Insomnia 3. Hyper-defensiveness: a. Rage & outbursts, pushing others away, promiscuity, OCD (controlling environment as defense) 4. Stuck in the past: a. Flashbacks, repeating nightmares or dreams, brooding on past, D?j? vu. The patient was 35 at the initial intake. He was referred by his adopted mother, a therapist, who came to a local talk I?d done on PTSD. He is African American, thin and well built. The patient had been frequently moved around from foster home to foster home as a young boy. At one of those homes in particular, he was frequently abused in a variety of ways. Finally he was adopted by a wonderful family. He was mild mannered and soft spoken. He paused frequently, sometimes for long moments. He would often look like he was struggling to form thoughts at times, often putting his hand to his forehead as if working hard to come up with thoughts. In addition, throughout treatment, especially in the beginning, he often would struggle with basic concepts. His presentation is somewhat scattered. I found it necessary at times to focus him with a variety of prompts.