Patient: Miss S
Age: 26 years
Occupation: Searching for job.Patient ne apna M.B.A. Marketing aur Manufacturing me complete kiya tha.
Date of first consultation: 18/09/2014
Reason for visit: Depression
is case ka ek interesting point yeh tha ki patient ne poocha ki kya aap mera depression treat kar sakte hain.
Maine kaha haan, lekin maine usse bola ki woh mere paas na aaye kyunki woh bahut door rehti hai aur long distance se case handle karna mushkil hota hai.
Mere surprise ki baat yeh thi ki woh bina appointment ke clinic aa gayi.
Jab maine poocha ki maine mana kiya tha phir bhi kyun aayi, to usne kaha:“Main hopeful hoon ki aap mujhe cure kar sakte hain.
”Maine poocha itni hope kaise hai?
Usne jawab diya:
“Maine suna hai ki aapko depression cases ka accha experience hai.”(Patient ek hopeful state me thi.)
Treatment history:
Patient ne 10 saal pehle allopathic treatment liya tha, sirf ek mahine ke liye kyunki usse usse relief mil gaya tha. Recently usne dobara allopathic treatment start kiya.
D.: Depression se kya matlab hai?
P.: Mujhe accha feel nahi hota.
D.: Accha feel na hone ka reason kya hai?
P.: Mujhe nahi pata kyun.
D.: Yeh kaise develop hua?
P.: Mere father ke behaviour ki wajah se.
D.: Father ke saath kya problem thi?
P.: Mere father alcoholic hain aur hamesha meri mother se fight karte hain.
Unhone kabhi bachchon ko support nahi kiya aur relatives aur neighbours ke saamne openly family members ki insult karte hain.
D.: Father kya karte hain?
P.: Woh relatives ko phone karke hamare against defamatory baatein karte hain. Raat ke beech me chilla sakte hain aur kisi bhi choti baat par hum par chillate hain.
D.: Kya aap logon ne situation change karne ki koshish ki?
P.: Family me kisi me himmat nahi thi unhe rokne ki.
Pehle humne oppose karne ki koshish ki thi lekin woh aur aggressive ho gaye.
Hum me itni himmat nahi thi ki unki baat ka virodh kar sakein, isliye hum unki har baat maante rahe.
Yeh situation bachpan se chal rahi hai.
Abhi patient apni mother aur brother ke saath dusre city me rehti hai.
Father kabhi week me ya month me milne aate hain aur wahi sab karte hain jo pehle se karte aaye hain.
Patient:
Main apni problem se zyada apni mother aur brother ke liye worried hoon.
Mujhe unke liye pity feel hoti hai, specially mere brother ke liye kyunki woh severe depression se suffer kar raha hai.
D.: Aapko apne father ke liye kya feel hota hai?
P.: Mujhe gussa aata hai aur mann karta hai unse fight karun aur poochun ki unhone hamare saath aisa kyun kiya.
Main unhe dekhna ya unse baat nahi karna chahti.
Main unse koi relation nahi rakhna chahti.
Mere andar father ke liye bahut anger hai.
Main chahti hoon ki God unhe punish kare.
Jab tak main family ke saath thi tab tak mujhe nahi laga ki mujhe koi problem hai.
16 saal ki age me jab main studies ke liye dusre city gayi tab mujhe realize hua ki mujhe depression hai.
D.: Wahan kya hua?
P.: Bahut reasons the jaise:• Main small city se thi aur woh ek modern big city tha.• Hostel atmosphere.• Poor English.
P.: In sab ki wajah se maine hostel chhod diya aur P.G. me rehna start kiya. Mujhe laga ki main dusri ladkiyon jaisi nahi hoon kyunki:•
Main hamesha stress me rehti hoon.•
Choti choti baaton par tension ho jata hai aur usse bahar nikalna mushkil hota hai.•
Hamesha fear rehta hai.•
Colleagues ke saath adjust nahi kar pati.•
Dusron ko khush dekhkar lagta hai ki mujhe bhi khush rehna chahiye.•
Hamare neighbours poochte the ki hamare father itna rude behave kyun karte hain, is wajah se inferiority complex raha.•
Bachpan se inferiority complex me jee rahi hoon.
D.: Ab kya feel hota hai?
P.: Main duniya ki sabse unhappy person hoon , Main dusron par trust nahi kar pati , Bahut jaldi nervous ho jati hoon , Main bolne se pehle bahut sochti hoon kyunki darr rehta hai ki kisi ko hurt na kar doon , Mujhe jeene ka mann nahi karta, Group me apni opinion nahi de pati ,Nayi cheezein seekhne me interest nahi hai, Agar koi gusse me kuch bol de ya bura face bana de to darr lagta hai , Agar koi suddenly kuch pooch le to jawab nahi de pati , Arguing ya fighting me confidence nahi hai,Dusron ki opinion se easily affect ho jati hoon , Har waqt rona aata hai aur akela me roti hoon, Dusron ke saamne rona pasand nahi.
P.: Main hamesha hopeful rehti hoon. Positive rehna chahti hoon lekin negative thoughts aate rehte hain. Main God par believe karti hoon, lekin mujhe pata hai agar main effort nahi karungi to God kaise help karenge.Mujhe lagta hai ki ab kuch aur bura nahi hoga, jo bura hona tha woh ho chuka hai.Ek side lagta hai friends mujhse door ho jayein aur dusri side lagta hai wahi mere best friends bane rahein.Main sleeping pills use kar rahi hoon.
Depression ke alawa patient ko kuch aur problems bhi thi:•
Hands aur soles me burning sensation.• Palpitation feeling.•
Unstable mind.•
Inferiority complex.•
Friends ko good companies me working dekhkar bura lagna.•
Job ke liye struggle.
Rubrics ke basis par:
AILMENTS from; scorn; being scorned (25): acon, adam, alum, aur, bell, BRY, CHAM, coff, coloc, falco-p, ferr, hyos, ip, lyc, nat-m, NUX-V, olnd, par, phos, plat, sep, staph, stront-c, sulph, verat.
Scorn: respect ki kami ke saath intense dislike ka feeling.
Arrogant superiority dikhana.
DWELLS; grieve therefore; to (1): nat-m.
CONTENT (39): aids, aloe, alum, ANDROC, aq-mar, aur, bor, caps, carbn-h, carl, choc, cic, coca, cocc, com, cycl, dream-p, fl-ac, haliae-lc, hydrog, insul, lap-c-b, laur, lava-f, mag-s, mate, meny, mez, nat-c, nat-m, NEON, op, phos, posit, salx-f, spig, staph, tarax, zinc.
AILMENTS from; anger; indignation; with (11): ars, aur, COLOC, ip, lyc, mere, mur-ac, nat-m, nux-v, plat, STAPH.
Indignation: kisi ko uski will ke against force karna, disgraceful event.
AILMENTS from; rudeness of others (8): calc, care, cocc, colch, nat-m, nux-v, ph-ac, STAPH.
Rudeness: badtameezi, unrefined manner.
AILMENTS from; mortification (37): agath-a, anac, arg-il, ars, aur, aur-m, bell, bry, calc, caust, cham, COLOC, con, falco-p, form, gels, haliae-lc, IGN, lack, LYC, lyss, mere, NAT-M, nux-v, op, PALL, PH-AC, plat, posit, puls, rhus-t, seneg, sep, STAPH, stram, sulph, verat.
Mortification: embarrassment, humiliation ya self-respect lose hone ka strong feeling.
HOPEFUL (14): acon, aids, androc, aur, calc, falco-p, ferr-ma, hydr, nat-m, sang, seneg, sulph, tub, verat.
CURSING; blasphemy; profanity; swearing (47): adam, agath-a, alco, aloe, am-c, ANAC, nat-m, neon, NIT-AC, nux-v, oena, op, pall, petr, phos, plb, puls, spig, staph, stram, tarent, tub, verat.
Cursing: kisi ko harm hone ki wish karna.
Profanity: irreverence.
INDIFFERENCE; company; society; while in (10): androc, ARG-N, bov, kali-c, lyc, nat-c, nat-m, plat, plut-n, rhus-t.
HATRED (34): aeon, adam, agar, agath-a, aloe, am-c, am-m, ANAC, androc, aur, calc, CIC, cupr, cyni-c-g, germ, kali-c, kali-i, lao-c, lack, lap-gr-m, led, lyc, mang, NAT-M, nit-ac, nux-v, ph-ac, phos, posit, puls, rhus-t, stann, sulph, tarent.
HATRED; revenge; and (22): agar, aloe, am-c, anac, aur, calc, cic, falco-p, fl-ac, hep, hydr, lach, led, mang, mygal, NAT-M, nit-ac, op, ph-ac, phos, stann, sulph.“
Stones were sinking under his feet when crossing a stone bridge” (1): nat-m.
Rx
Medicine: Nat. Mur C 6,
6 globules one time.
Follow up: Sirf ek month me instant change aaya aur patient ko job mil gayi.
Baaki problems ko bhi patient ab bina zyada trouble ke cope kar rahi thi.
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