Case of a 14 years old child
Case taking done: Mid November 2013
Lives in Europe
Case history child ki mother ne e-mail ke through bheji.
Mother: Uske first symptoms tab dikhne lage jab woh 2 saal ka tha. Woh bahut stubborn tha aur gusse se react karta tha. Jab woh 4 saal ki age me nursery gaya, to uske liye dusre bachchon ke saath cheezein share karna difficult tha. Jab woh koi kaam nahi karna chahta tha to teacher ko bite karta tha ya dusre bachchon ko hit karta tha. Woh 5 saal ki age tak single child tha. Sister ke born hone ke baad koi khas change nahi hua, na better na worse.Woh un kaamon ko karne se refuse karta tha jo usse karne ko bola jata tha aur phir rude aur aggressive ho jata tha.Agar usse koi cheez samajh nahi aati thi to woh maanta nahi tha balki gussa ho jata tha. Bahut baar woh apne behaviour ka blame dusron par dal deta tha. Generally ab tak bhi yeh pattern zyada change nahi hua, lekin ab woh khud ko thoda zyada control kar leta hai aur thoda samajhne laga hai ki usse communication aur dusron ko samajhne me problem hai, lekin phir bhi kabhi kabhi violent ho jata hai.Mujhe lagta hai main problem yeh hai ki woh mathematics, physics aur computers ko extremely well samajhta hai, lekin human interactions aur daily life ko samajhne me bahut problem hai.
Maine mother se present status ke baare me likhne ko kaha.
Dear Dr. Sehgal,Mujhe maaf kijiye maine aapko itne time tak nahi likha, lekin main observe kar rahi thi Master ko carefully. 2010 me hum dusre city move hue taki hamare son ko better school mil sake. Ab woh High School me hai aur beginning me accha kar raha tha. Lekin holidays se pehle usse class change karni padi kyunki usne do students ke saath physical violence kiya tha. Aur aaj situation aur serious ho gayi kyunki usne teacher ko notebook se hit kiya. Usne kaha ki usne aisa isliye kiya kyunki teacher ne doubt kiya ki woh maths me accha nahi hai. (Sach yeh hai ki usse maths bahut pasand hai aur woh usme bahut good hai.) Mujhe mention karna hai ki woh bahut slowly bolta hai, isliye verbally apne aap ko express nahi kar pata. Vocabulary bahut huge hai, woh bahut information absorb kar leta hai lekin kuch explain karna uske liye difficult hota hai aur bahut time lagta hai. Isi wajah se uske liye emotions ko physically express karna easy hota hai.Kabhi kabhi woh kehta hai ki usse logon se darr lagta hai aur shayad isi wajah se woh rude ho jata hai ya kisi ko hit kar deta hai. Aaj usne yeh bhi kaha ki woh kisi aur jaisa banna chahta hai ya phir jeena hi nahi chahta.
Woh apni duties ke liye responsible nahi hai. Jaise:• Kis din homework teacher ko dena hai woh yaad nahi rehta.• Kya homework karna hai woh yaad nahi rehta.
Woh rules ko respect nahi karta. Usse pata hai ki computer sirf 1 hour ke liye use kar sakta hai, lekin almost har din jab hum computer band karne ko kehte hain to woh argue aur shout karta hai. Us waqt woh bahut angry aur rude hota hai.Agar woh kuch galat karta hai aur hum punishment dete hain, jaise 1 din TV na dekhna, to woh argue karta rehta hai. Usse pata hota hai ki arguing, shouting aur rude behaviour ke liye aur punishment milegi, phir bhi woh control nahi karta. Isi wajah se bahut baar usse 3-7 din ya 2 weeks tak computer aur TV use nahi karne diya jata instead of only 1 day. Rules same rehte hain, phir bhi woh unhe change karne ki koshish karta hai.
Aapne poocha tha illness ke time woh kaise behave karta hai.
Mujhe yaad nahi tha kyunki woh last time 1.5 saal pehle sick hua tha.
Pichhle week woh ill tha.Woh mere paas aakar complain karta tha ki uska head sore hai, throat sore hai etc. Usse attention chahiye hoti thi aur woh alone nahi rehna chahta tha.Jab woh bad mood me hota hai tab bhi rude ho sakta hai.
Rubrics:
CONTEMPTUOUS, paroxysms against her will, in
Paroxysms: sudden uncontrollable attack.
ABUSIVE children insulting parents
ADMONITION agg
EAT, refuses to Eat:
yahan advice na maan ne ke sense me hai.
HAUGHTY, stupid and haughty
Medicine prescribed:
Platina C6
Report in the 1st week of December:
Hello Dr. Sehgal,Main aapko Platina C6 dene ke 2 weeks baad ke changes batana chahti hoon.
First 2 din bahut bad the. MAST ne apne friend ke forehead par punch maara. Us waqt usme bahut anger tha. Third day ke baad woh phir normal ho gaya.Ab woh phir angry hona start ho gaya hai. Kal usne kaha:“Main teacher ko beat karne ka plan bana raha hoon kyunki usne mujhe essay likhne ko diya.”MAST ko creative writing bahut difficult lagti hai aur us wajah se woh raat me so nahi paya.Jab bhi main usse English ya history ka homework karne ko bolti hoon to woh angry ho jata hai.
First — kyunki usse maths stop karna padta hai jo uska obsession hai.
Second — kyunki woh English aur history me accha nahi hai.
Ab aise situations me uska reaction anger, frustration aur kabhi kabhi violence hota hai. Hum uske saath patient rehne ki koshish kar rahe hain, lekin kal uske father us par shout kar baithe aur
MAST ne scissors se un par attack karne ki koshish ki.
IMPULSE stab, others to
Mujhe umeed hai aap help karenge
Dr. Sehgal. 2 weeks wait karne ko bola gaya aur phir report mangi gayi.
Mid-December:Hello Dr. Sehgal,Honestly mujhe anger handle karne me koi improvement nahi dikh rahi.
Woh abhi bhi bahut easily angry ho jata hai, specially jab usse lagta hai ki woh right hai aur dusra person different sochta hai.
Woh bahut cheezein bhool jata hai jinke liye woh responsible hai.
Examples:• Teacher se school ke baad milna bhool gaya.• Books school le jana bhool gaya.• Homework karna bhool gaya.Maine usse notebook me notes likhne ko bola, wall board par reminders likhne ko bola, phone reminders use karne ko bola. Kuch help nahi hui.Mujhe lagta hai woh maths me itna focused rehta hai jo uska safety zone hai ki woh baaki sab bhool jata hai aur outside world se darrta hai.
Next potency
Platina 30 mid-December me suggest ki gayi.
Report mid-January 2014:
Dear Dr. Sehgal,Ek month ho gaya Platina C30 diye hue. Mujhe abhi bhi koi progress nahi dikh rahi.Master abhi bhi apni cheezein destroy kar deta hai ya apna work destroy kar deta hai, jaise essay jo usne likha ho. Agar maine usse kuch aur karne ko bola ya kuch galat ho gaya jaise printer properly work nahi kar raha ho to woh bahut quickly frustrated ho jata hai aur phir shout karta hai, rota hai aur violent ho jata hai.
Mid-January 2014 me medicine change karke Ignatia C6 di gayi.
Rubrics ke basis par:
ANGER, alternating with hysteria
IRRITABILITY contradiction, at slightest
WILDNESS at trifles
ADMONITION agg.
DEFIANT
DESTRUCTIVENESS, emotions, destructiveness from suppresses
EAT refuses to
MOOD repulsive
REPROACHES, others
4th February 2014:
Dear Dr. Sehgal,Ignatia C6 dene ke 2 weeks baad report kar rahi hoon.
MAST thoda better tha after Ignatia 6, lekin last week se phir extremely irritated ho raha hai aur almost har time rude rehta hai.
Yeh sabse bada difference hai:
pehle woh kabhi kabhi rude hota tha, ab almost hamesha rude hai.Jab main usse baat karne ki koshish karti hoon, specially French, English ya history homework ke baare me, woh mujh par shout karta hai. Woh sirf maths, physics ya computer programming karna chahta hai.Emotions ya daily life ki baatein jaise cleaning, shopping discuss karna difficult hai kyunki aise conversations me woh physics ya chemistry ke questions poochne lagta hai.Ab woh judo aur tennis classes bhi nahi jana chahta. Hum samjhate hain ki sports zaroori hain lekin har training session se pehle woh argue aur shout karta hai.
Ek week baad report:
MAST last week me around 4 din better tha. Woh calmer tha. Agar frustrated ya argumentative hota bhi tha to jaldi calm ho jata tha aur ek baar usne accept bhi kiya ki woh wrong tha.Ek night jab hum book aloud padh rahe the to usne apni sister aur humare liye kuch pages read kiye.
2 weeks baad report:
Hello Dr Sehgal. , Abhi bhi mujhe koi khas improvement nahi dikh rahi except first 4 days. Ab jab usse jo chahiye woh nahi milta to woh argue karta hai aur shout karta hai. Jab usse fayda nahi hota to violent ho jata hai aur mujhe ya husband ko hit ya kick karne ki koshish karta hai. Kal usne apna computer destroy kar diya kyunki humne kaha hum woh cheez nahi kharidenge jo usse chahiye thi.Usse lagbhag 2 hours lage yeh samajhne me ki usne kya kiya aur phir usse regret hua.
3rd March ko Tuberculinum Bovinum C30 prescribe kiya gaya.
Rubrics:
CONTRARY parents, with
ANGER throws things away
STRIKING, children, reprehended, when
Reprehend: strong disapproval.
DESTRUCTIVENESS, emotions, destructiveness from suppresses
PASSIONATE
REPROACHES, others
Report on 7th April 2014:
Dear Dr. Sehgal,Tuberculinum C30 dene ke approx 1 month baad report kar rahi hoon. Medicine ka us par bahut good effect hua hai.Master calmer hai aur much less violent hai.
Generally woh happier lagta hai aur difficult situations me jaldi aur easily calm ho jata hai.Ab usme great sense of humor hai. Woh laugh karta hai aur jokes ko better samajhta hai.Generally ab uska mood better hai. Jab teacher ne poocha “How are you?” to usne reply diya “Fine” aur smile kiya. Pehle woh ya to ignore karta tha ya “Very bad” bolta tha.Lekin abhi bhi woh zyadatar kids ko ignore karta hai jo usse “Hi” bolte hain aur kabhi khud pehle “Hi” nahi bolta.
May 2014 se September 2014 tak child ne koi bad behaviour show nahi kiya. Medicine me koi further change nahi kiya gaya.Mother ko bola gaya ki agar symptoms relapse karein to report karein.
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