A Case of Autism Spectrum

​Homeopath Katherine Dehn
S was first diagnosed with ADHD and received medicine in 2008. At first they gave her Ritalin, then Motiron, then Concerta, but none of the drugs worked very well. After the Concerta she became very quiet and introverted and now for a year she has been on 25 mg Strattera.

She came off the Concerta in the autumn of 2011. Before she came off it she had no facial expression, no happiness or sorrow. When she came off it she slept 13/14 hours a day and she would not go to school. She only receives the medicine in order to be able to concentrate. When she started on the medicine she lost weight and lost her appetite. She was on a protein drink for a year. On Concerta and the other 2 types of medicine she had diarrhea and headache. She does not get that on Strattera.
Anamnesis
S is a blond, skinny girl. She is very pale. She has a nearly white, see-through complexion. It makes her appear very frail. S does not want to have eye contact. She does not want to answer the questions. The mother does all the talking. She is very fidgety and keeps saying she wants to leave now.
Before the medicine she was unable to concentrate or sit down for long periods of time. She could not play games or become absorbed in anything. If S had a friend over, she might suddenly lash out at her friend or hit her in her head with a doll. (Here the girl becomes very uncomfortable and does not want her mum to elaborate on it, and says that she herself cannot remember such episodes.)
We used to find it very difficult to get her to calm down and we spent ages to try to get her to fall asleep in the evenings.
Family Anamnesis
The mother never thought she would get pregnant.  Suddenly pregnant at 41. Very emotional during the pregnancy and had a lot of mood swings. The mother is not aware of family history of diseases. I asked if either she or her husband have had any venereal diseases. She has not, but was unaware if husband has had any and not comfortable about asking.
Findings on the First Visit
S wakes up with a headache that is worse on eating breakfast. She cannot describe the pain. (She has recently received braces for her teeth from her dentist. She has to wear them at night and they are increasingly tightened and the headaches have started since the onset of using the braces.)
S cannot listen to anybody who talks for a long period of time. She finds it very difficult in the classroom if the teacher has to explain anything in detail. She has to fiddle with something in her hands.
Troubled or restless when about to relax.
Very disturbed if she has to plan anything when about to sleep. If she is looking forward to a birthday party the next day for instance, then she cannot settle. She needs a lot of time to prepare herself for an engagement. She can become frustrated, sad and angry if she is actually looking forward to something.
Started to do boxing in a sports club. Desires to hit things. A bit frightened of the dark. When she was younger she wanted total darkness when going to sleep.
Desires warm food. Brings her own cooked food, and heats it at school.
On Repretorisation
Mind, concentration difficult
Mind, concentration difficult- children in
Mind, spoken to; being-aversion
Mind, restlessness – children in
Mind, restlessness – sleep before
Mind, ailments from – anticipation
Mind, anxiety – anticipation; from – engagement; an
Mind, striking – children in
Generals, food and drinks – warm food – desire
Generals – heat- lack of vital heat
Prescription
Medorrhinum 1M because of the mental symptoms and Bach Rescue Remedy for night time.
Review 6 weeks later
Much more lively. She has laughed a lot more.
Had a headache.  Massive headache 8 days after taking the remedy. It was an old familiar headache and it lasted for 4 days.
No change in appetite. Still prefers warm food and white bread.
Has also eaten a lot of soft boiled eggs and rye bread.
She has not had so many mood swings and the irritability has not been a problem when she has not eaten.
During the last month she was invited to two birthdays and she was not restless or anxious beforehand. On the other hand she had to cancel boxing training twice as she did not feel like it. A couple of times she has shown that she was sad. She has cried on two occasions, and that is new. More sensitive, able to show her feelings, more brave in that way.
For 11 days we managed to get her to sleep on Bach Rescue Remedy. 
Prescription
Waite
Follow Up 2 after three months
Homeopath observations: S is generally better. In fact, S even volunteered some information this time and answered some questions. She still wants to leave the clinic quite quickly.
‘I am fine.  Sleep is fine. She does not have to take anything to sleep anymore. In some ways it seems like she is more rested in less time. Still less mood swings. She is much more stable in herself.  She still needs us to be in the room with her when going to sleep during school days. Falls asleep at 22.30. Sleeps until 8 in the morning’.
‘The last month it has become difficult for me to concentrate. It was better.  But not so worried about things anymore’.
Recommendation: Medhorrhinum 1M 
Progress in the Following Year
Homeopaths observations: S is gradually growing up and becoming able to live her life, sensing both herself and life around her as well as becoming aware of her own needs and limitations. While this is happening her concentration and sleep are improving.
‘After the remedy a little bit of headache, but that has disappeared’.
‘No stomach pain No restlessness No anxiety I have not thought about death. Sleep is fine. I do not need to sleep as early as before. No anxiety before sleep. Concentration is okay, but if the other pupils distract her she is easily led astray.’
 
Reference:            https://hpathy.com/clinical-cases/case-adhd/
https://abchomeopathy.com/r.php/Med
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