Clinical Cases

Tourette, OCD and Insomnia in a Man of 26

Kavitha Kukunoor
Written by Kavitha Kukunoor

Dr. Kavitha Kukunoor presents a case of Tourette and OCD in a man of 26.

Originally Published in Medicina Futura journal – National Homeopathic Conference, September 2017. Courtesy Homeopathic Medical Association Of Telangana , Hyderabad.

A man of 26 consulted me in 2016 for his Tourette syndrome, OCD and lack of sleep. He developed it when he was in college. The last two years his symptoms were very bad. He had stopped allopathic drugs long time before he consulted me.

Doctor (D): Please tell what is bothering you the most?

Patient (P): I am diagnosed as Tourette syndrome & OCD, very difficult to manage. All symptoms are worse mostly on left side. I am seeing psychiatrist and he has had me variously on OCD and depression medicines Lexipro, prozac, Anafril, Welbutrine, Rispedal (dopamine antigonist), Halopredal Pimozide, Topomax, Abilifyetc.

D: How it it affecting you?

P: Impaired my whole life,even when into depression. I’m a person who demands excellence all through life in school, writing. In high school I  didn’t talk to people much, brood on things, feel bad about it, not know what to do, very powerless in lots of situations, better with consolation.

D: How didyou feel at that time?

P: Very anxious, restless.

D: What do you experience when you are anxious?

P: Sensation as if someone is stopping or inhibiting me in interacting. Opposite is wanting more of freedom. Feel like in prison, trapped, want freedom, floating around, spiritual, unlimited, omnipresent. Feel like caged, boundaries can’t break, constricted, don’t want to be aware of my existence.

D: Anything else?

P: Obsessively checking doors and locking things

D: More?

P: My rash is back since 5 months on neck, chest. It is itchy, burning. Arthritis before rash, from elbow to finger. Eruptions slightly elevated, brown spots, white scales, started on chest, neck, abdomen, gentials, <night, midnight 1am, cold weather, >scratching.  Constant, itch on different parts and then scratch. Physical restlessness, always urge to move. I imitate actions of others, move my eyes if I see someone moving neck, then I feel like moving. My body does without my consciousness, feels like there is conflict with my will. I feel better by >moving

D: Past history?

P: Bad lung infection in 2010 and took antibiotics for it as well as for skin condition.  Symptoms worse 2014 and had high mental stress. Dad died when I am 3 yrs age, uncomfortable environment, angry.

Had chicken pox when young.

In 2001 had warts on palms and knuckles, isolated, 5-6 warts 1/2 cm long both sides.  Had Depression in 11th grade (2008 & 2009) Several years back for arthritic pains took treatment for 1 yr with Dr Sankaran and felt very good, and improved a lot under his treatment.

D: How do you feel in general with respect to temperature?

P: Chilly body, better warmth externally, don’t like cold. Like warm food

D: What you are sensitive to?

P: Sensitive to touch, muscles contract, tight feeling.

D: Desires and Aversions?

P: Like fruits, sugar, salty, don’t like odor of cooking meat or eggs causes nausea. Likes avocado, cheese, ice cream, yogurt.

Thirsty very often, drink large quantity

Dreams: Failing high school, failed exam, (scared, confused, not knowing what I did and how to fix it), spiritual leaders of past and present (warm feeling, reassurance.

Believe in heartful meditation – You are divine, one with God

D: Dreams?

P: Occasionally dream of falling down

D: Fears?

P: When young had fear of heights, don’t like open water.

Doctor note: This patient took appointment but cancelled as he felt he can’t pay fee even though he is earning money. (Fear of poverty?)

Using Mac Rep the repertorization came up with Anacardium, Rhus tox, Sulphur, Causticum, Natrum mur, Calcarea carb, Psorinum etc

Symptoms / Rubrics considered are as below

*the number in brackets shows number of remedies that cover that particular symptom.

  1. mind; ANTAGONISM; oneself, with (26)
  2. mind; DELUSIONS, imaginations; trapped, he is (41)
  3. generalities; FOOD and drinks; meat; agg.; odor of cooking (4)
  4. generalities; FOOD and drinks; eggs; agg. (38)
  5. Generalities; Hypochondriasis and Hysteria (83)
  6. generalities; TWITCHING; one-sided (99)
  7. extremities; WARTS; hands; palms (19)
  8. Causes; Eruptions, checked, repelled, or suppressed (18)
  9. Tourette syndrome (13)
  10. Skin; Tension in (79)
  11. skin; Tetters; burning (61)
  12. skin; ITCHING; touch; agg. (27)

Knerr extraction – Anacardium

anger: violence, with: takes everything in bad part. {0>1>0}

  • •anger: violence, with: personal, from slight offence. {0>1>0}
  • •antagonism: wills, of. {0>1>0}

Lippe keynotes – Warts on palms of hands (Nat-M.) [A.]. Itching of the skin, worse from scratching (Rhus-T,). White, herpetic spots [C.]

March 1st 2016

Rx:  Psorinum 1M –1 dose and after 2 weeks Anacardium 30c – daily twice for 1 week and followed by once a day for another week and repeat only when needed.

Indigo blue 30c and Violet 30c – BD for 4 weeks.

Follow up May 2, 2016

70% better with mood and skin symptoms, sleep is good.

Tourette symptoms 30% better.

“Obessively checking doors and locking things gone away as I stopped thinking about it”

>alone , not self conscious or  <in company

Fast life style, mind and body go really fast.

Less of a caged feeling but still restricted,stuck and trapped sensation seen to some extent.

“Realizing I am the power. Each one is creator. Focus on positive things, soul, heartful meditation, using will power.

Since there is improvement in symptoms I kept him on the same remedy as the sensation is still the same.

 Anac 200 weekly once

Violet and Indigo daily once LM potency

Follow up November, 2016

80% improved over all. Same stuck sensation still present.

RX  – Anacardium 1M – 3 doses (one dose a month)

Violet and Indigo blue LM potency as needed

Follow up March 4, 2017

90% improvement

Body feels lighter and free, no caged or trapped sensation

More focused

No new symptoms

Sleep is good, getting better overall

Advised to continue same remedies if symptoms relapse.

Follow up June, 2017

90% better mentally, physically and emotionally.

Follow up February 2018

I checked with him and he said he is improving and doing well.

Discussion

There is lot of sensitivity in this case so I selected a remedy from the plant kingdom. No issues of survival or competition or lack of something so ruled out animal or mineral kingdom.

Anacardium: The main sensation in Anacardiaceae family is: caught, stiff not able to move and stuck in one place. If cancer miasm is included then feeling is caught in one spot and superhuman effort is needed to come out of it (Vital Quest  – R. Sankaran).  Anacardium covers most of the above symptoms (antagonism with will, sensation he is trapped, hypochondria, one sided twitching, warts on palms, Tourette syndrome & OCD, dreams of falling and skin symptoms etc)

Psorinum was given as the patient is chilly and aggravated from cold, anxiety and hopelessness about the future, deep anxiety states with restlessness and anguish, anxiety and restlessness at night. Feels forsaken or isolated. Anguish and despairing from skin diseases. Poverty consciousness. Itching worse at night and worse by touch. Suppression of skin symptoms. Aversion to odor of cooking meat. Worse from eggs.

Color Remedies (1)

Indication for Indigo remedy: It acts like an anesthetic and helps to relieve pain. It is good for anxiety states when emotions run high. It calms the emotions and helps to focus the mind. Issues related to wisdom, knowledge, imagination, intuition and discernment and it is good for unclear thinking, closed mindedness.

Indication for Violet remedy: It comforts the soul and acts like anesthetic and purifier on the physical level. Issues related to beauty, harmony, spirituality, love of god and it is good when there is disharmony and lack of spiritual sense.

 

1. Homeopathic Color and Sound Remedies – Ambika Wauters

About the author

Kavitha Kukunoor

Kavitha Kukunoor

Dr. Kavitha Kukunoor, CCH, RS Hom (NA), BHMS is a classical homeopath, practicing homeopathy since 1996. She lives with her husband and two sons in Novi, Michigan, where her practise includes mostly online / phone consultations. She can be reached at [email protected] or at her website www.kavithakhomeo.com. She is author of the book "Beyond The Limits. www.kavithakhomeo.com
http://freeandhealthychildren.com/
Consultant at Orbit Clinics - http://www.orbitclinics.com/dr-kavitha-kukunoor-homeopathic-consultant/

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