A case of

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A case of Childhood Schizophrenia By Dr.
Jawahar Shah A straight jump to Sycotic phase
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A young child was brought for poor performance in
exams.  On detailed interview, we came up
with following facts ...
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The child was previously a brilliant
student
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Would perform very well academically and always
stood first in the class without any problem.
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When he was 11 yrs old, the normal SSC education
pattern of the school changed to a Cambridge
based education which obviously is a much
tougher and complex system of education.
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All the problems of this child started
thereafter  This change in education came as a
big shock to him.
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Developed this idea that he would not be able
to cope up with the new education.
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Had a constant anxiety that he had not studied
at all,
and would surely fail in his
exams.
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Felt that other students would go ahead of
him.
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Every half an hour, he would call up his
friends to ask how much portion they had
completed.
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Child became very sensitive, irritable , anxious
and fearful of everything. He developed fear
of studies, of dark, of lonely places, of exams,
of failure.
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He started developing delusions and
hallucinations, like he would hear noises and
voices from far off places. Had a feeling that
there is something wrong with him or that
somebody is chasing him.
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• His concentration level dropped
• down.
• He forgot what ever he had done.
• He developed a lot of confusion.
• Would read the same page again and again as
  if he had never understood what he had read.

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He did not feel like studying anymore
Felt that he should leave the studies
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Started praying that he should get some illness
which prevents him from appearing for exams.
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Sleep was disturbed, Child would often get
up from sleep or would not get sleep for hours
together.
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Sensitivity to noise increased even if the
television was on four rooms away,he could hear
it , could hear the noises from 2 or 3 buildings
away. Developed marked sighing and cried
often.
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It was quite evident from this case that
the child could not bear the stress of the
new advanced pattern of education and he
was collapsing under this stress.
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• Developmental milestones
• Birth wt. 6 ½ pounds
• Talking 11 months
• Walk 1 1/4 year
• Teething 7 months

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Case of Childhood Schizophrenia due to the
following Diagnostic Criterias   Characteristic
symptoms Two of these symptoms were present for
a significant portion of time during a six month
period or more Delusions
Hallucinations
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Social / Occupational Dysfunction For a
significant portion of time, since the onset of
the disturbance, the major areas of functioning
of Work and Self care Are markedly below the
level achieved.
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Duration Continuous signs of disturbance
persist for at least 6 months or more.
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This has been ruled out as a Schizoaffective and
Mood Disorder Exclusion because   No Major
Depressive, Manic or Mixed Episodes have occurred
concurrently with the active-phase symptoms.
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Symptoms considered Fear Failure, of Mood,
disposition despairing, hopeless,
discourage Fear Dark Fear Alone, of
being
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Symptoms considered Delusions, Imaginations
Walk Someone walks behind Concentratio
n difficult see comprehension
thinking Dullness, sluggishness difficulty of
Thinking and comprehending
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Symptoms considered Delusions
imaginationsNoise,hears Work Aversion to
mental Sensitive, oversensitive Noise
to Weeping, tearful mood Tendency Illusions,
delusions, visions, etc., wrong,
everything Walking delay in
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I recorded the first symptom of the case from
complete mind..
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Next symptom I typed in the repertory search
featureand recorded this symptom
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Few other symptoms I directly typed in the quick
rep and recorded it
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The patient had a lot of dullness I went to the
Thematic search of the program and got all the
symptoms related to Dullness to record two
rubrics Concentration difficult Dullness
sluggishness Difficulty of Thinking and
Comprehending
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Last I searched for the symptom walking delayed
to
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which I got from the Clarke clinical repertory
Walking delayed in
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Following was the repertorisation table
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Following were the remedies that came up Calc
24 / 13 Phos 21 / 9 Nux-v 20 / 10 Sil 20 /
10 I proceeded with the case with application
of repertorisation strategies
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I put the most important symptoms of the case in
the clipboard
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Calc was coming up strongly. I decided to apply
the Mineral filterto see which all
Calcareas were covering the case
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The three closely related remedies
were Calc.. Phos.. Sil I used the
differentiate mat med feature, in this case using
these remedies
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All the Delusions were covered by Calc the
other two remedies didnt cover them at all
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On a right click I applied the Symp covd / not
covered feature Calc covered all
the symptoms of the case
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I went to confirm the remedy thro Materia
Medica
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Compilation of Mental symptoms from
Boericke Apprehensive worse towards evening
Fears Loss Of Reason, Misfortune, contagious
diseases. Forgetful, confused, low-spirited.

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Anxiety with palpitation. Obstinacy slight
mental effort produces hot head. Averse to work
or exertion.
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From Archives,   Clarke has mentioned
that Calc. patient is slow in movements.State of
mind is one of apprehension. Patient fears she
will lose her reason, or that people will notice
her mental confusion.
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• Symptoms from Hering
• Imagines
• some one is walking beside her
• Feels as if she would
• lose her senses.

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Calcarea has fear of going insane, or that
people will observe her and suppose her to
be crazy talks about fire and murder imagines
someone is walking beside her, and even though
alone, believes that someone is in the same
room.
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Prescription 15th March, 1997   Remedy
Calc . Carb 200 one dose S. L 2-2-2 3
days
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17th March, 1997 Depression gt Concentration
gt Was able to study, was worried about his
position   Remedy SL. 3 powders night S.L 2
pills 2 hourly
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21st March, 1997 gtgt Able to appear for
the exams and no problems   25th April, 1997
Patient reports that he has stood 1st in the
class.
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• 21st April, 2001
• Studying very well
• Has stood first in all exams without any
  anxiety episodes.
• No other complication or problems.

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Learning 1)Step by step use of Repertory 2)Uses
of different functions of search 3)Importance of
recording Symptoms while taking a
case. 4)Differential diagnosis of a Remedy
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5) Importance of calcarea group - its appearance
expression in a given case. 6) Importance of
particular symptoms in final differential
approach of remedies.
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7) Confirmation of a prescription from Materia
Medica. 8) A single dose can help to cure an
illness if detected early and managed with right
Homoeopathic Medicines.
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A Sycotic expression reversing to healthy
state with a perfect Similimum