A detailed clinical case study of a 3 year old child diagnosed with moderate traits of Autism

As per our specialized case history form where we study right from mother's state mind at the time of conception to the complete case study of the child's emotional nature, intellectual aspirations, fears, social behavior, physical ailments all these are taken into consideration to select the right homeopathic medicine.

In this case the child was conceived after one month of marriage. Both the parents were very happy but immediately they had to move to another country due to job transfer. During this stage the mother was emotionally very disturbed as she was unable to adapt to the social culture and the norms in this new country. She was depressed and used to cry a lot throughout the pregnancy. She was feeling home sick and the sudden loss of family support which she used to enjoy in India was not available so she used to feel very sad. She had tremendous fear of staying alone. Her husband was very supportive but due to his nature of work he was not able to spend much time with her. This was mother's history during pregnancy. Mother's state of mind is very important as it can directly affect the child's health.

The mother had a very difficult prolonged labor and it was a vacuum delivery. The birth weight of the child was 7 pound 8 ounces.

Mile stones:
  • Age of walking: 18 months
  • Crawling: 16 months
  • Age of teething: 9 1/2 months. Child had dentitional diarrhea
  • Age to talking: 1st word at 18 months. At the age of 2-3 years gradually the speech got reduced.

The child has a severe problem in focusing, sitting in one place, severe hyperactivity, increased energy level, easily distractible, fearlessness, low muscle tone, difficulty in writing, clumsiness, lack of why Questions (curiosity), cannot understand cause and effect, licking and biting. On a scale of 10 these problems were marked at grade 7 indicating severe problem in these areas of functioning.

Besides this there was moderate problem with eye contact, speech expression, forming sentence structure, receptive speech, following directions, impulsivity, fidgetiness and completing tasks.

One of the major problems the parents were facing with the child was extreme hyperactivity. The child would not sit in one place and used to run from one end of the house to the other. He used to constantly jump and more when he was excited. The extreme restlessness increases when he listens to music. He loves rhythmic music and when he is excited he goes round in circle. The child is very good at labeling and associating things. Also another peculiar characteristic is that if he reads anything once he can recollect the whole thing word by word. The child is very obstinate by nature and if he wants something he cannot take no for an answer. If he is not given what he wants then he becomes very angry and destructive and breaks his toys.

Some of the habits are boring of fingers in the nose, putting things in his mouth, playing with the external genitalia, pinching self and others. He doesn't like to brush his teeth or take a haircut. He falls easily while walking. Besides this he is scared of darkness, swings, spinning, shadows and holograms. He had fear of social interaction; he used to become very nervous and used to vomit. He also suffered from lots of separational anxiety from mother.

Answers in mono syllables, no expression on the face, no motor imitation (cannot imitate and sing at the same time). Fine motor skills are very clumsy - writing is difficult, cannot hold pencil properly. Recollects old things out of context. Likes to tear books and pages. Drooling while talking. Moving of fingers and toes in sleep, also blinking of eyes in sleep.

Personal history:
  • Appetite: normal
  • Cravings: sweets candies, juices
  • Aversion: -
  • Perspiration: of the scalp
  • Urine: normal
  • Stool: constipation, hard stools, has to strain a lot.
  • Thermals: feels hot on the whole.
  • Thirst: not much likes to drink juices
  • Sleep: on abdomen, in knee chest positions.
  • Covering: Wants soles to be uncovered

Treatment:

Date Follow up Prescription
20/12/11 -
  • Baryta carb 200
  • 1 powder to be taken at night 1 doses once in 7 days for 1 month
22/01/12
  • There was increase in eye contact
  • Pinching others has reduced
  • Sleep is better
  • Likes to go to park with his grandfather
  • Jumping there is no change, still cannot control himself
  • Cannot control tearing paper of books
  • Hyperactivity has reduced
  • Concentration is still difficult
  • Now can count correctly
  • Continue the same medicine.
25/02/12
  • Marked improvement in the communication, expresses what he wants
  • His fine motor skills have improved. Now he can hold the pencil properly and attempt writing.
  • Putting things in mouth has improved.
  • Jumping and hyperactivity have reduced to a great extent
  • His immunity has increased and his parents told that the recurrent attacks of allergy have reduced drastically.
  • Now he sleeps much better and the involuntary movement of the eyelids, toes has stopped.
  • The patient was overall responding good to the treatment also the child was going to the therapy regularly.
  • Continue the same medicine.

The Homeopathic treatment is going on for the past 1 year and the child is showing marked improvement.

Conclusion of the case:

A right homeopathic medicine when prescribed in the right dose and correct repetition it brings in the improvment. The homeopathic medicine is selected on the symptom totality so an in-depth case study is needed to select the right medicine. Once this is achieved the medicine will act at the level of Psycho-Neuro-Endochrinology axis and bring the imbalance to a balanced state.