I cannot repertorize mental symptoms with the T.P.B!

This is a common complaint from people who move from Kents repertory to the stressed_tired_drTherapeutic Pocket Book.

In our advanced practitioner course, we spend time showing people the correct way to analyse a case and how to use ‘states’ that reflect the altered disposition of the patient, as opposed to personality symptoms that are not signs of pathology.

The patients original condition was vertigo which came on without obvious causation. It was treated with two remedies which removed 95% of the Vertigo and relieved other symptoms experienced. However and again for no observable reason, an internal anxiety arose and has become the focus of the problem. The patient said that the type of anxiety experienced was something observed before over 40 some years ago, but not troubled overmuch by these symptoms after that.

Briefly, here is a recently received patient note and the analysis of the same.

…..Started feeling a building up of uneasiness. It feels like coldness inside the body. Inside the arms and sometimes the abdomen chest and head. Then apprehensiveness that something isn’t right, something’s going to happen. It keeps on coming, I have to work to relax.  Then slight wooziness began which in turn increases the cold sensation.
At times the tingling in the buttocks as well (explained he felt the anxiety in his body and currently is in buttocks.)
Have to lie in the chair and concentrate on relaxing, which helps, but is very difficult it it gets too bad. My wife had to leave to do some errands, I would rather she had stayed, made me more nervous to have her gone.
It seems like this comes from the body coldness sensation first, then the apprehension with no definite thoughts, then wooziness, then everything seems to excite more nervousness.

So here we have a pathological ‘state’ combined with a vertigo. The anxiety is out of proportion and has also spread into any thought that he has where something has not gone correctly as it should have. For example: “….I bought too much meat at the market and now I have bag it and freeze it…aargh!”

Rather than get into the  minutiae of his words and try to do a psychological evaluation, I just looked at the expression of his ‘state’ and went to the repertory.

Firstly the symptoms are aggravated by vertigo. He is aggravated, vexed by little things and they produce an anxious state. He becomes restless and feels anxiety in the body. There is a sensation of coldness internally. He desires to not be alone and the presence of someone else is comforting.

This is the entire picture of the pathology experienced. I repertorised in this way.

casevertigo

 

 

He had already had Lycopodium which removed the vertigo symptoms, and a quick read of Arsenicum confirmed that this indeed was the remedy to give at this point.

….thanks Gary, I just took it. Seems to be relaxing. I’ll try to go back to bed if I can.

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2 responses to “I cannot repertorize mental symptoms with the T.P.B!

  1. Dr. Joseph kellerstein

    nice example of the summary nature of the repertory leading to precision. >

  2. Good work. Shows how one should study ” expression of ones state” from all what the patient has expressed.Gleaning it out is the main task i think.

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