Guest Post Written by Dr. Navneet Bidani (The Author)
INTRODUCTION
Post-Traumatic Stress Disorder (PTSD) has been an officially recognized mental illness by the American Psychiatric Association since 1980 and it may be defined as the development of significant anxiety, fear, helplessness and horror after exposure (experienced or witness) to trauma [click to tweet], defined as an event associated with either actual or threatened death or injury to oneself or another. Individuals experience associated symptoms of detachment and loss of emotional responsivity. The patient may feel de-personalized and unable to recall specific aspects of the trauma, though typically it is re-experienced through intrusions in thoughts, dreams, or flashbacks, particularly when cues of the original event are present.
They are crippled by nightmares, outbursts of anger and hyper-vigilance and arousal, and constantly on the lookout for danger. Some try not to think about it, or avoid anyone who reminds them of the trauma. They can become withdrawn and so emotionally & psychologically numb they no longer can feel love or other intense feelings the way they did before.
Accordingly, patients often actively avoid stimuli that precipitate recollections of the trauma and demonstrate a resulting increase in vigilance, arousal and startle response.
Military combats, accidents, crime, abuse, assault, torture, divorce, bombings, fires, beatings- these experiences can lead to post-traumatic stress disorder, in which the sufferer relieves the event over & over to devastating effect, sometimes many years after the incident.
EPIDEMIOLOGY
The World Health Organisation estimates that 20 percent of people exposed to a disaster show some kind of mild or moderate mental disorder soon after the event, with the number dropping to about 15 percent within a year, 3-4 percent will experience more severe problems.
THE EFFECT OF STRESS ON MEMORY
When humans take in new information- whether it’s a phone number, or seeing someone killed- the memory is “labile” at first, or chemically unstable.
But at some point within the next six hours, a flood of proteins produced by the brain moves the memory from short-term to long-term imprint.
The brain’s wiring changes each time something goes into long-term memory, but not all memories are equal. “You remember the day of your wedding better than three Tuesdays ago when there was nothing important going on.”
Emotional memories activate a second process that ups their intensity. This is called a “gain switch”. With PTSD, this gain switch just gets turned way up after trauma. So now what happens is that people are just overwhelmed by their emotional memories.
Studies have shown that emotionally arousing events cause stress-related hormones such as adrenaline to be released by the brain’s amygdala, which is involved in emotional learning and memory. PTSD may develop when the event is so emotionally powerful, and so much adrenalin is released, that the “gain-switch” is set too high.
Then, each time the traumatic experience is recalled; the amygdala releases yet more hormones and intensifies the stressful memories even more.
HOMEOPATHIC APPROACH
Healing from a trauma may require long-term counselling along with well indicated constitutional homeopathic remedy. It is important that patients be given time to describe their experience and the impact it has had on them, their family, and their outlook. Occasional empathic silence may be as helpful as verbal reassurance.
Rubrics worth considering:-
Kent’s Repertory (Mind)
1- Absorbed, buried in thoughts:
2- Anger, irascibility:
3- Anger, irascibility: Ailments after anger: Vexation etc.
4- Anger, irascibility: Ailments after anger: With anxiety:
5- Anger, irascibility: Ailments after anger: With Fright:
6- Anger, irascibility: Ailments after anger: With silent grief:
7- Anger, irascibility: Former vexations, about:
8- Anger, irascibility: Past events, about:
9- Antagonism with herself:
10- Anxiety: Chagrin, after:
11- Anxiety: Conscience, of (as if guilty of a crime)
12- Anxiety: Vexation after:
13- Brooding:
14- Complaining: Offenses, long past:
15- Death: Desires:
16- Death: Thoughts of:
17- Delirium: Blames himself for his folly:
18- Delirium: Sorrowful:
19- Delusions, imaginations, hallucinations, illusions: Accused, thinks she is:
20- Delusions, imaginations, hallucinations, illusions: Alone: That she is always:
21- Delusions, imaginations, hallucinations, illusions: Arrested, is about to be:
22- Delusions, imaginations, hallucinations, illusions: Friendless, that he is:
23- Discouraged:
24- Disgust:
25- Dullness, sluggishness, difficulty of thinking and comprehending: Chagrin, from:
26- Dullness, sluggishness, difficulty of thinking and comprehending: Emotions, from:
27- Dullness, sluggishness, difficulty of thinking and comprehending: Mortification, after:
28- Dwells: On past disagreeable occurrences:
29- Dwells: Recalls old grievances:
30- Escape, attempts to:
31- Fear: Betrayed, being:
32- Forsaken feeling:
33- Frightened easily:
34- Grief:
35- Grief: Ailments, from:
36- Grief: Ailments, from: Cannot cry:
37- Grief: Silent:
38- Helplessness, feeling of:
39- Honour, effects of wounded:
40- Indifference, apathy etc.
41- Lamenting, bemoaning, wailing etc.
42- Loathing: Life:
43- Love: Ailments, from disappointed:
44- Love: with silent grief:
45- Moaning, groaning
46- Mortification, ailments, after:
47- Remorse:
48- Sadness, mental depression:
49- Sadness, mental depression: Alone, when:
50- Sensitive, oversensitive:
51- Sentimental:
52- Suicidal disposition: Thoughts:
53- Thoughts: Persistent:
54- Unfortunate, feels:
55- Unreal, everything seems:
56- Weary of life:
57- Weeping, tearful mood, etc.:
58- Weeping, tearful mood, etc.: Admonitions, cause:
59- Weeping, tearful mood, etc.: Mortification, after:
60- Weeping, tearful mood, etc.: Vexation, from:
Therapeutics:
Though Homeopathy works on the Principle of Individualization i.e. the medicine can vary from person to person depending upon the onset, duration, progress, location, sensation, modalities and concomitant symptoms but there are number of remedies which we can label as stress or depressive remedies.
To name a few:-
1- Aurum Metallicum
It covers the classic situation in which one person dies after many years of a happy marriage, and the other partner dies within a few months. The surviving partner will say, “I lost the sunshine in my life,” meaning they lost all purpose in life. Aurum will also help senior citizens in nursing homes where loneliness and a lack of purpose often bring an “Aurum state” of emptiness and despair. Aurum also covers physical and emotional pain as well as the desire to commit suicide. They have a loathing of life and want to avoid other people, but they get revived when you convince them to go out for a little walk. They often have feelings of guilt (“maybe I should have been nicer, now that he or she is gone, I regret not telling him more that I loved him”). Another trigger for an Aurum state is a financial loss, as in a sudden stock market crash, many people lose all they had saved in just one day and they commit or attempts to commit suicide. Aurum can also help other family members affected by the financial loss, for example, a star student who can no longer afford to go to the prestigious college she always hoped and dreamed of.
There is no better remedy to mend depression from a broken heart and betrayal, especially if it is still acute (fresh in the person’s mind). The Ignatia person reacts in her depression with sighing, sobbing and just sitting there immobilised, as if struck by a lightning. “Why me?” they ask in vain, left by a lover in whom they put all their emotional bank balance. “How could he do this to me?” They are very sensitive to the behaviour of their lover as if their very survival depends on that one person. An Ignatia person may also have psychosomatic symptoms such as sighing, choking, a stiff neck, and a globus hystericus. They often weep for help and attention.
If there are too many heartbreaks, the person turns to silent grief, never crying except perhaps when alone listening to classical music. She doesn’t want to talk about her depression (except maybe with her very best friend). She feels worse when people try to console her because she just wants to be left alone. These people are easily offended, never forget what was done to them, and often dwell over the painful event, sometimes with great vindictiveness. Rather than committing suicide, they tend to crusade for a worthy cause as this improves their moods.
4- Phosphoric Acid
The person who needs phosphoric acid feels that her life is flat and all the sparkle has gone out of it. She is so depressed that she is indifferent to everything, even her own family, friends and activities she usually enjoys. She lies in bed with her face to the wall and the phone unplugged. She suffers from spaciness, a great loss of memory with difficulties finding the right word, drowsiness during the day and insomnia at night. This Phosphoric acid state is mainly found in teenagers who have homesickness (it’s absolutely the greatest remedy for these teenagers away from home for the first time), or in patients broken down from nerve strain after a longtime chronic illness like Chronic Fatigue Syndrome.
5- Sepia
The patient basically is worn-out, physically, mentally and emotionally. It can be from a particularly difficult pregnancy or from an arduous delivery. To the amazement of the family, the Sepia patient can be so depressed that she feels indifferent to her family, even her newborn baby. “Leave me alone,” they say, “I am utterly exhausted. I need a vacation, far away from the whole family, to be able to replenish my energy.” The poor Sepia patient has always been very dutiful but this attitude is precisely what brought her into a state of exhaustion and depression (“I’m having a nervous breakdown,” she may say). Now she feels that everyone wants a piece of her, her children, husband, and friends, and she can’t cope with the demands anymore. She may even say, “Shoot me because death must be better than this.”
6- Staphysagria
The main idea characterising Staphysagria is the suppression of emotions, particularly that centring around a romantic relationship. Staphysagria is often given acutely for the physical effects of suppressed anger. Staphysagria anger is often so well suppressed that it is not only unexpressed; it is not even felt. She is a person who feels her problems belong to her alone. She would never presume to be a burden to others. Imagines insults. Great indignation about the things done by others or by himself, grieves about the consequences. Believes he will lose his fortune, his wife will leave him. Ailments from reserved displeasure. Very sensitive to what others say about her.
More Remedies
Homeopathy has many more great remedies for Post-Traumatic Stress Disorder like Arsenicum album, Causticum, Calcarea carbonica, Nitric acid, Nux vomica, Pulsatilla, Thuja, etc. each for a different set of symptoms and a different causative factor.
CONCLUSION
Do you see now that homeopathy is far superior to any Western chemical drug because it is tailored to the patient? So, if you are ever depressed, run to your homeopathic physician with your kind of stress or depression and he will find your remedy for sure.
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About the Author: Dr. Navneet Bidani
The above article has been adapted from his article ‘Post traumatic Stress Disorder’ first published in ‘The Homoeopathic Heritage‘ in Jan 2007. It is republished here with his explicit permission.
Dr. Navneet Bidani did his Bachelors of Homoeopathic Medicine & Surgery (BHMS) from Dhondumama Sathe Homoeopathic Medical College, Pune. Highly skilled in treating the so-called chronic-incurable diseases. A respected teacher who is specialised in Homoeopathic repertorisation & case taking. His special area of interest is in treating paediatric & psychiatric disorders like depression, anxiety neurosis, etc. He has an appreciable number of cured cases to his credit. He is an active member of South Delhi Homoeopathic Association (SDHA), and is an editor of association’s bimonthly homoeopathic journal: SDHA Chronicle. He can be reached at Dr. Bidani’s Centre for Homoeopathy, Hissar, India.
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