Role of Homoeopathy in the Management of Autism: Study of Effects of Homoeopathic Treatment on the Autism Triad
M Rajalakshmi
Citation
M Rajalakshmi. Role of Homoeopathy in the Management of Autism: Study of Effects of Homoeopathic Treatment on the Autism Triad. The Internet Journal of Alternative Medicine. 2007 Volume 6 Number 1.
Abstract
Autism is a disorder with a wide range of severities. The major issues that come up while dealing with autism are in the following areas: Firstly there are the behavioural issues such as hyperactivity, temper tantrums, poor attention span, decreased concentration and poor focusing. Secondly there are the speech, language and communication issues that are a major concern for parents. Thirdly there are the social skills impairment such as poor eye contact and poor interaction with peers. It has been seen that it is not possible to manage the above mentioned problems with just training alone. Learning is not possible when the child is hyperactive or is not able to focus or concentrate. Also the behavioural and communication problems may stem from an
Homoeopathy and other natural treatments have recently come into focus as possible effective treatment modalities for autistic spectrum disorders. The book,
In this paper I attempt to highlight the effectiveness of Homoeopathic treatment for autism with case studies, based on my experiences of treating Autism Spectrum Disorders in a special school setting where I worked as a consultant for four years and in my private practice.
Introduction
In recent times there is has been an increase in the incidence of autism both in the U.S. as well as in India. The diagnosis of Autism leads to a kind of despair and feelings of hopelessness in the parents, as they are told that it is a lifelong developmental disability and that there is no treatment available for it except for training. Homoeopathy is a system of medicine that deals with treating the person as a whole. It is a system that treats the person with the problem rather than just the problem. That is to say, if there are two children with Autism, they may require totally different homoeopathic drugs based on their individualized symptomatology. Homoeopathy believes more in treating the person rather than the label that is attached to the person, such as Autism or Diabetes or Cancer. This is not to say that the disease is not cured but the treatment is tailored to that particular individual.
Homeopathy is based on the theory of
Evaluation and Case History
Case histories of five children with a confirmed diagnosis of Autism or Pervasive Developmental Disorder, Not Otherwise Specified (PDD-NOS) as per the American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, have been presented below. Three of them were high functioning with mild to major issues with communication or even non-verbal. Two of the children were low-functioning with probably associated mental retardation and non-verbal.
The case histories were taken in the homoeopathic way where all the circumstances leading up to the present condition are enquired into. Also care is taken to find the peculiar symptoms that occur in each child that are different from the common diagnostic symptoms, as these are the ones which help in finding the exact
The tool used for assessing progress was the Autism Treatment Evaluation Checklist (ATEC) of the Autism Research Institute, U.S.A.
Case Histories
Case History 1
Name: Master S, Age: 4 years 6 months, Gender: Male
A. Obstetric history of the mother:
B. Milestones:
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C. Mental Symptoms
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Good grasping power, does not respond immediately to commands, learns at his own pace.
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D. Past History: (any major illnesses either physical or mental)
Frequent tendency to catch cold with nose block, Nail bed infection at 1 month followed by yeast infection
E. Family history (Any major illness): Nothing significant
F. Physical Generals
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G. Treatment History-Is on chelation for Mercury toxicity
Case History 2:
Name: Master D, Age: 5 years, Gender: Male
A. Obstetric history of the mother:
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B. Milestones:
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3. Crawling: 10 months
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C. Mental Symptoms:
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Throwing things, crying, biting himself
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D. Past history: (any major illnesses either physical or mental)
Seizure at 1 (1/2) years of age diagnosed as febrile convulsions; EEG was normal; was not on any anti-epileptic drugs
E. Family history (Any major illnesses): Nothing significant
F. Physical Generals
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G. Treatment History: Was on allopathic treatment for sleep disturbance
Case History 3
Name: Master Shr, Age: 5 years 7 months, Gender: male
A. Obstetric history of the mother:
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B. Milestones:
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4. Walking: 9 months. Walks on toes when he is barefoot
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C. Mental Symptoms
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Throwing things, searching out & breaking things that are his parents favorites; screaming
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D. Past history: any major illnesses either physical or mental: Nothing significant
E. Family history: Any major illness: Nothing significant
F. Physical Generals
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G. Treatment History - Not on any treatment at present
Case History 4
Name: Master A, Age: 8.5 years, Gender: Male
A. Obstetric history of the mother:
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B. Milestones:
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C. Mental Symptoms
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D. Past history:
(any major illnesses either physical or mental): Bronchitis and pneumonia when he was 15 days old; even now gets frequent cough in paroxysms with rattling in the chest, watery coryza, dust allergy, constipation. Frequent urinary infections with scanty urine
E. Family history: Any major illness: Nothing significant
F. Physical Generals
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G. Treatment History:
Was on homoeopathic treatment in Hyderabad but stopped due to aggravation of bronchitis when mental symptoms were ameliorated.
Case History 5
Name: Miss R Age: 5 years 5 months Gender: Female
A. Obstetric history of the mother:
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B. Milestones:
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C. Mental Symptoms
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D. Past history: any major illnesses either physical or mental: Nothing significant
E. Family history: Any major illness: Nothing significant
F. Physical Generals
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G. Treatment History: Nothing significant
Baseline Assessment (Pre-treatment): Evaluation before treatment
Assessment Scale: Autism Treatment Evaluation Checklist (ATEC)
I. Speech/Language/Communication
Legend: Not True (N), Somewhat True (S), Very True (V)
II. Sociability
Legend: (N)-Not Descriptive, (S)-Somewhat Descriptive, (V)-Very Descriptive
III. Sensory/Cognitive Awareness
Legend--(N)-Not Descriptive (S)-Somewhat Descriptive,(V)-Very Descriptive
IV. Health/Physical/Behavior
Legend: No Problem (N), Minor Problem (MI), Moderate Problem (MO), Serious (S)
Summary of Baseline (Pre-treatment) Assessment
Total ATEC Scores (in all 4 areas)-Baseline
Case1: 90
Case2: 130
Case3: 128
Case4: 149
Case5: 66
It can seen from the above scores that all the children have high baseline scores with major impairments in communication, sociability, followed by behavioral and sensory /cognitive issues in that order. The scores are less in Case 1 because of less of physical and behavioral issues and in Case 5, because she is already in a normal school setup, but still has communication and behavioral issues.
Treatment Approach
Homoeopathic remedies were administered after finding out the proper
Remedies used
The following are the remedies used for each particular child, with a brief note on indication for each remedy and changes seen after administration. Only few of the drugs which caused major changes in the child have been mentioned here to give a basic idea about the treatment protocol. These drugs have been used by the author with good results, although they are not commonly used in children with autism. The author has found these drugs to be effective after prolonged study and comparison of the symptom picture with the
Case1: Master S.
1. Bell200 - 2 months
2. Ars.alb200-10 Days - Belladona stopped & given as acute remedy
3. Lyc200 - 5 months
4. Sil200 - 1 week
The other remedies given were
Case 2: Master D
3.Coffea200-2months
4.Staphysagria200-3 months
The other remedies given were
Case3: Master Shr
2.Hyoscyamus200-2months
3.Staphysagria200-2months
4.Silicea 200-1 month
The other remedies given were
Case4: Master A
1.Hyos200-2months
2.Ant.tart200-2 weeks
3. Staph200-2months
4.Nux vomica200-2 months
The other remedies used were
Case 5: Miss R
1. Puls200-2months
2. Calcarea Carb200-2months
3. Belladona200-1months
4. Silicea200-2months
Post-Treatment Assessment
Assessment Scale: Autism Treatment Evaluation Checklist (ATEC)
I. Speech/Language/Communication
Legend: Not True (N), Somewhat True (S), Very True (V)
II. Sociability
Legend: (N)-Not Descriptive, (S)-Somewhat Descriptive, (V)-Very Descriptive
III. Sensory/Cognitive Awareness
Legend: Not Descriptive (N), Somewhat Descriptive (S), Very Descriptive (V)
IV. Health/Physical/Behavior
Legend: No Problem (N), Minor Problem (MI), Moderate Problem (MO), Serious (S)
Summary of Baseline and Post Treatment Assessments
Total ATEC Scores (in all 4 areas), Baseline and Post-Treatment
It can be seen from the post treatment ATEC scores that there has been progressive decrease in the
scores from the baseline to after 9 months of Homoeopathic treatment.
In case 1, the child has progressed to a normal school setup and is now in the 1st standard.
In case 3 the child has developed some meaningful communication.
In case 5, she is able to go and perform on stage in a school dance drama which she was never able to
before Homoeopathic treatment. It was also seen that faster improvements were seen with sociability and health/physical/behavioral issues and still later, improvements in sensory/cognitive issues, speech and
language and communication issues.
Summary of Overall Results seen after Homoeopathic treatment
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Reduction in hyperactivity
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Improvement in sitting tolerance/attention span
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Improvement in sensory perceptual skills
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Better & appropriate expression of emotions
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Improvement in both fine motor & gross motor abilities
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Improvement in social skills/eye contact
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Improvement in speech, language & communication skills
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Reduction in anxiety states/temper tantrums
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Better sleep patterns
Conclusion
To conclude it can be said that Homoeopathic treatment is a treatment modality that encompasses the following:
Able to bring about a change in the treatment paradigm of Autism from just a behaviour modification approach to the homeopathic principle of antecedent cause removal
Internal treatment with Homoeopathy that is dynamic in nature possibly helps bring a quick recovery of mild spectrum disorders, and offer a glimmer of hope for even the severe end of the spectrum (e.g., in children who are non-verbal/low-functioning)
Possible reduction in effort on the part of the child, the therapist and the parents with improved gains
Positive pointers towards a more lasting solution to the problem of autism, which in the long run may help showcase the potential of Homoeopathy and the larger role it can play in severe disorders.
Publication Note
This paper was presented at the
Acknowledgements:
I gratefully acknowledge the children and their parents for their kind cooperation in the long process of assessments and treatment. I am ever grateful to the Late Dr.Rama Rao, Senior Homoeopathic Physician, who has been my mentor and inspiration.