Rubric help -- dissolved

[Rosemary C Hyde]

I have a client who has said a number of times on a number of occasions that when she is getting a headache (usually migraines -- but she has no details to give because of this other thing) she feels as if she is dissolving, and she can't think, can't do anything, needs someone else to tell her to go to the fridge, get out the ginger ale, pour herself some, etc.... -- really simple things.

I questioned her really carefully -- she doesn't feel as if she's separated in any way, and there's no sense of duality, no sense of any other power... just that she's not there anymore.

Obviously confusion of mind, perhaps confusion of identity, but is there any more specific rubric? This is central to the case.

Nat-m was very helpful for several months, but I haven't been able to find the next useful remedy, and Nat-m stopped working in any potency. The centrality of headaches makes me wonder about Kali-br or Thuja, but there's nothing that really catches the imagination among the rubrics or core symptoms for those remedies, outside the headaches, and the headaches don't really fit, as far as I can tell with so little to go on.

One might think of "absence," as well, but I understand that rubric as involving total absence, as in petit mal seizures, and she hasn't had anything identifiable along those lines -- just migraines and muscle tension headaches.

Obviously it's some sort of dissociation, perhaps even to the extent of catatonia, but again, not quite -- with outside direction she's perfectly capable of doing whatever she's told -- she just can't think independently to do what she wants. The case is long and complex, and I'm just wondering if anyone has a rubric thought.

Many thanks!

Rosemary

I thought someone might know just the right rubric. )) Rosemary

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[Dr. Joe Rozencwajg, NMD]

How about: Mind; THOUGHTS; vanishing, loss of; headache, during (K88,
SRI-1017, G71) (7) : alum.54, apis36, bell., calc.36, glon.36, sep.54, ter
54

It is cross referred from "Mind, thinking, unable"
Dr. J. Rozencwajg, MD, PhD, NMD.
"The greatest enemy of any science is a closed mind".

[Joy Lucas]

Dear Rosemary, to make sure an expression such as "I feel as if I am
dissolving" has virtue to the case you have to take it further and at
least as far as you can go with it because it could be a red herring or
it could be SRP. If it turns out to be nothing really special you still
have a more general sx of mental confusion that accompanies or precedes
the headaches such as you find with Nat carb and the interesting thing
about Nat carb (with this sense of dissolving in mind) is that they
often feel very forgotten about as if they are invisable. If another
natrum helped but didn't cure then possibly one of the others might be
relevant.

As you asked for a rubric then maybe 'mental confusion with headache'
or 'memory forgetful during headache' would fit. But I am also
wondering if this is some kind of petit mal especially if migraines are
involved but there are many remedies that have this kind of confusion
during a migraine.

The other vantage point is seeing from the situation of 'not being able
to do what she wants but has to be instructed' and in an acute phase
such as a migraine this made me think of Apis which is in the 'memory,
forgetful during headache' rubric and also in the 'Mind, loss of will
power, feels dull in the head' rubric. Apis has a sensation of dying
and this could be linked with 'dissolving', but it also has an
inability to think clearly and cannot concentrate the mind AND it has a
connection to Nat mur which has helped her previously.

I don't have many books with me to check all this out until tomorrow
when I am back at base but hope useful. Best wishes, Joy
http://www.homeopathicmateriamedica.com
http://www.homeopathicmateriamedica.blogspot.com
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[Rosemary C Hyde]

Hi, Joy.

Thanks! Very interesting thought, Apis. The headaches develop fairly slowly, over a period of hours, which wouldn't make me think Apis. There's no apparent redness or swelling, or sensitivity to heat, so I haven't thought of Apis, but I will give it some thought and plug in other symptoms.

Rosemary

[VR VR]

Is nux-m at all relevant to your case? The description of needing someone else to tell her to do simple things, the migraines, and the sense of not being there made me think in this direction. Also, the disassociation leads me to think in terms of a drug remedy.
Vera

Rosemary C Hyde wrote:
I have a client who has said a number of times on a number of occasions that when she is getting a headache (usually migraines -- but she has no details to give because of this other thing) she feels as if she is dissolving, and she can't think, can't do anything, needs someone else to tell her to go to the fridge, get out the ginger ale, pour herself some, etc.... -- really simple things.

I questioned her really carefully -- she doesn't feel as if she's separated in any way, and there's no sense of duality, no sense of any other power... just that she's not there anymore.

Obviously confusion of mind, perhaps confusion of identity, but is there any more specific rubric? This is central to the case.

Nat-m was very helpful for several months, but I haven't been able to find the next useful remedy, and Nat-m stopped working in any potency. The centrality of headaches makes me wonder about Kali-br or Thuja, but there's nothing that really catches the imagination among the rubrics or core symptoms for those remedies, outside the headaches, and the headaches don't really fit, as far as I can tell with so little to go on.

One might think of "absence," as well, but I understand that rubric as involving total absence, as in petit mal seizures, and she hasn't had anything identifiable along those lines -- just migraines and muscle tension headaches.

Obviously it's some sort of dissociation, perhaps even to the extent of catatonia, but again, not quite -- with outside direction she's perfectly capable of doing whatever she's told -- she just can't think independently to do what she wants. The case is long and complex, and I'm just wondering if anyone has a rubric thought.

Many thanks!

Rosemary

I thought someone might know just the right rubric. )) Rosemary

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[Rosemary C Hyde]

Interesting thought. I don't think Nux-m is the remedy -- but it certainly has a lot of pertinent symptoms, and its DD, I think, will be useful. Thanks, Vera. Rosemary

[Robyn]

Rosemary wrote:

I have a client who has said a number of times on a number of occasions that when she is getting
a headache (usually migraines -- but she has no details to give because of this other thing) she
feels as if she is dissolving, and she can't think, can't do anything, needs someone else to tell
her to go to the fridge, get out the ginger ale, pour herself some, etc.... -- really simple things.
****Hi Rosemary

You might consider a remedy such as Anhalonium, and also the following rubrics may suit your quest
MIRILLI'S THEMES - PHENOMENA - WILL
MIND - PHENOMENA - WILL - loss of
MIND - PHENOMENA - SELF-CONTROL - loss of
MIND - PHENOMENA - DELUSIONS, imaginations - will power, loss of
MIND - PHENOMENA - INITIATIVE, lack of
MIND - PHENOMENA - WILL - weakness of
MIND - INDIFFERENCE - headache; during
Best

Robyn

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