Role of Homoeopathy in The Management of Autism
Role of Homoeopathy in The Management of Autism
Role of Homoeopathy in The Management of Autism
ISSN: 1540-2584
Citation:
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
internal rather than an external cause that needs to be rectified. In such a situation it has
been observed that with homoeopathic treatment the child's understanding, eye contact
and in the long run, communication also improve. For example: In one case, a parent
mentioned that she was trying to train her son in self care activities that was very
tedious, as she had to make him do it step by step and he would forget it immediately.
She would then have to repeat the whole process everyday. But after homoeopathic
treatment, she just had to ask him to do that activity and he would comply without
making any mistakes as his understanding and receptive language skills had improved.
Homoeopathy and other natural treatments have recently come into focus as possible
effective treatment modalities for autistic spectrum disorders. The book, Impossible
Cure: The Promise of Homoeopathy by Amy Lansky is a case in point. This study aims
to throw light on how Homoeopathy can be used as an effective tool for the
management of Autism.
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 similia similibus curanter, i.e. drugs that
can cause symptoms in a healthy human being can cure the very same
symptoms in a diseased individual. Symptoms of drug provings are recorded
and these records are matched with the patient's symptom picture. When the
similar drug is administered it neutralizes the patient's disease force. The
homoeopathic remedies are prepared from natural substances. Also the
potency is so low as to not cause any harmful side effects. Such being the case,
homoeopathy is ideally suited for children with Autism.
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 similimum for that particular child.
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
Delivery: (Normal or Caesarian, Full term or Premature, birth injuries if any due
to forceps delivery): By Caesarian section.
B. Milestones:
2. Sitting -7 months
3. Crawling-9 months
4. Walking-11 months
5. Dentition-Normal
C. Mental Symptoms
5. Response to Commands: Takes long time & sometimes seems lost & will not
respond
12. Activities preferred at work or Play: Likes to play in swings, prefers playing
with adults.
13. Reaction to scolding and Insults (In public and in private): Head banging,
consolation ameliorates
Frequent tendency to catch cold with nose block, Nail bed infection at 1 month
followed by yeast infection
F. Physical Generals
2. Motion - Regular
3. Thirst- Normal
4. Desires: (Spicy, salty, sweets, hot or cold food) - Sweets, oily fried, Curd,
Wheat and milk products
6. Sleep-Sound
7. Perspiration: (Less or more or on specific parts such as head or palms)-
Normal
Case History 2:
B. Milestones:
2. Sitting: 8 months
3. Crawling: 10 months
4. Walking: 12months
5. Dentition: 6months
C. Mental Symptoms:
7. Reaction to anger: (As for ex: throwing things or crying or beating or sitting in
a corner):
11. Performance in School: Not good, likes puzzles but gets impatient if he is
not able to solve it soon; good grasping power and understanding but poor
memory
12. Activities preferred at work or Play: Puzzles, Likes traveling in two wheelers
and playing with toy bikes
13. Reaction to scolding and Insults (In public and in private): Weeping in
public. Will hug parents to pacify them when at home
F. Physical Generals
1. Appetite: Less
2. Motion: Constipation; will not go to the toilet in public or even in the presence
of the mother
4. Desires: (Spicy, salty, sweets, hot or cold food): Spicy food-chat items, sour
food
5. Aversions: To any particular food items
Case History 3
B. Milestones:
3. Crawling: 8 months
5. Dentition: 6 months
C. Mental Symptoms
7. Reaction to anger: (As for ex: throwing things or crying or beating or sitting in
a corner):
Throwing things, searching out & breaking things that are his parents favorites;
screaming
8. Feels better if left alone when angry or has to be consoled: Has to be left
alone, consolation aggravates
11. Performance in School: Poor; avoids work by pretending not to hear or see
what is being said or done by the teacher
12. Activities preferred at work or Play: Not specific; too impatient to carry out
any activity
13. Reaction to scolding and Insults: (In public and in Private): Temper tantrums
and destructive behavior
D. Past history: any major illnesses either physical or mental: Nothing significant
F. Physical Generals
1. Appetite: Normal
2. Motion: Normal
3. Thirst: Increased
4. Desires: (Spicy, salty, sweets, hot or cold food): Sweets, oily fried food, Ice
cream, cold drinks
6. Sleep: Sound
Case History 4
B. Milestones:
2. Sitting: 11months
3. Crawling: 12 months
C. Mental Symptoms
7. Reaction to anger: (As for ex: throwing things or crying or beating or sitting in
a corner): Throwing things, beating
8. Feels better if left alone when angry or has to be consoled: Has to be left
alone
12. Activities preferred at work or Play: Likes beading, aversion to group work
13. Reaction to scolding and Insults: (In public and in private): Beating mother
and throwing or breaking things
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
2. Motion: Constipation
3. Thirst: Less
4. Desires: (Spicy, salty, sweets, hot or cold food): Oily fried food, spicy food,
sugar, salt
6. Sleep: Sound
G. Treatment History:
Case History 5
B. Milestones:
2. Sitting: 7 months
C. Mental Symptoms
6. Temper Tantrums: If reprimanded she in turn scolds others & takes out her
anger or frustration on them, otherwise no temper tantrums
7. Reaction to anger: (As for ex: throwing things or crying or beating or sitting in
a corner): Cries
12. Activities preferred at work or Play: Puzzles; loves writing but needs support
sometimes. Likes climbing walls and jumping
13. Reaction to scolding and Insults: (In public and in private): She will sit down
wherever she is and will start crying
D. Past history: any major illnesses either physical or mental: Nothing significant
F. Physical Generals
1. Appetite: Good
2. Motion: Regular
3. Thirst: Less
4. Desires: (Spicy, salty, sweets, hot or cold food): Salty food, cold food, sweets
6. Sleep: Sound
I. Speech/Language/Communication
Legend: Not True (N), Somewhat True (S), Very True (V)
II. Sociability
Legend: No Problem (N), Minor Problem (MI), Moderate Problem (MO), Serious
(S)
Summary of Baseline (Pre-treatment) Assessment
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
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 materia
medica and the Repertory.
Case1: Master S.
1. Bell200 - 2 months
3. Lyc200 - 5 months
4. Sil200 - 1 week
The other remedies given were Puls200, Natrum Mur 200, etc.
Case 2: Master D
1.C.C.200 - 1 month
2.N.V.200-15 days
Changes seen-Sleep patterns not improved, but skin eruptions seen, reddish
rashes
3.Coffea200-2months
Leading indications-Sleep disturbance upto 3 a.m., will keep on playing till that
time, also mental Excitability
4.Staphysagria200-3 months
Changes seen-Better social skills, Smiles & makes eye contact, talks & makes
sound in front of the mirror when he is alone.
The other remedies given were Stram200, Glonine200, Natrum Mur etc.
2.Hyoscyamus200-2months
3.Staphysagria200-2months
Case4: Master A
1.Hyos200-2months
2.Ant.tart200-2 weeks
3. Staph200-2months
Changes seen- Is calmer & has stopped beating the mother. Is doing regular
activities in school, is less impatient, improvement in attention span
The other remedies used were Stramonium, Coffea Cruda, Sil etc.
Case 5: Miss R
1. Puls200-2months
2. Calcarea Carb200-2months
3. Belladona200-1months
Post-Treatment Assessment
I. Speech/Language/Communication
Legend: Not True (N), Somewhat True (S), Very True (V)
II. Sociability
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.
• Reduction in hyperactivity
• Improvement in sitting tolerance/attention span
• Improvement in sensory perceptual skills
• Better & appropriate expression of emotions
• Improvement in both fine motor & gross motor abilities
• Improvement in social skills/eye contact
• Improvement in speech, language & communication skills
• Reduction in anxiety states/temper tantrums
• Better sleep patterns
Conclusion
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
Publication Note
This paper was presented at the 'South Asian Regional Conference on Autism:
Building Bridges', organized by Action for Autism - India, on January 15th and
16th 2008 at New Delhi, India
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.
References
1. American Psychiatric Association: Diagnostic and Statistical Manual of
Mental Disorders, ed. 4. American Psychiatric Association, Washington, 1994
8. Sehgal, Yogesh: Perfect Materia Medica of the Mind. B. Jain Publishers, New
Delhi, 1998