Paranoid Schizophrenia being the common type of schizophrenia in most parts of the world but the literature available is sparse in homoeopathy. This case report is an attempt to increase the evidencebased studies through homoeopathic intervention in paranoid schizophrenia, treated in the psychiatry ward, without antipsychotic medication. The case was assessed by Brief Psychiatric Rating Scale (BPRS), baseline BPRS score of 86 turned gradually to a subclinical range of 24 in one month. The patient had good relief for the next one year and was functionally well.
Background: Obsessive compulsive disorder (OCD) is one of the most personally distressing, and disabling psychiatric condition. COVID 19 pandemic and country wide lockdown are likely to exacerbate the symptoms in diagnosed cases of OCD. Homoeopathy, an established system of medicine with potential relevance to mental health issues has a sparse literature in management of OCD. Objectives: The primary purpose of this case report is to point out the usefulness of Individualized homoeopathic medicine in treatment of OCD. The secondary purpose is to highlight the utility of similimum in the management of exacerbation of psychiatric conditions due to stressful life situations. Methods: A case of OCD reported in Psychiatry out Patient Unit treated by Classical Homoeopathy is presented in this case report. The case was assessed at baseline and follow up visits with Yale Brown Obsessive Compulsive Scale (Y-BOCS). Results: Baseline Y-BOCS score of 24 (Severe OCD) turned gradually to subclinical range of seven within 6 months. Patient had excellent relief for next six months and was functionally well. A comparatively milder exacerbation of symptoms (Y-BOCS-17) during lockdown could be managed effectively with the repetition of similimum resulting in subclinical score of five quickly within a month. Conclusion: Homoeopathic medicine is useful in the management of OCD and also symptom exacerbation due to stressful life events like lockdown.
Schizophrenia is significantly a disabling disease that affects all major areas of life. So, the goal of treating schizophrenia is to prevent the relapse, and increase the adaptive functioning so that the patient can be integrated back into the community. In this case report, the patient was followed for 3 years with good improvement and after a long break in the work area, he could go back to his work and able to sustain the work pressure and lead a normal life. The patient was treated with homoeopathic intervention alone, assessed by Positive and Negative syndrome scale (PANSS) & Brief Psychiatric rating scale (BPRS). Both the rating scales were assessed at baseline and once in 6 months, which showed drastic improvement in the case.
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