PRELIMINARY INFORMATION:NAME: Master S.V.Sex MaleDate of birth: 04-06-1991Religion/caste: Jain KutchiSchool: I.H. Bhatia English Medium School.Standard: IIFather: 38 yearsMother: 35 years HousewifeSiblings: 1 brother, 11 years old

CHIEF COMPLAINTIntellect: A known case ofDyslexia. He writes the opposite mirror image like. e.g.: F for 7, b for d. Difficulty in reading and writing. Speaks one thing and writes another. He has been receiving remedial training at M.S.S.

EDUCATIONAL ASSESSMENT REPORT SUMMARY:-Master S.V. shows deficits in area of position in space. He has difficulties in sustenance of attention for a required amount of time, as well as attending to finer details. He lacks efficient strategies for learning. His auditory analysis and synthesis are weak and phonetic associations are poor. His cognitive abilities are not age appropriate. All these lead to his academic performance being below average.

Diagnosis:DYSLEXIAASSOCIATED COMPLAINTS:

Since birth: Coryza2, thick blakish crusts+from the nose. < COW2Occassional. EpistaxisH/O Recurrent Acute Otitis Media (AOM)

PAST HISTORY 3 attacks of Hepatitis 94, 95 , Jan., 2000 History of Accidental consumption of caustic soda solution in December 94 Reccurent Heat boils.

Family History:Paternal Gr. Father Died 3 years back CancerPaternal Aunt H/O Kochs ,Paternal Gr. Mother Diabetes M.

BIRTH HISTORY:FTND(Full Term Normal Delivery)Antenatal Nil. Post Natal NilMotherss mental state during pregnancy NormalCIAB No other significant abnormalities

MILESTONES:Head holding -?Dentition 7 monthsWalking 9 monthsTalking 1 years single words, no double syllables Mama, Papa etc., Delayed.Vaccination: Fully immunized up to age

PATIENT AS A PERSON:Appearance: plump child, chubby.Appetite (N) G: Curd2Perspiration profuseGen. 22Odor (++) offensiveStools (N) Occ. 2 4/dUrine (N) Nocturnal enuresis -3 months sleep: light.

Dreams:Sleep: Occ. Startles in sleep, Occ. Talks in sleepThermal: Sun < Epistaxis more frequent in summerNeeds the fan in summer but slow in winter. Likes to Cover himself and occasionally needs woolen sweater in winter.

Examination:Rhinorrhea +Chest ClearMoles +White spots on nails

LIFE SPACE:Master S is an 8 year old child from a middle class Kutchi Jain family. He was accompanied by his mother. Since the last 3 months they were living as a nuclear family mother, father and 2 sons. Earlier they were staying in a joint family with paternal grand father, paternal grand mother, 1 paternal uncle, his wife and daughter. The paternal uncle is the fathers younger brother. There were a lot of conflicts in the family after paternal uncles marriage. Till then things were fine. These conflicts between family memberswere aboutfinancial issues and household chores. His father runs a Kirana store (grocery shop). Paternal uncle is in service. The mother assists at the shop as it is at close to their house. Mother said that the quarrels in house affected her children very much. She explained thatSalways had a typical frown on his face, which has reduced now since they have separated. She said that the children would always be very concerned about her. What if they do something to my mother? He carried a fear that paternal uncles family would harm her mother especially in the fathers absence. He didnt take her with him when going out and left them alone. S never liked to spend time with his paternal uncle or paternal aunt. Recently a cousin sister was born. His mother said that the patient went to his teacher and told her that he doesnt have any cousin sister and he will never go close to her. His mother explained that she never encourages such ideas and this was his own thinking. The dreams that he described also showed a lot of resentment towards parental uncle and his family. He was attached to paternal grandfather. He always used to spend time with him when his mother went to the shop. After paternal garnd fathers death, the patient used to remember him all the time. He remained in a depressed mood and always said that he wanted to go to him.

Mother also said that the elder brother takes care of the patient. Last year when the mother was sick, they managed all the work. The patient is also quite independent. He does all his work on his own. He enjoys staying at maternal garnd fathers place. Since there are a lot of people around, he mixes with other children there and is playful.He is extremely impulsive. Recently he chopped off his eyebrows with a scissor. He goes into the tank to hide there. He plays a lot of pranks with other children in school. HE is quite a restless, impulsive child. Has no fears, and when questioned about this he said that parents beat him if he doesnt study. Mother reported that patient gets along extremely well with his father.

In the interview when mother was talking about the family conflicts, the patient started crying and had to be sent out to play. Later he was observed to be playing on the slide.

The supervisor reported that child went to his cabin was standing there for some time and then lay down on the examination table. He described the child as `BINDAS (ready to take risks). We see here a lot of discrepancy in the picture that mother gave and the observation made by others. But she was probably better able to appreciate to the problems and psychological pressure of this child. She said that the elder brother doesnt allow the patient to play with him and so he generally plays with children younger than his age.

HOMOEOPATHIC UNDERSTANDING: -Here we have explained the dynamic interaction between the child and his environment The child isextremely sensitive to the conflicts in the family, which have affected him very badly. There has been an insecure feeling. He has alot of resentment for the uncleand his family, which he harbors all the time : He has a frown on his face. He settles down somewhat after the separation into a nuclear family set up.

Also there was thestate of griefafter the loss of paternal garnd father, whom he was very attached to. His resentment towards his uncle is reflected in his dreams and the way he discusses his cousin sister. His behavior during the interview in terms of weeping further reflects tendency to harbor emotions. Though mother has shown sensitivity towards the childs educational problem, there was a slightly mistaken perception regarding the emotional impact that he had from certain key events and other social inputs e.g., his relationship with peers, brothers perception of his problems and their interactions etc. Corrections of these, would go a long way in the further progress of the child. Currently, it was all being compounded by behavioral problems. He isan extremely restless and impulsive child. It is out of control. The way he hides in the water tank, clips off his eye brows etc. demonstrates this.

From the above understanding the following totality emerged:

R.S