Background: Somatoform disorder is defined according to (DSM-IV-TR) criteria. Disorders in this category include those where the symptoms suggest a medical condition but where no medical condition can be found by a physician. Patients with a somatoform disorder might experience significant pain without a medical or biological cause. Pain disorder is one of the five somatoform disorders and is considered to have a poor prognosis. It often involves other symptoms such as depression, anxiety and drug abuse.
Case: A married man, A.G., aged 46 was visited by the author with chief complaint of moderate to severe headache, on the 12th of September 2010. The problem had started 20 months before, in March 2009, following an emotional and psychological trauma which the patient never dared to discuss. Regarding the prevalence of cardiac disorder in his family and experiencing chest pain, he was visited by a cardiologist who found no organic cause and thus psychological origin was diagnosed. Mr. A.G. was visited by a psychiatrist, afterwards. Brain CT scanning was reported normal. He began to experience the headache afterwards. The pain was first felt in his occipital region and ameliorated only by hitting the head by his fist and pulling his hair! He also complained of severe revenge feelings against his co-worker and fear of killing him. Traveling made him feel better.
Course of Treatment: The patient’s rubrics were repertorized by Radar. The main rubrics are as follows:
STOMACH – THIRST
GENERALS – FOOD and DRINKS – cold drink, cold water – desire
MIND – LOQUACITY
DREAMS – FALLING
MIND – FEAR – happen, something will
MIND – ANGER – easily
DREAMS – DOGS
MIND – HATRED – revengeful; hatred and
HEAD – PAIN – Occiput – extending to – Vertex
MIND – FEAR – sleep – go to sleep; fear to
MIND – ANXIETY – future, about
MIND – CONCENTRATION – difficult
MIND – IMPRESSIONABLE
MIND-PULLING-hair-desire to pull her own hair
MIND – ANXIETY – health; about – own health; her/his
MIND – STRIKING – himself – knocking his head against wall and things
MIND – TRAVELLING – desire for
MIND – ANXIETY – health; about – relatives; of
Phosphorus 30 c was ordered as his first prescription. A globule of the remedy was put on his tongue. The patient said he felt better before leaving the clinic.
He was visited after a month on Oct. 12, 2010. He said that he felt much better but still suffered a less severe headache that made him knock his head and pull his hair. Thus Belladonna 30 c in liquid was prescribed to be taken every three days. He was visited for the 3rd time on Nov. 14, 2010. His headache had subsided by about 50%. After three months he had no headache and no sense of revenge and hatred. After a year his case was followed and no symptoms bothered him. He had re-started his normal life and referred his wife and daughter to be treated as, well.
Conclusion: Pain disorder has been understood as having a poor prognosis in somatoform disorder with long lasting pains. However, the patient was cured completely in less than a year (and without recurrence) after taking the homeopathic remedies.