A: Pediatric Behaviour and Thyroid

[Guest guest]

Hi -

My thought is that mom actually "shut down" her thyroid gland during pregnancy (relatively) as it is the gland of sensitivity and pregnancy enhances that anyway. It seems that mom being so confrontational is clearly a front for either excess sensitivity internally on her part or whatever other imbalance. What that would suggest to me is that now that the girl has gone through the thyroid stage of development, she is somehwat stuck there because she had a lot of catching up to do... that obsession with being with others, overly focused on the outside world, the world that does not include mom and dad all suggests that phase of development. There is a large CNS element in this case - like the nerves are all hypersensitive which is where some of those outbursts are coming from (and the energy you picked up on in the office).

I would not start the BP now but you can still apply that information. Perhaps doing some HTHY, Thyroidinum, UNDAs or something energetically to nourish that stage of development so she can move onto the cortical stage. I would also do lots of CNS balancing.

I think you can treat this patient even if you deem the parents to be an obstacle. Even flower essences and single homeopathics if that is all the compliance you can get, will help her immensely.

Good luck,

Allie ND

[Guest guest]

,

I love Allie's input from a miasmatic perspective.

I have extensive experience with " difficult parents " from my work as a family

therapist. As

you have mentioned, there is definitely a smother/reject/confront pattern

happening here,

not only between your patient and her friends, but between her and her parents

as well--

the smothering is perhaps the etiology of the asthma you mention (miasmatic).

People are confrontational when they feel insecure. Your job is to help the

parents feel

more secure and to help the patient have some control that the parents can feel

comfortable with. You are going to need to break up this dysfunctional,

enmeshed system

because it truly will be an obstacle to healing.

If this was a very high referral (from someone who raved about you that the

parents trust)

you will have more success with this case. Otherwise you may have to go very

slowly.

Most parents whose children are having problems feel insecure, but with these

people it is

intensified. These people need to feel your positive regard in an intense

way---stay

centered and truly be on their side and they will learn to trust you. They are

doing the

best they can with their current resources.

I would suggest meeting with the parents individually and explaining that part

of the

treatment is going to be for the daughter to become actively involved in her own

life and

healing ( " We are going to get her engaged in a positive way of being her own

person "

might be language they can relate to), otherwise you will be dealing with

reactions back

and forth between parents and child for the duration of the tx. Tell them if

they have

concerns about compliance, etc to contact you and not mention it to their

daughter. After

they feel more secure that you feel they are doing a good job as parents, I

would also

offer them support, " Because I know this situation has been difficult for you

too. " Then

give them flower essences or NS remedies or whatever comes to mind.

Then, give her a simple treatment plan that focuses on her priorities and work

up a system

with her so she can follow it herself. Meet with her seperately as often as

possible and

focus on being interested in all areas of her life. Meet periodically with the

parents to

explain the overall plan and continue to offer them support. Adjust as

necessary. Listen

to them all carefully and notice what they respond favorably to--then do more of

this.

Alert your office staff to this strategy as well.

This case is going to be as much about developing trust and supporting autonomy

and

growth as it is about anything else, but what a great opportunity to help

facilitate a change

on so many levels for these three people! If the system is too much for you to

handle,

enlist a therapist to help you manage this case. Eventually they are all going

to need

support in learning to communicate with each other in a new way--so you can help

them

with this as well.

Hope this helps.

Christie Winkelman

ND 4 of 6, NCNM

iCaduceus:The Clinician's Alternative

www.icaduceus.com

In , " drlisans " <lisa@...> wrote:

>

> Hi all,

>

> I'm looking for some general insight/ opinions on the following case:

>

> - 12 year old female brought in with CC of confrontational behaviour

> and socialization problems

> - MD's and parents have " diagnosed " her with ADHD, borderline

> bipolar and Tourette's, she is currently on Prozac

> - In consultation she displays no signs of any of these except

> possibly restlessness. On questioning her parents revealed there was

> no signs of Tourette's until she was on stimulant meds for ADD

> - her parents describe her behaviour as follows: a tendency to bolt

> when unsatisfied with the situation, fights against everything " I

> don't have to to it if I don't want to " , everything is a high stress

> battle that can become physical,she craves social contact with her

> friends like an addict, she is fiercely loyal to her friends but

> goes overboard in wanting to be with them 24/7 and smothers them and

> then they reject her and then she becomes confrontational in trying

> to make them stay and be her friend

> - academically she is average without applying herself

> - physical issues include mild asthma and eczema

> - she is bright and responsive in the office, but a little immature

> for a 12 year old. She wrote letters to her parents throughout the

> session.

>

> The two interesting facts of the case for me are "

> #1 - during gestation her mother was bedridden with thyroid issues

> (she's not sure whether high or low) and vomiting from morning

> sickness. The mother also has severe vertebral disc degeneration

> starting at 17 years of age and now walks with a cane. Father has

> allergies/ asthma/eczema.

> #2 - Her parents are the most confrontational people I have ever

> met. I'm a pretty laid back person but the level of anxiety in my

> body (and my office manager's body) during the consultation was like

> nothing I'd ever experienced. The parents are constantly confronting

> each other and the child. They also confronted our office every step

> of the way (the intake sheets were unclear, our directions sucked,

> the parking situation was a nightmare, our office hours sucked) If I

> was experiencing that much anxiety I can't imagine what a child

> would be experiencing. I think the parents will be the obstacle to

> cure in this case - they try to force things on her and she rebels

> as a way to try to maintain some semblance of control.

>

> Anyways - the main thing I am interested is what are people's

> thoughts on the miasmatic implication of thyroid issues for a

> developing fetus. I think implementing lifestyle changes will be

> impossible in this situation unless the parents can change THEIR

> socialization skills - but I would like to try to at least support

> the child through homeopathy and drainage. I was thinking brain

> protocol.

>

> Also, if anyone would like to put their two cents in on dealing with

> difficult parents who are a part of the problem I'd love to hear it.

>

> DT - I would really appreciate your thoughts on this case.

>

> Thanks for everyone's time.

>

> Regards,

>

> Lavoie BSc. ND

>