Rishimba, please help with sleeping issues

Dear Rishimba, please help with the issues described below. Perhaps it makes sense to look for a constitutional remedy at this point? Thank you very much for your time.

Patient ID: Sex: M Age: 1 and 3/4

Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experiences and happenings.

1. Describe your main suffering?

а) Sleeping very poorly at night. This has become a tremendous problem for everyone in the family. He typically goes to bed between 8 and 9 in the evening and sleeps until 12 or 1, never later. After that he wakes every 1.5 to 2 hours until 5 or 6 in the morning, so 3-4 times. Each time he wakes fully and demands to nurse. Usually, he falls asleep right after that, but it is very difficult to then put him back into his own bed. He wakes and cries for 15-30 minutes, and one of the times it is usually much longer than that, can be the entire two hours until the next time he would have awoken anyway. Often he will only sleep if being held. The closer it is to morning, the harder it is to get him to settle. Each time he wakes, he cries. Never wakes quietly. Never turns and goes back to sleep. Resists going to sleep at night and at nap time. At the same time he can say that he wants to sleep, so he is aware of needing to sleep and is receptive to the idea in general.

b) Lately has become full of anxiety. A lot of it is separation anxiety. He is always asking where other members of the family are, especially his 5 year old sister, and is anxious for her to return home from school. Any time someone leaves the house, especially the parents, he becomes distraught, crying, extremely upset, clinging to the window, often the entire time of the absence. In the house, he often will not let us out of his sight, very demanding, pushing, pulling, yelling to get attention.
Even when everyone is home, he speaks loudly and quickly, and repeats a lot of requests or phrases, very impatient to the point of crying. Often exudes anxiety, so that I feel rushed and tense, picking up this energy. He demands to nurse any time he sees me, when he is upset, when he wakes up from a nap, even if it was very short and he nursed just before. And he often demands candy. He can be very physical in his disapproval, pushing, yelling, grunting, throwing himself on the floor in upset. Can also pitifully cry, and is easily hurt (feelings) by perceived rejection.

2. What other physical sufferings do you have in your body?

a) stomach pain. Complains of pain in the stomach area when eating. Most often it is for fruit like apples, peaches. Other times complained in the same way when eating meat.

b) Has become incontinent again during the day and overnight. He has been toilet trained and was going on the potty for a couple of months, and was even dry at night, despite frequent but brief wakings. He is now mostly incontinent again during the day, and each night. He used to announce that he needed to go during the day with enough time to make it to the potty, or even go and sit himself. Now he often goes in his pants, or on the floor, and notices only after.

3. What mental sufferings / feelings do you have associated with your physical sufferings?

Seems to be very possessive of me, pushes away his sisters when they come near me. He could then happily play with the same sister, but not if she wants to hug me. Dislikes it greatly when other children come to play, very possessive of his toys. It is particularly apparent, because otherwise he is a kind boy, and shares well, affectionate and compassionate. He can share well in a neutral space, like a playground.

4. What exactly do you feel when you are at your worst?

Extreme and constant whining. Very clingy. Not giving me any mental or physical space, literally. As if the whining was not enough to drive a parent crazy, he pushes me away from the counter, when I stand there to prepare food, for example. Most of the time, it is the food that he just asked for. A million demands a second. He wants everything, all the time, give, give, give. Asks to nurse all the time, asks for candy and becomes enraged when denied. Can push, hit, yell with aggression. It takes forever to do a simple task, because he is constantly interrupting. And I mean constantly.

5. When did it all start? Can you connect it to any past event or disease?

Sleeping has been an issue for a long time. Sleeping pattern has remained stable in the sense that he has been waking up at the same time intervals for quite some time. It is exhausting and needs to resolve, however. In the past, he was at least going back to sleep easily after being nursed at night, and most of the time did not resist going to sleep.

He toilet trained very well over the summer, and was going well on the potty in July and August and some September. He was even dry at night for a couple of weeks.

In the attempt to get him to sleep at night, we moved him to his own bedroom which he did not like at all. It was definitely a source of anxiety.
We also had his father coming to him when he woke at night, as to reduce his nursing at night. A very popular sleep issue advice. This completely backfired. Instead of getting used to having his dad at night and eventually waking up less, as is supposed to be the case, he became very anxious, crying, unable to settle. Very quickly it was very difficult to get him back to sleep at night at all after he woke up. His father still brought him to me to nurse, but the idea was to try and rock him back to sleep first, which did not work at all. My son did not want to be rocked to sleep, and instead of gettng used to not being nursed, he became increasingly anxious about not gettng it, and that anxiety spilled into day time as well. In addition, he stopped being continent at night completely, and has had many issues with remaining continent during the day.
We realised the downturn after a couple of weeks, and now his father brings him to me to nurse immediately upon waking at night, and the anxiety has visibly lessened, but not gone away. His continence has continued to worsen for a while, and for some time he was not at all aware of needing to go, but simply going wherever. It has improved somewhat, in the sense that now about half the time he is able to go on the potty, and never when he is distracted, and he is not at all continent at night.
He was also very close with his youngest older sister over the summer, and in September she started school, so he keeps asking for her throughout the day. This may have also contributed to excessive anxiety about others leaving.



6. Which time of the day you are worst?
Basically all the time when I am around. He seems better when he is with his father. The most crying there is immediately after awakening.

7. What are the things which aggravate your suffering and which are those which ameliorate the same?
Being outside seems to really distract him and he can be very pleasant. Loves being out and often does not want to come in, if he did not spend enough time outside.

8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?

no

9. When do you feel better, during hot weather or cold weather, humid or dry weather?

no discernible difference

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.

kind, affectionate, friendly, sociable, observant, wanting to do things himself, but easily accepting help, articulate, good communicator, very observant and skilled at copying behaviour

How do you feel before or during a thunderstorm?
afraid of thunder, I think

Do you like being consoled during your tough times?
definitely

Are you sensitive to external stimuli like smell, noise, light etc?
notices noises, lights

- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?

:likes to close all doors and drawers. Prefers to put some things away (shoes, for example) Likes to peel off any type of sticker or tape.

How do you feel about your friends, family, your children and especially your husband / wife?
very affectionate, wants to know where everyone is, anxious when they leave
can be jealous of his 5 year old sister
can be very aggressive towards his 12 year old sister, not allowing her to dress him, or pick him up

11. What are your fears and do you dream of any situation repeatedly?

afraid of loud noises, like table saw, drill, vacuum (a little), but he likes motorcycle noise, truck noise, for example, and airplane noise
being alone
sometimes gets anxious when lights are turned off in the evening, has been apprehensive and timid about walking in the dark, but not particularly afraid to enter a dark room, for example

12. What do you crave for in food items and what are your aversions?

eats most things. Asks for eggs, but never finishes one, as if he did not like the taste. Drinks less milk than other liquids. Very few things he will not eat overall.
Likes meat and potatoes very much
Likes to eat sweets and chocolate


13. How is your thirst: Less, Normal or Excessive?

Often asks to drink

14. How if your hunger: Less, Normal or Excessive?

Is hungry all the time. As soon as he is awake, as soon as he sees any food, he must eat it.

15. Is there any kind of food which your body can’t stand?
no

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
normal

17. How is your bowel movement and stool type?
regular, soft, brownish, no constipation

18. How well do you sleep? Do you have a particular posture of sleeping?
Sleeps poorly, described above. Now mostly on his back, but also on the side or stomach. Used to sleep only on the stomach.

19. Do you think you are able to satisfy your sexual desires in general?

20. How do you think you are different from others, if at all?

extremely observant and able to skillfully imitate most physical actions. For example, if you scratch you knee and he sees you, he will do the same. Wants to copy any and all actions he sees around himself. Stir food, sweep floor, scratch nose - he will do it as well. Copies his sister in behaviour and manner of speaking, for example. Tone, eye movements, eye rolling, all of this he can and does copy from other people.


21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?

Calc carb for prolonged cold, produced aggressiveness and fear of dark
Tuberc resolved that very well
Various things like graphites, sulphur, thuja to resolve a rash in the past - not much effect
Chamomilla often for tooth ache, has been effective
Pulsatilla at one point for whining
Saccarum to resolve sleeping, no particular effect at the time
Lachesis a number of months ago to improve sleeping. It helped with yelling, as he was yelling his demands at the time, butnot with sleep


22. What major diseases are running in your family?

Possibly tuberculosis in his great great grandparents. Seasonal allergies and acid reflux in father. Some mood issues in both parents. Possibly diabetes in his great grandmother.

23. Describe, how do you look like? Describe your overall appearance

tall for his age, slim, but not skinny, muscular, very active and agile. Very able physically, strong and capable. Aware of his surroundings, not clumsy. Large blue eyes, deep and attentive, fair skin, dark blond hair. Head is almost the same size as his 5 year old sister (they can wear the same hats).