12 yr boy with Atention Disorder (ADAH) and sleep problems.

Thank you Antivirus. Here are the triples to your questions, I hope it is complete enough.

1. Age,sex,weight,country. 
12 years, male, 69kg, Spain.

2. Main complaints and other associated troubles.
a)Where is the trouble; The exact locality of the complaint like hands,legs etc; duration of trouble.
- Chronic attention disorder and sleep problems, lack of energy, impulsive behaviour.
b)What exactly do child feels, Sensation as pain, how pain feels or burn etc, according to you. 
- I think he feels fine as he is accustomed to his brain working like this, but I observe huge lack of comprehension of cause and effect which a 'normal' 12 yr old would understand, so I think this causes him mental confusion and frustration.
c)What are the factors that causes this trouble according to you.
- He is more distracted and lacklustre when he has to do something that doesn't interest him. He is very sensitive to injustice and gets annoyed or cries when he feels to have been treated unjustly.
d)Condition under which the complaint is reduced or child feels better like, cold or hot application, cold or hot weather, position as standing, walking, rest etc. 
- He likes resting lying down, and likes cool temperatures.
e)Condition under which the complaint is increased like, cold or hot application, cold or hot weather, position as standing, walking, rest etc. 
- Standing and hot conditions.
f)Any other complaint any where in the body. 
- In the past (last year) he has complained of hearing rushing and popping noises in his ears, which disturbed his sleep, but recently this has diminished and no longer bothers him. He has a tendency to be overweight and is flabby round the waist.
g)Onset time of troubles in detail, i.e which came first, after that what problem and so on. 
- He has always had the problem of deficit of attention and impulsive behaviour, though his expression of this problem has changed as he has matured. The sleep disorders started two years ago with the noises in his ears, making it difficult for him to fall asleep. He still has regular difficulties for going to sleep (maybe once a week) and nights when he wakes up in the small hours. He has always been chubby and continues to gain weight gradually.
h)Treatment method adopted and its result. 
- Homeopathic treatment prescribed by a naturopath in May this year. Remedies: Tarantula 30D, Pulsatilla 30D, Staphisagria 15CH, Acidum Phosphoricum 7CH, Ambra Grisae 30CH.
The result was partially favourable in that his personal relations improved. He was more tolerant of others and more amenable in general. He said he felt less distracted in his head, but there was no great change in the quality of his school work or in his desire to do it.

3. History of diseases in family.
- Father has bipolar character with narcissistic tendencies.

4. Personal History.
a)About childhood. 
We are farmers so his childhood has been spent living in a rural area. As a youngster he was tough and independent, happy to occupy himself hunting insects on his own. He rarely cried and never made a fuss if he hurt himself. He had little contact with other children outside of school and this combined with his difficult character made it hard for him to make friends until recently (2 years ago).
b)Academic performance.
- Average performance until age 10 when he started to slip badly. The past two academic years he has failed most of his subjects. He performs better in science subjects which interest him, very well in art as he is naturally talented, average in maths and poorly in language, English and music. The past two years he has lacked motivation at  school and his work has suffered.
c)Any major incidents in life and the effect of it on life. 
Nothing major.
d)How is child satisfied with friends, family members, etc.
- He has few friends. He often goes off by himself when he is visiting friends in the local village. Despite this he would like to live in the village and complains about living away from his friends. He emulates his older brother unconsciously, though he complains that his brother is inconsiderate. Possibly jealous at times as his brother finds everything easier in life. He has an up and down relationship with his father as they are similar in many ways, he is resentful about perceived injustices in his father's disciplinary measures, but at the same time tries to win his father's favour.

6. How is child's Appetite and Thirst. 
- Good appetite and above average thirst. Drinks regularly throughout day and at mealtimes.

7. Likes and Dislikes. 
a)Alcohol Bread Butter Bitter Salt Sweet Sour Fats Milk Mud Chalk Egg Spicy food Meat Fish Fruits Fried Food
Warm food-drink Cold food-drink Ice Ice cream Chocolates Tea Coffee. 
- Likes spicy food, acid food, butter, sweet, chicken, fruits, fried food, ice cream, chocolate. No particular preference for warm or cold, depends on the season.
b)Anything else about like and dislike of any activity with child or surrounding. 
- Strong dislike for scraping noises. Dislikes dark rooms. Likes water and water-related activities and sports. Likes carpets and soft furnishings.

8. Bowel movements.
a)Nature of stool, frequency, satisfactory or not.
Stool consistent, regular movements.
b)Any discomforts associated with stool. 
No.

9. Urine. 
a)Frequency, nature, volume. 
- Urinates 4-6 times a day. Average volume, pale transparent yellow.
b)Any discomfort before, during or after urination/odour 
No.

12. Sleep. 
a)The quality of sleep, the quietness or restlessness of sleep,
position of sleep, times of waking and reasons for waking, 
need for cover over various parts of the body, whether the window must be open or closed etc., common dreams, peculiar sounds or gestures during sleep, etc. 
- He sleeps well but complains regularly of waking in the night / early morning or having problems for going to sleep. He is very particular about how the bedclothes should be when he goes to bed. He likes to feel weight on him so sleeps with two blankets even in summer when just a sheet would be sufficient. The blankets must be tucked in on each side so he can barely move in the bed, and he puts them them over his head so he is completely covered (although in the morning he is often completely uncovered in hot weather). He prefers the window closed, except now in summer I have convinced him to leave it a little open. The cupboard door in his room should be open so he can see inside. He sleeps with an electric fan and even used this throughout the winter as he finds the continuous noise soothing and relaxing. He sleeps on his side and moves very little while asleep. Most dreams are fantasy / inspired in television and video games. No recurring dreams that he remembers.

13. Sweat 
a)How much, what parts, staining, Odour.
He sweats freely in hot weather, especially on his head and neck. He  used to stain the pillowcase with sweat but this has reduced in the last year. Slightly sweet odour.

14. Weather 
a)Tolerance to heat and cold, dryness, humidity, weather changes, sun, foggy weather, wind drafts, closed rooms, etc.
- He likes cool wet weather. Dislikes the heat and dryness. Likes a closed room and the noise of the rain outside.
15. Mental Status 
a) Were there any complications at birth? 
No.
b)At what age did the child: crawl, walk, talk, teethe, toilet train ?
- He talked early and talked more than his older brother (18 months older). I think he crawled and walked at an average age. He was quick to toilet train although he preferred to go outside in the countryside than to use the toilet.
c)How did the child react to the following situations: vaccinations, birth of younger sibling, starting day care, starting school, spending night with a friend, going away to camp, traveling with the family 
- No reaction to vaccinations. Was happy to start day care and asked to go more than I was able to take him. Likewise he was enthusiastic about starting school. He went to camp this year and had a great time apart from a severe sunburn. Enjoys travelling though he gets bored of doing too many touristy visits and complains and says he prefers to stay in the hotel / lodging house.
d)Did the child have an especially severe childhood illness--measles, mumps, croup, etc.?
- No
e)When ill or upset does the child want to cling or be left alone, or something else altogether? 
- He is never clingy, he likes to be attended to, having wounds cleaned, temperature taken etc. but is happy on his own. When he is emotionally upset he finds it hard to talk and shuts himself away, though he will open up with gentle and sympathetic persistence on my part.
f)How would you describe the child's behavior when playing with other children? 
- He plays as if he doesn't really understand social conventions. He gets annoyed easily if someone breaks the rules of the game and will take it on himself to discipline the offender, yet he likes to bend the rules in his favour if he can get away with it. He used to be very defensive / aggressive if anyone bothered him as he was afraid they were going to laugh at him, and he is still easily offended. He is clumsy and finds physical play hard, so he has had a difficult time learning to participate, to accept his mistakes and realize no-one is laughing at him for them, and to relax and have fun.
g)What feedback do you get from the child's teachers?
- In the past his relation with contemporaries has been brusque and difficult though this year he has improved greatly. He speaks his mind and is often inconsiderate in his dealings with others. He misjudges situations and overreacts to perceived slights. He challenges authority and refuses to let his teachers see his notebooks. He gets quickly discouraged if he can't do an activity proficiently and he is perfectionist. He is disorganised and forgetful with his schoolbooks. He secretly loves to be encouraged but puts on a grudging exterior or even gets annoyed when his teacher is trying to help.
h)How does your child treat animals?
- He has a bipolar relationship. He loves animals to be cuddly but when they are not (e.g. the cat scratches when playing) he becomes impatient and annoyed. He has a pair of pet lovebirds which he loved as they would snuggle into his neck. However we couldn't keep them in the house once they grew older, so they moved out to a large aviary and now he visits them infrequently and only for a short time, so they no longer snuggle with him and he has largely lost interest. He loves the concept of a cute cuddly animal but he's not so interested in the reality. He has been raised surrounded by animals but he has never really been an animal person.
i)What fears does your child have?
- Strong fear of the dark and of nocturnal monsters, fear of things behind closed doors, fear of being alone in a power cut.
j)How affectionate is the child when not sick? 
- Not especially demonstrative though he is responsive to and enjoys affection.
k)How sympathetic is the child (concerned with the suffering of others)? 
- Not particularly, he dwells more on his own sufferings.
l)How is the child affected by games, studying, music and dancing? 
- He loves playing videogames and will play for hours if allowed. However he gets angry, frustrated and even tries to break whatever electronic device he is using so we don't allow him to play excessively. He dislikes studying but prefers to study on his own. He likes listening to music but would never dance.
m)Is the child fastidious? Please explain.
- Yes and no. He doesn't care much about his appearance and his room is generally disorganised and he will let it get positively dirty if allowed. But he is fastidious about concepts and perfectionist in his thoughts. He doesn't like fuzzy answers to questions.
n)Is the child sensitive to criticism? Please explain.
- Yes. He likes to feel his efforts are appreciated and hence has problems relating to his father who is very critical. He complains to me that his father never says he does anything well.
o)Describe the child's eating habits, for example: picks at his food, or eats voraciously, or is full after 2 bites, or can't sit still to eat, or must be fed or he won't calm down, and so on.
- He has a good appetite and eats normally. He likes to snack between meals.
p)Are there any digestive complaints--waking with stomach pains, or a lot of gas and bloating or burping, or constipation, etc.?
- He sometimes wakes with stomach pains which may pass quickly or persist all morning.
q)How cooperative is the child? 
- Depending on his mood. Sometimes he cooperates and other times he says "why me?" if you ask him to do something. When he was taking the combination of homeopathic remedies (see section 2h) he was generally more cooperative and amenable.
r)What does the child really love to do?
He likes drawing, which he does very well. He draws machines and structures with great detail, he doesn't use rulers and he never uses colours, just freehand in black and white. He loves swimming and playing in water. He likes building Lego models, and building virtual models and scenes in videogames like Minecraft and Geometrix.

Thank you 0antivirus0. I will order the Causticum and report back.

Here are the results of the tridosha self-test:

Prakrti: Pitta-Kapha

Your prakrti, the physical constitution with which you were born, is a mix of Pitta and Kapha, with Pitta slightly predominant. This is an unchanging characteristic and represents your natural, normal state of being. Let's take a look at some of the common qualities of Pitta-Kapha individuals.

Physically, Pitta individuals tend to be of medium build, with medium heads on medium necks on medium bodies. Medium everything, in fact. Kaphas, on the other hand, tend to be large, thick, big-boned, and slow moving. With your predominant Pitta dosha, you are probably closer to medium build, but the Kapha influence may affect your tendency to gain weight. If you find yourself putting on pounds, especially around the buttocks and hips, that is the Kapha in you.

Kaphas are generally tranquil, laid-back, easygoing people; Pittas tend to be aggressive, fiery, and dominant. With luck, your Kapha influence has tamed the worst excesses of your predominant Pitta dosha, making you a bit less irritable, though perhaps not much. Pitta-Kaphas often make great athletes. They combine the energy of Pitta with the endurance of Kapha. And although they are usually not as big as a pure Kapha, their Pitta nature often makes them more muscular, sometimes to an extreme.

Pitta-Kaphas eat well, seldom missing a meal. They have the strong digestive juices of a Pitta without the sometimes-sluggish bowels of the pure Kapha. But they also typically inherit the Kapha's strong immune system.

This is the physical constitution (prakrti) with which you were born. It gives you some idea of your tendencies, and your physical strengths and weaknesses. Now let's take a look at your current dosha state to see if you are balanced or imbalanced.

Vikrti: Kapha Imbalance

Vikrti is a state of imbalance in which one of the three bodily humors or doshas is excessive. In your case, you have an excess of the Kapha dosha. Kapha is the water dosha (a mix of water and earth).

Ayurveda lists some twenty diseases that are caused by imbalanced Kapha. Because the negative tendencies of Kapha are lethargy, drowsiness, and accumulation, the Kapha-related illnesses stem from such behavior, as well as from excessive liquid intake.

Kapha ailments include:

Drowsiness and excessive sleep
Laziness, lethargy, and heaviness of the body
Excess mucous production and excess bodily excretion
Obesity, anorexia nervosa, indigestion
Mucous around the heart or in the throat
Edema, bronchitis, pneumonia, asthma, sinus congestion, hay fever
Hypertension, atherosclerosis (narrowing of the arteries)
Diabetes
As you can see, Kapha's earth element causes illnesses related to lack of movement (whether of the body or the digestive system). Kapha's water element causes illnesses related to accumulation of fluids, such as edema and excess mucous. Naturally, lack of activity and cold, damp environments aggravate Kapha ailments. For example:

Drinking with meals
Sleeping too much and not exercising enough
Eating too many sweets or mucous forming foods
Lethargy
The best treatment for a Kapha imbalance is to get off your butt and get to work. Get out of bed! No more than eight, and preferably closer to six, hours of sleep is the rule. Get some physical and mental exercise. Eat a very light breakfast, if at all, a big lunch (followed by a brisk walk), and a moderate evening meal. One day a week, fast.

Stick to bitter, pungent, and astringent foods. Don't drink with meals and, in fact, drink less. An occasional trip to the sauna or a warm bath to promote sweating is also a good idea. And the best news: have regular sexual intercourse!

Kapha is strongest between 6-10 a.m. and 6-10 p.m. Those are good times to avoid eating (or eat lightly) as the digestive process will be slowest then. And beware the late winter and early spring, as Kapha is at it's peak then. Don't fall into a spring slump. Stay active.

My son took the Causticum 200 two doses as advised.

feeling calm= No notable difference. He got in a real big temper one day because of something that went very wrong for him. When he is really angry he goes red, weeps tears of rage, talks very fast and unintelligibly and resorts to foul language. Also wants to take justice into his own hands and doesn't willingly take no for an answer. I don't believe in horoscopes but on these occasions he is 100% bull-like (he is a Taurus).

good sleep= his sleep has been better. He hasn't woken up in the small hours and has slept easily when going to bed.

proper energy level= No improvement. Regularly tired and sluggish after school.

self control= No improvement (see above).

confidence level= average. He's not lacking in confidence.

freshness on waking up= this is good. He gets up quick and is alert. I think he is best in the morning.

love and affection with others= not good with family members. He is mostly distant and abrupt, often verging on rudeness, particularly if he thinks you aren't "on his side". He easily relapses into self-imposed isolation and it's hard to make emotional contact.

mental freedom or freshness= good, he seems more interested in his school work and often asks unusual and perceptive questions about things.

prakriti test 1:
pitta 43
kapha 33
vata 24

test 2:
pitta 38
kapha 32
vata 31

Sorry for delay in replying. Yes, there is a big improvement in his emotional stability. He is mostly polite and more considerate. Under stress he reverts a bit but that is also habit.

Hoping to receive further indications. Thank you

His attitude is considerably improved, and he is more conscientious about school work. So yes, I think I am seeing a continued improvement.

His energy levels are still low, I think this is the biggest problem at present. Plus his tendency to put on weight despite not overeating.

And although he is sleeping well he is a bit fanatical about his nighttime habits. He needs a low sustained noise (electric fan) and fills the bed with pillows so he is tight packed on all sides.

Thank you for your help

feeling calm= he continues to suffer occasional peaks of temper when he lacks control and breaks objects or attacks verbally. Apart from these moments he is calm and pleasant.

good sleep= sleeping has improved and he says he sleeps well

proper energy level= generally very lacking in energy, especially on waking up and after eating. He has most energy in the evenings.

self control= he has made some improvement but still has a way to go. When he is angry he has learnt to isolate himself which is a form of control and damage limitation.

confidence level= he often imagines people are against him and reacts defensively when this is not the case. I think he is generally quite lacking in confidence.

freshness on waking up= he gets up fast and is quite alert when waking up but often complains and would much prefer not to make an effort

love and affection with others= he responds well to kindness and love but is very sensitive to criticism. Not very demonstrative or affectionate in general and he prefers to spend his time alone.

mental freedom or freshness= good. He is inventive and innovative in his thinking.