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Published on March 11, 2014

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PowerPoint Presentation: 1 Children Tired? Agitated? Anxious? Depressive? Hyperactive? Intellectually precocious? Dyslexic? Stuttering? Los Angeles August 2010 - Copyright ® CEDH France – All rights reserved Jacques Boulet Behavioral disorders in children What questions ?: 2 Behavioral disorders in children What questions ? Limit the prescriptions of psychotropic drugs Reinstate a peaceful and proper family and school environment Avoid to systematically label the case as “psychiatric” Complement and enhance the various therapies (psychotherapy, speech therapy) when they are absolutely necessary Behavioral disorders in children What answers ?: 3 Behavioral disorders in children What answers ? Efficacy Harmlessness Replacing the behavioral disorders within a global analysis of the individual case The consultation: 4 The consultation Family request Personal and family history Interview and general examination ENT, Digestive tract, allergies… General modality, Sleep Search for a chronic reactional mode Tests (IQ: Conner’s parent and teacher rating scale) Behavioral evaluation Relationships with others? At home with others, at school, (in the physician’s office) Mood Physical behaviors Fright School participation, attention Extracurricular activities Self image Behavioral disorders in children Which strategies?: 5 Behavioral disorders in children Which strategies? Clinical observation Statistical Manual of Mental Disorders ( DSM-IV ) Materia Medica    : different types of approaches  : mandatory diagnosis and prognosis PowerPoint Presentation: 6 Children behavioral disorders The different approaches Only a few key symptoms, with a good semiological value, are necessary Precise and thorough interview No systematic ranking system PowerPoint Presentation: 7 Faced with the preponderance of neurosensory symptoms the importance of the individual reactional modalities fade away Children behavioral disorders The histo or pathophysiological approach PowerPoint Presentation: 8 Children behavioral disorders Purely pathogenetic approach Relevance of Hering’s cross Lesional, functional, general or behavioral pathogenetic symptoms valued by precise modalities It must, after all, validate the proposals of all other approaches PowerPoint Presentation: 9 Children behavioral disorders Approach by the chronic reactional mode It positions the symptoms within the patient’s reactional evolution in time and space Guides towards medicines acting on the chronic progression of the disease PowerPoint Presentation: 10 Children behavioral disorders Approach by the sensitive type This approach can help make a differential diagnosis between several polychrests with comparable possibilities on behavioral disorders The physiological, pathological or behavioral tendencies can be the sole objectives of the treatment Basic constitution: morphology, psyche, is not changed by the medicine PowerPoint Presentation: 11 Children behavioral disorders Etiological approach The interview unveils a triggering circumstance: following… or obvious triggering agent: organic pathology, infectious agent…. PowerPoint Presentation: 12 The same medicine can match different approaches Classifications and systems (computer software for example) can orientate towards a medicine but shouldn’t overlook the pathogenetic validation The choice of each medicine must be justified in the Materia Medica Children behavioral disorders The various approaches PowerPoint Presentation: 13 There is no typical observation but a type of observation for each type of pathologies In behavioral disorders ST and etiological approaches are often the most enlightening Children behavioral disorders The various approaches PowerPoint Presentation: 14 First get a complete and thorough investigation Psychology and speech therapy check-ups Define the possible place of homeopathy among other therapeutics Children behavioral disorders A diagnosis is mandatory Finally, the diagnosis is not one of a syndrome (DMS-IV) but the one of medicine(s) able to bring answers to relieve and/or cure a person: By respecting the overall clinical picture Including an identifiable DMS-IV syndrome Being fully aware of the prognosis of the latter and the possibilities of all other therapeutics PowerPoint Presentation: 15 A) Reason for consulting (for the parents) Tired, inhibited, slow child: irritating Agitated, unstable, aggressive, angry, impulsive child: tiring Anxious-depressive child: worrying B) An etiology searched and found during a consultation C) Behavioral symptoms during a consultation Frightful, shy, jealous, pouty, impulsive, angry D) The reason is a pathological syndrome already diagnosed ADHD, Intellectually Precocious, Stuttering, Dyslexia Children behavioral disorders- different situations PowerPoint Presentation: 16 Children Tired? Agitated? Anxious? Depressive? Hyperactive ?Intellectually precocious? Dyslexic? Stuttering? Tired children: 17 Tired children Diagnosis difficulties: lack of stamina, appetite, sadness agitation, insomnia Tired children: 18 Tired children Clinical check-up Weight, temperature, Searching for dyspnea, shortness of breath CBC, glucose levels, iron levels, TSH Tired children: 19 Tired children Looking for an etiology: Poor life habits: too many activities, diet, sleep Diseases, especially chronic ones Psychological disorders: family environment, school Tired children: 20 Tired children Little or no treatment outside of treating the cause when there is one: Vitamin Psychotherapy Tired children: 21 Tired children Easily tired children Children tired by… Anxious or depressive children PowerPoint Presentation: 22 All medicines listed are prescribed in high dilutions 15 C Tired children 5 pellets daily space out the takes according to improvement Easily tired child: 23 Easily tired child Tuberculinic: Tuberculinum Phosphorus Calcarea phosphorica Silicea Sulphur iodatum Arsenicum album, Natrum muriaticum, Pulsatilla PowerPoint Presentation: 24 Subgroup of the Psoric reactional mode with a specific type • children or young adults • rather thin, tendency to lumps • cold-sensitive, hyper sensitive to cold • prone to recurrent ENT affections • nervous, irritable, touchy • periodicity is often very short prone to lack of stamina, fast growth Tuberculinic reactional mode Tuberculinic subgroup PowerPoint Presentation: 25 Tired child with • intellectual overexertion • attention and memory disorders • sleep disorders and walking up in jolts (sometimes sleepwalking) • headaches especially located in the occiput area, with sensation that the head is going to burst improved by heat, wearing a tight headband Most times the child is thin, shy, unstable, hyper sensitive, Lacking self-confidence, often presenting infectious disorders with suppuration Silicea Easily tired child PowerPoint Presentation: 26 • thin, tired child with an agitated, hasty behavior. He or she is quite irritable • medical history - multiple recurrent infections especially of the upper respiratory tract and ENT , tendency to lumps - as a teenager, papulous acne Sulphur iodatum Easily tired child PowerPoint Presentation: 27 • thin, tired hypersensitive child emotionally unstable values imaginary world • history - multiple recurrent infections especially of the upper respiratory tract and ENT , tendency to lumps Tuberculinum Easily tired child PowerPoint Presentation: 28 • tall and lanky constitution, pains and growth disorders, headache • history - digestive, ENT, skin disorders Calcarea phosphorica Easily tired children PowerPoint Presentation: 29 • tall and lanky constitution, easily tired, unstable • prone to hemorrhages, anxiety Inflammatory pathology Phosphorus Easily tired child PowerPoint Presentation: 30 • Thin upper body, pale and cold sensitive Gets physically and intellectually tired Dermatitis, hair and nail disorders Alternating sadness and feverish excitement Sleep disorders Appetite disorders Natrum muriaticum Easily tired child PowerPoint Presentation: 31 Weak Tired Cold sensitive Anxious, phobic Sleep disorders Arsenicum album Easily tired child PowerPoint Presentation: 32 • Various constitutions Shy, emotional child Sometimes capricious, with tantrums Seeks affection, fears “abandonment” Pulsatilla Easily tired child Child tired by…: 33 Child tired by… Nux vomica Arnica Cinchona Kali phosphoricum Cocculus Anacardium PowerPoint Presentation: 34 Tired child, on a physical and intellectual level, presenting • headaches • memory disorders • insomnia (with sometimes nighttime frights) • hyperesthesia to noise and contact (jolts) Clinical picture often found after an intellectual burnout Kali phosphoricum Child tired by… PowerPoint Presentation: 35 School and extracurricular hyperactivity • irritable, impatient • digestive disorders • insomnia (falling asleep and upon waking up) • hyperesthesia to noise, odors cold sensitive Nux vomica Child tired by… PowerPoint Presentation: 36 Physical hyperactivity • irritable, impatient • digestive disorders • Insomnia (falling asleep, bed to hard) • Hyperesthesia to contact Congestive, complains about heat Arnica Child tired by… PowerPoint Presentation: 37 Physical hyperactivity, disease, acute gastroenteritis, fever… • irritable, lack of stamina • digestive disorders, colitis, bitter mouth • insomnia (falling asleep, bed too hard) • hyperesthesia to touch, light, odor Sweats Pounding headache Cinchona Child tired by… PowerPoint Presentation: 38 Lack of sleep…(or nap) • irritable, hypersensitive, weak, • nausea, benign paroxysmal positional vertigo (BPPV) pale face excessive salivation aversion for foods Cocculus Child tired by… PowerPoint Presentation: 39 Intellectual burnout • Headaches Fatigue Memory disorders Aggravation on an empty stomach Improvement by eating Anacardium Child tired by… Slow and development delayed children: 40 Slow and development delayed children Calcarea cabonica Graphites Mercurius sol Baryta carbonica PowerPoint Presentation: 41 • false slowed down child False low True hyperventilation disorders False sluggish True carbonic False placid True frightful True anxious history - dermatitis - spasms Calcarea carb Slow and development delayed children PowerPoint Presentation: 42 • truly obese child , Atone Cold sensitive Sluggish, Lazy, inactive Interested in nothing, nothing amuses him or her Graphites Slow and development delayed children PowerPoint Presentation: 43 • superficial agility Attention disorders Slow thinker Unable to think logically: math, grammar Affective indifference Sensitive to dampness Prone to pharyngitis, sore throats Nighttime sweating and salivating Mercurius solubilis Slow and development delayed children PowerPoint Presentation: 44 • slow and tired child , very shy, with a physical and intellectual development delay • history - chronic hypertrophy of the tonsils with frequent inflammation - swollen lymph nodes in the sub-maxillary angle and nape of the neck Baryta carbonica Slow and development delayed children PowerPoint Presentation: 45 Tired? Agitated? Anxious? Depressive? Hyperactive? Intellectually precocious? Dyslexic? Stuttering? Children PowerPoint Presentation: 46 All medicines listed are prescribed in a high dilution 15 C Children behavioral disorders Clinical pictures 5 pellets daily space out the takes according to improvement PowerPoint Presentation: 47 • hypersensitive child • mood swings (intense, loud laughs, alternating with crying fits) • after being upset, sad child, introvert • prone to various spasms • paradoxical and contradictory disorders, fleeting, changing • aggravation by - emotions - in the morning around 11 a.m. • improvement by distraction • following affective shocks, emotions, grief Ignatia Clinical pictures, agitated child PowerPoint Presentation: 48 • agitated and hasty child, moves around a lot, does everything very fast • can’t stand still • school difficulties with memory disorders, sleeping rituals • sleeps in a fetal position, or arms above the head • medical history - diaper rash - symptoms typical of the Sycotic reactional mode (recurrent ENT infections, asthma or eczema after immunization shots, urogenital infections…) Medorrhinum Clinical pictures, agitated child PowerPoint Presentation: 49 • child with behavioral disorders and mood swings • sudden anger fits – bites- • school difficulties with agitation • agitated sleep (often associated to profuse sweating), nighttime excessive salivation, chills • history of recurrent ENT infections Mercurius solubilis Clinical pictures, agitated child PowerPoint Presentation: 50 • alternation of excitement (with babbling) and depression • anxious state, worse in the morning • suspicious, jealous child • sleep disorders with nightmares and nighttime cough Hyoscyamus • sensation of suffocating oppression when falling asleep • hypersensitive to the slightest contact or constriction Jealousy brother or sister ++ Lachesis Clinical pictures, agitated child PowerPoint Presentation: 51 • hypersensitive, nervous, impatient, irritable, very active child intolerant to the slightest challenge or vexation, angry, aggressive • insomnia and waking up around 3 a.m., tired upon waking up • frequent spasmodic digestive disorders Makes himself or herself throw up when annoyed Nux vomica Clinical pictures, agitated child PowerPoint Presentation: 52 • agitated child, doesn’t want to be touched or cuddled and rocked (screams as soon as somebody tries to take him or her) • broody, cranky child, touchy and stubborn • agitated sleep, preceded by sleeping rituals (head swinging on the pillow) associated with violent jolts and piercing screams, sometimes nightmares. = • teeth grinding • frequently - nasal pruritis - anal pruritis - abdominal pain - worms Cinchona Clinical pictures, agitated child PowerPoint Presentation: 53 • agitated child, very anxious, always in a hurry, inefficient in his or her actions, apprehension of the close future. • stage fright with motor diarrhea and gastric pain • multiple phobia Argentum nitricum Clinical pictures, agitated child PowerPoint Presentation: 54 • agitated child with tantrums (throws away a toy as soon as it is handed out to him or her) • nervous, irritable, with frequent anger fits, improved when cuddled, rocked or taken for walks in a stroller • etiological circumstances - scolding, punishment - teething - intolerance to pain Chamomilla Clinical pictures, agitated child PowerPoint Presentation: 55 • agitated child who can’t stand still • constant agitation of the hands and fingers • needs to play sports, moves around, physical exercise • insomnia with night frights, teeth grinding when sleeping • memory difficulty Infected acne in the teenage child Kali bromatum Clinical pictures, agitated child PowerPoint Presentation: 56 • agitated child, extremely talkative, babbling • sometimes choreic movements (jerky, twitching movements) • very disrupted sleep with night frights, fear of the dark, the child always wants a light to be left at night • some hallucinations Stramonium Clinical pictures, agitated child PowerPoint Presentation: 57 Children Tired? Agitated? Anxious? Depressive? Hyperactive? Intellectually precocious? Dyslexic? Stuttering? Anxious-depressive child…: 58 Anxious-depressive child… Family context: Psychological trauma: grief, divorce, house move, violence Problems with the parents, siblings, feeling of being abandoned… PowerPoint Presentation: 59 hypersensitive child • mood swings (intense loud laughs, alternating with crying fits) • after vexation, sad child, introvert • prone to various spasms • paradoxical and contradictory disorders , fleeting, changing • aggravation by - emotions - in the morning around 11 a.m. • improvement by distraction • following affective shocks, emotions, sorrows Ignatia Anxious-depressive child… PowerPoint Presentation: 60 • tired and very anxious child, prone to stage fright inhibition, obsessive ideas, trembling, memory disorders • prone to emotional diarrhea, headaches and migraines (with visual disorders) Gelsemium Anxious-depressive child… PowerPoint Presentation: 61 Depressive, tired child, indifferent to everyone and everything - schoolwork - family, friends with: • major intellectual difficulties and frequent migraines • very anxious, seeks solitude (aggravated by consolation) Sepia Anxious-depressive child… PowerPoint Presentation: 62 Exhausted child or teenager with memory weakness , inaptitude for intellectual work • depressive tendency, with indifference • generally retains a good muscle tone and strength • the child is hypersensitive to sensory solicitations (light, noise, music) • frequent headaches (especially vertex and nape of the neck) This clinical picture is mostly seen after Emotional shocks (grief, sorrow, love Problems in teenagers) or intellectual burnout Phosphoricum acidum Anxious-depressive child PowerPoint Presentation: 63 • tired child, with memory disorders and headaches • often, an indecisive child or teenager, prone to a split personality who gets angry very easily • all the symptoms, especially headaches are improved by eating This clinical picture is frequently seen after an intellectual burnout Anacardium Anxious-depressive child PowerPoint Presentation: 64 • agitated child, who can’t stand still • constant agitation of the hands and fingers • need for physical exercise • insomnia with night frights, teeth grinding when sleeping • memory difficulties Infected acne in teenagers Kali bromatum Anxious-depressive child PowerPoint Presentation: 65 • hyper emotional, craves affection, lacks self-confidence Proud and bossy behavior • prone to digestive and allergic skin disorders… Lycopodium Anxious-depressive child PowerPoint Presentation: 66 • anxious child in a context of separation or divorce: Sleep disorders Irritability, crying episodes regression in language acquisition and potty training • prone to ENT infections and circulatory disorders Pulsatilla Anxious-depressive child PowerPoint Presentation: 67 Physically or intellectually tired child or adolescent with • throbbing headaches • heart palpitations at the slightest effort • low-back pain •  weight loss (in spite of a retained appetite) Anxious-depressive child PowerPoint Presentation: 68 Sometimes we are faced with a real depressive state with • introversion, sadness, crying easily • despair, giving up • indifference towards loved ones and not wanting consolation • eventually hyperventilation disorders Anxious-depressive child PowerPoint Presentation: 69 These clinical pictures can be seen • after affective or emotional stress (grief, love problems) • after intellectual burnout • during the convalescence of debilitating diseases Natrum muriaticum Anxious-depressive child PowerPoint Presentation: 70 • child has a major lack of stamina , with weight loss, depressive tendency (often consecutive to a chronic debilitating disease) • most times the child is cold sensitive with an organized and meticulous behavior • the disease makes him or her anxious with sometimes a fear of dying • in the history we note some affections belonging to the Psoric reactional mode  (eczema, rash, asthma…) Arsenicum album Anxious-depressive child PowerPoint Presentation: 71 Fear, Shock, Jealousy, Abandonment, Grief, Injustice B) An etiology is looked for and found during the consultation PowerPoint Presentation: 72 Opium 30 C: Sleep disorders, daytime sleepiness.. Abnormal hearing acuity when sleeping Bed wetting B) Fear, shock looked for and found during a consultation PowerPoint Presentation: 73 Gelsemium 30 C Inhibition, stage fright, Hard time falling asleep Causticum B) Fear, shock looked for and found during a consultation PowerPoint Presentation: 74 Causticum 30 C Notion of old trauma Hypersensitivity Fear of the dark Bed wetting Delayed sphincter maturity Gait disorders B) Fear, shock looked for and found during a consultation PowerPoint Presentation: 75 Pulsatilla 30 C: Feeling of abandonment Lycopodium 15 C Feeling of being left out Lachesis 30 C Hyoscyamus or Stramonium 30 C Violence, competition B) Jealousy looked for and found during a consultation PowerPoint Presentation: 76 Arsenicum album 30 C Obsession with death Ignatia 30 C Mood swing Natrum mur 30 C Affective shock B) Grief looked for and found during a consultation PowerPoint Presentation: 77 Staphysagria 30 C Feeling of injustice Hyoscyamus 30 C Agitation, violence B) Frustration looked for and found during a consultation PowerPoint Presentation: 78 Shyness Impulsiveness, anger c) Behavioral symptoms noted during a consultation PowerPoint Presentation: 79 Shyness Pulsatilla, Silicea, Causticum, Calcarea phosphorica c) Behavioral symptoms noted during a consultation PowerPoint Presentation: 80 Impulsiveness, aggressiveness Sulphur 15 C : aggressive and a dreamer Nux vomica 15 C : hypersensitive, angry Lycopodium 15 C: demanding, bossy Hepar sulphur 30 C : Irritable, belligerent Aurum 15 C: can’t stand contradiction Calcarea carbonica 30 C : impulsive c) Behavioral symptoms noted during a consultation D) The reason for consulting is a previously diagnosed pathological disorder : 81 D) The reason for consulting is a previously diagnosed pathological disorder ADHD, Intellectually precocious, Stuttering, Dyslexia PowerPoint Presentation: 82 Children Tired? Agitated? Anxious? Depressive? Hyperactive? Intellectually precocious? Dyslexic? Stuttering? L. A. Aout 2010 - Copyright ® CEDH France - Tous droits d’utilisation et de traduction réservés Jacques Boulet ADHD: 83 ADHD Motor coordination disorders Emotional disorders Cognitive disorders Frequently intertwined with anxiety and/or depression CHOICE CRITERIA: 84 CHOICE CRITERIA HYPERKINESIS AGITATION ATTENTION DISORDERS NORMAL SLEEP PowerPoint Presentation: 85 ADHD Differential diagnosis The consultation: 86 The consultation Personal and family medical history Interview and general examination ENT, digestive, allergies… General modality, Sleep Look for a Chronic Reactional Mode Tests (IQ; Conners parent/teacher questionnaire) Behavioral evaluation Relationships with others? At home, at other people’s house, at school, in the physician’s office Mood Physical behavior Fear School work, attention Self-image Conners short-version questionnaire for the parents: 87 Conners short-version questionnaire for the parents Agitated or very active Nervous, impulsive Never finishes what he or she started, short-span attention Moves around all the time, can’t be still Disrupts other children Lack of attention, easily distracted His or her requests must be immediately satisfied: easily frustrated Cries often and easily Quick and intense mood swings Anger fits, explosive and unpredictable behavior Each item is scored from 0 (not at all) to 3 (a lot) Maximum index score: 30 ≥15 points: hyperactive child Significant improvement if there is at least a 10-point decrease in the max index score Attention deficit, attention disorders: 88 Attention deficit, attention disorders Doesn’t pay attention to details, often makes mistakes Easily distracted, even when playing Doesn’t pay attention when talked to or only for a few seconds Disobeys at school and at home Never finishes his or her homework, or any other activity, regardless of what it is, in spite of seemingly good intentions Avoids or runs from any activity requiring attention Looses , forgets, or breaks things necessary for his/her daily life or school work Suffers from enuresis, encopresis (bed wetting/soiling) Attention deficit, hyperactivity disorders: 89 Attention deficit, hyperactivity disorders Constant agitation of the hands and feet Squirms on his/her chair, can’t stand sitting for long periods of time Runs and climbs everywhere without holding back Has a hard time standing still Acts as a  ”jumping jack”  Talks non stop Lack of intention, impulsive: 90 Lack of intention, impulsive Answers questions before they are completely enunciated Has a hard time waiting for his/her turn Often interrupts others or imposes his or her presence Classic treatment: 91 Classic treatment Psychotherapies Cognitive Behavioral Psycho-motor Art therapy (music) Methylphenidate (RITALINE) Risperidone (Risperdal) The interview: 92 The interview Behavioral symptoms Objective symptoms Psychological aspects Attention Anxiety Depression Emotion Social aptitude IQ Aggressiveness Sensitivity Sleep disorders Terrain symptoms Parents Pregnancy and delivery First days of life Somatic pathologies Morbid tendencies Chronic reactional mode Sensitive type Major personality traits ADHD Medicines brought up by the syndrome: 93 Hyperactivity and attention disorders : Kali bromatum: agitation of the hands, nervous fatigue Zincum metallicum: agitation of the legs, nervous fatigue Mercurius solubilis : Hard time understanding Medorrhinum Agitated and hasty, memory disorders ADHD Medicines brought up by the syndrome Agitation is predominant: 94 Agitation is predominant Argentum nitricum: can’t stand still Tarentula hispanica: improved by music Agaricus: clumsy, tics Coffea tosta : happy Nux vomica: angry Arsenicum album: major anxiety Hyosciamus: spasms, jealousy Stramonium: night frights Cinchona: bad mood, teeth grinding ADHD Medicines brought up by the syndrome Attention deficit disorders are predominant: 95 Attention deficit disorders are predominant Anacardium orientale Baryta carbonica Silicea Causticum Silicea ADHD Medicines brought up by the syndrome ADHD Medicines brought up by the general reaction: 96 ADHD Medicines brought up by the general reaction Calcarea phosphorica Calcarea fluorica Iodum Medorrhinum PowerPoint Presentation: 97 Children Tired? Agitated? Anxious? Depressive? Hyperactive? Intellectually precocious? Dyslexic? Stuttering? PowerPoint Presentation: 98 Dyslexic children - 10% of school-age children - 3 boys for 1 girl « Lasting and severe difficulties in learning how to read in spite of a normal intelligence, conventional teaching and adequate socio-cultural opportunities » Dyslexic children PowerPoint Presentation: 99 Dyslexic children Phonological dyslexia (deep dyslexia 70 %) difficulty/impossibility to convert words into sounds Difficulty to read “non words”  or new words Irregular words are easy to read Lexical dyslexia, (surface dyslexia) difficulty in memorizing the global shape of words “non words” are easy to read Difficulty in reading irregular words Dyslexic children PowerPoint Presentation: 100 Dyslexic children Great at oral communication Give the impression of being lazy Poor self-esteem Hide their weaknesses Dreamers, lacks attention Auditory hypersensitivity, very observant Disorganized of meticulous Dyslexic children PowerPoint Presentation: 101 Medicines Phosphorus: unstable, easily tired Tuberculinum : unstable, hyper sensitive Argentum nitricum : hasty Silicea: fear of failure, lack of self-confidence Pulsatilla : fear to disappoint Natrum muriaticum : indifference Dyslexic children PowerPoint Presentation: 102 Children Tired? Agitated? Anxious? Depressive? Hyperactive? Intellectually precocious? Dyslexic? Stuttering? PowerPoint Presentation: 103 Diagnosis IQ > 125, 130 Rather a specific way of reasoning or looking at situations than intellectual precocity (Curious, anxious, clairvoyant, social difficulties) Intellectually precocious children PowerPoint Presentation: 104 Screening Fast psycho-motor development Curious, ask metaphysical questions (death, religion, meaning of life) Interested in unusual jobs Are passionate about several different topics Do not like routine It is difficult for them to have friends their own age Like games with complicated rules Intellectually precocious children PowerPoint Presentation: 105 The medicines The polychrests Lycopodium Natrum muriaticum Lachesis Sulphur Phosphorus Intellectually precocious children When they are not doing well: Stramonium Medorrhinum Phosphoricum acidum Kali bromatum PowerPoint Presentation: 106 Children Tired? Agitated? Anxious? Depressive? Hyperactive? Intellectually precocious? Dyslexic? Stuttering? Stuttering: 107 Stuttering « speech disorder affecting the way a person speaks with involuntary pauses or repetitions especially around a third person” French Ministry of Health or « speech disorder» DSM-IV of American psychiatrists Stuttering: 108 Stuttering Argentum nitricum: in too much of a hurry Gelsemium: stage fright Causticum: mistakes syllables, stammers Kali bromatum : memory loss Hyoscyamus: confused state Stramonium: difficult speech, stammers

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