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School Refusal with Anxiety

Pediatrics
AaravGender: MaleAge: 8 years (Pediatric) Chronicity: 6 months

Presenting Complaints & History

  • Severe crying and tantrums on school mornings
  • Somatic complaints (stomach ache, nausea) before school bus arrival
  • Clinging behavior and fear of separation from mother
  • Disturbed sleep on Sunday nights

Clinical Assessment

Brought in for morning somatic complaints. Symptoms disappeared completely on weekends and holidays, indicating school-related separation anxiety.

Diagnostic Investigations: Abdominal ultrasound and clinical exams normal, ruling out organic causes for stomach pain.

Homeopathic Therapeutics & Management

Aimed at soothing the sensitive nervous system, reducing separation anxiety, and resolving somatic stomach pain.

Selected Constitutional Remedies: Pulsatilla and Argentum Nitricum

Lifestyle & Nutritional Support

Gentle morning transition routines, avoiding physical pressure, and establishing a positive home-school communication channel.

Clinical Outcome

Follow-up Period: 4 months
  • Complete resolution of morning stomach aches and nausea
  • Significant reduction in morning crying tantrums
  • Independent boarding of the school bus without anxiety
  • Improved peer interaction and school comfort
Medically reviewed by Dr. Navaneeth K. Unni
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