Saturday, December 15, 2012

EMPTY NEST SYNDROME


Empty nest syndrome often goes unrecognized. Moving out of a young adult from their parents' house is seen as a normal and healthy event, but there is a general feeling of grief and loneliness in parents or guardians especially when their children leave home to live on their own for the first time or permanently. This depression in parents arises out of loss of purpose and one or both the parents fail to adjust the new situation.
Cause – Every parent would feel emptiness of home (the nest) but some are more susceptible. Mother being primary care giver may be affected more but father can also be unprepared to face the emotional changes. Some factors may contribute to the effects are feeling the change as stress and not enjoyable, lack of confidence in own child that he/she would be able to do in the new situation independently, not having other employment as in case of a non-serving or retired person. Persons being full time parent and find their identity in being parent, menopause or death of spouse or having an unsatisfactory and unstable married life.
Symptoms – There could be variety of feelings as some may feel there remained no purpose in life (loss of purpose) because they no more require to work for child and their role was over, some may feel that they are no more required by their child (rejection), there could be worry and anxiety about how child would stay in the new conditions. Some parent feel guilt for not giving enough time and attention to their children when they were at home. Not always but many a time some parent develop physical symptoms of undefined sicknesses.
How to Cope with – Adjusting to the new life situation becomes a challenge to parents. They need to redefine relationships with children, spouse and society. A new relationship is to be established with children this may need patience and time.  Keeping contact with the children through phone, mail or net can ease the situation. These days communication is much easier and frequent as compared to old days when a letter used to take long time to reach both ways.  Some new engagements are required to fill the free time as reviving hobbies and interests which were forgotten during discharging the responsibilities, developing social relation and joining groups and the most important is reconnecting with spouse. They should develop a new understanding and should spend a quality time with each other. Grief should be shared with spouse, friends, relatives or some professional.
People and society should understand the change in person’s life as the joint families are disappearing and contrary to popular belief parents are not always happy as their children leave home.
Treatment – Empty Nest Syndrome in some case cause some troublesome symptoms which need treatment. Counseling is required to make the patient and spouse understand the reality. Though there is no specific homoeopathic medicine but homoeopathy offers a solution in terms that constitutional medicines help patient to reconcile with the situation. 

Case – The lady in this case had anticipation of living alone since her daughters got engaged and during preparation of marriage of first daughter she started feeling insecure, anxious, alone and sad. This feeling is expressed in certain symptom which were promptly disappeared after homoeopathic medicine and counseling.

Bottom of Form
Mrs. D. S.        55 yrs.      female      married      hindu            Vegetarian
Diagnosis – Functional disorders after Anticipation and empty  nest.
ECG – Tracing within normal limits. X-ray cervical and lumber spines show no bony pathology.
She off and on gets sudden palpitations with weak feeling for last three years. It first occurred during preparation of marriage of first daughter. Now, after second daughter left for in-laws place it has become more frequent and occurs at any time but never during sleep. She must lie down when she feels enervated. Pain in left shoulder, pectoral and left scapular region extended to neck. The pain was aggravated during day time, after brooding or getting tensed on some matter. She had numbness with formication in right hand. She was snoring since last few months. Her speech was hesitant and uncertain. She has lost confidence in her routine work and feels sad and alone after marriages of daughters, first was married 3 years back and the second was married four months back. Husband was a retired bank employee had his own circle and rough and tough but had no sympathy with her feeling. 
She got menopause at the age of 46 years. History of head pain aggravated from sunlight and exertion of eyes better after taking spectacles. No specific craving of any food but rich food caused burning abdomen.
Her mother had hypertension and palpitation problem, father had diabetes, hypertension and ischemic heart disease (got bye pass done). Sisters and brothers had migraine and high blood pressure. Maternal uncle had cancer of lungs or intestine.
The patient was lean, fair complexioned and smooth skin. Pulse was regular and thin. Her Blood pressure was 100/70 mm hg.
09/02/11 Rx 1. Pulsatilla            1M         two doses at 10 minutes interval
                       2. Nihilinum         30          two pills thrice a day for 7 days.
16/02/11 Old symptom of pain in right thumb and posterior thigh and knees reappeared on third day. Knees pain were relieved but drawing pain in right posterior thigh aggravated on squatting. No palpitation occurred though it was not a regular phenomenon.
                   Rx 1. Rubrum           1M         two doses at 10 minutes interval
                        2. Nihilinum            30          two pills thrice a day for 7 days.
22/2/11 She had increased pulse and palpitation on 18th while dinning, relieved after lying down. It occurred once only though used to occur 2-3 times in one episode. Left hand fingers and thumb cramps after long time and for longer duration. Knees pain off and on. Her nape pain was less. Blood pressure was 110/80 mm hg.
                    Rx 1. Rubrum         1M         two doses  at 10 minutes interval
                        2. Nihilinum         30          two pills thrice a day for 10 days.
 04/03/11 Lower limb pains relieved. Shoulder stiffness decreased. No palpitation. Blood pressure –  110/70 mm hg.
                    Rx 1. Rubrum         1M         two doses  at 10 minutes interval weekly,
                        2. Nihilinum         30          two pills thrice a day for 30 days.
07/04/11 Left posterior thigh pulsating and bursting pain extending down to tendon Achillis. Aggravated in bed at night, walks to get relief, better by pressure. No other trouble.
                  
                        Rx 1. Natrum arsenicum  30  two doses at 10 minutes interval,
                              2. S. L.                      30  two pills thrice a day for 7 days.
13/04/11 Lower limb pain relieved. She felt lumbo-sacral weakness on walking with aching in thighs.
                        Rx 1. Nihilinum              30  two doses at 10 minutes interval,
                              2. S. L.                    30  two pills thrice a day for 21 days.
04/05/11 Felt weariness in left lower limb, sometimes aching left hip on walking.
                        Rx 1. Natrum arsenicum 30  two doses at 10 minutes interval,
                             2. P. L.          30  two doses at 10 minutes interval 8th day,
                             3. S. L.          30  two pills thrice a day for 14 days.
19/05/11 Sleep restless due to drawing in calves twice in last two weeks. No other trouble. Blood pressure 110/70 mmhg.
                        Rx 1. Nihilinum   30  two doses at 10 minutes interval,
                             2. P. L.          30  two doses at 10 minutes interval 8th day,
                             3. S. L.          30  two pills thrice a day for 14 days.
04/06/11 Trouble free except sometime aching in soles or heels.
                         Rx 1. Nihilinum   30  two doses at 10 minutes interval,
                              2. P. L.          30  two doses at 10 minutes interval 8th day,
                              3. S. L.          30  two pills thrice a day for 14 days.
Thereafter the patient was well and stopped taking medicines.


Dr. M. K. Tyagi
D.H.M.S., Dip. N.I.H.
Research Officer, Sewa Mandir.
Mobile" 09829157926
Email: 1.sewamandir@usa.net, 2.manju_mkt2003@yahoo.co.in



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