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The evolving of a Physician - Understanding world of Adolescence

Case studies and sharing’s to understand Homoeopathic management of sexual abuse, masturbation and Various situations a family physician encounters

Understanding world of adolescence

During adolescence, the transition from childhood to adulthood is most important .This is the time Children are becoming more independent, seeking identity They are beginning to look at their future world in terms of career, relationships, families, housing, society etc. Occurring in Young adulthood, we begin to share ourselves more intimately with others. We explore relationships leading toward longer term commitments with someone other than a family member. Successful completion can lead to comfortable relationships and a sense of commitment. This is a major stage in development where the child has to learn the roles he will occupy as an adult. It is during this stage that the adolescent will re-examine his identity and try to find out exactly who he is in relation to his work family society.

Understanding sexual identity in adolescence

Erikson suggests the sexual identity development is as important as other identities. According to Bee (1992), what should happen at the end of this stage is “a reintegrated sense of self,his sexual needs and sexual identityThe adolescent looks for respect and care within a relationship. This is the period there is natural attraction to the opposite sex .While Freud explains in depth the sexual urges what the adolescent faces it is important how these are channelized .We can often find an extreme where there will be free flow of expression of sexuality or fear of intimacy Erikson claims that the adolescent may feel uncomfortable about their body for a while until they can adapt and “grow into” the changes. Success in this stage will lead to the virtue of fidelity.

During this period, they explore possibilities and begin to form their own identity based upon the outcome of their explorations. This sense of who they are can be hindered, which results in a sense of confusion ("I don’t know what I want to be when I grow up") about themselves and their role in the world.

Understanding sexual disorders

Adolescent faces the challenge of coping with his sexuality ,his identity and intimacy Hyper sexuality is the commonest problem faced ( masturbation being one such example).Hyper sexuality is excessively interested or involved in sexual thoughts or activity .We all have a pathway that makes food and sex rewarding .Individuals who do not get recognition and in turn with low self worth are more prone to pathological pursuits of self reward .Hyersexuality is one such pathway . Changes associated with sexual addiction is often seen in the dopaminergic system of the cortical limbic area that is the reward system .These vulnerabilities can be predisposed by genetic, this is dependent on environment circumstances and disposition .DSM 4 shares hyper sexuality with low functional capacities and inability to perform routine aspects of life and develop healthy relationship are put under addictions It can be due to OCD,BORDERINE PERSONLAITY DISORDER ,BIPOLAR DISORDER

Understanding mental state of hyper sexuality cases

“I am basically a bad person .No one loves me My needs are not met and I have to depend on others .Sex is my need .I am rewarding myself When associated with a psychiatric diagnosis. It often results in dissociation ,there is a disconnect between him and his environment as he wants to block all his pain and conflicts .Preoccupation results in a trance like state.It ensures temporarily that the anxiety and stress is relieved It follows with shame and again starts the cycle of reward and shame

Homoeopathic management
  • Understanding the language of symptoms
  • Decide on remedy acute / phase / constitution
  • Understand the disease diagnosis (differentiate between symptom of person and disease )
  • Understand miasm
  • Understand management remedial and non remedial measures - counseling. physician a friend philosopher and guide

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