50 Year Old Female with Insomnia, Migraines, Fatigue, Anxiety

Transcription

1 BRIAN RATZER RPSGT, REEGT, RST 50 Year Old Female with Insomnia, Migraines, Fatigue, Anxiety DALLAS, TEXAS

2 50 / FEMALE Background 50 year old, right-handed postmenopausal female with a declining QOL and a goal to get off all her medications. She has right sided shoulder and neck pain that will sometimes trigger migraine headaches. As a child, she sustained a right-frontal head injury in an automobile accident. Family history of sleeping problems, manicdepression, anxiety, obesity & addiction.

3 Presenting Symptoms Migraine headaches (daily and disabling) logged daily Insomnia General Fatigue Decreased Mental Clarity Hypertension Anxiety Depression Declining QOL I m not feeling like myself anymore. Poor Memory

4 Medications Benicar Bupropion Cambia Compazine Cymbalta Gabapentin Hydrocodone Tizanidine Topiramate Tramadol Zolpidem Botox injections for migraines

5 Baseline Testing SYMPTOM TRACKER: (19 ALL 10 S= 190) Migraine Headaches Bruxism Difficulty Falling and Maintaining Sleep, Difficulty Waking Difficulty Thinking Clearly, Following Directions, Making Decisions, Completing Tasks, Remembering Names Poor Concentration, Sustained Attention, STM, Word Finding and Verbal Expression Slow Thinking Lack of Social Interest Unmotivated Anxiety QIK CPT Performance Index = 98 Accuracy Index = 82

6 What I Did 60 Sessions (ILF=54, AT=6, SYNC=1) Client kept a log of migraine headaches (initially) Aggressive approach, 30 b2b sessions 2x/wk thru S14 Mode of NF = Advanced Media Player T3-T4 titrated down to 0.01mHz in 3 sessions Dreaming, focus & Attention, feeling pretty good S6> +T4-P4 -feeling wound up for a few days and forehead tension & tightness Following 10 day break (Travel) H/A both frequency & magnitude Began taking Natural Progesterone per NP at this time

7 What I Did 60 Sessions (ILF=54, AT=6, SYNC=1) T3-T4 b2b, returned w/o h/a, sleeping better and Ambien, (taken off the progesterone) S13> Client reports small h/a I felt like it should be worse but for the most part, my brain was able to resist the headache Resilience Gabapentin 900mg 600mg. S15 Topamax by half, no h/a in weeks, Single sessions S20> No h/a in weeks, Ambien (2.5mg), Gabapentin (300mg) RE-EVALUATION - 1 ST> 43% ( ), QIK CPT> Slight in both PI (98-99) & AI (82-85)

8 What I Did 60 Sessions (ILF=54, AT=6, SYNC=1) S22> work due to an Anxiety attack. +T4-Fp2 (b2b) S24> Went to 45 sessions (insurance will only pay for one per day) w/ 15 each placement. S26> No h/a, Sleeping well, feeling better, More in control, Focus & Mental Clarity, Sense of wellbeing and Social involvement had a lot of fun socializing at a party and am reaching out to people I have not in a while. S30> Now off all meds except her BP, Ambien (1.25mg) & Tizanidine. Feeling more productive and far more in control Her husband commented on how well she is doing Sessions in 5 day intervals now

9 What I Did 60 Sessions (ILF=54, AT=6, SYNC=1) S33> Daughter went back to school, Emotional reactivity (crying), regret, fragile, withdrawn, small h/a and shoulder pain (Hydrocodone) S36> Client feeling like she is regressing, not doing as well as before. RF to.005mhz in 1 session, more tired than normal Lingering anxiety, attacked by my dreams. S38> Initially Great then Lethargic, groggy, withdrawn, anxious. RF to 0.008mHz Alertness S39> Feeling Great again, productive, social, no anxiety upon waking, resiliency- talking herself back up when necessary.

10 What I Did 60 Sessions (ILF=54, AT=6, SYNC=1) REEVALUATION - 2 ST> 32% (190 60) QIK CPT> PI to 122 from 99 AI to 109 from 85 S40> Anxiety, Emotional reactivity S41>AT (P3-P4 for 6 of next 10 sessions, last one Afz-Pz) Initially AT (Positive) Alert & no anxiety Waking without Anxiety Productivity Emotional Reactivity Energy

11 What I Did 60 Sessions (ILF=54, AT=6, SYNC=1) S42>AT (P3-P4) Waves of happiness Sound of water feels like negative energy leaking out S43> Daughter noted how well client was managing No anxiety upon waking for 3 days Work projects making more sense & easily solved S45> AT (P3-P4) Began feeling ill & congested Anxiety S47> AT (P3-P4) Emotional Reactivity Depression Taken off her BP medication temporarily for low BP Prescribed Clonazepam prn for anxiety

12 What I Did 60 Sessions (ILF=54, AT=6, SYNC=1) S49>AT (AFz-Pz) S50>ILF T4-Fp2 & T4-P4 Anxiety Depression Right side NF RF 0.01mHz S51>ILF Migraine Headache Added T3-T4 to T4-Fp2 & T4-P4 S58> I can feel my brain trying to fix itself BP medication & single Tizanidine Anxiety continues to improve (may be due to her daughters departure). S60> SYNCHRONY (10 - Less tired and more clear)

13 What I Did 60 Sessions (ILF=54, AT=6, SYNC=1) REEVALUATION - 3 ST 28% (190 55) QIK CPT PI 128 (122) / (98) AI 123 (109) / (82)

14 Outcome Current Status ILF: 54 Sessions (OPTIMAL RF = 0.01mHz) OLD FREQUENCIES: 47 sessions NEW FREQUENCIES: 7 sessions A/T: 6 Sessions OLD: (P3-P4) 5 sessions NEW: (Pz-AFz) 1 session SYNCHRONY: 1 Session (Pz-AFz) MEDICATIONS Off all medications except 1. Blood Pressure 2. Tizanidine at bedtime (1mg) 3. Clonazepam wafers as needed for sleep. SYPMTOM TRACKING: ( = 28%) QIK RETEST: 1. PI 128 from AI 123 from 82

15 Lessons Learned 1. The latest software is powerful and should be implemented carefully and purposefully. 2. Be aware the impact of hormone therapy 3. Client sensitivity to front-back AT vs P3-P4 4. Some Insurance limit NF to one session per day

16 All Symptoms

17 To Share I m not feeling like myself anymore I feel like my headache should have been worse, but for the most part, my brain was able to fight it off I feel more in control I feel like I am regressing, not doing as well as before Attacked by my dreams I can feel my brain trying to fix itself Feeling great again AT= Waves of Happiness AT= The sound of the water is like negative energy leaking out SYNC= Less tired and more clear