Finally I have succeeded in shifting my patient’s sleep pattern from 5 AM through 2 PM (sleep reversal) to the present 12 midnight through 10 AM. Its quite an achievement. I could do it by the following.
#1. Locked the computer room from 10 PM to 6 AM. But then he started viewing TV overnight..
#2. Changed my focus from his sleeping through the night to keeping him awake through the day. For this I changed the timing of all (except for niacin that he continues to take in morning and evening) B group of vitamins“ including sublingual methyl-cobalamin and omega3 and GLA ( evening primrose oil ) from evening to morning around 8 AM. The care giver would wake him up for the vitamins if he was sleeping. His paranoid ideation was already gone a month ago, mainly due to two heaped teaspoon of niacin morning and evening, equivalent to over 4 gm daily. He used to suspect that people were following him and others could read his thoughts. And all this has been achieved in four months compared to his years of failed psychiatric treatment. For years he had been on many psychiatric drugs that only gave him sleep, drowsiness and drooling saliva and nothing else. He is now searching for job to earn livelihood.
About a week ago, before my above mentioned interventions, when his paranoid ideas were gone but sleep reversal was continuing, his care giver –to correct his sleep cycle—had re-started the old psychiatric prescription and tried all the five drugs at their full doses that used to put him to sleep for sure. But this time–probably due to the vitamins and omegas–all the psychiatric drugs could not put him to sleep in the night. For five days of full psychiatric drugs trial the “sleep reversal” continued until the idea flashed in me to lock the computer room for nights and keeping him awoke in day.
October 22, 2010: Update on my above mentioned patient.
I had written to the caregiver if we could now take the case as completed to which she replied as follows. Below, as “Update” I have arranged her e-mails date wise as she posted them to me. I also reproduce here e-mails to one NGO with care giver’s prior permission.
On Sept. 23, 2010:
- Sir, you have taken us a long long way since the days of last Diwali festival and the approaching one.
- We still have a difficult adult on hand but not a depressed zombie.
- I DO NOT think, the job is DONE. ( though there are remarkable improvements)> Ok. We continue.
- We still have to observe his sleep pattern and see what more can be done.> Try to have him take GLA and Mexepa and B vitamins before 8 AM. Our strategy seems to have worked that is to change our focus from having him sleep in the night to having him awoke through the day. And also your reminding me what I did for similar condition in my family helped me recall of GLA and Mexepa.5. What is the next level of treatment for Narendra ( changed name for confidentiality ) that you referred to?> Job for him. And glad to learn that he is also thinking of it and there is hope next week.
- My asthma can wait till the time Narendra ( name changed ) becomes a regular taxpayer.
- Efforts are going on ( as per the interest shown by Narendra) to set him in a job. Hopefully we will know by the next week.
- Getting the job would not be enough in his case but holding it for a few months would be neccessary.
- How long is it needed for him to take the mexepa and gla before his sleep pattern normalises?
Sept. 27, 2010:
Sir,The psychotic drugs given to Narendra ( name changed ) for 6 months were Antidep 75 mg, twice a day, Espuzine plus thrice a day, Lozapin 25 twice a day, Veniz XR 37.5, Sulpitac 50 once a day. These drugs ensured his sleep during the 6 months we continued the treatment. After 1 month of Orthomolecular, when he developed sleep reversal which continued for 2 months i again gave him espuzine, lozapin, sulpitac, nepnap for 3 nights. He kept awoke the whole night. After starting on GLA and Mexepa, 2 tab each he has been sleeping at night around 1.10 AM and gets up at 10.30 AM. I read Orthomolecular also worked well for Angina (the heart condition). Narendra”s mother has developed angina due to excessive worry.
Oct. 06, 2010:Sir,
- Does Celin ( a sugar free ascorbic acid by Glaxo here in India ) help bowel movements?
- Last 25 days, Narendra has been sleeping at night (12.30 AM to 8.30 PM) and is regularly taking gla, maxepa and niacin.
- Last few days i have been able to push celin into him, mixed in sugar free juice. Yesterday he reported better bowel movements. I hope celin is the cause and it continues.
- Still trying to get him in a job, seems it will take some time.
Date: Tue, 19 Oct 2010 10:01:20 +0530 Subject: Fwd: Ratan, JaipurFrom: [The caregiver]To: email@example.comCC: firstname.lastname@example.org
Sir,1. Narendra ( name changed ) is well, not depressed, no sleep reversal.2. His job has not yet worked out but we are trying.3. His current problem is of very little bowel movement. Initially after Celin he had proper bowel movement but that was only for a day. Since then his B.M is very little and as a result his stomach is protruding and he does not feel light and fresh.4. I think we need to go in for the candida fungus treatment.5. Will candida fungus treatment solve his bowel problems?6. Can you please tell me the process and requirements for the treatment of Candida fungus.regards,[Caregiver]
MY (Ratan Singh’s) CLOSING NOTE: I stop updating now. If anyone wants to know further developments then write to me. If anyone wants to communicate with the caregiver then it has to be through me to protect the caregiver”s privacy.’,
I am Dr. Ratan Singh. I work with a mix of orthomolecular therapy, neutralization, hypnosis and meditation as and when suitable for the patient/client. Actually I educate the patient or the caregiver in these and empower them to help themselves Qualifications: Certificate in Food & Nutrition; Diploma in Nutrition & Health Education (IGNOU), M. A. (Psychology, AMU), DM&SP (CIP,Ranchi), Ph.D., (Psychology) phones: 91 141 4022609, mobile: +9198281 99856; email@example.com, firstname.lastname@example.org, Consultant in Nutritional & Neuro-behavioral Psychology, Jaipur Hospital, India. Member, International Society of Orthomolecular Medicine Life Member, Nutritional Society of India. Clinical Internship in the Practice of Behavior Therapy (Late Prof. J. Wolpe’s Unit at Temple Univ. Medical School & EPPI, Philadelphia, USA, 1973-75). Author of Nutrition & Supplements in Major Mental Illnesses. Worked: 1968 in Rajasthan state government mental hospital and later in Bikaner general hospital psychiatry department (1969- 1971), Lecturer in psychology department in University of Rajasthan (1971- 1973), Intern in Behavior Therapy with late Prof. Joseph Wolpe, MD, Temple University Medical School & EPPI in Philadelphia, USA (1973 to 1975), Lecturer and later Reader (Assoc Professor) in psychiatry department of Institute of Medical Sciences, Banaras Hindu University (1975 to 1986) Assoc. Professor in psychiatry department in University of Science Malaysia Medical School and Hospital (1986 to 1997). I am now Consultant in Nutritional & Neurobehavioral Psychology, Jaipur Hospital, Near Stadium, Jaipur, India. I practise orthomolecular therapy (OT) for mental, emotional, behavioral, memory problems and illnesses. I combine OT with behavior therapy. I take children, adolescents, couples, families. I also train families with Autistic/ADHD (Pervasive Developmental Disorders) children in “ABA” and biomedical therapy in the hospital where I work. I also take up cases of schizophrenia, bipolar, depression, anxiety, anger for OT and nutritional interventions. I don’t “treat” in the traditional sense. I educate patients and/or their caregiver to help themselves. Please note I am not a physician.