Soto-Sánchez Jacqueline, Garza-Treviño Gilberto
Sección de Estudios de Posgrado e Investigación, National Polytechnic Institute, Mexico City, MEX.
Cureus. 2024 Aug 19;16(8):e67203. doi: 10.7759/cureus.67203. eCollection 2024 Aug.
Insomnia is a widespread disease that tends to be associated with other problems, like anxiety. The most frequent anxiety disorder is generalized anxiety disorder (GAD), which is characterized by excessive worrying about everyday situations. Medications for insomnia and anxiety can have adverse reactions and the latter may be ineffective in up to 30% of patients. Here we present a case report of a 27-year-old male patient who suffered from persistent insomnia with comorbid GAD and schizophreniform disorder. Initially, he was taking alprazolam, paroxetine, and risperidone, which had a less-than-satisfactory effect. He was treated with individualized homeopathy, which produced a remarkable improvement within four months. This was evidenced by a decrease in difficulty falling asleep and daytime sleepiness; in addition, anxiety and its accompanying symptoms, such as irritability and diaphoresis, were reduced. This improvement persists for up to one year after the commencement of treatment and despite discontinuation of all medications. This clinical report provides preliminary evidence that persistent insomnia and comorbid GAD can be treated successfully with individualized homeopathy. However, further randomized controlled studies are needed to evaluate its efficacy, effectiveness, and safety more conclusively.
失眠是一种普遍存在的疾病，往往与其他问题相关，比如焦虑。最常见的焦虑症是广泛性焦虑症（GAD），其特征是对日常情况过度担忧。治疗失眠和焦虑的药物可能会有不良反应，而且后者在高达30%的患者中可能无效。在此，我们报告一例27岁男性患者的病例，该患者患有持续性失眠，并伴有共病广泛性焦虑症和精神分裂症样障碍。最初，他服用阿普唑仑、帕罗西汀和利培酮，但效果不尽人意。他接受了个体化顺势疗法治疗，四个月内病情有显著改善。这表现为入睡困难和日间嗜睡减少；此外，焦虑及其伴随症状，如易怒和出汗，也有所减轻。这种改善在治疗开始后持续长达一年，且尽管停用了所有药物。本临床报告提供了初步证据，表明个体化顺势疗法可成功治疗持续性失眠和共病广泛性焦虑症。然而，需要进一步的随机对照研究，以便更确凿地评估其疗效、有效性和安全性。
