The CALDA Way for «Natalja»

Die 46-year old, slightly overweight client from Russia called Natalja in the following, comes because of diffuse fears, sleeping disorders and the desire to stop taking sleeping pills and antidepressants. One month ago she was able to quit smoking. Natalja owns a company where she has delegated out the management and is only active in the background. She has been divorced twice and is the mother of two grown-up children. On entry, Natalja complains about difficulties to concentrate and circling of thoughts. She feels lonely and longs for a new happy relationship. She is afraid of getting older and afraid of being lonely. Natalja seems thoughtful and serious. She experiences her life to be a continuous fight, which costs her a lot of energy and she runs away from herself and everybody else. When she is depressed she withdraws for weeks, lies only in bed and watches television. A daily structure is lacking. Natalja does not want to show any weakness and is very strict with herself. She was pre-diagnosed with depression. However, she does not agree with this. She is the opinion that she suffers from an anxiety disorder. The fears are accompanied by sweats, usually in the mornings before waking up and even when she sleeps during the day. She states that she has similar feeling in her stomach as if she was sitting on a swing. When her daughter had to undergo a tumour operation one year ago headaches, dizziness and the feeling as if sand was running down her head started.

Because of this her GP prescribes Natalja Hydroxyzin and Paroxetin. When individually and abruptly stopping Hydroxyzin she reacts with numbness in the legs. To deal with her fears she smokes and drinks a lot of coffee. In addition to difficulties falling asleep she does not sleep through the night but wakes up early in the morning.

Natalja’s life has been full of losses. The first marriage is unhappy. Her son is born seriously disabled. He is in need of care. 10 years ago Natalja gets divorced. Two years later within a short period of time she looses her father because of cancer and her new life-partner dies in a car accident.
Natalja is full of guilt: she does not tell her father how serous his diagnosis is; she had an argument with her partner on the night of his accident. The fears start after a severe court battle with her ex-husband. A few years later Natalja marries again, drifts away several times without her husband knowing. She describes this as being very traumatic. The depression is getting stronger; again feelings of guilt are tormenting her. Her second husband too divorces her. Natalja for years has been committed to disabled people and has founded an institution in which also her son lives. She spends several hours per week there on a voluntary basis. This gives her a mission in life and helps her to accept the difficult fate. Internally the aetiology of Natalja’s described dizziness remains unclear. A psychosomatic component is assumed. Apart from PMS nothing further is detected. Psychiatrically, an adaption disorder with anxiety and depression reaction, a burnout syndrome, posttraumatic stress disorder including persisting complex grief and dependent personality traits are prevalent. From the perspective of orthomolecular medicine a dyslipidaemia with increased cholesterol, increased inflammatory and oxidative stress and weakness of the adrenal glands are found.
Serotonin and the vitamins B2, B6, B12 and D3 show deficits. The hair-mineral analysis shows a chronic acidification.
After careful examination of all results our expert team develops the following therapy plan:
Paroxetin is slowly stopped while in parallel an antidepressant and anxiety-relieving support through micronutrients is started.
The learning of relaxation techniques reduces inner nervousness, stress management and social competence training support self-esteem. A trauma therapy for the multiple traumas and the serious feelings of guilt is urgently required. For reducing the diffuse fears, the depression and to improve the sleeping quality, neurofeedback and alpha-stimulation are prescribed.
Yoga, dance- and movement therapy promote the body awareness and mindfulness. It is Natalja’s own wish to take English lessons. To support the regeneration of the adrenal glands, outdoor morning activities are planned.
Relaxing interventions are intentionally planned for afternoons and evenings.

At the beginning of the therapy relaxation techniques and initial trauma-therapeutic approaches are taught. Natalja is open and motivated for our holistic concept from the beginning onwards.
The cancellation of the antidepressant thanks to the orthomolecular supplements goes without complications. The quality of sleep too, improves quickly. The weight management receives special attention, as quitting smoking has led to a weight gain of 3 kilogram. Regular workouts and an adapted nutrition plan enable a slow and regular weight loss. The blood fat levels, serotonin levels and the vitamin B levels normalise.
Natalja develops a morning ritual consisting of a walk in the woods and meditation, which helps her greatly to cope with the unspecific fears and worries. She seems increasingly relaxed and emotionally balanced, gains new energy and vitality. Within a short time a trusting therapeutic relationship develops. The morning anxiety decreases and eventually vanishes completely. During the intensive trauma therapy Natalja faces her difficult feelings of grief, loneliness and guilt and feels significantly relieved. The grief from the accidental death of her beloved partner after an argument and the feelings of guilt are worked on with EMDR and clinical hypnosis. This central topic cannot be closed within the short time of a 5-week stay and is continued at a later time. But still, within this primary phase we are able to achieve great relief. For Natalja it is very important to be in control. She wants to decide which team members are allowed to work with her and who is not. Any changes and especially those unforeseen are very complicated. This need for control and the inner insecurity are made a subject of discussion. Natalja feels very lonely in life and longs for a partner. She has never lived alone. This she has to learn by first finding herself and then finding a way out of her dependency tendencies.
Through recognising her own needs and wishes, resource activation, mindfulness, Natalja feels deep satisfaction and is able to put her newly gained energy into practice in a meaningful way.
For transfer to daily life maintaining the morning ritual with yoga or meditation is helpful in order to start the day with strength and find the inner centre. Natalja has a strong relationship to nature. The commitment in taking care of her mentally disabled son is an important source of power. However, Natalja should develop further resources, to increase her self-esteem and to increase the vibrancy in daily life. Going to self-help groups for people in grief could be an opportunity to further work on the feelings of guilt and fear of loss. To outgrow from dependency into a self-determined and independent future still requires time. The adapted micronutrient supplementation with additional vitamin D3 supplements is continued for at least 6 months and then re-checked.