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

D A L L A S , T E X A S

B R I A N R AT Z E RR P S G T, R E E G T, R S T

5 0 / F E M A L E

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, manic-

depression, anxiety, obesity & addiction.

Presenting Symptoms

• Migraine headaches (daily and disabling) logged daily

• Insomnia

• General Fatigue

• Decreased Mental Clarity

• Poor Memory

• Hypertension

• Anxiety

• Depression

• Declining QOL “I’m not feeling like myself anymore”.

Medications

• Benicar

• Bupropion

• Cambia

• Compazine

• Cymbalta

• Gabapentin

• Hydrocodone

• Tizanidine

• Topiramate

• Tramadol

• Zolpidem

• Botox injections for migraines

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

QIK CPT

• Performance Index = 98

• Accuracy Index = 82

• Poor Concentration, Sustained Attention, STM, Word Finding and Verbal Expression

• Slow Thinking

• Lack of Social Interest

• Unmotivated

• Anxiety

What I Did

• 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

60 Sessions (ILF=54, AT=6, SYNC=1)

What I Did

• 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 ableto 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% (190↓108),

• QIK CPT> Slight ↑ in both PI (98-99) & AI (82-85)

60 Sessions (ILF=54, AT=6, SYNC=1)

What I Did

• S22> Fainted/LOC @ 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

60 Sessions (ILF=54, AT=6, SYNC=1)

What I Did

• 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.

60 Sessions (ILF=54, AT=6, SYNC=1)

What I Did

• REEVALUATION - 2

• ST>↓32% (190↓60)

• QIK CPT>

• ↑PI to 122 from 99

• ↑AI to 109 from 85

60 Sessions (ILF=54, AT=6, SYNC=1)

• 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

What I Did

• 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

60 Sessions (ILF=54, AT=6, SYNC=1)

• S45> AT (P3-P4) Began feeling ill & congested

↑Anxiety

↑Emotional Reactivity

• S47> AT (P3-P4)

• ↑Depression

• Taken off her BP medication temporarily for low BP

• Prescribed Clonazepam prn for anxiety

What I Did

• S49>AT (AFz-Pz)

• S50>ILF T4-Fp2 & T4-P4

• ↑ Anxiety

• ↑ Depression

• Right side NF

• ↑ RF 0.01mHz

60 Sessions (ILF=54, AT=6, SYNC=1)

• 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)

What I Did

• REEVALUATION - 3

• ST ↓28% (190 ↓ 55)

• QIK CPT

• PI↑ 128 (122) / (98)

• AI↑ 123 (109) / (82)

60 Sessions (ILF=54, AT=6, SYNC=1)

Outcome

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)

Current Status

MEDICATIONS Off all medications except

1. Blood Pressure

2. Tizanidine at bedtime (1mg)

3. Clonazepam wafers as needed for sleep.

SYPMTOM TRACKING: (190 ↓ 55 = 28%)

QIK RETEST:

1. PI ↑ 128 from 98

2. AI ↑ 123 from 82

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

All Symptoms

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”