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Homeopathic Consultations – Acute and Chronic


The information provided at the first homeopathic consultation determines the remedy prescribed. The more accurate and complete the information is, the better the results are likely to be.

For most people, their first visit to a homeopath is a surprising experience. The consultation is lengthier than that normally required by a conventional doctor, and the questions asked extend well beyond those of the immediate problem.

The information provided by you during your first consult is used by your homeopath to choose the best matching remedy for your symptoms so it’s important that answers are as accurate and complete as possible – the better the information, the better the prescription, the better the results.

Your homeopath will help in this process by asking lots of questions and encouraging you to tell your story as fully as possible.

So, lets look at what is generally covered during this first consult but do keep in mind that the process may vary slightly from practitioner to practitioner.

Acute and Chronic (Constitutional) Consultations – What’s the Difference?

One of the first things to know is that not all consultations are the same; an appointment for an acute complaint such as insect bite will be different to a consultation for a chronic condition such as arthritis.

An acute consultation deals with health complaints that have a limited life – they come and go over a short period of time. Acute complaints include things such as migraines, coughs, colds, indigestion, sprains, strains, bruises, stings, burns, diarrhoea, and ear infections.

A consultation for these problems takes less time than one for a long-term chronic complaint.

If you think your ‘acute’ is really just the tip of the iceberg it would be best to book a longer constitutional appointment to deal with the underlying weakness or imbalance that is sustaining it.

Chronic problems such as arthritic pain, irritable bowel syndrome, infertility, asthma and eczema, on the other hand, are not short-lived events – they stay with us and don’t spontaneously resolve.

From the homeopathic perspective they are not even separate complaints but parts of the one larger ‘disease’ caused by the one energetic imbalance.

Chronic complaints require a longer consultation to collect all the information about this imbalance. These consultations are often called constitutional or chronic consultations.

If you are unsure which consultation would be best for you – an acute or a chronic consultation – ask your homeopath at the time of making an appointment.

Acute Appointments – What Your Homeopath Needs to Know

While acute “case-taking” styles may differ from practitioner to practitioner, your homeopath will generally cover the following points:

  • Cause – what, if anything, started the problem.
  • Location – where the problem is.
  • Sensation – what the discomfort or pain feels like.
  • Modalities – situations or circumstances that make the problem feel better or worse.
  • Accompanying symptoms – other symptoms that seem unrelated but which always occur at the same time as the main problem. (Known as concomitants.)

For the purpose of explaining these points, let’s imagine you have a headache. Before it can be treated homeopathically your practitioner will need the following information:

  • Cause: was it triggered by anything – fever, shock, a blow, heat, grief, anxiety, a particular food, or …?
  • Location: where does it hurt – right side, left side, top, temples, forehead, base of skull, or …?
  • Sensation: What does it feel like – throbbing, aching, burning, stabbing, boring, bandlike, or …?
  • Modalities (things that make it better or worse): heat, cold, bending, lying, sitting, moving, eating, drinking, rubbing, light, noise, or …?
  • Accompanying symptoms: are there other symptoms that occur with the headache – food cravings, changes in thirst, itchy skin, cramps, burning eyes, chilliness, or …?

As you can see, a headache is not just a headache in homeopathy! Your homeopath needs this detailed information if they are to make a helpful prescription for you.

Not all Symptoms are Equal

Once the complete symptom profile of your problem has been collected, the homeopath then has to filter the important individualising symptoms of your case from the less important common symptoms.

Pain during a headache, for example, is a common symptom- everyone experiences that.

Pain that is throbbing in nature, however, is not experienced by everyone so is a unique and individualising symptom that will be used to identify the most helpful remedy.

Once filtered, these unique symptoms are graded in importance and the search for a matching remedy begins. Once prescribed, and if correct, a self-healing response in which symptoms resolve and disappear is triggered.

Constitutional or Chronic Consultations – What Your Homeopath Needs to Know

In consultations for chronic health problems, your homeopath will ask questions similar to those for acute complaints.

Remember, from the homeopathic perspective, your current complaints are just separate parts of a much larger imbalance.

Your homeopath has to gather information from all these complaints, and not just the one that led to the appointment, so that a deep-acting remedy that gets to bottom of things can be prescribed.

Physical Complaints

Your homeopath will want to know all the health problems to which you have been prone, either now or in the past.

A good way to bring these complaints to mind is to ask yourself when you have:

  • Visited a doctor or other healthcare practitioner
  • Taken medication (orthodox or complementary)
  • Required hospitalisation or surgery

While your homeopath will certainly help jog your memory during the consultation it is also useful to note them down beforehand (in the order they occurred) for easy recall.

It will also be helpful if you provide reports from relevant pathology tests or diagnostic investigations, along with a list of your current medications.

Your Individual Response

As your homeopath collects the symptoms that create a picture of your particular imbalance, they may ask questions about:

  • The strength of your thirst and appetite, the type of food you normally eat, and especially food cravings and aversions, and any foods that disagree with you.
  • Sleep patterns, repetitive dreams, and even the position you sleep in.
  • The sort of weather that does or doesn’t suit you.
  • Your reactions to things such as different environments, animals, music, and company – do you enjoy or avoid them?

Children – Additional Information

If the consultation is for an infant or young child, your homeopath will also be interested in the mother’s physical and emotional state before and during pregnancy; the pregnancy and birthing experience; vaccines given and possible reactions; plus the time it took for the infant to reach “milestones” such as teething, walking and talking.

Temperament and Personality

Excesses in personality traits are also symptoms of ill health. For example, being careful with money and using it wisely is a good thing but if spending creates anxiety that leads to hoarding, a problem exists.

Similarly, there is nothing wrong with being organised and neat but if these good traits are replaced by obsessive tidiness or controlling behaviour, the person is no longer operating from a place of health.

Changes in behaviour during sickness are also important. If you are normally calm and relaxed, but have become irritable and fussy in your illness, your homeopath will note these changes as symptoms.

One of the amazing things about homeopathy is that the correct treatment can put you back in control of your moods and behaviours rather than them controlling you.

Anxieties, Fears, Phobias

Fears and phobias such as: the dark; animals; heights; poverty; something happening to family members; cancer; thunderstorms; snakes; crossing bridges, and a range of other things should not be thought of as a normal of life.

They also are symptoms of imbalance that point to the needed remedy and they should resolve with treatment.

Other Things

Your homeopath may ask about your family medical history.

Tendency to diseases such as cancer, heart disease, lung problems, strokes, and mental disorders in other family members may indicate remedies that could help you.

Your homeopath will also check for things that are the cause of your health problem or acting as a barrier to healing.

A person with respiratory problems, for example, will not improve in a mouldy house. Likewise, constant exposure to harsh chemicals will not only cause dermatitis but stop it from healing even though the correct remedy may be prescribed.

In both these instances the best solution is to remove the maintaining cause.

Finally, your homeopath will refer you to your doctor for pathology or diagnostic tests should your symptoms indicate the possibility of a more serious disorder that has not yet been diagnosed.

Reviewing What’s Important

A well-trained and capable homeopath treats the diseased person according to the symptoms they experience rather than by the name of their disease.

As discussed in the acute treatment section of this article, they do this by focussing on the person’s unique symptoms of their illness rather than the common symptoms of the disease – the symptoms that everyone with that disease would experience.

(In contrast, a conventional doctor is dependent on those common symptoms for their prescribing and the unique individualising symptoms are of little importance.)

The sufferer’s unique symptoms are then graded in importance and matched to a remedy to stimulate a curative response from the body.

This process takes time. The first consultation with a homeopath will be longer than a normal visit to a doctor but if it starts the journey back to health, it is time well spent.