Case Study: Allergic Rhinitis With Breast Cancer And Domestic Violence

Classification: DISEASE (Life-threatening malignancy with chronic comorbidities and severe psychosocial stressors)

Patient Demographics

  • Age: 35 years
  • Gender: Female
  • Education: Graduate degree
  • Occupation: Homemaker
  • Marital Status: Married with two daughters
  • Geographic Location: Chennai
  • Cultural Background: South Indian family

Chief Complaints

  1. Breast cancer (recently diagnosed and treated)
  2. Chronic allergic rhinitis since childhood
  3. Wheezing episodes
  4. Irregular bowel movement
  5. Severe psychosocial distress

Allergic Triggers: Air conditioning, smoke, perfumes, environmental dust 

Clinical History

Oncological Status: Breast cancer diagnosis 18 months prior to interview; treatment completed at time of assessment.

Chronic Conditions:

  • Allergic rhinitis (childhood onset, approximately 30+ years duration)
  • Associated respiratory symptoms (wheezing)
  • Gastrointestinal dysfunction (irregular bowel movements)

Health Indicator Dysfunction: 

  • Disrupted sleep patterns
  • Compromised breathing
  • Suppressed sexuality
  • Hyperactive mental state
  • Persistent anxiety, fear, and hopelessness

Psychosocial Context

Childhood Background:

  • Middle-class South Indian family in Jaipur
  • Younger of two siblings
  • Witnessed frequent parental conflicts
  • Strong paternal attachment: maternal rejection perceived
  • Experienced bullying from peers and extended family
  • Low self-esteem throughout developmental years
  • Felt unimportant and undervalued
  • Classical dance provided creative outlet and validation during early teens

Current Domestic Situation:

  • Physical abuse by spouse
  • Conflict with in-laws
  • Progressive marital dissatisfaction and hopelessness
  • Complete sexual suppression
  • Social isolation in current location
  • Compromised parenting capacity due to emotional distress

Emotional State:

  • Pervasive hopelessness and fear
  • Feelings of abandonment
  • Suppressed anger toward mother (later transferred to father for arranged marriage)
  • Timidity and weakness in marital relationship
  • Survival mode existence

Psycho-Emotional Assessment

Core Psychological Patterns:

  • Self-pity and self-judgment (established ages 14-21)
  • Rejection of femininity
  • Complete sexual suppression
  • Parental judgment patterns
  • Compromised spirit/creative expression
  • Relationship hopelessness

Initial Resistance: Patient struggled with routine daily tasks and husband's changing perception as she became more assertive during early intervention phase.

Key Psychological Insights: Recognition of lifelong compromise patterns, development of survival tendencies, suppression of authentic self, and intergenerational transmission of hopelessness within primary relationship.

Intervention Protocol

  • Chetna program enrollment
  • OTB (Observe The Breath) practice
  • NV Swimming technique
  • Daily Agneya meditation sessions
  • Sexuality-focused lectures and guided practices
  • Cotton technique for rhinitis
  • Vartalaap (dialogue) sessions for relationship clarity
  • Inward acceptance work

Clinical Outcomes

Physical Health:

  • Allergic Rhinitis: Substantially reduced during program; described as "largely cured"
  • Cotton technique produced rapid improvement (days)
  • Sleep: Significant improvement
  • Breathing: Marked improvement
  • Gastrointestinal Function: Improvement noted

Psychological/Emotional:

  • Enhanced self-awareness
  • Reduced recurring fear, anxiety, and hopelessness thoughts
  • Ability to track and interrupt hopelessness patterns
  • Capacity to connect behavior to underlying lacks
  • Acceptance of self without judgment
  • Experience of newfound freedom

Relational/Social:

  • Marital Relationship: Transformed with newfound intimacy and comfort
  • Sexuality: Significant opening and acceptance
  • Breakthrough in moral constraints around sexuality
  • Parenting: Improved comfort and happiness with children
  • Creative Expression: Reconnection with dance and childhood joy
  • Enhanced spirit connection

Overall Functional Status: Patient reports experiencing life as "magical" with profound shifts in self-perception, relationships, and quality of life. Describes feeling "more Me now" with capacity for non-judgmental self-presence. 

Prognostic Indicators

Patient demonstrates sustained motivation for continued self-work and full life engagement. Expresses gratitude for breath-based practices and encourages faith and hope cultivation for others pursuing therapeutic path. 

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