Blog - Shilpa Bhouraskar

Approach for the first consult

My Quest for the Simillimum.

We have all experienced the action of a simillimum prescription at some point in time as a homeopath. If these followups are traced through years, the effects of the simillimum are not restricted just to the disease itself.

As a student I was fascinated by these because it was using the potential of homeopathy at its very best beyond what conventional medicine could provide. These patients saw a resolution in not just their disease process but their whole being. There were transformations in health and wellbeing manifested not just physically mentally, emotionally or spiritually but even beyond.
They start experiencing changes in every area of their life within their own self -identity, family dynamics inter-personal relationships, work and so on.
It was common for many patients to exclaim that the situations remained the same but the way they were looking at them had changed. They had this whole new perception about themselves and the world around which they had never experienced before.

As a student homeopath in my late teens with very little experience about life, these changes seemed extraordinarily unreal. I wondered how could one remedy provide those changes which were more deeper than the expectations of the patients themselves. It was unlikely to be imaginary because these were sustained even after they stopped seeing the homeopath regularly or taking the remedies.

This inspired me to set on this quest for understanding and studying the approaches which led to the simillimum. As we all know there is no single homeopathic approach to the simillimum. There are many. A detailed study and testing these approaches through experience in the last 14 years of practice have made me realise that it was not just about using the 'best' approach.

It was all about an alignment of stages between the patient, the practitioner and the remedy to reach a destination. I also realised I was actually using an integrative process of applying the best of these approaches within this journey to the destination ie the Simillimum.

This is what I would love to share with you through these communications.
In my last blog we spoke about the patient's resistance to undergoing this journey.
This time I will touch upon how you can further help this connection by choosing the approach that suits the patient.

Approach for the patient!

It is natural to be overwhelmed by so many different approaches in homeopathy. The common question in beginners is about deciding which one is the correct approach. From my own experience I realised that each one of us adopts an approach we were most comfortable with.
Hence it is very common for homeopaths to choose a method of prescribing at a stage where they passively living life at.

The problem starts when we get fixed with one approach at one stage and it can result in many frustrating situations in practice. Some of us as homeopaths may stick to working with approaches at lower stages even when some patients may be ready to go at a higher stage. This can stagnate a case which can be quite frustrating for the patient.

On the other hand some stick to working with approaches at a higher stage attempting to probe and stretch patients out of their comfort zones when the patient is at a lower stage which can leave the patient extremely uncomfortable and move away from you.

The answer to this is recognising that patients can have needs related to a particular stage to start with and in fact be comfortable with approaches at that particular stage. This is your approach in that first consult.

The first consult -

So I realised that once I adapted to the process of working at their stage the communication process became extremely smooth. This for me was a pleasant surprise. The first consult then became very important because this was where you connected with the patient for the very first time. You created a relationship with them. In my experience this was best done by recognising their stage and using an approach in that stage which suited them.

Next comes applying an integrative step by step process to keep moving and progressing further up the stages and reaching your final destination in the subsequent consults. We will touch upon this in the future posts.

But today I want to talk about choosing the approach in that first consult. In a way there is no right or wrong approach. The approach at which stage the patient and his disease is at, at any given moment is the right one for that patient. Time and again I have realised how the case just flows when you are at their stage. There is no resistance. The remedy you provide in that consult may or may not be the simillimum.

The simillimum will come eventually if you follow the process and reach your core destination. In fact you will be surprised but your patient will insist upon commiting to that journey. In my experience this consult and the prescription can open them up to the journey. That is the beauty of this process.

Approach and my prejudice -

As a newly graduated homeopath I had certain ideas about specific approaches being suitable in certain circumstances, for certain patients and for certain diseases. I had preconceptions about some approaches being faster and slower.

Today I will share with you a case from my practice where I learned how to determine what is the right approach for a patient and how to apply that in the first consult.

This and many such cases helped me relook at my self and my strategies so that I can develop the skill to work with every client no matter what and work at their le

I would love your experiences on the way you choose your approaches as well.


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Lovely case, Thanks Jean

Thanks Shilpa,
Great information for beginners. By forcing a patient to go where you want them to go gets you nowhere, I have experienced that recently.
To allow the patient the space to reveal we're they're at, respects both you and the patient.

Thanks for sharing Natasha.
It does take a lot of courage to let go and give them the space to be.
So well done.


Dr.Shilpa, your art of analyzing his life situation and prescribing calc-sil by group analysis is really substantial.

Thanks for sharing your experience.

Hi Shilpa,
I've found that this form of thematic analysis is very helpful in many cases. It does require greater time and energy to probe more deeply, but it is ultimately worth the effort. I find that the materia medica of Jan Scholten, Rajan Sankaran, and Bhawisha and Shachindra Joshi are particularly helpful with this approach to case taking and analysis.

Mitchell A. Fleisher, M.D., D.Ht., D.A.B.F.M., Dc.A.B.C.T.
Homeopathic Family Medicine & Nutritional Therapy
Rockfish Center, Suite 1, P.O. Box 860
Nellysford, Virginia 22958
(434) 361-1896
Fax (434) 361-1928