Blog - Shilpa Bhouraskar

Being "Present" for your client -Part 1

My learning as a clinical supervisor.

My supervision at the student clinic has been a great learning curve in my own growth as a homeopath. This break I was reflecting on the experiences and insights I gathered when I last supervised a student clinic a few years back.

To start with it humbled me as I appreciated and acknowledged that part of me when I was a still a student myself, with all my excitement, curiosity, insecurities and doubts!

But for the first time probably I discovered how insightful it was to observe a case taken through a student's perspective. How a whole new dimension about a case can open up simply from not having my own prejudices at play.

Suddenly I found hidden links that I would have missed had I been taking the same case myself.When we explored them later they opened up a wealth of information.

Remedies became clearer from a different angle. It was fascinating to experience patients through a fresh set of eyes, ears and mind!

This is the same experience I have everytime I look at a case in my mentoring program as I offer that third perspective and dimension through these cases.

So in a way the student clinic gave me many Aha's.

It got me in touch with the sheer joy of teaching and sharing that still continues.

It stimulated me to constantly think outside my own frame of reference and look at higher prespectives in a case analysis process.

It helped me express a clear template for casetaking and analysis that can work like a GPS through the landscape of homeopathy that in turn inspired me to write my first ebook - The Quest for Simillimum.

Today this stages template remains an invaluable part of my practice having been fine tuned through hundreds of cases in my mentoring program subsequently.

How do you find hidden links in a case?

Have you ever wondered as a homoeopathic practitioner how do you determine when your case taking notes are complete? What hidden doors were ready to be explored that may have opened had you simply touched upon them.

The key to actually take a complete case is to select an approach to suit your client's stage and then be completely "present" during the process to ensure you do not miss any hidden links at that stage. This is different than stretching the client to a higher stage.

Unfortunately finding hidden links can be difficult due to our own background noise, prejudices and thoughts that run during a casetaking process.

The most common mistake that I have made in my practice is to assume a client to be at a stage lower than they are at and simply ignore any hidden doors that may explore a whole new part of that client simply because of my own prejudices.

As we gain experience we learn to become more and more "present" to where the client is at however to my surprise I found this process was much easier in two situations, one as a supervisor in a student clinic or looking at a mentoring case in client's verbatim and secondly as an assistant to many wonderful homeopaths while observing and watching a casetaking process.

Probably because I was in that space of being a "passive observer", in a completely neutral unbiased position where I do not need to "do" anything but simply "be". It was easier to let go and absorb every bit of that information as it flowed.

This made me aware of how vital that component was for my own cases when I was actually taking the case and what changes neeed to happen so I could be "present" then.

However today let me give you a case example from my student clinic to help you understand where I am coming from. This is a case taken by the student. It is a wonderful casetaking but do you find any hidden links here.

Let me know your thoughts.
I will provide you my insights in the next blog.

Until next time,


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My first reaction is to explore further into why she hates the thought of being dependant on others. Many people of this age and older have a similar feeling but reasons are different.
Actually, this brings up again the question of how far can we go once a patient has gone into stage 3. So it's necessary to tread carefully of course.
For me the essence is: arthritis is experienced by a 'critical' personality, so I want to get to where and how she is critical of herself and others..........and that might take some further consults, so either give a remedy based on what has been revealed so far, or wait until we can get to stage 4, depending on how anxious she is for an immediate treatment.

Thanks for your inputs Liz. That's a great question - How far can we go once a patient has gone into Stage 3? I will definitely touch upon that in my next blog.


I agree with Liz. A way in to the case further is through the revelation of her fear of dependency. I might explore what the underlying fear is there, if she were willing to go there.
Also I might question further as to the time of onset and her perceived causation. What was happening when this all started?
Still it seems that there is enough information for a stage 1 -2 prescription.
Thanks! Sunny.

There is enough info for 1-2 stage prescription, but she may explain what happened prior to her main symptoms - 2 years or more, as she did not answer students Q; she also contradicts herself as for having NO fears - she fears losing independence and anticipates arthritis moving into her hips. We can explore this fears.Thanks, B.

Thanks Barbara. That is a really good observation about her fears.

That's well spotted Sunny. Yes dependency is a key point of entry here. But as you say we have enough info to work at Stage 1 and 2.

I think she is already at the Delusional Level and it just requires some further questions to give them an opportunity for expression, e.g. How would it make you feel to lose your independance, what is the opposite to you of not having your independance, you indicated not feeling fulfilled as a grandmother, what does that feel like, what is the opposite of not being fulfilled? Has there been any gestures, hand movements, or obvious body language so far in the case that can be explored for meaning. These may come out at the Delusional Level.

Thanks Phillip for some wonderful questions.

She said that she doesn't like anyone doing things for her - I would ask her:

  • how do you feel when someone does things for you?
  • explain 'horrible' - what does it mean to her and how 'horrible' feels?
  • how does it feel to be dependent?

If she would follow with the answers, I would then ask her to paint an imaginary picture of a person who is dependent on her husband, or children, or others. How does it feel to be dependent from someone?

I would ask her about a sensation of her Chief complain to find a miasm, since sensation and miasm are inseparable and sensation would tell me what miasm she is in.
Also the miasm will tell me what is her coping mechanism.

I would also be very careful NOT to confirm a Kingdom BEFORE the sensation because Energy is beyond Kingdom. A Kingdom is only on Delusion and Sensation level.

If I would get a Sens from her, I would always ask what's the opposite?
Ideally she would use her hands gestures because they express Energy. In my experience, words are useless on E level, and if she goes there, I wouldn't ask "what's" but "tell me about it".

I hope I didn't confuse anyone.

Some really insightful open ended questions Joanna. Thanks for sharing them.

On top of what others have said re loss of independence and the fear of arthritis spreading, I would like to explore her feelings about the considerable tendency to prolapsing, she has had some serious hospitalisations and one more to come so I wonder why her fingers are taking the lime light. I agree that gentle probing may take her to the delusional level.

Regards Deb

I would like to give her some relief with stage 1 and 2 medicines and then go further and then look into how the case unfolds itself.
The fear of being dependent is i feel very common at this age. Everybody would feel the same because they know that children have their own fast paced life. Thanks

In my repertorization I came up with sulphur and sepia at the top of the list, using both physical symptoms and mental characteristics: independent and hates being dependent, sense of inadequacy, maternal instinct, swelling and pain in fingers. Given the past history of bladder prolapse, I am very tempted to give sepia, but before doing so I would want to know a bit more about the sexual history. Does she enjoy sexual relations with her husband? If so, sepia is not the answer.

Also in support of sepia, even though she is a sensitive person, there is a certain indifference - she states that at "at 60 years old nothing worries you." And the chilliness also fits with sepia. But again, interest in sex would ruin this theory.