Selliguea feei

The patient presented with a diagnosis of early-onset Alzheimer’s disease dementia confirmed through brain scans. At the time of the initial consultation, the diagnosis had created profound anxiety, loss of confidence, and a growing sense of psychological collapse.
Despite still functioning in a demanding IT role, he described himself as becoming increasingly absent-minded, dreamy, withdrawn, and cognitively unreliable. His wife had first noticed a significant lowering of mood toward the end of the previous year.
He repeatedly compared himself to his former identity — previously a highly capable, high-status technical expert working in intense environments including the Bank of England. He described himself as once being “the person others came to,” whereas now he increasingly relied on others for help.
“I used to be the lead dog.”
The loss of status, mastery, and intellectual certainty appeared central to the case.
Background and Aetiology
The timeline of deterioration strongly correlated with prolonged stress and isolation during and after lockdown. Robert had worked from home alone since 2020 following office closures, leading to a dramatic reduction in stimulation, social interaction, and structure.
At the same time:
• his wife developed breast cancer during lockdown
• he experienced repeated rounds of redundancy stress
• his mother became ill and later died
• he lost his father in 2022
• technological changes at work left him feeling left behind and no longer competent in his field
He described this entire period as:
“Like a zombie film.”
There was also a powerful unresolved grief state. He spoke emotionally about recurrent nostalgic thoughts and flashbacks involving deceased relatives and friends:
“I’m in grief about them and everybody who has died.”
He particularly mentioned his friend Joe and Uncle Tony frequently entering his thoughts, with a longing to see them again.
Mental and Emotional State
The case contained strong themes of:
• loss of confidence
• diminished self-respect
• isolation
• shame
• dependency
• loss of identity and status
• emotional suppression
• withdrawal under pressure
• nostalgia and longing for the past
Patient described himself as formerly independent and ambitious, but now split into:
“Two parts of me : the healthy part and the unhealthy part.”
He acknowledged increasing despondency and lack of motivation, especially regarding exercise and self-care.
Cognitively, he complained of:
• short-term memory weakness
• forgetting appointments
• forgetting where he had placed objects
• drifting into daydream states
• difficulty retaining technical information
• absent-mindedness
• feeling “dreamy”
• uncertainty about dates and daily orientation
He stated:
“I am going back to that dreamy state I had as a child.”
Despite the seriousness of the diagnosis, there remained a degree of humour and self-awareness. He often laughed at himself while describing symptoms.
Emotionally he tended to suppress anger and avoid confrontation, particularly with his wife. His wife commented that he often would not confront situations “when power had been taken away.”
Instead, anger discharged indirectly through swearing and cursing alone in rooms.
There were longstanding themes of shame and social insecurity dating back to childhood. He described himself as shy, introverted, easily embarrassed, and prone to intense shame regarding sexuality and social identity.
Growing up on a rough housing estate, he felt forced to manufacture an image of toughness for survival:
“Survival or perish.”
He also described remaining at home partly to protect his mother from his unstable father, while his brother escaped the family environment much earlier.Physical SymptomsPhysical symptoms included:
• weakness and altered sensations in legs
• buzzing/pins-and-needles sensations, worse at rest
• profound fatigue and loss of physical confidence
• loss of libido and erectile dysfunction
• markedly reduced semen production and pleasure
• chronic mucus in nose and throat
• clear post-nasal drip
• alternating loose and hard stools
• rectal itching on waking
• heightened startle response
• sensitivity to noise
• preference for cooler weatherGenerals included: • loves nature, birds, insects, dogs
• walking daily
• enjoys swimming
• strong affinity for Japan
• dreams chaotic and unpleasant since childhood
Food desires:
• meat
• steak
• chicken
• lamb
• especially salmon
• felt fish generally lacked “substance”
Initial Prescription
The first prescription was:
• Paracanthurus hepatus 200C
This produced definite improvement initially. Anxiety reduced somewhat, emotional rigidity softened, and functioning improved modestly. However, the case plateaued despite increasing potency.
Subsequent Prescription
The remedy that produced the major shift in the case was: Selliguea feei 30C.Follow upRobert underwent a notable psychological and behavioural transformation.
At follow-up, he reported that he was now largely ignoring the dementia diagnosis and simply getting on with life, representing a major change from his previous fixation and fear.
He had taken on a personal trainer and described this as:
“The best thing I’ve ever done.”
He was exercising enthusiastically and re-engaging physically with life.
Other improvements included:
• less resentment toward family.
• improved resilience under stress.
• less tendency to withdraw into himself.
• increased ability to “push through” challenges.
• improvement in diarrhoea.
• improvement in nasal mucus.
Previously, when difficulties arose, he would retreat psychologically and “go into his shell.” Following Selliguea feei, he described himself as far more capable of remaining engaged and active instead of collapsing inward.
The overall impression was of a man moving from fearful cognitive decline and emotional contraction toward renewed vitality, engagement, confidence, and participation in life.