Age: 37
3. Handedness / Side dominance: Right. 
4. Sex / current hormonal state: Men
5. Description of symptom/s  (e.g. change  in function, sensitivity or tissue, medical diagnosis):  
Chronic constipation (2014) evolved into an anal fissure in 2016. The patient was operated on in 2018. Since then, a small improvement (frequency 1 time / day) but difficulty to expulse when the need is felt. The patient describes spending an average of 30 to 40 min before being able to do it with the help of a suppository (rectal lubricant).
2nd recent symptomatology: In 2022, he had sudden lumbar pain following a sporting activity. The imagery investigation showed two herniated lumbar discs. A High back pain occurred a week ago that decreased after 2 days. 
6. Medication and treatments (if any):  anxiolytic (during 2 years), anti-inflammatory for the back pain, anal lubricant. 
7. Background/personal history (timeline e.g. significant emotional experiences, UDIN, resolutions):  In 2013: abrupt romantic separation with feeling of loss of love and meaning of the life, event that the patient describes as difficult to digest then depression. In 2016, death of the father by digestive cancer and therefore a heavy responsibility felt: managing the family and especially the mother with whom the patient still lives (the only one, the other siblings have made their one family), did not cry during the death, and immediately afterwards had difficulty digesting and burping). The same year, he met another girl, ask for her hand, and the symptomarology disappeared but failed again (shock). Since having difficulty pushing and expulsing (constipation). Became aggressive and violent (personality character) with the mother, the girls in general, feeling of absence from one's own territory (expressed I feel like a roundabout of all the problems of the family), fear of communication with the mum, need for freedom and of territory. The patient is a military and this is also a part of his feeling of lack of freedom and distance.
8. Connected feelings / emotions: “I need my space and distance”
9. Connected thoughts / beliefs / values: “I am not free”, “I need love and clean space”, “I have a heavy responsibility towards my mother and the family”,
Interpretation
10. Concerned Organ tissues / brain layers and theme/s:. 
	Difficulty digesting burping and pushing: digestive system, old brain /Brain stem (endoderm), chunck conflict (indigective anger or uggly elimination conflict), left side (expulsion: I need to get rid of it)
	Anal fissure: outer anal sphincter (Cerebral meddula): identity and territory marking?? 
	Aggression - character of the personality: cerebral cortex constellation (insula, left side) 
	Lumbar hernia (cartilage): musculoskel system (cerebral medulla/selfworth them)
So: old brain and new brain overlapping with a CC constellation
• Chunk conflict left side then:
Territorial conflict left side (superficial rectum and anal area)
Identity quest and social anger
And finally selfworth theme
11. Symptom classification (phases model, autonomic states): 
	       Constipation is an underfunction, the patient describes that he has had an improvement after his operation (resolution may be of the conflict) and has become aware of the importance of adopting a change in lifestyle (diet, physical activity), he sleeps better, so currently he is in the regeneration phase for his main digestive conflict.
	The recent lumbar pain can be a HP and the patient in the regeneration phase B for his secondary conflict
	There is an overlapping between 2 chronic conflicts which are at the origin of a CC constellation and personality traits and behaviours.
12. Stress triggers or “tracks” (VAKOGS): the relationship with a girl (hence the patient chose to avoid girls), rejection in a relationship, contact and communication with the mother (he prefers her to be far away even if he loves her very much) .
13. Active constellation/s involved? (personality, typical behaviour): 
     Aggression and violence (loss of social rank, social anger)
decrease the release of testosterone during the depression phase, then activation with a tendency to violence (manic)
14. Conflicting values/priorities? (also “secondary gain” by symptoms): 
­	love and protect the mother and at the same time want to have distance from her
­	love to have a romantic relationship and at the same time violence and rejection of girl
15. META-meaning / healing wisdom found: 
“I am free”, “I am happy” I love myself as I am, more than before” “I deserve to be loved as I want”
META-Health Practice
16. Intervention method/s used: planification of a coaching strategy including: 
	Recognize psychological profile 
	Back to safety state
	fixer de nouveaux objectifs dans la vie
	 Explorez les ressources internes et externes
	Balance hemispheres 
	Create a new accpeted environnement to reach the goals
17. Self-care/therapy plan, based on analysis: recognize personality traits, accept and forgive, eat a balanced diet (rich in fibers), drink enough water, adapted physical activity
a) Body & autonomic level: activate the ventral vagal nerves: prayer, relaxation, swimming (work both hemispheres)
b) Environmental / social level: establish new relationship with the mother, take acceptable distance, consciously establish relation with the other gender. 
c) Emotional / soul level: forgive yourself, accept yourself, affirmations of meta-meaning, breath to create distance
d) Mental / spiritual level: prayer and direct attention to god. Feeling strong from the inside 
18. Follow-up: in 3 weeks
19. Additional Information / remarks: the patient is enrolled in a higher school in engineer and he also plans to change careers (feel free regarding his job)