__Hi dear Kora, 
Hi dear all,

Please find attached my first case study. 

I look forward to your comments.

Bests, 
__
1. Client ID: 1
2. Age: 48 years
3. Handedness / Side dominance: Left. 
4. Sex / current hormonal state: Men
5. Description of symptom/s  (e.g. change  in function, sensitivity or tissue, medical diagnosis):  lighter areas on the face (forehead and cheeks), ears and recently (since one year) on the backs of the hands (located at 3 round dots on the backs of the fingers of the left hand). Vitiligo? The symptomatology dates back to 2007. At the start, there were darker areas (brown spots on the cheeks). The client had consulted dermatologists who prescribed lightening spot ointments. The evolution was marked by the appearance of small lighter spots on the forehead. The initially circumscribed spots have become more confluent. The evolution is marked by the succession of red skin, repigmentation, and depigmentation. The client never lost memory or skin sensitivity.
6. Medication and treatments (if any):  Protopic 0,1% (Tacrolimus monohydrate)
7. Background/personal history (timeline e.g. significant emotional experiences, UDIN, resolutions):
The client lived with his grandparents, aunts and uncles. He was separated from his family (mother and father and sisters) at the age of 7. He continued to see them but occasionally (separation very early). He was raised by his authoritative maternal grandfather. As an adult and after successful higher education, he was recruited into a company. His first year of work was marked by a UDIN following accusations of theft in his work (embezzlement of money by an employee). It was a very difficult period to overcome.
8. Connected feelings / emotions: anger, loss of trust, lack of protection and love.
9. Connected thoughts / beliefs / values: He thinks he deserves more. That he was badly treated.
Interpretation
10. Concerned Organ tissues / brain layers and theme/s: cerebral cortex (Ectoderm related to communication/ hierarchy) specifically the integumentary system. The biological them is “contact”. The associated them is “separation”. in the WIKI: Depigmentation (Vitiligo) can occur if the basal layer is affected by separation experienced as brutal and unfair.

11. Symptom classification (phases model, autonomic states): Functional change, but I cannot distinguish if the reduction in melanin secretion is a stress phase or not (first biologically meaningful temporary change of function, later decrease first further decrease due to swelling/ oedema, then restoration, possibly in excess). What about the brown spots described at the beginning? 
12. Stress triggers or “tracks” (VAKOGS): Stress is triggered by auditory and visual memories.
13. Active constellation/s involved? (personality, typical behaviour): The tendency not to confront problems and avoid discussing them. reduced self-esteem and confidence in self-image. Avoidance of sun exposure. Weight gain.
14. Conflicting values/priorities? (also “secondary gain” by symptoms): I did not fully understand this point to explore it
15. META-meaning / healing wisdom found: “I am confident, source of love and surrounded by love”                           
META-Health Practice
16. Intervention method/s used: physical activity, meditation, poisitive affirmation, sun exposure?