Dear Jarf,

Yes , "CAUST" is very much indicated and is the 1st remedy to be started with. If there is no response , then "PHOS" should be given as the follow up.(ESPECIALLY if the FEARS are TRUE).

I understand now why you chose "AURUM"; But the suicidal thoughts is not enough to go by.
"CAUST" also has these thoughts (though approached differently).

GM's suggestion of "NAT-M" is also to be considered; Where it will fall away is if her fear from noises is a very OUTSTANDING characteristic.Also the mucous ,and its characteristics, in throat lean towards "CAUST".

I say that she was in a "PHOS" state before this ; And now "CAUST" is required.If "CAUST" is the remedy needed and it is administered, then you need to be patiently aware. Because there will(?) be a point when "PHOS" will(?) be needed. This may be due to the overuse of "mind" drugs. If you can get her to this point , then you will need to decide (at that time) the remedy she needed before going to 'happy land'. We do not know yet.

Next , we must address the use of "PAXIL".
If and when "CAUST" gives a response , then she must be informed ' ...that to maintain this new 'energy' she must remove herself totally from the 'PAXIL'.This adjustment must be done without delay ; as soon as "CAUST" gives response. You as the practitioner in charge must be there for her.

But as we know it is easier said than done. At least inform her and she shall have no problem with the mucous/saliva.

My suggestion is 1 dose "CAUST" 30C. Avoid coffee,and encourage cold food and drinks.Which she may be doing already if she has the "PHOS" element .

Another note is that - If she does remove herself from "PAXIL" , then "NUX-V" will most probably be needed as an inter-current remedy.

That is my thinkings.You may want to wait to receive more input from others before following my suggestion.

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