Table 1:

Timeline

Relevant medical history and interventions A 78-year-old woman was diagnosed with essential tremor. Observed clinical signs included postural and kinetic tremor, bilateral in the arms and hands. The patient complained of insecurity when walking and difficulties with daily activities. The patient was in mourning from her daughter’s death and worn out from accompanying her daughter through a long and arduous process of fighting cancer.
Time	Symptoms	Diagnosis	Treatment
2009	Tremors in arms and hands	Patient and family observation
Jul 2015	Search of diagnostics and treatment for essential tremor symptoms	Clinical examination	Propanolol (patient refuses to take)
Relevant medical history and interventions
1996 —2016	Anthroposophical psychiatric medical treatment for depression and bipolar diseases	Clinical examination	Lithium carbonate (300 mg), 3 times per day
Since 1996	Constipation, lumbar sciatic pain, and insomnia as chronic disorders	Medical history	Dexa-citoneurin (injectable)
Jul 20, 2015	Patient’s daughter´s death	Patient reported	Levothyroxine, folic acid
Jul 2, 2018	Lithium-level monitoring	1,43 mEq/L	Reduction from 3 to 2 lithium carbonate pills per day
Therapeutic process
Nov 25, 2015	Start of art therapy	Patient dozed off on the way home	First charcoal work
Sep 25, 2015	Third meeting	Signs of more vitality evident	Third charcoal work
Jan 13, 2016	Sixth meeting	Patient reports no constipation, decreased insomnia, better sleep quality	Third color painting
Mar 3, 2016	Last meeting	Tremor symptoms decrease markedly	Finished painting (Figure 3)
Jun 2016	Occasional meetings between therapist and patient	Patient holds cup of coffee without any tremor
Sep 2020	Patient became 83 years old	Daughter reports that her mother is feeling well