MANOMAYA

MANOMAYA - Department Of Mental Health

MANOMAYA
MANOMAYA

"Without mental health there can be no true physical health"

Manomaya deals with management of mental disorders or psychiatric disorders, having patterns of behavioral or psychological symptoms that impact multiple areas of life .

INTRODUCTION

Mental health is just as important as physical health. People with mental health condition deserves just as much support and compassion as people with a physical health condition.

For all individuals mental, physical, social health are vital and interwoven strands of life. Mental health can be defined as state of well being enabling individuals to their abilities, cope with the normal stresses of life , work productively and fruitfully. But in most part of the world, mental health and mental disorders are not given in the same degree of importance as physical health.

Around 450 million people suffer from mental or behaviour disorders and nearly 1 million people commit suicide every year. There is no single cause for mental illness. A number of factor can contribute to risk for mental illness such as stress, history of abuse especially during childhood, traumatic brain injury, use of alcohol, these all conditions will leads to anxiety disorder, depression, mood disorder, personality disorder, schizophrenia.

In Ayurveda mind is considered as dual organ means as sensory and motor in nature, so the diseases of mind are affecting both mind and body. The mind is an essential internal instrument, required to conjugate the subject. Without this conjugation, one may not get the understanding of any subject . Mind is soul's bridge between senses and sense objects. When the senses and mind are in contact, then the perception and knowledge occurs.

Ayurveda aims at presentation and promotion of health and prevention and cure of diseases through the concept of positive physical and mental health. Ayurvedic system of medicine has traditionally been used in several neurological conditions. Therefore herbal and Ayurvedic treatment are preferred over synthetic drugs for a range of human brain disorders including Alzheimer's, depression, epilepsy, anxiety etc. These disorders can be treated through various procedures such as abhyanga, sirodhara, nasya, pizhichil, kizhi, upavasa, yoga and rasayana therapies etc. Provided in our hospital under Manomaya Clinical Department. The morbid toxic material accumulated in long term passes the brain barrier causing mental diseases can be removed through these panchakarma procedures. Sirodhara plays an important role in insomnia, anxiety, depression and any other mental disorders.

We at Santhosh Ayurvidhana provide treatment under a team work having Expertised Doctors, psychologist, Yoga trainer, Panchakarma therapist, and occupational therapy.

REFRESHING PACKUP FOR MENTAL HEALTH :-

  • External treatment
  • Internal medication
  • Diet
  • Yoga

WE PROVIDE TREATMENT FOR DISEASES LIKE :-

  • Depression
  • Anxiety
  • Obsessive compulsive disorders
  • Stress
  • Insomnia
  • Epilepsy

Along with these yoga, pranayama and medications are also practised. Meditation and yogic practices helps in attaining concentration of mind which is unstable in mental disorders. Rasayana therapy is advised which nourishes all the tissues and rejuvenates the whole body.

"Mental Health Isn't All, But It's A Massive Part Of Our Journey And A Massive Part Of Whole Well Being" !!!

SASH Depatment Of Mental Health

Common mental disorders include depression [which affects about 264 million], bipolar disorder[which affects about 45 million], dementia [which affects about 50 million], schizophrenia and other psychoses [which affects about 20 million people globally] , Developmental disorders include intellectual disability and pervasive developmental disorders which usually arise in infancy or childhood.

Treatments include internal medication, external therapy along with lifestyle changes, social interventions, peer support, and self-help . Prevention programs have been shown to reduce depression.

1. Anxiety disorder

Anxiety

Anxiety or fear that interferes with normal functioning may be classified as an anxiety disorder. Commonly recognized categories include specific phobias, generalized anxiety disorder, social anxiety disorder, panic disorder, agoraphobia, obsessive-compulsive disorder and post-traumatic stress disorder.

Anxiety is a worry about future events, while fear is a reaction to current events. These feelings may cause physical symptoms, such as increased heart rate and shakiness. The disorder differs by what results in the symptoms. An individual may have more than one anxiety disorder.

The cause of anxiety disorders is thought to be a combination of genetic and environmental factors. Risk factors include a history of child abuse, family history of mental disorders, and poverty. To be diagnosed, symptoms typically need to be present for at least 6 months, be more than what would be expected for the situation, and decrease a person's ability to function in their daily life.

TREATMENT

Without treatment, anxiety disorders tend to remain.

  • Snehana (oleation) as first line of treatment in the form of .
  • Bruhmna nasyam (nasal administration).
  • Intellect promoting medicines like Brahmi gritam and counselling to be taken for some time.
  • Treatment may include lifestyle changes, counselling, and medications. Cognitive behavioral therapy is one of the most common counselling techniques used in treatment of anxiety disorders.

2. Mood Disorder

Mood  Disorder

Mood disorder, also known as mood affective disorders, is a group of conditions where a disturbance in the person's mood is the main underlying feature.

Mood disorders fall into the basic groups of elevated mood, such as mania or hypomania; depressed mood, of which the best-known and most researched is major depressive disorder (MDD) (commonly called clinical depression, unipolar depression, or major depression); and moods which cycle between mania and depression, known as bipolar disorder (BD) (formerly known as manic depression).

Depressive Episodes

These episodes are characterized by feelings of a depressed or sad mood along with a lack of interest in activities. It may also involve feelings of guilt, fatigue, and irritability. During a depressive period, people with bipolar disorder may lose interest in activities that they previously enjoyed, experience sleeping difficulties, and even have thoughts of suicide.

Both manic and depressive episodes can be frightening for both the person experiencing these symptoms as well as family, friends and other loved ones who observe these behaviors and mood shifts. Fortunately, appropriate and effective treatments, which often include both medications and psychotherapy, can help people with bipolar disorder successfully manage their symptoms.

TREATMENT

  • Snehapana (Internal oleation) - Kalyanaka ghrita ,brahmi gritam etc.,
  • Virechana (Purgation).
  • Nasya karma[ Brihana nasya ].
  • Shiro vasti.
  • Shirodhara.
  • Shiro abhyanga (head Massage) .
  • Avoidance of loneliness, excessive thinking by engaging in social activities.,Practice of yogasnas and meditation.
  • Follow diet food.

3. Psychotic disorder

Psychotic disorder

Patterns of belief, language use and perception of reality can become dysregulated (e.g., delusions, thought disorder, hallucinations).

Psychosis is an abnormal condition of the mind that results in difficulties determining what is real and what is not real. Symptoms may include delusions and hallucinations. Other symptoms may include incoherent speech and behavior that is inappropriate for the situation. There may also be sleep problems, social withdrawal, lack of motivation, and difficulties carrying out daily activities. Psychosis is rare in adolescents but can have serious outcomes.

Testing may be done to check for central nervous system diseases, toxins, or other health problems as a cause.

TREATMENT

Treatment may include antipsychotic medication, counselling, and social support. Early treatment appears to improve outcomes.

First should be treated with Sneha (unction) and Sweda (sudation) and then subjected for evacuation with drastic emetics, purgatives and Shirovirechan.

  • After elimination therapy Samsarjan Krama (dietic) regimen should be followed.
  • Shaman Chikitsa: It includes oral use of different single and compound herbal and herbo-mineral formulations.
  • Sattvavajaya Chikitsa: It is a non pharmacological approach for treating the mental disorders and equal to psychotherapy.

4. Personality disorders (PD)

Personality disorders

Are a class of mental disorders characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by the individual's culture. These patterns develop early, are inflexible, and are associated with significant distress or disability.

Hence, personality disorders are defined by experiences and behaviors that differ from social norms and expectations. Those diagnosed with a personality disorder may experience difficulties in cognition, emotiveness, interpersonal functioning, or impulse control.

In addition, people with personality disorders often lack insight into their condition and so refrain from seeking treatment. This behavior can result in maladaptive coping skills and may lead to personal problems that induce extreme anxiety, distress, or depression and result in impaired psychosocial functioning.

These behavior patterns are typically recognized by adolescence, the beginning of adulthood or sometimes even childhood and often have a pervasive negative impact on the quality of life.

Obsessive-Compulsive Personality Disorder

Obsessive-compulsive personality disorder is a pervasive pattern of preoccupation with orderliness, perfectionism, inflexibility, and mental and interpersonal control. This is a different condition than obsessive compulsive disorder (OCD).

Obsessive-Compulsive Disorder

In order to be diagnosed with obsessive-compulsive disorder, a person must experience obsessions, compulsions, or both.

  • Obsessions: defined as recurrent, persistent thoughts, impulses, and urges that lead to distress or anxiety
  • Compulsions: repetitive and excessive behaviors that the individual feels that they must perform. These actions are performed to reduce anxiety or to prevent some dreaded outcome from occurring.

TREATMENT

Treatments for OCD usually focus on a combination of therapy and medications.

  • Psychotherapy, medications and support from peer and family.
  • Behavioral therapy[ have demonstrated efficacy in treating personality disorders].
  • There are no specific medicines to cure identity crisis, boredom and loneliness. However, other symptoms like mood swings, depression and anxiety can be treated with anti-depressants and mood stabilizers. Antipsychotic drugs are also helpful to a certain extent. In extreme cases, hospitalization may be needed.

5. Sleep disorder

Sleep disorder

A sleep disorder, or somnipathy, is a medical disorder associated with disruption to normal sleep patterns. Some sleep disorders are serious enough to interfere with normal physical, mental, social and emotional functioning.

Disruptions in sleep can be caused by a variety of issues, including teeth grinding (bruxism) and night terrors. When a person suffers from difficulty falling asleep and/or staying asleep with no obvious cause, it is referred to as insomnia.

The most common sleep disorder is insomnia. Others are sleep apnea, narcolepsy and hypersomnia (excessive sleepiness at inappropriate times), sleeping sickness (disruption of sleep cycle due to infection), sleepwalking, and night terrors.

Management of sleep disturbances that are secondary to mental, medical, or substance abuse disorders should focus on the underlying conditions.

Primary sleep disorders are common in both children and adults. However, there is a significant lack of awareness in children with sleep disorders, due to most cases being unidentified.

TREATMENT

  • Initially virechana[Purgation ] was planned with Avipathy churna for one day. Sodhana procedures are quite essential in the management of Nidranasa in moderate to severe presentations along with samana[Pacification] therapies.
  • Snehapana[ helpful in manaprasada and relieving the stress].
  • Abhyanga[oil massage] and ushmasweda[fomentatiom].
  • Nasya was done with Ksheerabala(101).
  • Yoga practises were also administered.
  • Sirodhara with Panchagandha churna and ,which is Nidrajanaka in nature.
  • Finally talapothichil was done with panchagandha churna + mustha + amalaki for 7 days, which is pittasamana in nature and also enhances sleep.
  • Supportive internal medication.

6. Disruptive Disorders

Disruptive Disorders

Impulse-control disorders are those that involve an inability to control emotions and behaviors, resulting in harm to oneself or others. These problems with emotional and behavioral regulation are characterized by actions that violate the rights of others such as destroying property or physical aggression and/or those that conflict with societal norms, authority figures, and laws. Types of impulse-control disorders include:

Kleptomania

Kleptomania involves an inability to control the impulse to steal. People who have kleptomania will often steal things that they do not really need or that have no real monetary value. Those with this condition experience escalating tension prior to committing a theft and feel relief and gratification afterwards.

TREATMENT

  • Behavioral therapy (Satvavajayachikitsa): So the indulgence of the senses (indriyas) from their respective performance (bad habits) should be curtailed. It is assisted with the daily diet regulation and making sleep time-table of an affected child. Diet should be of nutritional balance, on proper time, avoiding excess oil and spice, rich in antioxidants and immunity boosters. Sound sleep and a good amount of water intake is also a must.
  • Scalp massage (shiro abhyanga), massage of soles of feet with sesame oil is also beneficial.
  • Medya Rasayanam.
  • Intake of Medicated Ghee like Kalyanakaghrita.
  • Dhoopana chikitsa[Fumigation].
  • Herbo-mineral preparations like Suvarnaprasha.

7. Intermittent Explosive Disorder

Intermittent Explosive Disorder

Intermittent explosive disorder is characterized by brief outbursts of anger and violence that are out of proportion for the situation. People with this disorder may erupt into angry outbursts or violent actions in response to everyday annoyances or disappointments.

TREATMENT

  • There's no single treatment that's best for everyone with intermittent explosive disorder.
  • Treatment generally includes talk therapy (psychotherapy) and medication.

8. Dissociative Disorders

Dissociative Disorders

Dissociative disorders are psychological disorders that involve a dissociation or interruption in aspects of consciousness, including identity and memory. Dissociative disorders include:

Dissociative Amnesia

This disorder involves a temporary loss of memory as a result of dissociation. In many cases, this memory loss, which may last for just a brief period or for many years, is a result of some type of psychological trauma.

Dissociative amnesia is much more than simple forgetfulness. Those who experience this disorder may remember some details about events but may have no recall of other details around a circumscribed period of time.

Dissociative Identity Disorder

Formerly known as multiple personality disorder, dissociative identity disorder involves the presence of two or more different identities or personalities. Each of these personalities has its own way of perceiving and interacting with the environment. People with this disorder experience changes in behavior, memory, perception, emotional response, and consciousness.

TREATMENT

Ayurvedic treatment of dissociative disorders is aimed at treating the basic cause of this condition and preventing complications like depression, anxiety, eating disorders, severe headaches, sleep disorders, alcoholism, substance abuse, sexual dysfunction, self-mutilation and suicide attempts.

  • Use of medicines like Sarpagandha (Rauwolfia serpentina), Brahmi (Bacopa monnieri), Shankhpushpi (Convolvulus pluricaulis), Vacha (Acorus calamus), Mandukparni (Centella asiatica), Jatamansi (Nardostachys jatamansi), Brahmi-Ghrut ,etc.,
  • Intake of medicated ghee.
  • Panchkarma procedures like Abhyangam [oil massage], Kashaya Basti [Medicated enema ] , Nasyam [Nasal drops].
  • 'Shirobasti' or 'Shirodhara' procedures may be used temporarily to sedate highly excited or disturbed patients.
  • Counseling and Practice Yoga.

"Psychological disorders can cause disruptions in daily functioning, relationships, work, school, and other important domains. With appropriate diagnosis and treatment, however, people can find relief from their symptoms and discover ways to cope effectively"...



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