Abstract

A CONTEMPORARY APPROACH TO PSYCHIATRIC DISORDER IN AYURVEDA WITH SPECIAL REFRENCE TO ANXIETY DIORDERS

Dr. Sumit Kumar* and Dr. Rajnikant Rohila

Abstract

Chittodvega, as described in Ayurvedic literature, particularly by Acharya Charaka, is one of the Manasavikaras (psychic disorders) and is considered an apt term to represent the clinical condition of Generalized Anxiety Disorder (GAD). Chittodvega may manifest either as an independent disease or act as an etiological factor contributing to other psychic and psychosomatic disorders. GAD is characterized by excessive, persistent, and irrational worry that interferes with daily functioning. The anxiety is often pervasive, involving multiple domains such as finances, health, family, and future concerns. Physical symptoms including restlessness, fatigue, muscle tension, disturbed sleep, and concentration difficulties are commonly associated. It is frequently comorbid with other psychological conditions like panic disorder, social anxiety, major depression, and specific phobias. The condition affects both adults and children and represents a growing mental health concern globally. Conventional pharmacological management includes various synthetic anxiolytics. However, clinical evidence suggests that these medications often provide limited long-term efficacy and are associated with adverse effects such as sedation, dependence, and drug resistance. Ayurveda, with its psychosomatic approach, offers a holistic framework for understanding and managing such conditions. Acharya Charaka delineates three primary modalities of treatment for physical and mental disorders: Daivavyapasraya Chikitsa – Spiritual or divine therapies, Yuktivyapasraya Chikitsa – Rational and logical treatment (including herbs, diet, lifestyle), Satvavajaya Chikitsa – Psychotherapy aimed at mental discipline and control. This study aims to present a systematic review of Chittodvega as described in classical Ayurvedic texts, its correlation with GAD, and potential treatment strategies, exploring the efficacy and relevance of Ayurvedic interventions in the modern context of anxiety disorders.

Keywords: Chittodvega, generalised anxiety disorder, Manasavikara (mental disorder).