A Clinical Study To Analyse The Effect Of Dhairya Chikitsa In Social Anxiety (Chittodvega)

NEED FOR THE STUDY

Chittodvega is a Manasa Vikara and seen due to vitiation of Rajas and Tamas described by Charaka. The etymological derivation of the term seems to be anxious state of the mind  i.e, Anavastita Chetasa and it is one of Vataja Nanatmaja Vikara, also mentioned as Poorvaroopa of Unmada

Social Anxiety Disorder (SAD) is a persistent irrational fear of activities or social interaction in the presence of other people. The individual is afraid of his or her own actions being viewed by others critically resulting in embarrassment. It is least investigated and most misunderstood.

The Global prevalence of Social Anxiety varies across from a range of 22.9-57.6%. In an international community survey across 13 different countries, magnitude of SAD was 4% and prevalence was higher for females 8% than for males 6.1%,

In ayurveda, get explanation about Dravya and Adravyabhuta Chikitsa for diseases related to Sharira and Manas,  Satwavajaya Chikitsa is one among Trividha Chikitsa, it helps in restraining the Manas ie, Manonigraha from Ahita Arthas, In Charaka Samhita Dhiarya has been mentioned as one of Satwavajaya chikitsa to potentiate Satwa to subdue the exaggerated Tamas, Rajas by boosting confidence, assurance, determination and maintainance of mental balance even under stress

Being the 3rd most common mental health disorder after depression and alcohol abuse, This problem among adolescents needs cost effective, drugless therapy. Hence clinical study is to be conducted to know the effect of Dhairya Chikitsa in management of Chittodvega.

REVIEW OF LITERATURE

Chittodvega is one among the Manovikaras and is first explained by Acharya Charaka in Vimana Sthana 6/5.

Acharya Sushruta described Udvega as Poorvaroopa of Unmada and one among the symptoms of Bhutabhisangaja Jwara.

Acharya Dalhana described Chittodvega while defining the Shoka i.e. Putradi viyoge

chittodvega in Sushruta Samhita Sutra Sthana 1/25(3).

There is reference of Chittopaplava in Ashtanga Hridaya Nidana Sthana 6/2-3.

Satwavajaya Chikitsa is one among Trividha Aushada explained by Charaka Acharya in Sutra Sthana 11/54 and 1/58 and Vagbhata Acharya in Sutra Sthana 1/26.

Social Anxiety Disorders will be reviewed from Kaplan and Sadock’s Comprehensive Textbook of Psychiatry by Benjamin James Sadock, Virginia Alcott Sadock and Pedro Ruiz, Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry by Benjamin James Sadock and Virginia Alcott Sadock. Diagnostic and Statistical Manual of Mental Disorders DSM V by American Psychiatric Association, Essentials of Psychiatry by M.S Bhatia.

Psychotherapy will be reviewed from Theory and Practice of Counselling and Psychotherapy by Gerald Corey, Counseling Psychology by Charles J Gelso and Bruce R Fretz, Counselling and Guidance by S Narayana Rao and Prem Sahaj pal, Psychiatry Mentor by Michael R Privitera and Jeffrey M Lyness, Kaplan and Sadock’s Synopsis of Psychiatry by Benjamin James Sadock, Virginia Alcott Sadock and Pedro Ruiz, Interviewing Strategies For Helpers by Sherry and Bill cormier, Self-Instructional Material For M.S In Counselling and Psychotherapy by Manasa Educational Foundation For Mental Health.

AIMS AND OBJECTIVES OF THE STUDY

AIM

To find cost effective therapy in the management of Social Anxiety (Chittodvega).

OBJECTIVES

To evaluate the effect of Dhairya Chikitsa in management of Social Anxiety (Chittodvega).

To understand the concept of Satwavajaya Chikitsa and to study the influence of Dhairya Chikitsa in Social Anxiety (Chittodvega).

HYPOTHESIS

Ho There is no statistically significant effect of Dhairya Chikitsa in Social Anxiety (Chittodvega).

H1  There is statistically significant effect of Dhairya Chikitsa in Social Anxiety (Chittodvega)

PROCEDURE

Minimum of 30 research participants are selected for the study are given Satwavajaya Chikitsa.

Satwavajaya Chikitsa is designed based on classical reference and modern literature.

Those who are fulfilling diagnostic criteria will be given Satwavajaya Chikitsa for 30 minutes, in the form of Dhairya Chikitsa, once in a week for 30 days.

STUDY DURATION: 30 days.

OBSERVATION PERIOD

Assessment will be done by scoring the gradations on 1st day, later on 15th day to assess the progress of disease and on 30th day including one performance/activity.

ASSESSMENT CRITERIA

Diagnosis and assessment of signs and symptoms of the condition will be assessed according to Kutcher’s Generalized Social anxiety disorder scale for adolescents (K-GSADS-A).