CLINICAL MANAGEMENT OF OBSESSIVE-COMPULSIVE DISORDER THROUGH AYURVEDA: A CASE REPORT WITH REFERENCE TO ATATTVABHINIVESA
*Dr. Sheena Sooraj
ABSTRACT
Obsessive- compulsive disorder (OCD) is a disorder in which people have obsessions, which are recurring, unwanted, and unpleasant thoughts, ideas, urges, or images. To get rid of the thoughts, people with OCD feel driven to do something repetitively (i.e., perform a compulsion, also called a ritual). The obsessions and compulsions, such as hand washing/cleaning, checking on things, and mental acts like counting, are problematic. They are time-consuming (for example, take more than an hour a day), cause significant emotional distress, or significantly interfere with a person‟s daily activities such as social interactions. In Ayurveda, this condition is correlated with Atattvābhiniveśa. The objective of this case study is to review the clinical presentation and diagnostic features of Obsessive-compulsive disorder (OCD) and correlate withAtattvābhiniveśa in Ayurveda based on the nidāna(causative factors),samprāpti (etiopathogenesis), and various factors leading to Atattvābhiniveśa and to identify the Ayurvedic treatment principles described for Atattvābhiniveśa that may be applicable to OCD and analyze the action of each herbs/formulations recommended in alleviating the symptoms. The treatment approach was planned based on the severity of the condition, the predominance of doṣas, and the patient's sattwa bala (psychological strength). The symptoms before and after treatment were evaluated using the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Significant clinical progress was observed in the patient, particularly regarding the reduction and management of the recorded obsessive-compulsive manifestations.
Keywords: Obsessive-compulsive Disorder (OCD), Atattv?bhinive?a, Sattwa bala, Statistical Manual of Mental Disorders, 5th Edition (DSM-5).
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