Psychic Health Care
Kerala state holds the unique distinction of having the exclusively Ayurvedic mental hospital where a wide variety of psychic ailments are treated and cured well. The significance of such an institution lies in the fact that patients from national and international level reach there to seek treatments for their ailments and that includes even retired defence personnels who had a scarred psyche in battlefields.
Given the ground reality of immense stress of psychological origin among the the civilised population, the services of the psychiatric speciality of Ayurveda does assume profound importance at preventive, curative and promotive healthcare levels. Its a common knowledge that Kerala special Panchakarma therapies and the “stress buster” therapies are immensely popular among and sought after by foreign nationals who are generally found to have high levels of mental stress. The outstanding results that are achieved by these therapies naturally ensure that these foreign nationals make regular yearly visits to the Ayurveda health resorts and hospitals of Kerala.
Contributors
Dr Parvathi Devi has profound experience in treating and curing the ailments of psychic origin and she has been kind enough to teach her experiences in good length to me. The ailments are classified as per the World Health Organisation criteria of International Statistical classification of diseases and related health problems – ICD 10 The commonly encountered diseases, their treatment response time are mentioned. Its to be borne in mind that treatments in psychiatry is a challenging aspect and the presence of various variables of etiology, non co-operation of the patient to undergo medications and therapies, denial of the patient to accept that he has an ailment, diverse triggering factors, variation of individual temperaments, circumstances back home and work place etc. have an impact either way. Thus a specific and precise time duration of response to treatments will not be practically easy. The following experiences are indebted to my teacher and constant guide of psychiatry medicine. I, Dr SP Sreejit MD (Ayu), am deeply indebted to Dr Parvathi Devi MD (Ayu) who spent her valuable time and energy in the preparation of this material.
Dr Parvathi Devi MD (Ayu)
Supdt, Government Ayurveda Research institute for mental diseases, Kottakal, Kerala Email: drmpp1@rediffmail.com Ph: + 91 494 2681284, + 91 9447276834 kirathamoorthy@gmail.com
Medical Conditions
01 ORGANIC MENTAL DISORDERS
Mild severity cases – very well managed and immediate memory loss can be cured
Moderate severity – restlessness can be managed effectively
Severe cases – no change can be brought to the memory status but associated symptoms can be well controlled and subsided
Bed ridden case – no hope
Dementia
Multi infarct vascular dementia and subcortical vascular dementia – no hope – generally poor response
If Parkinsonism is the etiology – response to treatments is mixed with half the patients responding well the remaining half not responding
Immediate memory loss responds very well to treatments but remote memory loss has not so encouraging results
Duration of the therapies – 3 weeks to 5 weeks – but varies from case to case
02 MENTAL DISORDERS DUE TO HABIT FORMING SUBSTANCES AND DRUG ABUSE
Withdrawal symptoms are also controlled very rapidly and almost all cases show very good results
Duration 4 weeks
03 SCHIZOPHRENIA
Halucinations that too auditory respond in the first 5 days itself very quickly to dhoomapana and dhoopana
But delusions are difficult to be cured off
Paranoid variety – very good improvement is observed
Hebephrenic, Catatonic variety – appreciatable improvement
Residual variety with negative thoughts – very difficult to cure
Persistent delusion disorders – much improvement is noted but it will be a bit unrealistic to claim cure for this
Schizo affective disorder – good improvement is noted
04 MOOD DISORDER
This is related much to the emotional state of a person and has seasonal variations
Manic episode – responds very effectively
Bipolar – very good improvement noted
Depressive episodes are generally tough to respond
Persistent mood disorders respond very quickly to treatments
Its noteworthy that if the treatments are repeated next year also before any major triggering factor of the disease happens, a lasting impact of the treatments (performed the previous year) is observed
Its observed that the treatments have a definite strong positive impact on the patient and the recurrence of the ailment is delayed very effectively
05 NEUROTIC & STRESS RELATED DISORDER
Generalised anxiety disorder – good response to treatments
Obsessive compulsive – treatment and counseling make a greater impact than mere medicines
Two weeks of thalapodichil gives good relief in mild to moderate cases
Adjustment disorders and reaction to severe stress – treatment response is tough as the temperament and mental strength threshold varies just like the intensity of the physical or mental trauma
Anxiety can be well controlled by medicines but counseling is also required
It’s a common incidence in many wars and battles and also specialized trainings of many elite training programs of the special forces all over the world to have such incidences. Indian armed forces is no exception to this
Disassociative disorders – very good improvement in one month duration
Disassociative Multiple personality disorder – good improvement is noted
Somatoform pain disorder – is found in general practice also – mild cases respond very well in two weeks treatments like thalapodichil
06 BEHAVIOURAL SYNDROME ASSOCIATED WITH PSYCHOLOGICAL DISTURBANCES
Non Organic sleep disorders – somnambulism, nightmares,hypersomnia are very well manged at the OPD level itself
Sexual dysfunction – (that not caused by organic lesion) – lack of sexual desire, premature ejaculation, erectile dysfunction, orgasmic dysfunction, non organic dysparenunia, excessive desire are encountered separately and some of them along with an established psychic ailment too
Bark of araghwadha administered in decoction form for 2 – 3 weeks is found to be very effective in diminishing the excessive desire
Most of these are treatable at OPD level and results are evident in 2 – 3 weeks time along with counseling
Mental disorders associated with purperium
Mild cases respond very quickly to OPD level treatments and severe cases do so to IPD level treatments
Generally 3 – 4 weeks is the maximum duration of recovery
Acute onset features usually show good prognosis
Rarely some patients have slipped into the phase of psychotic disturbance which is generally tough to respond
07 DISORDERS OF ADULT PERSONALITY AND BEHAVIOUR
Specific personality disorders – very tough prognosis as the patient simply refuses to undergo treatment modalities
Borderline personality disorder – very good results in two to three weeks by thalapodichil itself. They can continue with OPD level management
Paranoid personality disorder – only partial relief is observed
Habit and impulse disorders like Trichotillomania respond well to OPD level medications. But some other patients are not available for proper follow up
Gender identity disorder – poor prognosis
Some male patients who show feminine features during the course of stay in the hospital get rid of such clinical features
This compels to make a statement that temporary isolated events of such opposite gender identity are resolved well
Disorders of sexual preference
Varied response, cases of fetichism also respond if it happens to be a temporary isolated event
08 MENTAL RETARDATION
Salivation will come down and associated signs and symptoms would also come down but overall prognosis is poor
09 DISORDERS OF PSYCHOLOGICAL DEVELOPMENT
Developmental disorders of speech and language – slight improvement is observed but not satisfactory enough
Specific disorders of scholastic skill – some parents report an improvement in writing function of the children
Autism and cerebral palsy – very appreciative improvements are observed and treatments of the duration of 3 weeks are required once in every six months for three years and profound improvement in the physical and emotional functions are clearly noted
Speech becomes much clear and the higher mental functions slowly but surely become better and better
Interestingly enough, such is the positive impact of treatments to the child that parents of Cerebral palsy and Autism patients make sure of their half yearly visits to hospital of their own without being reminded of it
Kerala Ayurveda physicians witness lot of such patients from other parts of India and abroad
10 BEHAVIOURAL AND EMOTIONAL DISORDER WITH ONSET USUALLY OCCURING IN CHILDHOOD AND ADOLESCENCE
Responds very well to 3 weeks of treatments and medication- followed by medications for months or even years depending upon the co existence of cerebral palsy or autism in the child
It has been found very regularly that clinical features of ADHD, autism and cerebral palsy co exist in the same patient at a given time
The response is very good results keeping in mind that other system of medicine do not seem to have any cure for this
Conduct disorder – tough prognosis
Emotional disorders – treatable with high success rate
Non organic aneurosis – can be controlled by medicines to a good extent
Pica tendency – can be controlled by 2 – 4 weeks of medication
Its noteworthy that mental healthcare of poulation is significant