Dr. Shamanthakamani Narendran

M.D. (Pead), Ph.D. (Yoga Science)

Concept of health and diseaseModern scienceAncient rishis

Concept of yoga therapyName of the disease & terminologiesSigns and symptomsEtiologyHelpful clues to diagnosePhysical examination Intervention – for malabsorption workupTT according to module medicine How does yoga help Books to read

DEPRESSION Incidence more in women (twice) Chances of episodes increases with age Risk of serious depression increases in later

years of life Affects children also Loss of energy and interest Feelings of guilt Difficulty in concentration Loss of appetite Thoughts of death or suicide

Taittiriya Upanisad

K.Y.

Tittiri birds

Visompayana – yajnavalkya

Surya tapas

Shikshavalli

Brahmananda

Bhrugu – Varuna to his sonVallis

Ánandamaya KôùaÁnandamaya KôùaVijòanánmaya Vijòanánmaya

KôùaKôùa

PERFECTPERFECTHEALTHHEALTH

Manômaya KôùaManômaya Kôùa

Ann

amay

a Kôù

a

Ann

amay

a Kôù

a

Pránamaya K

ôùa

Pránamaya K

ôùaÁ

DH

IJA

VY

ÁD

HIS

Panchakosa concept

AD

HI

MENTALAGITATIONS

HAPHAZARDFLOW OF

PRANA

UNSTABLENADIS

UNDERDIGESTION

AJIRNATVAM

OVER DIGESTION

ATI JIRNATVAM

WRONG DIGESTION

KUJIRNATVAM

VYADHIPHYSICALAILMENTS

THE SCIENCE OF PSYCHOSOMATIC AILMENTS

CONCEPT OF HEALTH

Region of

Ill health

Region of

Normal health

Animal level

Towards

Divinity

State of wellbeing

HEALTH

Super man

Sick man

Normal man

Quadrant II

Quadrant III Quadrant IV

Quadrant I

VY

AD

HY

AH

PH

YS

ICA

L

AIL

ME

NT

S

ADHIJAHGENERATED

BY ADHIS

ANADHIJAHNOT

CAUSEDBY ADHIS

SARAESSENTIAL

TYPE

SAMANYAORDINARY

TYPE

PHYSICALMedicinesMantras

Good actions

SCHEMATIC DIAGRAM OF AILMENTS

SPIRITUALAtma Jnana

Self realization

MENTALCongenital

AtmosphereSuitable

Techniques

Responsible for the cycles of birth and death of the physical body

Psychosomatic ailments causes during interaction

with the world

Infections and contagious disease

NEUROTIC DISORDERS

• INSIGHT RETAINED • PERSONALITY NOT

DISORGANIZED

• NOT DUE TO ORGANIC

CAUSE

EXAGGERATION OF NORMAL RESPONSES TO STRESS

NORMAL STABLENEUROSIS

MOOD DISORDERS

•DEPRESSION

•BIPOLAR DISORDER

MANIA

DEPRESSION

MOOD DISORDERSPSYCHO-ANALYSIS

MODEL

DESIREREAL OR IMAGINED

DISAPPOINTMENT

GETA MODEL

THINKING OF OBJECTSREAL OR IMAGINED

(DHYAYATO VIÚAYAN )

DESIRE(SANGAH……..)

INFATUATION(KAMAH...)

ANGER

TOWARDS HIMSELF

AVOID AWARENESS

GUILT FLIGHT FROM REALITY

DEPRESSION

SUICIDE

MANIA

ANTI-SOCIAL

ANGER (KRODHA)

DISTURBED AWARENESS (SAMMANAHAH...

LOSS OF MEMORY(SMATI VIBHRAMAH..)

MENTAL ILLNESS(BUDHINASAH...)

DESTRUCTION

(PRANAÙYATI...)

ANXIETY DISORDERS• PANIC DISORDERS• PHOBIAS• OBSESSIVE COMPULSIVE

DISORDER• GENERAL ANXIETY

SYMPATHETICSYMPATHETIC

PARASYMPATHETICPARASYMPATHETIC

MOOD DISORDERSBIOGENIC AMINES

•DOPAMINE•EPINEPHRINE

•NOREPINEPHRINE•SEROTONIN

Decrease

Increase

DEPRESSION

MANIA

CAUSES

• FAMILY TENDENCY

MORE IN BIPOLAR AND O C D

• TRIGGERED BY LIFE EVENTS

Eg. BEREAVEMENT

MAJOR FINANCIAL LOSS

STRESS

YOGA

MIND = CITTA / MANAH

ONE THOUGHT = ONE UNIT OF MIND

MIND - CONGLOMERATION OF THOUGHTS

CONGLOMERATION OF THOUGHTS

-PATANJALI

WHAT IS MIND?

yoga is to gain mastery over thoughts

yoga is to gain mastery over thoughts

MIND - ITS FACETS:

MIND (RANDOM)

INTELLECT

MEMORY

EGO ’I’

RAJA YOGA -DIRECT CONTROL OF MIND

ENERGY

WASTED

NO CONNECTION BETWEEN THOUGHTS

EG: FAN, GARDEN, IDLI, SKY

RANDOM MIND- CANCALATA

FROM CANCALATA TO ÄKAGRATA

CONCENTRATION

• CONCENTRATION = CHANNELISED

ENERGIES

* EDUCATION IS TO DEVELOP CONCENTRATION

CONCENTRATION IS MANDATORY FOR SUCCESS

DHARANA - SINGLE THOUGHT

CANCALATA - MULTIPLE SUBJECTS

MULTIPLE

THOUGHTS

EKAGRATA -SINGLE SUBJECT

DHARANA

(MIND)

(INTELLECT)

(MEMORY)

MULTIPLE

THOUGHTS

DHARANA- FOCUSSING

DHARANA

•LASER FUSION

•LENS

ARJUNA AND THE BIRD’S EYE

TRATAKA

FOCUS - CLOSE THE EYES

PERCEPTION - PERSISTENCE OF VISION

AT EYE LEVEL

•DHARANA - RECALLING

- MEMORY WAY

PROCESS OF REMEMBERING

DHARANA - MEMORY WAY

SINGLE THOUGHT

SLOWNESS BMR

WAKEFULNESS(AWARENESS)

EFFORTLESSNESS

EXPANSIVENESS (LIGHTNESS)

DHYANA - FEATURES

DHYANA - TECHNIQUE

JAPA- THE EASY TOOL

1. INCREASING AND DECREASING

SPEED

2. SLOW DOWN

3. BED OF SILENCE

4. JAPA IN BLISSFUL SILENCE

DHYANA - MEDITATIONANTARANGA YOGA

DHARANA (FOCUS)

DHYANA (DEFOCUS)

SAMADHI (JUMP WITHIN)

EFFORTLESSDHARANA IS DHYANA

PHYSICAL WORLD : QUANTUM JUMP

OF ELECTRONS

SUBTLE WORLD : JUMPING INTO

SUBTLER LAYER OF CONSCIOUSNESS

SAMADHI - THE JUMP

SAMADHI IS THE BEGINNING NOT THE END

EXPANSION FROM ONE LEVEL TO NEXT

* BLISS FRAGRANCE OF BLISS

* EXPANSION LIGHTNESS

* KNOWLEDGE DEEPER PERCEPTION

* POWER GREATER CREATIVITY

UNPARALLELED BLISS OF SAMADHI

SAMADHI - THE WAY TO BLISS

YOGA MODULE FORANXIETY

Daily morning Pranayama (1-5) Sithlikarana Vyayama (1-15) Meditation ( 1 or 2) Yogasanas (1-15)

Kriyas – Weekly once Candra Anuloma Viloma Pranayama 4

times a day and 27 rounds each time

YOGA MODULE FORDEPRESSION

Daily morning Sithlikarana Vyayama (1-15) Yogasanas (1-15) Pranayama (1-5) Meditation ( 1 & 2 alternate)

Kriyas – Twice a week once Surya Anuloma Viloma Pranayama 4

times a day and 27 rounds each time

INTEGRATED YOGA MODULE FOR ANXIETY AND DEPRESSION

Sithilikarana Vyayama (loosening exercises) Jogging Spinal twist and Spinal stretch Knee stretch Forward and Backward bending Alternate toe touching Suryanamaskar Relax by walking Tiger stretch Alternate Bhujangasana and Parvathasana Cycling Pascimottanasana stretch Side leg raising Quick relaxation technique (QRT)

Yogasanas Ardhakati cakrasana Padahastasana Ardha cakrasana Bhujangasana Salabhasana Dhanurasana Sarvangasana Matsyasana Halasana Chakrasana Sasankasana Vakrasana/ Ardha-Matsyendrasana Ustrasana Deep relaxation technique (DRT)

Pranayama Kapalabhati Vibhaga pranayama (Sectional breathing) Surya Anuloma pranayama Nadi suddhi Sitali/ Sitkari/ Sadanta BhramariMeditation (Dhyana Dharana) Nadanusandhana OM meditationKriyas Jala Neti Sutra Neti Vaman Dhouti

SPECIFIC PRACTICE General considerations: Severe depressions

associated with the risk of suicide should be treated medically, if possible.

Contraindications: Most Yoga practices are helpful. The problem is that depressive people have little enthusiasm to practice. After overcoming the first dislike, they may find Yoga practices (or physical exercise or karma Yoga) helpful. According to some authors, long periods of relaxation or meditation may “close up” some depressive people even more.

Recommendations: Relaxation, especially short, physical exercises and physical work are usually beneficial.

Recommended asanas : Pranayama Suryanamaskara Sarvangasana Matsyasana Dhanurasana Halasana