Showing posts with label seasonal affective disorder. Show all posts
Showing posts with label seasonal affective disorder. Show all posts

Depression Treatment with Herbs and Ayurvedic Remedies

About Ayuverda


Ayurveda (the science of life) is a system of traditional medicine practiced in India for centuries and practiced in other parts of the world as a form of alternative medicine. In Sanskrit, the word Ayurveda comprises the words ayus, meaning 'life' and veda, meaning 'science'. Ayurveda traces its origins to the Vedas , the Atharva veda in particularand is connected to spiritualism and mythology. The earliest literature of Ayurveda appeared during the Vedic period in India, the Sushruta Samhita and the Charaka Samhita were influential works on traditional medicine during this era.


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Ayurvedic practitioners also claim to have identified a number of medicinal preparations and surgical procedures for curing various ailments and diseases. Ayurveda is considered to be a form of complementary and alternative medicine (CAM) within the western world, where several of its methodssuch as herbs, massage, and Yoga as exercise or alternative medicineare applied on their own as a form of CAM treatment.


Ayurveda believes in 'five great elements' (earth, water, fire, air and space) forming the universe, including the human body.  Chyle, Blood, flesh, fat, bone, marrow, and semen are believed to be the seven primary constituent elements of the body.  Ayurveda stresses a balance of three substances: wind/spirit/air, phlegm, and bile, each representing divine forces.  According to Ayurvedic beliefs, the doctrine of these three Doshas vata (wind/spirit/air), pitta (bile) and kapha (phlegm) is important. Any imbalance in these three elements results in a disease. Traditional beliefs hold that humans possess a unique constellation of Doshas. It is believed that building a healthy metabolic system, attaining good digestion, and proper excretion leads to vitality. 



Ayurveda also focuses on exercise, yoga, meditation, Pranayam and massage. The concept of Panchakarma is believed to eliminate toxic elements from the body.


Ayuverda and Depression


Depression is a neurological disorder. When a person is too overcome with negative emotions, it becomes difficult to focus on any other issue. The person may become lethargic and lose interest in what is going on around them. Such a state may occur when a person fails in an examination, loses a job, gets jilted by a lover, gets divorced, loses some dear one, etc. Some people are able to get over their emotions quickly. But in some others, depressions may last for several days, weeks or even months.


In Ayurveda, depression is known as Chittavsada. It is caused by the increase in the tamas and rajas of the mind with a vitiation of the kapha dosha. Sometimes, an imbalanced vata may also be responsible for depression.


From the ayurvedic perspective, emotional imbalance is caused by lack of coordination of an individual's senses, emotions and thoughts. The heart and mind are intimately connected, because the heart is the "seat" of consciousness. In the Charaka Samhita, a major ayurvedic text, it is said, hridaye chetana sthanam, which means, "the seat of consciousness is in the heart.


The main cause of emotional imbalance is the lack of ability to process emotions in a timely fashion. Some people are able to process an emotion quickly, which means they are able to let go of it and move on with their lives. For others, the processing or "cooking" of thoughts is slow, so the negative impression remains with them for a very long time and impacts their current thoughts and emotions, resulting in depression.


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Useful Herbs in the Treatment of Depression


1. Ashwagandha (Withania somnifera)
Ashwagandha has the requisite properties to remove negative thoughts from the mind. The aphrodisiac properties of ashwagandha also help in improving the mind and removing depression.


2. Brahmi (Bacopa monnieri)
Brahmi is prescribed before a yogic session. The reason is that brahmi helps to relax the mind and bring it to a comfortable state. Brahmi is very popularly available in the form of oils. The oil has a cooling and soothing effect on the mind. Regular use of this oil can prevent the person from feeling depressed.


3. Cardamom (Elattaria cardamomum)
Cardamom has a very pleasing odor which can soothe the nerves. When a person is depressed, a tea made by putting cardamom in it can have almost miraculous effects.


4. Guggulu (Commiphora wightii)
Guggulu has become the focus of attention recently due to the presence of special chemicals in it called as guggulsterones. These chemicals improve the nervous coordination and hence are beneficial in the treatment of depression. Guggulu is more effective in depression caused due to seasonal affective disorder.


5. Jatamansi (Nardostachys jatamansi)
Jatamansi brings a calming effect on the mind. By canalizing the energies of the mind in the right direction, jatamansi can remove the depressive thoughts.


6. Turmeric (Curcuma longa)
Turmeric is effective in treating depression that is caused by the change of seasons, i.e. seasonal affective disorder.


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Dietary Treatments for Depression


For people with depression a heavy food is not advised. The person must not eat to the full capacity. Hot, spicy and pungent tastes must be avoided as these will aggravate the senses further. Fluids and fresh vegetables (in salads) must become an important part of every meal. The person can have cool sherbets like rose sherbet in the middle of the day, especially in the afternoons and when the evening is beginning. Tea and coffee may be taken occasionally to stimulate the brain.


Most people with depression lose their appetite and desire to eat. For such people, food must not be forced, or it could lead to vomiting. When such a disinterest in food occurs, fruits can be consumed. A diet rich in fruits is beneficial in the treatment of depression.


Ayurvedic Treatment for Depression
The Ayurveda Panchakarma therapy is the cleansing process that helps to purge unwanted toxins. The Panchakarma treatments are extremely helpful in relieving deep seated diseases. Besides, they are benefical for maintaining and improving both physical and mental health.


Shirodara: the patient lies on a special wooden bed and a steady stream of warm, aromatic oil, milk, or buttermilk is rhythmically poured across the forhead. This treatment calms the mind and soothes the nervous system. It brings on profound peace and happiness.


Abhyanga: this is a firm but gently whole body massage of aromatic herbal oils that are administered by two skilled technicians who work in complete harmony. The abhyanga massage may last up to one hour.


Udvarthanam: this is a massage using a special Ayurveda herbal paste to enliven and energise the body. It helps to promote good digestion, healthy skin, firm muscle tone, better circulation, and it reduces cellulite. It is perfect for those who wish to lose weight.


Nasya: the nose is seen as the doorway to the brain and also to consciousness. This therapy helps to ease problems of excess mucus and blocked sinuses. A stimulating head massage is followed by a steam inhalation with aromatic herbs and the application of hot towels. Finally, herbal nasal drops are administered to melt, loosen, and release mucus from the sinus passages.


Pizhichil: is also known as „Royal Treatment“ as it is the ultimate therapy for relaxing. The patient remains in a sitting position and a cloth soaked in oil is squeezed all over the body. This treatment softly heats the skin and helps to draw impurities to the surface. It leaves the patient feeling peaceful, calm, and wonderfully relaxed.


These are just a few examples of Ayurveda Panchakarma healing treatments.


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Home Medications


1. Get someone do a good head massage with a cooling oil like brahmi oil.
2. Improve the regimen of your day. Begin with yoga in the morning and then listen to good soothing music. For some people, visiting their religious places of worship also helps to come out of depression.
3. Focus your mind in other activities and hobbies in order to keep the thoughts causing depression away.
4. You can try eating an apple with milk and honey. This helps to improve the mood.
5. Simple lemon juice (the extract of one lemon in a glass of water, sweetened with sugar) is also good. It releases stress-removing hormones and brings the mind at ease.


Fighting Winter Depression with Ayuverda


Winter depression is considered by health experts as one of several Seasonal Affective Disorders, or those disorders that develop as part of the body's response to changes in season or outer atmosphere. During winter, one experiences shorter days and longer nights. Meanwhile, the weather becomes chilly such that you have to switch to winter clothing or gears that enable your body to stay warm.


As of now, experts are still in search of reasons that would explain why one develops winter depression. However, a few evidences reveal that it could be due to lack of sunlight exposure, although the extent at which this factor cause winter depression to arise still needs to be further examined.


Some of the common symptoms of winter depression include the following:
  • Tendency to overeat.

  • Consumption of too much sweets.

  • Craving for carbohydrate-rich foods.

  • Uncharacteristic weight gain.

According to Ayurveda principles, winter is believed to be the time for Hemanta ritu (period between mid-November to mid-January) and Sisira ritu (period between mid-January to mid-March). Ayurveda has a valid explanation when it comes to the human body's response to the seasonal changes. Winter depression is one of those conditions. Any changes that take place on your body, physiologically speaking, is due to the increase of Vata or body fire, which aims to compensate for the extremely cold weather on the outside such that you can regulate internal body temperature.


People who have vata as their major constituent in their body are at the highest risk of developing winter depression. Thus, ayurvedic treatments against winter depression recommend reducing vata to combat any effects of this condition to your body.


Since winter depression is believed to be caused by lack of sunlight exposure, then you must try to get as much sunlight as you can. In the absence of sunlight, you must expose yourself to artificial source of lighting such as sitting by the fireplace. This Ayurveda tip is believed to be really effective. Also, you must keep your home well-lit to reduce the depressive symptoms or intensity of the condition.


Engaging in regular but moderate exercise is also ideal for relieving winter depression. One such exercise that would reap effective results is yoga. A more suitable alternative would be to regularly engage in a sexual act, since it not only improves physiological condition but can improve your mood, as well.


Below are additional tips that you can use for Ayurveda treatment against seasonal affective disorders, such as winter depression:
  • Use a vata balancing herbal oil such as abhyanga and massage it all over your body. Concentrate the application of oil and massaging on your head.

  • After massaging with the oil, remove it off your body by taking a warm or hot bath. You can also prepare a homemade herbal scrub to use on your bath, which includes a combination of the following ingredients in equal proportion: yellow and green gram, and fenugreek seeds.

  • You can consume warm soups.

  • Eat foods that are known to balance your vata such as black gram, wheat, oil, and jaggery.

  • Instead of focusing on a single type of food, you can cycle through various tastes – from sweet, to salty, to sour.

  • Wear thick sheets or clothing materials such as wool, cotton, or silk.

  • Never forget to protect your feet with the right kind of winter footwear.



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Light Therapy for Depression

I have severe pain and trouble walking, I push myself 

to go outside in the sunlight. It makes the whole day 

change and lessons the intensity of pain. 

Of course it's hard for me to just sit there 

so I begin planting or just visiting my flower family. 

It truly works for me.





Marcella Floyd





About Light Therapy

What may be a good treatment for one type of depression may be good for another. Take light therapy for depression, for instance. Doctors have successfully treated seasonal affective disorder (SAD), a mild depression caused by reduced exposure to sunlight in winter months, with light therapy – spending a prescribed amount of time each day in front of artificial light that replicates the spectrum of sunlight. Light therapy may one day be used for general depression, too.



Researchers at the University of North Carolina at Chapel Hill School of Medicine discovered an interesting finding after reviewing 20 studies. “We found light therapy is an effective treatment not only for SAD but other types of depression as well,” says study leader Robert Golden, MD, professor and chairman of psychiatry.



Dr. Golden and his researchers reviewed studies of people aged 18 to 65 with a diagnosed mood disorder. Participants were grouped into four categories: bright light for SAD, bright light for non-seasonal depression, dawn simulation (simulating early dawn with artificial light at lower levels) for SAD and bright light with antidepressants for non-SAD. In every category, participants’ moods improved, with greater improvement found with a combination of antidepressants and light therapy. “The findings [for light therapy] are as strong or as striking” as those for conventional medications used as treatments for depression, according to Dr. Golden.



More studies are needed to provide definitive evidence on the effectiveness of light therapy for depression. Still, Dr. Golden says, “Light therapy may be a reasonable alternative to more established forms of treatment, including medication and psychotherapy.”



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How much light are you getting?

Light therapy can treat more than just winter depression, though that's the main use. Here's why:  the amount of light reaching your eyeball from interior lighting is far less than the amount from the real thing. So unless you are outside much of the day in the winter, you are relying on electric light for your photons (in summer, there is so much light, most people get enough, even if they are indoors during their work hours). The following table shows you just how much less light you receive, indoors versus outdoors (Lux is a standard unit of light flow):



Brightness Values:

-        Candle light at 20 cm       10-15 Lux

-        Street light                       10-20 Lux

-        Normal living room lighting    100 Lux

-        Office fluorescent light    300-500 Lux

-        Halogen lamp                   750 Lux

-        Sunlight, 1 hour before sunset            1000 Lux

-        Daylight, cloudy sky        5000 Lux

-        Daylight, clear sky           10,000 Lux

-        Bright sunlight                 > 20,000 Lux



When to consider light therapy

Light therapy may be a treatment option for you if:

  • You don't want to take medications such as antidepressants

  • You can't tolerate the side effects of antidepressants

  • You've tried antidepressants but they haven't been effective

  • You want an alternative to psychotherapy

  • You're pregnant or breast-feeding and are concerned about the effects of antidepressants on your developing fetus or baby

  • You don't have insurance coverage for mental health services

  • You lack access to mental health services



Conditions light therapy may help

Conditions and problems that may benefit from light therapy include:

  • Seasonal affective disorder

  • Nonseasonal types of depression

  • Obsessive-compulsive disorder

  • Premenstrual dysphoric disorder

  • Postpartum depression

  • Jet lag

  • Certain sleep disorders

  • Shift-work problems

Keep in mind that light therapy hasn't officially been approved by the Food and Drug Administration as a treatment for seasonal affective disorder or other conditions. But many mental health providers consider light therapy the main seasonal affective disorder treatment.



Risks

Risks and side effects associated with light therapy are uncommon but can happen. They can include:

  • Eyestrain

  • Headache

  • Agitation

  • Nausea

  • Vomiting

  • Irritability

  • Fatigue

  • Dry mouth

  • Sleep problems

  • Mania

When side effects do occur, they're usually mild. They may go away on their own within a few days of starting light therapy. You also may be able to manage these problems by reducing treatment time, moving farther from your light box, taking breaks during long sessions, or changing the time of day you use light therapy. Talk to your doctor for additional help and advice, or if your side effects don't go away or get worse.



Who shouldn't use light therapy

Some light boxes don't filter out or shield harmful ultraviolet (UV) light. UV light can cause skin and eye damage. Don't use light therapy without consulting your doctor first if:

  • Your skin is sensitive to light

  • You take medications that react with sunlight, such as certain antibiotics or anti-inflammatories

  • You have an eye condition that makes your eyes vulnerable to light damage

Cautions for bipolar disorder, severe depression

Light therapy may trigger episodes of mania in people with bipolar disorder. Also, although rare, some people, particularly those with severe forms of depression, develop thoughts of suicide after light therapy. Be sure to talk to your doctor or mental health provider before starting light therapy or at any time during treatment if your condition gets worse.



What you can expect

Starting light therapy

The general recommendation for most people with seasonal affective disorder is to begin treatment with light therapy in the early fall, as soon as your symptoms start. Treatment generally continues until spring, when outdoor light alone is sufficient to sustain a good mood and higher energy.



Some people experience seasonal affective disorder in the summer. And others who typically have winter depression may notice symptoms during prolonged periods of cloudy or rainy weather during other seasons. You and your doctor can adjust your light box treatment based on the timing and duration of your symptoms.



For other conditions, talk to your doctor about the best time to begin light therapy.



During light therapy

During light therapy sessions, you sit or work near a light therapy box. To be effective, the light from the light box must enter your eyes indirectly. You can't get the same effect merely by exposing your skin to the light. While your eyes must be open, don't look directly at the light box because the light can damage your eyes.



Light therapy sessions are generally done each morning after you awake. Some light therapy boxes, however, are dawn simulators — they turn on in the morning while you're still asleep and gradually get brighter until you wake up.



Three key elements for effective light therapy

Light therapy is most effective when you have the proper combination of duration, timing and light intensity:

  • Duration. When you first start light therapy, your doctor may recommend treatment for shorter blocks of time, such as 15 minutes. You gradually work up to longer periods. Eventually, your light therapy typically involves daily sessions ranging from 30 minutes to two hours, depending on your light box's intensity.

  • Timing. For most people, light therapy is most effective if used in the morning, after you first wake up, rather than during the evening. Doing light therapy at night can disrupt your sleep. Because light therapy seems to work best in the early morning, you may need to wake up earlier than you normally would to match treatment with your natural biological rhythms. You may find it hard to wake up early, especially if depression leaves you feeling lethargic. Your doctor can help you find a light therapy schedule that works for you.

  • Intensity. The intensity of the light box is recorded in lux, which is a measure of the amount of light you receive at a specific distance from a light source. Light boxes for light therapy usually produce between 2,500 lux and 10,000 lux, with 10,000 lux being typical. In contrast, the lighting in an average living room in the evening is less than 400 lux, while a bright sunny day may register 100,000 lux. The intensity of your light box may also determine how far you sit from it and the length of time you need to use it. The 10,000 lux light boxes usually require 30-minute sessions, while the 2,500 lux light boxes may require 2-hour sessions.

Results

Light therapy probably won't cure seasonal affective disorder, depression or other conditions. But with safe and effective light therapy, your symptoms can get better. You may feel better about yourself and life again, and have more energy.



Light therapy can start to improve symptoms within just a few days. In some cases, though, it can take two or more weeks.

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Light Therapy Development

In the early 1980’s, scientists researching depression noted a consistent pattern of symptoms becoming more severe in many patients during the long winter months, particularly in the northern hemisphere. Significantly these symptoms eased or disappeared completely as the longer summer days returned.



In 1982 The National Institute of Health (NIH) identified winter depression and coined the term, ‘SAD’ for Seasonal Affective Disorder.



The scientists found that 'SAD' was related to an imbalance in the body's natural circadian rhythms. The Circadian rhythm, or the body’s inner clock governs the timing of sleep, hormone production, body temperature, and other biological functions.



In 1984 these pioneering scientists discovered that exposure to bright white light is very effective at treating seasonal affective disorder.



For many years doctors had relegated light therapy to the periphery of credible science. It wasn’t until 2001 that researchers from NIH, Thomas Jefferson Medical University and Apollo Health fully understood how exposure to specialized bright light, stimulates the production of brain chemicals to relieve the symptoms associated with seasonal depression.



Dr. George Brainard’s team at Thomas Jefferson Medical University, identified a photo receptor in the human eye, responsible for reacting to light and controlling the production of melatonin.



They found specifically that light in the range of 447-484 nm (nanometers) is responsible for suppressing melatonin production and shifting circadian rhythms. Indeed, this particular bandwidth of light is up to ten times more effective than other wavelengths. We now know this technology as BLUEWAVE. The light therapy is considered as an effective treatment for body clock corruption as well, helping to the patients fighting sleep disorders.



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