Obsessive Compulsive Disorder [OCD]


Obsessive-compulsive disorder (OCD) is an anxiety disorder in which time-people have recurring, unwanted thoughts, ideas or sensations (obsessions) that make them feel driven to do something repetitively (compulsions). The repetitive behaviors, such as hand washing, checking on things, or cleaning, can significantly interfere with a person’s daily activities and social interactions. OCD often begins in childhood, adolescence or early adulthood. It can destroy a person's capacity to function at work, at school or even to lead a comfortable existence in the home.

AyurVAID's treatment modality for OCD includes both internal medications and therapies, judiciously administered after assessing the patient's individual clinical condition. Therapies like talam, nasya (medicinal enema) and Dhāra (pouring of medicinal liquid in a particular fashion) which act at promoting stability in neurological stability, and satvaavajaya(treatment which promotes satva nature in person thereby control mind and body) ~ to behavioural therapy advocated and also rasayana treatments for maintainaance of treatment efficacy.

Obsessive-compulsive disorder symptoms usually include both obsessions and compulsions. But it's also possible to have only obsession signs & symptoms or compulsive signs & symptoms.

Signs of obsession include:

  • Repeated unwanted ideas
  • Fear of contamination
  • Aggressive impulses
  • Persistent sexual thoughts
  • Images of hurting someone you love
  • Thoughts that you might cause others harm
  • Thoughts that you might be harmed

Signs of compulsion include:

  • Constant checking
  • Constant counting
  • The repeated cleaning of one or more items
  • Repeatedly washing your hands
  • Constantly checking the stove or door locks
  • Arranging items to face a certain way

Long-term complications of OCD have to do with the type of obsessions or compulsions. For example, constant hand washing can cause skin breakdown. OCD does not usually progress into another mental health problem.

Obsessive-compulsive disorder occurs equally in men and women, and it affects about 2 - 3% of people over a lifespan. Most cases of OCD first develop in childhood or adolescence, although the disorder can occur throughout the life span.

Age - it can begin as early as preschool age and as late as age 40.

Genetic Factors - The condition tends to run in families. A person who has OCD has a 25% chance of having a blood relative who has it.

Presence of Other Mental or Neurologic Conditions - OCD often occurs in people who have other anxiety disorders, depression, Tourette syndrome, attention-deficit hyperactivity disorder (ADHD), substance abuse, eating disorders, and certain personality disorders.

Stress - OCD symptoms often occur during stress from major life changes, such as loss of a loved one, divorce, relationship difficulties, problems in school, or abuse.

Pregnancy and Postpartum - Fluctuating hormones can trigger symptoms OCD symptoms may worsen during and immediately after pregnancy.

1. Serum Seratonin - Decreased activity of serotonin in frontal cortex.
2. Dopaminergic enzyme estimation-Dopaminergic overactivity in the basal ganglion.


Investigations: CT, MRI, PET scan

Ayurveda Concept

Ayurveda, which takes a comprehensive view of an individual's physical, emotional and spiritual conditions, attributes anxiety disorder symptoms to aggravated prana vata, a subsidiary of vata dosha which is associated with OCD. Prana vata weakens the nervous system and triggers mental imbalance. It also weakens the neuro-hormonal system and nerve impulses. Ayurvedic treatment of OCD disorder would involve curbing aggravated prana vata and increasing sattva guna, which envisages a stable and peaceful mind through self-realization and self-control, and appropriate changes in diet and lifestyle.

Ayurveda approach to medical management

The ayurvedic line of treatment for the OCD is the use internal medicines, nasya (inhalation therapy), talam, dhara , and following achaar vichaara (life style modification) and rasayana chikitsa as for maintainance nof treatment efficiacy.

Treatment specific information

The nature of the disease necessitates long run treatment protocol with continuous internal medications regular therapies. The patient must follow achara rasayana, to avoid prajnaparadha and asatmendriya samyoga