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Understanding Prakriti & Doshas
Ayurveda recognizes three fundamental energies (doshas) that govern our physical and mental characteristics. Your unique constitution determines your Prakriti - your natural constitution.
Vata
Air & Space
"Movement, creativity, flexibility"
Creative and energetic
Quick thinking
Variable appetite
Light sleep
Tendency to worry
Pitta
Fire & Water
"Transformation, metabolism, intelligence"
Sharp intellect
Strong digestion
Leadership qualities
Competitive nature
Tendency to be intense
Kapha
Earth & Water
"Structure, stability, lubrication"
Stable and grounded
Strong build
Calm disposition
Good memory
Tendency to gain weight
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Anxiety disorders in children (Chittudvega, Manasika Vikara, Udvega)
Anxiety and fear are normal parts of childhood development, but anxiety disorders in children involve excessive, persistent, and intense fear or worry that significantly interferes with daily life and functioning. These disorders differ from normal fears because they involve more extreme avoidance, bigger emotional reactions, or last longer than expected, often for at least six months. Up to 1 in 5 children may develop an anxiety disorder, making them the most common psychiatric conditions in children and adolescents, affecting nearly 1 in 12 children and 1 in 4 adolescents. If left untreated, anxiety can escalate and lead to increased problems, including an elevated risk for depression and substance use disorders later in life.
Common symptoms
Excessive worry and/or crying more than other kids their age.
Constantly worrying or having negative thoughts.
Worrying about things before they happen.
A need for everything to be 'perfect'.
Constant thoughts and fears about safety (of self or others).
Feeling constantly tense, worried, or on edge.
Irritability or anger easily.
Difficulty concentrating or focusing.
Inability to relax or sit still (restless).
Avoidance of certain activities, situations, or people.
Emotional outbursts like crying or tantrums.
Clingy behavior, especially in young children.
Reluctance or refusal to go to school.
Difficulty sleeping, waking from nightmares, or being unable to sleep alone.
Changes in eating patterns (eating more or less than usual).
Being withdrawn and not wanting to do things they used to enjoy.
Seeking reassurance repeatedly.
Complaining of upset stomach, sore muscles, or headache.
Nausea or abdominal pain.
Feeling tense and fidgety.
Possible causes
Genetics and Biology: Some children have a biological or family tendency to be anxious, and imbalances in neurotransmitters like serotonin and dopamine can contribute to anxiety.
Stressful Life Events: Experiences such as the death of a loved one, frequent house or school moves, difficulty with consistent schooling, parental conflict or divorce, bullying, abuse, or neglect can trigger anxiety.
Learned Behavior: Children can learn anxious behaviors from family members or others who are noticeably stressed or anxious, with parental anxiety increasing a child's risk.
Co-occurring Conditions: Children with ADHD and autistic spectrum disorders are more prone to anxiety.
Social Media: There is increasing concern about the impact of social media use on anxiety symptoms in children and adolescents.
Medical treatment
Cognitive Behavioral Therapy (CBT): This is the most common and effective therapy, teaching children to understand and change unhelpful thoughts and behaviors, and gradually exposing them to fears.
Medication: Selective serotonin reuptake inhibitors (SSRIs) are often the medication of choice for children aged 6 to 18 with moderate to severe anxiety, sometimes in combination with CBT. Selective norepinephrine reuptake inhibitors (SNRIs) may also be considered.
Counselling: Can help children understand and work through their anxieties.
Family Therapy and Parenting Programs: Important for involving parents in the treatment process.
Self-care and Parental Support: Includes talking to children about worries, listening, reassuring, helping find solutions, encouraging routines, limiting screen time, and modeling adaptive coping strategies.
Ayurvedic perspective
In Ayurveda, anxiety in children is not viewed as a 'problem' but rather as an imbalance within the body's energies and mental channels. It is primarily recognized as 'Chittudvega' (agitation of the mind) or 'Manasika Vikara' (mental disorders or irregularities), characterized by a disturbance in the Manovaha Srotas (mental channels). A key factor is the vitiation of Vata Dosha, particularly Prana Vayu, which leads to an unstable mind. An increase in 'Rajas' (active/passionate quality) and a decrease in 'Sattva' (pure/calm quality) also contribute to persistent nervousness and restlessness. Anxiety can stem from intellectual errors (Prajnaparadha) and exposure to incompatible environmental stressors. Stress, known as Sahasa, when in excess, can deplete Ojas (Ojaksaya), a subtle nourishing energy, leading to sleep difficulties, depression, anxiety, and reduced adaptability. Modern lifestyle factors such as academic pressure, social challenges, constant sensory overload, and excessive digital media exposure are seen as significant contributors to stress and anxiety in children. Imbalances in digestion can also manifest as irritability, anxiety, and poor concentration. Ayurveda offers a holistic approach to managing these conditions, incorporating Yoga, Panchkarma procedures, Medhya Rasayanas (brain tonics), and behavioral therapy to enhance mental ability and restore equilibrium.
Ayurvedic dietary guidelines
Consume 'Sattvic' foods, which are fresh, warm, and easily digestible, to stabilize the nervous system and support cognition and emotional stability.
Prioritize 'Snigdha' (unctuous) substances like Cow's Ghee (Ghrita) to lubricate the Manovaha Srotas and nourish the nervous system.
Include 'Madhura' (sweet), 'Amla' (sour), and 'Lavana' (salty) tastes as they are Vata-pacifying.
Drink warm milk before bed, optionally infused with a pinch of nutmeg or cardamom, or with honey and saffron, to pacify Vata Dosha and promote calmness.
Avoid stimulants such as caffeine, white sugar, and dry, cold, or stale (Tamasic) foods.
Incorporate Medhya (brain-tonic) vegetables like Mandukaparni (Gotu Kola) and Kushmanda (Ash Gourd).
Include nuts and seeds like almonds, walnuts, and flaxseeds, rich in omega-3 fatty acids for brain function.
Ensure a balanced intake of fresh seasonal fruits and leafy greens.
Use honey as a brain tonic.
Avoid cold, heavy, and mucus-producing foods in excess, such as dairy, fried items, and sugary snacks.
Include warm soups, herbal teas, and light, easily digestible foods.
Incorporate mild spices like turmeric, cumin, fennel, ginger, and ajwain for their anti-inflammatory and digestive benefits.
Maintain a regular eating schedule with meals at the same time daily to support digestive rhythm.
Avoid processed foods, junk food, sugary drinks, and artificial additives.
Ensure adequate hydration by encouraging children to drink plenty of water.
Ayurvedic herbs
Ashwagandha (Withania somnifera): An adaptogenic herb that reduces stress by balancing cortisol levels, soothes anxiousness, enhances energy, promotes restful sleep, and improves memory and mental clarity. It can be given as a Churna (powder) with warm milk or honey.
Shankhapushpi (Convolvulus pluricaulis): A brain-boosting herb that enhances intellect and memory, calms the nervous system, and improves concentration. It is commonly available in syrup formulations for children.
Jatamansi (Nardostachys jatamansi): Known for its deep relaxing effects, it supports sound sleep, reduces emotional turbulence, balances mood instability, and is considered anti-stress and anti-fatigue. It can be given as a powder with honey, or Jatamansi oil can be used for massage or aromatherapy.
Brahmi (Bacopa monnieri): A brain tonic that reduces restlessness, helps with focus and learning, stimulates brain chemicals, lowers stress hormone levels, and enhances cognitive clarity. It can be administered as a syrup or ghee, and Brahmi oil can be used for massage.
Vacha (Acorus calamus): Exhibits mild sedative properties, easing anxiety and hyperactivity, improving speech, intelligence, and memory retention, and promoting better sleep. It can be given as a Churna with honey or medicated ghee, or as a powder with water, or applied as a paste on the forehead.
Mandukaparni (Gotu Kola): Improves blood flow to the brain, sharpens memory, enhances emotional stability, and calms the mind. It can be consumed in powder form with honey, in herbal formulations, or as a salad.
Bhringraj: Detoxifies the body and energizes the brain by increasing oxygen availability. Bhringraj oil can be used for scalp massage.
Chamomile: Helps to soothe anxiety, improve sleep, reduce stress, and restore a frazzled nervous system.
Lemon balm: Known for its calming properties, relieving nervousness and restlessness.
Yashtimadhu (Licorice): Mentioned as a Medhya (brain-tonic) drug and a calming herb.
Guduchi: Supports overall immunity.
Amla (Indian Gooseberry): Rich in Vitamin C, it balances Pitta and strengthens the immune system.
Tagara: Promotes sleep and calm, similar to valerian root.
Passionflower: Used to treat anxiety and mild-to-moderate sleep concerns, especially for sleeplessness associated with circular thinking, restlessness, hyperactivity, stress headaches, and a racing heart.
Traditional home remedies
Abhyanga (Oil Massage)
Yoga and Pranayam
Meditation
Herbal Preparations
Yoga asanas
Child's Pose (Balasana)
Tree Pose (Vrikshasana)
Mountain Pose (Tadasana)
Butterfly Pose
Cat-Cow Pose
Lion's Pose (Simhasana)
Dosha imbalance
Vata
Pitta
Kapha
Lifestyle tips
Establish daily routines (Dinacharya): Consistent waking, eating, and sleeping times, along with routines for studying and playing, promote security and reduce anxiety, especially for children with Vata dosha imbalances.
Ensure adequate and consistent sleep: Aim for 7-8 hours of uninterrupted sleep. Implement a calm wind-down routine after 7 p.m., including a light meal, screen-free time, a warm bath, a story, and gentle massage, followed by a consistent bedtime.
Encourage emotional expression: Support children in naming their feelings, identifying where they sit in their body, and expressing emotions through safe and controlled outlets like art, dance, physical activity, or song.
Use affirmations: Encourage speaking aloud affirmations such as 'I am safe, I am loved, I am peace' before going to sleep.
Minimize stress exposure: Be mindful of the sounds and stories children are exposed to, such as news or adult conversations, to reduce potential stressors.
Promote movement and play: Ensure daily outdoor play or structured physical activity (30-60 minutes, depending on age), including calm movements like walking or playful yoga, to reduce anxiety and sharpen attention.
Reduce screen time: Limit exposure to screens, especially before bedtime, as modern media technologies can contribute to stress and anxiety.
Maintain warmth: Both physical and emotional warmth are beneficial, as Vata dosha thrives on warmth, comfort, and grounding.
For Pitta children: Engage in activities that are gentle but challenging, such as making cooling lemonade or preparing ghee.
For Vata children: Benefit from calming afternoon activities like breathwork, gentle yoga, reading under a tree, or painting.
For Kapha children: Encourage daily physical activity and offer stimulating practices like dry brushing and steam baths.