Abstract

Sarang Subrahmanyan, Kavyanjali, *Savitha H.P, Tapas Brata Tripathy

ABSTRACT

Background: Obsessive-compulsive disorder (OCD) is a chronic and often debilitating mental health condition characterised by persistent intrusive thoughts (obsessions) and repetitive behaviours (compulsions). Conventional pharmacological treatments usually come with limitations, including partial remission, side effects, and recurrence. In Ayurveda, OCD can be correlated with Atattvabhinivesha, a condition attributed to dysfunction of Mana, Buddhi, and Smriti, and involving Vata and Pitta doshas. This case report highlights the role of an integrative Ayurvedic protocol, combined with modern psychotherapeutic techniques, in the successful management of OCD. Case Presentation: A 21-year-old male presented with compulsive handwashing (10–15 times/day), excessive bathing, restlessness, and anger outbursts for over two years. A thorough Ayurvedic and psychological assessment was done. The patient’s Prakriti was Vata-Pitta, and he exhibited Avara Satva. His Yale-Brown Obsessive Compulsive Scale (Y-BOCS) score was 29, indicating severe OCD. Intervention and Outcome: The treatment included Yukti Vyapashraya Chikitsa (Triphala, Panchakola Phanta, Moorchita Ghrita Snehapana, Virechana with Trivrit Leha, followed by Panchagavya Ghrita), along with Sattvavajaya Chikitsa (CBT, ERP, Pranayama, and Jacobson’s relaxation). Post-intervention, the Y-BOCS score dropped significantly from 29 to 6. The patient reported a drastic reduction in compulsions, improved emotional stability, enhanced appetite, and renewed academic interest. Conclusion: This case demonstrates the effectiveness of a comprehensive Ayurvedic protocol, complemented by cognitive-behavioural techniques, in managing OCD. The integrative approach not only improved symptom severity but also enhanced overall quality of life. Further clinical studies are warranted to validate these findings on a larger scale.