Self-injury is associated with psychiatric or emotional stress. It is also known as “self-harm” or “self-mutilation”. In self-injury, someone repeatedly harms themselves.
- SIGNS AND SYMPTOMS OF SELF INJURY
- CAUSES OF SELF INJURY
- PATHOPHYSIOLOGY OF SELF INJURY
- DIAGNOSIS OF SELF INJURY
- TREATMENTS FOR SELF INJURY
- PROGNOSIS OF SELF INJURY
- COMPLICATIONS OF SELF INJURY
- SELF INJURY AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF SELF INJURY
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF SELF INJURY
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF SELF INJURY
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF SELF INJURY
- AYURVEDIC PROGNOSIS OF SELF INJURY
- CHIKITSA- AYURVEDIC TREATMENT FOR SELF INJURY
- AYURVEDIC SAMANA TREATMENT FOR SELF INJURY
- AYURVEDIC LOCAL TREATMENT FOR SELF INJURY
- COMMONLY USED AYURVEDIC MEDICINES FOR SELF INJURY
- HOME REMEDIES FOR SELF INJURY
- DIET AND BEHAVIOUR FOR SELF INJURY
- YOGA FOR SELF INJURY
- RESEARCH PAPERS ON SELF INJURY
SIGNS AND SYMPTOMS OF SELF INJURY
- Scratching of body
- Cuts and wounds in the body
- Rubbing or hitting of body parts
- Burning with heated objects, cigarettes etc
- Withdrawing from family and friends
- Intense irritability
- Impulsivity
- Emotional instability
- Associated with anxiety or depression
CAUSES OF SELF INJURY
Psychiatric or emotional stress is the major cause. The risk factors are:
- Genetic reasons
- Certain medications
- Sadful events in life
- Problems in family or workplace
- Substance abuse
PATHOPHYSIOLOGY OF SELF INJURY
Although there is considerable evidence for a preeminent role for three monoamine systems serotonin (5HT), norepinephrine (NE), and dopamine (DA), in the pathogenesis of self-injury associated with depressive disorders. Depression involves other circuits including neuropeptide systems such as corticotropin-releasing factor (CRF) and glutamate and GABA circuits. Self-injury is also associated with anxiety disorder, post-traumatic stress disorder, and obsessive-compulsive disorder.
DIAGNOSIS OF SELF INJURY
- Proper History taking
- Physical and psychological evaluation
- Laboratory tests to find out hormonal changes
TREATMENTS FOR SELF INJURY
- Counselling
- Antidepressants
- Mind stabilizing medications
PROGNOSIS OF SELF INJURY
- Early diagnosis and treatment help to manage the symptoms related to self-injury.
COMPLICATIONS OF SELF INJURY
- Recurrent thoughts of death or suicide
- Substance abuse
- Complications associated with wounds or burns in the body
SELF INJURY AND AYURVEDA
- In Ayurveda self-injury can be associated with soka (manodukkaja) unmada.
NIDANA- AYURVEDIC CAUSES OF SELF INJURY
- Prohibited, spoiled or unclean food
- Certain poisons
- Trying to do the impossible deeds
- Excessive, grief and sorrow
- Excessive vitiation of doshas
- Loss of such things as wealth or property friends
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF SELF INJURY
- Intense irritability may be found as an initial symptom.
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF SELF INJURY
The vitiated doshas first affect budhi and smrti which are located in the heart, and then travel to manas through the srota-which may be viewed as a functional circulatory or nervous system, leading to irritability in the manas (mind).
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF SELF INJURY
- Dushtaatmaanaam(unlawful)
- Krodhanam(impulsive)
- Atruptam(unsatisfied/unpleasant)
- Nirbhayam & Shooram(reckless behaviour/impulsive)
- Vyavasaayinam(unlawful)
AYURVEDIC PROGNOSIS OF SELF INJURY
- Symptoms are manageable with proper Ayurvedic treatments
CHIKITSA- AYURVEDIC TREATMENT FOR SELF INJURY
AYURVEDIC SAMANA TREATMENT FOR SELF INJURY
- Brahmighrita
- Brahmi swarasa – juice of Bacopa monnieri
- Saraswataghrita
- Kalyanakaghrita
- Dasamolaghrita
- Aswagandharista
- Shankpushpi churna
AYURVEDIC LOCAL TREATMENT FOR SELF INJURY
- Murdha taila – oil application on the head
- Shirodhara
- Abhyanga – oil massage on the body
COMMONLY USED AYURVEDIC MEDICINES FOR SELF INJURY
Internal administration
- Brahmighrita
- Saraswataghrita
- Kalyanakaghrita
- Dasamolaghrita
- Aswagandharista
- Saraswartarishta
- Brahmivati
- Medhyavati
HOME REMEDIES FOR SELF INJURY
- Enhance communications with family members
- Always engaged in activities
DIET AND BEHAVIOUR FOR SELF INJURY
- Avoid food items that produce dosha imbalance like cold and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
- Consume easily digestible nutritious food items, cow’s milk, and ghee.
- Oil massage on the head is advised.
- Advice regular exercise
YOGA FOR SELF INJURY
- Nadi Shuddi Pranayam – Calms the mind
The patient needs to be seated in a meditative posture with the head and spine erect, and the body relaxed. The patient has to close one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Shavasana – relaxes the body and mind
- Bhastrika pranayama
RESEARCH PAPERS ON SELF INJURY
- Ayurvedic management of manodukkaja unmada: a case report
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