Application of Triguna-based Psychological Therapy (Satvavajaya Chikitsa) in Bipolar Disorder Management: A Case Study

Bipolar disorder (BD) is a chronic mood disorder, characterized by the alternating episodes of mania and depression. While conventional treatment often relies on pharmacotherapy, integrative approaches that include Ayurveda and Yoga have shown promise in stabilizing mood and improving overall well-being. This study examines the effectiveness of a holistic therapeutic model combining Satvavajaya Chikitsa , Panchakarma therapies, and Yoga-Pranayama in managing BD symptoms. A patient diagnosed with BD underwent a structured regimen involving Panchakarma (including Virechana preceded by Snehapana), Satvavajaya Chikitsa (a model including educational, supportive, and reflective techniques), and daily Yoga-Pranayama sessions over 10 days. Psychological parameters, mood stabilization, and behavioral changes were assessed through clinical observations and follow-up evaluations. Significant improvements were noted in mood stability, a reduction in obsessive thoughts, and enhanced self-awareness. The Vijnana component of Satvavajaya Chikitsa helped the patient recognize underlying fears, while Dhairya promoted resilience. Smriti and Samadhi techniques improved emotional regulation and mindfulness. Yoga-Pranayama practices, such as Surya Namaskar , Nadi Shuddhi, and Bhramari Pranayama , were effective in balancing the autonomic system and reducing stress. Follow-up assessments indicated sustained improvements with continued practice. This integrative approach, combining Ayurvedic therapies with Yoga and Pranayama, offers a holistic method for managing BD. The study underscores the potential of balancing Triguna (Sattva, Rajas, and Tamas) to regulate mood fluctuations. Further research with larger sample sizes is needed to confirm its clinical efficacy.