"Mental Condition","Symptoms","Recommended Treatments","Medications","Dosage","Advanced Remedies"
"Accident/Disaster Trauma","shock; fear; helplessness; loss of trust; dissociation [ICD-10: Z65.5, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Critical Incident Stress Debriefing; Support groups; Somatic experiencing; Medication for anxiety/dissociation","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... one must learn to tolerate them without being disturbed. Insight: The disaster was a temporary, nonpermanent event. Tolerate (Titiksha) the remaining shock, fear, and dissociation, knowing these too are temporary reactions that will gradually subside with proper healing."
"Accident/Disaster Trauma","shock; fear; helplessness; loss of trust; dissociation [ICD-10: Z65.5, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Critical Incident Stress Debriefing; Support groups; Somatic experiencing; Medication for anxiety/dissociation","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 18, V 40] There is no being existing... which is freed from the three modes of nature. Insight: Accidents and disasters are part of the material world's inherent chaos (modes of nature). Acceptance of this fundamental uncertainty reduces the need to find someone to blame or the sense of unfairness, allowing the focus to shift to recovery."
"Accident/Disaster Trauma","shock; fear; helplessness; loss of trust; dissociation [ICD-10: Z65.5, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Critical Incident Stress Debriefing; Support groups; Somatic experiencing; Medication for anxiety/dissociation","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness. Insight: The goal of trauma recovery is the cultivation of fearlessness (Abhayam). This is achieved by safely facing the memories and sensations in a controlled therapeutic setting, thereby reducing their power and restoring a sense of agency and trust."
"Accident/Disaster Trauma","shock; fear; helplessness; loss of trust; dissociation [ICD-10: Z65.5, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Critical Incident Stress Debriefing; Support groups; Somatic experiencing; Medication for anxiety/dissociation","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 18, V 66] Abandon all varieties of religion and just surrender unto Me. I shall deliver you from all sinful reactions. Do not fear. Insight: Surrender the overwhelming feeling of helplessness and loss of control to a higher power, trusting in the eventual restoration of order and safety. This surrender can be a powerful source of comfort and resilience."
"Accident/Disaster Trauma","shock; fear; helplessness; loss of trust; dissociation [ICD-10: Z65.5, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Critical Incident Stress Debriefing; Support groups","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... one must learn to tolerate them without being disturbed. Insight: The disaster was a temporary, nonpermanent event. Tolerate (Titiksha) the remaining fear knowing it will pass."
"Accident/Disaster Trauma","shock; fear; helplessness; loss of trust; dissociation [ICD-10: Z65.5, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Critical Incident Stress Debriefing; Support groups","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 18, V 40] There is no being existing... which is freed from the three modes of nature. Insight: Accidents are part of the material world's chaos (modes of nature). Acceptance reduces the need to find someone to blame or the sense of unfairness."
"Accident/Disaster Trauma","shock; fear; helplessness; loss of trust; dissociation [ICD-10: Z65.5, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Critical Incident Stress Debriefing; Support groups","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness. Insight: The goal of trauma recovery is the cultivation of fearlessness (Abhayam) by facing the memories and sensations in a safe setting."
"Accident/Disaster Trauma","shock; fear; helplessness; loss of trust; dissociation [ICD-10: Z65.5, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Critical Incident Stress Debriefing; Support groups","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 18, V 66] Abandon all varieties of religion and just surrender unto Me. Insight: Surrender the overwhelming feeling of helplessness and loss of control to a higher power, trusting in the eventual restoration of order."
"Addiction/Substance Abuse","craving; loss of control; compulsive use; tolerance; withdrawal [ICD-10: F19.9, ICD-11: 6C4G, DSM-5: 304.90]","Motivational Interviewing; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Relapse prevention; 12-Step facilitation (AA/NA); Contingency management; Family therapy","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Buprenorphine 8mg (Rx - Bupregesic, Suboxone, Bupren - Schedule X)","Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Buprenorphine: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X)","[Gita, Ch 3, V 37] It is lust only, which is born of contact with the material mode of passion and later transformed into wrath, and which is the all-devouring sinful enemy of this world. Insight: Addiction is a manifestation of insatiable lust (Kama) for sense gratification; cutting off the desire is the key."
"Addiction/Substance Abuse","craving; loss of control; compulsive use; tolerance; withdrawal [ICD-10: F19.9, ICD-11: 6C4G, DSM-5: 304.90]","Motivational Interviewing; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Relapse prevention; 12-Step facilitation (AA/NA); Contingency management; Family therapy","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Buprenorphine 8mg (Rx - Bupregesic, Suboxone, Bupren - Schedule X)","Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Buprenorphine: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X)","[Gita, Ch 2, V 62] While contemplating the objects of the senses, a person develops attachment for them, and from such attachment lust develops, and from lust anger arises. Insight: The craving (lust/Kama) starts with contemplation (Dhyana) of the addictive object. Stop the thought before it becomes a craving."
"Addiction/Substance Abuse","craving; loss of control; compulsive use; tolerance; withdrawal [ICD-10: F19.9, ICD-11: 6C4G, DSM-5: 304.90]","Motivational Interviewing; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Relapse prevention; 12-Step facilitation (AA/NA); Contingency management; Family therapy","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Buprenorphine 8mg (Rx - Bupregesic, Suboxone, Bupren - Schedule X)","Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Buprenorphine: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X)","[Gita, Ch 2, V 64] One who can control his senses by practicing the regulated principles of freedom can obtain the complete mercy of the Lord. Insight: Freedom from addiction requires regulated principles (Tapas) and self-control (Vashikara)."
"Addiction/Substance Abuse","craving; loss of control; compulsive use; tolerance; withdrawal [ICD-10: F19.9, ICD-11: 6C4G, DSM-5: 304.90]","Motivational Interviewing; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Relapse prevention; 12-Step facilitation (AA/NA); Contingency management; Family therapy","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Buprenorphine 8mg (Rx - Bupregesic, Suboxone, Bupren - Schedule X)","Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Buprenorphine: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Recovery is achieved through repeated, consistent practice (Abhyasa) of sober living and detachment (Vairagya) from the substance."
"Addiction/Substance Abuse","craving; loss of control; compulsive use; tolerance; withdrawal [ICD-10: F19.9, ICD-11: 6C4G, DSM-5: 304.90]","Motivational Interviewing; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Relapse prevention; 12-Step facilitation (AA/NA); Contingency management; Family therapy","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Buprenorphine 8mg (Rx - Bupregesic, Suboxone, Bupren - Schedule X)","Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Buprenorphine: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X)","[Gita, Ch 7, V 14] This divine energy of Mine, consisting of the three modes of material nature, is difficult to overcome. But those who have surrendered unto Me can easily cross beyond it. Insight: Addiction is difficult to overcome alone; surrender to a higher power (Step 3 in 12-Steps) for strength."
"Addiction/Substance Abuse","craving; loss of control; compulsive use; tolerance; withdrawal [ICD-10: F19.9, ICD-11: 6C4G, DSM-5: 304.90]","Motivational Interviewing; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Relapse prevention; 12-Step facilitation (AA/NA); Contingency management; Family therapy","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Buprenorphine 8mg (Rx - Bupregesic, Suboxone, Bupren - Schedule X)","Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Buprenorphine: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X)","[Gita, Ch 12, V 9] If you cannot fix your mind upon Me without deviation, then follow the regulative principles of Bhakti-yoga. Insight: If immediate focus (sobriety) is difficult, focus on the structured 'regulative principles' (12-Steps, daily routine, sponsor meetings)."
"Addiction/Substance Abuse","craving; loss of control; compulsive use; tolerance; withdrawal [ICD-10: F19.9, ICD-11: 6C4G, DSM-5: 304.90]","Motivational Interviewing; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Relapse prevention; 12-Step facilitation (AA/NA); Contingency management; Family therapy","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Buprenorphine 8mg (Rx - Bupregesic, Suboxone, Bupren - Schedule X)","Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Buprenorphine: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X)","[Gita, Ch 2, V 62] While contemplating the objects of the senses, a person develops attachment for them... from lust anger arises. Insight: Stopping the craving starts with stopping the initial contemplation of the substance (Dhyana)."
"Addiction/Substance Abuse","craving; loss of control; compulsive use; tolerance; withdrawal [ICD-10: F19.9, ICD-11: 6C4G, DSM-5: 304.90]","Motivational Interviewing; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Relapse prevention; 12-Step facilitation (AA/NA); Contingency management; Family therapy","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Buprenorphine 8mg (Rx - Bupregesic, Suboxone, Bupren - Schedule X)","Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Buprenorphine: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X)","[Gita, Ch 12, V 9] If you cannot fix your mind upon Me without deviation, then follow the regulative principles of Bhakti-yoga. Insight: Use the strict, regulated routine of the 12-Steps/rehab (regulative principles) to anchor the unstable mind."
"Addiction/Substance Abuse","craving; loss of control; compulsive use; tolerance; withdrawal [ICD-10: F19.9, ICD-11: 6C4G, DSM-5: 304.90]","Motivational Interviewing; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Relapse prevention; 12-Step facilitation (AA/NA); Contingency management; Family therapy","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Buprenorphine 8mg (Rx - Bupregesic, Suboxone, Bupren - Schedule X)","Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Buprenorphine: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X)","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Sobriety is the ultimate act of self-delivery, using one's own mind and will to stop the self-degrading behavior."
"Addiction/Substance Abuse","craving; loss of control; compulsive use; tolerance; withdrawal [ICD-10: F19.9, ICD-11: 6C4G, DSM-5: 304.90]","Motivational Interviewing; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Relapse prevention; 12-Step facilitation (AA/NA); Contingency management; Family therapy","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Buprenorphine 8mg (Rx - Bupregesic, Suboxone, Bupren - Schedule X)","Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Buprenorphine: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X)","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Focus on the daily duty of self-care and sobriety, even if performed imperfectly (relapse is part of recovery)."
"ADHD","","inattention; hyperactivity; impulsivity; difficulty focusing; forgetfulness [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.00-314.01], Behavioral therapy; Parent training; Social skills training; Executive function coaching; Medication management","Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate: 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg; short/long-acting formulations); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 6, V 16] There is no possibility of one's becoming a yogi... if one eats too much or too little, sleeps too much or does not sleep enough. Insight: Balance (*Yukta*) in habits, especially sleep and diet, is essential to steady the mind from hyperactivity."
"ADHD","","inattention; hyperactivity; impulsivity; difficulty focusing; forgetfulness [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.00-314.01], Behavioral therapy; Parent training; Social skills training; Executive function coaching; Medication management","Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate: 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg; short/long-acting formulations); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 2, V 41] Those who are on this path are resolute in purpose, and their aim is one. The intelligence of those who are irresolute is many-branched. Insight: Fight irresolution (scattered attention) by focusing on *one* primary goal or task at a time."
"ADHD","","inattention; hyperactivity; impulsivity; difficulty focusing; forgetfulness [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.00-314.01], Behavioral therapy; Parent training; Social skills training; Executive function coaching; Medication management","Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate: 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg; short/long-acting formulations); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 3, V 8] Perform your prescribed duty, for action is better than inaction. Insight: Channel hyperactivity and impulsivity into constructive, prescribed duties (work, study, chores) rather than letting the energy dissipate randomly."
"ADHD","","inattention; hyperactivity; impulsivity; difficulty focusing; forgetfulness [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.00-314.01], Behavioral therapy; Parent training; Social skills training; Executive function coaching; Medication management","Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate: 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg; short/long-acting formulations); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Adherence to strict routines and regulation (Yukta-ahara-viharasya) is the foundation for overcoming inattention and impulsivity."
"ADHD","","inattention; hyperactivity; impulsivity; difficulty focusing; forgetfulness [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.00-314.01], Behavioral therapy; Parent training; Social skills training; Executive function coaching; Medication management","Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate: 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg; short/long-acting formulations); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 18, V 9] All prescribed duties should be performed without attachment to the results. Insight: Detach from the immediate gratification of hyperfocus (impulsivity) and do the necessary, even if less interesting, duty."
"ADHD","","inattention; hyperactivity; impulsivity; difficulty focusing; forgetfulness [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.00-314.01], Behavioral therapy; Parent training; Social skills training; Executive function coaching; Medication management","Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate: 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg; short/long-acting formulations); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 1, V 47] Arjuna threw aside his bow and arrows and sat down on the chariot. Insight: Recognize the moments of overwhelm/inattention (throwing aside work) and use them as a cue to take a brief, restorative pause."
"ADHD","","inattention; hyperactivity; impulsivity; difficulty focusing; forgetfulness [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.00-314.01], Behavioral therapy; Parent training; Social skills training; Executive function coaching; Medication management","Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate: 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg; short/long-acting formulations); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 15, V 7] The living entities in this conditioned world are My eternal fragmental parts. Insight: Recognize your intrinsic worth is not tied to your productivity or focus. You are a valuable 'fragmental part' regardless of performance."
"ADHD","","inattention; hyperactivity; impulsivity; difficulty focusing; forgetfulness [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.00-314.01], Behavioral therapy; Parent training; Social skills training; Executive function coaching; Medication management","Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate: 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg; short/long-acting formulations); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: The hyperactivity (restless mind) is curbed by consistent practice (Abhyasa) of focus and detachment (Vairagya) from distraction."
"ADHD","","inattention; hyperactivity; impulsivity; difficulty focusing; forgetfulness [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.00-314.01], Behavioral therapy; Parent training; Social skills training; Executive function coaching; Medication management","Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate: 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg; short/long-acting formulations); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 18, V 40] There is no being existing... which is freed from the three modes of nature. Insight: Accept that some inattention/impulsivity is simply the nature (mode) of the mind; focus on mitigating, not eradicating, the symptoms."
"ADHD","","inattention; hyperactivity; impulsivity; difficulty focusing; forgetfulness [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.00-314.01], Behavioral therapy; Parent training; Social skills training; Executive function coaching; Medication management","Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate: 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg; short/long-acting formulations); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 4, V 33] The sacrifice performed in knowledge is better than the mere sacrifice of material possessions. Insight: Channel the energy (material possession) into a dedicated focus (knowledge/study) to make the action truly purifying."
"ADHD","","inattention; hyperactivity; impulsivity; difficulty focusing; forgetfulness [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.00-314.01], Behavioral therapy; Parent training; Social skills training; Executive function coaching; Medication management","Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate: 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg; short/long-acting formulations); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 10, V 4] Intelligence, knowledge, freedom from doubt and delusion... all these various qualities of living beings are created by Me alone. Insight: Your intelligence (Buddhi) is divinely created. Use it to choose focused action over distraction."
"ADHD","","inattention; hyperactivity; impulsivity; difficulty focusing; forgetfulness [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.00-314.01], Behavioral therapy; Parent training; Social skills training; Executive function coaching; Medication management","Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate: 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg; short/long-acting formulations); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 3, V 8] Perform your prescribed duty, for action is better than inaction. Insight: Channel the restless energy (hyperactivity) into productive, prescribed duties (Dharma) instead of letting it scatter into distraction."
"ADHD","","inattention; hyperactivity; impulsivity; difficulty focusing; forgetfulness [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.00-314.01], Behavioral therapy; Parent training; Social skills training; Executive function coaching; Medication management","Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate: 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg; short/long-acting formulations); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: The distracted mind is curbed by consistent practice (Abhyasa) of focus techniques and detachment (Vairagya) from the desire for novelty."
"Adjustment Disorder","stressful life event; symptoms develop within 3 months; distress; impaired functioning [ICD-10: F43.2, ICD-11: 6B43, DSM-5: 309.24-309.9]","Short-term counseling (CBT - 6-12 sessions); Crisis intervention; Support groups; Stress management; Psychoeducation","None Typically; Anxiolytics (short-term) - Clonazepam 0.5mg (Rx - Clonapax, Epitril)","Clonazepam (short-term): 0.25-0.5mg twice daily (max 2 weeks; taper to discontinue)","[Gita, Ch 2, V 40] In this endeavor there is no loss or diminution, and a little advancement can protect one from the most dangerous type of fear. Insight: Acknowledge the current loss/diminution due to the event, but trust that effort (even small steps of adjustment) are never wasted."
"Adjustment Disorder","stressful life event; symptoms develop within 3 months; distress; impaired functioning [ICD-10: F43.2, ICD-11: 6B43, DSM-5: 309.24-309.9]","Short-term counseling (CBT - 6-12 sessions); Crisis intervention; Support groups; Stress management; Psychoeducation","None Typically; Anxiolytics (short-term) - Clonazepam 0.5mg (Rx - Clonapax, Epitril)","Clonazepam (short-term): 0.25-0.5mg twice daily (max 2 weeks; taper to discontinue)","[Gita, Ch 2, V 14] Happiness and distress come and go like winter and summer seasons. Insight: The stressful event is a 'season' of distress; it will not last. Tolerate (Titiksha) the discomfort until the season changes."
"Adjustment Disorder","stressful life event; symptoms develop within 3 months; distress; impaired functioning [ICD-10: F43.2, ICD-11: 6B43, DSM-5: 309.24-309.9]","Short-term counseling (CBT - 6-12 sessions); Crisis intervention; Support groups; Stress management; Psychoeducation","None Typically; Anxiolytics (short-term) - Clonazepam 0.5mg (Rx - Clonapax, Epitril)","Clonazepam (short-term): 0.25-0.5mg twice daily (max 2 weeks; taper to discontinue)","[Gita, Ch 18, V 63] Deliberate on this fully, and then do what you wish to do. Insight: Use the intelligence (Buddhi) gained in counseling to choose the appropriate path forward after the crisis."
"Adjustment Disorder","stressful life event; symptoms develop within 3 months; distress; impaired functioning [ICD-10: F43.2, ICD-11: 6B43, DSM-5: 309.24-309.9]","Short-term counseling (CBT - 6-12 sessions); Crisis intervention; Support groups; Stress management; Psychoeducation","None Typically; Anxiolytics (short-term) - Clonazepam 0.5mg (Rx - Clonapax, Epitril)","Clonazepam (short-term): 0.25-0.5mg twice daily (max 2 weeks; taper to discontinue)","[Gita, Ch 1, V 30] Arjuna’s bow was slipping from his hand, and his skin was burning. Insight: Normalize the physical and emotional overwhelm that occurs in response to major life stress."
"Adjustment Disorder","stressful life event; symptoms develop within 3 months; distress; impaired functioning [ICD-10: F43.2, ICD-11: 6B43, DSM-5: 309.24-309.9]","Short-term counseling (CBT - 6-12 sessions); Crisis intervention; Support groups; Stress management; Psychoeducation","None Typically; Anxiolytics (short-term) - Clonazepam 0.5mg (Rx - Clonapax, Epitril)","Clonazepam (short-term): 0.25-0.5mg twice daily (max 2 weeks; taper to discontinue)","[Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries. Insight: Aim for mental equilibrium (Sthita-prajna). The stressful event is a misery; return to the center through deep breathing and grounding practices."
"Adjustment Disorder","stressful life event; symptoms develop within 3 months; distress; impaired functioning [ICD-10: F43.2, ICD-11: 6B43, DSM-5: 309.24-309.9]","Short-term counseling (CBT - 6-12 sessions); Crisis intervention; Support groups; Stress management; Psychoeducation","None Typically; Anxiolytics (short-term) - Clonazepam 0.5mg (Rx - Clonapax, Epitril)","Clonazepam (short-term): 0.25-0.5mg twice daily (max 2 weeks; taper to discontinue)","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Focus on performing your essential daily duties (Svadharma) imperfectly during the crisis, rather than being paralyzed by the stress."
"Adjustment Disorder","stressful life event; symptoms develop within 3 months; distress; impaired functioning [ICD-10: F43.2, ICD-11: 6B43, DSM-5: 309.24-309.9]","Short-term counseling (CBT - 6-12 sessions); Crisis intervention; Support groups; Stress management; Psychoeducation","None Typically; Anxiolytics (short-term) - Clonazepam 0.5mg (Rx - Clonapax, Epitril)","Clonazepam (short-term): 0.25-0.5mg twice daily (max 2 weeks; taper to discontinue)","[Gita, Ch 4, V 14] There is no work that affects Me. Nor do I aspire for the fruits of action. Insight: Detach from the overwhelming magnitude of the stressful event (the fruit) and focus on the immediate, small action (the work)."
"Adjustment Disorder","stressful life event; symptoms develop within 3 months; distress; impaired functioning [ICD-10: F43.2, ICD-11: 6B43, DSM-5: 309.24-309.9]","Short-term counseling (CBT - 6-12 sessions); Crisis intervention; Support groups; Stress management; Psychoeducation","None Typically; Anxiolytics (short-term) - Clonazepam 0.5mg (Rx - Clonapax, Epitril)","Clonazepam (short-term): 0.25-0.5mg twice daily (max 2 weeks; taper to discontinue)","[Gita, Ch 14, V 22] He neither hates illumination, attachment, or delusion when they are present, nor longs for them when they disappear. Insight: Accept the symptoms (distress, confusion) without hating them or trying to force them away. This non-reaction facilitates healing."
"Adjustment Disorder","stressful life event; symptoms develop within 3 months; distress; impaired functioning [ICD-10: F43.2, ICD-11: 6B43, DSM-5: 309.24-309.9]","Short-term counseling (CBT - 6-12 sessions); Crisis intervention; Support groups; Stress management; Psychoeducation","None Typically; Anxiolytics (short-term) - Clonazepam 0.5mg (Rx - Clonapax, Epitril)","Clonazepam (short-term): 0.25-0.5mg twice daily (max 2 weeks; taper to discontinue)","[Gita, Ch 10, V 11] To show them special mercy, I destroy the darkness born of ignorance. Insight: Trust that the current confusion (darkness) caused by the event will eventually be overcome by knowledge and guidance."
"Adjustment Disorder","stressful life event; symptoms develop within 3 months; distress; impaired functioning [ICD-10: F43.2, ICD-11: 6B43, DSM-5: 309.24-309.9]","Short-term counseling (CBT - 6-12 sessions); Crisis intervention; Support groups; Stress management; Psychoeducation","None Typically; Anxiolytics (short-term) - Clonazepam 0.5mg (Rx - Clonapax, Epitril)","Clonazepam (short-term): 0.25-0.5mg twice daily (max 2 weeks; taper to discontinue)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Practice equanimity (Samatvam) regarding the outcome of the stressful event; focus on the immediate, necessary duties."
"Adjustment Disorder","stressful life event; symptoms develop within 3 months; distress; impaired functioning [ICD-10: F43.2, ICD-11: 6B43, DSM-5: 309.24-309.9]","Short-term counseling (CBT - 6-12 sessions); Crisis intervention; Support groups; Stress management; Psychoeducation","None Typically; Anxiolytics (short-term) - Clonazepam 0.5mg (Rx - Clonapax, Epitril)","Clonazepam (short-term): 0.25-0.5mg twice daily (max 2 weeks; taper to discontinue)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Self-compassion and kindness to yourself are essential during adjustment, rather than judgment or self-blame."
"Adjustment Disorder","stressful life event; symptoms develop within 3 months; distress; impaired functioning [ICD-10: F43.2, ICD-11: 6B43, DSM-5: 309.24-309.9]","Short-term counseling (CBT - 6-12 sessions); Crisis intervention; Support groups; Stress management; Psychoeducation","None Typically; Anxiolytics (short-term) - Clonazepam 0.5mg (Rx - Clonapax, Epitril)","Clonazepam (short-term): 0.25-0.5mg twice daily (max 2 weeks; taper to discontinue)","[Gita, Ch 5, V 22] A sensible person does not take part in the sources of misery, which are due to contact with the material senses. Insight: Use intelligence (Buddhi) to avoid engaging with the misery (stressful situation) beyond what is necessary for resolution."
"Adjustment Disorder","stressful life event; symptoms develop within 3 months; distress; impaired functioning [ICD-10: F43.2, ICD-11: 6B43, DSM-5: 309.24-309.9]","Short-term counseling (CBT - 6-12 sessions); Crisis intervention; Support groups; Stress management; Psychoeducation","None Typically; Anxiolytics (short-term) - Clonazepam 0.5mg (Rx - Clonapax, Epitril)","Clonazepam (short-term): 0.25-0.5mg twice daily (max 2 weeks; taper to discontinue)","[Gita, Ch 6, V 25] Gradually, step by step, one should become situated in trance by means of intelligence sustained by conviction. Insight: Adjustment is a gradual (step-by-step) process. Sustain conviction (Shraddha) in the healing journey."
"Adjustment Disorder with Anxiety (severe)","significant distress/anxiety in response to stressor; develops within 3 months; fear/worry; impaired functioning [ICD-10: F43.22, ICD-11: 6B43, DSM-5: 309.24]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Crisis intervention; Stress management; Support groups; Short-term medication","Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term); Lorazepam 1mg (Rx - Ativan, Lorazep, Calmese - short-term)","Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue); Lorazepam: 0.5-2mg as needed (short-term only, max 2 weeks; taper to discontinue)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Practice equanimity (Samatvam) regarding the outcome of the stressful event; focus on the immediate, necessary duties (Dharma)."
"Adjustment Disorder with Anxiety (severe)","significant distress/anxiety in response to stressor; develops within 3 months; fear/worry; impaired functioning [ICD-10: F43.22, ICD-11: 6B43, DSM-5: 309.24]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Crisis intervention; Stress management; Support groups; Short-term medication","Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term); Lorazepam 1mg (Rx - Ativan, Lorazep, Calmese - short-term)","Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue); Lorazepam: 0.5-2mg as needed (short-term only, max 2 weeks; taper to discontinue)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... one must learn to tolerate them without being disturbed. Insight: The stressful event is a temporary distress. Tolerate (Titiksha) the feeling, knowing the season will pass."
"Adjustment Disorder with Anxiety (severe)","significant distress/anxiety in response to stressor; develops within 3 months; fear/worry; impaired functioning [ICD-10: F43.22, ICD-11: 6B43, DSM-5: 309.24]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Crisis intervention; Stress management; Support groups; Short-term medication","Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term); Lorazepam 1mg (Rx - Ativan, Lorazep, Calmese - short-term)","Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue); Lorazepam: 0.5-2mg as needed (short-term only, max 2 weeks; taper to discontinue)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Curb the worried mind (restless) through consistent coping practice (Abhyasa) and detachment (Vairagya) from the crisis outcome."
"Adjustment Disorder with Anxiety (severe)","significant distress/anxiety in response to stressor; develops within 3 months; fear/worry; impaired functioning [ICD-10: F43.22, ICD-11: 6B43, DSM-5: 309.24]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Crisis intervention; Stress management; Support groups; Short-term medication","Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term); Lorazepam 1mg (Rx - Ativan, Lorazep, Calmese - short-term)","Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue); Lorazepam: 0.5-2mg as needed (short-term only, max 2 weeks; taper to discontinue)","[Gita, Ch 18, V 66] Abandon all varieties of religion and just surrender unto Me. Insight: Surrender the fight for control over the crisis, trusting in a larger, guiding order to help manage the situation."
"Anorexia Nervosa","extreme restrictive eating; low body weight; fear of gaining weight; distorted body image [ICD-10: F50.0, ICD-11: 6B80.Z, DSM-5: 307.1]","Nutritional rehabilitation (weight restoration); Family-Based Therapy (FBT) for adolescents - 12-20 sessions; Cognitive Behavioral Therapy (CBT-E) - 40 sessions over 5-6 months; Medical monitoring; Individual therapy; Medication for comorbid anxiety/depression","None Typically; Olanzapine 5mg (Rx - Olanex, Oferta, Oladay - for weight gain/anxiety); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak - after weight restoration for relapse prevention)","Olanzapine (off-label): 2.5-10mg daily (initial 2.5mg, increase slowly; max 10mg; monitor weight/blood sugar); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Healing from anorexia requires establishing *Yukta* (regulated) habits in eating and body movement, moving away from the extreme restriction that characterizes the disorder. Consistency and balance are key."
"Anorexia Nervosa","extreme restrictive eating; low body weight; fear of gaining weight; distorted body image [ICD-10: F50.0, ICD-11: 6B80.Z, DSM-5: 307.1]","Nutritional rehabilitation (weight restoration); Family-Based Therapy (FBT) for adolescents - 12-20 sessions; Cognitive Behavioral Therapy (CBT-E) - 40 sessions over 5-6 months; Medical monitoring; Individual therapy; Medication for comorbid anxiety/depression","None Typically; Olanzapine 5mg (Rx - Olanex, Oferta, Oladay - for weight gain/anxiety); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak - after weight restoration for relapse prevention)","Olanzapine (off-label): 2.5-10mg daily (initial 2.5mg, increase slowly; max 10mg; monitor weight/blood sugar); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 13, V 6] The body is composed of the five great elements, false ego, intelligence... Insight: The body is merely a temporary composite of elements. The intense focus on and distorted image of the body is due to false ego (Ahankara) identifying too strongly with this temporary vessel. Detach from the false ego and see the body as an instrument, not an identity."
"Anorexia Nervosa","extreme restrictive eating; low body weight; fear of gaining weight; distorted body image [ICD-10: F50.0, ICD-11: 6B80.Z, DSM-5: 307.1]","Nutritional rehabilitation (weight restoration); Family-Based Therapy (FBT) for adolescents - 12-20 sessions; Cognitive Behavioral Therapy (CBT-E) - 40 sessions over 5-6 months; Medical monitoring; Individual therapy; Medication for comorbid anxiety/depression","None Typically; Olanzapine 5mg (Rx - Olanex, Oferta, Oladay - for weight gain/anxiety); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak - after weight restoration for relapse prevention)","Olanzapine (off-label): 2.5-10mg daily (initial 2.5mg, increase slowly; max 10mg; monitor weight/blood sugar); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 5, V 29] Knowing Me as the ultimate recipient... and the benefactor and well-wisher of all living entities, the peace from the pangs of material miseries is achieved. Insight: Trust in a benevolent cosmic order (the ultimate Well-wisher) can help reduce the need for self-starvation as a desperate form of control. Surrendering the need for absolute control over the body can bring a measure of peace."
"Anorexia Nervosa","extreme restrictive eating; low body weight; fear of gaining weight; distorted body image [ICD-10: F50.0, ICD-11: 6B80.Z, DSM-5: 307.1]","Nutritional rehabilitation (weight restoration); Family-Based Therapy (FBT) for adolescents - 12-20 sessions; Cognitive Behavioral Therapy (CBT-E) - 40 sessions over 5-6 months; Medical monitoring; Individual therapy; Medication for comorbid anxiety/depression","None Typically; Olanzapine 5mg (Rx - Olanex, Oferta, Oladay - for weight gain/anxiety); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak - after weight restoration for relapse prevention)","Olanzapine (off-label): 2.5-10mg daily (initial 2.5mg, increase slowly; max 10mg; monitor weight/blood sugar); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 17, V 14] Austerity of the body consists in worship... and non-violence. Insight: Extreme restriction and purging are forms of self-violence. The true practice of bodily austerity is non-violence (Ahimsa) and compassionate self-care—nourishing the body as an act of worship and respect for the instrument that houses the Self."
"Anorexia Nervosa","extreme restrictive eating; low body weight; fear of gaining weight; distorted body image [ICD-10: F50.0, ICD-11: 6B80.Z, DSM-5: 307.1]","Nutritional rehabilitation (weight restoration); Family-Based Therapy (FBT) for adolescents - 12-20 sessions; Cognitive Behavioral Therapy (CBT-E) - 40 sessions; Medical monitoring; Medication for comorbid anxiety/depression","None Typically; Olanzapine 5mg (Rx - Olanex, Oferta, Oladay - for weight gain/anxiety)","Olanzapine (off-label): 2.5-10mg daily (initial 2.5mg, increase slowly; max 10mg; monitor weight/blood sugar)","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Healing requires *Yukta* (regulated) habits in eating and body movement, not extreme restriction."
"Anorexia Nervosa","extreme restrictive eating; low body weight; fear of gaining weight; distorted body image [ICD-10: F50.0, ICD-11: 6B80.Z, DSM-5: 307.1]","Nutritional rehabilitation (weight restoration); Family-Based Therapy (FBT) for adolescents - 12-20 sessions; Cognitive Behavioral Therapy (CBT-E) - 40 sessions; Medical monitoring; Medication for comorbid anxiety/depression","None Typically; Olanzapine 5mg (Rx - Olanex, Oferta, Oladay - for weight gain/anxiety)","Olanzapine (off-label): 2.5-10mg daily (initial 2.5mg, increase slowly; max 10mg; monitor weight/blood sugar)","[Gita, Ch 13, V 6] The body is composed of the five great elements, false ego, intelligence... Insight: The body is merely a composite of elements. The distorted image is due to false ego (Ahankara). Detach from the false ego."
"Anorexia Nervosa","extreme restrictive eating; low body weight; fear of gaining weight; distorted body image [ICD-10: F50.0, ICD-11: 6B80.Z, DSM-5: 307.1]","Nutritional rehabilitation (weight restoration); Family-Based Therapy (FBT) for adolescents - 12-20 sessions; Cognitive Behavioral Therapy (CBT-E) - 40 sessions; Medical monitoring; Medication for comorbid anxiety/depression","None Typically; Olanzapine 5mg (Rx - Olanex, Oferta, Oladay - for weight gain/anxiety)","Olanzapine (off-label): 2.5-10mg daily (initial 2.5mg, increase slowly; max 10mg; monitor weight/blood sugar)","[Gita, Ch 5, V 29] Knowing Me as the ultimate recipient... and the benefactor and well-wisher of all living entities, the peace from the pangs of material miseries is achieved. Insight: Trust in a benevolent cosmic order (Well-wisher) to reduce the need for self-starvation as a form of control."
"Anorexia Nervosa","extreme restrictive eating; low body weight; fear of gaining weight; distorted body image [ICD-10: F50.0, ICD-11: 6B80.Z, DSM-5: 307.1]","Nutritional rehabilitation (weight restoration); Family-Based Therapy (FBT) for adolescents - 12-20 sessions; Cognitive Behavioral Therapy (CBT-E) - 40 sessions; Medical monitoring; Medication for comorbid anxiety/depression","None Typically; Olanzapine 5mg (Rx - Olanex, Oferta, Oladay - for weight gain/anxiety)","Olanzapine (off-label): 2.5-10mg daily (initial 2.5mg, increase slowly; max 10mg; monitor weight/blood sugar)","[Gita, Ch 17, V 14] Austerity of the body consists in worship... and non-violence. Insight: Extreme restriction is self-violence. The practice is non-violence (Ahimsa) and compassionate self-care toward the body."
"Antisocial Personality Disorder","disregard for others' rights; lack of remorse; manipulation; impulsivity; deceitfulness [ICD-10: F60.2, ICD-11: 6D11.0, DSM-5: 301.7]","Cognitive Behavioral Therapy (CBT) - long-term; Group therapy; Therapeutic community; Mentalization-Based Treatment (MBT); Medication for aggression/impulsivity","None Typically; Valproate 500mg (Rx - Valparin, Encorate, Valance - for aggression); Mood stabilizers","Valproate (if needed): 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 16, V 7] Demoniac persons do not know what is to be done and what is not to be done. Neither cleanliness nor proper behavior nor truth is found in them. Insight: Antisocial behavior is a failure to recognize moral duty (Dharma) and truth (Satya)."
"Antisocial Personality Disorder","disregard for others' rights; lack of remorse; manipulation; impulsivity; deceitfulness [ICD-10: F60.2, ICD-11: 6D11.0, DSM-5: 301.7]","Cognitive Behavioral Therapy (CBT) - long-term; Group therapy; Therapeutic community; Mentalization-Based Treatment (MBT); Medication for aggression/impulsivity","None Typically; Valproate 500mg (Rx - Valparin, Encorate, Valance - for aggression); Mood stabilizers","Valproate (if needed): 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 18, V 31] That intelligence which cannot distinguish between religion and irreligion, action and forbidden action, is in the mode of passion. Insight: Manipulation and disregard for others is Rajasic (passionate) intelligence; the goal is to develop Sattvic (goodness) intelligence (Buddhi) to distinguish right from wrong."
"Antisocial Personality Disorder","disregard for others' rights; lack of remorse; manipulation; impulsivity; deceitfulness [ICD-10: F60.2, ICD-11: 6D11.0, DSM-5: 301.7]","Cognitive Behavioral Therapy (CBT) - long-term; Group therapy; Therapeutic community; Mentalization-Based Treatment (MBT); Medication for aggression/impulsivity","None Typically; Valproate 500mg (Rx - Valparin, Encorate, Valance - for aggression); Mood stabilizers","Valproate (if needed): 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 3, V 37] It is lust only, which is born of contact with the material mode of passion and later transformed into wrath. Insight: Antisocial behavior is often rooted in the unfulfilled desire (lust/Kama) for control or gratification."
"Antisocial Personality Disorder","disregard for others' rights; lack of remorse; manipulation; impulsivity; deceitfulness [ICD-10: F60.2, ICD-11: 6D11.0, DSM-5: 301.7]","Cognitive Behavioral Therapy (CBT) - long-term; Group therapy; Therapeutic community; Mentalization-Based Treatment (MBT); Medication for aggression/impulsivity","None Typically; Valproate 500mg (Rx - Valparin, Encorate, Valance - for aggression); Mood stabilizers","Valproate (if needed): 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 17, V 14] Austerity of the body consists in worship of the Supreme Lord... and cleanliness, simplicity, and non-violence. Insight: Non-violence (Ahimsa) and truthfulness (Satya) are foundational disciplines (Tapas) that must be cultivated to counter aggressive tendencies."
"Antisocial Personality Disorder","disregard for others' rights; lack of remorse; manipulation; impulsivity; deceitfulness [ICD-10: F60.2, ICD-11: 6D11.0, DSM-5: 301.7]","Cognitive Behavioral Therapy (CBT) - long-term; Group therapy; Therapeutic community; Mentalization-Based Treatment (MBT); Medication for aggression/impulsivity","None Typically; Valproate 500mg (Rx - Valparin, Encorate, Valance - for aggression); Mood stabilizers","Valproate (if needed): 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 5, V 29] Knowing Me as the ultimate recipient... and the benefactor and well-wisher of all living entities, the peace from the pangs of material miseries is achieved. Insight: Practice 'wishing well' to all (Benevolence) to overcome the lack of empathy and remorse."
"Antisocial Personality Disorder","disregard for others' rights; lack of remorse; manipulation; impulsivity; deceitfulness [ICD-10: F60.2, ICD-11: 6D11.0, DSM-5: 301.7]","Cognitive Behavioral Therapy (CBT) - long-term; Group therapy; Therapeutic community; Mentalization-Based Treatment (MBT); Medication for aggression/impulsivity","None Typically; Valproate 500mg (Rx - Valparin, Encorate, Valance - for aggression); Mood stabilizers","Valproate (if needed): 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 1, V 40] With the destruction of the dynasty, the eternal family tradition is lost. Insight: Recognizing that destructive acts eventually harm the self and the social structure that sustains one."
"Antisocial Personality Disorder","disregard for others' rights; lack of remorse; manipulation; impulsivity; deceitfulness [ICD-10: F60.2, ICD-11: 6D11.0, DSM-5: 301.7]","Cognitive Behavioral Therapy (CBT) - long-term; Group therapy; Therapeutic community; Mentalization-Based Treatment (MBT); Medication for aggression/impulsivity","None Typically; Valproate 500mg (Rx - Valparin, Encorate, Valance - for aggression); Mood stabilizers","Valproate (if needed): 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 18, V 42] The qualities of serenity, self-control, austerity, purity, tolerance, honesty, knowledge, and religiousness—these are the qualities of work for the brahmanas, born of their own nature. Insight: Cultivate honesty (Arjavam) and self-control (Dama) as fundamental moral duties (Dharma)."
"Antisocial Personality Disorder","disregard for others' rights; lack of remorse; manipulation; impulsivity; deceitfulness [ICD-10: F60.2, ICD-11: 6D11.0, DSM-5: 301.7]","Cognitive Behavioral Therapy (CBT) - long-term; Group therapy; Therapeutic community; Mentalization-Based Treatment (MBT); Medication for aggression/impulsivity","None Typically; Valproate 500mg (Rx - Valparin, Encorate, Valance - for aggression); Mood stabilizers","Valproate (if needed): 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 16, V 23] He who discards scriptural injunctions and acts according to his own whims attains neither perfection nor happiness nor the supreme destination. Insight: Discarding moral injunctions (deceitfulness, manipulation) leads to misery. Adhere to strict moral boundaries."
"Antisocial Personality Disorder","disregard for others' rights; lack of remorse; manipulation; impulsivity; deceitfulness [ICD-10: F60.2, ICD-11: 6D11.0, DSM-5: 301.7]","Cognitive Behavioral Therapy (CBT) - long-term; Group therapy; Therapeutic community; Mentalization-Based Treatment (MBT); Medication for aggression/impulsivity","None Typically; Valproate 500mg (Rx - Valparin, Encorate, Valance - for aggression); Mood stabilizers","Valproate (if needed): 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 17, V 15] Austerity of speech consists in speaking words that are truthful, pleasing, beneficial, and not agitating to others. Insight: Practice truthful (Satya) and non-agitating (Anudvega-karam) speech to overcome deceit and harshness."
"Antisocial Personality Disorder","disregard for others' rights; lack of remorse; manipulation; impulsivity; deceitfulness [ICD-10: F60.2, ICD-11: 6D11.0, DSM-5: 301.7]","Cognitive Behavioral Therapy (CBT) - long-term; Group therapy; Therapeutic community; Mentalization-Based Treatment (MBT); Medication for aggression/impulsivity","None Typically; Valproate 500mg (Rx - Valparin, Encorate, Valance - for aggression); Mood stabilizers","Valproate (if needed): 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 1, V 40] With the destruction of the dynasty, the eternal family tradition is lost. Insight: Recognizing the inevitable self-destruction (loss) that results from continuous harm to others/society."
"Antisocial Personality Disorder","disregard for others' rights; lack of remorse; manipulation; impulsivity; deceitfulness [ICD-10: F60.2, ICD-11: 6D11.0, DSM-5: 301.7]","Cognitive Behavioral Therapy (CBT) - long-term; Group therapy; Therapeutic community; Mentalization-Based Treatment (MBT); Medication for aggression/impulsivity","None Typically; Valproate 500mg (Rx - Valparin, Encorate, Valance - for aggression); Mood stabilizers","Valproate (if needed): 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 16, V 7] Demoniac persons do not know what is to be done and what is not to be done. Neither cleanliness nor proper behavior nor truth is found in them. Insight: The entire focus is on teaching proper behavior (Achara) and truth (Satya), which the anti-social mind rejects."
"Antisocial Personality Disorder","disregard for others' rights; lack of remorse; manipulation; impulsivity; deceitfulness [ICD-10: F60.2, ICD-11: 6D11.0, DSM-5: 301.7]","Cognitive Behavioral Therapy (CBT) - long-term; Group therapy; Therapeutic community; Mentalization-Based Treatment (MBT); Medication for aggression/impulsivity","None Typically; Valproate 500mg (Rx - Valparin, Encorate, Valance - for aggression); Mood stabilizers","Valproate (if needed): 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Cultivate *Maitri* (unconditional kindness/friendship) and *Karuna* (compassion), the direct opposite of disregard and lack of remorse."
"Antisocial Personality Disorder","disregard for others' rights; lack of remorse; manipulation; impulsivity; deceitfulness [ICD-10: F60.2, ICD-11: 6D11.0, DSM-5: 301.7]","Cognitive Behavioral Therapy (CBT) - long-term; Group therapy; Therapeutic community; Mentalization-Based Treatment (MBT); Medication for aggression/impulsivity","None Typically; Valproate 500mg (Rx - Valparin, Encorate, Valance - for aggression); Mood stabilizers","Valproate (if needed): 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 3, V 37] It is lust only... which is the all-devouring sinful enemy of this world. Insight: Impulsive, manipulative acts are driven by insatiable lust (Kama). Develop emotional regulation to stop the impulse."
"Antisocial Personality Disorder","disregard for others' rights; lack of remorse; manipulation; impulsivity; deceitfulness [ICD-10: F60.2, ICD-11: 6D11.0, DSM-5: 301.7]","Cognitive Behavioral Therapy (CBT) - long-term; Group therapy; Therapeutic community; Mentalization-Based Treatment (MBT); Medication for aggression/impulsivity","None Typically; Valproate 500mg (Rx - Valparin, Encorate, Valance - for aggression); Mood stabilizers","Valproate (if needed): 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 18, V 31] That intelligence which cannot distinguish between religion and irreligion, action and forbidden action, is in the mode of passion. Insight: Manipulation is Rajasic (passionate) intelligence. Cultivate Sattvic (goodness) intelligence to clearly distinguish right from wrong."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 2, V 40] In this endeavor there is no loss or diminution, and a little advancement can protect one from the most dangerous type of fear. Insight: Even small steps towards calmness or spirituality protect you from great fear."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 6, V 34] The mind is restless, turbulent, obstinate and very strong, O Krishna. Insight: Acknowledge that a restless mind is natural. Don't judge yourself for feeling anxious, but prepare to manage it."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Consistent practice (Abhyasa) of mindfulness and non-attachment (Vairagya) can steady the anxious mind."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries. Insight: Aim for mental equilibrium (Sthita-prajna). Anxiety is a disturbance; return to the center through breath."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 5, V 29] Knowing Me as the ultimate recipient of all sacrifices and austerities, the Supreme Lord of all planets and demigods, and the benefactor and well-wisher of all living entities, the peace from the pangs of material miseries is achieved. Insight: Trust in a benevolent cosmic order releases the personal burden of controlling every outcome."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 18, V 61] The Supreme Lord is situated in everyone's heart...directing the wanderings of all living entities. Insight: You are not in control of everything, but you are not alone. There is divine guidance within."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 4, V 14] There is no work that affects Me. Nor do I aspire for the fruits of action. Insight: Practice non-attachment (Naishkarmya) to the results of your actions. This is the root of freedom from worry."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 3, V 37] It is lust only, which is born of contact with the material mode of passion and later transformed into wrath, and which is the all-devouring sinful enemy of this world. Insight: Anxiety often stems from the passionate desire (Kama) for a specific outcome. Release the desire."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 14, V 6] The mode of goodness, being purer than the others, is illuminating and healthy. Insight: Anxiety is fueled by the mode of Passion (Rajas). Cultivating goodness (Sattva) through peaceful habits calms the mind."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 11, V 23] When I see your many forms, with eyes and mouths, arms and legs, I am greatly fearful. Insight: Acknowledging that overwhelming reality (like the universal form) can cause intense fear (Vibhisha). This normalizes the feeling of being overwhelmed."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 17, V 14] Austerity of the body consists in worship of the Supreme Lord, the brahmanas, the spiritual master, and superiors like the father and mother, and cleanliness, simplicity, and non-violence. Insight: Simple acts of physical and mental purity and reverence (Tapas) reduce stress and anxiety."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 7, V 14] This divine energy of Mine, consisting of the three modes of material nature, is difficult to overcome. But those who have surrendered unto Me can easily cross beyond it. Insight: Surrendering the constant battle to control the mind and its modes brings immediate relief."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 10, V 8] I am the source of all spiritual and material worlds. Everything emanates from Me. Insight: Recognizing a single source for everything simplifies reality and reduces anxiety about complexity."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 8, V 6] Whatever state of being one remembers when he quits his body, O son of Kunti, that state he will attain without fail. Insight: Your current state of mind (Anxiety) shapes your future experience. Practice calm now to ensure calm later."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 13, V 23] The enjoyer, is the maintainer and transcendental controller, and He is called the Supersoul. Insight: There is an inner controller (Supersoul/Witness) that is never anxious; find refuge there."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 16, V 21] There are three gates leading to this hell—lust, anger and greed. Insight: Identify the desire/greed fueling your anxious fear and cut it off at the root."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 2, V 41] Those who are on this path are resolute in purpose, and their aim is one. Insight: Anxiety (scattered thoughts) is the opposite of resolute purpose. Focus on a single, steady aim (e.g., the breath) to quell the restlessness."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Strict regulation (Yukta) and routine stabilize the physical body, reducing the physiological triggers for anxiety."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 5, V 23] If one is able to tolerate the urges of the material senses and check the force of desire and anger, he is a yogi and is happy in this world. Insight: Anxiety is the 'urge' to worry/flee. Tolerating this urge without reacting makes one happy and stable (a Yogi)."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 18, V 58] By My grace, you will pass over all the obstacles of conditioned life. Insight: Surrender the battle of anxiety to a higher power, focusing only on the immediate duty. This trust bypasses the obstacles."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 6, V 34] The mind is restless, turbulent, obstinate and very strong. Insight: Acceptance that the mind is restless (Chanchalam) is the first step. Gently return it to the breath/center (Abhyasa) rather than fighting it."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 5, V 29] Knowing Me as the ultimate recipient... and the benefactor and well-wisher of all living entities, the peace from the pangs of material miseries is achieved. Insight: Trust in a benevolent cosmic order (Well-wisher) to reduce the underlying fear that drives anxiety."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Focus on performing your essential duties imperfectly, rather than letting anxiety paralyze you into inaction."
"Anxiety","worry; restlessness; nervousness; panic; fear [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","","Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Cognitive Behavioral Therapy (CBT) with exposure; Deep Breathing Exercises (4-7-8 technique); Progressive Muscle Relaxation; Acceptance and Commitment Therapy (ACT); Biofeedback; Yoga therapy, Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use), Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue), [Gita, Ch 14, V 6] The mode of goodness (Sattva), being purer than the others, is illuminating and healthy. Insight: Anxiety is often Rajasic/Tamasic. Cultivate Sattva (goodness) through purity of thought and action to bring mental health."
"Attention-Deficit/Hyperactivity Disorder (ADHD, combined, severe)","","severe inattention; profound hyperactivity; high impulsivity; major functional impairment [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.01], Medication management; Behavioral therapy - 20-30 sessions; Parent training; Social skills training; Executive function coaching; Classroom accommodations; Cognitive Behavioral Therapy (CBT) - 12-16 sessions","Methylphenidate (long-acting) 10mg (Rx - Ritalin LA, Addwize OROS, Inspiral SR - Schedule X); Lisdexamfetamine 30mg (Rx - Vyvanse, Lisven, Vyanse - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate (LA): 10-60mg daily (initial 10mg, increase by 10mg weekly; max 60mg; long-acting formulation); Lisdexamfetamine: 30-70mg daily (initial 30mg, increase by 10-20mg weekly; max 70mg; Schedule X); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: The severe hyperactivity (restless mind) is curbed by consistent practice (Abhyasa) of focus techniques, medication compliance, and detachment (Vairagya) from impulsive urges."
"Attention-Deficit/Hyperactivity Disorder (ADHD, combined, severe)","","severe inattention; profound hyperactivity; high impulsivity; major functional impairment [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.01], Medication management; Behavioral therapy - 20-30 sessions; Parent training; Social skills training; Executive function coaching; Classroom accommodations; Cognitive Behavioral Therapy (CBT) - 12-16 sessions","Methylphenidate (long-acting) 10mg (Rx - Ritalin LA, Addwize OROS, Inspiral SR - Schedule X); Lisdexamfetamine 30mg (Rx - Vyvanse, Lisven, Vyanse - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate (LA): 10-60mg daily (initial 10mg, increase by 10mg weekly; max 60mg; long-acting formulation); Lisdexamfetamine: 30-70mg daily (initial 30mg, increase by 10-20mg weekly; max 70mg; Schedule X); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 18, V 40] There is no being existing... which is freed from the three modes of nature. Insight: Accept that severe ADHD symptoms are powerfully influenced by the modes of nature. Focus on mitigation through structured treatment, not eradication."
"Attention-Deficit/Hyperactivity Disorder (ADHD, combined, severe)","","severe inattention; profound hyperactivity; high impulsivity; major functional impairment [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.01], Medication management; Behavioral therapy - 20-30 sessions; Parent training; Social skills training; Executive function coaching; Classroom accommodations; Cognitive Behavioral Therapy (CBT) - 12-16 sessions","Methylphenidate (long-acting) 10mg (Rx - Ritalin LA, Addwize OROS, Inspiral SR - Schedule X); Lisdexamfetamine 30mg (Rx - Vyvanse, Lisven, Vyanse - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate (LA): 10-60mg daily (initial 10mg, increase by 10mg weekly; max 60mg; long-acting formulation); Lisdexamfetamine: 30-70mg daily (initial 30mg, increase by 10-20mg weekly; max 70mg; Schedule X); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 3, V 8] Perform your prescribed duty, for action is better than inaction. Insight: Channel the profound hyperactivity into prescribed, structured duties (therapy tasks, routines) rather than letting the energy dissipate chaotically."
"Attention-Deficit/Hyperactivity Disorder (ADHD, combined, severe)","","severe inattention; profound hyperactivity; high impulsivity; major functional impairment [ICD-10: F90.9, ICD-11: 6A05, DSM-5: 314.01], Medication management; Behavioral therapy - 20-30 sessions; Parent training; Social skills training; Executive function coaching; Classroom accommodations; Cognitive Behavioral Therapy (CBT) - 12-16 sessions","Methylphenidate (long-acting) 10mg (Rx - Ritalin LA, Addwize OROS, Inspiral SR - Schedule X); Lisdexamfetamine 30mg (Rx - Vyvanse, Lisven, Vyanse - Schedule X); Atomoxetine 40mg (Rx - Axepta, Tomox, Attentrol)","Methylphenidate (LA): 10-60mg daily (initial 10mg, increase by 10mg weekly; max 60mg; long-acting formulation); Lisdexamfetamine: 30-70mg daily (initial 30mg, increase by 10-20mg weekly; max 70mg; Schedule X); Atomoxetine: 40-100mg daily (initial 40mg, increase after 3 days to 80mg; max 100mg; take with food)","[Gita, Ch 4, V 33] The sacrifice performed in knowledge is better than the mere sacrifice of material possessions. Insight: Channel the intense energy into dedicated focus on learning (knowledge) to make the effort truly purifying and productive."
"Avoidant Personality Disorder","","social inhibition; inadequacy; hypersensitivity to criticism; avoidance of interaction [ICD-10: F60.6, ICD-11: 6D11.1, DSM-5: 301.82], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Group therapy; Psychodynamic therapy; Medication for comorbid anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Abandon attachment to social approval (success) and fear of criticism (failure); act simply based on duty."
"Avoidant Personality Disorder","","social inhibition; inadequacy; hypersensitivity to criticism; avoidance of interaction [ICD-10: F60.6, ICD-11: 6D11.1, DSM-5: 301.82], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Group therapy; Psychodynamic therapy; Medication for comorbid anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 12, V 18] One who is equal to friends and enemies, who is equipoised in honor and dishonor... is very dear to Me. Insight: Practice indifference to honor and dishonor; this neutralizes the hypersensitivity to criticism."
"Avoidant Personality Disorder","","social inhibition; inadequacy; hypersensitivity to criticism; avoidance of interaction [ICD-10: F60.6, ICD-11: 6D11.1, DSM-5: 301.82], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Group therapy; Psychodynamic therapy; Medication for comorbid anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 17, V 14] Austerity of the body consists in worship of the Supreme Lord... and cleanliness, simplicity, and non-violence. Insight: Simple physical acts of self-care (cleanliness, simplicity) build internal worth, reducing the feeling of inadequacy."
"Avoidant Personality Disorder","","social inhibition; inadequacy; hypersensitivity to criticism; avoidance of interaction [ICD-10: F60.6, ICD-11: 6D11.1, DSM-5: 301.82], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Group therapy; Psychodynamic therapy; Medication for comorbid anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 3, V 35] It is better to engage in one's own occupation, even though one may perform it imperfectly, than to accept another's occupation. Insight: Focus on your own 'dharma' (duty/contribution) and value it, rather than comparing and feeling inadequate."
"Avoidant Personality Disorder","","social inhibition; inadequacy; hypersensitivity to criticism; avoidance of interaction [ICD-10: F60.6, ICD-11: 6D11.1, DSM-5: 301.82], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Group therapy; Psychodynamic therapy; Medication for comorbid anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 6, V 19] A lamp in a windless place does not waver. Insight: Achieve mental stability (like the unmoving lamp) so that external criticisms (the 'wind') do not cause internal wavering (avoidance)."
"Avoidant Personality Disorder","","social inhibition; inadequacy; hypersensitivity to criticism; avoidance of interaction [ICD-10: F60.6, ICD-11: 6D11.1, DSM-5: 301.82], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Group therapy; Psychodynamic therapy; Medication for comorbid anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 13, V 23] The enjoyer, the maintainer and transcendental controller, and He is called the Supersoul. Insight: Realize the Divine Witness (Supersoul) resides in you. That inner presence is permanent validation, rendering external criticism powerless."
"Avoidant Personality Disorder","","social inhibition; inadequacy; hypersensitivity to criticism; avoidance of interaction [ICD-10: F60.6, ICD-11: 6D11.1, DSM-5: 301.82], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Group therapy; Psychodynamic therapy; Medication for comorbid anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 2, V 64] One who can control his senses by practicing the regulated principles of freedom can obtain the complete mercy of the Lord. Insight: The urge to avoid is a sense/mind reaction. Self-control (Vashikara) is the key to freedom from avoidance."
"Avoidant Personality Disorder","","social inhibition; inadequacy; hypersensitivity to criticism; avoidance of interaction [ICD-10: F60.6, ICD-11: 6D11.1, DSM-5: 301.82], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Group therapy; Psychodynamic therapy; Medication for comorbid anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence. Insight: Courage (fearlessness) is the quality to cultivate. Face the small fears (interaction) to build internal strength."
"Avoidant Personality Disorder","","social inhibition; inadequacy; hypersensitivity to criticism; avoidance of interaction [ICD-10: F60.6, ICD-11: 6D11.1, DSM-5: 301.82], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Group therapy; Psychodynamic therapy; Medication for comorbid anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 7, V 14] This divine energy of Mine, consisting of the three modes of material nature, is difficult to overcome. Insight: The social inhibition is a powerful force, but surrender to the therapeutic process allows one to easily cross beyond it."
"Avoidant Personality Disorder","","social inhibition; inadequacy; hypersensitivity to criticism; avoidance of interaction [ICD-10: F60.6, ICD-11: 6D11.1, DSM-5: 301.82], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Group therapy; Psychodynamic therapy; Medication for comorbid anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 10, V 10] To those who are constantly devoted to serving Me with love, I give the understanding by which they can come to Me. Insight: Consistent, loving action (Bhakti/Dharma) brings the intuitive understanding (Buddhi-yoga) on how to interact skillfully."
"Avoidant Personality Disorder","","social inhibition; inadequacy; hypersensitivity to criticism; avoidance of interaction [ICD-10: F60.6, ICD-11: 6D11.1, DSM-5: 301.82], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Group therapy; Psychodynamic therapy; Medication for comorbid anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries. Insight: Aim for the undisturbed mind (Sthita-prajna) that can handle the 'misery' of social interaction or criticism without withdrawal."
"Avoidant Personality Disorder","","social inhibition; inadequacy; hypersensitivity to criticism; avoidance of interaction [ICD-10: F60.6, ICD-11: 6D11.1, DSM-5: 301.82], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Group therapy; Psychodynamic therapy; Medication for comorbid anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 12, V 18] One who is equal to friends and enemies, who is equipoised in honor and dishonor. Insight: Cultivate a detachment from the opinions of others (honor/dishonor) to overcome hypersensitivity to criticism."
"Avoidant Personality Disorder","","social inhibition; inadequacy; hypersensitivity to criticism; avoidance of interaction [ICD-10: F60.6, ICD-11: 6D11.1, DSM-5: 301.82], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Group therapy; Psychodynamic therapy; Medication for comorbid anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Use the power of your own mind (will) to overcome the tendency toward social degradation (isolation)."
"Avoidant Personality Disorder","","social inhibition; inadequacy; hypersensitivity to criticism; avoidance of interaction [ICD-10: F60.6, ICD-11: 6D11.1, DSM-5: 301.82], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Group therapy; Psychodynamic therapy; Medication for comorbid anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 3, V 35] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Focus on performing your duties (Dharma), however small, to build internal confidence and reduce reliance on external validation."
"Avoidant/Restrictive Food Intake Disorder (ARFID)","restricted eating; nutritional deficiency; dependence on supplements; weight loss; not body image-driven [ICD-10: F50.8, ICD-11: 6B83, DSM-5: 307.59]","Cognitive Behavioral Therapy for ARFID (CBT-AR) - 20-30 sessions; Nutritional counseling; Family-based therapy for children; Exposure therapy; Medical monitoring; Occupational therapy (for sensory issues)","None Typically","None Typically","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Strict regulation (Yukta) and gradual diversification of food habits is the path to recovery. This means working with a therapist to slowly and systematically introduce new foods in a safe, controlled manner."
"Avoidant/Restrictive Food Intake Disorder (ARFID)","restricted eating; nutritional deficiency; dependence on supplements; weight loss; not body image-driven [ICD-10: F50.8, ICD-11: 6B83, DSM-5: 307.59]","Cognitive Behavioral Therapy for ARFID (CBT-AR) - 20-30 sessions; Nutritional counseling; Family-based therapy for children; Exposure therapy; Medical monitoring; Occupational therapy (for sensory issues)","None Typically","None Typically","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, and cultivation of knowledge. Insight: Overcome food avoidance and fear by cultivating fearlessness (Abhayam) and purification (Saucha) of the diet. This involves bravely facing feared foods with therapeutic support and learning to see food as pure nourishment, not as a source of anxiety."
"Avoidant/Restrictive Food Intake Disorder (ARFID)","restricted eating; nutritional deficiency; dependence on supplements; weight loss; not body image-driven [ICD-10: F50.8, ICD-11: 6B83, DSM-5: 307.59]","Cognitive Behavioral Therapy for ARFID (CBT-AR) - 20-30 sessions; Nutritional counseling; Family-based therapy for children; Exposure therapy; Medical monitoring; Occupational therapy (for sensory issues)","None Typically","None Typically","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: The 'duty' (Dharma) is to eat for nourishment. Practice equanimity (Samatvam) regarding the taste, texture, or smell of the food (success/failure). Focus on the act of eating as a necessary duty for health, regardless of the sensory experience."
"Avoidant/Restrictive Food Intake Disorder (ARFID)","restricted eating; nutritional deficiency; dependence on supplements; weight loss; not body image-driven [ICD-10: F50.8, ICD-11: 6B83, DSM-5: 307.59]","Cognitive Behavioral Therapy for ARFID (CBT-AR) - 20-30 sessions; Nutritional counseling; Family-based therapy for children; Exposure therapy; Medical monitoring; Occupational therapy (for sensory issues)","None Typically","None Typically","[Gita, Ch 18, V 48] Every endeavor is covered by some fault, just as fire is covered by smoke. Insight: Accept that trying new foods will be imperfect and uncomfortable. There may be anxiety, dislike, or even a failed attempt. Continue the effort (rehabilitation) regardless of the initial difficulty. The process of trying is itself a victory."
"Avoidant/Restrictive Food Intake Disorder (ARFID)","restricted eating; nutritional deficiency; dependence on supplements; weight loss; not body image-driven [ICD-10: F50.8, ICD-11: 6B83, DSM-5: 307.59]","Cognitive Behavioral Therapy for ARFID (CBT-AR) - 20-30 sessions; Nutritional counseling; Family-based therapy for children; Exposure therapy; Medical monitoring","None Typically","None Typically","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Strict regulation (Yukta) and diversification of food habits is the path to recovery."
"Avoidant/Restrictive Food Intake Disorder (ARFID)","restricted eating; nutritional deficiency; dependence on supplements; weight loss; not body image-driven [ICD-10: F50.8, ICD-11: 6B83, DSM-5: 307.59]","Cognitive Behavioral Therapy for ARFID (CBT-AR) - 20-30 sessions; Nutritional counseling; Family-based therapy for children; Exposure therapy; Medical monitoring","None Typically","None Typically","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, and cultivation of knowledge. Insight: Overcome food avoidance/fear by cultivating fearlessness (Abhayam) and purification (Saucha) of the diet."
"Avoidant/Restrictive Food Intake Disorder (ARFID)","restricted eating; nutritional deficiency; dependence on supplements; weight loss; not body image-driven [ICD-10: F50.8, ICD-11: 6B83, DSM-5: 307.59]","Cognitive Behavioral Therapy for ARFID (CBT-AR) - 20-30 sessions; Nutritional counseling; Family-based therapy for children; Exposure therapy; Medical monitoring","None Typically","None Typically","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: The 'duty' is to eat for nourishment. Practice equanimity (Samatvam) regarding the taste/texture/smell (success/failure)."
"Avoidant/Restrictive Food Intake Disorder (ARFID)","restricted eating; nutritional deficiency; dependence on supplements; weight loss; not body image-driven [ICD-10: F50.8, ICD-11: 6B83, DSM-5: 307.59]","Cognitive Behavioral Therapy for ARFID (CBT-AR) - 20-30 sessions; Nutritional counseling; Family-based therapy for children; Exposure therapy; Medical monitoring","None Typically","None Typically","[Gita, Ch 18, V 48] Every endeavor is covered by some fault, just as fire is covered by smoke. Insight: Accept that trying new foods will be imperfect and uncomfortable. Continue the effort (rehabilitation) regardless of the initial difficulty."
"Bereavement (Complicated Grief)","persistent yearning; intense sadness; preoccupation with the deceased; feeling life is meaningless; distress > 12 months after loss [ICD-10: F43.2, ICD-11: 6B42, DSM-5: Not applicable]","Complicated Grief Therapy (CGT) - 16 sessions; Cognitive Behavioral Therapy (CBT); Support groups; Medication for comorbid depression","Sertraline 100mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 2, V 27] One who has taken his birth is sure to die, and after death one is sure to take birth again. Insight: The certainty of death (and rebirth) helps move the mind from persistent grief to acceptance of the universal cycle."
"Bereavement (Complicated Grief)","persistent yearning; intense sadness; preoccupation with the deceased; feeling life is meaningless; distress > 12 months after loss [ICD-10: F43.2, ICD-11: 6B42, DSM-5: Not applicable]","Complicated Grief Therapy (CGT) - 16 sessions; Cognitive Behavioral Therapy (CBT); Support groups; Medication for comorbid depression","Sertraline 100mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 12, V 14] One who is always satisfied and engaged in devotional service with determination. Insight: Find satisfaction (Santosha) and meaning in life despite the loss, engaging determinedly in selfless action (service)."
"Bereavement (Complicated Grief)","persistent yearning; intense sadness; preoccupation with the deceased; feeling life is meaningless; distress > 12 months after loss [ICD-10: F43.2, ICD-11: 6B42, DSM-5: Not applicable]","Complicated Grief Therapy (CGT) - 16 sessions; Cognitive Behavioral Therapy (CBT); Support groups; Medication for comorbid depression","Sertraline 100mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 13, V 8] Birth, death, old age and disease are evils. Insight: Acceptance of the inevitable nature of death reduces the inner struggle against the loss."
"Bereavement (Complicated Grief)","persistent yearning; intense sadness; preoccupation with the deceased; feeling life is meaningless; distress > 12 months after loss [ICD-10: F43.2, ICD-11: 6B42, DSM-5: Not applicable]","Complicated Grief Therapy (CGT) - 16 sessions; Cognitive Behavioral Therapy (CBT); Support groups; Medication for comorbid depression","Sertraline 100mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Engage in essential daily duties (Dharma), even if performed imperfectly, as a grounding, active step toward healing."
"Binge Eating Disorder","recurrent binge eating; distress; eating rapidly/alone/when full; lack of compensatory behavior [ICD-10: F50.8, ICD-11: 6B82, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT) - 16-20 sessions; Interpersonal Therapy (IPT); Dialectical Behavior Therapy (DBT); Nutritional counseling; Self-help groups; Medication","Lisdexamfetamine 50mg (Rx - Vyvanse, Lisven, Vyanse - Schedule X); Topiramate 100mg (Rx - Topamac, Topaz, Topirol); SSRIs (for comorbid depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Lisdexamfetamine: 30-70mg daily (initial 30mg, increase by 20mg weekly; max 70mg; Schedule X); Topiramate: 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Regulation (Yukta) in eating habits is the core remedy for uncontrolled binging. This means establishing a structured pattern of eating, moving away from chaotic, compulsive consumption."
"Binge Eating Disorder","recurrent binge eating; distress; eating rapidly/alone/when full; lack of compensatory behavior [ICD-10: F50.8, ICD-11: 6B82, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT) - 16-20 sessions; Interpersonal Therapy (IPT); Dialectical Behavior Therapy (DBT); Nutritional counseling; Self-help groups; Medication","Lisdexamfetamine 50mg (Rx - Vyvanse, Lisven, Vyanse - Schedule X); Topiramate 100mg (Rx - Topamac, Topaz, Topirol); SSRIs (for comorbid depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Lisdexamfetamine: 30-70mg daily (initial 30mg, increase by 20mg weekly; max 70mg; Schedule X); Topiramate: 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 64] One who can control his senses by practicing the regulated principles of freedom can obtain the complete mercy of the Lord. Insight: Control (Vashikara) over the impulsive urge to binge is achieved by adhering to regulated, therapeutic principles. This self-control, developed through practice, is the path to freedom from the disorder."
"Binge Eating Disorder","recurrent binge eating; distress; eating rapidly/alone/when full; lack of compensatory behavior [ICD-10: F50.8, ICD-11: 6B82, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT) - 16-20 sessions; Interpersonal Therapy (IPT); Dialectical Behavior Therapy (DBT); Nutritional counseling; Self-help groups; Medication","Lisdexamfetamine 50mg (Rx - Vyvanse, Lisven, Vyanse - Schedule X); Topiramate 100mg (Rx - Topamac, Topaz, Topirol); SSRIs (for comorbid depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Lisdexamfetamine: 30-70mg daily (initial 30mg, increase by 20mg weekly; max 70mg; Schedule X); Topiramate: 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Find satisfaction (Santosha) in the process of mindful eating and self-care, rather than in the momentary, numbing gratification of the binge. The true reward is the feeling of self-respect that comes from making healthy choices."
"Binge Eating Disorder","recurrent binge eating; distress; eating rapidly/alone/when full; lack of compensatory behavior [ICD-10: F50.8, ICD-11: 6B82, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT) - 16-20 sessions; Interpersonal Therapy (IPT); Dialectical Behavior Therapy (DBT); Nutritional counseling; Self-help groups; Medication","Lisdexamfetamine 50mg (Rx - Vyvanse, Lisven, Vyanse - Schedule X); Topiramate 100mg (Rx - Topamac, Topaz, Topirol); SSRIs (for comorbid depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Lisdexamfetamine: 30-70mg daily (initial 30mg, increase by 20mg weekly; max 70mg; Schedule X); Topiramate: 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 14, V 8] The mode of ignorance (Tamas) is the cause of delusion... The result is madness, indolence and sleep. Insight: Compulsive, mindless binge eating is a Tamasic (ignorance) state. The practice is to bring full consciousness (Sattva) and awareness to the act of eating, transforming it from an automatic, driven behavior to a mindful, intentional act."
"Binge Eating Disorder","recurrent binge eating; distress; eating rapidly/alone/when full; lack of compensatory behavior [ICD-10: F50.8, ICD-11: 6B82, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT) - 16-20 sessions; Interpersonal Therapy (IPT); Dialectical Behavior Therapy (DBT); Nutritional counseling; Self-help groups","Lisdexamfetamine 50mg (Rx - Vyvanse, Lisven, Vyanse - Schedule X); Topiramate 100mg (Rx - Topamac, Topaz, Topirol)","Lisdexamfetamine: 30-70mg daily (initial 30mg, increase by 20mg weekly; max 70mg; Schedule X); Topiramate: 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects)","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Regulation (Yukta) in eating habits is the core remedy for uncontrolled binging."
"Binge Eating Disorder","recurrent binge eating; distress; eating rapidly/alone/when full; lack of compensatory behavior [ICD-10: F50.8, ICD-11: 6B82, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT) - 16-20 sessions; Interpersonal Therapy (IPT); Dialectical Behavior Therapy (DBT); Nutritional counseling; Self-help groups","Lisdexamfetamine 50mg (Rx - Vyvanse, Lisven, Vyanse - Schedule X); Topiramate 100mg (Rx - Topamac, Topaz, Topirol)","Lisdexamfetamine: 30-70mg daily (initial 30mg, increase by 20mg weekly; max 70mg; Schedule X); Topiramate: 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects)","[Gita, Ch 2, V 64] One who can control his senses by practicing the regulated principles of freedom can obtain the complete mercy of the Lord. Insight: Control (Vashikara) the impulsive eating senses by adhering to regulated, therapeutic principles."
"Binge Eating Disorder","recurrent binge eating; distress; eating rapidly/alone/when full; lack of compensatory behavior [ICD-10: F50.8, ICD-11: 6B82, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT) - 16-20 sessions; Interpersonal Therapy (IPT); Dialectical Behavior Therapy (DBT); Nutritional counseling; Self-help groups","Lisdexamfetamine 50mg (Rx - Vyvanse, Lisven, Vyanse - Schedule X); Topiramate 100mg (Rx - Topamac, Topaz, Topirol)","Lisdexamfetamine: 30-70mg daily (initial 30mg, increase by 20mg weekly; max 70mg; Schedule X); Topiramate: 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects)","[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Find satisfaction (Santosha) in mindful eating and the process of self-care, not in the momentary gratification of the binge."
"Binge Eating Disorder","recurrent binge eating; distress; eating rapidly/alone/when full; lack of compensatory behavior [ICD-10: F50.8, ICD-11: 6B82, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT) - 16-20 sessions; Interpersonal Therapy (IPT); Dialectical Behavior Therapy (DBT); Nutritional counseling; Self-help groups","Lisdexamfetamine 50mg (Rx - Vyvanse, Lisven, Vyanse - Schedule X); Topiramate 100mg (Rx - Topamac, Topaz, Topirol)","Lisdexamfetamine: 30-70mg daily (initial 30mg, increase by 20mg weekly; max 70mg; Schedule X); Topiramate: 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects)","[Gita, Ch 14, V 8] The mode of ignorance (Tamas) is the cause of delusion... The result is madness, indolence and sleep. Insight: Compulsive, mindless eating is Tamasic (ignorance). Bring consciousness (Sattva) to the act of eating."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Befriend your mind. When highs and lows come, use your self-awareness to stay balanced, not self-destructive."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 6, V 6] For him who has conquered the mind, the mind is the best of friends. Insight: Training the mind through routine, discipline, and medication turns it from a chaotic enemy into a stable friend."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Practice *Samatvam* (equanimity) towards both the manic highs (success) and depressive lows (failure)."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 3, V 26] A wise man should not instigate the minds of ignorant people to give up work. Insight: When in a state of productive mania, channel the energy into constructive, selfless work, but don't over-stimulate yourself or others."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 14, V 14] If one dies in the mode of goodness, he attains the pure heavenly planets. Insight: Strive to maintain the mode of Goodness (Sattva) by avoiding the extremes of Passion (Mania) and Ignorance (Depression)."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 16, V 23] He who discards scriptural injunctions and acts according to his own whims attains neither perfection nor happiness nor the supreme destination. Insight: Follow the structure (injunctions) provided by doctors and therapists (Medications, Routines) to manage impulsivity and whims."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 18, V 35] That determination which cannot give up dreaming, fearfulness, lamentation, moroseness and illusion—such unintelligent determination is in the mode of darkness. Insight: Depressive state determination is Tamasic; shift it to Sattvic (goodness) determination which is stable and based on truth."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 15, V 5] One who is free from false prestige, illusion, and false association, understands the eternal. Insight: False euphoria (mania) is rooted in illusion and false prestige. Humility and realism bring stability."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 7, V 28] Persons who have acted piously in previous lives and in this life and whose sinful actions are completely eradicated are freed from the dualities of illusion. Insight: Consistent good action (Karma) purifies the mind from the confusion of dualities (highs and lows)."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 10, V 10] To those who are constantly devoted to serving Me with love, I give the understanding by which they can come to Me. Insight: Consistent devotion and self-care (serving the inner self) bring clarity, mitigating manic confusion."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 12, V 8] Just fix your mind upon Me, and engage all your intelligence in Me. Thus you will live in Me always, without a doubt. Insight: Anchoring the mind on a steady, supreme principle prevents it from oscillating wildly between emotional poles."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Be satisfied in all states, high or low, without clinging to the high or dreading the low."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 1, V 40] With the destruction of the dynasty, the eternal family tradition is lost. Insight: Recognizing the chaotic nature of the current state, and the importance of rebuilding a stable, inner 'tradition' or routine."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries. Insight: Use medication and therapy to achieve the undisturbed mind (Sthita-prajna) that can weather the extreme highs and lows without losing equilibrium."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: The fluctuating mind (highs/lows) is curbed by consistent practice (Abhyasa) of routine and detachment (Vairagya) from intense moods."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 3, V 34] There are principles to regulate attachment and aversion. Insight: Manic attachment (Raga) and depressive aversion (Dvesha) are the core issues. Learn to regulate both through therapeutic principles."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 18, V 23] That action which is performed without attachment, without love or hatred, and by one not desiring results, is action in the mode of goodness. Insight: Aim for actions performed in the stable mode of Goodness (Sattva), avoiding the intense attachment of Mania (Passion) and the inertia of Depression (Ignorance)."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 1, V 28] Arjuna's paralysis of the senses and heart. Insight: Recognize the depressive low as a temporary paralysis of energy, not a permanent state of being."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 2, V 64] One who can control his senses by practicing the regulated principles of freedom can obtain the complete mercy of the Lord. Insight: Freedom from the mood cycle requires regulated principles (routine, sleep, medication) and self-control (Vashikara)."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Mental austerity (Tapas) is the antidote to manic impulsivity and depressive inertia. Practice simplicity and silence."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 14, V 6] The mode of goodness (Sattva), being purer than the others, is illuminating and healthy. Insight: The goal is to maximize the stable, illuminating state of Sattva, and minimize the excesses of Rajas (Mania) and Tamas (Depression)."
"Bipolar Disorder","mood swings; mania; depression; euphoria; impulsivity; irritability [ICD-10: F31.9, ICD-11: 6A60.0, DSM-5: 296.40-296.60]","","Mood stabilizers; Cognitive Behavioral Therapy (CBT) for bipolar - 12-20 sessions; Interpersonal and Social Rhythm Therapy (IPSRT); Family-Focused Therapy; Psychoeducation; Regular sleep/wake cycle monitoring, Lithium 300mg (Rx - Lithosun, Lithium, Carbolith); Valproate 500mg (Rx - Valparin, Encorate, Valance)","Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L; monitor renal/thyroid); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL)","[Gita, Ch 13, V 8] Acceptance of the importance of self-realization and philosophical search for the Absolute Truth. Insight: A stable, eternal identity (Self-realization) is the anchor against the chaotic change of mood states."
"Body Dysmorphic Disorder","preoccupation with perceived flaws; repetitive checking; comparison; social avoidance [ICD-10: F45.22, ICD-11: 6B21, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) with exposure and response prevention - 16-24 sessions; Serotonin Reuptake Inhibitors (SSRIs); Acceptance and Commitment Therapy (ACT); Psychoeducation","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime)","[Gita, Ch 13, V 6] The body is composed of the five great elements, false ego, intelligence, the unmanifested, the ten senses, and the mind. Insight: The body is a temporary composition (a 'field'). Excessive preoccupation with it is confusing the temporary field with the eternal Knower."
"Body Dysmorphic Disorder","preoccupation with perceived flaws; repetitive checking; comparison; social avoidance [ICD-10: F45.22, ICD-11: 6B21, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) with exposure and response prevention - 16-24 sessions; Serotonin Reuptake Inhibitors (SSRIs); Acceptance and Commitment Therapy (ACT); Psychoeducation","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime)","[Gita, Ch 10, V 4] Fame, fortune, fine speech, memory, intelligence... all these qualities of living beings are created by Me alone. Insight: Your true value lies in internal, divinely created qualities, not the external, temporary vessel (the body)."
"Body Dysmorphic Disorder","preoccupation with perceived flaws; repetitive checking; comparison; social avoidance [ICD-10: F45.22, ICD-11: 6B21, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) with exposure and response prevention - 16-24 sessions; Serotonin Reuptake Inhibitors (SSRIs); Acceptance and Commitment Therapy (ACT); Psychoeducation","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime)","[Gita, Ch 2, V 59] The embodied soul may be restricted from sense enjoyment, but the taste for sense objects remains. Insight: You may restrict checking/comparison, but the *taste* (preoccupation) will linger. The goal is to lose the taste by fixing the mind on a higher purpose."
"Body Dysmorphic Disorder","preoccupation with perceived flaws; repetitive checking; comparison; social avoidance [ICD-10: F45.22, ICD-11: 6B21, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) with exposure and response prevention - 16-24 sessions; Serotonin Reuptake Inhibitors (SSRIs); Acceptance and Commitment Therapy (ACT); Psychoeducation","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime)","[Gita, Ch 12, V 18] One who is equal to friends and enemies, who is equipoised in honor and dishonor, heat and cold, happiness and distress, fame and infamy. Insight: Practice indifference to external appearance and fame (honor/infamy) to dissolve the preoccupation with flaws."
"Body Dysmorphic Disorder","preoccupation with perceived flaws; repetitive checking; comparison; social avoidance [ICD-10: F45.22, ICD-11: 6B21, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) with exposure and response prevention - 16-24 sessions; Serotonin Reuptake Inhibitors (SSRIs); Acceptance and Commitment Therapy (ACT); Psychoeducation","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime)","[Gita, Ch 2, V 64] One who can control his senses by practicing the regulated principles of freedom can obtain the complete mercy of the Lord. Insight: Freedom from obsession requires regulated self-control (Vashikara) of the compulsion to check and compare."
"Body Dysmorphic Disorder","preoccupation with perceived flaws; repetitive checking; comparison; social avoidance [ICD-10: F45.22, ICD-11: 6B21, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) with exposure and response prevention - 16-24 sessions; Serotonin Reuptake Inhibitors (SSRIs); Acceptance and Commitment Therapy (ACT); Psychoeducation","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, and cultivation of knowledge. Insight: Focus on cultivating internal purity (Saucha) and knowledge (Jnana) as the true source of beauty and worth, overcoming external focus."
"Body Dysmorphic Disorder","preoccupation with perceived flaws; repetitive checking; comparison; social avoidance [ICD-10: F45.22, ICD-11: 6B21, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) with exposure and response prevention - 16-24 sessions; Serotonin Reuptake Inhibitors (SSRIs); Acceptance and Commitment Therapy (ACT); Psychoeducation","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime)","[Gita, Ch 18, V 46] By worship of the Lord, who is the source of all beings... a man can attain perfection through performance of his own work. Insight: Perfection lies in performing one's duties sincerely, not in achieving a flawless appearance."
"Body Dysmorphic Disorder","preoccupation with perceived flaws; repetitive checking; comparison; social avoidance [ICD-10: F45.22, ICD-11: 6B21, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) with exposure and response prevention - 16-24 sessions; Serotonin Reuptake Inhibitors (SSRIs); Acceptance and Commitment Therapy (ACT); Psychoeducation","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime)","[Gita, Ch 7, V 14] This divine energy of Mine, consisting of the three modes of material nature, is difficult to overcome. Insight: The preoccupation is a difficult force (mode of nature). Surrender the exhausting fight and seek internal strength (Bhakti) to cross it."
"Body Dysmorphic Disorder","preoccupation with perceived flaws; repetitive checking; comparison; social avoidance [ICD-10: F45.22, ICD-11: 6B21, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) with exposure and response prevention - 16-24 sessions; Serotonin Reuptake Inhibitors (SSRIs); Acceptance and Commitment Therapy (ACT); Psychoeducation","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime)","[Gita, Ch 5, V 21] Such a liberated person is not attached to external sense objects but is always in trance, enjoying the pleasure within. Insight: True satisfaction is inner (pleasure within), not gained from achieving an ideal external appearance (sense objects)."
"Body Dysmorphic Disorder","preoccupation with perceived flaws; repetitive checking; comparison; social avoidance [ICD-10: F45.22, ICD-11: 6B21, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) with exposure and response prevention - 16-24 sessions; Serotonin Reuptake Inhibitors (SSRIs); Acceptance and Commitment Therapy (ACT); Psychoeducation","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime)","[Gita, Ch 17, V 14] Austerity of the body consists in worship of the Supreme Lord... and cleanliness, simplicity, and non-violence. Insight: Focus on simple, clean living and self-care (Sattvic lifestyle) rather than obsessive grooming/checking."
"Body Dysmorphic Disorder","preoccupation with perceived flaws; repetitive checking; comparison; social avoidance [ICD-10: F45.22, ICD-11: 6B21, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) with exposure and response prevention - 16-24 sessions; Serotonin Reuptake Inhibitors (SSRIs); Acceptance and Commitment Therapy (ACT); Psychoeducation","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime)","[Gita, Ch 2, V 47] You have a right to perform your prescribed duty, but you are not entitled to the fruits of action. Insight: Your body is an instrument for duty. Focus on the duty, not the 'fruit' of flawless appearance."
"Body Dysmorphic Disorder","preoccupation with perceived flaws; repetitive checking; comparison; social avoidance [ICD-10: F45.22, ICD-11: 6B21, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) with exposure and response prevention - 16-24 sessions; Serotonin Reuptake Inhibitors (SSRIs); Acceptance and Commitment Therapy (ACT); Psychoeducation","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime)","[Gita, Ch 16, V 4] The demonic qualities are pride, arrogance, conceit. Insight: Preoccupation with external appearance is a form of conceit/pride. Cultivate humility (Amanitvam)."
"Borderline Personality Disorder","intense emotions; unstable relationships; self-harm; fear of abandonment; impulsivity [ICD-10: F60.3, ICD-11: 6D11.5, DSM-5: 301.83]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Mentalization-Based Treatment (MBT); Systems Training for Emotional Predictability and Problem-Solving (STEPPS); Cognitive Behavioral Therapy (CBT); Medication for symptom management","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Aripiprazole 10mg (Rx - Arilow, Arip MT, Aripip)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries... and who is free from anger and is self-controlled is called a sage of steady mind (Sthita-prajna). Insight: The goal of DBT/Gita is achieving this steady mind, untouched by the extremes of misery and happiness."
"Borderline Personality Disorder","intense emotions; unstable relationships; self-harm; fear of abandonment; impulsivity [ICD-10: F60.3, ICD-11: 6D11.5, DSM-5: 301.83]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Mentalization-Based Treatment (MBT); Systems Training for Emotional Predictability and Problem-Solving (STEPPS); Cognitive Behavioral Therapy (CBT); Medication for symptom management","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Aripiprazole 10mg (Rx - Arilow, Arip MT, Aripip)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 2, V 63] From anger, complete delusion arises... when memory is bewildered, intelligence is lost. Insight: Intense, unstable emotions (Anger/Rage) cloud intelligence, leading to impulsivity (lost intelligence)."
"Borderline Personality Disorder","intense emotions; unstable relationships; self-harm; fear of abandonment; impulsivity [ICD-10: F60.3, ICD-11: 6D11.5, DSM-5: 301.83]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Mentalization-Based Treatment (MBT); Systems Training for Emotional Predictability and Problem-Solving (STEPPS); Cognitive Behavioral Therapy (CBT); Medication for symptom management","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Aripiprazole 10mg (Rx - Arilow, Arip MT, Aripip)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities, who does not think himself a proprietor and is free from false ego. Insight: Develop universal compassion (Maitri) to overcome the instability and conflict in personal relationships."
"Borderline Personality Disorder","intense emotions; unstable relationships; self-harm; fear of abandonment; impulsivity [ICD-10: F60.3, ICD-11: 6D11.5, DSM-5: 301.83]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Mentalization-Based Treatment (MBT); Systems Training for Emotional Predictability and Problem-Solving (STEPPS); Cognitive Behavioral Therapy (CBT); Medication for symptom management","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Aripiprazole 10mg (Rx - Arilow, Arip MT, Aripip)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 18, V 18] Knowledge, the object of knowledge, and the knower are the three factors that motivate action. Insight: Use the knowledge gained in DBT (or Gita) to consciously motivate constructive actions instead of emotional impulsivity."
"Borderline Personality Disorder","intense emotions; unstable relationships; self-harm; fear of abandonment; impulsivity [ICD-10: F60.3, ICD-11: 6D11.5, DSM-5: 301.83]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Mentalization-Based Treatment (MBT); Systems Training for Emotional Predictability and Problem-Solving (STEPPS); Cognitive Behavioral Therapy (CBT); Medication for symptom management","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Aripiprazole 10mg (Rx - Arilow, Arip MT, Aripip)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 3, V 34] There are principles to regulate attachment and aversion. Insight: DBT's emotional regulation skills are a practical application of the Gita's principle of regulating (controlling) Raga (attachment) and Dvesha (aversion)."
"Borderline Personality Disorder","intense emotions; unstable relationships; self-harm; fear of abandonment; impulsivity [ICD-10: F60.3, ICD-11: 6D11.5, DSM-5: 301.83]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Mentalization-Based Treatment (MBT); Systems Training for Emotional Predictability and Problem-Solving (STEPPS); Cognitive Behavioral Therapy (CBT); Medication for symptom management","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Aripiprazole 10mg (Rx - Arilow, Arip MT, Aripip)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 5, V 23] If one is able to tolerate the urges of the material senses and check the force of desire and anger, he is a yogi and is happy in this world. Insight: Self-harm and rage are urges. Tolerating them without acting is the key to happiness and emotional stability."
"Borderline Personality Disorder","intense emotions; unstable relationships; self-harm; fear of abandonment; impulsivity [ICD-10: F60.3, ICD-11: 6D11.5, DSM-5: 301.83]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Mentalization-Based Treatment (MBT); Systems Training for Emotional Predictability and Problem-Solving (STEPPS); Cognitive Behavioral Therapy (CBT); Medication for symptom management","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Aripiprazole 10mg (Rx - Arilow, Arip MT, Aripip)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 14, V 7] The mode of passion (Rajas) is characterized by intense striving and unlimited desire and hankerings. Insight: Recognize intense striving (mania, excessive effort) as Rajasic and learn to moderate it with Sattvic (calm) actions."
"Borderline Personality Disorder","intense emotions; unstable relationships; self-harm; fear of abandonment; impulsivity [ICD-10: F60.3, ICD-11: 6D11.5, DSM-5: 301.83]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Mentalization-Based Treatment (MBT); Systems Training for Emotional Predictability and Problem-Solving (STEPPS); Cognitive Behavioral Therapy (CBT); Medication for symptom management","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Aripiprazole 10mg (Rx - Arilow, Arip MT, Aripip)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 16, V 22] A person who has escaped these three gates of hell, O son of Kunti, performs acts conducive to self-realization and thus gradually attains the supreme destination. Insight: Escaping lust, anger, and greed (emotional extremes) is the path to stability and self-realization."
"Borderline Personality Disorder","intense emotions; unstable relationships; self-harm; fear of abandonment; impulsivity [ICD-10: F60.3, ICD-11: 6D11.5, DSM-5: 301.83]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Mentalization-Based Treatment (MBT); Systems Training for Emotional Predictability and Problem-Solving (STEPPS); Cognitive Behavioral Therapy (CBT); Medication for symptom management","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Aripiprazole 10mg (Rx - Arilow, Arip MT, Aripip)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 2, V 62] While contemplating the objects of the senses, a person develops attachment for them... from lust anger arises. Insight: The cycle of intense emotion and impulsivity starts with contemplation (Dhyana) of a desired outcome (attachment). Break the cycle at the thought level."
"Borderline Personality Disorder","intense emotions; unstable relationships; self-harm; fear of abandonment; impulsivity [ICD-10: F60.3, ICD-11: 6D11.5, DSM-5: 301.83]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Mentalization-Based Treatment (MBT); Systems Training for Emotional Predictability and Problem-Solving (STEPPS); Cognitive Behavioral Therapy (CBT); Medication for symptom management","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Aripiprazole 10mg (Rx - Arilow, Arip MT, Aripip)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 12, V 18] One who is equal to friends and enemies, who is equipoised in honor and dishonor... is very dear to Me. Insight: Unstable relationships (splitting) are addressed by cultivating Samatvam (equipoise) toward all people, regardless of perceived honor/dishonor."
"Borderline Personality Disorder","intense emotions; unstable relationships; self-harm; fear of abandonment; impulsivity [ICD-10: F60.3, ICD-11: 6D11.5, DSM-5: 301.83]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Mentalization-Based Treatment (MBT); Systems Training for Emotional Predictability and Problem-Solving (STEPPS); Cognitive Behavioral Therapy (CBT); Medication for symptom management","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Aripiprazole 10mg (Rx - Arilow, Arip MT, Aripip)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 5, V 22] A sensible person does not take part in the sources of misery, which are due to contact with the material senses. Insight: Impulsive, self-destructive acts are sources of misery. Use intelligence (Buddhi) to withdraw from them."
"Borderline Personality Disorder","intense emotions; unstable relationships; self-harm; fear of abandonment; impulsivity [ICD-10: F60.3, ICD-11: 6D11.5, DSM-5: 301.83]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Mentalization-Based Treatment (MBT); Systems Training for Emotional Predictability and Problem-Solving (STEPPS); Cognitive Behavioral Therapy (CBT); Medication for symptom management","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Aripiprazole 10mg (Rx - Arilow, Arip MT, Aripip)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 14, V 14] If one dies in the mode of goodness, he attains the pure heavenly planets. Insight: Consistently choosing the mode of Goodness (Sattva) actions and thoughts (DBT skills) stabilizes the emotional self."
"Borderline Personality Disorder","intense emotions; unstable relationships; self-harm; fear of abandonment; impulsivity [ICD-10: F60.3, ICD-11: 6D11.5, DSM-5: 301.83]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Mentalization-Based Treatment (MBT); Systems Training for Emotional Predictability and Problem-Solving (STEPPS); Cognitive Behavioral Therapy (CBT); Medication for symptom management","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Aripiprazole 10mg (Rx - Arilow, Arip MT, Aripip)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 18, V 58] By My grace, you will pass over all the obstacles of conditioned life. Insight: Surrender the overwhelming nature of the emotions and trust in the power of the therapeutic/spiritual process to pass over the obstacles."
"Borderline Personality Disorder","intense emotions; unstable relationships; self-harm; fear of abandonment; impulsivity [ICD-10: F60.3, ICD-11: 6D11.5, DSM-5: 301.83]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Mentalization-Based Treatment (MBT); Systems Training for Emotional Predictability and Problem-Solving (STEPPS); Cognitive Behavioral Therapy (CBT); Medication for symptom management","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Aripiprazole 10mg (Rx - Arilow, Arip MT, Aripip)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 3, V 34] There are principles to regulate attachment and aversion. Insight: BPD is marked by Raga (intense attachment/idealization) and Dvesha (intense aversion/devaluation). DBT skills are the 'principles' to regulate both."
"Bulimia Nervosa","binge eating; compensatory behaviors (purging, exercise, fasting); preoccupation with weight/shape [ICD-10: F50.2, ICD-11: 6B81, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Interpersonal Therapy (IPT); Nutritional counseling; Medical monitoring; Medication; Support groups","Fluoxetine 60mg (Rx - Prodep, Fludac, Nuzak - high dose); Topiramate 100mg (Rx - Topamac, Topaz, Topirol - off-label); Fluoxetine 20mg (standard dose for comorbid depression)","Fluoxetine (high dose): 60-80mg daily (initial 20mg, increase to 60mg after 1 week; max 80mg); Topiramate (off-label): 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects); Fluoxetine (standard): 20-80mg daily","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: The binge-purge cycle is the opposite of regulation. Healing requires establishing *Yukta* (regulated, balanced) habits in eating, breaking the cycle of extremes."
"Bulimia Nervosa","binge eating; compensatory behaviors (purging, exercise, fasting); preoccupation with weight/shape [ICD-10: F50.2, ICD-11: 6B81, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Interpersonal Therapy (IPT); Nutritional counseling; Medical monitoring; Medication; Support groups","Fluoxetine 60mg (Rx - Prodep, Fludac, Nuzak - high dose); Topiramate 100mg (Rx - Topamac, Topaz, Topirol - off-label); Fluoxetine 20mg (standard dose for comorbid depression)","Fluoxetine (high dose): 60-80mg daily (initial 20mg, increase to 60mg after 1 week; max 80mg); Topiramate (off-label): 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects); Fluoxetine (standard): 20-80mg daily","[Gita, Ch 2, V 64] One who can control his senses by practicing the regulated principles of freedom can obtain the complete mercy of the Lord. Insight: Control (Vashikara) over the impulsive urge to binge and purge is achieved by adhering to regulated, therapeutic principles (regular meals, coping skills). This self-control is a form of freedom."
"Bulimia Nervosa","binge eating; compensatory behaviors (purging, exercise, fasting); preoccupation with weight/shape [ICD-10: F50.2, ICD-11: 6B81, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Interpersonal Therapy (IPT); Nutritional counseling; Medical monitoring; Medication; Support groups","Fluoxetine 60mg (Rx - Prodep, Fludac, Nuzak - high dose); Topiramate 100mg (Rx - Topamac, Topaz, Topirol - off-label); Fluoxetine 20mg (standard dose for comorbid depression)","Fluoxetine (high dose): 60-80mg daily (initial 20mg, increase to 60mg after 1 week; max 80mg); Topiramate (off-label): 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects); Fluoxetine (standard): 20-80mg daily","[Gita, Ch 13, V 6] The body is composed of the five great elements, false ego, intelligence... Insight: The body is merely a composite of elements. The intense preoccupation with its shape and the guilt/shame cycle are driven by false ego (Ahankara). Learn to detach from this false identification and see the body as a temporary instrument."
"Bulimia Nervosa","binge eating; compensatory behaviors (purging, exercise, fasting); preoccupation with weight/shape [ICD-10: F50.2, ICD-11: 6B81, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Interpersonal Therapy (IPT); Nutritional counseling; Medical monitoring; Medication; Support groups","Fluoxetine 60mg (Rx - Prodep, Fludac, Nuzak - high dose); Topiramate 100mg (Rx - Topamac, Topaz, Topirol - off-label); Fluoxetine 20mg (standard dose for comorbid depression)","Fluoxetine (high dose): 60-80mg daily (initial 20mg, increase to 60mg after 1 week; max 80mg); Topiramate (off-label): 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects); Fluoxetine (standard): 20-80mg daily","[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Find satisfaction (Santosha) in the process of mindful eating and self-care, rather than in the momentary, false gratification of the binge or the temporary relief of purging. The act of nourishing the body is its own reward."
"Bulimia Nervosa","binge eating; compensatory behaviors (purging, exercise, fasting); preoccupation with weight/shape [ICD-10: F50.2, ICD-11: 6B81, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Interpersonal Therapy (IPT); Nutritional counseling; Medical monitoring; Medication","Fluoxetine 60mg (Rx - Prodep, Fludac, Nuzak - high dose); Topiramate 100mg (Rx - Topamac, Topaz, Topirol - off-label)","Fluoxetine: 60-80mg daily (initial 20mg, increase to 60mg after 1 week; max 80mg); Topiramate (off-label): 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects)","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Regulation (Yukta) in eating habits is the core remedy for uncontrolled binging and purging."
"Bulimia Nervosa","binge eating; compensatory behaviors (purging, exercise, fasting); preoccupation with weight/shape [ICD-10: F50.2, ICD-11: 6B81, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Interpersonal Therapy (IPT); Nutritional counseling; Medical monitoring; Medication","Fluoxetine 60mg (Rx - Prodep, Fludac, Nuzak - high dose); Topiramate 100mg (Rx - Topamac, Topaz, Topirol - off-label)","Fluoxetine: 60-80mg daily (initial 20mg, increase to 60mg after 1 week; max 80mg); Topiramate (off-label): 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects)","[Gita, Ch 2, V 64] One who can control his senses by practicing the regulated principles of freedom can obtain the complete mercy of the Lord. Insight: Control (Vashikara) the impulsive eating senses by adhering to regulated, therapeutic principles."
"Bulimia Nervosa","binge eating; compensatory behaviors (purging, exercise, fasting); preoccupation with weight/shape [ICD-10: F50.2, ICD-11: 6B81, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Interpersonal Therapy (IPT); Nutritional counseling; Medical monitoring; Medication","Fluoxetine 60mg (Rx - Prodep, Fludac, Nuzak - high dose); Topiramate 100mg (Rx - Topamac, Topaz, Topirol - off-label)","Fluoxetine: 60-80mg daily (initial 20mg, increase to 60mg after 1 week; max 80mg); Topiramate (off-label): 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects)","[Gita, Ch 13, V 6] The body is composed of the five great elements, false ego, intelligence... Insight: The body is merely a composite of elements. Preoccupation with its shape is due to false ego (Ahankara). Detach from the false ego."
"Bulimia Nervosa","binge eating; compensatory behaviors (purging, exercise, fasting); preoccupation with weight/shape [ICD-10: F50.2, ICD-11: 6B81, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Interpersonal Therapy (IPT); Nutritional counseling; Medical monitoring; Medication","Fluoxetine 60mg (Rx - Prodep, Fludac, Nuzak - high dose); Topiramate 100mg (Rx - Topamac, Topaz, Topirol - off-label)","Fluoxetine: 60-80mg daily (initial 20mg, increase to 60mg after 1 week; max 80mg); Topiramate (off-label): 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects)","[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Find satisfaction (Santosha) in mindful eating and the process of self-care, not in the momentary gratification of the binge or the relief of purging."
"Bulimia Nervosa","binge eating; compensatory behaviors (purging, exercise, fasting); preoccupation with weight/shape [ICD-10: F50.2, ICD-11: 6B81, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Interpersonal Therapy (IPT); Nutritional counseling; Medical monitoring; Medication; Support groups","Fluoxetine 60mg (Rx - Prodep, Fludac, Nuzak - high dose); Topiramate 100mg (Rx - Topamac, Topaz, Topirol - off-label); Fluoxetine 20mg (standard dose for comorbid depression)","Fluoxetine (high dose): 60-80mg daily (initial 20mg, increase to 60mg after 1 week; max 80mg); Topiramate (off-label): 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects); Fluoxetine (standard): 20-80mg daily","""[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: The binge-purge cycle is the opposite of regulation. Healing requires establishing *Yukta* (regulated, balanced) habits in eating, breaking the cycle of extremes."""
"Bulimia Nervosa","binge eating; compensatory behaviors (purging, exercise, fasting); preoccupation with weight/shape [ICD-10: F50.2, ICD-11: 6B81, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Interpersonal Therapy (IPT); Nutritional counseling; Medical monitoring; Medication; Support groups","Fluoxetine 60mg (Rx - Prodep, Fludac, Nuzak - high dose); Topiramate 100mg (Rx - Topamac, Topaz, Topirol - off-label); Fluoxetine 20mg (standard dose for comorbid depression)","Fluoxetine (high dose): 60-80mg daily (initial 20mg, increase to 60mg after 1 week; max 80mg); Topiramate (off-label): 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects); Fluoxetine (standard): 20-80mg daily","""[Gita, Ch 2, V 64] One who can control his senses by practicing the regulated principles of freedom can obtain the complete mercy of the Lord. Insight: Control (Vashikara) over the impulsive urge to binge and purge is achieved by adhering to regulated, therapeutic principles (regular meals, coping skills). This self-control is a form of freedom."""
"Bulimia Nervosa","binge eating; compensatory behaviors (purging, exercise, fasting); preoccupation with weight/shape [ICD-10: F50.2, ICD-11: 6B81, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Interpersonal Therapy (IPT); Nutritional counseling; Medical monitoring; Medication; Support groups","Fluoxetine 60mg (Rx - Prodep, Fludac, Nuzak - high dose); Topiramate 100mg (Rx - Topamac, Topaz, Topirol - off-label); Fluoxetine 20mg (standard dose for comorbid depression)","Fluoxetine (high dose): 60-80mg daily (initial 20mg, increase to 60mg after 1 week; max 80mg); Topiramate (off-label): 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects); Fluoxetine (standard): 20-80mg daily","""[Gita, Ch 13, V 6] The body is composed of the five great elements, false ego, intelligence... Insight: The body is merely a composite of elements. The intense preoccupation with its shape and the guilt/shame cycle are driven by false ego (Ahankara). Learn to detach from this false identification and see the body as a temporary instrument."""
"Bulimia Nervosa","binge eating; compensatory behaviors (purging, exercise, fasting); preoccupation with weight/shape [ICD-10: F50.2, ICD-11: 6B81, DSM-5: 307.51]","Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Interpersonal Therapy (IPT); Nutritional counseling; Medical monitoring; Medication; Support groups","Fluoxetine 60mg (Rx - Prodep, Fludac, Nuzak - high dose); Topiramate 100mg (Rx - Topamac, Topaz, Topirol - off-label); Fluoxetine 20mg (standard dose for comorbid depression)","Fluoxetine (high dose): 60-80mg daily (initial 20mg, increase to 60mg after 1 week; max 80mg); Topiramate (off-label): 50-200mg daily (initial 25mg, increase slowly; monitor for cognitive side effects); Fluoxetine (standard): 20-80mg daily","""[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Find satisfaction (Santosha) in the process of mindful eating and self-care, rather than in the momentary, false gratification of the binge or the temporary relief of purging. The act of nourishing the body is its own reward."""
"Bullying Trauma (Child/Adolescent)","fear of school; anxiety; depression; social isolation; low self-esteem; self-blame [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 12-20 sessions; School counseling; Social skills training; Support groups; Play therapy for younger children; Parent training; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 15, V 7] The living entities in this conditioned world are My eternal fragmental parts. Insight: The low self-esteem and self-blame are delusions. Your true, eternal nature is pure and untainted by the bully's judgment."
"Bullying Trauma (Child/Adolescent)","fear of school; anxiety; depression; social isolation; low self-esteem; self-blame [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 12-20 sessions; School counseling; Social skills training; Support groups; Play therapy for younger children; Parent training; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: The bully acts without kindness. The healing practice is to cultivate unconditional kindness (Maitri) toward the self, counteracting the internalized cruelty."
"Bullying Trauma (Child/Adolescent)","fear of school; anxiety; depression; social isolation; low self-esteem; self-blame [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 12-20 sessions; School counseling; Social skills training; Support groups; Play therapy for younger children; Parent training; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Abandon attachment to peer acceptance/popularity (success). Focus on the duties of learning and self-care with equanimity (Samatvam)."
"Bullying Trauma (Child/Adolescent)","fear of school; anxiety; depression; social isolation; low self-esteem; self-blame [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 12-20 sessions; School counseling; Social skills training; Support groups; Play therapy for younger children; Parent training; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness. Insight: The primary therapeutic goal is the restoration of fearlessness (Abhayam) in social and school settings, allowing the child to feel safe again."
"Burnout","exhaustion; cynicism; reduced professional efficacy; detachment; irritability [ICD-10: Z73.0, ICD-11: QD85, DSM-5: Not applicable]","Stress management; Work-life balance adjustment; Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Coaching","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for energy/depression)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 2, V 47] You have a right to perform your prescribed duty, but you are not entitled to the fruits of action. Insight: Burnout is often caused by attachment to the results/rewards (fruits). Practice Karma Yoga (detachment from results)."
"Burnout","exhaustion; cynicism; reduced professional efficacy; detachment; irritability [ICD-10: Z73.0, ICD-11: QD85, DSM-5: Not applicable]","Stress management; Work-life balance adjustment; Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Coaching","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for energy/depression)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 2, V 50] Yoga is the art of working without attachment. Insight: Make your work an 'art' (Yoga) by focusing on the quality of the action itself, not the exhausting pressure of the outcome."
"Burnout","exhaustion; cynicism; reduced professional efficacy; detachment; irritability [ICD-10: Z73.0, ICD-11: QD85, DSM-5: Not applicable]","Stress management; Work-life balance adjustment; Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Coaching","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for energy/depression)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 3, V 8] Perform your prescribed duty, for action is better than inaction. Insight: Don't quit entirely; reduce the pressure and keep performing your essential duty, finding satisfaction in the *doing*."
"Burnout","exhaustion; cynicism; reduced professional efficacy; detachment; irritability [ICD-10: Z73.0, ICD-11: QD85, DSM-5: Not applicable]","Stress management; Work-life balance adjustment; Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Coaching","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for energy/depression)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 14, V 7] The mode of passion (Rajas) is characterized by intense striving and unlimited desire and hankerings. Insight: Burnout is driven by the mode of Passion. Shift to the mode of Goodness (Sattva) by simplifying tasks and reducing intensity."
"Burnout","exhaustion; cynicism; reduced professional efficacy; detachment; irritability [ICD-10: Z73.0, ICD-11: QD85, DSM-5: Not applicable]","Stress management; Work-life balance adjustment; Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Coaching","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for energy/depression)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Burnout is fixed by *Yukta* (regulated) habits, especially work and rest. Do not overdo or underdo."
"Burnout","exhaustion; cynicism; reduced professional efficacy; detachment; irritability [ICD-10: Z73.0, ICD-11: QD85, DSM-5: Not applicable]","Stress management; Work-life balance adjustment; Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Coaching","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for energy/depression)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 18, V 48] Every endeavor is covered by some fault, just as fire is covered by smoke. Insight: Release the expectation of perfect, faultless work (which drives exhaustion). Embrace the inherent imperfections."
"Burnout","exhaustion; cynicism; reduced professional efficacy; detachment; irritability [ICD-10: Z73.0, ICD-11: QD85, DSM-5: Not applicable]","Stress management; Work-life balance adjustment; Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Coaching","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for energy/depression)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 2, V 50] Yoga is the art of working without attachment. Insight: Apply Yoga (skill in action) to work by focusing on the process, not the praise or outcome (attachment) that causes burnout."
"Burnout","exhaustion; cynicism; reduced professional efficacy; detachment; irritability [ICD-10: Z73.0, ICD-11: QD85, DSM-5: Not applicable]","Stress management; Work-life balance adjustment; Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Coaching","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for energy/depression)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: When exhausted, apply the mental austerity (Tapas) of simplicity and silence (digital detox, breaks) to restore energy."
"Burnout","exhaustion; cynicism; reduced professional efficacy; detachment; irritability [ICD-10: Z73.0, ICD-11: QD85, DSM-5: Not applicable]","Stress management; Work-life balance adjustment; Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Coaching","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for energy/depression)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 18, V 35] That determination which cannot give up dreaming, fearfulness, lamentation, moroseness and illusion—such unintelligent determination is in the mode of darkness. Insight: Burnt-out inertia is Tamasic (darkness). Use intelligent determination (Sattva) to enforce boundaries and rest."
"Burnout","exhaustion; cynicism; reduced professional efficacy; detachment; irritability [ICD-10: Z73.0, ICD-11: QD85, DSM-5: Not applicable]","Stress management; Work-life balance adjustment; Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Coaching","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for energy/depression)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 12, V 14] One who is always satisfied and engaged in devotional service with determination. Insight: Find satisfaction (Santosha) in the present, essential work, rather than chasing a future, exhausting goal."
"Burnout","exhaustion; cynicism; reduced professional efficacy; detachment; irritability [ICD-10: Z73.0, ICD-11: QD85, DSM-5: Not applicable]","Stress management; Work-life balance adjustment; Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Coaching","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for energy/depression)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 18, V 9] All prescribed duties should be performed without attachment to the results. Insight: Counter cynicism and exhaustion by performing duties with non-attachment (Nishkama Karma) to the outcomes, praise, or reward."
"Burnout","exhaustion; cynicism; reduced professional efficacy; detachment; irritability [ICD-10: Z73.0, ICD-11: QD85, DSM-5: Not applicable]","Stress management; Work-life balance adjustment; Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Coaching","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for energy/depression)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: The agitated/cynical mind is curbed by consistent practice (Abhyasa) of stillness and detachment (Vairagya) from the demands of work."
"Burnout","exhaustion; cynicism; reduced professional efficacy; detachment; irritability [ICD-10: Z73.0, ICD-11: QD85, DSM-5: Not applicable]","Stress management; Work-life balance adjustment; Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Coaching","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for energy/depression)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 14, V 8] The mode of ignorance (Tamas) is the cause of delusion... The result is madness, indolence and sleep. Insight: Burnout inertia is Tamasic (darkness). Actively choose Sattvic actions (health, boundaries, rest) to combat indolence."
"Burnout","exhaustion; cynicism; reduced professional efficacy; detachment; irritability [ICD-10: Z73.0, ICD-11: QD85, DSM-5: Not applicable]","Stress management; Work-life balance adjustment; Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Coaching","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for energy/depression)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 12, V 14] One who is always satisfied and engaged in devotional service with determination. Insight: Find satisfaction (Santosha) in the essential core of your work, rather than the exhausting outer shell of expectations."
"Childhood Physical Abuse Trauma","flashbacks; dissociation; low self-esteem; difficulty regulating emotions; hypervigilance [ICD-10: Z62.810, ICD-11: QE51.0, DSM-5: V61.21]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 15-25 sessions; Play therapy; Eye Movement Desensitization and Reprocessing (EMDR) - 8-12 sessions; Parent-child interaction therapy; Supportive counseling; Medication for nightmares/hypervigilance","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Prazosin 2mg (Rx - Minipress, Prazopress - for nightmares)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Prazosin: 1-15mg nightly (initial 1mg, titrate slowly; max 15mg; take at bedtime)","[Gita, Ch 17, V 14] Austerity of the body consists in worship... and non-violence. Insight: Trauma healing is fundamentally based on non-violence (Ahimsa) toward the self, actively counteracting the past violence and learning self-compassion."
"Childhood Physical Abuse Trauma","flashbacks; dissociation; low self-esteem; difficulty regulating emotions; hypervigilance [ICD-10: Z62.810, ICD-11: QE51.0, DSM-5: V61.21]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 15-25 sessions; Play therapy; Eye Movement Desensitization and Reprocessing (EMDR) - 8-12 sessions; Parent-child interaction therapy; Supportive counseling; Medication for nightmares/hypervigilance","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Prazosin 2mg (Rx - Minipress, Prazopress - for nightmares)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Prazosin: 1-15mg nightly (initial 1mg, titrate slowly; max 15mg; take at bedtime)","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Use the mind (therapeutic skills, cognitive reframing) to deliver the self (Uddharet) from the traumatic past, promoting self-worth and healing emotional wounds."
"Childhood Physical Abuse Trauma","flashbacks; dissociation; low self-esteem; difficulty regulating emotions; hypervigilance [ICD-10: Z62.810, ICD-11: QE51.0, DSM-5: V61.21]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 15-25 sessions; Play therapy; Eye Movement Desensitization and Reprocessing (EMDR) - 8-12 sessions; Parent-child interaction therapy; Supportive counseling; Medication for nightmares/hypervigilance","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Prazosin 2mg (Rx - Minipress, Prazopress - for nightmares)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Prazosin: 1-15mg nightly (initial 1mg, titrate slowly; max 15mg; take at bedtime)","[Gita, Ch 15, V 7] The living entities in this conditioned world are My eternal fragmental parts. Insight: The low self-esteem is a delusion. Your true, eternal nature is pure and untainted by the abuse; you remain a valued fragment of the Divine."
"Childhood Physical Abuse Trauma","flashbacks; dissociation; low self-esteem; difficulty regulating emotions; hypervigilance [ICD-10: Z62.810, ICD-11: QE51.0, DSM-5: V61.21]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 15-25 sessions; Play therapy; Eye Movement Desensitization and Reprocessing (EMDR) - 8-12 sessions; Parent-child interaction therapy; Supportive counseling; Medication for nightmares/hypervigilance","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Prazosin 2mg (Rx - Minipress, Prazopress - for nightmares)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Prazosin: 1-15mg nightly (initial 1mg, titrate slowly; max 15mg; take at bedtime)","[Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries. Insight: The goal is the undisturbed mind (Sthita-prajna) that can process the misery (trauma) without being overwhelmed by flashbacks and dysregulation, finding stability within."
"Chronic Fatigue Syndrome","persistent tiredness; low energy; difficulty concentrating; sleep disturbances [ICD-10: G93.3, ICD-11: 8E49, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) for CFS - 12-16 sessions; Graded exercise therapy; Lifestyle changes; Pacing; Sleep hygiene; Nutritional support","None Typically; Modafinil 100mg (Rx - Modalert, Modawake, Modafil - off-label)","Modafinil (off-label): 100-200mg daily (initial 100mg in morning, max 400mg; avoid late doses)","[Gita, Ch 14, V 8] The mode of ignorance (Tamas) is the cause of delusion for all embodied souls. The result is madness, indolence and sleep. Insight: Recognize that chronic fatigue/indolence is a binding effect of Tamas; seek to actively cultivate Sattva (goodness) through purity and gentle action."
"Chronic Fatigue Syndrome","persistent tiredness; low energy; difficulty concentrating; sleep disturbances [ICD-10: G93.3, ICD-11: 8E49, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) for CFS - 12-16 sessions; Graded exercise therapy; Lifestyle changes; Pacing; Sleep hygiene; Nutritional support","None Typically; Modafinil 100mg (Rx - Modalert, Modawake, Modafil - off-label)","Modafinil (off-label): 100-200mg daily (initial 100mg in morning, max 400mg; avoid late doses)","[Gita, Ch 3, V 5] Everyone is forcibly acting according to the modes of material nature. Insight: Accept that the body is currently bound by a powerful force (fatigue). Do not blame or judge; work gently within the current limitation (modes)."
"Chronic Fatigue Syndrome","persistent tiredness; low energy; difficulty concentrating; sleep disturbances [ICD-10: G93.3, ICD-11: 8E49, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) for CFS - 12-16 sessions; Graded exercise therapy; Lifestyle changes; Pacing; Sleep hygiene; Nutritional support","None Typically; Modafinil 100mg (Rx - Modalert, Modawake, Modafil - off-label)","Modafinil (off-label): 100-200mg daily (initial 100mg in morning, max 400mg; avoid late doses)","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Strict regulation (Yukta) of energy expenditure and rest is essential for managing CFS."
"Chronic Fatigue Syndrome","persistent tiredness; low energy; difficulty concentrating; sleep disturbances [ICD-10: G93.3, ICD-11: 8E49, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) for CFS - 12-16 sessions; Graded exercise therapy; Lifestyle changes; Pacing; Sleep hygiene; Nutritional support","None Typically; Modafinil 100mg (Rx - Modalert, Modawake, Modafil - off-label)","Modafinil (off-label): 100-200mg daily (initial 100mg in morning, max 400mg; avoid late doses)","[Gita, Ch 4, V 18] One who sees inaction in action, and action in inaction, is intelligent. Insight: Learn to 'act in inaction' (find mental stillness) when physically tired, and 'see inaction in action' (do small tasks without self-judgment)."
"Chronic Fatigue Syndrome","persistent tiredness; low energy; difficulty concentrating; sleep disturbances [ICD-10: G93.3, ICD-11: 8E49, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) for CFS - 12-16 sessions; Graded exercise therapy; Lifestyle changes; Pacing; Sleep hygiene; Nutritional support","None Typically; Modafinil 100mg (Rx - Modalert, Modawake, Modafil - off-label)","Modafinil (off-label): 100-200mg daily (initial 100mg in morning, max 400mg; avoid late doses)","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Do the bare minimum of your daily 'dharma' (duty), even if imperfectly, to maintain dignity and purpose."
"Chronic Fatigue Syndrome","persistent tiredness; low energy; difficulty concentrating; sleep disturbances [ICD-10: G93.3, ICD-11: 8E49, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) for CFS - 12-16 sessions; Graded exercise therapy; Lifestyle changes; Pacing; Sleep hygiene; Nutritional support","None Typically; Modafinil 100mg (Rx - Modalert, Modawake, Modafil - off-label)","Modafinil (off-label): 100-200mg daily (initial 100mg in morning, max 400mg; avoid late doses)","[Gita, Ch 7, V 14] This divine energy of Mine, consisting of the three modes of material nature, is difficult to overcome. Insight: The severity of CFS (modes of nature) is powerful. Surrender the struggle and focus on gentle self-care (Bhakti)."
"Chronic Fatigue Syndrome","persistent tiredness; low energy; difficulty concentrating; sleep disturbances [ICD-10: G93.3, ICD-11: 8E49, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) for CFS - 12-16 sessions; Graded exercise therapy; Lifestyle changes; Pacing; Sleep hygiene; Nutritional support","None Typically; Modafinil 100mg (Rx - Modalert, Modawake, Modafil - off-label)","Modafinil (off-label): 100-200mg daily (initial 100mg in morning, max 400mg; avoid late doses)","[Gita, Ch 12, V 14] One who is always satisfied and engaged in devotional service with determination. Insight: Find satisfaction (Santosha) in resting and conserving energy. Determine to engage in service (duty) only when energy allows."
"Chronic Fatigue Syndrome","persistent tiredness; low energy; difficulty concentrating; sleep disturbances [ICD-10: G93.3, ICD-11: 8E49, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) for CFS - 12-16 sessions; Graded exercise therapy; Lifestyle changes; Pacing; Sleep hygiene; Nutritional support","None Typically; Modafinil 100mg (Rx - Modalert, Modawake, Modafil - off-label)","Modafinil (off-label): 100-200mg daily (initial 100mg in morning, max 400mg; avoid late doses)","[Gita, Ch 14, V 18] Those in the mode of goodness gradually go upward. Insight: CFS is Tamasic (indolence). Actively choose small, Sattvic (goodness) actions (purity, gentle movement) to gradually move upward toward health."
"Chronic Fatigue Syndrome","persistent tiredness; low energy; difficulty concentrating; sleep disturbances [ICD-10: G93.3, ICD-11: 8E49, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) for CFS - 12-16 sessions; Graded exercise therapy; Lifestyle changes; Pacing; Sleep hygiene; Nutritional support","None Typically; Modafinil 100mg (Rx - Modalert, Modawake, Modafil - off-label)","Modafinil (off-label): 100-200mg daily (initial 100mg in morning, max 400mg; avoid late doses)","[Gita, Ch 18, V 9] All prescribed duties should be performed without attachment to the results. Insight: Perform essential daily duties without attachment to the results, accepting the imperfect outcome due to the illness."
"Chronic Fatigue Syndrome","persistent tiredness; low energy; difficulty concentrating; sleep disturbances [ICD-10: G93.3, ICD-11: 8E49, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) for CFS - 12-16 sessions; Graded exercise therapy; Lifestyle changes; Pacing; Sleep hygiene; Nutritional support","None Typically; Modafinil 100mg (Rx - Modalert, Modawake, Modafil - off-label)","Modafinil (off-label): 100-200mg daily (initial 100mg in morning, max 400mg; avoid late doses)","[Gita, Ch 1, V 47] Arjuna threw aside his bow and arrows and sat down on the chariot. Insight: Normalize the moments of extreme fatigue (throwing aside the bow). Use them as a cue for mandatory rest."
"Chronic Fatigue Syndrome","persistent tiredness; low energy; difficulty concentrating; sleep disturbances [ICD-10: G93.3, ICD-11: 8E49, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) for CFS - 12-16 sessions; Graded exercise therapy; Lifestyle changes; Pacing; Sleep hygiene; Nutritional support","None Typically; Modafinil 100mg (Rx - Modalert, Modawake, Modafil - off-label)","Modafinil (off-label): 100-200mg daily (initial 100mg in morning, max 400mg; avoid late doses)","[Gita, Ch 18, V 9] All prescribed duties should be performed without attachment to the results. Insight: Perform essential daily self-care duties (rest, gentle movement) without attachment to the speed of recovery (the result)."
"Chronic Fatigue Syndrome","persistent tiredness; low energy; difficulty concentrating; sleep disturbances [ICD-10: G93.3, ICD-11: 8E49, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) for CFS - 12-16 sessions; Graded exercise therapy; Lifestyle changes; Pacing; Sleep hygiene; Nutritional support","None Typically; Modafinil 100mg (Rx - Modalert, Modawake, Modafil - off-label)","Modafinil (off-label): 100-200mg daily (initial 100mg in morning, max 400mg; avoid late doses)","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Strict regulation (Yukta) of energy expenditure and rest is the primary tool for managing CFS."
"Chronic Fatigue Syndrome","persistent tiredness; low energy; difficulty concentrating; sleep disturbances [ICD-10: G93.3, ICD-11: 8E49, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) for CFS - 12-16 sessions; Graded exercise therapy; Lifestyle changes; Pacing; Sleep hygiene; Nutritional support","None Typically; Modafinil 100mg (Rx - Modalert, Modawake, Modafil - off-label)","Modafinil (off-label): 100-200mg daily (initial 100mg in morning, max 400mg; avoid late doses)","[Gita, Ch 4, V 18] One who sees inaction in action, and action in inaction, is intelligent. Insight: Learn the subtle intelligence of knowing when to rest (inaction in action) and when to act gently (action in inaction)."
"Chronic Fatigue Syndrome","persistent tiredness; low energy; difficulty concentrating; sleep disturbances [ICD-10: G93.3, ICD-11: 8E49, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) for CFS - 12-16 sessions; Graded exercise therapy; Lifestyle changes; Pacing; Sleep hygiene; Nutritional support","None Typically; Modafinil 100mg (Rx - Modalert, Modawake, Modafil - off-label)","Modafinil (off-label): 100-200mg daily (initial 100mg in morning, max 400mg; avoid late doses)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, and cultivation of knowledge. Insight: Use the illness as a rigorous discipline (Tapas) to cultivate internal qualities, compensating for physical limits."
"Chronic Illness Adjustment (e.g., Diabetes, Autoimmune)","grief; denial; depression; non-adherence to treatment; overwhelming change [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Supportive counseling; Psychoeducation; Acceptance and Commitment Therapy (ACT); Motivational Interviewing; Support groups; Medication for depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... one must learn to tolerate them without being disturbed. Insight: The diagnosis and its challenges are a form of distress. Practice tolerance (Titiksha), knowing that this season of life, while difficult, will have its own rhythm and can be managed."
"Chronic Illness Adjustment (e.g., Diabetes, Autoimmune)","grief; denial; depression; non-adherence to treatment; overwhelming change [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Supportive counseling; Psychoeducation; Acceptance and Commitment Therapy (ACT); Motivational Interviewing; Support groups; Medication for depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Your new 'occupation' (Dharma) includes managing your health. Perform this duty, even if imperfectly at times (with occasional non-adherence), as a sincere act of self-care."
"Chronic Illness Adjustment (e.g., Diabetes, Autoimmune)","grief; denial; depression; non-adherence to treatment; overwhelming change [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Supportive counseling; Psychoeducation; Acceptance and Commitment Therapy (ACT); Motivational Interviewing; Support groups; Medication for depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 13, V 8] Acceptance of the importance of self-realization and philosophical search for the Absolute Truth. Insight: The illness can become a catalyst for a deeper search for meaning and self-realization (Jnana), transforming grief into wisdom."
"Chronic Illness Adjustment (e.g., Diabetes, Autoimmune)","grief; denial; depression; non-adherence to treatment; overwhelming change [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Supportive counseling; Psychoeducation; Acceptance and Commitment Therapy (ACT); Motivational Interviewing; Support groups; Medication for depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 2, V 47] You have a right to perform your prescribed duty, but you are not entitled to the fruits of action. Insight: Focus on the duty of adhering to your treatment plan (taking medication, monitoring health) without attachment to the 'fruit' of perfect health or a cure. The effort itself is what matters."
"Chronic Pain","persistent pain; fatigue; reduced mobility; frustration; dependence [ICD-10: G89.4, ICD-11: MG30, DSM-5: Not applicable]","Pain management programs; Cognitive Behavioral Therapy (CBT) for pain - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Physical therapy; Occupational therapy; Acupuncture, Opioids (Rx - Morphine","Tramadol - short-term); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba)","Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Opioids (short-term, as prescribed)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress, and their disappearance in due course, are like the appearance and disappearance of winter and summer seasons. They arise from sense perception, O scion of Bharata, and one must learn to tolerate them without being disturbed. Insight: Tolerate (Titiksha) the pain without identifying with it. It is a sensory experience, like heat or cold, that will eventually pass."
"Chronic Pain","persistent pain; fatigue; reduced mobility; frustration; dependence [ICD-10: G89.4, ICD-11: MG30, DSM-5: Not applicable]","Pain management programs; Cognitive Behavioral Therapy (CBT) for pain - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Physical therapy; Occupational therapy; Acupuncture, Opioids (Rx - Morphine","Tramadol - short-term); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba)","Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Opioids (short-term, as prescribed)","[Gita, Ch 5, V 22] A sensible person does not take part in the sources of misery, which are due to contact with the material senses. Insight: Pain is a misery from the material senses. The Self remains untouched. Shift focus inward to the Self."
"Chronic Pain","persistent pain; fatigue; reduced mobility; frustration; dependence [ICD-10: G89.4, ICD-11: MG30, DSM-5: Not applicable]","Pain management programs; Cognitive Behavioral Therapy (CBT) for pain - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Physical therapy; Occupational therapy; Acupuncture, Opioids (Rx - Morphine","Tramadol - short-term); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba)","Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Opioids (short-term, as prescribed)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: Focus on the 'Knower' (Consciousness) which is witnessing the body's pain (the 'Field'). The Knower is not in pain."
"Chronic Pain","persistent pain; fatigue; reduced mobility; frustration; dependence [ICD-10: G89.4, ICD-11: MG30, DSM-5: Not applicable]","Pain management programs; Cognitive Behavioral Therapy (CBT) for pain - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Physical therapy; Occupational therapy; Acupuncture, Opioids (Rx - Morphine","Tramadol - short-term); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba)","Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Opioids (short-term, as prescribed)","[Gita, Ch 15, V 9] The living entity, thus taking another gross body, obtains a certain type of ear, eye, tongue, nose and sense of touch, which are grouped about the mind. Insight: Understand the senses (and pain) as temporary instruments used by the Self. The instrument may be damaged, but the user is fine."
"Chronic Pain","persistent pain; fatigue; reduced mobility; frustration; dependence [ICD-10: G89.4, ICD-11: MG30, DSM-5: Not applicable]","Pain management programs; Cognitive Behavioral Therapy (CBT) for pain - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Physical therapy; Occupational therapy; Acupuncture, Opioids (Rx - Morphine","Tramadol - short-term); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba)","Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Opioids (short-term, as prescribed)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, cultivation of knowledge, charity, self-control, performance of sacrifice, and study of the Vedas. Insight: Use the pain as a rigorous discipline (Tapas) to cultivate these godly qualities."
"Chronic Pain","persistent pain; fatigue; reduced mobility; frustration; dependence [ICD-10: G89.4, ICD-11: MG30, DSM-5: Not applicable]","Pain management programs; Cognitive Behavioral Therapy (CBT) for pain - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Physical therapy; Occupational therapy; Acupuncture, Opioids (Rx - Morphine","Tramadol - short-term); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba)","Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Opioids (short-term, as prescribed)","[Gita, Ch 18, V 66] Abandon all varieties of religion and just surrender unto Me. I shall deliver you from all sinful reactions. Do not fear. Insight: Final surrender of the body's condition to the Divine, trusting that the higher power is managing the pain."
"Chronic Pain","persistent pain; fatigue; reduced mobility; frustration; dependence [ICD-10: G89.4, ICD-11: MG30, DSM-5: Not applicable]","Pain management programs; Cognitive Behavioral Therapy (CBT) for pain - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Physical therapy; Occupational therapy; Acupuncture, Opioids (Rx - Morphine","Tramadol - short-term); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba)","Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Opioids (short-term, as prescribed)","[Gita, Ch 2, V 55] When a man gives up all varieties of desire for sense gratification, and when his mind, thus purified, finds satisfaction in the self alone, then he is said to be in pure transcendental consciousness. Insight: Satisfaction in the Self (Atman) alone is freedom from the body's painful demands (sense gratification/distress)."
"Chronic Pain","persistent pain; fatigue; reduced mobility; frustration; dependence [ICD-10: G89.4, ICD-11: MG30, DSM-5: Not applicable]","Pain management programs; Cognitive Behavioral Therapy (CBT) for pain - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Physical therapy; Occupational therapy; Acupuncture, Opioids (Rx - Morphine","Tramadol - short-term); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba)","Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Opioids (short-term, as prescribed)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: The restlessness of pain is curbed by consistent practice (Abhyasa) of mindfulness and detachment (Vairagya) from the pain sensation."
"Chronic Pain","persistent pain; fatigue; reduced mobility; frustration; dependence [ICD-10: G89.4, ICD-11: MG30, DSM-5: Not applicable]","Pain management programs; Cognitive Behavioral Therapy (CBT) for pain - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Physical therapy; Occupational therapy; Acupuncture, Opioids (Rx - Morphine","Tramadol - short-term); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba)","Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Opioids (short-term, as prescribed)","[Gita, Ch 16, V 21] There are three gates leading to this hell—lust, anger and greed. Insight: The frustration and anger (Anger) associated with chronic pain must be addressed and surrendered."
"Chronic Pain","persistent pain; fatigue; reduced mobility; frustration; dependence [ICD-10: G89.4, ICD-11: MG30, DSM-5: Not applicable]","Pain management programs; Cognitive Behavioral Therapy (CBT) for pain - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Physical therapy; Occupational therapy; Acupuncture, Opioids (Rx - Morphine","Tramadol - short-term); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba)","Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Opioids (short-term, as prescribed)","[Gita, Ch 7, V 14] This divine energy of Mine, consisting of the three modes of material nature, is difficult to overcome. Insight: Pain is a difficult mode of nature. Surrender the struggle and focus on gentle self-care (Bhakti) and acceptance."
"Chronic Pain","persistent pain; fatigue; reduced mobility; frustration; dependence [ICD-10: G89.4, ICD-11: MG30, DSM-5: Not applicable]","Pain management programs; Cognitive Behavioral Therapy (CBT) for pain - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Physical therapy; Occupational therapy; Acupuncture, Opioids (Rx - Morphine","Tramadol - short-term); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba)","Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Opioids (short-term, as prescribed)","[Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries. Insight: Pain is a misery. Work toward the undisturbed mind (Sthita-prajna) that witnesses the pain without reaction."
"Chronic Pain","persistent pain; fatigue; reduced mobility; frustration; dependence [ICD-10: G89.4, ICD-11: MG30, DSM-5: Not applicable]","Pain management programs; Cognitive Behavioral Therapy (CBT) for pain - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Physical therapy; Occupational therapy; Acupuncture, Opioids (Rx - Morphine","Tramadol - short-term); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba)","Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Opioids (short-term, as prescribed)","[Gita, Ch 15, V 9] The living entity... obtains a certain type of ear, eye, tongue, nose and sense of touch, which are grouped about the mind. Insight: Pain is a 'sense of touch' experience. Separate the *Knower* from the sensory experience of the body."
"Chronic Pain","persistent pain; fatigue; reduced mobility; frustration; dependence [ICD-10: G89.4, ICD-11: MG30, DSM-5: Not applicable]","Pain management programs; Cognitive Behavioral Therapy (CBT) for pain - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Physical therapy; Occupational therapy; Acupuncture, Opioids (Rx - Morphine","Tramadol - short-term); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba)","Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Opioids (short-term, as prescribed)","[Gita, Ch 17, V 14] Austerity of the body consists in worship of the Supreme Lord... and non-violence. Insight: Non-violence (Ahimsa) toward the body—gentle movement, proper care—helps manage the symptoms."
"Chronic Pain","persistent pain; fatigue; reduced mobility; frustration; dependence [ICD-10: G89.4, ICD-11: MG30, DSM-5: Not applicable]","Pain management programs; Cognitive Behavioral Therapy (CBT) for pain - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Physical therapy; Occupational therapy; Acupuncture, Opioids (Rx - Morphine","Tramadol - short-term); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba)","Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Opioids (short-term, as prescribed)","[Gita, Ch 12, V 14] One who is always satisfied and engaged in devotional service with determination. Insight: Find satisfaction (Santosha) and purpose in life despite the pain, and engage in determined service when able."
"Chronic Pain Syndrome (Psychogenic)","persistent, distressing pain without adequate physical cause; functional impairment; depression/anxiety [ICD-10: F45.42, ICD-11: MG30, DSM-5: 316]","Cognitive Behavioral Therapy (CBT) for pain - 12-20 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Biofeedback; Physical therapy; Occupational therapy; Acceptance and Commitment Therapy (ACT); Medication","Duloxetine 60mg (Rx - Duzela, Dulo, Dulane); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba); Pregabalin 75mg (Rx - Pregeb, Maxgalin)","Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food); Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Pregabalin: 75-300mg twice daily (initial 75mg BID, increase after 1 week; max 600mg/day)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... one must learn to tolerate them without being disturbed. Insight: The pain is a temporary distress, a sensation in the body. Practice tolerance (Titiksha), knowing the eternal Self is untouched by it."
"Chronic Pain Syndrome (Psychogenic)","persistent, distressing pain without adequate physical cause; functional impairment; depression/anxiety [ICD-10: F45.42, ICD-11: MG30, DSM-5: 316]","Cognitive Behavioral Therapy (CBT) for pain - 12-20 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Biofeedback; Physical therapy; Occupational therapy; Acceptance and Commitment Therapy (ACT); Medication","Duloxetine 60mg (Rx - Duzela, Dulo, Dulane); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba); Pregabalin 75mg (Rx - Pregeb, Maxgalin)","Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food); Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Pregabalin: 75-300mg twice daily (initial 75mg BID, increase after 1 week; max 600mg/day)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: The body is the 'Field' (Kshetra) of pain. The 'Knower' (Consciousness) is the detached witness, providing a refuge from the constant suffering. Focus on being the witness, not the pain."
"Chronic Pain Syndrome (Psychogenic)","persistent, distressing pain without adequate physical cause; functional impairment; depression/anxiety [ICD-10: F45.42, ICD-11: MG30, DSM-5: 316]","Cognitive Behavioral Therapy (CBT) for pain - 12-20 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Biofeedback; Physical therapy; Occupational therapy; Acceptance and Commitment Therapy (ACT); Medication","Duloxetine 60mg (Rx - Duzela, Dulo, Dulane); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba); Pregabalin 75mg (Rx - Pregeb, Maxgalin)","Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food); Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Pregabalin: 75-300mg twice daily (initial 75mg BID, increase after 1 week; max 600mg/day)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Curb the mind's reactivity and catastrophizing about the pain through consistent mindfulness practice (Abhyasa) and detachment (Vairagya) from the pain narrative."
"Chronic Pain Syndrome (Psychogenic)","persistent, distressing pain without adequate physical cause; functional impairment; depression/anxiety [ICD-10: F45.42, ICD-11: MG30, DSM-5: 316]","Cognitive Behavioral Therapy (CBT) for pain - 12-20 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Biofeedback; Physical therapy; Occupational therapy; Acceptance and Commitment Therapy (ACT); Medication","Duloxetine 60mg (Rx - Duzela, Dulo, Dulane); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba); Pregabalin 75mg (Rx - Pregeb, Maxgalin)","Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food); Gabapentin: 300-1800mg three times daily (initial 300mg at bedtime, increase over 2-3 weeks; max 3600mg/day; take with food); Pregabalin: 75-300mg twice daily (initial 75mg BID, increase after 1 week; max 600mg/day)","[Gita, Ch 12, V 14] One who is always satisfied and engaged in devotional service with determination. Insight: Find satisfaction (Santosha) in the current moment despite the pain, and engage determinedly in light, constructive activities (Dharma) that give life meaning beyond the suffering."
"Conduct Disorder","aggression to people/animals; property destruction; deceitfulness/theft; serious rule violations [ICD-10: F91.9, ICD-11: 6C91, DSM-5: 312.8]","Multisystemic Therapy (MST); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Parent training; Family therapy; Functional Family Therapy (FFT); Medication for aggression/impulsivity","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression); Mood stabilizers - Valproate 500mg (Rx - Valparin, Encorate, Valance); Lithium 300mg (Rx - Lithosun, Lithium, Carbolith)","Risperidone (for aggression): 0.5-3mg daily (initial 0.5mg, increase slowly; monitor metabolic parameters); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL); Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L)","[Gita, Ch 17, V 14] Austerity of the body consists in worship... and non-violence. Insight: Conduct disorder is marked by severe violence (Himsa) toward others, animals, and property. The core practice of rehabilitation is learning non-violence (Ahimsa) in all its forms, beginning with impulse control and developing empathy."
"Conduct Disorder","aggression to people/animals; property destruction; deceitfulness/theft; serious rule violations [ICD-10: F91.9, ICD-11: 6C91, DSM-5: 312.8]","Multisystemic Therapy (MST); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Parent training; Family therapy; Functional Family Therapy (FFT); Medication for aggression/impulsivity","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression); Mood stabilizers - Valproate 500mg (Rx - Valparin, Encorate, Valance); Lithium 300mg (Rx - Lithosun, Lithium, Carbolith)","Risperidone (for aggression): 0.5-3mg daily (initial 0.5mg, increase slowly; monitor metabolic parameters); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL); Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L)","[Gita, Ch 16, V 7] Demoniac persons do not know what is to be done and what is not to be done. Neither cleanliness nor proper behavior nor truth is found in them. Insight: The therapeutic process must establish a clear, foundational knowledge of what is right (to be done) and what is wrong (not to be done) in all areas of life—behavior, truthfulness, cleanliness, and respect for others. This is the essential first step."
"Conduct Disorder","aggression to people/animals; property destruction; deceitfulness/theft; serious rule violations [ICD-10: F91.9, ICD-11: 6C91, DSM-5: 312.8]","Multisystemic Therapy (MST); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Parent training; Family therapy; Functional Family Therapy (FFT); Medication for aggression/impulsivity","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression); Mood stabilizers - Valproate 500mg (Rx - Valparin, Encorate, Valance); Lithium 300mg (Rx - Lithosun, Lithium, Carbolith)","Risperidone (for aggression): 0.5-3mg daily (initial 0.5mg, increase slowly; monitor metabolic parameters); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL); Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Cultivate unconditional kindness (Maitri) and compassion (Karuna) as the foundation for all ethical, non-aggressive behavior. This involves learning to see the humanity in others and to feel genuine concern for their well-being."
"Conduct Disorder","aggression to people/animals; property destruction; deceitfulness/theft; serious rule violations [ICD-10: F91.9, ICD-11: 6C91, DSM-5: 312.8]","Multisystemic Therapy (MST); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Parent training; Family therapy; Functional Family Therapy (FFT); Medication for aggression/impulsivity","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression); Mood stabilizers - Valproate 500mg (Rx - Valparin, Encorate, Valance); Lithium 300mg (Rx - Lithosun, Lithium, Carbolith)","Risperidone (for aggression): 0.5-3mg daily (initial 0.5mg, increase slowly; monitor metabolic parameters); Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL); Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L)","[Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done... that intelligence is in the mode of goodness. Insight: Restore Sattvic intelligence (Buddhi) to correctly judge the moral and ethical consequences of actions. This means learning to pause and think through the potential harm of an action before acting on impulse."
"Conduct Disorder","aggression to people/animals; property destruction; deceitfulness/theft; serious rule violations [ICD-10: F91.9, ICD-11: 6C91, DSM-5: 312.8]","Multisystemic Therapy (MST); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Parent training; Family therapy; Medication for aggression","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression)","Risperidone (for aggression): 0.5-3mg daily (initial 0.5mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 17, V 14] Austerity of the body consists in worship... and non-violence. Insight: Conduct disorder is marked by violence (Himsa). The core practice is non-violence (Ahimsa) toward all living entities and property."
"Conduct Disorder","aggression to people/animals; property destruction; deceitfulness/theft; serious rule violations [ICD-10: F91.9, ICD-11: 6C91, DSM-5: 312.8]","Multisystemic Therapy (MST); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Parent training; Family therapy; Medication for aggression","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression)","Risperidone (for aggression): 0.5-3mg daily (initial 0.5mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 16, V 7] Demoniac persons do not know what is to be done and what is not to be done. Neither cleanliness nor proper behavior nor truth is found in them. Insight: The therapeutic process must establish knowledge of what is right (to be done) and wrong (not to be done) in all areas (behavior, truth, cleanliness)."
"Conduct Disorder","aggression to people/animals; property destruction; deceitfulness/theft; serious rule violations [ICD-10: F91.9, ICD-11: 6C91, DSM-5: 312.8]","Multisystemic Therapy (MST); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Parent training; Family therapy; Medication for aggression","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression)","Risperidone (for aggression): 0.5-3mg daily (initial 0.5mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Cultivate unconditional kindness (Maitri) and compassion (Karuna) as the foundation for ethical, non-aggressive behavior."
"Conduct Disorder","aggression to people/animals; property destruction; deceitfulness/theft; serious rule violations [ICD-10: F91.9, ICD-11: 6C91, DSM-5: 312.8]","Multisystemic Therapy (MST); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Parent training; Family therapy; Medication for aggression","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression)","Risperidone (for aggression): 0.5-3mg daily (initial 0.5mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done... that intelligence is in the mode of goodness. Insight: Restore Sattvic intelligence (Buddhi) to correctly judge the moral and ethical consequences of actions."
"Conversion Disorder (Functional Neurological Symptom Disorder)","unexplained neurological symptoms (blindness, paralysis, seizures) incompatible with medical knowledge; psychological stress precursor [ICD-10: F44.9, ICD-11: 6B60, DSM-5: 300.11]","Psychotherapy (trauma-informed); Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Physical therapy; Occupational therapy; Hypnosis (optional, by trained professional); Psychoeducation; Medication for comorbid anxiety/depression","None Typically; SSRIs (for comorbid anxiety/depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Duloxetine 60mg (Rx - Duzela, Dulo, Dulane - for pain if present)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food)","[Gita, Ch 18, V 61] The Supreme Lord is situated in everyone's heart... directing the wanderings of all living entities. Insight: The functional neurological symptoms can be seen as the body/mind 'wandering' in response to overwhelming stress. Surrender the need to intellectually understand the symptom and trust in the inner guide (the Self, the therapeutic process) to gradually lead you back to integrated functioning."
"Conversion Disorder (Functional Neurological Symptom Disorder)","unexplained neurological symptoms (blindness, paralysis, seizures) incompatible with medical knowledge; psychological stress precursor [ICD-10: F44.9, ICD-11: 6B60, DSM-5: 300.11]","Psychotherapy (trauma-informed); Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Physical therapy; Occupational therapy; Hypnosis (optional, by trained professional); Psychoeducation; Medication for comorbid anxiety/depression","None Typically; SSRIs (for comorbid anxiety/depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Duloxetine 60mg (Rx - Duzela, Dulo, Dulane - for pain if present)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food)","[Gita, Ch 6, V 25] Gradually, step by step, one should become situated in trance by means of intelligence sustained by conviction. Insight: Recovery from conversion disorder is a gradual (step-by-step) process of restoring function. It requires patience, conviction (Shraddha) in the possibility of healing, and the intelligent application of therapeutic and rehabilitative techniques."
"Conversion Disorder (Functional Neurological Symptom Disorder)","unexplained neurological symptoms (blindness, paralysis, seizures) incompatible with medical knowledge; psychological stress precursor [ICD-10: F44.9, ICD-11: 6B60, DSM-5: 300.11]","Psychotherapy (trauma-informed); Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Physical therapy; Occupational therapy; Hypnosis (optional, by trained professional); Psychoeducation; Medication for comorbid anxiety/depression","None Typically; SSRIs (for comorbid anxiety/depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Duloxetine 60mg (Rx - Duzela, Dulo, Dulane - for pain if present)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food)","[Gita, Ch 5, V 13] The embodied soul, renouncing all actions by mind, dwells happily in the city of nine gates [the body], neither working nor causing work to be done. Insight: The soul is happy and untainted even when the 'gates' (senses/body parts) are temporarily dysfunctional. Find happiness and a sense of intact self within, separate from the body's current limitations."
"Conversion Disorder (Functional Neurological Symptom Disorder)","unexplained neurological symptoms (blindness, paralysis, seizures) incompatible with medical knowledge; psychological stress precursor [ICD-10: F44.9, ICD-11: 6B60, DSM-5: 300.11]","Psychotherapy (trauma-informed); Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Physical therapy; Occupational therapy; Hypnosis (optional, by trained professional); Psychoeducation; Medication for comorbid anxiety/depression","None Typically; SSRIs (for comorbid anxiety/depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Duloxetine 60mg (Rx - Duzela, Dulo, Dulane - for pain if present)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food)","[Gita, Ch 14, V 8] The mode of ignorance (Tamas) is the cause of delusion... The result is madness, indolence and sleep. Insight: The functional neurological symptom can be understood as a Tamasic (ignorance) response to overwhelming stress—a sort of psychic 'shutdown' of a function. The path to healing involves cultivating Sattva (goodness, clarity) through addressing the underlying stress and gently re-engaging the affected function."
"Conversion Disorder (Functional Neurological Symptom Disorder)","unexplained neurological symptoms (blindness, paralysis, seizures) incompatible with medical knowledge; psychological stress precursor [ICD-10: F44.9, ICD-11: 6B60, DSM-5: 300.11]","Psychotherapy (trauma-informed); Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Physical therapy; Occupational therapy; Hypnosis (optional); Psychoeducation","None Typically","None Typically","[Gita, Ch 18, V 61] The Supreme Lord is situated in everyone's heart... directing the wanderings of all living entities. Insight: The symptoms are the body/mind wandering. Surrender the need to intellectually understand the symptom, trusting the inner guide for healing."
"Conversion Disorder (Functional Neurological Symptom Disorder)","unexplained neurological symptoms (blindness, paralysis, seizures) incompatible with medical knowledge; psychological stress precursor [ICD-10: F44.9, ICD-11: 6B60, DSM-5: 300.11]","Psychotherapy (trauma-informed); Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Physical therapy; Occupational therapy; Hypnosis (optional); Psychoeducation","None Typically","None Typically","[Gita, Ch 6, V 25] Gradually, step by step, one should become situated in trance by means of intelligence sustained by conviction. Insight: Recovery is a gradual (step-by-step) process of restoring function, requiring conviction (Shraddha) and intelligence (Buddhi)."
"Conversion Disorder (Functional Neurological Symptom Disorder)","unexplained neurological symptoms (blindness, paralysis, seizures) incompatible with medical knowledge; psychological stress precursor [ICD-10: F44.9, ICD-11: 6B60, DSM-5: 300.11]","Psychotherapy (trauma-informed); Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Physical therapy; Occupational therapy; Hypnosis (optional); Psychoeducation","None Typically","None Typically","[Gita, Ch 5, V 13] The embodied soul, renouncing all actions by mind, dwells happily in the city of nine gates [the body], neither working nor causing work to be done. Insight: The soul is happy and untainted even when the 'gates' (senses/body parts) are dysfunctional. Find happiness within."
"Conversion Disorder (Functional Neurological Symptom Disorder)","unexplained neurological symptoms (blindness, paralysis, seizures) incompatible with medical knowledge; psychological stress precursor [ICD-10: F44.9, ICD-11: 6B60, DSM-5: 300.11]","Psychotherapy (trauma-informed); Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Physical therapy; Occupational therapy; Hypnosis (optional); Psychoeducation","None Typically","None Typically","[Gita, Ch 14, V 8] The mode of ignorance (Tamas) is the cause of delusion... The result is madness, indolence and sleep. Insight: The physical symptom is a Tamasic (ignorance) response to stress. Cultivate Sattva (goodness) through purity of thought and action."
"Dependent Personality Disorder","excessive need to be cared for; clinging behavior; fear of separation; lack of self-confidence [ICD-10: F60.7, ICD-11: 6D11.4, DSM-5: 301.6]","Psychodynamic therapy - 1-2 years; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Assertiveness training; Group therapy; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 18, V 58] By My grace, you will pass over all the obstacles of conditioned life. Insight: Trust in divine or cosmic support, which is internal and permanent, instead of relying solely on temporary external figures for care."
"Dependent Personality Disorder","excessive need to be cared for; clinging behavior; fear of separation; lack of self-confidence [ICD-10: F60.7, ICD-11: 6D11.4, DSM-5: 301.6]","Psychodynamic therapy - 1-2 years; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Assertiveness training; Group therapy; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 2, V 3] Do not yield to this degrading impotence. It does not become you. Insight: Assertive, strong action is the opposite of impotence. Choose to act independently, even in small ways."
"Dependent Personality Disorder","excessive need to be cared for; clinging behavior; fear of separation; lack of self-confidence [ICD-10: F60.7, ICD-11: 6D11.4, DSM-5: 301.6]","Psychodynamic therapy - 1-2 years; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Assertiveness training; Group therapy; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 2, V 47] You have a right to perform your prescribed duty, but you are not entitled to the fruits of action. Insight: Focus on performing your own duties (dharma) to build self-efficacy and self-confidence, rather than depending on others to do them."
"Dependent Personality Disorder","excessive need to be cared for; clinging behavior; fear of separation; lack of self-confidence [ICD-10: F60.7, ICD-11: 6D11.4, DSM-5: 301.6]","Psychodynamic therapy - 1-2 years; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Assertiveness training; Group therapy; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 13, V 8] Birth, death, old age and disease are evils. Insight: Acceptance of the temporary, changing nature of life and relationships helps to reduce the fear of separation and abandonment."
"Dependent Personality Disorder","excessive need to be cared for; clinging behavior; fear of separation; lack of self-confidence [ICD-10: F60.7, ICD-11: 6D11.4, DSM-5: 301.6]","Psychodynamic therapy - 1-2 years; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Assertiveness training; Group therapy; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 12, V 19] One who is free from the false ego, who is satisfied with anything, and who doesn't care for home or friends. Insight: Extreme detachment is the ideal, which means learning to be satisfied (self-reliant) even without the constant presence of others."
"Dependent Personality Disorder","excessive need to be cared for; clinging behavior; fear of separation; lack of self-confidence [ICD-10: F60.7, ICD-11: 6D11.4, DSM-5: 301.6]","Psychodynamic therapy - 1-2 years; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Assertiveness training; Group therapy; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 10, V 8] I am the source of all spiritual and material worlds. Everything emanates from Me. Insight: The only true dependence is on the unchangeable source of all things, not on temporary human support."
"Dependent Personality Disorder","excessive need to be cared for; clinging behavior; fear of separation; lack of self-confidence [ICD-10: F60.7, ICD-11: 6D11.4, DSM-5: 301.6]","Psychodynamic therapy - 1-2 years; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Assertiveness training; Group therapy; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: You must actively use your mind (Assertiveness, Self-Confidence) to lift yourself up (deliver yourself), rather than depending on others."
"Dependent Personality Disorder","excessive need to be cared for; clinging behavior; fear of separation; lack of self-confidence [ICD-10: F60.7, ICD-11: 6D11.4, DSM-5: 301.6]","Psychodynamic therapy - 1-2 years; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Assertiveness training; Group therapy; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 12, V 19] One who is free from the false ego, who is satisfied with anything, and who doesn't care for home or friends. Insight: Dependency is attachment. Cultivate satisfaction with the self alone (self-reliance) to overcome clinging behavior."
"Dependent Personality Disorder","excessive need to be cared for; clinging behavior; fear of separation; lack of self-confidence [ICD-10: F60.7, ICD-11: 6D11.4, DSM-5: 301.6]","Psychodynamic therapy - 1-2 years; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Assertiveness training; Group therapy; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Abandon the result of dependence (being cared for) and simply be satisfied with the current state of independent action."
"Dependent Personality Disorder","excessive need to be cared for; clinging behavior; fear of separation; lack of self-confidence [ICD-10: F60.7, ICD-11: 6D11.4, DSM-5: 301.6]","Psychodynamic therapy - 1-2 years; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Assertiveness training; Group therapy; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 18, V 46] By worship of the Lord, who is the source of all beings... a man can attain perfection through performance of his own work. Insight: Independence is achieved by attaining perfection through the performance of one's own duty (Svadharma)."
"Dependent Personality Disorder","excessive need to be cared for; clinging behavior; fear of separation; lack of self-confidence [ICD-10: F60.7, ICD-11: 6D11.4, DSM-5: 301.6]","Psychodynamic therapy - 1-2 years; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Assertiveness training; Group therapy; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 12, V 18] One who is equal to friends and enemies... who is equipoised in honor and dishonor. Insight: Dependence is attachment to acceptance (honor). Cultivate detachment and equanimity to reduce clinging."
"Dependent Personality Disorder","excessive need to be cared for; clinging behavior; fear of separation; lack of self-confidence [ICD-10: F60.7, ICD-11: 6D11.4, DSM-5: 301.6]","Psychodynamic therapy - 1-2 years; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Assertiveness training; Group therapy; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 4, V 39] A faithful man who is dedicated to transcendental knowledge and who subdues his senses attains knowledge. Insight: Faith (Shraddha) in your own competence and the inner self subdues the sense of dependence and fear."
"Dependent Personality Disorder","excessive need to be cared for; clinging behavior; fear of separation; lack of self-confidence [ICD-10: F60.7, ICD-11: 6D11.4, DSM-5: 301.6]","Psychodynamic therapy - 1-2 years; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Assertiveness training; Group therapy; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Practice the mental austerity (Tapas) of self-control and simplicity, reducing the need for external rescue."
"Dependent Personality Disorder","excessive need to be cared for; clinging behavior; fear of separation; lack of self-confidence [ICD-10: F60.7, ICD-11: 6D11.4, DSM-5: 301.6]","Psychodynamic therapy - 1-2 years; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Assertiveness training; Group therapy; Medication for comorbid depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 10, V 8] I am the source of all spiritual and material worlds. Everything emanates from Me. Insight: Shift your ultimate source of support from a temporary person to the eternal, internal Source."
"Depersonalization/Derealization Disorder","feeling detached from self (depersonalization) or surroundings (derealization); dreamlike state; distress [ICD-10: F48.1, ICD-11: 6B66, DSM-5: 300.6]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Mindfulness/Grounding techniques; Psychodynamic therapy; Trauma-informed therapy; Medication for comorbid anxiety/depression","SSRIs (Sertraline) 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex - off-label for dissociation)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: The body/mind is the 'Field' of sensation, including the feeling of unreality. The 'Knower' (Consciousness) is the stable, detached witness, unaffected by the dreamlike state. Anchor yourself in the 'I am' that is always present."
"Depersonalization/Derealization Disorder","feeling detached from self (depersonalization) or surroundings (derealization); dreamlike state; distress [ICD-10: F48.1, ICD-11: 6B66, DSM-5: 300.6]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Mindfulness/Grounding techniques; Psychodynamic therapy; Trauma-informed therapy; Medication for comorbid anxiety/depression","SSRIs (Sertraline) 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex - off-label for dissociation)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 2, V 16] Of the nonexistent there is no endurance, and of the existent there is no cessation. Insight: The feeling of unreality (nonexistent) is temporary and will not endure. The Self (existent) is real and will not cease. Trust in the permanence of your true nature."
"Depersonalization/Derealization Disorder","feeling detached from self (depersonalization) or surroundings (derealization); dreamlike state; distress [ICD-10: F48.1, ICD-11: 6B66, DSM-5: 300.6]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Mindfulness/Grounding techniques; Psychodynamic therapy; Trauma-informed therapy; Medication for comorbid anxiety/depression","SSRIs (Sertraline) 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex - off-label for dissociation)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: The dissociative mind is restless. Curb it through consistent grounding practices (Abhyasa) and detachment (Vairagya) from the distressing, dreamlike feelings, simply observing them without engagement."
"Depersonalization/Derealization Disorder","feeling detached from self (depersonalization) or surroundings (derealization); dreamlike state; distress [ICD-10: F48.1, ICD-11: 6B66, DSM-5: 300.6]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Mindfulness/Grounding techniques; Psychodynamic therapy; Trauma-informed therapy; Medication for comorbid anxiety/depression","SSRIs (Sertraline) 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex - off-label for dissociation)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 5, V 13] The embodied soul... dwells happily in the city of nine gates [the body], neither working nor causing work to be done. Insight: Focus on the internal, untouched happiness of the soul, rather than obsessing over the perceived 'unreal' external world or the distorted sense of self. Find refuge within."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 11] The wise lament neither for the living nor for the dead. Insight: Understand that the soul is eternal. Grief is for the temporary body, not the eternal self."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 14] Happiness and distress come and go like winter and summer seasons. They are temporary; learn to tolerate them. Insight: Treat sadness as a passing season, not a permanent reality."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 47] You have a right to perform your prescribed duty, but you are not entitled to the fruits of action. Insight: Focus on small daily tasks (dharma) rather than the heavy burden of expected outcomes."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Use self-effort (Purushartha) to lift yourself out of despair. Your mind can be your friend."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 58] By My grace, you will pass over all the obstacles of conditioned life. Insight: Surrender your heavy burden and trust in divine grace to help you overcome feelings of hopelessness."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 66] Abandon all varieties of religion and just surrender unto Me. I shall deliver you from all sinful reactions. Do not fear. Insight: Final release from all negative feeling comes from absolute spiritual surrender."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 3, V 5] Everyone is forcibly acting according to the modes of material nature. Insight: Do not blame yourself for being inactive; understand the powerful modes of nature (Tamas) that currently bind you, and act against them gently."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, and cultivation of knowledge. Insight: Cultivate these opposite qualities to dispel the darkness of depression."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 4, V 38] In this world, there is nothing so sublime and pure as transcendental knowledge. Insight: Seek knowledge (Jnana) or insight that illuminates the darkness of the mind."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 15, V 1] The roots of this fig tree grow upward and its branches downward. Insight: The world (Samsara) is reversed and confusing. Look beyond the visible reality to find true stability."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 9, V 22] I carry what they lack and preserve what they have. Insight: Trust that your essential needs are always met by the universe/divine power. Release worry over lack."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 13, V 8] Acceptance of the importance of self-realization and philosophical search for the Absolute Truth. Insight: Shift focus from the small, painful ego-self to the vast, eternal, true Self."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 10, V 11] To show them special mercy, I destroy the darkness born of ignorance. Insight: Light of knowledge/wisdom is the ultimate cure for the darkness of the mind."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Engaging in selfless service and kindness (Karma Yoga) shifts focus outward and away from self-pity."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 1, V 28] Arjuna's paralysis of the senses and heart. Insight: Recognize that profound depression (Arjuna's *vishada*) is a natural, yet temporary, reaction to overwhelming life circumstances."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 3] Do not yield to this degrading impotence. It does not become you. Insight: Gentle yet firm encouragement to rise above the current feeling of helplessness. You are stronger than your despair."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 40] In this endeavor there is no loss or diminution, and a little advancement can protect one from the most dangerous type of fear. Insight: Small daily duties (a little advancement) are never wasted and protect the mind from the darkness of inertia."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 6, V 6] For him who has conquered the mind, the mind is the best of friends. Insight: The goal is mind mastery (conquered mind) through discipline, turning the mind from a depressive enemy into a supportive friend."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 14, V 8] The mode of ignorance (Tamas) is the cause of delusion for all embodied souls. The result is madness, indolence and sleep. Insight: Recognize depression's core symptoms (indolence, fatigue) as Tamasic; actively choose to cultivate Sattva (goodness) through purity and gentle action."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 13, V 23] The enjoyer, is the maintainer and transcendental controller, and He is called the Supersoul. Insight: The true Self (Supersoul/Controller) is always present and joyful; identify with this true self instead of the temporary sadness."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 16, V 22] A person who has escaped these three gates of hell, O son of Kunti, performs acts conducive to self-realization. Insight: Escaping lust, anger, and greed (the gates of hell) is the path to joy and self-realization."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 3, V 8] Perform your prescribed duty, for action is better than inaction. Insight: Counter the inertia/fatigue (Tamas) with action (Karma Yoga). Any small, positive action is better than inaction."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 15, V 7] The living entities in this conditioned world are My eternal fragmental parts. Insight: The feeling of worthlessness is a delusion. Your true nature is an eternal, valuable fragment of the Divine."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 6, V 25] Gradually, step by step, one should become situated in trance by means of intelligence sustained by conviction. Insight: Healing from depression is gradual (step-by-step). Sustain conviction (Shraddha) in the small daily actions."
"Depression","sadness; loss of interest; fatigue; hopeless; worthlessness [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 296.22-296.36]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Behavioral Activation; Interpersonal Therapy (IPT); Mindfulness-Based Cognitive Therapy (MBCT); Regular Exercise (150 min/week); Sleep Hygiene protocol","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Practice the mental austerity of simplicity and purity of purpose to reduce mental clutter and overwhelming feelings."
"Dissociative Amnesia","inability to recall important personal information; memory gaps related to trauma/stress; not due to medical condition [ICD-10: F44.0, ICD-11: 6B61, DSM-5: 300.12]","Psychotherapy (trauma-informed); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 8-12 sessions; Hypnosis (optional, by trained professional); Medication for comorbid depression/anxiety","None Typically; SSRIs (for comorbid anxiety/depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex - off-label for dissociation)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 2, V 63] From anger comes delusion, and from delusion bewilderment of memory. Insight: The amnesia (bewilderment of memory) is a psychological defense against overwhelming stress. Healing requires safe, gradual recall in therapy to restore clear intelligence (Buddhi) and integration."
"Dissociative Amnesia","inability to recall important personal information; memory gaps related to trauma/stress; not due to medical condition [ICD-10: F44.0, ICD-11: 6B61, DSM-5: 300.12]","Psychotherapy (trauma-informed); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 8-12 sessions; Hypnosis (optional, by trained professional); Medication for comorbid depression/anxiety","None Typically; SSRIs (for comorbid anxiety/depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex - off-label for dissociation)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, and cultivation of knowledge. Insight: Trauma therapy is the purification (Saucha) and cultivation of knowledge (Jnana) needed to safely reintegrate the lost memories and restore a complete sense of self."
"Dissociative Amnesia","inability to recall important personal information; memory gaps related to trauma/stress; not due to medical condition [ICD-10: F44.0, ICD-11: 6B61, DSM-5: 300.12]","Psychotherapy (trauma-informed); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 8-12 sessions; Hypnosis (optional, by trained professional); Medication for comorbid depression/anxiety","None Typically; SSRIs (for comorbid anxiety/depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex - off-label for dissociation)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 2, V 20] For the soul there is neither birth nor death at any time. Insight: The core Self remains intact and eternal (Nitya), despite the temporary disruption and fragmentation of memory. This unchanging Self is the foundation for healing."
"Dissociative Amnesia","inability to recall important personal information; memory gaps related to trauma/stress; not due to medical condition [ICD-10: F44.0, ICD-11: 6B61, DSM-5: 300.12]","Psychotherapy (trauma-informed); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 8-12 sessions; Hypnosis (optional, by trained professional); Medication for comorbid depression/anxiety","None Typically; SSRIs (for comorbid anxiety/depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex - off-label for dissociation)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 6, V 25] Gradually, step by step, one should become situated in trance by means of intelligence sustained by conviction. Insight: Memory recovery is a gradual, step-by-step process. It requires patience, a safe therapeutic environment, and deep conviction (Shraddha) in the possibility of healing."
"Dissociative Disorders","memory loss; identity confusion; detached from self; derealization/depersonalization [ICD-10: F44.9, ICD-11: 6B60.Z, DSM-5: 300.14]","Trauma therapy (phase-oriented); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Grounding techniques","None Typically; Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal - for mood swings)","Lamotrigine (if needed): 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: Depersonalization/Derealization is a disconnect between the Self (Knower) and the body/surroundings (Field). Focus on the core 'I am' (Knower) that is always present."
"Dissociative Disorders","memory loss; identity confusion; detached from self; derealization/depersonalization [ICD-10: F44.9, ICD-11: 6B60.Z, DSM-5: 300.14]","Trauma therapy (phase-oriented); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Grounding techniques","None Typically; Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal - for mood swings)","Lamotrigine (if needed): 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 2, V 13] As the embodied soul continuously passes, in this body, from boyhood to youth to old age, the soul similarly passes into another body at death. Insight: Identity confusion is addressed by realizing the core Self is eternal and transcends all temporary identities (bodies/states of mind)."
"Dissociative Disorders","memory loss; identity confusion; detached from self; derealization/depersonalization [ICD-10: F44.9, ICD-11: 6B60.Z, DSM-5: 300.14]","Trauma therapy (phase-oriented); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Grounding techniques","None Typically; Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal - for mood swings)","Lamotrigine (if needed): 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 7, V 13] Deluded by the three modes, the whole world does not know Me, who am above the modes and inexhaustible. Insight: Dissociation is a delusion created by the modes of nature (Maya). Seek the reality (the Self) that is 'above the modes' and unchanging."
"Dissociative Disorders","memory loss; identity confusion; detached from self; derealization/depersonalization [ICD-10: F44.9, ICD-11: 6B60.Z, DSM-5: 300.14]","Trauma therapy (phase-oriented); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Grounding techniques","None Typically; Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal - for mood swings)","Lamotrigine (if needed): 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 15, V 1] The roots of this fig tree grow upward and its branches downward. Insight: The confusing, unreal feeling of derealization is acknowledged as the nature of the material world (the inverted tree). Seek the unchanging roots (the foundation of reality)."
"Dissociative Disorders","memory loss; identity confusion; detached from self; derealization/depersonalization [ICD-10: F44.9, ICD-11: 6B60.Z, DSM-5: 300.14]","Trauma therapy (phase-oriented); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Grounding techniques","None Typically; Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal - for mood swings)","Lamotrigine (if needed): 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 6, V 25] Gradually, step by step, one should become situated in trance by means of intelligence sustained by conviction. Insight: Grounding and reintegration require gradual, sustained practice (Abhyasa) and conviction (Shraddha), not quick fixes."
"Dissociative Disorders","memory loss; identity confusion; detached from self; derealization/depersonalization [ICD-10: F44.9, ICD-11: 6B60.Z, DSM-5: 300.14]","Trauma therapy (phase-oriented); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Grounding techniques","None Typically; Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal - for mood swings)","Lamotrigine (if needed): 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 2, V 20] For the soul there is neither birth nor death at any time. Insight: The core Self is eternal and never dies. Focus on this unchanging reality (Nitya) during identity confusion."
"Dissociative Disorders","memory loss; identity confusion; detached from self; derealization/depersonalization [ICD-10: F44.9, ICD-11: 6B60.Z, DSM-5: 300.14]","Trauma therapy (phase-oriented); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Grounding techniques","None Typically; Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal - for mood swings)","Lamotrigine (if needed): 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 14, V 22] He neither hates illumination, attachment, or delusion when they are present, nor longs for them when they disappear. Insight: Accept the symptoms (delusion/detachment) when they arise without hating them. This non-reaction reduces their intensity."
"Dissociative Disorders","memory loss; identity confusion; detached from self; derealization/depersonalization [ICD-10: F44.9, ICD-11: 6B60.Z, DSM-5: 300.14]","Trauma therapy (phase-oriented); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Grounding techniques","None Typically; Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal - for mood swings)","Lamotrigine (if needed): 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done... that intelligence is in the mode of goodness. Insight: Reintegration requires conscious use of Sattvic intelligence (Buddhi) to determine 'what is to be done' (grounding/coping skills)."
"Dissociative Disorders","memory loss; identity confusion; detached from self; derealization/depersonalization [ICD-10: F44.9, ICD-11: 6B60.Z, DSM-5: 300.14]","Trauma therapy (phase-oriented); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Grounding techniques","None Typically; Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal - for mood swings)","Lamotrigine (if needed): 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 7, V 25] I am never manifest to the foolish and unintelligent. For them I am covered by My eternal creative potency (Yoga-maya). Insight: Dissociation (Maya) is a powerful, obscuring force. Seek intelligence and faith to pierce through it."
"Dissociative Identity Disorder (DID)","presence of two or more distinct identities (alters); recurrent gaps in memory; severe distress [ICD-10: F44.81, ICD-11: 6B64, DSM-5: 300.14]","Trauma therapy (phase-oriented) - long-term (2-5 years); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Stabilization and grounding techniques; Medication for comorbid symptoms","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); SSRIs (for comorbid depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for severe anxiety)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 2, V 20] For the soul there is neither birth nor death at any time. Insight: The core Self is eternal and unified, despite the fragmentation of identity caused by trauma. The therapeutic goal is to gradually connect with and strengthen this unchanging, unified reality (Nitya) within, providing a stable foundation for healing and integration."
"Dissociative Identity Disorder (DID)","presence of two or more distinct identities (alters); recurrent gaps in memory; severe distress [ICD-10: F44.81, ICD-11: 6B64, DSM-5: 300.14]","Trauma therapy (phase-oriented) - long-term (2-5 years); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Stabilization and grounding techniques; Medication for comorbid symptoms","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); SSRIs (for comorbid depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for severe anxiety)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done... that intelligence is in the mode of goodness. Insight: Reintegration and healing require the conscious use of Sattvic intelligence (Buddhi) to determine 'what is to be done' (grounding, safety, internal communication) and 'what is not to be done' (self-harm, acting out). This wise discernment guides the process."
"Dissociative Identity Disorder (DID)","presence of two or more distinct identities (alters); recurrent gaps in memory; severe distress [ICD-10: F44.81, ICD-11: 6B64, DSM-5: 300.14]","Trauma therapy (phase-oriented) - long-term (2-5 years); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Stabilization and grounding techniques; Medication for comorbid symptoms","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); SSRIs (for comorbid depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for severe anxiety)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Cultivate unconditional kindness (Maitri) and compassion (Karuna) toward all parts/alters within the system. Each part developed for a reason and deserves to be met with understanding and compassion, not judgment or fear."
"Dissociative Identity Disorder (DID)","presence of two or more distinct identities (alters); recurrent gaps in memory; severe distress [ICD-10: F44.81, ICD-11: 6B64, DSM-5: 300.14]","Trauma therapy (phase-oriented) - long-term (2-5 years); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Stabilization and grounding techniques; Medication for comorbid symptoms","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); SSRIs (for comorbid depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for severe anxiety)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 4, V 39] A faithful man who is dedicated to transcendental knowledge and who subdues his senses attains knowledge. Insight: Faith (Shraddha) in the therapeutic process and in the inherent unity of the self is key to integration. This faith, combined with dedicated practice, leads to the deep knowledge and experience of wholeness."
"Dissociative Identity Disorder (DID)","presence of two or more distinct identities (alters); recurrent gaps in memory; severe distress [ICD-10: F44.81, ICD-11: 6B64, DSM-5: 300.14]","Trauma therapy (phase-oriented) - long-term (2-5 years); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Stabilization and grounding techniques","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 2, V 20] For the soul there is neither birth nor death at any time. Insight: The core Self is eternal and unified, despite the fragmentation of identity. Focus on the unchanging reality (Nitya) within."
"Dissociative Identity Disorder (DID)","presence of two or more distinct identities (alters); recurrent gaps in memory; severe distress [ICD-10: F44.81, ICD-11: 6B64, DSM-5: 300.14]","Trauma therapy (phase-oriented) - long-term (2-5 years); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Stabilization and grounding techniques","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done... that intelligence is in the mode of goodness. Insight: Reintegration requires conscious use of Sattvic intelligence (Buddhi) to establish internal order and safety."
"Dissociative Identity Disorder (DID)","presence of two or more distinct identities (alters); recurrent gaps in memory; severe distress [ICD-10: F44.81, ICD-11: 6B64, DSM-5: 300.14]","Trauma therapy (phase-oriented) - long-term (2-5 years); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Stabilization and grounding techniques","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Cultivate unconditional kindness (Maitri) and compassion (Karuna) toward all parts/alters within the system."
"Dissociative Identity Disorder (DID)","presence of two or more distinct identities (alters); recurrent gaps in memory; severe distress [ICD-10: F44.81, ICD-11: 6B64, DSM-5: 300.14]","Trauma therapy (phase-oriented) - long-term (2-5 years); Dialectical Behavior Therapy (DBT); Eye Movement Desensitization and Reprocessing (EMDR); Cognitive Behavioral Therapy (CBT); Stabilization and grounding techniques","Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 4, V 39] A faithful man who is dedicated to transcendental knowledge and who subdues his senses attains knowledge. Insight: Faith (Shraddha) in the therapeutic process and the inherent unity of the self is key to integration."
"Domestic Violence Trauma (Victim)","fear; depression; anxiety; hypervigilance; isolation; self-blame [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Safety planning; Trauma counseling; Support groups; Legal advocacy; Cognitive Behavioral Therapy (CBT)","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 17, V 14] Austerity of the body consists in worship... and non-violence. Insight: Violence against the self (self-blame/self-degradation) must stop. The practice is non-violence (Ahimsa) and self-care."
"Domestic Violence Trauma (Victim)","fear; depression; anxiety; hypervigilance; isolation; self-blame [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Safety planning; Trauma counseling; Support groups; Legal advocacy; Cognitive Behavioral Therapy (CBT)","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done... that intelligence is in the mode of goodness. Insight: Use Sattvic intelligence (Buddhi) to know what *must* be done (safety planning, leaving) and what *must not* be done (returning to danger)."
"Domestic Violence Trauma (Victim)","fear; depression; anxiety; hypervigilance; isolation; self-blame [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Safety planning; Trauma counseling; Support groups; Legal advocacy; Cognitive Behavioral Therapy (CBT)","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 1, V 28] Arjuna's paralysis of the senses and heart. Insight: Normalize the feeling of overwhelming paralysis and fear (Arjuna's plight), then commit to the first necessary, small action."
"Domestic Violence Trauma (Victim)","fear; depression; anxiety; hypervigilance; isolation; self-blame [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Safety planning; Trauma counseling; Support groups; Legal advocacy; Cognitive Behavioral Therapy (CBT)","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Cultivate unconditional kindness (Maitri) and compassion for the self to counter the effects of isolation and self-blame."
"Eating Disorders","disordered eating; preoccupation with weight; binge eating; purging; extreme dieting [ICD-10: F50.9, ICD-11: 6B80.Z, DSM-5: 307.1 (anorexia) or 307.51 (bulimia)]","Nutritional counseling; Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Family-Based Therapy (FBT) for adolescents; Interpersonal Therapy (IPT); Medical monitoring","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 17, V 8] Foods dear to those in the mode of goodness increase the duration of life, purify one's existence, and give strength, health, happiness and satisfaction. Insight: Choosing foods (and eating habits) based on Sattva (goodness/purity) is key to recovery, over Rajas/Tamas (passion/ignorance) driven eating."
"Eating Disorders","disordered eating; preoccupation with weight; binge eating; purging; extreme dieting [ICD-10: F50.9, ICD-11: 6B80.Z, DSM-5: 307.1 (anorexia) or 307.51 (bulimia)]","Nutritional counseling; Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Family-Based Therapy (FBT) for adolescents; Interpersonal Therapy (IPT); Medical monitoring","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Eating disorders require regulation (*Yukta*) in habits, especially eating and sleeping, for recovery."
"Eating Disorders","disordered eating; preoccupation with weight; binge eating; purging; extreme dieting [ICD-10: F50.9, ICD-11: 6B80.Z, DSM-5: 307.1 (anorexia) or 307.51 (bulimia)]","Nutritional counseling; Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Family-Based Therapy (FBT) for adolescents; Interpersonal Therapy (IPT); Medical monitoring","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 3, V 13] The devotees of the Lord are released from all kinds of sins because they eat food which is offered first for sacrifice. Insight: Eating as an act of nourishment/reverence (sacrifice) rather than a source of shame or control breaks the disordered pattern."
"Eating Disorders","disordered eating; preoccupation with weight; binge eating; purging; extreme dieting [ICD-10: F50.9, ICD-11: 6B80.Z, DSM-5: 307.1 (anorexia) or 307.51 (bulimia)]","Nutritional counseling; Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Family-Based Therapy (FBT) for adolescents; Interpersonal Therapy (IPT); Medical monitoring","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 18, V 63] Thus I have explained to you the most confidential of all knowledge. Deliberate on this fully, and then do what you wish to do. Insight: The recovery decision is ultimately yours. Use your intelligence (Buddhi) to choose health."
"Eating Disorders","disordered eating; preoccupation with weight; binge eating; purging; extreme dieting [ICD-10: F50.9, ICD-11: 6B80.Z, DSM-5: 307.1 (anorexia) or 307.51 (bulimia)]","Nutritional counseling; Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Family-Based Therapy (FBT) for adolescents; Interpersonal Therapy (IPT); Medical monitoring","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 15, V 2] The modes of material nature nourish the leaves and branches of this tree. Insight: Excessive focus on the body (tree/leaves) is an obsession with the material (Prakriti). Shift focus to the root (Self)."
"Eating Disorders","disordered eating; preoccupation with weight; binge eating; purging; extreme dieting [ICD-10: F50.9, ICD-11: 6B80.Z, DSM-5: 307.1 (anorexia) or 307.51 (bulimia)]","Nutritional counseling; Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Family-Based Therapy (FBT) for adolescents; Interpersonal Therapy (IPT); Medical monitoring","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 6, V 16] There is no possibility of one's becoming a yogi... if one eats too much or too little. Insight: Eating disorders are corrected by *Yukta* (regulated, balanced) eating and living, avoiding extremes of too much or too little."
"Eating Disorders","disordered eating; preoccupation with weight; binge eating; purging; extreme dieting [ICD-10: F50.9, ICD-11: 6B80.Z, DSM-5: 307.1 (anorexia) or 307.51 (bulimia)]","Nutritional counseling; Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Family-Based Therapy (FBT) for adolescents; Interpersonal Therapy (IPT); Medical monitoring","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Abandon attachment to weight loss/gain (success/failure). Focus on the duty of nourishing the body (Svadharma) with equanimity (Samatvam)."
"Eating Disorders","disordered eating; preoccupation with weight; binge eating; purging; extreme dieting [ICD-10: F50.9, ICD-11: 6B80.Z, DSM-5: 307.1 (anorexia) or 307.51 (bulimia)]","Nutritional counseling; Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Family-Based Therapy (FBT) for adolescents; Interpersonal Therapy (IPT); Medical monitoring","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 15, V 2] The modes of material nature nourish the leaves and branches of this tree. Insight: Preoccupation with the body (leaves/branches) is an illusion (Maya). Shift focus to the roots (Self) where true nourishment and stability lie."
"Eating Disorders","disordered eating; preoccupation with weight; binge eating; purging; extreme dieting [ICD-10: F50.9, ICD-11: 6B80.Z, DSM-5: 307.1 (anorexia) or 307.51 (bulimia)]","Nutritional counseling; Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Family-Based Therapy (FBT) for adolescents; Interpersonal Therapy (IPT); Medical monitoring","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 17, V 10] Food prepared more than three hours before being eaten, food that is tasteless, decomposed and putrid, and food consisting of remnants and untouchable things is dear to those in the mode of darkness. Insight: Disordered eating habits (like binging/purging) are Tamasic (darkness); choose Sattvic (goodness) foods and practices."
"Eating Disorders","disordered eating; preoccupation with weight; binge eating; purging; extreme dieting [ICD-10: F50.9, ICD-11: 6B80.Z, DSM-5: 307.1 (anorexia) or 307.51 (bulimia)]","Nutritional counseling; Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Family-Based Therapy (FBT) for adolescents; Interpersonal Therapy (IPT); Medical monitoring","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Be satisfied with the body's natural state and the sincere effort to nourish it, rather than seeking the impossible result of the perfect body."
"Eating Disorders","disordered eating; preoccupation with weight; binge eating; purging; extreme dieting [ICD-10: F50.9, ICD-11: 6B80.Z, DSM-5: 307.1 (anorexia) or 307.51 (bulimia)]","Nutritional counseling; Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Family-Based Therapy (FBT) for adolescents; Interpersonal Therapy (IPT); Medical monitoring","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Healing requires *Yukta* (regulated) habits in all areas, especially eating and body movement."
"Eating Disorders","disordered eating; preoccupation with weight; binge eating; purging; extreme dieting [ICD-10: F50.9, ICD-11: 6B80.Z, DSM-5: 307.1 (anorexia) or 307.51 (bulimia)]","Nutritional counseling; Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Family-Based Therapy (FBT) for adolescents; Interpersonal Therapy (IPT); Medical monitoring","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 13, V 6] The body is composed of the five great elements, false ego, intelligence... Insight: The body is merely a composite of elements. Preoccupation with its shape is due to false ego (Ahankara). Detach from the false ego."
"Eating Disorders","disordered eating; preoccupation with weight; binge eating; purging; extreme dieting [ICD-10: F50.9, ICD-11: 6B80.Z, DSM-5: 307.1 (anorexia) or 307.51 (bulimia)]","Nutritional counseling; Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Family-Based Therapy (FBT) for adolescents; Interpersonal Therapy (IPT); Medical monitoring","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 2, V 64] One who can control his senses by practicing the regulated principles of freedom can obtain the complete mercy of the Lord. Insight: Control (Vashikara) the eating compulsions by adhering to regulated, therapeutic principles."
"Eating Disorders","disordered eating; preoccupation with weight; binge eating; purging; extreme dieting [ICD-10: F50.9, ICD-11: 6B80.Z, DSM-5: 307.1 (anorexia) or 307.51 (bulimia)]","Nutritional counseling; Cognitive Behavioral Therapy (CBT-E) - 20 sessions over 5 months; Family-Based Therapy (FBT) for adolescents; Interpersonal Therapy (IPT); Medical monitoring","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Focus on the duty of nourishing the body (Dharma), even if the recovery is imperfect or slow."
"Elder Abuse Trauma (Physical/Financial)","fear; withdrawal; anxiety; depression; loss of control; financial destitution [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Safety planning; Trauma counseling; Support groups; Legal advocacy; Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Case management; Medication for anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 17, V 14] Austerity of the body consists in worship... and non-violence. Insight: Abuse is violence (Himsa) against the self. The practice is non-violence (Ahimsa) toward oneself, which includes self-protection, setting firm boundaries, and compassionate self-care."
"Elder Abuse Trauma (Physical/Financial)","fear; withdrawal; anxiety; depression; loss of control; financial destitution [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Safety planning; Trauma counseling; Support groups; Legal advocacy; Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Case management; Medication for anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Use your mind (intelligence, willpower) to intervene and 'deliver yourself' (Uddharet) from the abusive situation by seeking help, engaging with support services, and taking steps toward safety and independence."
"Elder Abuse Trauma (Physical/Financial)","fear; withdrawal; anxiety; depression; loss of control; financial destitution [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Safety planning; Trauma counseling; Support groups; Legal advocacy; Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Case management; Medication for anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, and cultivation of knowledge. Insight: The core goals of recovery are the restoration of fearlessness (Abhayam) and the purification (Saucha) of one's living environment, creating a safe and clean space free from the abuser."
"Elder Abuse Trauma (Physical/Financial)","fear; withdrawal; anxiety; depression; loss of control; financial destitution [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Safety planning; Trauma counseling; Support groups; Legal advocacy; Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Case management; Medication for anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for anxiety)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done... that intelligence is in the mode of goodness. Insight: Use Sattvic intelligence (Buddhi) to clearly discern what *must* be done (safety planning, seeking legal protection, leaving) and what *must not* be done (returning to danger, isolating oneself)."
"Excoriation Disorder (Skin Picking)","recurrent skin picking; lesions; distress; attempts to stop fail [ICD-10: F63.3, ICD-11: 6B25.1, DSM-5: 312.39]","Habit Reversal Training (HRT); Acceptance and Commitment Therapy (ACT); Cognitive Behavioral Therapy (CBT); Stimulus control","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries. Insight: The physical distress/pain is a 'misery.' The goal is the undisturbed mind (Sthita-prajna) that can witness the urge without engaging in the picking."
"Excoriation Disorder (Skin Picking)","recurrent skin picking; lesions; distress; attempts to stop fail [ICD-10: F63.3, ICD-11: 6B25.1, DSM-5: 312.39]","Habit Reversal Training (HRT); Acceptance and Commitment Therapy (ACT); Cognitive Behavioral Therapy (CBT); Stimulus control","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 17, V 14] Austerity of the body consists in worship of the Supreme Lord... and non-violence. Insight: Skin picking is an act of self-violence. The practice is non-violence (Ahimsa) toward the body."
"Excoriation Disorder (Skin Picking)","recurrent skin picking; lesions; distress; attempts to stop fail [ICD-10: F63.3, ICD-11: 6B25.1, DSM-5: 312.39]","Habit Reversal Training (HRT); Acceptance and Commitment Therapy (ACT); Cognitive Behavioral Therapy (CBT); Stimulus control","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: The picking urge is the mind wandering. Consciously withdraw the hands and bring focus back to the present moment."
"Excoriation Disorder (Skin Picking)","recurrent skin picking; lesions; distress; attempts to stop fail [ICD-10: F63.3, ICD-11: 6B25.1, DSM-5: 312.39]","Habit Reversal Training (HRT); Acceptance and Commitment Therapy (ACT); Cognitive Behavioral Therapy (CBT); Stimulus control","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 18, V 48] Every endeavor is covered by some fault, just as fire is covered by smoke. Insight: Self-compassion is required: accept the imperfection of the body/skin and the difficulty of the task, and continue the effort (rehabilitation)."
"Existential Crisis","meaninglessness; questioning purpose; identity confusion; fear of death [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Psychotherapy (existential therapy, logotherapy); Mindfulness; Cognitive Behavioral Therapy (CBT); Acceptance and Commitment Therapy (ACT); Philosophical counseling","None Typically","None Typically","[Gita, Ch 2, V 16] Of the nonexistent there is no endurance, and of the existent there is no cessation. Insight: Identity confusion and meaninglessness are solved by knowing the Self (the Existent) is eternal, while the temporary roles (the Nonexistent) change constantly."
"Existential Crisis","meaninglessness; questioning purpose; identity confusion; fear of death [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Psychotherapy (existential therapy, logotherapy); Mindfulness; Cognitive Behavioral Therapy (CBT); Acceptance and Commitment Therapy (ACT); Philosophical counseling","None Typically","None Typically","[Gita, Ch 18, V 46] By worship of the Lord, who is the source of all beings... a man can attain perfection through performance of his own work. Insight: Purpose is found in selfless action (Karma Yoga), not in abstract intellectual pursuit. Find your current 'work' and dedicate it."
"Existential Crisis","meaninglessness; questioning purpose; identity confusion; fear of death [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Psychotherapy (existential therapy, logotherapy); Mindfulness; Cognitive Behavioral Therapy (CBT); Acceptance and Commitment Therapy (ACT); Philosophical counseling","None Typically","None Typically","[Gita, Ch 15, V 1] The roots of this fig tree grow upward and its branches downward. Insight: The world (Samsara) is confusing and confusingly rooted in the divine. Meaning is found not in the fleeting leaves/branches, but by seeking the 'upward roots' (the origin)."
"Existential Crisis","meaninglessness; questioning purpose; identity confusion; fear of death [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Psychotherapy (existential therapy, logotherapy); Mindfulness; Cognitive Behavioral Therapy (CBT); Acceptance and Commitment Therapy (ACT); Philosophical counseling","None Typically","None Typically","[Gita, Ch 4, V 38] In this world, there is nothing so sublime and pure as transcendental knowledge. Insight: The cure for meaninglessness is knowledge (Jnana) that reveals the true, eternal nature of the Self and the universe."
"Existential Crisis","meaninglessness; questioning purpose; identity confusion; fear of death [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Psychotherapy (existential therapy, logotherapy); Mindfulness; Cognitive Behavioral Therapy (CBT); Acceptance and Commitment Therapy (ACT); Philosophical counseling","None Typically","None Typically","[Gita, Ch 8, V 6] Whatever state of being one remembers when he quits his body... that state he will attain without fail. Insight: The 'fear of death' is mitigated by living with awareness and purpose now, ensuring a peaceful transition later."
"Existential Crisis","meaninglessness; questioning purpose; identity confusion; fear of death [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Psychotherapy (existential therapy, logotherapy); Mindfulness; Cognitive Behavioral Therapy (CBT); Acceptance and Commitment Therapy (ACT); Philosophical counseling","None Typically","None Typically","[Gita, Ch 11, V 55] One who is engaged in My pure devotional service, free from the contaminations of previous activities, not attached to the results of activities, and is friendly to every living entity—he certainly comes to Me. Insight: The final, complete purpose is found in selfless devotion and universal friendship."
"Existential Crisis","meaninglessness; questioning purpose; identity confusion; fear of death [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Psychotherapy (existential therapy, logotherapy); Mindfulness; Cognitive Behavioral Therapy (CBT); Acceptance and Commitment Therapy (ACT); Philosophical counseling","None Typically","None Typically","[Gita, Ch 2, V 20] For the soul there is neither birth nor death at any time. Insight: The ultimate antidote to the fear of death and transient identity is the knowledge of the soul's eternal, unchanging nature (Nitya)."
"Existential Crisis","meaninglessness; questioning purpose; identity confusion; fear of death [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Psychotherapy (existential therapy, logotherapy); Mindfulness; Cognitive Behavioral Therapy (CBT); Acceptance and Commitment Therapy (ACT); Philosophical counseling","None Typically","None Typically","[Gita, Ch 11, V 55] One who is engaged in My pure devotional service... is friendly to every living entity—he certainly comes to Me. Insight: Final purpose is found in pure, selfless service (Bhakti), universal friendship, and non-attachment to results."
"Existential Crisis","meaninglessness; questioning purpose; identity confusion; fear of death [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Psychotherapy (existential therapy, logotherapy); Mindfulness; Cognitive Behavioral Therapy (CBT); Acceptance and Commitment Therapy (ACT); Philosophical counseling","None Typically","None Typically","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Purpose is found in performing your unique, current duty (Svadharma) with sincerity, regardless of how large or small it seems."
"Existential Crisis","meaninglessness; questioning purpose; identity confusion; fear of death [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Psychotherapy (existential therapy, logotherapy); Mindfulness; Cognitive Behavioral Therapy (CBT); Acceptance and Commitment Therapy (ACT); Philosophical counseling","None Typically","None Typically","[Gita, Ch 13, V 8] Acceptance of the importance of self-realization and philosophical search for the Absolute Truth. Insight: Actively seeking knowledge (Jnana) of the Absolute Truth is the constructive response to existential questioning."
"Existential Crisis","meaninglessness; questioning purpose; identity confusion; fear of death [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Psychotherapy (existential therapy, logotherapy); Mindfulness; Cognitive Behavioral Therapy (CBT); Acceptance and Commitment Therapy (ACT); Philosophical counseling","None Typically","None Typically","[Gita, Ch 18, V 66] Abandon all varieties of religion and just surrender unto Me. Insight: Final surrender of the need to intellectually grasp purpose. Trust in the cosmic order, which is the ultimate purpose."
"Existential Crisis","meaninglessness; questioning purpose; identity confusion; fear of death [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Psychotherapy (existential therapy, logotherapy); Mindfulness; Cognitive Behavioral Therapy (CBT); Acceptance and Commitment Therapy (ACT); Philosophical counseling","None Typically","None Typically","[Gita, Ch 2, V 16] Of the nonexistent there is no endurance, and of the existent there is no cessation. Insight: Questioning existence is natural. Anchor your identity in the Existent (eternal Self) rather than the non-existent (temporary roles/meaning)."
"Factitious Disorder (Imposed on Self)","falsification of medical/psychological symptoms; deception; self-serving motivation to assume the sick role [ICD-10: F68.1, ICD-11: 6D50, DSM-5: 300.19]","Psychotherapy (supportive); Careful, non-confrontational approach; Cognitive Behavioral Therapy (CBT); Psychiatric consultation; Treatment of underlying issues (e.g., trauma, personality disorder); Medication for comorbid conditions","None Typically; SSRIs (for comorbid depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Antipsychotics (if severe agitation/psychosis) - Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 17, V 15] Austerity of speech consists in speaking words that are truthful, pleasing, beneficial, and not agitating to others. Insight: The essential antidote to the falsification of symptoms is truthfulness (Satyam) and simplicity (Arjavam) in communication. The therapeutic relationship must gently guide the individual toward this fundamental honesty."
"Factitious Disorder (Imposed on Self)","falsification of medical/psychological symptoms; deception; self-serving motivation to assume the sick role [ICD-10: F68.1, ICD-11: 6D50, DSM-5: 300.19]","Psychotherapy (supportive); Careful, non-confrontational approach; Cognitive Behavioral Therapy (CBT); Psychiatric consultation; Treatment of underlying issues (e.g., trauma, personality disorder); Medication for comorbid conditions","None Typically; SSRIs (for comorbid depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Antipsychotics (if severe agitation/psychosis) - Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 16, V 7] Demoniac persons do not know what is to be done and what is not to be done. Neither cleanliness nor proper behavior nor truth is found in them. Insight: The entire therapeutic focus is on teaching and modeling proper behavior (Achara) and truth (Satyam), which the disorder fundamentally rejects. This is a slow, compassionate process of re-education."
"Factitious Disorder (Imposed on Self)","falsification of medical/psychological symptoms; deception; self-serving motivation to assume the sick role [ICD-10: F68.1, ICD-11: 6D50, DSM-5: 300.19]","Psychotherapy (supportive); Careful, non-confrontational approach; Cognitive Behavioral Therapy (CBT); Psychiatric consultation; Treatment of underlying issues (e.g., trauma, personality disorder); Medication for comorbid conditions","None Typically; SSRIs (for comorbid depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Antipsychotics (if severe agitation/psychosis) - Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 16, V 4] The demonic qualities are pride, arrogance, conceit, anger, harshness, and ignorance. Insight: The deep-seated need to assume the sick role is often rooted in a profound sense of lack or pride/conceit (Ahankara) and ignorance (Moha) of healthier ways to get needs met. The therapeutic task is to cultivate the opposite: humility (Amanitvam) and self-knowledge."
"Factitious Disorder (Imposed on Self)","falsification of medical/psychological symptoms; deception; self-serving motivation to assume the sick role [ICD-10: F68.1, ICD-11: 6D50, DSM-5: 300.19]","Psychotherapy (supportive); Careful, non-confrontational approach; Cognitive Behavioral Therapy (CBT); Psychiatric consultation; Treatment of underlying issues (e.g., trauma, personality disorder); Medication for comorbid conditions","None Typically; SSRIs (for comorbid depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Antipsychotics (if severe agitation/psychosis) - Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 12, V 18] One who is equal to friends and enemies, who is equipoised in honor and dishonor. Insight: The ultimate goal is to help the individual find self-worth and satisfaction (Santosha) internally, without the need for the external 'honor' (attention, sympathy) that the sick role provides. This involves building a stable sense of self not dependent on external validation."
"Factitious Disorder (Imposed on Self)","falsification of medical/psychological symptoms; deception; self-serving motivation to assume the sick role [ICD-10: F68.1, ICD-11: 6D50, DSM-5: 300.19]","Psychotherapy (supportive); Careful confrontation (managed); Cognitive Behavioral Therapy (CBT); Psychiatric consultation; Treatment of underlying issues","None Typically","None Typically","[Gita, Ch 17, V 15] Austerity of speech consists in speaking words that are truthful, pleasing, beneficial, and not agitating to others. Insight: The essential antidote to falsification is truthfulness (Satyam) and simplicity (Arjavam)."
"Factitious Disorder (Imposed on Self)","falsification of medical/psychological symptoms; deception; self-serving motivation to assume the sick role [ICD-10: F68.1, ICD-11: 6D50, DSM-5: 300.19]","Psychotherapy (supportive); Careful confrontation (managed); Cognitive Behavioral Therapy (CBT); Psychiatric consultation; Treatment of underlying issues","None Typically","None Typically","[Gita, Ch 16, V 7] Demoniac persons do not know what is to be done and what is not to be done. Neither cleanliness nor proper behavior nor truth is found in them. Insight: The entire therapeutic focus is on teaching truth (Satyam) and proper behavior (Achara), which the disorder rejects."
"Factitious Disorder (Imposed on Self)","falsification of medical/psychological symptoms; deception; self-serving motivation to assume the sick role [ICD-10: F68.1, ICD-11: 6D50, DSM-5: 300.19]","Psychotherapy (supportive); Careful confrontation (managed); Cognitive Behavioral Therapy (CBT); Psychiatric consultation; Treatment of underlying issues","None Typically","None Typically","[Gita, Ch 16, V 4] The demonic qualities are pride, arrogance, conceit, anger, harshness, and ignorance. Insight: The need for the sick role is rooted in pride/conceit (Ahankara) and ignorance (Moha). Cultivate humility (Amanitvam)."
"Factitious Disorder (Imposed on Self)","falsification of medical/psychological symptoms; deception; self-serving motivation to assume the sick role [ICD-10: F68.1, ICD-11: 6D50, DSM-5: 300.19]","Psychotherapy (supportive); Careful confrontation (managed); Cognitive Behavioral Therapy (CBT); Psychiatric consultation; Treatment of underlying issues","None Typically","None Typically","[Gita, Ch 12, V 18] One who is equal to friends and enemies, who is equipoised in honor and dishonor. Insight: Find self-worth and satisfaction (Santosha) internally, without the need for the external 'honor' (attention) of the sick role."
"Factitious Disorder (Imposed on Self)","falsification of medical/psychological symptoms; deception; self-serving motivation to assume the sick role [ICD-10: F68.1, ICD-11: 6D50, DSM-5: 300.19]","Psychotherapy (supportive); Careful, non-confrontational approach; Cognitive Behavioral Therapy (CBT); Psychiatric consultation; Treatment of underlying issues (e.g., trauma, personality disorder); Medication for comorbid conditions","None Typically; SSRIs (for comorbid depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Antipsychotics (if severe agitation/psychosis) - Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon)","","Daxid); Antipsychotics (if severe agitation/psychosis) - Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon), Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters), [Gita, Ch 17, V 15] Austerity of speech consists in speaking words that are truthful, pleasing, beneficial, and not agitating to others. Insight: The essential antidote to the falsification of symptoms is truthfulness (Satyam) and simplicity (Arjavam) in communication. The therapeutic relationship must gently guide the individual toward this fundamental honesty."
"Factitious Disorder (Imposed on Self)","falsification of medical/psychological symptoms; deception; self-serving motivation to assume the sick role [ICD-10: F68.1, ICD-11: 6D50, DSM-5: 300.19]","Psychotherapy (supportive); Careful, non-confrontational approach; Cognitive Behavioral Therapy (CBT); Psychiatric consultation; Treatment of underlying issues (e.g., trauma, personality disorder); Medication for comorbid conditions","None Typically; SSRIs (for comorbid depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Antipsychotics (if severe agitation/psychosis) - Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon)","","Daxid); Antipsychotics (if severe agitation/psychosis) - Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon), Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters), [Gita, Ch 16, V 7] Demoniac persons do not know what is to be done and what is not to be done. Neither cleanliness nor proper behavior nor truth is found in them. Insight: The entire therapeutic focus is on teaching and modeling proper behavior (Achara) and truth (Satyam), which the disorder fundamentally rejects. This is a slow, compassionate process of re-education."
"Factitious Disorder (Imposed on Self)","falsification of medical/psychological symptoms; deception; self-serving motivation to assume the sick role [ICD-10: F68.1, ICD-11: 6D50, DSM-5: 300.19]","Psychotherapy (supportive); Careful, non-confrontational approach; Cognitive Behavioral Therapy (CBT); Psychiatric consultation; Treatment of underlying issues (e.g., trauma, personality disorder); Medication for comorbid conditions","None Typically; SSRIs (for comorbid depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Antipsychotics (if severe agitation/psychosis) - Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon)","","Daxid); Antipsychotics (if severe agitation/psychosis) - Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon), Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters), [Gita, Ch 16, V 4] The demonic qualities are pride, arrogance, conceit, anger, harshness, and ignorance. Insight: The deep-seated need to assume the sick role is often rooted in a profound sense of lack or pride/conceit (Ahankara) and ignorance (Moha) of healthier ways to get needs met. The therapeutic task is to cultivate the opposite: humility (Amanitvam) and self-knowledge."
"Factitious Disorder (Imposed on Self)","falsification of medical/psychological symptoms; deception; self-serving motivation to assume the sick role [ICD-10: F68.1, ICD-11: 6D50, DSM-5: 300.19]","Psychotherapy (supportive); Careful, non-confrontational approach; Cognitive Behavioral Therapy (CBT); Psychiatric consultation; Treatment of underlying issues (e.g., trauma, personality disorder); Medication for comorbid conditions","None Typically; SSRIs (for comorbid depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Antipsychotics (if severe agitation/psychosis) - Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon)","","Daxid); Antipsychotics (if severe agitation/psychosis) - Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon), Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters), [Gita, Ch 12, V 18] One who is equal to friends and enemies, who is equipoised in honor and dishonor. Insight: The ultimate goal is to help the individual find self-worth and satisfaction (Santosha) internally, without the need for the external 'honor' (attention, sympathy) that the sick role provides. This involves building a stable sense of self not dependent on external validation."
"Fear of Public Speaking (Glossophobia)","intense anxiety/panic before or during speaking; avoidance; physical symptoms (shaking, sweating) [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure therapy - 8-12 sessions; Systematic desensitization; Virtual reality exposure; Skills training; Relaxation techniques; Medication for situational anxiety","Propranolol 10mg (Rx - Inderal, Ciplar, Propranolol - situational); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term)","Propranolol: 10-40mg as needed (take 1-2 hours before speaking event); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; for generalized social anxiety); Clonazepam: 0.25-0.5mg as needed (short-term only, for severe situational panic; caution dependence)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness. Insight: The therapeutic goal is the cultivation of fearlessness (Abhayam) by facing the fear in a safe, controlled manner through gradual exposure, transforming the experience from one of terror to one of manageable challenge."
"Fear of Public Speaking (Glossophobia)","intense anxiety/panic before or during speaking; avoidance; physical symptoms (shaking, sweating) [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure therapy - 8-12 sessions; Systematic desensitization; Virtual reality exposure; Skills training; Relaxation techniques; Medication for situational anxiety","Propranolol 10mg (Rx - Inderal, Ciplar, Propranolol - situational); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term)","Propranolol: 10-40mg as needed (take 1-2 hours before speaking event); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; for generalized social anxiety); Clonazepam: 0.25-0.5mg as needed (short-term only, for severe situational panic; caution dependence)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Abandon attachment to the outcome (perfect speech, audience approval). Focus on the duty (Dharma) of speaking itself, performing it with equanimity (Samatvam) and sincerity, regardless of the result."
"Fear of Public Speaking (Glossophobia)","intense anxiety/panic before or during speaking; avoidance; physical symptoms (shaking, sweating) [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure therapy - 8-12 sessions; Systematic desensitization; Virtual reality exposure; Skills training; Relaxation techniques; Medication for situational anxiety","Propranolol 10mg (Rx - Inderal, Ciplar, Propranolol - situational); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term)","Propranolol: 10-40mg as needed (take 1-2 hours before speaking event); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; for generalized social anxiety); Clonazepam: 0.25-0.5mg as needed (short-term only, for severe situational panic; caution dependence)","[Gita, Ch 17, V 15] Austerity of speech consists in speaking words that are truthful, pleasing, beneficial, and not agitating to others. Insight: Shift the focus from the terrifying performance to the three qualities of pure speech (truthful, pleasing, beneficial). When your intention is to serve the audience with your words, the fear of judgment diminishes."
"Fear of Public Speaking (Glossophobia)","intense anxiety/panic before or during speaking; avoidance; physical symptoms (shaking, sweating) [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure therapy - 8-12 sessions; Systematic desensitization; Virtual reality exposure; Skills training; Relaxation techniques; Medication for situational anxiety","Propranolol 10mg (Rx - Inderal, Ciplar, Propranolol - situational); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term)","Propranolol: 10-40mg as needed (take 1-2 hours before speaking event); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; for generalized social anxiety); Clonazepam: 0.25-0.5mg as needed (short-term only, for severe situational panic; caution dependence)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Curb the anxious, racing mind (restless) through consistent, mindful preparation and practice (Abhyasa), and by cultivating detachment (Vairagya) from the audience's judgment and the outcome of the speech."
"Financial Anxiety","money worries; fear of insolvency; budget concerns; debt anxiety [ICD-10: Z73.1, ICD-11: QE53, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Financial counseling; Budget planning; Support groups; Mindfulness for anxiety","None Typically","None Typically","[Gita, Ch 9, V 22] But those who always worship Me with exclusive devotion, meditating upon My transcendental form—to them I carry what they lack, and I preserve what they have. Insight: Trust in a benevolent cosmic order (Divine Providence) to meet essential needs. This trust reduces the immediate fear of lack."
"Financial Anxiety","money worries; fear of insolvency; budget concerns; debt anxiety [ICD-10: Z73.1, ICD-11: QE53, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Financial counseling; Budget planning; Support groups; Mindfulness for anxiety","None Typically","None Typically","[Gita, Ch 2, V 47] You have a right to perform your prescribed duty, but you are not entitled to the fruits of action. Insight: Control the effort (budgeting, earning) but detach from the anxiety over the outcome (market crash, future debt)."
"Financial Anxiety","money worries; fear of insolvency; budget concerns; debt anxiety [ICD-10: Z73.1, ICD-11: QE53, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Financial counseling; Budget planning; Support groups; Mindfulness for anxiety","None Typically","None Typically","[Gita, Ch 3, V 13] The devotees of the Lord are released from all kinds of sins because they eat food which is offered first for sacrifice. Insight: View spending/earning as part of a purposeful, selfless endeavor (sacrifice) rather than an act of personal greed or fear."
"Financial Anxiety","money worries; fear of insolvency; budget concerns; debt anxiety [ICD-10: Z73.1, ICD-11: QE53, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Financial counseling; Budget planning; Support groups; Mindfulness for anxiety","None Typically","None Typically","[Gita, Ch 16, V 21] There are three gates leading to this hell—lust, anger and greed. Insight: Financial anxiety is rooted in greed (excessive desire for more or fear of losing what you have). Close the gate of greed."
"Financial Anxiety","money worries; fear of insolvency; budget concerns; debt anxiety [ICD-10: Z73.1, ICD-11: QE53, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Financial counseling; Budget planning; Support groups; Mindfulness for anxiety","None Typically","None Typically","[Gita, Ch 18, V 58] By My grace, you will pass over all the obstacles of conditioned life. Insight: Surrender the overwhelming nature of debt or poverty to a higher force, and focus only on the small, manageable steps (duty)."
"Financial Anxiety","money worries; fear of insolvency; budget concerns; debt anxiety [ICD-10: Z73.1, ICD-11: QE53, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Financial counseling; Budget planning; Support groups; Mindfulness for anxiety","None Typically","None Typically","[Gita, Ch 4, V 14] There is no work that affects Me. Nor do I aspire for the fruits of action. Insight: If you approach your finances with the detachment of the Divine, the financial status does not 'affect' your inner peace."
"Financial Anxiety","money worries; fear of insolvency; budget concerns; debt anxiety [ICD-10: Z73.1, ICD-11: QE53, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Financial counseling; Budget planning; Support groups; Mindfulness for anxiety","None Typically","None Typically","[Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries. Insight: Aim for the undisturbed mind (Sthita-prajna), accepting the financial misery without letting it derail your peace."
"Financial Anxiety","money worries; fear of insolvency; budget concerns; debt anxiety [ICD-10: Z73.1, ICD-11: QE53, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Financial counseling; Budget planning; Support groups; Mindfulness for anxiety","None Typically","None Typically","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Curb the worried mind through consistent practice (Abhyasa) of budgeting/planning and detachment (Vairagya) from the outcome."
"Financial Anxiety","money worries; fear of insolvency; budget concerns; debt anxiety [ICD-10: Z73.1, ICD-11: QE53, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Financial counseling; Budget planning; Support groups; Mindfulness for anxiety","None Typically","None Typically","[Gita, Ch 12, V 14] One who is always satisfied and engaged in devotional service with determination. Insight: Find satisfaction (Santosha) in the present financial reality and use determined action to improve it."
"Financial Anxiety","money worries; fear of insolvency; budget concerns; debt anxiety [ICD-10: Z73.1, ICD-11: QE53, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Financial counseling; Budget planning; Support groups; Mindfulness for anxiety","None Typically","None Typically","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Focus on the duty of honest earning and budgeting, even if the financial situation is imperfect."
"Financial Anxiety","money worries; fear of insolvency; budget concerns; debt anxiety [ICD-10: Z73.1, ICD-11: QE53, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Financial counseling; Budget planning; Support groups; Mindfulness for anxiety","None Typically","None Typically","[Gita, Ch 2, V 47] You have a right to perform your prescribed duty, but you are not entitled to the fruits of action. Insight: Control your duty (budgeting, earning) but detach from the future outcome (fruit) of financial markets/luck."
"Financial Anxiety","money worries; fear of insolvency; budget concerns; debt anxiety [ICD-10: Z73.1, ICD-11: QE53, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Financial counseling; Budget planning; Support groups; Mindfulness for anxiety","None Typically","None Typically","[Gita, Ch 10, V 11] To show them special mercy, I destroy the darkness born of ignorance. Insight: Financial ignorance fuels anxiety. Seek knowledge and guidance (financial counseling) to destroy the darkness."
"Financial Anxiety","money worries; fear of insolvency; budget concerns; debt anxiety [ICD-10: Z73.1, ICD-11: QE53, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Financial counseling; Budget planning; Support groups; Mindfulness for anxiety","None Typically","None Typically","[Gita, Ch 14, V 6] The mode of goodness (Sattva), being purer than the others, is illuminating and healthy. Insight: Financial anxiety is often Rajasic/Tamasic. Cultivate Sattva through simple, disciplined, and transparent financial management."
"Financial Anxiety","money worries; fear of insolvency; budget concerns; debt anxiety [ICD-10: Z73.1, ICD-11: QE53, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Financial counseling; Budget planning; Support groups; Mindfulness for anxiety","None Typically","None Typically","[Gita, Ch 6, V 19] A lamp in a windless place does not waver. Insight: Achieve an internal peace (unwavering lamp) so that external financial turbulence (the 'wind') does not disturb your mind."
"Gambling Disorder","persistent gambling; preoccupation; chasing losses; lying; loss of control [ICD-10: F63.0, ICD-11: 6C50, DSM-5: 312.31]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Gamblers Anonymous (12-Step); Motivational Interviewing; Financial counseling; Medication for impulsivity","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Lithium 300mg (Rx - Lithosun, Lithium, Carbolith - for impulsivity)","Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function); Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L)","[Gita, Ch 16, V 21] There are three gates leading to this hell—lust, anger and greed. Insight: Gambling is rooted in greed (Lobha) and intense desire (Lust). Closing these gates requires strong willpower (Dharma) and discipline."
"Gambling Disorder","persistent gambling; preoccupation; chasing losses; lying; loss of control [ICD-10: F63.0, ICD-11: 6C50, DSM-5: 312.31]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Gamblers Anonymous (12-Step); Motivational Interviewing; Financial counseling; Medication for impulsivity","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Lithium 300mg (Rx - Lithosun, Lithium, Carbolith - for impulsivity)","Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function); Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L)","[Gita, Ch 2, V 63] From anger comes delusion, and from delusion bewilderment of memory. When memory is bewildered, intelligence is lost, and when intelligence is lost one falls down again. Insight: Chasing losses is delusion. Regain control by restoring clear intelligence (Buddhi)."
"Gambling Disorder","persistent gambling; preoccupation; chasing losses; lying; loss of control [ICD-10: F63.0, ICD-11: 6C50, DSM-5: 312.31]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Gamblers Anonymous (12-Step); Motivational Interviewing; Financial counseling; Medication for impulsivity","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Lithium 300mg (Rx - Lithosun, Lithium, Carbolith - for impulsivity)","Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function); Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L)","[Gita, Ch 5, V 22] A sensible person does not take part in the sources of misery, which are due to contact with the material senses. Insight: Recognize gambling as a guaranteed 'source of misery' (Dukhalayam) and use sense control (Dama) to withdraw from it."
"Gambling Disorder","persistent gambling; preoccupation; chasing losses; lying; loss of control [ICD-10: F63.0, ICD-11: 6C50, DSM-5: 312.31]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Gamblers Anonymous (12-Step); Motivational Interviewing; Financial counseling; Medication for impulsivity","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Lithium 300mg (Rx - Lithosun, Lithium, Carbolith - for impulsivity)","Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function); Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L)","[Gita, Ch 18, V 9] All prescribed duties should be performed without attachment to the results. Insight: Detach from the *hope* of winning (the result). Focus only on the 'duty' of managing finances responsibly and seeking recovery."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 2, V 50] Yoga is the art of working without attachment. Insight: The art of action without attachment is the cure for generalized worry (which is attachment to all possible outcomes)."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 3, V 9] Work done as a sacrifice for Vishnu has to be performed. Otherwise work binds one to this material world. Insight: Make your actions purposeful (a sacrifice/offering) to avoid the binding effect of worry."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 4, V 39] A faithful man who is dedicated to transcendental knowledge and who subdues his senses attains knowledge. Insight: Overcome the distraction of worry by dedicatedly pursuing true knowledge (Jnana) and self-control (sense subduing)."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 6, V 24] One should abandon all mental conceptions born of desire and thus control all the senses by the mind. Insight: Generalized worry is the consequence of unlimited mental desires. Abandoning the desires calms the mind."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 11, V 4] If You think that I am able to behold Your cosmic form, O Lord, then kindly show me that universal Self. Insight: Seek the larger, cosmic perspective of life (the Universal Form) to shrink the perceived size of your worries."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 14, V 26] One who engages in full devotional service, transcending the modes of nature, is elevated to the spiritual platform. Insight: Devotion (Bhakti) is the ultimate method to transcend the three modes (Gunas)—including the mode of passion (Rajas) that drives worry."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 18, V 14] The place, the performer, the senses, the endeavors, and the Supersoul are the five factors of action. Insight: You are only one of five factors of action. Stop taking full responsibility for all outcomes (the root of worry)."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Generalized worry is caused by being attached to future outcomes. Equipoise (Samatvam) is the cure: acting without attachment."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 6, V 34] The mind is restless, turbulent, obstinate and very strong. Insight: Acknowledge that the mind is naturally restless (Chanchalam). Don't fight the restlessness, but manage it with practice."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 5, V 29] Knowing Me as the ultimate recipient of all sacrifices... and the benefactor and well-wisher of all living entities, the peace from the pangs of material miseries is achieved. Insight: General peace is achieved by trusting a benevolent cosmic force (Well-wisher) rather than trying to control every possible outcome."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 16, V 21] There are three gates leading to this hell—lust, anger and greed. Insight: Identify the underlying desire (lust/greed) that fuels the generalized worry and work to cut it off."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... are like the appearance and disappearance of winter and summer seasons. Insight: Worry is a temporary season of distress. Practice tolerance (Titiksha) knowing it will pass."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 6, V 25] Gradually, step by step, one should become situated in trance by means of intelligence sustained by conviction. Insight: Curb the worried mind through gradual, consistent practice (Abhyasa) of stillness and conviction (Shraddha)."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done... that intelligence is in the mode of goodness. Insight: Worry is a misuse of intelligence. Use Sattvic intelligence (Buddhi) to focus only on what *is* to be done now."
"Generalized Anxiety Disorder","excessive worry; muscle tension; restlessness; difficulty concentrating [ICD-10: F41.1, ICD-11: 6B00, DSM-5: 300.02]","Cognitive Behavioral Therapy (CBT) - 12-16 sessions; Mindfulness-Based Stress Reduction (MBSR) - 8-week program; Acceptance and Commitment Therapy (ACT); Biofeedback; Relaxation techniques","Buspirone 10mg (Rx - Buspin, Buscalm, Sertin); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Buspirone: 10-30mg twice daily (initial 10mg, max 60mg/day; response 2-4 weeks); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 14, V 6] The mode of goodness (Sattva), being purer than the others, is illuminating and healthy. Insight: Anxiety is often Rajasic (passion). Cultivate a Sattvic lifestyle (purity, simplicity, calm) to reduce the tendency to worry."
"Grief (Normal, acute)","sadness; crying; insomnia; appetite changes; symptoms remit within 6 months [ICD-10: F43.20, ICD-11: 6B43, DSM-5: 309.0]","Supportive counseling; Psychoeducation; Grief support groups; Encouragement of normal mourning process; Permission to experience emotions; Monitoring for complicated grief","None Typically","None Typically","[Gita, Ch 2, V 27] One who has taken his birth is sure to die, and after death one is sure to take birth again. Therefore, in the unavoidable discharge of your duty, you should not lament. Insight: Acceptance of the universal cycle of birth and death (the Nitya reality) is the source of inner peace, helping to normalize the acute pain of loss as a natural part of life."
"Grief (Normal, acute)","sadness; crying; insomnia; appetite changes; symptoms remit within 6 months [ICD-10: F43.20, ICD-11: 6B43, DSM-5: 309.0]","Supportive counseling; Psychoeducation; Grief support groups; Encouragement of normal mourning process; Permission to experience emotions; Monitoring for complicated grief","None Typically","None Typically","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... one must learn to tolerate them without being disturbed. Insight: Acute grief is a temporary season of intense distress. Practice tolerance (Titiksha), allowing yourself to feel the sorrow fully while knowing that, like all seasons, its intensity will naturally lessen with time."
"Grief (Normal, acute)","sadness; crying; insomnia; appetite changes; symptoms remit within 6 months [ICD-10: F43.20, ICD-11: 6B43, DSM-5: 309.0]","Supportive counseling; Psychoeducation; Grief support groups; Encouragement of normal mourning process; Permission to experience emotions; Monitoring for complicated grief","None Typically","None Typically","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Engage in essential daily duties (Dharma), even if performed imperfectly or mechanically, as a necessary grounding action that provides structure and a sense of normalcy amidst the chaos of grief."
"Grief (Normal, acute)","sadness; crying; insomnia; appetite changes; symptoms remit within 6 months [ICD-10: F43.20, ICD-11: 6B43, DSM-5: 309.0]","Supportive counseling; Psychoeducation; Grief support groups; Encouragement of normal mourning process; Permission to experience emotions; Monitoring for complicated grief","None Typically","None Typically","[Gita, Ch 12, V 14] One who is always satisfied and engaged in devotional service with determination. Insight: Find small moments of satisfaction (Santosha) in cherished memories and the current moment. Determine to continue with life and love, honoring the departed by living fully."
"Grief and Loss","sadness; denial; anger; bargaining; acceptance; emotional pain [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Supportive counseling; Grief therapy - 8-12 sessions; Complicated Grief Therapy (CGT); Cognitive Behavioral Therapy (CBT); Support groups; Medication for prolonged depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - if prolonged)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 11] The wise lament neither for the living nor for the dead. Insight: The core teaching of the Gita: the soul is eternal (Nitya). Grief is natural, but lasting despair stems from mistaking the body for the Self."
"Grief and Loss","sadness; denial; anger; bargaining; acceptance; emotional pain [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Supportive counseling; Grief therapy - 8-12 sessions; Complicated Grief Therapy (CGT); Cognitive Behavioral Therapy (CBT); Support groups; Medication for prolonged depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - if prolonged)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 27] One who has taken his birth is sure to die, and after death one is sure to take birth again. Therefore, in the unavoidable discharge of your duty, you should not lament. Insight: Acceptance of the universal law of birth and death (Anyaevarthana)."
"Grief and Loss","sadness; denial; anger; bargaining; acceptance; emotional pain [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Supportive counseling; Grief therapy - 8-12 sessions; Complicated Grief Therapy (CGT); Cognitive Behavioral Therapy (CBT); Support groups; Medication for prolonged depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - if prolonged)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress, and their disappearance in due course, are like the appearance and disappearance of winter and summer seasons. Insight: Grief (distress) is a season; it will change. Learn to tolerate it (Titiksha) until the change comes."
"Grief and Loss","sadness; denial; anger; bargaining; acceptance; emotional pain [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Supportive counseling; Grief therapy - 8-12 sessions; Complicated Grief Therapy (CGT); Cognitive Behavioral Therapy (CBT); Support groups; Medication for prolonged depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - if prolonged)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 61] The Supreme Lord is situated in everyone's heart... directing the wanderings of all living entities. Insight: The loved one's presence (Supersoul) is internal and permanent, offering comfort beyond physical presence."
"Grief and Loss","sadness; denial; anger; bargaining; acceptance; emotional pain [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Supportive counseling; Grief therapy - 8-12 sessions; Complicated Grief Therapy (CGT); Cognitive Behavioral Therapy (CBT); Support groups; Medication for prolonged depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - if prolonged)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 10, V 11] To show them special mercy, I destroy the darkness born of ignorance. Insight: Grief is painful but can be transformed into wisdom and spiritual knowledge (Jnana) if approached consciously."
"Grief and Loss","sadness; denial; anger; bargaining; acceptance; emotional pain [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Supportive counseling; Grief therapy - 8-12 sessions; Complicated Grief Therapy (CGT); Cognitive Behavioral Therapy (CBT); Support groups; Medication for prolonged depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - if prolonged)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 9, V 31] Quickly does he become righteous and attain lasting peace. Insight: Persistent spiritual practice (Bhakti) during grief quickly leads to lasting peace, honoring the lost one through spiritual growth."
"Grief and Loss","sadness; denial; anger; bargaining; acceptance; emotional pain [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Supportive counseling; Grief therapy - 8-12 sessions; Complicated Grief Therapy (CGT); Cognitive Behavioral Therapy (CBT); Support groups; Medication for prolonged depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - if prolonged)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 28] All created beings are unmanifest in their beginning, manifest in their interim state, and unmanifest again when annihilated. So why lament for the temporary? Insight: The loved one's existence is like a wave—rising and falling into the unmanifest. Focus on the eternal reality, not the temporary phase."
"Grief and Loss","sadness; denial; anger; bargaining; acceptance; emotional pain [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Supportive counseling; Grief therapy - 8-12 sessions; Complicated Grief Therapy (CGT); Cognitive Behavioral Therapy (CBT); Support groups; Medication for prolonged depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - if prolonged)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 61] The Supreme Lord is situated in everyone's heart. Insight: The presence of the Divine (Supersoul) within the heart is permanent. The departed one's true essence is held in that common space."
"Grief and Loss","sadness; denial; anger; bargaining; acceptance; emotional pain [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Supportive counseling; Grief therapy - 8-12 sessions; Complicated Grief Therapy (CGT); Cognitive Behavioral Therapy (CBT); Support groups; Medication for prolonged depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - if prolonged)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 12, V 14] One who is always satisfied and engaged in devotional service with determination. Insight: Find determination to engage in service (Bhakti) or remembrance as a way to honor the departed, leading to inner satisfaction."
"Grief and Loss","sadness; denial; anger; bargaining; acceptance; emotional pain [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Supportive counseling; Grief therapy - 8-12 sessions; Complicated Grief Therapy (CGT); Cognitive Behavioral Therapy (CBT); Support groups; Medication for prolonged depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - if prolonged)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 4, V 38] In this world, there is nothing so sublime and pure as transcendental knowledge. Insight: The process of grief can be transformed into profound, sublime knowledge (Jnana) about the nature of life and death."
"Grief and Loss","sadness; denial; anger; bargaining; acceptance; emotional pain [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Supportive counseling; Grief therapy - 8-12 sessions; Complicated Grief Therapy (CGT); Cognitive Behavioral Therapy (CBT); Support groups; Medication for prolonged depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - if prolonged)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... one must learn to tolerate them without being disturbed. Insight: Grief is distress. Tolerate (Titiksha) the pain and allow it to pass, knowing it is nonpermanent."
"Grief and Loss","sadness; denial; anger; bargaining; acceptance; emotional pain [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Supportive counseling; Grief therapy - 8-12 sessions; Complicated Grief Therapy (CGT); Cognitive Behavioral Therapy (CBT); Support groups; Medication for prolonged depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - if prolonged)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Engage in essential daily duties (Dharma) during the grief, even if performed imperfectly, as a grounding, healing action."
"Grief and Loss","sadness; denial; anger; bargaining; acceptance; emotional pain [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Supportive counseling; Grief therapy - 8-12 sessions; Complicated Grief Therapy (CGT); Cognitive Behavioral Therapy (CBT); Support groups; Medication for prolonged depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - if prolonged)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 13, V 8] Birth, death, old age and disease are evils. Insight: Acceptance of the inevitable nature of death reduces the struggle against the loss."
"Grief and Loss","sadness; denial; anger; bargaining; acceptance; emotional pain [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Supportive counseling; Grief therapy - 8-12 sessions; Complicated Grief Therapy (CGT); Cognitive Behavioral Therapy (CBT); Support groups; Medication for prolonged depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - if prolonged)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 1, V 47] Arjuna threw aside his bow and arrows and sat down on the chariot. Insight: Acknowledge the emotional exhaustion and paralysis caused by profound loss (Arjuna's exhaustion), then commit to the next small action."
"Histrionic Personality Disorder","excessive emotionality; attention-seeking; dramatic; sexually provocative; superficial relationships [ICD-10: F60.4, ICD-11: 6D11.9, DSM-5: 301.50]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy; Social skills training; Medication for comorbid depression/anxiety","None Typically; SSRIs (for associated depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 12, V 18] One who is equal to friends and enemies, who is equipoised in honor and dishonor... is very dear to Me. Insight: Attention-seeking is driven by attachment to honor/praise and fear of dishonor/being ignored. Cultivate detachment (Vairagya) from external validation by finding a stable sense of self-worth that is not dependent on the reactions of others."
"Histrionic Personality Disorder","excessive emotionality; attention-seeking; dramatic; sexually provocative; superficial relationships [ICD-10: F60.4, ICD-11: 6D11.9, DSM-5: 301.50]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy; Social skills training; Medication for comorbid depression/anxiety","None Typically; SSRIs (for associated depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Practice mental austerity (Tapas) by cultivating moments of silence, self-control over dramatic impulses, simplicity in expression, and sincerity of purpose. This inner work reduces the need for external drama."
"Histrionic Personality Disorder","excessive emotionality; attention-seeking; dramatic; sexually provocative; superficial relationships [ICD-10: F60.4, ICD-11: 6D11.9, DSM-5: 301.50]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy; Social skills training; Medication for comorbid depression/anxiety","None Typically; SSRIs (for associated depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done... that intelligence is in the mode of goodness. Insight: Use Sattvic intelligence (Buddhi) to consciously choose genuine, deep connection (what is to be done) over superficial, dramatic interactions (what is not to be done). This requires pausing and reflecting before acting."
"Histrionic Personality Disorder","excessive emotionality; attention-seeking; dramatic; sexually provocative; superficial relationships [ICD-10: F60.4, ICD-11: 6D11.9, DSM-5: 301.50]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy; Social skills training; Medication for comorbid depression/anxiety","None Typically; SSRIs (for associated depression/anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Find satisfaction (Santosha) in the action itself—in the genuine moment of connection or in simply being present—rather than in the external 'result' of attention, praise, or admiration."
"Histrionic Personality Disorder","excessive emotionality; attention-seeking; dramatic; sexually provocative; superficial relationships [ICD-10: F60.4, ICD-11: 6D11.9, DSM-5: 301.50]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy; Social skills training; Medication for comorbid depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - for associated depression)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 12, V 18] One who is equal to friends and enemies, who is equipoised in honor and dishonor. Insight: Attention-seeking is attachment to honor/praise. Cultivate detachment (Vairagya) from external validation."
"Histrionic Personality Disorder","excessive emotionality; attention-seeking; dramatic; sexually provocative; superficial relationships [ICD-10: F60.4, ICD-11: 6D11.9, DSM-5: 301.50]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy; Social skills training; Medication for comorbid depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - for associated depression)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Practice mental austerity (Tapas) by cultivating silence, simplicity, and sincere purpose, reducing drama."
"Histrionic Personality Disorder","excessive emotionality; attention-seeking; dramatic; sexually provocative; superficial relationships [ICD-10: F60.4, ICD-11: 6D11.9, DSM-5: 301.50]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy; Social skills training; Medication for comorbid depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - for associated depression)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done... that intelligence is in the mode of goodness. Insight: Use Sattvic intelligence (Buddhi) to choose genuine connection (to be done) over superficial drama (not to be done)."
"Histrionic Personality Disorder","excessive emotionality; attention-seeking; dramatic; sexually provocative; superficial relationships [ICD-10: F60.4, ICD-11: 6D11.9, DSM-5: 301.50]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy; Social skills training; Medication for comorbid depression","None Typically; Sertraline 50mg (Rx - Serenata, Zosert, Daxid - for associated depression)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Find satisfaction (Santosha) in the action itself, not in the external 'result' of attention or applause."
"Hoarding Disorder","","difficulty discarding possessions; clutter; distress; functional impairment [ICD-10: F42.9, ICD-11: 6B24, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 16-24 sessions; Motivational Interviewing; Home visits/organization; Support groups","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Venlafaxine 75mg (Rx - Venlor, Venfax, Venlift)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Venlafaxine: 75-225mg daily (initial 37.5mg, increase after 1 week; max 225mg; take with food)","[Gita, Ch 17, V 20] Charity given out of duty, without expectation of return... is considered to be in the mode of goodness. Insight: Hoarding is attachment (Lobha). Practice charity (Dana) and detachment (Vairagya) by giving away what is not needed."
"Hoarding Disorder","","difficulty discarding possessions; clutter; distress; functional impairment [ICD-10: F42.9, ICD-11: 6B24, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 16-24 sessions; Motivational Interviewing; Home visits/organization; Support groups","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Venlafaxine 75mg (Rx - Venlor, Venfax, Venlift)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Venlafaxine: 75-225mg daily (initial 37.5mg, increase after 1 week; max 225mg; take with food)","[Gita, Ch 2, V 62] While contemplating the objects of the senses, a person develops attachment for them... Insight: The attachment (Raga) is developed by contemplating the object's perceived value. Detach the mind from the objects."
"Hoarding Disorder","","difficulty discarding possessions; clutter; distress; functional impairment [ICD-10: F42.9, ICD-11: 6B24, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 16-24 sessions; Motivational Interviewing; Home visits/organization; Support groups","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Venlafaxine 75mg (Rx - Venlor, Venfax, Venlift)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Venlafaxine: 75-225mg daily (initial 37.5mg, increase after 1 week; max 225mg; take with food)","[Gita, Ch 17, V 14] Austerity of the body consists in worship... and cleanliness, simplicity, and non-violence. Insight: Cleanliness (Saucha) and simplicity (Arjavam) are fundamental physical austerities that directly counter hoarding disorder."
"Hoarding Disorder","","difficulty discarding possessions; clutter; distress; functional impairment [ICD-10: F42.9, ICD-11: 6B24, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 16-24 sessions; Motivational Interviewing; Home visits/organization; Support groups","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Venlafaxine 75mg (Rx - Venlor, Venfax, Venlift)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Venlafaxine: 75-225mg daily (initial 37.5mg, increase after 1 week; max 225mg; take with food)","[Gita, Ch 5, V 13] The embodied soul, renouncing all actions by mind, dwells happily in the city of nine gates [the body], neither working nor causing work to be done. Insight: The mind must renounce the attachment to material possessions to dwell happily, unburdened."
"Hypochondriasis (Illness Anxiety)","excessive worry about having a serious illness; misinterpretation of physical symptoms [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Mindfulness; Psychoeducation; Supportive counseling; Medication for anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: The body is the 'Field' (Kshetra), subject to illness and change. You are the 'Knower' (Kshetragna), who is eternal and unaffected by physical symptoms."
"Hypochondriasis (Illness Anxiety)","excessive worry about having a serious illness; misinterpretation of physical symptoms [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Mindfulness; Psychoeducation; Supportive counseling; Medication for anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress, and their disappearance in due course, are like the appearance and disappearance of winter and summer seasons. Insight: Physical symptoms (distress) are temporary seasons of the body. Practice tolerance (Titiksha) without being disturbed."
"Hypochondriasis (Illness Anxiety)","excessive worry about having a serious illness; misinterpretation of physical symptoms [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Mindfulness; Psychoeducation; Supportive counseling; Medication for anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 18, V 40] There is no being existing... which is freed from the three modes of nature. Insight: Perfect, flawless health is unattainable in the material world. Acceptance of the body's natural state of imperfection reduces worry."
"Hypochondriasis (Illness Anxiety)","excessive worry about having a serious illness; misinterpretation of physical symptoms [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Mindfulness; Psychoeducation; Supportive counseling; Medication for anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: Gently withdraw the mind from worrying thoughts and bring it back to the stable reality of the present moment."
"Hypochondriasis (Illness Anxiety)","excessive worry about having a serious illness; misinterpretation of physical symptoms [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Mindfulness; Psychoeducation; Supportive counseling; Medication for anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 13, V 8] Birth, death, old age and disease are evils. Insight: Acceptance of the inevitable (Jara-Maranasya) nature of disease in the physical body helps rationalize the fear and allows for focus on the eternal Self."
"Hypochondriasis (Illness Anxiety)","excessive worry about having a serious illness; misinterpretation of physical symptoms [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Mindfulness; Psychoeducation; Supportive counseling; Medication for anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 18, V 61] The Supreme Lord is situated in everyone's heart... directing the wanderings of all living entities. Insight: Trust in the inner, guiding force (Supersoul) to manage the body and mind, reducing the need for hypervigilance."
"Hypochondriasis (Illness Anxiety)","excessive worry about having a serious illness; misinterpretation of physical symptoms [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Mindfulness; Psychoeducation; Supportive counseling; Medication for anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 16, V 21] There are three gates leading to this hell—lust, anger and greed. Insight: Excessive health worry is rooted in greed (attachment to perfect health). Close the gate of greed."
"Hypochondriasis (Illness Anxiety)","excessive worry about having a serious illness; misinterpretation of physical symptoms [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Mindfulness; Psychoeducation; Supportive counseling; Medication for anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 4, V 39] A faithful man who is dedicated to transcendental knowledge and who subdues his senses attains knowledge. Insight: Faith (Shraddha) in the current state of health (based on medical facts) subdues the worry (senses) and brings peace."
"Illness Anxiety Disorder (Hypochondriasis, severe)","excessive worry about having a serious illness; misinterpretation of physical symptoms; avoidance/checking rituals [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Exposure and response prevention (ERP); Mindfulness-based stress reduction; Psychoeducation; Supportive counseling; Medication","Sertraline 100mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 40mg (Rx - Prodep, Fludac, Nuzak); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: The body is the 'Field' (Kshetra), subject to illness and change. You are the 'Knower' (Kshetragna), the eternal consciousness that observes the body but is not defined by its state of health or illness. Anchor yourself in this knowing."
"Illness Anxiety Disorder (Hypochondriasis, severe)","excessive worry about having a serious illness; misinterpretation of physical symptoms; avoidance/checking rituals [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Exposure and response prevention (ERP); Mindfulness-based stress reduction; Psychoeducation; Supportive counseling; Medication","Sertraline 100mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 40mg (Rx - Prodep, Fludac, Nuzak); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... are like the appearance and disappearance of winter and summer seasons. Insight: Physical symptoms (distress) are temporary seasons of the body. Practice tolerance (Titiksha) by observing them without immediately interpreting them as catastrophic. They will pass, like all seasons."
"Illness Anxiety Disorder (Hypochondriasis, severe)","excessive worry about having a serious illness; misinterpretation of physical symptoms; avoidance/checking rituals [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Exposure and response prevention (ERP); Mindfulness-based stress reduction; Psychoeducation; Supportive counseling; Medication","Sertraline 100mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 40mg (Rx - Prodep, Fludac, Nuzak); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 18, V 40] There is no being existing... which is freed from the three modes of nature. Insight: Perfect, flawless health is unattainable in the material world. The body, by its nature, will have quirks, sensations, and occasional discomforts. Acceptance of this fundamental imperfection is a key step in reducing health anxiety."
"Illness Anxiety Disorder (Hypochondriasis, severe)","excessive worry about having a serious illness; misinterpretation of physical symptoms; avoidance/checking rituals [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Exposure and response prevention (ERP); Mindfulness-based stress reduction; Psychoeducation; Supportive counseling; Medication","Sertraline 100mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 40mg (Rx - Prodep, Fludac, Nuzak); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: Gently withdraw the mind from its obsessive worrying and checking rituals and bring it back to the stable reality of the present moment, focusing on the breath or a neutral sensation, breaking the cycle of catastrophic thoughts."
"Illness Anxiety Disorder (Hypochondriasis, severe)","excessive worry about having a serious illness; misinterpretation of physical symptoms; avoidance/checking rituals [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Exposure and response prevention (ERP); Mindfulness-based stress reduction; Psychoeducation; Medication","Sertraline 100mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 40mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: The body is the 'Field' (Kshetra), subject to illness and change. You are the 'Knower' (Kshetragna), who is eternal and unaffected by physical symptoms."
"Illness Anxiety Disorder (Hypochondriasis, severe)","excessive worry about having a serious illness; misinterpretation of physical symptoms; avoidance/checking rituals [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Exposure and response prevention (ERP); Mindfulness-based stress reduction; Psychoeducation; Medication","Sertraline 100mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 40mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... are like the appearance and disappearance of winter and summer seasons. Insight: Physical symptoms (distress) are temporary seasons of the body. Practice tolerance (Titiksha) without being disturbed."
"Illness Anxiety Disorder (Hypochondriasis, severe)","excessive worry about having a serious illness; misinterpretation of physical symptoms; avoidance/checking rituals [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Exposure and response prevention (ERP); Mindfulness-based stress reduction; Psychoeducation; Medication","Sertraline 100mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 40mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 18, V 40] There is no being existing... which is freed from the three modes of nature. Insight: Perfect, flawless health is unattainable in the material world. Acceptance of the body's natural state of imperfection reduces worry."
"Illness Anxiety Disorder (Hypochondriasis, severe)","excessive worry about having a serious illness; misinterpretation of physical symptoms; avoidance/checking rituals [ICD-10: F45.21, ICD-11: 6B23, DSM-5: 300.7]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Exposure and response prevention (ERP); Mindfulness-based stress reduction; Psychoeducation; Medication","Sertraline 100mg (Rx - Serenata, Zosert, Daxid); Fluoxetine 40mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: Gently withdraw the mind from worrying thoughts and bring it back to the stable reality of the present moment."
"Insomnia","difficulty falling asleep; difficulty staying asleep; waking up early; non-restorative sleep [ICD-10: G47.0, ICD-11: 7A00, DSM-5: 307.42]","Cognitive Behavioral Therapy for Insomnia (CBT-I) - 6-8 sessions; Sleep hygiene education; Stimulus control; Sleep restriction; Relaxation techniques","Zolpidem 10mg (Rx - Zolfresh, Somnat, Zolt - short-term, Schedule H); Melatonin 3mg (OTC - Meloset, Meloclear, Melotrust)","Zolpidem: 5-10mg at bedtime as needed (short-term use only, max 4 weeks); Melatonin: 1-10mg nightly (initial 1-3mg, max 10mg; take 30-60 min before bed)","[Gita, Ch 6, V 16] There is no possibility of one's becoming a yogi... if one eats too much or too little, sleeps too much or does not sleep enough. Insight: Sleep is sacred and must be regulated (*Yukta*). Consistency in sleep habits is the first remedy."
"Insomnia","difficulty falling asleep; difficulty staying asleep; waking up early; non-restorative sleep [ICD-10: G47.0, ICD-11: 7A00, DSM-5: 307.42]","Cognitive Behavioral Therapy for Insomnia (CBT-I) - 6-8 sessions; Sleep hygiene education; Stimulus control; Sleep restriction; Relaxation techniques","Zolpidem 10mg (Rx - Zolfresh, Somnat, Zolt - short-term, Schedule H); Melatonin 3mg (OTC - Meloset, Meloclear, Melotrust)","Zolpidem: 5-10mg at bedtime as needed (short-term use only, max 4 weeks); Melatonin: 1-10mg nightly (initial 1-3mg, max 10mg; take 30-60 min before bed)","[Gita, Ch 14, V 8] O son of Bharata, the mode of ignorance (Tamas) is the cause of delusion for all embodied souls. The result is madness, indolence and sleep. Insight: Excessive or irregular sleep (insomnia leading to exhaustion) is Tamasic. Cultivate Sattva (goodness) through purity and discipline to overcome Tamas."
"Insomnia","difficulty falling asleep; difficulty staying asleep; waking up early; non-restorative sleep [ICD-10: G47.0, ICD-11: 7A00, DSM-5: 307.42]","Cognitive Behavioral Therapy for Insomnia (CBT-I) - 6-8 sessions; Sleep hygiene education; Stimulus control; Sleep restriction; Relaxation techniques","Zolpidem 10mg (Rx - Zolfresh, Somnat, Zolt - short-term, Schedule H); Melatonin 3mg (OTC - Meloset, Meloclear, Melotrust)","Zolpidem: 5-10mg at bedtime as needed (short-term use only, max 4 weeks); Melatonin: 1-10mg nightly (initial 1-3mg, max 10mg; take 30-60 min before bed)","[Gita, Ch 18, V 39] That happiness which is blind to self-realization, which is delusion from beginning to end, and which arises from sleep, indolence and illusion, is said to be in the mode of ignorance. Insight: Lying in bed anxious or forcing sleep is Tamasic. Seek Sattvic (goodness) actions during the day to earn peaceful, not forced, rest."
"Insomnia","difficulty falling asleep; difficulty staying asleep; waking up early; non-restorative sleep [ICD-10: G47.0, ICD-11: 7A00, DSM-5: 307.42]","Cognitive Behavioral Therapy for Insomnia (CBT-I) - 6-8 sessions; Sleep hygiene education; Stimulus control; Sleep restriction; Relaxation techniques","Zolpidem 10mg (Rx - Zolfresh, Somnat, Zolt - short-term, Schedule H); Melatonin 3mg (OTC - Meloset, Meloclear, Melotrust)","Zolpidem: 5-10mg at bedtime as needed (short-term use only, max 4 weeks); Melatonin: 1-10mg nightly (initial 1-3mg, max 10mg; take 30-60 min before bed)","[Gita, Ch 6, V 25] Gradually, step by step, one should become situated in trance by means of intelligence sustained by conviction, and thus the mind should be fixed on the Self alone and should think of nothing else. Insight: Use the time of sleeplessness for quiet, gradual practice of focusing the mind on the Self (meditation), rather than fighting the wakefulness."
"Insomnia","difficulty falling asleep; difficulty staying asleep; waking up early; non-restorative sleep [ICD-10: G47.0, ICD-11: 7A00, DSM-5: 307.42]","Cognitive Behavioral Therapy for Insomnia (CBT-I) - 6-8 sessions; Sleep hygiene education; Stimulus control; Sleep restriction; Relaxation techniques","Zolpidem 10mg (Rx - Zolfresh, Somnat, Zolt - short-term, Schedule H); Melatonin 3mg (OTC - Meloset, Meloclear, Melotrust)","Zolpidem: 5-10mg at bedtime as needed (short-term use only, max 4 weeks); Melatonin: 1-10mg nightly (initial 1-3mg, max 10mg; take 30-60 min before bed)","[Gita, Ch 2, V 69] What is night for all beings is the time of awakening for the self-controlled. Insight: If sleep will not come, use the quiet dark hours for reflection, reading, or contemplation (awakening) instead of anxiety."
"Insomnia","difficulty falling asleep; difficulty staying asleep; waking up early; non-restorative sleep [ICD-10: G47.0, ICD-11: 7A00, DSM-5: 307.42]","Cognitive Behavioral Therapy for Insomnia (CBT-I) - 6-8 sessions; Sleep hygiene education; Stimulus control; Sleep restriction; Relaxation techniques","Zolpidem 10mg (Rx - Zolfresh, Somnat, Zolt - short-term, Schedule H); Melatonin 3mg (OTC - Meloset, Meloclear, Melotrust)","Zolpidem: 5-10mg at bedtime as needed (short-term use only, max 4 weeks); Melatonin: 1-10mg nightly (initial 1-3mg, max 10mg; take 30-60 min before bed)","[Gita, Ch 10, V 12] You are the Supreme Personality of Godhead, the ultimate abode, the purest, the Absolute Truth. Insight: Recitation of a calming, absolute truth (like this verse) can act as a powerful mental anchor, displacing racing thoughts."
"Insomnia","difficulty falling asleep; difficulty staying asleep; waking up early; non-restorative sleep [ICD-10: G47.0, ICD-11: 7A00, DSM-5: 307.42]","Cognitive Behavioral Therapy for Insomnia (CBT-I) - 6-8 sessions; Sleep hygiene education; Stimulus control; Sleep restriction; Relaxation techniques","Zolpidem 10mg (Rx - Zolfresh, Somnat, Zolt - short-term, Schedule H); Melatonin 3mg (OTC - Meloset, Meloclear, Melotrust)","Zolpidem: 5-10mg at bedtime as needed (short-term use only, max 4 weeks); Melatonin: 1-10mg nightly (initial 1-3mg, max 10mg; take 30-60 min before bed)","[Gita, Ch 2, V 41] Those who are on this path are resolute in purpose, and their aim is one. Insight: Insomnia is scattered attention. Focus resolutely on the single goal of deep breathing or body scan to induce calm."
"Insomnia","difficulty falling asleep; difficulty staying asleep; waking up early; non-restorative sleep [ICD-10: G47.0, ICD-11: 7A00, DSM-5: 307.42]","Cognitive Behavioral Therapy for Insomnia (CBT-I) - 6-8 sessions; Sleep hygiene education; Stimulus control; Sleep restriction; Relaxation techniques","Zolpidem 10mg (Rx - Zolfresh, Somnat, Zolt - short-term, Schedule H); Melatonin 3mg (OTC - Meloset, Meloclear, Melotrust)","Zolpidem: 5-10mg at bedtime as needed (short-term use only, max 4 weeks); Melatonin: 1-10mg nightly (initial 1-3mg, max 10mg; take 30-60 min before bed)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Curb the anxiety that keeps you awake by consistent practice (Abhyasa) of relaxation and detachment (Vairagya) from the day's events."
"Insomnia","difficulty falling asleep; difficulty staying asleep; waking up early; non-restorative sleep [ICD-10: G47.0, ICD-11: 7A00, DSM-5: 307.42]","Cognitive Behavioral Therapy for Insomnia (CBT-I) - 6-8 sessions; Sleep hygiene education; Stimulus control; Sleep restriction; Relaxation techniques","Zolpidem 10mg (Rx - Zolfresh, Somnat, Zolt - short-term, Schedule H); Melatonin 3mg (OTC - Meloset, Meloclear, Melotrust)","Zolpidem: 5-10mg at bedtime as needed (short-term use only, max 4 weeks); Melatonin: 1-10mg nightly (initial 1-3mg, max 10mg; take 30-60 min before bed)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Practice mental austerity (Tapas) before bed—silence, simple thoughts, and purity of purpose (rest)."
"Insomnia","difficulty falling asleep; difficulty staying asleep; waking up early; non-restorative sleep [ICD-10: G47.0, ICD-11: 7A00, DSM-5: 307.42]","Cognitive Behavioral Therapy for Insomnia (CBT-I) - 6-8 sessions; Sleep hygiene education; Stimulus control; Sleep restriction; Relaxation techniques","Zolpidem 10mg (Rx - Zolfresh, Somnat, Zolt - short-term, Schedule H); Melatonin 3mg (OTC - Meloset, Meloclear, Melotrust)","Zolpidem: 5-10mg at bedtime as needed (short-term use only, max 4 weeks); Melatonin: 1-10mg nightly (initial 1-3mg, max 10mg; take 30-60 min before bed)","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Make proper rest your 'occupation' (Dharma) at night, performing it imperfectly if needed (some wakefulness is fine), but with sincerity."
"Insomnia","difficulty falling asleep; difficulty staying asleep; waking up early; non-restorative sleep [ICD-10: G47.0, ICD-11: 7A00, DSM-5: 307.42]","Cognitive Behavioral Therapy for Insomnia (CBT-I) - 6-8 sessions; Sleep hygiene education; Stimulus control; Sleep restriction; Relaxation techniques","Zolpidem 10mg (Rx - Zolfresh, Somnat, Zolt - short-term, Schedule H); Melatonin 3mg (OTC - Meloset, Meloclear, Melotrust)","Zolpidem: 5-10mg at bedtime as needed (short-term use only, max 4 weeks); Melatonin: 1-10mg nightly (initial 1-3mg, max 10mg; take 30-60 min before bed)","[Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: Use the dark hours to practice withdrawing the mind from its worries and returning it to inner stillness."
"Insomnia","difficulty falling asleep; difficulty staying asleep; waking up early; non-restorative sleep [ICD-10: G47.0, ICD-11: 7A00, DSM-5: 307.42]","Cognitive Behavioral Therapy for Insomnia (CBT-I) - 6-8 sessions; Sleep hygiene education; Stimulus control; Sleep restriction; Relaxation techniques","Zolpidem 10mg (Rx - Zolfresh, Somnat, Zolt - short-term, Schedule H); Melatonin 3mg (OTC - Meloset, Meloclear, Melotrust)","Zolpidem: 5-10mg at bedtime as needed (short-term use only, max 4 weeks); Melatonin: 1-10mg nightly (initial 1-3mg, max 10mg; take 30-60 min before bed)","[Gita, Ch 18, V 39] That happiness which is blind to self-realization... and which arises from sleep, indolence and illusion, is said to be in the mode of ignorance. Insight: Avoid forced, anxious, or excessive sleep (Tamas). Seek restful, natural sleep by cultivating Sattva during the day."
"Insomnia","difficulty falling asleep; difficulty staying asleep; waking up early; non-restorative sleep [ICD-10: G47.0, ICD-11: 7A00, DSM-5: 307.42]","Cognitive Behavioral Therapy for Insomnia (CBT-I) - 6-8 sessions; Sleep hygiene education; Stimulus control; Sleep restriction; Relaxation techniques","Zolpidem 10mg (Rx - Zolfresh, Somnat, Zolt - short-term, Schedule H); Melatonin 3mg (OTC - Meloset, Meloclear, Melotrust)","Zolpidem: 5-10mg at bedtime as needed (short-term use only, max 4 weeks); Melatonin: 1-10mg nightly (initial 1-3mg, max 10mg; take 30-60 min before bed)","[Gita, Ch 14, V 6] The mode of goodness (Sattva), being purer than the others, is illuminating and healthy. Insight: Purity (Sattva) in diet, thought, and activity during the day leads to natural rest at night."
"Insomnia","difficulty falling asleep; difficulty staying asleep; waking up early; non-restorative sleep [ICD-10: G47.0, ICD-11: 7A00, DSM-5: 307.42]","Cognitive Behavioral Therapy for Insomnia (CBT-I) - 6-8 sessions; Sleep hygiene education; Stimulus control; Sleep restriction; Relaxation techniques","Zolpidem 10mg (Rx - Zolfresh, Somnat, Zolt - short-term, Schedule H); Melatonin 3mg (OTC - Meloset, Meloclear, Melotrust)","Zolpidem: 5-10mg at bedtime as needed (short-term use only, max 4 weeks); Melatonin: 1-10mg nightly (initial 1-3mg, max 10mg; take 30-60 min before bed)","[Gita, Ch 2, V 69] What is night for all beings is the time of awakening for the self-controlled. Insight: If true sleep is elusive, use the time for quiet contemplation or reading (awakening) instead of anxious struggle."
"Intellectual Disability (ID, severe)","","severe deficits in cognitive functioning; significant adaptive skill deficits; need for constant supervision [ICD-10: F71, ICD-11: 6A00.2, DSM-5: 318.1], Supportive housing (group home or family); Vocational training (sheltered workshops); Communication training (AAC); Behavioral interventions; Physical therapy; Occupational therapy; Speech therapy; Medication for behavioral issues","None Typically; Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - for irritability/aggression); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for irritability)","","Supportive housing (group home or family); Vocational training (sheltered workshops); Communication training (AAC); Behavioral interventions; Physical therapy; Occupational therapy; Speech therapy; Medication for behavioral issues, None Typically; Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - for irritability/aggression); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for irritability), Risperidone: 0.5-3mg daily (initial 0.25-0.5mg, increase slowly; monitor metabolic parameters); Aripiprazole: 2-10mg daily (initial 2mg, titrate slowly; monitor for side effects), [Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: The core of caregiving is unconditional kindness (Maitri) and compassion (Karuna) toward the individual, accepting them exactly as they are and focusing on their well-being and dignity, not on societal expectations of productivity."
"Intellectual Disability (ID, severe)","","severe deficits in cognitive functioning; significant adaptive skill deficits; need for constant supervision [ICD-10: F71, ICD-11: 6A00.2, DSM-5: 318.1], Supportive housing (group home or family); Vocational training (sheltered workshops); Communication training (AAC); Behavioral interventions; Physical therapy; Occupational therapy; Speech therapy; Medication for behavioral issues","None Typically; Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - for irritability/aggression); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for irritability)","","Supportive housing (group home or family); Vocational training (sheltered workshops); Communication training (AAC); Behavioral interventions; Physical therapy; Occupational therapy; Speech therapy; Medication for behavioral issues, None Typically; Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - for irritability/aggression); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for irritability), Risperidone: 0.5-3mg daily (initial 0.25-0.5mg, increase slowly; monitor metabolic parameters); Aripiprazole: 2-10mg daily (initial 2mg, titrate slowly; monitor for side effects), [Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: For the caregiver, this means using their mind and resources to support the individual in developing skills and self-regulation (helping them 'deliver themselves' to their highest potential), while for the individual, it means providing the support they need to navigate their world."
"Intellectual Disability (ID, severe)","","severe deficits in cognitive functioning; significant adaptive skill deficits; need for constant supervision [ICD-10: F71, ICD-11: 6A00.2, DSM-5: 318.1], Supportive housing (group home or family); Vocational training (sheltered workshops); Communication training (AAC); Behavioral interventions; Physical therapy; Occupational therapy; Speech therapy; Medication for behavioral issues","None Typically; Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - for irritability/aggression); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for irritability)","","Supportive housing (group home or family); Vocational training (sheltered workshops); Communication training (AAC); Behavioral interventions; Physical therapy; Occupational therapy; Speech therapy; Medication for behavioral issues, None Typically; Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - for irritability/aggression); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for irritability), Risperidone: 0.5-3mg daily (initial 0.25-0.5mg, increase slowly; monitor metabolic parameters); Aripiprazole: 2-10mg daily (initial 2mg, titrate slowly; monitor for side effects), [Gita, Ch 15, V 7] The living entities in this conditioned world are My eternal fragmental parts. Insight: Every individual, regardless of cognitive ability, is an eternal fragment of the Divine, deserving of dignity, respect, and love. Their worth is inherent and not tied to intellectual capacity."
"Intellectual Disability (ID, severe)","","severe deficits in cognitive functioning; significant adaptive skill deficits; need for constant supervision [ICD-10: F71, ICD-11: 6A00.2, DSM-5: 318.1], Supportive housing (group home or family); Vocational training (sheltered workshops); Communication training (AAC); Behavioral interventions; Physical therapy; Occupational therapy; Speech therapy; Medication for behavioral issues","None Typically; Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - for irritability/aggression); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for irritability)","","Supportive housing (group home or family); Vocational training (sheltered workshops); Communication training (AAC); Behavioral interventions; Physical therapy; Occupational therapy; Speech therapy; Medication for behavioral issues, None Typically; Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - for irritability/aggression); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for irritability), Risperidone: 0.5-3mg daily (initial 0.25-0.5mg, increase slowly; monitor metabolic parameters); Aripiprazole: 2-10mg daily (initial 2mg, titrate slowly; monitor for side effects), [Gita, Ch 18, V 45] Man attains perfection by worshiping... through performance of his own work. Insight: The 'work' (Dharma) of the caregiver and the individual is to engage in the therapeutic and supportive process with sincerity. For the individual, this might mean participating in daily living activities; for the caregiver, it means providing that care with devotion. Perfection lies in the sincere effort, not the outcome."
"Intermittent Explosive Disorder","","recurrent aggressive outbursts; disproportionate reaction; verbal/physical aggression [ICD-10: F63.81, ICD-11: 6C73, DSM-5: 312.34], Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Anger management training; Relaxation techniques; Mindfulness; Medication for mood stabilization","Valproate 500mg (Rx - Valparin, Encorate, Valance); Lithium 300mg (Rx - Lithosun, Lithium, Carbolith)","Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL); Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L)","[Gita, Ch 16, V 21] There are three gates leading to this hell—lust, anger and greed. Insight: The outburst is rooted in anger (Krodha). Stopping the reaction closes the most destructive gate."
"Intermittent Explosive Disorder","","recurrent aggressive outbursts; disproportionate reaction; verbal/physical aggression [ICD-10: F63.81, ICD-11: 6C73, DSM-5: 312.34], Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Anger management training; Relaxation techniques; Mindfulness; Medication for mood stabilization","Valproate 500mg (Rx - Valparin, Encorate, Valance); Lithium 300mg (Rx - Lithosun, Lithium, Carbolith)","Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL); Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L)","[Gita, Ch 2, V 63] From anger comes delusion, and from delusion bewilderment of memory. When memory is bewildered, intelligence is lost, and when intelligence is lost one falls down again. Insight: The outburst is a momentary loss of intelligence (Buddhi). The practice is to pause before the loss occurs."
"Intermittent Explosive Disorder","","recurrent aggressive outbursts; disproportionate reaction; verbal/physical aggression [ICD-10: F63.81, ICD-11: 6C73, DSM-5: 312.34], Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Anger management training; Relaxation techniques; Mindfulness; Medication for mood stabilization","Valproate 500mg (Rx - Valparin, Encorate, Valance); Lithium 300mg (Rx - Lithosun, Lithium, Carbolith)","Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL); Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Practice the mental austerity (Tapas) of self-control (Dama) and silence (Maunam) when feeling agitated."
"Intermittent Explosive Disorder","","recurrent aggressive outbursts; disproportionate reaction; verbal/physical aggression [ICD-10: F63.81, ICD-11: 6C73, DSM-5: 312.34], Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Anger management training; Relaxation techniques; Mindfulness; Medication for mood stabilization","Valproate 500mg (Rx - Valparin, Encorate, Valance); Lithium 300mg (Rx - Lithosun, Lithium, Carbolith)","Valproate: 500-2000mg daily (initial 500mg daily, increase by 250mg every 3 days; monitor levels 50-100 mcg/mL); Lithium: 300-1200mg daily (initial 300mg twice daily, titrate based on serum levels; therapeutic range 0.6-1.2 mEq/L)","[Gita, Ch 4, V 22] He is happy with whatever comes of its own accord. Insight: Cultivate satisfaction (Santosha) with the immediate situation, which reduces the frustration that triggers the explosive reaction."
"Internet Gaming Disorder","excessive, compulsive gaming; withdrawal symptoms; functional impairment [ICD-10: F63.8, ICD-11: 6C51, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Interviewing; Family therapy; Digital detox; Behavioral modification","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - off-label for impulse control)","","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Interviewing; Family therapy; Digital detox; Behavioral modification, None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - off-label for impulse control), Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk), [Gita, Ch 3, V 34] There are principles to regulate attachment and aversion. Insight: The compulsion is Raga (attachment) to the game's reward/escape. Use clear principles (rules, time limits) to regulate this attachment."
"Internet Gaming Disorder","excessive, compulsive gaming; withdrawal symptoms; functional impairment [ICD-10: F63.8, ICD-11: 6C51, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Interviewing; Family therapy; Digital detox; Behavioral modification","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - off-label for impulse control)","","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Interviewing; Family therapy; Digital detox; Behavioral modification, None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - off-label for impulse control), Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk), [Gita, Ch 2, V 41] Those who are on this path are resolute in purpose, and their aim is one. Insight: Counter distraction and scattered focus with a resolute (Vyavasayatmika) commitment to real-life duties and goals."
"Internet Gaming Disorder","excessive, compulsive gaming; withdrawal symptoms; functional impairment [ICD-10: F63.8, ICD-11: 6C51, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Interviewing; Family therapy; Digital detox; Behavioral modification","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - off-label for impulse control)","","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Interviewing; Family therapy; Digital detox; Behavioral modification, None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - off-label for impulse control), Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk), [Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Practice mental austerity (Tapas) by cultivating simplicity and purity of purpose, reducing the need for elaborate virtual stimulation."
"Internet Gaming Disorder","excessive, compulsive gaming; withdrawal symptoms; functional impairment [ICD-10: F63.8, ICD-11: 6C51, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Interviewing; Family therapy; Digital detox; Behavioral modification","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - off-label for impulse control)","","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Interviewing; Family therapy; Digital detox; Behavioral modification, None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - off-label for impulse control), Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk), [Gita, Ch 3, V 8] Perform your prescribed duty, for action is better than inaction. Insight: Channel the time and energy (restless energy/Rajas) wasted on gaming into productive, real-world duties (Karma Yoga)."
"Kleptomania","","inability to resist stealing; tension relief after act; distress/shame [ICD-10: F63.2, ICD-11: 6C71, DSM-5: 312.32], Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Aversion therapy (covert sensitization); Support groups; Medication for impulse control","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 2, V 62] While contemplating the objects of the senses, a person develops attachment for them... Insight: The compulsive cycle starts with the contemplation (Dhyana) of the object. Stop the thought to break the cycle."
"Kleptomania","","inability to resist stealing; tension relief after act; distress/shame [ICD-10: F63.2, ICD-11: 6C71, DSM-5: 312.32], Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Aversion therapy (covert sensitization); Support groups; Medication for impulse control","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 17, V 14] Austerity of the body consists in worship... and non-violence. Insight: Stealing is a form of violence against the property of others. Practice non-violence (Ahimsa) in all its forms, including respecting others' possessions."
"Kleptomania","","inability to resist stealing; tension relief after act; distress/shame [ICD-10: F63.2, ICD-11: 6C71, DSM-5: 312.32], Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Aversion therapy (covert sensitization); Support groups; Medication for impulse control","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 4, V 21] He acts very cautiously, controls his mind and intelligence. Insight: Use controlled mind and intelligence (Buddhi) to recognize the urge and avoid the setting, acting cautiously (Apramada)."
"Kleptomania","","inability to resist stealing; tension relief after act; distress/shame [ICD-10: F63.2, ICD-11: 6C71, DSM-5: 312.32], Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Aversion therapy (covert sensitization); Support groups; Medication for impulse control","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Paroxetine 20mg (Rx - Paxil, Parotab, Xet)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning)","[Gita, Ch 16, V 21] There are three gates leading to this hell—lust, anger and greed. Insight: Stealing is driven by greed (Lobha) or intense desire (Lust). The therapeutic goal is to close these gates."
"Medical Trauma (Hospitalization, Illness)","anxiety; fear of recurrence; nightmares; hypervigilance around health [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Supportive counseling; Psychoeducation; Support groups; Medication for anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram); Prazosin 2mg (Rx - Minipress, Prazopress - for nightmares)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening); Prazosin: 1-15mg nightly (initial 1mg, titrate slowly; max 15mg; take at bedtime)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... one must learn to tolerate them without being disturbed. Insight: The medical event and its aftermath are a temporary distress. Practice tolerance (Titiksha) knowing this season of hypervigilance and fear will pass as healing integrates."
"Medical Trauma (Hospitalization, Illness)","anxiety; fear of recurrence; nightmares; hypervigilance around health [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Supportive counseling; Psychoeducation; Support groups; Medication for anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram); Prazosin 2mg (Rx - Minipress, Prazopress - for nightmares)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening); Prazosin: 1-15mg nightly (initial 1mg, titrate slowly; max 15mg; take at bedtime)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: The body (the Field) experienced illness and hospitalization, but the Knower (Consciousness) remains untouched and eternal. Anchor your identity in the stable Knower, not the traumatized body."
"Medical Trauma (Hospitalization, Illness)","anxiety; fear of recurrence; nightmares; hypervigilance around health [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Supportive counseling; Psychoeducation; Support groups; Medication for anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram); Prazosin 2mg (Rx - Minipress, Prazopress - for nightmares)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening); Prazosin: 1-15mg nightly (initial 1mg, titrate slowly; max 15mg; take at bedtime)","[Gita, Ch 2, V 27] One who has taken his birth is sure to die... Therefore, in the unavoidable discharge of your duty, you should not lament. Insight: Acceptance of the cycle of life, including the possibility of illness and death, helps in processing medical trauma and reducing the paralyzing fear of recurrence. Focus on living fully in the present."
"Medical Trauma (Hospitalization, Illness)","anxiety; fear of recurrence; nightmares; hypervigilance around health [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Supportive counseling; Psychoeducation; Support groups; Medication for anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram); Prazosin 2mg (Rx - Minipress, Prazopress - for nightmares)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening); Prazosin: 1-15mg nightly (initial 1mg, titrate slowly; max 15mg; take at bedtime)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: The anxious, health-focused mind that constantly scans for symptoms (restless mind) is curbed by consistent practice (Abhyasa) of mindfulness and detachment (Vairagya) from obsessive health-related thoughts."
"Medical Trauma (Hospitalization, Illness)","anxiety; fear of recurrence; nightmares; hypervigilance around health [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR); Supportive counseling; Psychoeducation; Support groups","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... one must learn to tolerate them without being disturbed. Insight: The medical event was a temporary distress. Tolerate the remaining fear knowing it will pass."
"Medical Trauma (Hospitalization, Illness)","anxiety; fear of recurrence; nightmares; hypervigilance around health [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR); Supportive counseling; Psychoeducation; Support groups","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: The body (the Field) experienced illness, but the Knower (Consciousness) remains untouched and eternal."
"Medical Trauma (Hospitalization, Illness)","anxiety; fear of recurrence; nightmares; hypervigilance around health [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR); Supportive counseling; Psychoeducation; Support groups","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 2, V 27] One who has taken his birth is sure to die... Therefore, in the unavoidable discharge of your duty, you should not lament. Insight: Acceptance of the cycle of life and death helps in processing medical trauma and fear of recurrence."
"Medical Trauma (Hospitalization, Illness)","anxiety; fear of recurrence; nightmares; hypervigilance around health [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR); Supportive counseling; Psychoeducation; Support groups","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: The anxious, health-focused mind is curbed by consistent practice (Abhyasa) of mindfulness and detachment (Vairagya) from health outcomes."
"Narcissistic Personality Disorder","grandiosity; need for admiration; lack of empathy; arrogance; exploitation [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Psychodynamic therapy - long-term (1-2 years); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Mentalization-Based Treatment (MBT); Schema therapy; Group therapy; Medication for comorbid conditions","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for agitation/paranoia)","","Risdon - for agitation/paranoia), Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 16, V 4] The demonic qualities are pride, arrogance, conceit, anger, harshness, and ignorance. Insight: Recognize the core issue: arrogance is a 'demonic' (self-destructive) quality; cultivate humility."
"Narcissistic Personality Disorder","grandiosity; need for admiration; lack of empathy; arrogance; exploitation [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Psychodynamic therapy - long-term (1-2 years); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Mentalization-Based Treatment (MBT); Schema therapy; Group therapy; Medication for comorbid conditions","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for agitation/paranoia)","","Risdon - for agitation/paranoia), Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done, what is to be feared and what is not to be feared, what is binding and what is liberating—that intelligence is in the mode of goodness. Insight: Arrogance prevents the use of true, sattvic (goodness) intelligence (Buddhi) to judge actions truthfully."
"Narcissistic Personality Disorder","grandiosity; need for admiration; lack of empathy; arrogance; exploitation [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Psychodynamic therapy - long-term (1-2 years); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Mentalization-Based Treatment (MBT); Schema therapy; Group therapy; Medication for comorbid conditions","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for agitation/paranoia)","","Risdon - for agitation/paranoia), Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 15, V 5] One who is free from false prestige, illusion, and false association, understands the eternal. Insight: False prestige (grandiosity) is an illusion (Moha); only by giving it up can one see true reality and others clearly."
"Narcissistic Personality Disorder","grandiosity; need for admiration; lack of empathy; arrogance; exploitation [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Psychodynamic therapy - long-term (1-2 years); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Mentalization-Based Treatment (MBT); Schema therapy; Group therapy; Medication for comorbid conditions","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for agitation/paranoia)","","Risdon - for agitation/paranoia), Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 3, V 27] The spirit soul bewildered by the influence of false ego thinks himself the doer of activities that are in actuality carried out by the three modes of material nature. Insight: Grandiosity is based on false ego (Ahankara); all action is ultimately done by nature, not the limited self."
"Narcissistic Personality Disorder","grandiosity; need for admiration; lack of empathy; arrogance; exploitation [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Psychodynamic therapy - long-term (1-2 years); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Mentalization-Based Treatment (MBT); Schema therapy; Group therapy; Medication for comorbid conditions","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for agitation/paranoia)","","Risdon - for agitation/paranoia), Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 13, V 8] Humility; pride is to be avoided. Insight: Humility (Amanitvam) is listed as the first quality of knowledge. The therapy goal is the direct opposite of the narcissistic trait."
"Narcissistic Personality Disorder","grandiosity; need for admiration; lack of empathy; arrogance; exploitation [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Psychodynamic therapy - long-term (1-2 years); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Mentalization-Based Treatment (MBT); Schema therapy; Group therapy; Medication for comorbid conditions","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for agitation/paranoia)","","Risdon - for agitation/paranoia), Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 18, V 53] Abandoning false ego, strength, pride, lust, anger, and acceptance of material things. Insight: Practice of self-restraint and letting go of all self-aggrandizing thoughts and material attachments."
"Narcissistic Personality Disorder","grandiosity; need for admiration; lack of empathy; arrogance; exploitation [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Psychodynamic therapy - long-term (1-2 years); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Mentalization-Based Treatment (MBT); Schema therapy; Group therapy; Medication for comorbid conditions","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for agitation/paranoia)","","Risdon - for agitation/paranoia), Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 18, V 53] Abandoning false ego, strength, pride, lust, anger, and acceptance of material things. Insight: Therapy is the process of abandoning the false ego (grandiosity) and pride, which bind the true self."
"Narcissistic Personality Disorder","grandiosity; need for admiration; lack of empathy; arrogance; exploitation [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Psychodynamic therapy - long-term (1-2 years); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Mentalization-Based Treatment (MBT); Schema therapy; Group therapy; Medication for comorbid conditions","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for agitation/paranoia)","","Risdon - for agitation/paranoia), Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 14, V 7] The mode of passion (Rajas) is characterized by intense striving and unlimited desire and hankerings. Insight: Grandiosity and the need for admiration are fueled by Rajas. Seek the calm, humble perspective of Sattva (goodness)."
"Narcissistic Personality Disorder","grandiosity; need for admiration; lack of empathy; arrogance; exploitation [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Psychodynamic therapy - long-term (1-2 years); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Mentalization-Based Treatment (MBT); Schema therapy; Group therapy; Medication for comorbid conditions","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for agitation/paranoia)","","Risdon - for agitation/paranoia), Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 17, V 14] Austerity of the body consists in worship of the Supreme Lord... and non-violence. Insight: Non-violence (Ahimsa) includes refraining from exploiting others (lack of empathy). This physical austerity must be practiced."
"Narcissistic Personality Disorder","grandiosity; need for admiration; lack of empathy; arrogance; exploitation [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Psychodynamic therapy - long-term (1-2 years); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Mentalization-Based Treatment (MBT); Schema therapy; Group therapy; Medication for comorbid conditions","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for agitation/paranoia)","","Risdon - for agitation/paranoia), Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: The goal is to develop kindness and friendship toward all (Maitri), the direct opposite of arrogance and exploitation."
"Narcissistic Personality Disorder","grandiosity; need for admiration; lack of empathy; arrogance; exploitation [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Psychodynamic therapy - long-term (1-2 years); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Mentalization-Based Treatment (MBT); Schema therapy; Group therapy; Medication for comorbid conditions","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for agitation/paranoia)","","Risdon - for agitation/paranoia), Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 13, V 8] Humility; pride is to be avoided. Insight: Humility (Amanitvam) is the first virtue on the path to knowledge. The entire therapeutic focus is on dismantling pride."
"Narcissistic Personality Disorder","grandiosity; need for admiration; lack of empathy; arrogance; exploitation [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Psychodynamic therapy - long-term (1-2 years); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Mentalization-Based Treatment (MBT); Schema therapy; Group therapy; Medication for comorbid conditions","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for agitation/paranoia)","","Risdon - for agitation/paranoia), Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 5, V 18] The humble sage, by virtue of true knowledge, sees with equal vision a learned and gentle brahmana, a cow, an elephant... Insight: True knowledge leads to equal vision (Sama Darshana), dissolving the inflated sense of self-importance."
"Narcissistic Personality Disorder","grandiosity; need for admiration; lack of empathy; arrogance; exploitation [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Psychodynamic therapy - long-term (1-2 years); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Mentalization-Based Treatment (MBT); Schema therapy; Group therapy; Medication for comorbid conditions","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for agitation/paranoia)","","Risdon - for agitation/paranoia), Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 3, V 34] There are principles to regulate attachment and aversion. Insight: Regulate the intense attachment (Raga) to admiration and the aversion (Dvesha) to criticism."
"Narcissistic Personality Disorder","grandiosity; need for admiration; lack of empathy; arrogance; exploitation [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Psychodynamic therapy - long-term (1-2 years); Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Mentalization-Based Treatment (MBT); Schema therapy; Group therapy; Medication for comorbid conditions","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for agitation/paranoia)","","Risdon - for agitation/paranoia), Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 12, V 19] One who is free from the false ego, who is satisfied with anything. Insight: Liberation is freedom from the false ego (Ahankara) that fuels grandiosity and the need for external supply."
"Neglect Trauma (Childhood)","difficulty forming attachments; emotional numbness; low self-worth; difficulty regulating emotions [ICD-10: Z62.812, ICD-11: QE51.0, DSM-5: V61.21]","Attachment-Based Therapy; Dialectical Behavior Therapy (DBT) - 1 year program; Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 15-25 sessions; Parent-child therapy; Psychoeducation; Supportive counseling; Medication for depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Healing attachment wounds requires cultivating unconditional kindness (Maitri) and compassion (Karuna) toward the self, learning to be the kind, consistent 'friend' to oneself that was missing in childhood."
"Neglect Trauma (Childhood)","difficulty forming attachments; emotional numbness; low self-worth; difficulty regulating emotions [ICD-10: Z62.812, ICD-11: QE51.0, DSM-5: V61.21]","Attachment-Based Therapy; Dialectical Behavior Therapy (DBT) - 1 year program; Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 15-25 sessions; Parent-child therapy; Psychoeducation; Supportive counseling; Medication for depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 15, V 7] The living entities in this conditioned world are My eternal fragmental parts. Insight: The low self-worth and feeling of being unloved are delusions born of neglect. Your true, eternal nature is pure, worthy of love, and fundamentally connected to the Divine, regardless of your early experiences."
"Neglect Trauma (Childhood)","difficulty forming attachments; emotional numbness; low self-worth; difficulty regulating emotions [ICD-10: Z62.812, ICD-11: QE51.0, DSM-5: V61.21]","Attachment-Based Therapy; Dialectical Behavior Therapy (DBT) - 1 year program; Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 15-25 sessions; Parent-child therapy; Psychoeducation; Supportive counseling; Medication for depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, and cultivation of knowledge. Insight: Therapy is the process of purification (Saucha) and cultivation of knowledge (Jnana) needed to heal the emotional numbness, learn to regulate emotions, and form the secure attachments that were absent."
"Neglect Trauma (Childhood)","difficulty forming attachments; emotional numbness; low self-worth; difficulty regulating emotions [ICD-10: Z62.812, ICD-11: QE51.0, DSM-5: V61.21]","Attachment-Based Therapy; Dialectical Behavior Therapy (DBT) - 1 year program; Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 15-25 sessions; Parent-child therapy; Psychoeducation; Supportive counseling; Medication for depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Bupropion: 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 18, V 45] Man attains perfection by worshiping... through performance of his own work. Insight: Perfection and a sense of worth are found in the sincere performance of one's relational 'work' (Dharma). This means honoring the effort to connect with others, to be vulnerable, and to build healthy relationships, which is the sacred duty of healing."
"Neurocognitive Disorder (Dementia/Alzheimer's)","","memory loss; cognitive decline; confusion; behavioral changes (agitation, apathy) [ICD-10: G30.9, ICD-11: 6D80, DSM-5: 294.20], Cognitive stimulation therapy; Reality orientation; Reminiscence therapy; Supportive care; Caregiver support; Environmental modifications","Donepezil 10mg (Rx - Aricep, Donep, Alzil); Memantine 10mg (Rx - Ebix, Memantine, Alzene)","","memory loss; cognitive decline; confusion; behavioral changes (agitation, apathy) [ICD-10: G30.9, ICD-11: 6D80, DSM-5: 294.20], Cognitive stimulation therapy; Reality orientation; Reminiscence therapy; Supportive care; Caregiver support; Environmental modifications, Donepezil 10mg (Rx - Aricep, Donep, Alzil); Memantine 10mg (Rx - Ebix, Memantine, Alzene), Donepezil: 5-10mg nightly (initial 5mg, increase to 10mg after 4-6 weeks; max 10mg; take at bedtime); Memantine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; take with food), [Gita, Ch 2, V 20] For the soul there is neither birth nor death at any time. Insight: The essence of the loved one (the soul) is eternal, despite the degradation of the memory (mind) and body."
"Neurocognitive Disorder (Dementia/Alzheimer's)","","memory loss; cognitive decline; confusion; behavioral changes (agitation, apathy) [ICD-10: G30.9, ICD-11: 6D80, DSM-5: 294.20], Cognitive stimulation therapy; Reality orientation; Reminiscence therapy; Supportive care; Caregiver support; Environmental modifications","Donepezil 10mg (Rx - Aricep, Donep, Alzil); Memantine 10mg (Rx - Ebix, Memantine, Alzene)","","memory loss; cognitive decline; confusion; behavioral changes (agitation, apathy) [ICD-10: G30.9, ICD-11: 6D80, DSM-5: 294.20], Cognitive stimulation therapy; Reality orientation; Reminiscence therapy; Supportive care; Caregiver support; Environmental modifications, Donepezil 10mg (Rx - Aricep, Donep, Alzil); Memantine 10mg (Rx - Ebix, Memantine, Alzene), Donepezil: 5-10mg nightly (initial 5mg, increase to 10mg after 4-6 weeks; max 10mg; take at bedtime); Memantine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; take with food), [Gita, Ch 14, V 8] The mode of ignorance (Tamas) is the cause of delusion... The result is madness, indolence and sleep. Insight: The cognitive decline/confusion is Tamasic (ignorance). Caregivers/patients should foster Sattva (calmness, light) through simple, clear routines."
"Neurocognitive Disorder (Dementia/Alzheimer's)","","memory loss; cognitive decline; confusion; behavioral changes (agitation, apathy) [ICD-10: G30.9, ICD-11: 6D80, DSM-5: 294.20], Cognitive stimulation therapy; Reality orientation; Reminiscence therapy; Supportive care; Caregiver support; Environmental modifications","Donepezil 10mg (Rx - Aricep, Donep, Alzil); Memantine 10mg (Rx - Ebix, Memantine, Alzene)","","memory loss; cognitive decline; confusion; behavioral changes (agitation, apathy) [ICD-10: G30.9, ICD-11: 6D80, DSM-5: 294.20], Cognitive stimulation therapy; Reality orientation; Reminiscence therapy; Supportive care; Caregiver support; Environmental modifications, Donepezil 10mg (Rx - Aricep, Donep, Alzil); Memantine 10mg (Rx - Ebix, Memantine, Alzene), Donepezil: 5-10mg nightly (initial 5mg, increase to 10mg after 4-6 weeks; max 10mg; take at bedtime); Memantine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; take with food), [Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Caregiving requires profound, unconditional kindness (Maitri) and compassion (Karuna) toward the patient and self."
"Neurocognitive Disorder (Dementia/Alzheimer's)","","memory loss; cognitive decline; confusion; behavioral changes (agitation, apathy) [ICD-10: G30.9, ICD-11: 6D80, DSM-5: 294.20], Cognitive stimulation therapy; Reality orientation; Reminiscence therapy; Supportive care; Caregiver support; Environmental modifications","Donepezil 10mg (Rx - Aricep, Donep, Alzil); Memantine 10mg (Rx - Ebix, Memantine, Alzene)","","memory loss; cognitive decline; confusion; behavioral changes (agitation, apathy) [ICD-10: G30.9, ICD-11: 6D80, DSM-5: 294.20], Cognitive stimulation therapy; Reality orientation; Reminiscence therapy; Supportive care; Caregiver support; Environmental modifications, Donepezil 10mg (Rx - Aricep, Donep, Alzil); Memantine 10mg (Rx - Ebix, Memantine, Alzene), Donepezil: 5-10mg nightly (initial 5mg, increase to 10mg after 4-6 weeks; max 10mg; take at bedtime); Memantine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; take with food), [Gita, Ch 18, V 40] There is no being existing... which is freed from the three modes of nature. Insight: Acceptance that the illness is a forceful process (modes of nature) reduces the struggle and frustration of the caregiver."
"Neurodevelopmental Disorders (Autism Spectrum Disorder, high support)","severe social deficits; restricted, repetitive behaviors; significant communication difficulties; functional impairment [ICD-10: F84.0, ICD-11: 6A02, DSM-5: 299.00]","Applied Behavior Analysis (ABA) - intensive (20-40 hours/week); Communication therapy (speech, AAC); Social skills training; Occupational therapy; Supportive housing; Medication for comorbidities","None Typically; Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - for irritability/aggression)","Risperidone (for irritability): 0.5-3mg daily (initial 0.25-0.5mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: The core of caregiving is unconditional kindness (Maitri) and compassion (Karuna) toward the individual, accepting them as they are."
"Neurodevelopmental Disorders (Autism Spectrum Disorder, high support)","severe social deficits; restricted, repetitive behaviors; significant communication difficulties; functional impairment [ICD-10: F84.0, ICD-11: 6A02, DSM-5: 299.00]","Applied Behavior Analysis (ABA) - intensive (20-40 hours/week); Communication therapy (speech, AAC); Social skills training; Occupational therapy; Supportive housing; Medication for comorbidities","None Typically; Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - for irritability/aggression)","Risperidone (for irritability): 0.5-3mg daily (initial 0.25-0.5mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Use the mind (therapeutic skills) to support the individual in developing skills and self-regulation (deliver himself)."
"Neurodevelopmental Disorders (Autism Spectrum Disorder, high support)","severe social deficits; restricted, repetitive behaviors; significant communication difficulties; functional impairment [ICD-10: F84.0, ICD-11: 6A02, DSM-5: 299.00]","Applied Behavior Analysis (ABA) - intensive (20-40 hours/week); Communication therapy (speech, AAC); Social skills training; Occupational therapy; Supportive housing; Medication for comorbidities","None Typically; Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - for irritability/aggression)","Risperidone (for irritability): 0.5-3mg daily (initial 0.25-0.5mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 15, V 7] The living entities in this conditioned world are My eternal fragmental parts. Insight: Every individual, regardless of ability, is an eternal fragment of the Divine, deserving of dignity and respect."
"Neurodevelopmental Disorders (Autism Spectrum Disorder, high support)","severe social deficits; restricted, repetitive behaviors; significant communication difficulties; functional impairment [ICD-10: F84.0, ICD-11: 6A02, DSM-5: 299.00]","Applied Behavior Analysis (ABA) - intensive (20-40 hours/week); Communication therapy (speech, AAC); Social skills training; Occupational therapy; Supportive housing; Medication for comorbidities","None Typically; Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - for irritability/aggression)","Risperidone (for irritability): 0.5-3mg daily (initial 0.25-0.5mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 18, V 45] Man attains perfection by worshiping... through performance of his own work. Insight: The 'work' (Dharma) of the caregiver and individual is to engage in the therapeutic process with sincerity, finding meaning in the effort itself."
"Non-Suicidal Self-Injury (NSSI)","intentional self-harm without suicidal intent; emotional relief; feeling numb; anger/frustration [ICD-10: Z91.5, ICD-11: 6C41, DSM-5: Not applicable]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Emotion regulation training; Cognitive Behavioral Therapy (CBT); Supportive counseling; Family therapy; Medication for underlying depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Use the mind (DBT skills, cognitive reframing) to intervene and 'deliver himself' (self-soothe, regulate emotions) instead of resorting to self-degrading behavior (NSSI). The mind can be your strongest ally in this struggle."
"Non-Suicidal Self-Injury (NSSI)","intentional self-harm without suicidal intent; emotional relief; feeling numb; anger/frustration [ICD-10: Z91.5, ICD-11: 6C41, DSM-5: Not applicable]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Emotion regulation training; Cognitive Behavioral Therapy (CBT); Supportive counseling; Family therapy; Medication for underlying depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 17, V 14] Austerity of the body consists in worship... and non-violence. Insight: NSSI is an act of violence (Himsa) against the body. The practice is to cultivate non-violence (Ahimsa) and compassionate care toward the body, treating it as a sacred vessel deserving of respect and gentle treatment."
"Non-Suicidal Self-Injury (NSSI)","intentional self-harm without suicidal intent; emotional relief; feeling numb; anger/frustration [ICD-10: Z91.5, ICD-11: 6C41, DSM-5: Not applicable]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Emotion regulation training; Cognitive Behavioral Therapy (CBT); Supportive counseling; Family therapy; Medication for underlying depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 14, V 7] The mode of passion (Rajas) is born of unlimited desires and longings... binds the embodied soul by attachment to fruitive action. Insight: The intense frustration and urge for immediate relief that drives NSSI is often Rajasic (passionate). Practice cultivating calmness (Sattva) through mindfulness and distress tolerance skills, learning to ride out the emotional wave without needing to act on it."
"Non-Suicidal Self-Injury (NSSI)","intentional self-harm without suicidal intent; emotional relief; feeling numb; anger/frustration [ICD-10: Z91.5, ICD-11: 6C41, DSM-5: Not applicable]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Emotion regulation training; Cognitive Behavioral Therapy (CBT); Supportive counseling; Family therapy; Medication for underlying depression/anxiety","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... are like the appearance and disappearance of winter and summer seasons. Insight: The intense emotional distress that triggers the urge to self-harm is temporary. Practice tolerance (Titiksha), reminding yourself that the feeling will pass, like a painful but passing season, and that you have the strength to endure it without needing to harm yourself."
"Non-Suicidal Self-Injury (NSSI)","intentional self-harm without suicidal intent; emotional relief; feeling numb; anger/frustration [ICD-10: Z91.5, ICD-11: 6C41, DSM-5: Not applicable]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Emotion regulation training; Cognitive Behavioral Therapy (CBT); Supportive counseling; Family therapy","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Use the mind (DBT skills/intelligence) to intervene and 'deliver himself' (self-soothe) instead of resorting to self-degrading behavior (NSSI)."
"Non-Suicidal Self-Injury (NSSI)","intentional self-harm without suicidal intent; emotional relief; feeling numb; anger/frustration [ICD-10: Z91.5, ICD-11: 6C41, DSM-5: Not applicable]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Emotion regulation training; Cognitive Behavioral Therapy (CBT); Supportive counseling; Family therapy","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 17, V 14] Austerity of the body consists in worship... and non-violence. Insight: NSSI is an act of violence. The practice is non-violence (Ahimsa) and compassionate worship of the body."
"Non-Suicidal Self-Injury (NSSI)","intentional self-harm without suicidal intent; emotional relief; feeling numb; anger/frustration [ICD-10: Z91.5, ICD-11: 6C41, DSM-5: Not applicable]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Emotion regulation training; Cognitive Behavioral Therapy (CBT); Supportive counseling; Family therapy","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 14, V 7] The mode of passion (Rajas) is born of unlimited desires and longings... binds the embodied soul by attachment to fruitive action. Insight: The self-harm impulse is often Rajasic (frustration, desire for immediate relief). Practice calmness (Sattva) instead."
"Non-Suicidal Self-Injury (NSSI)","intentional self-harm without suicidal intent; emotional relief; feeling numb; anger/frustration [ICD-10: Z91.5, ICD-11: 6C41, DSM-5: Not applicable]","Dialectical Behavior Therapy (DBT) - individual + group, 1 year; Emotion regulation training; Cognitive Behavioral Therapy (CBT); Supportive counseling; Family therapy","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Lamotrigine 100mg (Rx - Lametec, Lamitor, Lamictal)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Lamotrigine: 25-200mg daily (initial 25mg, slow titration over 6-8 weeks to 100mg; max 200mg; monitor for rash)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... are like the appearance and disappearance of winter and summer seasons. Insight: The intense emotional distress is temporary. Tolerate (Titiksha) the feeling, knowing it will pass without needing harm."
"Obsessive-Compulsive Personality Disorder (OCPD)","preoccupation with orderliness; perfectionism; control; inflexibility; difficulty delegating [ICD-10: F60.5, ICD-11: 6D11.3, DSM-5: 301.4]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Schema therapy; Relaxation techniques; Group therapy; Medication for comorbid anxiety/depression","Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Perfectionism is extreme attachment to 'success' and a flawless outcome. Practice equanimity (Samatvam) and non-attachment (Nishkama Karma) by focusing on the process of your work, not the need for it to be perfect."
"Obsessive-Compulsive Personality Disorder (OCPD)","preoccupation with orderliness; perfectionism; control; inflexibility; difficulty delegating [ICD-10: F60.5, ICD-11: 6D11.3, DSM-5: 301.4]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Schema therapy; Relaxation techniques; Group therapy; Medication for comorbid anxiety/depression","Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: OCPD rigidity and over-complexity are a misguided austerity. Cultivate true mental simplicity (Arjavam) and purity of purpose by learning to let go of unnecessary details and focusing on what is truly essential."
"Obsessive-Compulsive Personality Disorder (OCPD)","preoccupation with orderliness; perfectionism; control; inflexibility; difficulty delegating [ICD-10: F60.5, ICD-11: 6D11.3, DSM-5: 301.4]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Schema therapy; Relaxation techniques; Group therapy; Medication for comorbid anxiety/depression","Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 18, V 48] Every endeavor is covered by some fault, just as fire is covered by smoke. Insight: Accept the inherent 'fault' (imperfection) in all actions and things. This universal truth frees you from the need for flawless control and allows for the acceptance of 'good enough' in yourself and others."
"Obsessive-Compulsive Personality Disorder (OCPD)","preoccupation with orderliness; perfectionism; control; inflexibility; difficulty delegating [ICD-10: F60.5, ICD-11: 6D11.3, DSM-5: 301.4]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Schema therapy; Relaxation techniques; Group therapy; Medication for comorbid anxiety/depression","Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 14, V 6] The mode of goodness (Sattva), being purer than the others, is illuminating and healthy. Insight: Shift from the highly rigid, controlling energy of Rajas (passion) to the flexible, gentle, and clear energy of Sattva (goodness). This involves allowing things to unfold naturally rather than forcing them into a preconceived, perfect order."
"Obsessive-Compulsive Personality Disorder (OCPD)","preoccupation with orderliness; perfectionism; control; inflexibility; difficulty delegating [ICD-10: F60.5, ICD-11: 6D11.3, DSM-5: 301.4]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Schema therapy; Relaxation techniques; Medication for comorbid anxiety","Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Perfectionism is attachment to success. Practice equanimity (Samatvam) and non-attachment (Nishkama Karma)."
"Obsessive-Compulsive Personality Disorder (OCPD)","preoccupation with orderliness; perfectionism; control; inflexibility; difficulty delegating [ICD-10: F60.5, ICD-11: 6D11.3, DSM-5: 301.4]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Schema therapy; Relaxation techniques; Medication for comorbid anxiety","Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: OCPD rigidity is a misguided austerity. Cultivate true mental simplicity, rather than obsessive complexity."
"Obsessive-Compulsive Personality Disorder (OCPD)","preoccupation with orderliness; perfectionism; control; inflexibility; difficulty delegating [ICD-10: F60.5, ICD-11: 6D11.3, DSM-5: 301.4]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Schema therapy; Relaxation techniques; Medication for comorbid anxiety","Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 18, V 48] Every endeavor is covered by some fault, just as fire is covered by smoke. Insight: Accept the inherent 'fault' (imperfection) in all actions and things, freeing yourself from the need for flawless control."
"Obsessive-Compulsive Personality Disorder (OCPD)","preoccupation with orderliness; perfectionism; control; inflexibility; difficulty delegating [ICD-10: F60.5, ICD-11: 6D11.3, DSM-5: 301.4]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Schema therapy; Relaxation techniques; Medication for comorbid anxiety","Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil); Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak)","Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime); Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks)","[Gita, Ch 14, V 6] The mode of goodness (Sattva), being purer than the others, is illuminating and healthy. Insight: Shift from the highly rigid (Rajasic) control to the flexible, gentle clarity of Sattva."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 62] While contemplating the objects of the senses, a person develops attachment for them, and from such attachment lust develops, and from lust anger arises. Insight: Trace the compulsion back to the initial thought (contemplation) and break the cycle there."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 5, V 8] A person in the divine consciousness, although engaged in seeing, hearing, touching, smelling, eating, moving about, sleeping, and breathing, always knows that he himself does absolutely nothing. Insight: The thoughts/compulsions are just processes of the mind and senses; the self is the detached observer."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 6, V 25] Gradually, step by step, one should become situated in trance by means of intelligence sustained by conviction, and thus the mind should be fixed on the Self alone and should think of nothing else. Insight: Gradual, patient effort (EPR) is the key to dissolving the urgency of compulsions. Fix the mind slowly."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 40] There is no being existing, either here or among the demigods in the higher planetary systems, which is freed from the three modes of nature. Insight: Perfection and purity (the goal of many compulsions) are unattainable in the material world. Acceptance of imperfection is necessary."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 3, V 6] One who restrains the senses of action but whose mind dwells on sense objects certainly deludes himself and is called a pretender. Insight: Don't just suppress the compulsion; internally detach from the anxiety that fuels the thought."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 17, V 28] Anything done as sacrifice, charity or penance without faith is impermanent. Insight: Compulsive acts done without genuine devotion/faith (Shraddha) are worthless; replace the compulsion with a meaningful, faith-based action."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 1, V 36] What pleasure will we derive from killing the sons of Dhritarashtra? Insight: Recognize the pointless, self-destructive nature of giving in to the compulsion."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 63] From anger, complete delusion arises, and from delusion bewilderment of memory, and when memory is bewildered, intelligence is lost. Insight: Compulsive behavior is a loss of intelligence caused by attachment/anger/fear. Re-engage intelligence (Buddhi) to break the cycle."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 6, V 34] The mind is restless, turbulent, obstinate and very strong. Insight: Acknowledge the fierce resistance of the mind to stopping the compulsion, but persist with practice (Abhyasa) anyway."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 14, V 6] The mode of goodness (Sattva), being purer than the others, is illuminating and healthy. Insight: The urge for excessive purity (compulsion) is misplaced. Find true purity (Sattva) in knowledge, calm, and simple action."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 63] Deliberate on this fully, and then do what you wish to do. Insight: Use your highest intelligence to deliberate on the true nature of the intrusive thought, then choose the skillful response (do what you wish: non-response)."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 1, V 29] My whole body is trembling, my hair is standing on end. Insight: Normalize the intense physical anxiety that accompanies resisting a compulsion (trembling, fear), knowing it is temporary."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Compulsions are attempts to control a feared outcome (attachment to success). Practice equanimity (Samatvam) and non-reaction."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 35] That determination which cannot give up dreaming, fearfulness, lamentation, moroseness and illusion—such unintelligent determination is in the mode of darkness. Insight: Compulsive rigidity is Tamasic (darkness). Use Sattvic determination (Buddhi) to engage in ERP."
"OCD","","intrusive thoughts; repetitive behaviors; compulsions; rituals; anxiety-driven actions [ICD-10: F42.9, ICD-11: 6B20, DSM-5: 300.3], Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Habit reversal training; Medication","Fluoxetine 20mg (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Fluoxetine: 20-80mg daily (initial 20mg, increase by 10mg every 2 weeks; max 80mg; response 4-8 weeks); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: The intrusive thought is the mind wandering. Gently withdraw it and return to the present."
"Oppositional Defiant Disorder (ODD)","angry/irritable mood; argumentative/defiant behavior; vindictiveness [ICD-10: F91.3, ICD-11: 6C90, DSM-5: 313.81]","Parent training (Positive Parenting Program, Incredible Years); Cognitive Behavioral Therapy (CBT) for children - 12-20 sessions; Family therapy; Social skills training; Anger management; Medication for comorbid ADHD","None Typically; Stimulants (if co-morbid ADHD) - Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Clonidine (off-label for aggression/impulsivity)","Methylphenidate (if comorbid ADHD): 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg); Clonidine (off-label): 0.05-0.4mg daily (divided doses; monitor blood pressure)","[Gita, Ch 16, V 21] There are three gates leading to this hell—lust, anger and greed. Insight: Defiance, argumentativeness, and vindictiveness are rooted in anger (Krodha). Learning emotional regulation skills is the practice of closing this destructive gate, responding thoughtfully rather than reacting angrily."
"Oppositional Defiant Disorder (ODD)","angry/irritable mood; argumentative/defiant behavior; vindictiveness [ICD-10: F91.3, ICD-11: 6C90, DSM-5: 313.81]","Parent training (Positive Parenting Program, Incredible Years); Cognitive Behavioral Therapy (CBT) for children - 12-20 sessions; Family therapy; Social skills training; Anger management; Medication for comorbid ADHD","None Typically; Stimulants (if co-morbid ADHD) - Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Clonidine (off-label for aggression/impulsivity)","Methylphenidate (if comorbid ADHD): 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg); Clonidine (off-label): 0.05-0.4mg daily (divided doses; monitor blood pressure)","[Gita, Ch 17, V 15] Austerity of speech consists in speaking words that are truthful, pleasing, beneficial, and not agitating to others. Insight: Practice the full austerity of speech, especially when feeling angry. Replace argumentative and defiant words with words that are truthful, as pleasing as possible, beneficial to the situation, and non-agitating. This is a powerful skill to learn."
"Oppositional Defiant Disorder (ODD)","angry/irritable mood; argumentative/defiant behavior; vindictiveness [ICD-10: F91.3, ICD-11: 6C90, DSM-5: 313.81]","Parent training (Positive Parenting Program, Incredible Years); Cognitive Behavioral Therapy (CBT) for children - 12-20 sessions; Family therapy; Social skills training; Anger management; Medication for comorbid ADHD","None Typically; Stimulants (if co-morbid ADHD) - Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Clonidine (off-label for aggression/impulsivity)","Methylphenidate (if comorbid ADHD): 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg); Clonidine (off-label): 0.05-0.4mg daily (divided doses; monitor blood pressure)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Replace defiance and vindictiveness with the practice of unconditional kindness (Maitri) and compassion (Karuna). This begins with small acts of kindness and gradually building empathy for others, including those who are perceived as adversaries."
"Oppositional Defiant Disorder (ODD)","angry/irritable mood; argumentative/defiant behavior; vindictiveness [ICD-10: F91.3, ICD-11: 6C90, DSM-5: 313.81]","Parent training (Positive Parenting Program, Incredible Years); Cognitive Behavioral Therapy (CBT) for children - 12-20 sessions; Family therapy; Social skills training; Anger management; Medication for comorbid ADHD","None Typically; Stimulants (if co-morbid ADHD) - Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X); Clonidine (off-label for aggression/impulsivity)","Methylphenidate (if comorbid ADHD): 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg); Clonidine (off-label): 0.05-0.4mg daily (divided doses; monitor blood pressure)","[Gita, Ch 18, V 45] Man attains perfection by worshiping... through performance of his own work. Insight: The 'work' (Dharma) of the child/teen in this context is learning cooperation and respect within the family and school. Perfection is found not in flawless behavior, but in the sincere *attempt* to practice these skills, even when it's difficult."
"Oppositional Defiant Disorder (ODD)","angry/irritable mood; argumentative/defiant behavior; vindictiveness [ICD-10: F91.3, ICD-11: 6C90, DSM-5: 313.81]","Parent training (Positive Parenting Program, Incredible Years); Cognitive Behavioral Therapy (CBT) for children - 12-20 sessions; Family therapy; Social skills training; Medication for comorbid ADHD","None Typically; Stimulants (if co-morbid ADHD) - Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X)","Methylphenidate (if comorbid ADHD): 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg)","[Gita, Ch 16, V 21] There are three gates leading to this hell—lust, anger and greed. Insight: Defiance is rooted in anger (Krodha). Learn emotional regulation skills to close this gate."
"Oppositional Defiant Disorder (ODD)","angry/irritable mood; argumentative/defiant behavior; vindictiveness [ICD-10: F91.3, ICD-11: 6C90, DSM-5: 313.81]","Parent training (Positive Parenting Program, Incredible Years); Cognitive Behavioral Therapy (CBT) for children - 12-20 sessions; Family therapy; Social skills training; Medication for comorbid ADHD","None Typically; Stimulants (if co-morbid ADHD) - Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X)","Methylphenidate (if comorbid ADHD): 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg)","[Gita, Ch 17, V 15] Austerity of speech consists in speaking words that are truthful, pleasing, beneficial, and not agitating to others. Insight: Practice the full austerity of speech, replacing argumentative words with truthful, pleasing, and beneficial ones."
"Oppositional Defiant Disorder (ODD)","angry/irritable mood; argumentative/defiant behavior; vindictiveness [ICD-10: F91.3, ICD-11: 6C90, DSM-5: 313.81]","Parent training (Positive Parenting Program, Incredible Years); Cognitive Behavioral Therapy (CBT) for children - 12-20 sessions; Family therapy; Social skills training; Medication for comorbid ADHD","None Typically; Stimulants (if co-morbid ADHD) - Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X)","Methylphenidate (if comorbid ADHD): 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Replace defiance and vindictiveness with unconditional kindness (Maitri) and compassion (Karuna)."
"Oppositional Defiant Disorder (ODD)","angry/irritable mood; argumentative/defiant behavior; vindictiveness [ICD-10: F91.3, ICD-11: 6C90, DSM-5: 313.81]","Parent training (Positive Parenting Program, Incredible Years); Cognitive Behavioral Therapy (CBT) for children - 12-20 sessions; Family therapy; Social skills training; Medication for comorbid ADHD","None Typically; Stimulants (if co-morbid ADHD) - Methylphenidate 10mg (Rx - Ritalin, Addwize, Inspiral - Schedule X)","Methylphenidate (if comorbid ADHD): 10-60mg daily (initial 10mg, increase by 5-10mg weekly; max 60mg)","[Gita, Ch 18, V 45] Man attains perfection by worshiping... through performance of his own work. Insight: The 'work' (Dharma) of the child/teen is cooperation and respect. Perfection is found in the sincere *attempt* at obedience and respect."
"Panic Disorder","panic attacks; dizziness; heart palpitations; shortness of breath [ICD-10: F41.0, ICD-11: 6B01, DSM-5: 300.01]","Cognitive Behavioral Therapy (CBT) with interoceptive exposure - 12-16 sessions; Panic-focused psychodynamic therapy; Breathing retraining; Relaxation techniques; Medication","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 1, V 29] My whole body is trembling, my hair is standing on end... and my skin is burning. Insight: Arjuna himself faced a severe panic attack. Recognizing physical symptoms (trembling, burning) as a reaction to fear is the first step to addressing them."
"Panic Disorder","panic attacks; dizziness; heart palpitations; shortness of breath [ICD-10: F41.0, ICD-11: 6B01, DSM-5: 300.01]","Cognitive Behavioral Therapy (CBT) with interoceptive exposure - 12-16 sessions; Panic-focused psychodynamic therapy; Breathing retraining; Relaxation techniques; Medication","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial",""
"Panic Disorder","panic attacks; dizziness; heart palpitations; shortness of breath [ICD-10: F41.0, ICD-11: 6B01, DSM-5: 300.01]","Cognitive Behavioral Therapy (CBT) with interoceptive exposure - 12-16 sessions; Panic-focused psychodynamic therapy; Breathing retraining; Relaxation techniques; Medication","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 55] When a man gives up all varieties of desire for sense gratification, and when his mind, thus purified, finds satisfaction in the self alone, then he is said to be in pure transcendental consciousness. Insight: Panic is an intense desire (to escape/control). Finding satisfaction in the *present moment* (self alone) dissolves the panic urge."
"Panic Disorder","panic attacks; dizziness; heart palpitations; shortness of breath [ICD-10: F41.0, ICD-11: 6B01, DSM-5: 300.01]","Cognitive Behavioral Therapy (CBT) with interoceptive exposure - 12-16 sessions; Panic-focused psychodynamic therapy; Breathing retraining; Relaxation techniques; Medication","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 4, V 21] He acts without any feeling of proprietorship and is controlled by the mind and intelligence. Insight: During a panic attack, feel 'no proprietorship' over the fear. Use mind/intelligence to control, not the fear."
"Panic Disorder","panic attacks; dizziness; heart palpitations; shortness of breath [ICD-10: F41.0, ICD-11: 6B01, DSM-5: 300.01]","Cognitive Behavioral Therapy (CBT) with interoceptive exposure - 12-16 sessions; Panic-focused psychodynamic therapy; Breathing retraining; Relaxation techniques; Medication","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 8, V 12] If you practice this yoga... you will attain perfection. Insight: Consistent, small practices (yoga, breathing, mindfulness) are a path to permanent perfection (freedom) from panic."
"Panic Disorder","panic attacks; dizziness; heart palpitations; shortness of breath [ICD-10: F41.0, ICD-11: 6B01, DSM-5: 300.01]","Cognitive Behavioral Therapy (CBT) with interoceptive exposure - 12-16 sessions; Panic-focused psychodynamic therapy; Breathing retraining; Relaxation techniques; Medication","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 11] The wise lament neither for the living nor for the dead. Insight: Panic is a fear of dying/losing control. Realize that the true Self is never born and never dies, transcending the fear."
"Panic Disorder","panic attacks; dizziness; heart palpitations; shortness of breath [ICD-10: F41.0, ICD-11: 6B01, DSM-5: 300.01]","Cognitive Behavioral Therapy (CBT) with interoceptive exposure - 12-16 sessions; Panic-focused psychodynamic therapy; Breathing retraining; Relaxation techniques; Medication","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: Panic attacks are the mind wandering into extreme fear. Gently withdraw the mind and fix it on the stability of the inner Self."
"Panic Disorder","panic attacks; dizziness; heart palpitations; shortness of breath [ICD-10: F41.0, ICD-11: 6B01, DSM-5: 300.01]","Cognitive Behavioral Therapy (CBT) with interoceptive exposure - 12-16 sessions; Panic-focused psychodynamic therapy; Breathing retraining; Relaxation techniques; Medication","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 5, V 8] A person in the divine consciousness... always knows that he himself does absolutely nothing. Insight: The panic (heart racing, shortness of breath) is happening to the body, but the Self is the detached witness (not doing anything)."
"Panic Disorder","panic attacks; dizziness; heart palpitations; shortness of breath [ICD-10: F41.0, ICD-11: 6B01, DSM-5: 300.01]","Cognitive Behavioral Therapy (CBT) with interoceptive exposure - 12-16 sessions; Panic-focused psychodynamic therapy; Breathing retraining; Relaxation techniques; Medication","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 66] Abandon all varieties of religion and just surrender unto Me. I shall deliver you from all sinful reactions. Do not fear. Insight: Final surrender of the immediate fight/flight response to a higher power brings instant relief (Do not fear)."
"Panic Disorder","panic attacks; dizziness; heart palpitations; shortness of breath [ICD-10: F41.0, ICD-11: 6B01, DSM-5: 300.01]","Cognitive Behavioral Therapy (CBT) with interoceptive exposure - 12-16 sessions; Panic-focused psychodynamic therapy; Breathing retraining; Relaxation techniques; Medication","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness. Insight: Panic is the absence of fearlessness (Abhayam). The practice is to cultivate fearlessness by facing the physical sensations."
"Panic Disorder","panic attacks; dizziness; heart palpitations; shortness of breath [ICD-10: F41.0, ICD-11: 6B01, DSM-5: 300.01]","Cognitive Behavioral Therapy (CBT) with interoceptive exposure - 12-16 sessions; Panic-focused psychodynamic therapy; Breathing retraining; Relaxation techniques; Medication","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 1, V 28] Arjuna’s paralysis of the senses and heart. Insight: Normalize the intense physical symptoms of panic, recognizing it as a temporary state of overwhelmed senses, not a true threat."
"Panic Disorder","panic attacks; dizziness; heart palpitations; shortness of breath [ICD-10: F41.0, ICD-11: 6B01, DSM-5: 300.01]","Cognitive Behavioral Therapy (CBT) with interoceptive exposure - 12-16 sessions; Panic-focused psychodynamic therapy; Breathing retraining; Relaxation techniques; Medication","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: Panic happens to the body ('Field'). The 'Knower' (Consciousness) is the detached witness, never in danger."
"Panic Disorder","panic attacks; dizziness; heart palpitations; shortness of breath [ICD-10: F41.0, ICD-11: 6B01, DSM-5: 300.01]","Cognitive Behavioral Therapy (CBT) with interoceptive exposure - 12-16 sessions; Panic-focused psychodynamic therapy; Breathing retraining; Relaxation techniques; Medication","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 5, V 23] If one is able to tolerate the urges of the material senses and check the force of desire and anger, he is a yogi. Insight: Panic is an 'urge' to flee. Tolerating this urge without reacting checks the force of the panic, leading to stability (Yogi)."
"Panic Disorder","panic attacks; dizziness; heart palpitations; shortness of breath [ICD-10: F41.0, ICD-11: 6B01, DSM-5: 300.01]","Cognitive Behavioral Therapy (CBT) with interoceptive exposure - 12-16 sessions; Panic-focused psychodynamic therapy; Breathing retraining; Relaxation techniques; Medication","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 6, V 20] One is situated in trance, called samadhi, when his mind is completely restrained from mental activities by practice of yoga. Insight: Regular meditation practice (Dhyana Yoga) creates a mental 'default' of calm that resists sudden panic."
"Paranoid Personality Disorder","distrust; suspicion; perceived threats; guardedness; hypersensitivity to criticism [ICD-10: F60.0, ICD-11: 6D11.8, DSM-5: 301.0]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Group therapy (carefully managed); Medication for severe suspicion/agitation","None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion); Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - low dose for agitation)","Aripiprazole (if needed): 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Distrust and suspicion are the absence of Maitri (unconditional kindness/friendship). The therapeutic practice is to intentionally cultivate kindness and non-enviousness toward others, starting with small, safe interactions and gradually building trust."
"Paranoid Personality Disorder","distrust; suspicion; perceived threats; guardedness; hypersensitivity to criticism [ICD-10: F60.0, ICD-11: 6D11.8, DSM-5: 301.0]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Group therapy (carefully managed); Medication for severe suspicion/agitation","None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion); Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - low dose for agitation)","Aripiprazole (if needed): 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 16, V 4] The demonic qualities are pride, arrogance, conceit, anger, harshness, and ignorance. Insight: Chronic suspicion is often rooted in anger, harshness, and ignorance of others' true, often benign, motives. Cultivating the opposite godly qualities—gentleness, forgiveness, and knowledge—helps to soften these perceptions."
"Paranoid Personality Disorder","distrust; suspicion; perceived threats; guardedness; hypersensitivity to criticism [ICD-10: F60.0, ICD-11: 6D11.8, DSM-5: 301.0]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Group therapy (carefully managed); Medication for severe suspicion/agitation","None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion); Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - low dose for agitation)","Aripiprazole (if needed): 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 5, V 18] The humble sage, by virtue of true knowledge, sees with equal vision. Insight: Cultivate equal vision (Sama Darshana), seeing others not as potential threats, but as fellow souls also struggling with their own natures. This universal perspective reduces the sense of being uniquely targeted."
"Paranoid Personality Disorder","distrust; suspicion; perceived threats; guardedness; hypersensitivity to criticism [ICD-10: F60.0, ICD-11: 6D11.8, DSM-5: 301.0]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Group therapy (carefully managed); Medication for severe suspicion/agitation","None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion); Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - low dose for agitation)","Aripiprazole (if needed): 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters)","[Gita, Ch 4, V 21] He acts very cautiously, controls his mind and intelligence. Insight: Use controlled intelligence to act *cautiously* based on factual evidence, rather than acting *suspiciously* based on perception and assumption. This means testing suspicions against reality before reacting."
"Paranoid Personality Disorder","distrust; suspicion; perceived threats; guardedness; hypersensitivity to criticism [ICD-10: F60.0, ICD-11: 6D11.8, DSM-5: 301.0]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Medication for severe suspicion/agitation","None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion)","","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Medication for severe suspicion/agitation, None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion), Aripiprazole (if needed): 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg), [Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Distrust is the absence of Maitri (unconditional kindness/friendship). The practice is to intentionally cultivate kindness and non-enviousness toward others."
"Paranoid Personality Disorder","distrust; suspicion; perceived threats; guardedness; hypersensitivity to criticism [ICD-10: F60.0, ICD-11: 6D11.8, DSM-5: 301.0]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Medication for severe suspicion/agitation","None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion)","","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Medication for severe suspicion/agitation, None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion), Aripiprazole (if needed): 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg), [Gita, Ch 16, V 4] The demonic qualities are pride, arrogance, conceit, anger, harshness, and ignorance. Insight: Suspicion is rooted in anger, harshness, and ignorance of others' true motives. Cultivate godly qualities."
"Paranoid Personality Disorder","distrust; suspicion; perceived threats; guardedness; hypersensitivity to criticism [ICD-10: F60.0, ICD-11: 6D11.8, DSM-5: 301.0]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Medication for severe suspicion/agitation","None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion)","","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Medication for severe suspicion/agitation, None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion), Aripiprazole (if needed): 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg), [Gita, Ch 5, V 18] The humble sage, by virtue of true knowledge, sees with equal vision. Insight: Cultivate equal vision (Sama Darshana), seeing others not as threats, but as fellow souls struggling, reducing suspicion."
"Paranoid Personality Disorder","distrust; suspicion; perceived threats; guardedness; hypersensitivity to criticism [ICD-10: F60.0, ICD-11: 6D11.8, DSM-5: 301.0]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Medication for severe suspicion/agitation","None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion)","","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Medication for severe suspicion/agitation, None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion), Aripiprazole (if needed): 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg), [Gita, Ch 4, V 21] He acts very cautiously, controls his mind and intelligence. Insight: Use controlled intelligence to act *cautiously* based on facts, rather than acting *suspiciously* based on perception."
"Paranoid Personality Disorder","distrust; suspicion; perceived threats; guardedness; hypersensitivity to criticism [ICD-10: F60.0, ICD-11: 6D11.8, DSM-5: 301.0]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Group therapy (carefully managed); Medication for severe suspicion/agitation","None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion); Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - low dose for agitation)","","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Group therapy (carefully managed); Medication for severe suspicion/agitation, None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion); Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - low dose for agitation), Aripiprazole (if needed): 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters), [Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Distrust and suspicion are the absence of Maitri (unconditional kindness/friendship). The therapeutic practice is to intentionally cultivate kindness and non-enviousness toward others, starting with small, safe interactions and gradually building trust."
"Paranoid Personality Disorder","distrust; suspicion; perceived threats; guardedness; hypersensitivity to criticism [ICD-10: F60.0, ICD-11: 6D11.8, DSM-5: 301.0]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Group therapy (carefully managed); Medication for severe suspicion/agitation","None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion); Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - low dose for agitation)","","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Group therapy (carefully managed); Medication for severe suspicion/agitation, None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion); Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - low dose for agitation), Aripiprazole (if needed): 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters), [Gita, Ch 16, V 4] The demonic qualities are pride, arrogance, conceit, anger, harshness, and ignorance. Insight: Chronic suspicion is often rooted in anger, harshness, and ignorance of others' true, often benign, motives. Cultivating the opposite godly qualities—gentleness, forgiveness, and knowledge—helps to soften these perceptions."
"Paranoid Personality Disorder","distrust; suspicion; perceived threats; guardedness; hypersensitivity to criticism [ICD-10: F60.0, ICD-11: 6D11.8, DSM-5: 301.0]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Group therapy (carefully managed); Medication for severe suspicion/agitation","None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion); Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - low dose for agitation)","","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Group therapy (carefully managed); Medication for severe suspicion/agitation, None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion); Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - low dose for agitation), Aripiprazole (if needed): 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters), [Gita, Ch 5, V 18] The humble sage, by virtue of true knowledge, sees with equal vision. Insight: Cultivate equal vision (Sama Darshana), seeing others not as potential threats, but as fellow souls also struggling with their own natures. This universal perspective reduces the sense of being uniquely targeted."
"Paranoid Personality Disorder","distrust; suspicion; perceived threats; guardedness; hypersensitivity to criticism [ICD-10: F60.0, ICD-11: 6D11.8, DSM-5: 301.0]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Group therapy (carefully managed); Medication for severe suspicion/agitation","None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion); Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - low dose for agitation)","","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Supportive therapy; Group therapy (carefully managed); Medication for severe suspicion/agitation, None Typically; Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip - for severe suspicion); Risperidone 1mg (Rx - Risperdal, Sizodon, Risdon - low dose for agitation), Aripiprazole (if needed): 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Risperidone: 1-3mg daily (initial 1mg, increase slowly; monitor metabolic parameters), [Gita, Ch 4, V 21] He acts very cautiously, controls his mind and intelligence. Insight: Use controlled intelligence to act *cautiously* based on factual evidence, rather than acting *suspiciously* based on perception and assumption. This means testing suspicions against reality before reacting."
"Parenting Stress","guilt; overwhelm; lack of confidence; relationship strain [ICD-10: Z62.8, ICD-11: QE52, DSM-5: V61.20]","Supportive counseling; Psychoeducation; Parent training programs (Triple P, Incredible Years); Mindfulness-based parenting; Cognitive Behavioral Therapy (CBT)","None Typically","None Typically","[Gita, Ch 18, V 46] By worship of the Lord, who is the source of all beings... a man can attain perfection through performance of his own work. Insight: Parenting is your current sacred duty (Svadharma). Perfection is attained through the *sincerity* of the action, not the outcome of the child."
"Parenting Stress","guilt; overwhelm; lack of confidence; relationship strain [ICD-10: Z62.8, ICD-11: QE52, DSM-5: V61.20]","Supportive counseling; Psychoeducation; Parent training programs (Triple P, Incredible Years); Mindfulness-based parenting; Cognitive Behavioral Therapy (CBT)","None Typically","None Typically","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities, who does not think himself a proprietor and is free from false ego. Insight: Relate to your child as a 'kind friend' (empathy), not as 'proprietor' (control). Release the parental ego."
"Parenting Stress","guilt; overwhelm; lack of confidence; relationship strain [ICD-10: Z62.8, ICD-11: QE52, DSM-5: V61.20]","Supportive counseling; Psychoeducation; Parent training programs (Triple P, Incredible Years); Mindfulness-based parenting; Cognitive Behavioral Therapy (CBT)","None Typically","None Typically","[Gita, Ch 3, V 5] Everyone is forcibly acting according to the modes of material nature. Insight: Accept that your child (and you) are subject to the three modes of nature. They will have good days (Sattva) and bad days (Tamas/Rajas). Release guilt."
"Parenting Stress","guilt; overwhelm; lack of confidence; relationship strain [ICD-10: Z62.8, ICD-11: QE52, DSM-5: V61.20]","Supportive counseling; Psychoeducation; Parent training programs (Triple P, Incredible Years); Mindfulness-based parenting; Cognitive Behavioral Therapy (CBT)","None Typically","None Typically","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: When overwhelmed, practice the austerity of silence and self-control instead of reacting to the stress."
"Parenting Stress","guilt; overwhelm; lack of confidence; relationship strain [ICD-10: Z62.8, ICD-11: QE52, DSM-5: V61.20]","Supportive counseling; Psychoeducation; Parent training programs (Triple P, Incredible Years); Mindfulness-based parenting; Cognitive Behavioral Therapy (CBT)","None Typically","None Typically","[Gita, Ch 5, V 18] The humble sage, by virtue of true knowledge, sees with equal vision a learned and gentle brahmana, a cow, an elephant, a dog and a dog-eater. Insight: Practice equal vision (Sama Darshana) for all children, not just your own, expanding compassion and reducing stress from comparison."
"Parenting Stress","guilt; overwhelm; lack of confidence; relationship strain [ICD-10: Z62.8, ICD-11: QE52, DSM-5: V61.20]","Supportive counseling; Psychoeducation; Parent training programs (Triple P, Incredible Years); Mindfulness-based parenting; Cognitive Behavioral Therapy (CBT)","None Typically","None Typically","[Gita, Ch 10, V 10] To those who are constantly devoted to serving Me with love, I give the understanding by which they can come to Me. Insight: Consistent, loving devotion to duty brings 'understanding' (Buddhi-yoga) on how to manage the complex task of parenting."
"Parenting Stress","guilt; overwhelm; lack of confidence; relationship strain [ICD-10: Z62.8, ICD-11: QE52, DSM-5: V61.20]","Supportive counseling; Psychoeducation; Parent training programs (Triple P, Incredible Years); Mindfulness-based parenting; Cognitive Behavioral Therapy (CBT)","None Typically","None Typically","[Gita, Ch 18, V 61] The Supreme Lord is situated in everyone's heart... directing the wanderings of all living entities. Insight: Trust that an inner, benevolent force (Supersoul) is guiding the child's development, reducing the burden of needing to control everything."
"Parenting Stress","guilt; overwhelm; lack of confidence; relationship strain [ICD-10: Z62.8, ICD-11: QE52, DSM-5: V61.20]","Supportive counseling; Psychoeducation; Parent training programs (Triple P, Incredible Years); Mindfulness-based parenting; Cognitive Behavioral Therapy (CBT)","None Typically","None Typically","[Gita, Ch 2, V 47] You have a right to perform your prescribed duty, but you are not entitled to the fruits of action. Insight: Focus on the duty (love, care, guidance) without attachment to the expected outcome (a perfect child/result). This releases guilt."
"Parenting Stress","guilt; overwhelm; lack of confidence; relationship strain [ICD-10: Z62.8, ICD-11: QE52, DSM-5: V61.20]","Supportive counseling; Psychoeducation; Parent training programs (Triple P, Incredible Years); Mindfulness-based parenting; Cognitive Behavioral Therapy (CBT)","None Typically","None Typically","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, and cultivation of knowledge. Insight: Lead by example by cultivating these godly qualities in yourself, reducing stress and increasing confidence."
"Parenting Stress","guilt; overwhelm; lack of confidence; relationship strain [ICD-10: Z62.8, ICD-11: QE52, DSM-5: V61.20]","Supportive counseling; Psychoeducation; Parent training programs (Triple P, Incredible Years); Mindfulness-based parenting; Cognitive Behavioral Therapy (CBT)","None Typically","None Typically","[Gita, Ch 10, V 11] To show them special mercy, I destroy the darkness born of ignorance. Insight: Seek knowledge and understanding (Psychoeducation) about parenting and child development to destroy the darkness of guilt and lack of confidence."
"Parenting Stress","guilt; overwhelm; lack of confidence; relationship strain [ICD-10: Z62.8, ICD-11: QE52, DSM-5: V61.20]","Supportive counseling; Psychoeducation; Parent training programs (Triple P, Incredible Years); Mindfulness-based parenting; Cognitive Behavioral Therapy (CBT)","None Typically","None Typically","[Gita, Ch 12, V 14] One who is always satisfied and engaged in devotional service with determination. Insight: Find satisfaction (Santosha) in the present, imperfect reality of parenting and be determined in your loving service."
"Parenting Stress","guilt; overwhelm; lack of confidence; relationship strain [ICD-10: Z62.8, ICD-11: QE52, DSM-5: V61.20]","Supportive counseling; Psychoeducation; Parent training programs (Triple P, Incredible Years); Mindfulness-based parenting; Cognitive Behavioral Therapy (CBT)","None Typically","None Typically","[Gita, Ch 3, V 5] Everyone is forcibly acting according to the modes of material nature. Insight: Accept that the child's (and your own) behavior is complex and influenced by the modes (nature). Release the guilt of needing to control every outcome."
"Parenting Stress","guilt; overwhelm; lack of confidence; relationship strain [ICD-10: Z62.8, ICD-11: QE52, DSM-5: V61.20]","Supportive counseling; Psychoeducation; Parent training programs (Triple P, Incredible Years); Mindfulness-based parenting; Cognitive Behavioral Therapy (CBT)","None Typically","None Typically","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Use your mind (intelligence/boundaries) to manage overwhelm and guilt (deliver yourself) rather than letting it degrade the experience."
"Parenting Stress","guilt; overwhelm; lack of confidence; relationship strain [ICD-10: Z62.8, ICD-11: QE52, DSM-5: V61.20]","Supportive counseling; Psychoeducation; Parent training programs (Triple P, Incredible Years); Mindfulness-based parenting; Cognitive Behavioral Therapy (CBT)","None Typically","None Typically","[Gita, Ch 17, V 15] Austerity of speech consists in speaking words that are truthful, pleasing, beneficial, and not agitating to others. Insight: Apply the formula for perfect communication (Satya, Priyam, Hita, Anudvega-karam) in all interactions with your child/partner."
"Pathological Lying","habitual lying; deception; manipulation; self-serving narratives [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Group therapy; Motivational Interviewing","None Typically","None Typically","[Gita, Ch 16, V 1] The qualities of those who are godly are fearlessness, purification, cultivation of knowledge, charity, self-control, sacrifice, austerity, simplicity, nonviolence, truthfulness. Insight: The direct antidote is Truthfulness (Satyam), the quality that must be intentionally cultivated."
"Pathological Lying","habitual lying; deception; manipulation; self-serving narratives [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Group therapy; Motivational Interviewing","None Typically","None Typically","[Gita, Ch 17, V 15] Austerity of speech consists in speaking words that are truthful, pleasing, beneficial, and not agitating to others. Insight: Practice the full austerity of speech, prioritizing Satyam (truth) and Hita (beneficial) over self-serving fiction."
"Pathological Lying","habitual lying; deception; manipulation; self-serving narratives [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Group therapy; Motivational Interviewing","None Typically","None Typically","[Gita, Ch 18, V 31] That intelligence which cannot distinguish between religion and irreligion, action and forbidden action, is in the mode of passion. Insight: Lying is the action of passionate (Rajasic) intelligence. Cultivate Sattvic intelligence to clearly distinguish right from wrong."
"Pathological Lying","habitual lying; deception; manipulation; self-serving narratives [ICD-10: F60.8, ICD-11: 6D11.2, DSM-5: 301.81]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Psychodynamic therapy; Group therapy; Motivational Interviewing","None Typically","None Typically","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: The kind friend (Maitri) does not deceive. Cultivate kindness and compassion toward others, which requires honesty."
"Perfectionism (Maladaptive)","extreme self-criticism; fear of failure; procrastination; anxiety; burnout [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Mindfulness-based cognitive therapy; Psychodynamic therapy; Self-compassion training; Medication for comorbid anxiety","None Typically; Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram - for anxiety)","Escitalopram (if needed): 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Perfectionism is extreme attachment to 'success' and a paralysing fear of 'failure.' Practice equanimity (Samatvam) and non-attachment (Nishkama Karma) by focusing on the process of your work, not the flawless outcome."
"Perfectionism (Maladaptive)","extreme self-criticism; fear of failure; procrastination; anxiety; burnout [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Mindfulness-based cognitive therapy; Psychodynamic therapy; Self-compassion training; Medication for comorbid anxiety","None Typically; Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram - for anxiety)","Escitalopram (if needed): 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 18, V 48] Every endeavor is covered by some fault, just as fire is covered by smoke. Insight: Acceptance that all human action is inherently imperfect ('covered by some fault') is profoundly liberating. It frees one from the impossible compulsion for flawlessness and allows for the acceptance of 'good enough.'"
"Perfectionism (Maladaptive)","extreme self-criticism; fear of failure; procrastination; anxiety; burnout [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Mindfulness-based cognitive therapy; Psychodynamic therapy; Self-compassion training; Medication for comorbid anxiety","None Typically; Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram - for anxiety)","Escitalopram (if needed): 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Shift from the rigid, complex control of perfectionism to the true mental austerity (Tapas) of simplicity and genuine purpose. Simplify your goals and focus on the core intention, not on an impossibly detailed execution."
"Perfectionism (Maladaptive)","extreme self-criticism; fear of failure; procrastination; anxiety; burnout [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Acceptance and Commitment Therapy (ACT); Mindfulness-based cognitive therapy; Psychodynamic therapy; Self-compassion training; Medication for comorbid anxiety","None Typically; Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram - for anxiety)","Escitalopram (if needed): 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Find satisfaction (Santosha) and worth in the process of effort itself, rather than in the external, perfect result (Phala). Your value is in the doing, not in the flawless outcome."
"Phobias (Specific)","irrational fear of specific object/situation; avoidance; panic [ICD-10: F40.2, ICD-11: 6B03, DSM-5: 300.29]","Cognitive Behavioral Therapy (CBT) with exposure therapy (systematic desensitization) - 8-16 sessions; Virtual reality exposure; Supportive counseling; Medication for situational anxiety","Propranolol 10mg (Rx - Inderal, Ciplar, Propranolol - situational); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Propranolol: 10-40mg as needed (take 1-2 hours before exposure); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, and cultivation of knowledge. Insight: The goal is to cultivate the opposite of phobia: fearlessness (Abhayam), through courageous action (exposure)."
"Phobias (Specific)","irrational fear of specific object/situation; avoidance; panic [ICD-10: F40.2, ICD-11: 6B03, DSM-5: 300.29]","Cognitive Behavioral Therapy (CBT) with exposure therapy (systematic desensitization) - 8-16 sessions; Virtual reality exposure; Supportive counseling; Medication for situational anxiety","Propranolol 10mg (Rx - Inderal, Ciplar, Propranolol - situational); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Propranolol: 10-40mg as needed (take 1-2 hours before exposure); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 40] In this endeavor there is no loss or diminution, and a little advancement can protect one from the most dangerous type of fear. Insight: Each small step of exposure/desensitization (a little advancement) protects you from the great fear of the phobia."
"Phobias (Specific)","irrational fear of specific object/situation; avoidance; panic [ICD-10: F40.2, ICD-11: 6B03, DSM-5: 300.29]","Cognitive Behavioral Therapy (CBT) with exposure therapy (systematic desensitization) - 8-16 sessions; Virtual reality exposure; Supportive counseling; Medication for situational anxiety","Propranolol 10mg (Rx - Inderal, Ciplar, Propranolol - situational); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Propranolol: 10-40mg as needed (take 1-2 hours before exposure); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries. Insight: Phobia is a misery that disturbs the mind. Use exposure therapy to achieve the undisturbed mind (Sthita-prajna) in the face of the fearful object."
"Phobias (Specific)","irrational fear of specific object/situation; avoidance; panic [ICD-10: F40.2, ICD-11: 6B03, DSM-5: 300.29]","Cognitive Behavioral Therapy (CBT) with exposure therapy (systematic desensitization) - 8-16 sessions; Virtual reality exposure; Supportive counseling; Medication for situational anxiety","Propranolol 10mg (Rx - Inderal, Ciplar, Propranolol - situational); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Propranolol: 10-40mg as needed (take 1-2 hours before exposure); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 11, V 33] Therefore get up. Prepare to fight and win glory. Conquer your enemies. Insight: The phobia is an 'enemy' that must be faced and conquered through deliberate, courageous action (Exposure)."
"Phobias (Specific)","irrational fear of specific object/situation; avoidance; panic [ICD-10: F40.2, ICD-11: 6B03, DSM-5: 300.29]","Cognitive Behavioral Therapy (CBT) with exposure therapy (systematic desensitization) - 8-16 sessions; Virtual reality exposure; Supportive counseling; Medication for situational anxiety","Propranolol 10mg (Rx - Inderal, Ciplar, Propranolol - situational); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Propranolol: 10-40mg as needed (take 1-2 hours before exposure); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 4, V 39] A faithful man who is dedicated to transcendental knowledge and who subdues his senses attains knowledge. Insight: Faith (Shraddha) in the therapy process and subduing the senses (controlling the panic reaction) leads to freedom (knowledge)."
"Phobias (Specific)","irrational fear of specific object/situation; avoidance; panic [ICD-10: F40.2, ICD-11: 6B03, DSM-5: 300.29]","Cognitive Behavioral Therapy (CBT) with exposure therapy (systematic desensitization) - 8-16 sessions; Virtual reality exposure; Supportive counseling; Medication for situational anxiety","Propranolol 10mg (Rx - Inderal, Ciplar, Propranolol - situational); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Propranolol: 10-40mg as needed (take 1-2 hours before exposure); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 10, V 4] Intelligence, knowledge, freedom from doubt and delusion, forgiveness, truthfulness, control of the senses and mind, happiness and distress, birth, death, fear, fearlessness... Insight: Cultivate the internal quality of fearlessness (Abhayam) to directly oppose the phobia."
"Phobias (Specific)","irrational fear of specific object/situation; avoidance; panic [ICD-10: F40.2, ICD-11: 6B03, DSM-5: 300.29]","Cognitive Behavioral Therapy (CBT) with exposure therapy (systematic desensitization) - 8-16 sessions; Virtual reality exposure; Supportive counseling; Medication for situational anxiety","Propranolol 10mg (Rx - Inderal, Ciplar, Propranolol - situational); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Propranolol: 10-40mg as needed (take 1-2 hours before exposure); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Curb the panic mind (restless) through consistent exposure (practice) and detachment (Vairagya) from the fear-outcome."
"Phobias (Specific)","irrational fear of specific object/situation; avoidance; panic [ICD-10: F40.2, ICD-11: 6B03, DSM-5: 300.29]","Cognitive Behavioral Therapy (CBT) with exposure therapy (systematic desensitization) - 8-16 sessions; Virtual reality exposure; Supportive counseling; Medication for situational anxiety","Propranolol 10mg (Rx - Inderal, Ciplar, Propranolol - situational); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Propranolol: 10-40mg as needed (take 1-2 hours before exposure); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 12, V 15] One who is not dependent on the result of work, who is friendly to all. Insight: Be friendly (Maitri) to your fear. This non-reactive, non-avoidant stance dissolves the phobia."
"Phobias (Specific)","irrational fear of specific object/situation; avoidance; panic [ICD-10: F40.2, ICD-11: 6B03, DSM-5: 300.29]","Cognitive Behavioral Therapy (CBT) with exposure therapy (systematic desensitization) - 8-16 sessions; Virtual reality exposure; Supportive counseling; Medication for situational anxiety","Propranolol 10mg (Rx - Inderal, Ciplar, Propranolol - situational); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Propranolol: 10-40mg as needed (take 1-2 hours before exposure); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 58] By My grace, you will pass over all the obstacles of conditioned life. Insight: Surrender the overwhelming nature of the phobic panic to a higher power, focusing only on the next small step of exposure."
"Premenstrual Dysphoric Disorder (PMDD)","mood swings; irritability; depression; anxiety; physical symptoms; symptoms severely impair functioning last week before menstruation [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 625.4]","SSRIs (luteal phase or continuous); Oral contraceptives; Cognitive Behavioral Therapy (CBT); Nutritional supplements (calcium, vitamin B6); Lifestyle modifications","Fluoxetine 20mg (luteal) (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (luteal) (Rx - Serenata, Zosert, Daxid)","Fluoxetine (luteal): 20mg daily during luteal phase only (days 14-28 of cycle); Sertraline (luteal): 50mg daily during luteal phase only (days 14-28 of cycle)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... are like the appearance and disappearance of winter and summer seasons. Insight: The symptoms are a temporary, nonpermanent 'season' of distress. Tolerate (Titiksha) them knowing they will pass."
"Premenstrual Dysphoric Disorder (PMDD)","mood swings; irritability; depression; anxiety; physical symptoms; symptoms severely impair functioning last week before menstruation [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 625.4]","SSRIs (luteal phase or continuous); Oral contraceptives; Cognitive Behavioral Therapy (CBT); Nutritional supplements (calcium, vitamin B6); Lifestyle modifications","Fluoxetine 20mg (luteal) (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (luteal) (Rx - Serenata, Zosert, Daxid)","Fluoxetine (luteal): 20mg daily during luteal phase only (days 14-28 of cycle); Sertraline (luteal): 50mg daily during luteal phase only (days 14-28 of cycle)","[Gita, Ch 14, V 7] The mode of passion (Rajas) is born of unlimited desires and longings... Insight: The extreme irritability/anger is Rajasic. Counter with self-controlled action and Sattvic (goodness) thoughts during that phase."
"Premenstrual Dysphoric Disorder (PMDD)","mood swings; irritability; depression; anxiety; physical symptoms; symptoms severely impair functioning last week before menstruation [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 625.4]","SSRIs (luteal phase or continuous); Oral contraceptives; Cognitive Behavioral Therapy (CBT); Nutritional supplements (calcium, vitamin B6); Lifestyle modifications","Fluoxetine 20mg (luteal) (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (luteal) (Rx - Serenata, Zosert, Daxid)","Fluoxetine (luteal): 20mg daily during luteal phase only (days 14-28 of cycle); Sertraline (luteal): 50mg daily during luteal phase only (days 14-28 of cycle)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Practice the mental austerity (Tapas) of self-control (Dama) and silence (Maunam) during the vulnerable phase."
"Premenstrual Dysphoric Disorder (PMDD)","mood swings; irritability; depression; anxiety; physical symptoms; symptoms severely impair functioning last week before menstruation [ICD-10: F32.9, ICD-11: 6A70.3, DSM-5: 625.4]","SSRIs (luteal phase or continuous); Oral contraceptives; Cognitive Behavioral Therapy (CBT); Nutritional supplements (calcium, vitamin B6); Lifestyle modifications","Fluoxetine 20mg (luteal) (Rx - Prodep, Fludac, Nuzak); Sertraline 50mg (luteal) (Rx - Serenata, Zosert, Daxid)","Fluoxetine (luteal): 20mg daily during luteal phase only (days 14-28 of cycle); Sertraline (luteal): 50mg daily during luteal phase only (days 14-28 of cycle)","[Gita, Ch 6, V 25] Gradually, step by step, one should become situated in trance by means of intelligence sustained by conviction. Insight: Stability is achieved through gradual, step-by-step adherence to self-care practices and conviction (Shraddha)."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 27] One who has taken his birth is sure to die...Therefore, in the unavoidable discharge of your duty, you should not lament. Insight: Acceptance of the cycle of life and death helps in processing traumatic loss and the fear of recurrence."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 11, V 33] Therefore get up. Prepare to fight and win glory. Conquer your enemies... Insight: You are a warrior. The trauma was a battle, but your spirit is undefeated. Stand up and reclaim your life."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 13] As the embodied soul continuously passes, in this body, from boyhood to youth to old age, the soul similarly passes into another body at death. Insight: The core self (soul) is untouched by the trauma experienced by the body/mind. You are still whole."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly, than to accept another's occupation and perform it perfectly. Insight: Focus on your own healing path (Svadharma) and current life tasks, rather than being stuck in the past event."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: Gently bring the mind back from intrusive flashbacks to the present moment, time and time again."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 7, V 5] Besides these, O mighty-armed Arjuna, there is another superior energy of Mine, which comprises the living entities who are exploiting the resources of this material, inferior nature. Insight: Recognize your superior, resilient, spiritual energy that is not the trauma itself."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 9, V 31] Quickly does he become righteous and attain lasting peace. Insight: Persistent effort in your healing process (Bhakti/Dharma) quickly leads to peace, overcoming the painful past."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 12, V 9] If you cannot fix your mind upon Me without deviation, then follow the regulative principles of Bhakti-yoga. Insight: If meditation on the Eternal Self is too difficult due to trauma, focus on structured spiritual/therapeutic practices (Bhakti-yoga)."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 14, V 22] He neither hates illumination, attachment, or delusion when they are present, nor longs for them when they disappear. Insight: Accept the symptoms (flashbacks, dissociation) without hating them or trying to force them away. This non-reaction reduces their power."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 17, V 19] Penance performed out of foolishness, with self-torture, or to destroy or injure others, is said to be in the mode of ignorance. Insight: Self-harm (often related to PTSD coping) is Tamasic (Ignorant). Choose constructive, Sattvic (Goodness) methods of healing."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 1, V 30] Arjuna’s bow was slipping from his hand, and his skin was burning. Insight: Recognizing the physical manifestation (somatic symptoms) of trauma is the start of healing."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries. Insight: The goal is to reach a state where the mind is not disturbed by the misery of the memory (Sthita-prajna). This is achieved through tolerance and detachment."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Abandon the expectation of 'perfect' healing (the result). Be satisfied with the effort made each day."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 14, V 18] Those in the mode of goodness gradually go upward; those in the mode of passion live on the earthly planets; and those in the abominable mode of ignorance go down to the hellish worlds. Insight: Trauma can push one toward Ignorance (Tamas). Actively choose practices that foster Goodness (Sattva) to move 'upward' toward healing."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 61] The Supreme Lord is situated in everyone's heart... directing the wanderings of all living entities. Insight: Trust in the internal, guiding force (Supersoul) to lead you through the 'wanderings' of intrusive memories and dissociation."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 1, V 47] Arjuna threw aside his bow and arrows and sat down on the chariot. Insight: Recognize that profound surrender/exhaustion is part of the process, but it is not the end. The next step is to pick up the bow and act."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 27] One who has taken his birth is sure to die, and after death one is sure to take birth again. Insight: The certainty of change (death/rebirth) teaches that the past trauma is not the final reality. Life moves forward."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, and cultivation of knowledge. Insight: EMDR/CBT are practices to cultivate fearlessness (Abhayam) and purification (Saucha) from the trauma residue."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: The intrusive thoughts/flashbacks (restless mind) are curbed by consistent therapeutic practice (Abhyasa) and emotional detachment (Vairagya) from the content."
"PTSD","flashbacks; nightmares; severe anxiety; trauma; dissociation [ICD-10: F43.1, ICD-11: 6B40, DSM-5: 309.81]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 8-15 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Cognitive Processing Therapy (CPT); Prolonged Exposure (PE); Stress Inoculation Training; Mindfulness-Based Stress Reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 12, V 14] One who is always satisfied and engaged in devotional service with determination. Insight: Find satisfaction (Santosha) in the present moment and engage determinedly in actions that build a positive future."
"Pyromania","","fascination with fire; fire setting; tension relief after act; indifference to consequences [ICD-10: F63.1, ICD-11: 6C70, DSM-5: 312.33], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Aversion therapy; Relapse prevention; Medication for impulse control","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for impulse control)","Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters)","[Gita, Ch 14, V 8] The mode of ignorance (Tamas) is the cause of delusion... The result is madness, indolence and sleep. Insight: The indifference to consequences is Tamasic (ignorance/darkness). Cultivate Sattva (goodness/light) through clear, moral decision-making."
"Pyromania","","fascination with fire; fire setting; tension relief after act; indifference to consequences [ICD-10: F63.1, ICD-11: 6C70, DSM-5: 312.33], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Aversion therapy; Relapse prevention; Medication for impulse control","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for impulse control)","Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters)","[Gita, Ch 17, V 14] Austerity of the body consists in worship... and non-violence. Insight: Fire setting is an act of violence (Himsa). The core practice is non-violence (Ahimsa) toward self, others, and property."
"Pyromania","","fascination with fire; fire setting; tension relief after act; indifference to consequences [ICD-10: F63.1, ICD-11: 6C70, DSM-5: 312.33], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Aversion therapy; Relapse prevention; Medication for impulse control","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for impulse control)","Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters)","[Gita, Ch 2, V 63] From anger comes delusion, and from delusion bewilderment of memory. Insight: Recognize the fascination as a form of delusion (Moha) that bewilders memory of right/wrong. Seek clarity (Jnana)."
"Pyromania","","fascination with fire; fire setting; tension relief after act; indifference to consequences [ICD-10: F63.1, ICD-11: 6C70, DSM-5: 312.33], Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Aversion therapy; Relapse prevention; Medication for impulse control","None Typically; Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for impulse control)","Risperidone (if needed): 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: The compulsion (restless mind) is curbed by consistent habit reversal practice (Abhyasa) and detachment (Vairagya) from the fascination."
"Relationship Issues","communication problems; conflict; lack of intimacy; emotional distance [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Couples therapy (Emotionally Focused Therapy - 8-20 sessions; Gottman Method); Supportive counseling; Communication skills training; Conflict resolution training","None Typically","None Typically","[Gita, Ch 6, V 32] He who sees with true vision knows that the happiness and distress of others is the same as his own. Insight: Empathy (seeing others' pain/joy as your own) is the foundation of healthy relationships, breaking down emotional distance."
"Relationship Issues","communication problems; conflict; lack of intimacy; emotional distance [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Couples therapy (Emotionally Focused Therapy - 8-20 sessions; Gottman Method); Supportive counseling; Communication skills training; Conflict resolution training","None Typically","None Typically","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities, who does not think himself a proprietor and is free from false ego. Insight: Release the sense of proprietorship/control over your partner; treat them as a kind friend, free from false ego (pride/expectation)."
"Relationship Issues","communication problems; conflict; lack of intimacy; emotional distance [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Couples therapy (Emotionally Focused Therapy - 8-20 sessions; Gottman Method); Supportive counseling; Communication skills training; Conflict resolution training","None Typically","None Typically","[Gita, Ch 17, V 15] Austerity of speech consists in speaking words that are truthful, pleasing, beneficial, and not agitating to others. Insight: Communication should be truthful (*Satya*), pleasant (*Priyam*), beneficial (*Hita*), and non-agitating (*Anudvega-karam*)."
"Relationship Issues","communication problems; conflict; lack of intimacy; emotional distance [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Couples therapy (Emotionally Focused Therapy - 8-20 sessions; Gottman Method); Supportive counseling; Communication skills training; Conflict resolution training","None Typically","None Typically","[Gita, Ch 3, V 34] There are principles to regulate attachment and aversion. Insight: Relationship conflict is rooted in Raga (attachment/clinging) and Dvesha (aversion/hate). Learn to regulate both."
"Relationship Issues","communication problems; conflict; lack of intimacy; emotional distance [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Couples therapy (Emotionally Focused Therapy - 8-20 sessions; Gottman Method); Supportive counseling; Communication skills training; Conflict resolution training","None Typically","None Typically","[Gita, Ch 18, V 23] That action which is performed without attachment, without love or hatred, and by one not desiring results, is action in the mode of goodness. Insight: Approach conflict resolution without attachment to 'winning' or 'being right' (no desired results) and with detachment from anger (no hatred)."
"Relationship Issues","communication problems; conflict; lack of intimacy; emotional distance [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Couples therapy (Emotionally Focused Therapy - 8-20 sessions; Gottman Method); Supportive counseling; Communication skills training; Conflict resolution training","None Typically","None Typically","[Gita, Ch 1, V 36] What pleasure will we derive from killing the sons of Dhritarashtra? Insight: Recognize that destructive conflict (like 'killing' the relationship) yields no true pleasure, only grief."
"Relationship Issues","communication problems; conflict; lack of intimacy; emotional distance [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Couples therapy (Emotionally Focused Therapy - 8-20 sessions; Gottman Method); Supportive counseling; Communication skills training; Conflict resolution training","None Typically","None Typically","[Gita, Ch 17, V 14] Austerity of the body consists in worship of the Supreme Lord... and non-violence. Insight: Non-violence (Ahimsa) is essential in all relationships, physically and verbally. Practice gentle speech and action."
"Relationship Issues","communication problems; conflict; lack of intimacy; emotional distance [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Couples therapy (Emotionally Focused Therapy - 8-20 sessions; Gottman Method); Supportive counseling; Communication skills training; Conflict resolution training","None Typically","None Typically","[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Abandon the attachment to the desired 'result' (perfect intimacy, no conflict). Be satisfied with the effort to connect (the action)."
"Relationship Issues","communication problems; conflict; lack of intimacy; emotional distance [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Couples therapy (Emotionally Focused Therapy - 8-20 sessions; Gottman Method); Supportive counseling; Communication skills training; Conflict resolution training","None Typically","None Typically","[Gita, Ch 1, V 40] With the destruction of the dynasty, the eternal family tradition is lost. Insight: Recognize that continuous conflict (destruction) harms the essential family/relationship structure (tradition)."
"Relationship Issues","communication problems; conflict; lack of intimacy; emotional distance [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Couples therapy (Emotionally Focused Therapy - 8-20 sessions; Gottman Method); Supportive counseling; Communication skills training; Conflict resolution training","None Typically","None Typically","[Gita, Ch 17, V 15] Austerity of speech consists in speaking words that are truthful, pleasing, beneficial, and not agitating to others. Insight: This is the perfect communication formula: Satya (truthful), Priyam (pleasing), Hita (beneficial), Anudvega-karam (non-agitating)."
"Relationship Issues","communication problems; conflict; lack of intimacy; emotional distance [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Couples therapy (Emotionally Focused Therapy - 8-20 sessions; Gottman Method); Supportive counseling; Communication skills training; Conflict resolution training","None Typically","None Typically","[Gita, Ch 3, V 34] There are principles to regulate attachment and aversion. Insight: Conflict stems from Raga (clinging/attachment) and Dvesha (aversion/blame). Regulation means letting go of the need to control the partner and the urge to blame them."
"Relationship Issues","communication problems; conflict; lack of intimacy; emotional distance [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Couples therapy (Emotionally Focused Therapy - 8-20 sessions; Gottman Method); Supportive counseling; Communication skills training; Conflict resolution training","None Typically","None Typically","[Gita, Ch 18, V 46] By worship of the Lord, who is the source of all beings... a man can attain perfection through performance of his own work. Insight: Focus on your own relationship 'work' (Dharma) and sincerity, not the perfection of the partner."
"Relationship Issues","communication problems; conflict; lack of intimacy; emotional distance [ICD-10: Z63.0, ICD-11: QE51, DSM-5: V61.20]","Couples therapy (Emotionally Focused Therapy - 8-20 sessions; Gottman Method); Supportive counseling; Communication skills training; Conflict resolution training","None Typically","None Typically","[Gita, Ch 5, V 18] The humble sage... sees with equal vision. Insight: Practice equal vision (Sama Darshana) for your partner, seeing their value and struggles equally with your own."
"Rumination Disorder","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53]","Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback; Medication","None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label); Proton pump inhibitors (for esophageal protection) - Omeprazole 20mg (OTC - Omez, Omizac)","Baclofen (off-label): 10-60mg three times daily (initial 10mg, increase slowly; max 80mg; monitor for sedation); Omeprazole: 20-40mg daily (for acid protection if needed)","[Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: The rumination behavior is like the mind wandering into an old, automatic habit. Consciously withdraw the mind (and the physical impulse) and redirect the action, bringing awareness to the present moment and the choice not to engage in the behavior."
"Rumination Disorder","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53]","Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback; Medication","None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label); Proton pump inhibitors (for esophageal protection) - Omeprazole 20mg (OTC - Omez, Omizac)","Baclofen (off-label): 10-60mg three times daily (initial 10mg, increase slowly; max 80mg; monitor for sedation); Omeprazole: 20-40mg daily (for acid protection if needed)","[Gita, Ch 17, V 14] Austerity of the body consists in worship... and cleanliness, simplicity, and non-violence. Insight: Practice the physical austerity of cleanliness (Saucha) and simplicity in eating. This involves being mindful during meals, eating in a calm environment, and gently but firmly breaking the automatic cycle of regurgitation."
"Rumination Disorder","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53]","Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback; Medication","None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label); Proton pump inhibitors (for esophageal protection) - Omeprazole 20mg (OTC - Omez, Omizac)","Baclofen (off-label): 10-60mg three times daily (initial 10mg, increase slowly; max 80mg; monitor for sedation); Omeprazole: 20-40mg daily (for acid protection if needed)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Curb the automatic, mechanical behavior (restless mind) through consistent practice (Abhyasa) of behavioral blocking techniques (like diaphragmatic breathing) and by cultivating detachment (Vairagya) from the urge to ruminate."
"Rumination Disorder","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53]","Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback; Medication","None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label); Proton pump inhibitors (for esophageal protection) - Omeprazole 20mg (OTC - Omez, Omizac)","Baclofen (off-label): 10-60mg three times daily (initial 10mg, increase slowly; max 80mg; monitor for sedation); Omeprazole: 20-40mg daily (for acid protection if needed)","[Gita, Ch 3, V 5] Everyone is forcibly acting according to the modes of material nature. Insight: Accept that the rumination behavior is a forceful, almost automatic habit (a product of the modes of nature). Do not judge yourself harshly for it. Instead, use your intelligence (Buddhi) to consciously introduce a new, healthier pattern to replace the old one."
"Rumination Disorder","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53]","Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback","None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label)","","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53], Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback, None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label), Baclofen (off-label): 10-60mg three times daily (initial 10mg, increase slowly; max 80mg; monitor for sedation), [Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: The rumination is the mind wandering to old habits. Consciously withdraw the mind and redirect the action."
"Rumination Disorder","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53]","Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback","None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label)","","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53], Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback, None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label), Baclofen (off-label): 10-60mg three times daily (initial 10mg, increase slowly; max 80mg; monitor for sedation), [Gita, Ch 17, V 14] Austerity of the body consists in worship... and cleanliness, simplicity, and non-violence. Insight: Practice the physical austerity of cleanliness (Saucha) and simplicity in eating to eliminate the behavior."
"Rumination Disorder","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53]","Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback","None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label)","","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53], Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback, None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label), Baclofen (off-label): 10-60mg three times daily (initial 10mg, increase slowly; max 80mg; monitor for sedation), [Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Curb the automatic, mechanical behavior (restless mind) through consistent practice (Abhyasa) of behavioral blocking."
"Rumination Disorder","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53]","Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback","None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label)","","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53], Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback, None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label), Baclofen (off-label): 10-60mg three times daily (initial 10mg, increase slowly; max 80mg; monitor for sedation), [Gita, Ch 3, V 5] Everyone is forcibly acting according to the modes of material nature. Insight: Accept that the behavior is a forceful, almost automatic habit (modes of nature). Use intelligence to introduce a new, conscious pattern."
"Rumination Disorder","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53]","Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback; Medication","None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label); Proton pump inhibitors (for esophageal protection) - Omeprazole 20mg (OTC - Omez, Omizac)","","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53], Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback; Medication, None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label); Proton pump inhibitors (for esophageal protection) - Omeprazole 20mg (OTC - Omez, Omizac), Baclofen (off-label): 10-60mg three times daily (initial 10mg, increase slowly; max 80mg; monitor for sedation); Omeprazole: 20-40mg daily (for acid protection if needed), [Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: The rumination behavior is like the mind wandering into an old, automatic habit. Consciously withdraw the mind (and the physical impulse) and redirect the action, bringing awareness to the present moment and the choice not to engage in the behavior."
"Rumination Disorder","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53]","Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback; Medication","None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label); Proton pump inhibitors (for esophageal protection) - Omeprazole 20mg (OTC - Omez, Omizac)","","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53], Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback; Medication, None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label); Proton pump inhibitors (for esophageal protection) - Omeprazole 20mg (OTC - Omez, Omizac), Baclofen (off-label): 10-60mg three times daily (initial 10mg, increase slowly; max 80mg; monitor for sedation); Omeprazole: 20-40mg daily (for acid protection if needed), [Gita, Ch 17, V 14] Austerity of the body consists in worship... and cleanliness, simplicity, and non-violence. Insight: Practice the physical austerity of cleanliness (Saucha) and simplicity in eating. This involves being mindful during meals, eating in a calm environment, and gently but firmly breaking the automatic cycle of regurgitation."
"Rumination Disorder","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53]","Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback; Medication","None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label); Proton pump inhibitors (for esophageal protection) - Omeprazole 20mg (OTC - Omez, Omizac)","","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53], Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback; Medication, None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label); Proton pump inhibitors (for esophageal protection) - Omeprazole 20mg (OTC - Omez, Omizac), Baclofen (off-label): 10-60mg three times daily (initial 10mg, increase slowly; max 80mg; monitor for sedation); Omeprazole: 20-40mg daily (for acid protection if needed), [Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Curb the automatic, mechanical behavior (restless mind) through consistent practice (Abhyasa) of behavioral blocking techniques (like diaphragmatic breathing) and by cultivating detachment (Vairagya) from the urge to ruminate."
"Rumination Disorder","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53]","Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback; Medication","None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label); Proton pump inhibitors (for esophageal protection) - Omeprazole 20mg (OTC - Omez, Omizac)","","repeated regurgitation of food; rechewing/reswallowing/spitting out; not due to medical condition [ICD-10: F98.2, ICD-11: 6B83, DSM-5: 307.53], Behavioral modification; Habit reversal training; Cognitive Behavioral Therapy (CBT); Diaphragmatic breathing; Biofeedback; Medication, None Typically; Baclofen 10mg (Rx - Baclof, Baclosan, Liofen - off-label); Proton pump inhibitors (for esophageal protection) - Omeprazole 20mg (OTC - Omez, Omizac), Baclofen (off-label): 10-60mg three times daily (initial 10mg, increase slowly; max 80mg; monitor for sedation); Omeprazole: 20-40mg daily (for acid protection if needed), [Gita, Ch 3, V 5] Everyone is forcibly acting according to the modes of material nature. Insight: Accept that the rumination behavior is a forceful, almost automatic habit (a product of the modes of nature). Do not judge yourself harshly for it. Instead, use your intelligence (Buddhi) to consciously introduce a new, healthier pattern to replace the old one."
"Schizoid Personality Disorder","detachment from social relationships; restricted emotional expression; isolation [ICD-10: F60.1, ICD-11: 6D11.6, DSM-5: 301.20]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy (supportive); Social skills training; Medication for comorbid depression/anhedonia","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for anhedonia); SSRIs (for comorbid depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: True inner peace and self-sufficiency are not diminished by, but rather are complemented by, cultivating kindness (Maitri) and friendship toward others. Connection does not threaten the self; it enriches it."
"Schizoid Personality Disorder","detachment from social relationships; restricted emotional expression; isolation [ICD-10: F60.1, ICD-11: 6D11.6, DSM-5: 301.20]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy (supportive); Social skills training; Medication for comorbid depression/anhedonia","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for anhedonia); SSRIs (for comorbid depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 5, V 21] Such a liberated person is not attached to external sense objects but is always in trance, enjoying the pleasure within. Insight: True enjoyment of 'pleasure within' does not require emotional restriction or isolation. It involves a genuine presence and acceptance of all feelings, including the positive ones that can arise from connection, without becoming dependent on them."
"Schizoid Personality Disorder","detachment from social relationships; restricted emotional expression; isolation [ICD-10: F60.1, ICD-11: 6D11.6, DSM-5: 301.20]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy (supportive); Social skills training; Medication for comorbid depression/anhedonia","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for anhedonia); SSRIs (for comorbid depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 13, V 8] Humility, simplicity, nonviolence, tolerance, acceptance. Insight: While simplicity and a degree of detachment can be positive qualities, they must be tempered with tolerance (Titiksha) and nonviolence (Ahimsa) toward others' needs for connection. True spiritual development includes compassionate engagement with the world."
"Schizoid Personality Disorder","detachment from social relationships; restricted emotional expression; isolation [ICD-10: F60.1, ICD-11: 6D11.6, DSM-5: 301.20]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy (supportive); Social skills training; Medication for comorbid depression/anhedonia","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for anhedonia); SSRIs (for comorbid depression) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk); Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 45] Man attains perfection by worshiping... through performance of his own work. Insight: The 'work' (Dharma) for the schizoid individual is the gradual and safe practice of connecting with the world. Perfection is found in the sincere *attempt* to connect, to be present with others, even if imperfectly, not in maintaining perfect isolation."
"Schizoid Personality Disorder","detachment from social relationships; restricted emotional expression; isolation [ICD-10: F60.1, ICD-11: 6D11.6, DSM-5: 301.20]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy (supportive); Social skills training; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for anhedonia)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: True inner peace is complemented by cultivating kindness (Maitri) and friendship toward others, not cold detachment."
"Schizoid Personality Disorder","detachment from social relationships; restricted emotional expression; isolation [ICD-10: F60.1, ICD-11: 6D11.6, DSM-5: 301.20]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy (supportive); Social skills training; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for anhedonia)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 5, V 21] Such a liberated person is not attached to external sense objects but is always in trance, enjoying the pleasure within. Insight: True enjoyment of 'pleasure within' does not require emotional restriction, but genuine presence and acceptance of feelings."
"Schizoid Personality Disorder","detachment from social relationships; restricted emotional expression; isolation [ICD-10: F60.1, ICD-11: 6D11.6, DSM-5: 301.20]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy (supportive); Social skills training; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for anhedonia)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 13, V 8] Humility, simplicity, nonviolence, tolerance, acceptance. Insight: Simplicity of emotion is good, but detachment must be tempered with tolerance (Titiksha) and nonviolence (Ahimsa) toward others' needs for connection."
"Schizoid Personality Disorder","detachment from social relationships; restricted emotional expression; isolation [ICD-10: F60.1, ICD-11: 6D11.6, DSM-5: 301.20]","Psychodynamic therapy - long-term; Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Group therapy (supportive); Social skills training; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for anhedonia)","Bupropion (if needed): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk)","[Gita, Ch 18, V 45] Man attains perfection by worshiping... through performance of his own work. Insight: The 'work' is connecting with the world. Perfection is found in the sincere *attempt* to connect (Dharma), not in perfect isolation."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: Distinguish between the 'Knower' (the conscious self) and the 'Field' (the body/mind/hallucinations). You are the observer, not the distortion."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: Gently bring the focus back to reality and the present moment whenever the mind wanders into delusion."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 2, V 69] What is night for all beings is the time of awakening for the self-controlled. Insight: Reality is reversed by the disease. Find your true awareness (awakening) by trusting your treatment and grounding yourself."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 18, V 16] One who thinks himself the doer, not considering the reality, is certainly not intelligent and never perfectly sees. Insight: Delusions of grandeur or persecution (thinking oneself the sole doer/target) are due to lack of true sight."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 14, V 9] The mode of ignorance (Tamas) causes delusion and binds the soul. Insight: Schizophrenia often operates in the Tamasic mode. Seek Sattva (goodness) through purity, calm environment, and knowledge."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 7, V 13] Deluded by the three modes, the whole world does not know Me, who am above the modes and inexhaustible. Insight: The psychotic experience (delusion) is rooted in the modes of nature; the true self is untouched by these illusions."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 9, V 11] Fools deride Me when I descend in the human form. They do not know My transcendental nature. Insight: Paranoia often stems from mistrust. Recognize the underlying unity (transcendental nature) in yourself and others to reduce suspicion."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 12, V 19] One who is equal to friends and enemies, who is equipoised in honor and dishonor, heat and cold, happiness and distress, fame and infamy, who is always free from contaminating association. Insight: Social withdrawal can be mitigated by striving for internal equipoise and detachment from external validation/judgment."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 15, V 6] That supreme abode of Mine is not illumined by the sun or moon, nor by fire. Those who go there never return to this material world. Insight: Seek the eternal, stable, and unchangeable source of self. This stability provides an anchor against disorganized thinking."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 17, V 1] Arjuna asks about faith not based on scripture. Insight: In disorganized states, find simple, practical faith—in the medicine, the therapist, or the routine—even if it's not the grand spiritual truth yet."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 8, V 14] For one who remembers Me without deviation, I am easy to obtain. Insight: Simple, non-deviating focus (even a single grounding thought) is the path to stability."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 16, V 4] The demonic qualities are pride, arrogance, conceit, anger, harshness, and ignorance. Insight: Delusions of arrogance or superiority are often rooted in these demonic (negative) qualities. Humility helps break the delusion."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 2, V 69] What is night for all beings is the time of awakening for the self-controlled. Insight: Delusion is a form of confusion (night). Seek the true awakening (reality) through adherence to treatment and inner stillness."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 18, V 17] One who is not motivated by false ego, whose intelligence is not entangled, whose spirit is not vanquished, does not kill, even if he kills. Insight: Disorganized thinking and paranoia are based on entangled intelligence and false ego. Cultivating detachment and simplicity brings clarity."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 7, V 1] How to know the Supreme completely. Insight: The quest for absolute truth (knowing the Supreme) provides a constructive anchor against the confusion and instability of delusions."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 15, V 6] That supreme abode of Mine is not illumined by the sun or moon. Insight: The goal is to reach a state of internal stability (supreme abode) that is not dependent on the changeable, external reality (sun/moon/illusions)."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 16, V 4] The demonic qualities are pride, arrogance, conceit, anger, harshness, and ignorance. Insight: Harsh inner voices (paranoia) or arrogant delusions are rooted in ignorance (Tamas); seek kindness and true knowledge (Sattva)."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 18, V 40] There is no being existing... which is freed from the three modes of nature. Insight: Acceptance that the brain is currently influenced by a powerful force (modes of nature/illness). Focus on managing, not eliminating, symptoms perfectly."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: Despite disorganized thinking, the 'Knower' (Consciousness) is present and untainted. Identify with the stable Knower."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 4, V 38] In this world, there is nothing so sublime and pure as transcendental knowledge. Insight: Seek the simple, pure, unshakeable truth (Jnana) to combat the confusion and disorganization (delusion)."
"Schizophrenia","hallucinations; delusions; disorganized thinking; paranoia; social withdrawal [ICD-10: F20.9, ICD-11: 6A20, DSM-5: 295.90]","","Antipsychotic medication; Cognitive Behavioral Therapy for psychosis (CBTp) - 12-20 sessions; Social skills training; Family intervention; Supported employment; Psychoeducation, Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon); Olanzapine 10mg (Rx - Olanex, Oferta, Oladay)","Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters); Olanzapine: 5-20mg daily (initial 5mg, increase by 5mg weekly; max 20mg; monitor weight/blood sugar)","[Gita, Ch 6, V 25] Gradually, step by step, one should become situated in trance by means of intelligence sustained by conviction. Insight: Stability is achieved through gradual, consistent adherence to treatment (practice) and unwavering faith (conviction)."
"Schizotypal Personality Disorder","eccentric behavior; peculiar thinking; discomfort with close relationships; cognitive distortions [ICD-10: F21, ICD-11: 6D11.7, DSM-5: 301.22]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Supportive therapy; Antipsychotic medication (low dose) for severe symptoms; Group therapy; Medication for comorbid anxiety/depression","Risperidone 0.5mg (Rx - Risperdal, Sizodon, Risdon); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip); Olanzapine 2.5mg (Rx - Olanex, Oferta, Oladay - low dose)","Risperidone: 0.5-2mg daily (initial 0.5mg, increase slowly; max 4mg; monitor metabolic parameters); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Olanzapine: 2.5-10mg daily (initial 2.5mg, increase slowly; monitor weight/blood sugar)","[Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done... that intelligence is in the mode of goodness. Insight: Cognitive distortions and magical thinking are a misuse of intelligence. Cultivate Sattvic intelligence (Buddhi) to clearly discern reality from peculiar beliefs, using therapy as a tool to ground thinking in shared reality."
"Schizotypal Personality Disorder","eccentric behavior; peculiar thinking; discomfort with close relationships; cognitive distortions [ICD-10: F21, ICD-11: 6D11.7, DSM-5: 301.22]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Supportive therapy; Antipsychotic medication (low dose) for severe symptoms; Group therapy; Medication for comorbid anxiety/depression","Risperidone 0.5mg (Rx - Risperdal, Sizodon, Risdon); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip); Olanzapine 2.5mg (Rx - Olanex, Oferta, Oladay - low dose)","Risperidone: 0.5-2mg daily (initial 0.5mg, increase slowly; max 4mg; monitor metabolic parameters); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Olanzapine: 2.5-10mg daily (initial 2.5mg, increase slowly; monitor weight/blood sugar)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: The goal is to cultivate kindness and friendly connection (Maitri) to reduce the intense social discomfort and isolation. Focusing on being a kind friend to others can shift the focus away from internal peculiarities and toward genuine, if simple, human connection."
"Schizotypal Personality Disorder","eccentric behavior; peculiar thinking; discomfort with close relationships; cognitive distortions [ICD-10: F21, ICD-11: 6D11.7, DSM-5: 301.22]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Supportive therapy; Antipsychotic medication (low dose) for severe symptoms; Group therapy; Medication for comorbid anxiety/depression","Risperidone 0.5mg (Rx - Risperdal, Sizodon, Risdon); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip); Olanzapine 2.5mg (Rx - Olanex, Oferta, Oladay - low dose)","Risperidone: 0.5-2mg daily (initial 0.5mg, increase slowly; max 4mg; monitor metabolic parameters); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Olanzapine: 2.5-10mg daily (initial 2.5mg, increase slowly; monitor weight/blood sugar)","[Gita, Ch 7, V 25] I am never manifest to the foolish and unintelligent. For them I am covered by My eternal creative potency (Yoga-maya). Insight: Peculiar thinking and cognitive distortions can be seen as a form of Yoga-Maya, an obscuring of clear reality. The therapeutic task is to seek clear knowledge (Jnana) and grounded perception to see through this veil."
"Schizotypal Personality Disorder","eccentric behavior; peculiar thinking; discomfort with close relationships; cognitive distortions [ICD-10: F21, ICD-11: 6D11.7, DSM-5: 301.22]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Supportive therapy; Antipsychotic medication (low dose) for severe symptoms; Group therapy; Medication for comorbid anxiety/depression","Risperidone 0.5mg (Rx - Risperdal, Sizodon, Risdon); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip); Olanzapine 2.5mg (Rx - Olanex, Oferta, Oladay - low dose)","Risperidone: 0.5-2mg daily (initial 0.5mg, increase slowly; max 4mg; monitor metabolic parameters); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Olanzapine: 2.5-10mg daily (initial 2.5mg, increase slowly; monitor weight/blood sugar)","[Gita, Ch 4, V 38] In this world, there is nothing so sublime and pure as transcendental knowledge. Insight: Seek the sublime and pure truth (Jnana) to combat the complexity and confusion of peculiar thinking. Grounding oneself in simple, verifiable truths can be an anchor against cognitive distortions."
"Schizotypal Personality Disorder","","eccentric behavior; peculiar thinking; discomfort with close relationships; cognitive distortions [ICD-10: F21, ICD-11: 6D11.7, DSM-5: 301.22]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Supportive therapy; Antipsychotic medication (low dose) for severe symptoms, Risperidone 0.5mg (Rx - Risperdal, Sizodon, Risdon); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip)","Risperidone: 0.5-2mg daily (initial 0.5mg, increase slowly; max 4mg; monitor metabolic parameters); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done... that intelligence is in the mode of goodness. Insight: Cognitive distortions are a misuse of intelligence. Cultivate Sattvic intelligence (Buddhi) to clearly discern reality from peculiar beliefs."
"Schizotypal Personality Disorder","","eccentric behavior; peculiar thinking; discomfort with close relationships; cognitive distortions [ICD-10: F21, ICD-11: 6D11.7, DSM-5: 301.22]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Supportive therapy; Antipsychotic medication (low dose) for severe symptoms, Risperidone 0.5mg (Rx - Risperdal, Sizodon, Risdon); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip)","Risperidone: 0.5-2mg daily (initial 0.5mg, increase slowly; max 4mg; monitor metabolic parameters); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: The goal is to cultivate kindness and friendly connection (Maitri) to reduce social discomfort and isolation."
"Schizotypal Personality Disorder","","eccentric behavior; peculiar thinking; discomfort with close relationships; cognitive distortions [ICD-10: F21, ICD-11: 6D11.7, DSM-5: 301.22]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Supportive therapy; Antipsychotic medication (low dose) for severe symptoms, Risperidone 0.5mg (Rx - Risperdal, Sizodon, Risdon); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip)","Risperidone: 0.5-2mg daily (initial 0.5mg, increase slowly; max 4mg; monitor metabolic parameters); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 7, V 25] I am never manifest to the foolish and unintelligent. For them I am covered by My eternal creative potency (Yoga-maya). Insight: Peculiar thinking is a form of Yoga-Maya. Seek clear knowledge (Jnana) to see reality."
"Schizotypal Personality Disorder","","eccentric behavior; peculiar thinking; discomfort with close relationships; cognitive distortions [ICD-10: F21, ICD-11: 6D11.7, DSM-5: 301.22]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Supportive therapy; Antipsychotic medication (low dose) for severe symptoms, Risperidone 0.5mg (Rx - Risperdal, Sizodon, Risdon); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip)","Risperidone: 0.5-2mg daily (initial 0.5mg, increase slowly; max 4mg; monitor metabolic parameters); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg)","[Gita, Ch 4, V 38] In this world, there is nothing so sublime and pure as transcendental knowledge. Insight: Seek the sublime and pure truth (Jnana) to combat the complexity and confusion of peculiar thinking."
"Schizotypal Personality Disorder","","eccentric behavior; peculiar thinking; discomfort with close relationships; cognitive distortions [ICD-10: F21, ICD-11: 6D11.7, DSM-5: 301.22]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Supportive therapy; Antipsychotic medication (low dose) for severe symptoms; Group therapy; Medication for comorbid anxiety/depression, Risperidone 0.5mg (Rx - Risperdal, Sizodon, Risdon); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip); Olanzapine 2.5mg (Rx - Olanex, Oferta, Oladay - low dose)","Risperidone: 0.5-2mg daily (initial 0.5mg, increase slowly; max 4mg; monitor metabolic parameters); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Olanzapine: 2.5-10mg daily (initial 2.5mg, increase slowly; monitor weight/blood sugar)","[Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done... that intelligence is in the mode of goodness. Insight: Cognitive distortions and magical thinking are a misuse of intelligence. Cultivate Sattvic intelligence (Buddhi) to clearly discern reality from peculiar beliefs, using therapy as a tool to ground thinking in shared reality."
"Schizotypal Personality Disorder","","eccentric behavior; peculiar thinking; discomfort with close relationships; cognitive distortions [ICD-10: F21, ICD-11: 6D11.7, DSM-5: 301.22]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Supportive therapy; Antipsychotic medication (low dose) for severe symptoms; Group therapy; Medication for comorbid anxiety/depression, Risperidone 0.5mg (Rx - Risperdal, Sizodon, Risdon); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip); Olanzapine 2.5mg (Rx - Olanex, Oferta, Oladay - low dose)","Risperidone: 0.5-2mg daily (initial 0.5mg, increase slowly; max 4mg; monitor metabolic parameters); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Olanzapine: 2.5-10mg daily (initial 2.5mg, increase slowly; monitor weight/blood sugar)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: The goal is to cultivate kindness and friendly connection (Maitri) to reduce the intense social discomfort and isolation. Focusing on being a kind friend to others can shift the focus away from internal peculiarities and toward genuine, if simple, human connection."
"Schizotypal Personality Disorder","","eccentric behavior; peculiar thinking; discomfort with close relationships; cognitive distortions [ICD-10: F21, ICD-11: 6D11.7, DSM-5: 301.22]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Supportive therapy; Antipsychotic medication (low dose) for severe symptoms; Group therapy; Medication for comorbid anxiety/depression, Risperidone 0.5mg (Rx - Risperdal, Sizodon, Risdon); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip); Olanzapine 2.5mg (Rx - Olanex, Oferta, Oladay - low dose)","Risperidone: 0.5-2mg daily (initial 0.5mg, increase slowly; max 4mg; monitor metabolic parameters); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Olanzapine: 2.5-10mg daily (initial 2.5mg, increase slowly; monitor weight/blood sugar)","[Gita, Ch 7, V 25] I am never manifest to the foolish and unintelligent. For them I am covered by My eternal creative potency (Yoga-maya). Insight: Peculiar thinking and cognitive distortions can be seen as a form of Yoga-Maya, an obscuring of clear reality. The therapeutic task is to seek clear knowledge (Jnana) and grounded perception to see through this veil."
"Schizotypal Personality Disorder","","eccentric behavior; peculiar thinking; discomfort with close relationships; cognitive distortions [ICD-10: F21, ICD-11: 6D11.7, DSM-5: 301.22]","Cognitive Behavioral Therapy (CBT) - 20-30 sessions; Social skills training; Supportive therapy; Antipsychotic medication (low dose) for severe symptoms; Group therapy; Medication for comorbid anxiety/depression, Risperidone 0.5mg (Rx - Risperdal, Sizodon, Risdon); Aripiprazole 5mg (Rx - Arilow, Arip MT, Aripip); Olanzapine 2.5mg (Rx - Olanex, Oferta, Oladay - low dose)","Risperidone: 0.5-2mg daily (initial 0.5mg, increase slowly; max 4mg; monitor metabolic parameters); Aripiprazole: 5-15mg daily (initial 5mg, increase by 5mg every 2 weeks; max 30mg); Olanzapine: 2.5-10mg daily (initial 2.5mg, increase slowly; monitor weight/blood sugar)","[Gita, Ch 4, V 38] In this world, there is nothing so sublime and pure as transcendental knowledge. Insight: Seek the sublime and pure truth (Jnana) to combat the complexity and confusion of peculiar thinking. Grounding oneself in simple, verifiable truths can be an anchor against cognitive distortions."
"Self-esteem Issues","low self-worth; negative self-image; inferiority; self-doubt [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Motivational Interviewing; Positive psychology; Self-compassion training; Assertiveness training","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 10, V 4] Intelligence, knowledge, freedom from doubt and delusion... all these various qualities of living beings are created by Me alone. Insight: Your intrinsic qualities are divinely created. Do not judge yourself harshly; you are a unique expression of the Divine."
"Self-esteem Issues","low self-worth; negative self-image; inferiority; self-doubt [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Motivational Interviewing; Positive psychology; Self-compassion training; Assertiveness training","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 18, V 46] By worship of the Lord, who is the source of all beings and who is all-pervading, a man can attain perfection through performance of his own work. Insight: Your worth comes from performing your unique duty (Svadharma) sincerely, not from external praise or appearance."
"Self-esteem Issues","low self-worth; negative self-image; inferiority; self-doubt [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Motivational Interviewing; Positive psychology; Self-compassion training; Assertiveness training","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 2, V 64] One who can control his senses by practicing the regulated principles of freedom can obtain the complete mercy of the Lord. Insight: Self-worth is boosted by self-control (discipline) and living by principles, which shows respect to the self."
"Self-esteem Issues","low self-worth; negative self-image; inferiority; self-doubt [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Motivational Interviewing; Positive psychology; Self-compassion training; Assertiveness training","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 7, V 25] I am never manifest to the foolish and unintelligent. Insight: Recognize that low self-worth is a form of spiritual ignorance. Seek the knowledge (Jnana) of your true, eternal, and worthy self."
"Self-esteem Issues","low self-worth; negative self-image; inferiority; self-doubt [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Motivational Interviewing; Positive psychology; Self-compassion training; Assertiveness training","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 13, V 28] One who sees the Supersoul accompanying the individual soul in all bodies, and who understands that neither the soul nor the Supersoul is ever destroyed, actually sees. Insight: The highest form of self-worth is realizing that the Divine (Supersoul) resides within you."
"Self-esteem Issues","low self-worth; negative self-image; inferiority; self-doubt [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Motivational Interviewing; Positive psychology; Self-compassion training; Assertiveness training","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 15, V 7] The living entities in this conditioned world are My eternal fragmental parts. Insight: Your true nature is an eternal fragment of the Divine. Your worth is intrinsic and cannot be damaged by self-doubt or negative image."
"Self-esteem Issues","low self-worth; negative self-image; inferiority; self-doubt [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Motivational Interviewing; Positive psychology; Self-compassion training; Assertiveness training","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 18, V 61] The Supreme Lord is situated in everyone's heart. Insight: The ultimate value is the permanent divine presence (Supersoul) within the heart. Connect to that stable source of worth."
"Self-esteem Issues","low self-worth; negative self-image; inferiority; self-doubt [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Motivational Interviewing; Positive psychology; Self-compassion training; Assertiveness training","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 3, V 27] The spirit soul bewildered by the influence of false ego thinks himself the doer of activities. Insight: Low self-worth is a product of false ego (Ahankara) and identifying too much with the body/mind's failures. Detach from the false ego."
"Self-esteem Issues","low self-worth; negative self-image; inferiority; self-doubt [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Motivational Interviewing; Positive psychology; Self-compassion training; Assertiveness training","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, and cultivation of knowledge. Insight: Build self-worth by cultivating the qualities of the godly (fearlessness, purification) through small acts of self-improvement."
"Self-esteem Issues","low self-worth; negative self-image; inferiority; self-doubt [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Motivational Interviewing; Positive psychology; Self-compassion training; Assertiveness training","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 10, V 11] To show them special mercy, I destroy the darkness born of ignorance. Insight: Low self-worth is the darkness of ignorance. Seek knowledge (Jnana) that your true nature is worthy and eternal."
"Self-esteem Issues","low self-worth; negative self-image; inferiority; self-doubt [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Motivational Interviewing; Positive psychology; Self-compassion training; Assertiveness training","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: The practice of *Maitri* (unconditional kindness/friendship) must be extended unconditionally to the self to build true self-worth."
"Self-esteem Issues","low self-worth; negative self-image; inferiority; self-doubt [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Motivational Interviewing; Positive psychology; Self-compassion training; Assertiveness training","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 18, V 46] By worship of the Lord, who is the source of all beings... a man can attain perfection through performance of his own work. Insight: Perfection/worth is inherent in the sincerity of performing your duty (Dharma), not in achieving external validation."
"Self-esteem Issues","low self-worth; negative self-image; inferiority; self-doubt [ICD-10: Z73.8, ICD-11: QE57, DSM-5: V62.89]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Motivational Interviewing; Positive psychology; Self-compassion training; Assertiveness training","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 2, V 47] You have a right to perform your prescribed duty, but you are not entitled to the fruits of action. Insight: Detach from the 'fruit' of acceptance/praise (the outcome). Focus on the duty (acting honorably) for intrinsic worth."
"Sexual Assault Trauma (Victim)","flashbacks; fear; hypervigilance; guilt/shame; relationship difficulties [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 12-20 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Supportive counseling; Support groups","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Prazosin 2mg (Rx - Minipress, Prazopress - for nightmares)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Prazosin: 1-15mg nightly (initial 1mg, titrate slowly; max 15mg; take at bedtime)","[Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries. Insight: The trauma is a 'misery.' The goal is the undisturbed mind (Sthita-prajna) that can process the memories without being overwhelmed."
"Sexual Assault Trauma (Victim)","flashbacks; fear; hypervigilance; guilt/shame; relationship difficulties [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 12-20 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Supportive counseling; Support groups","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Prazosin 2mg (Rx - Minipress, Prazopress - for nightmares)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Prazosin: 1-15mg nightly (initial 1mg, titrate slowly; max 15mg; take at bedtime)","[Gita, Ch 15, V 7] The living entities in this conditioned world are My eternal fragmental parts. Insight: The guilt/shame is a delusion. Your true, eternal nature (fragmental part of the Divine) is pure and untainted by the experience."
"Sexual Assault Trauma (Victim)","flashbacks; fear; hypervigilance; guilt/shame; relationship difficulties [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 12-20 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Supportive counseling; Support groups","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Prazosin 2mg (Rx - Minipress, Prazopress - for nightmares)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Prazosin: 1-15mg nightly (initial 1mg, titrate slowly; max 15mg; take at bedtime)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, and cultivation of knowledge. Insight: Trauma work (EMDR/CBT) is the purification (Saucha) and cultivation of fearlessness (Abhayam) that heals the mind."
"Sexual Assault Trauma (Victim)","flashbacks; fear; hypervigilance; guilt/shame; relationship difficulties [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 12-20 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Supportive counseling; Support groups","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Prazosin 2mg (Rx - Minipress, Prazopress - for nightmares)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Prazosin: 1-15mg nightly (initial 1mg, titrate slowly; max 15mg; take at bedtime)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... are like the appearance and disappearance of winter and summer seasons. Insight: The pain/fear is a temporary season of distress. Practice tolerance (Titiksha) knowing it will pass."
"Sexual Compulsivity (Psychogenic)","uncontrollable sexual thoughts/behaviors; distress; shame; secrecy [ICD-10: F52.8, ICD-11: 6C72, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Group therapy; 12-Step programs (SA, SAA); Psychodynamic therapy; Medication for impulsivity","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 2, V 62] While contemplating the objects of the senses, a person develops attachment for them... Insight: The compulsive cycle starts with the contemplation (Dhyana) of the object. Stop the thought to stop the cycle."
"Sexual Compulsivity (Psychogenic)","uncontrollable sexual thoughts/behaviors; distress; shame; secrecy [ICD-10: F52.8, ICD-11: 6C72, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Group therapy; 12-Step programs (SA, SAA); Psychodynamic therapy; Medication for impulsivity","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Practice self-control (Dama) and mental austerity (Tapas) to govern the powerful sensual impulses."
"Sexual Compulsivity (Psychogenic)","uncontrollable sexual thoughts/behaviors; distress; shame; secrecy [ICD-10: F52.8, ICD-11: 6C72, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Group therapy; 12-Step programs (SA, SAA); Psychodynamic therapy; Medication for impulsivity","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 16, V 21] There are three gates leading to this hell—lust, anger and greed. Insight: Compulsive behavior is primarily driven by lust (Kama). Use spiritual and therapeutic principles to close this gate."
"Sexual Compulsivity (Psychogenic)","uncontrollable sexual thoughts/behaviors; distress; shame; secrecy [ICD-10: F52.8, ICD-11: 6C72, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Group therapy; 12-Step programs (SA, SAA); Psychodynamic therapy; Medication for impulsivity","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 5, V 21] Such a liberated person is not attached to external sense objects but is always in trance, enjoying the pleasure within. Insight: Shift the source of pleasure from external objects (sense objects) to internal satisfaction and stillness (pleasure within)."
"Sexual Dysfunction (Desire/Arousal, severe)","","low or absent desire/arousal; distress; relationship impact [ICD-10: F52.0, ICD-11: HA00, DSM-5: 302.71], Couples counseling; Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Sex therapy; Sensate focus; Psychoeducation; Hormone therapy if indicated","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological); Testosterone 1% cream (Rx - Testogel, Androgel, Testopatch - hormonal)","","Testopatch - hormonal), Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily); Testosterone (if hormonal): 1% cream 5-10g daily (apply to skin; monitor levels), [Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Release the need for a specific sexual result (performance anxiety) and be satisfied with the current action and connection."
"Sexual Dysfunction (Desire/Arousal, severe)","","low or absent desire/arousal; distress; relationship impact [ICD-10: F52.0, ICD-11: HA00, DSM-5: 302.71], Couples counseling; Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Sex therapy; Sensate focus; Psychoeducation; Hormone therapy if indicated","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological); Testosterone 1% cream (Rx - Testogel, Androgel, Testopatch - hormonal)","","Testopatch - hormonal), Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily); Testosterone (if hormonal): 1% cream 5-10g daily (apply to skin; monitor levels), [Gita, Ch 3, V 34] There are principles to regulate attachment and aversion. Insight: Performance anxiety and lack of desire are often rooted in Raga (attachment to outcome) and Dvesha (aversion to perceived failure). Regulate both."
"Sexual Dysfunction (Desire/Arousal, severe)","","low or absent desire/arousal; distress; relationship impact [ICD-10: F52.0, ICD-11: HA00, DSM-5: 302.71], Couples counseling; Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Sex therapy; Sensate focus; Psychoeducation; Hormone therapy if indicated","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological); Testosterone 1% cream (Rx - Testogel, Androgel, Testopatch - hormonal)","","Testopatch - hormonal), Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily); Testosterone (if hormonal): 1% cream 5-10g daily (apply to skin; monitor levels), [Gita, Ch 5, V 23] If one is able to tolerate the urges of the material senses and check the force of desire and anger, he is a yogi. Insight: Performance anxiety is a stressful 'urge' of desire/anger. Tolerate the urge without reacting to it."
"Sexual Dysfunction (Desire/Arousal, severe)","","low or absent desire/arousal; distress; relationship impact [ICD-10: F52.0, ICD-11: HA00, DSM-5: 302.71], Couples counseling; Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Sex therapy; Sensate focus; Psychoeducation; Hormone therapy if indicated","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological); Testosterone 1% cream (Rx - Testogel, Androgel, Testopatch - hormonal)","","Testopatch - hormonal), Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily); Testosterone (if hormonal): 1% cream 5-10g daily (apply to skin; monitor levels), [Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Treat your partner (and yourself) with unconditional kindness (Maitri), freeing the relationship from expectation and blame."
"Sexual Dysfunction (Psychogenic)","lack of desire; arousal difficulties; performance anxiety; distress [ICD-10: F52.9, ICD-11: HA00, DSM-5: 302.70]","Couples counseling; Cognitive Behavioral Therapy (CBT) - 8-16 sessions; Sex therapy; Sensate focus; Psychoeducation; Mindfulness","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological)","Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily)","[Gita, Ch 3, V 34] There are principles to regulate attachment and aversion. Insight: Performance anxiety and lack of desire are often rooted in Raga (attachment to outcome) and Dvesha (aversion to perceived failure). Regulate both."
"Sexual Dysfunction (Psychogenic)","lack of desire; arousal difficulties; performance anxiety; distress [ICD-10: F52.9, ICD-11: HA00, DSM-5: 302.70]","Couples counseling; Cognitive Behavioral Therapy (CBT) - 8-16 sessions; Sex therapy; Sensate focus; Psychoeducation; Mindfulness","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological)","Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily)","[Gita, Ch 5, V 23] If one is able to tolerate the urges of the material senses and check the force of desire and anger, he is a yogi and is happy in this world. Insight: Performance anxiety is a stressful 'urge' of desire/anger. Tolerate the urge without reacting to it."
"Sexual Dysfunction (Psychogenic)","lack of desire; arousal difficulties; performance anxiety; distress [ICD-10: F52.9, ICD-11: HA00, DSM-5: 302.70]","Couples counseling; Cognitive Behavioral Therapy (CBT) - 8-16 sessions; Sex therapy; Sensate focus; Psychoeducation; Mindfulness","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological)","Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily)","[Gita, Ch 2, V 62] While contemplating the objects of the senses, a person develops attachment for them, and from such attachment lust develops. Insight: Lust (Kama) for a desired sexual outcome is the source of performance anxiety. Shift to giving and connection, not demanding a result."
"Sexual Dysfunction (Psychogenic)","lack of desire; arousal difficulties; performance anxiety; distress [ICD-10: F52.9, ICD-11: HA00, DSM-5: 302.70]","Couples counseling; Cognitive Behavioral Therapy (CBT) - 8-16 sessions; Sex therapy; Sensate focus; Psychoeducation; Mindfulness","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological)","Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Detachment (Vairagya) from the demand of a perfect performance curtails the anxiety of the mind."
"Sexual Dysfunction (Psychogenic)","lack of desire; arousal difficulties; performance anxiety; distress [ICD-10: F52.9, ICD-11: HA00, DSM-5: 302.70]","Couples counseling; Cognitive Behavioral Therapy (CBT) - 8-16 sessions; Sex therapy; Sensate focus; Psychoeducation; Mindfulness","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological)","Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Performance anxiety is attachment to success. Approach the act with equanimity (Samatvam), detaching from the need for a specific, successful outcome."
"Sexual Dysfunction (Psychogenic)","lack of desire; arousal difficulties; performance anxiety; distress [ICD-10: F52.9, ICD-11: HA00, DSM-5: 302.70]","Couples counseling; Cognitive Behavioral Therapy (CBT) - 8-16 sessions; Sex therapy; Sensate focus; Psychoeducation; Mindfulness","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological)","Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily)","[Gita, Ch 17, V 15] Austerity of speech consists in speaking words that are truthful, pleasing, beneficial, and not agitating to others. Insight: Practice truthful, gentle communication with your partner about your desires and fears. This reduces internal pressure and anxiety."
"Sexual Dysfunction (Psychogenic)","lack of desire; arousal difficulties; performance anxiety; distress [ICD-10: F52.9, ICD-11: HA00, DSM-5: 302.70]","Couples counseling; Cognitive Behavioral Therapy (CBT) - 8-16 sessions; Sex therapy; Sensate focus; Psychoeducation; Mindfulness","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological)","Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily)","[Gita, Ch 12, V 13] One who is not envious but is a kind friend to all living entities. Insight: Treat your partner (and yourself) with unconditional kindness (Maitri), freeing the relationship from expectation and blame."
"Sexual Dysfunction (Psychogenic)","lack of desire; arousal difficulties; performance anxiety; distress [ICD-10: F52.9, ICD-11: HA00, DSM-5: 302.70]","Couples counseling; Cognitive Behavioral Therapy (CBT) - 8-16 sessions; Sex therapy; Sensate focus; Psychoeducation; Mindfulness","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological)","Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily)","[Gita, Ch 10, V 8] I am the source of all spiritual and material worlds. Everything emanates from Me. Insight: Shift focus from the small, problematic physical act to the vast, unconditional connection (the source) that sustains the relationship."
"Sexual Dysfunction (Psychogenic)","lack of desire; arousal difficulties; performance anxiety; distress [ICD-10: F52.9, ICD-11: HA00, DSM-5: 302.70]","Couples counseling; Cognitive Behavioral Therapy (CBT) - 8-16 sessions; Sex therapy; Sensate focus; Psychoeducation; Mindfulness","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological)","Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily)","[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Release the need for a specific sexual result (performance anxiety) and be satisfied with the current action and connection."
"Sexual Dysfunction (Psychogenic)","lack of desire; arousal difficulties; performance anxiety; distress [ICD-10: F52.9, ICD-11: HA00, DSM-5: 302.70]","Couples counseling; Cognitive Behavioral Therapy (CBT) - 8-16 sessions; Sex therapy; Sensate focus; Psychoeducation; Mindfulness","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological)","Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Curb the anxious, performance-focused mind by practicing detachment (Vairagya) from the outcome during intimacy."
"Sexual Dysfunction (Psychogenic)","lack of desire; arousal difficulties; performance anxiety; distress [ICD-10: F52.9, ICD-11: HA00, DSM-5: 302.70]","Couples counseling; Cognitive Behavioral Therapy (CBT) - 8-16 sessions; Sex therapy; Sensate focus; Psychoeducation; Mindfulness","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological)","Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily)","[Gita, Ch 18, V 66] Abandon all varieties of religion and just surrender unto Me. Insight: Surrender the fight for control and the demand for performance, trusting in the natural process of connection."
"Sexual Dysfunction (Psychogenic)","lack of desire; arousal difficulties; performance anxiety; distress [ICD-10: F52.9, ICD-11: HA00, DSM-5: 302.70]","Couples counseling; Cognitive Behavioral Therapy (CBT) - 8-16 sessions; Sex therapy; Sensate focus; Psychoeducation; Mindfulness","None Typically; Sildenafil 50mg (Rx - Kamagra, Penegra, Silagra - physiological)","Sildenafil (if physiological): 25-100mg as needed (take 1 hour before activity; max once daily)","[Gita, Ch 16, V 21] There are three gates leading to this hell—lust, anger and greed. Insight: Performance anxiety is rooted in lust (Kama) for a desired result. Close the gate of lust."
"Sexual Trauma (Perpetrator)","compulsive behavior; lack of empathy; denial; minimization; history of abuse [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Specialized offender therapy (e.g., psychoeducational, cognitive-behavioral); Cognitive Behavioral Therapy (CBT) - 30-60 sessions; Relapse prevention; Group therapy; Medication for impulse control/comorbid conditions","SSRIs (Fluoxetine) 40mg (Rx - Prodep, Fludac, Nuzak); Anti-Androgens (Medroxyprogesterone) 10mg (Rx - Depo-Provera, Provera - depot injection); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex)","Fluoxetine: 20-80mg daily (initial 20mg, increase to 40-60mg; max 80mg; response 4-8 weeks); Medroxyprogesterone: 10-60mg daily or 150mg IM every 1-3 months (monitor for side effects); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 16, V 21] There are three gates leading to this hell—lust, anger and greed. Insight: The harmful behavior is driven by lust (Kama) and a profound lack of self-control. Closing these gates requires rigorous self-discipline, complete honesty, and a committed therapeutic process."
"Sexual Trauma (Perpetrator)","compulsive behavior; lack of empathy; denial; minimization; history of abuse [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Specialized offender therapy (e.g., psychoeducational, cognitive-behavioral); Cognitive Behavioral Therapy (CBT) - 30-60 sessions; Relapse prevention; Group therapy; Medication for impulse control/comorbid conditions","SSRIs (Fluoxetine) 40mg (Rx - Prodep, Fludac, Nuzak); Anti-Androgens (Medroxyprogesterone) 10mg (Rx - Depo-Provera, Provera - depot injection); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex)","Fluoxetine: 20-80mg daily (initial 20mg, increase to 40-60mg; max 80mg; response 4-8 weeks); Medroxyprogesterone: 10-60mg daily or 150mg IM every 1-3 months (monitor for side effects); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 17, V 14] Austerity of the body consists in worship... and non-violence. Insight: The entire therapeutic and rehabilitative practice is based on cultivating non-violence (Ahimsa) toward others, which begins with acknowledging the harm caused and developing genuine remorse. This is the foundational austerity."
"Sexual Trauma (Perpetrator)","compulsive behavior; lack of empathy; denial; minimization; history of abuse [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Specialized offender therapy (e.g., psychoeducational, cognitive-behavioral); Cognitive Behavioral Therapy (CBT) - 30-60 sessions; Relapse prevention; Group therapy; Medication for impulse control/comorbid conditions","SSRIs (Fluoxetine) 40mg (Rx - Prodep, Fludac, Nuzak); Anti-Androgens (Medroxyprogesterone) 10mg (Rx - Depo-Provera, Provera - depot injection); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex)","Fluoxetine: 20-80mg daily (initial 20mg, increase to 40-60mg; max 80mg; response 4-8 weeks); Medroxyprogesterone: 10-60mg daily or 150mg IM every 1-3 months (monitor for side effects); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 16, V 4] The demonic qualities are pride, arrogance, conceit, anger, harshness, and ignorance. Insight: Denial and minimization are rooted in pride and ignorance. The path of healing requires cultivating the opposite qualities: humility (Amanitvam), truthfulness (Satyam), and a clear-eyed acceptance of reality."
"Sexual Trauma (Perpetrator)","compulsive behavior; lack of empathy; denial; minimization; history of abuse [ICD-10: Z63.4, ICD-11: QE62, DSM-5: V62.82]","Specialized offender therapy (e.g., psychoeducational, cognitive-behavioral); Cognitive Behavioral Therapy (CBT) - 30-60 sessions; Relapse prevention; Group therapy; Medication for impulse control/comorbid conditions","SSRIs (Fluoxetine) 40mg (Rx - Prodep, Fludac, Nuzak); Anti-Androgens (Medroxyprogesterone) 10mg (Rx - Depo-Provera, Provera - depot injection); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex)","Fluoxetine: 20-80mg daily (initial 20mg, increase to 40-60mg; max 80mg; response 4-8 weeks); Medroxyprogesterone: 10-60mg daily or 150mg IM every 1-3 months (monitor for side effects); Naltrexone: 50-100mg daily (initial 50mg, max 100mg; monitor liver function)","[Gita, Ch 18, V 45] Man attains perfection by worshiping... through performance of his own work. Insight: The profound 'work' (Dharma) for the perpetrator is the process of repentance, deep self-reform, taking full responsibility, and, where appropriate and possible, making amends. This difficult path, undertaken with sincerity, is a profound act of spiritual devotion and the only way to true atonement."
"Social Anxiety Disorder","fear of social situations; avoidance; embarrassment; self-consciousness [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure - 12-16 sessions; Social skills training; Group CBT; Acceptance and Commitment Therapy (ACT); Mindfulness-based stress reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 17, V 15] Austerity of speech consists in speaking words that are truthful, pleasing, beneficial, and not agitating to others. Insight: Focus on speaking truth kindly. If your words are 'anudvega-karam' (not agitating), you need not fear social interaction. Speak to benefit, not to impress."
"Social Anxiety Disorder","fear of social situations; avoidance; embarrassment; self-consciousness [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure - 12-16 sessions; Social skills training; Group CBT; Acceptance and Commitment Therapy (ACT); Mindfulness-based stress reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 6, V 32] He who sees with true vision knows that the happiness and distress of others is the same as his own. Insight: Shift focus from self-consciousness to empathy for others (seeing them as yourself). This dissolves fear of judgment."
"Social Anxiety Disorder","fear of social situations; avoidance; embarrassment; self-consciousness [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure - 12-16 sessions; Social skills training; Group CBT; Acceptance and Commitment Therapy (ACT); Mindfulness-based stress reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 2, V 3] Do not yield to this degrading impotence. It does not become you. Insight: Firmly reject the impulse to avoid social situations; avoidance is the 'degrading impotence' that binds the self."
"Social Anxiety Disorder","fear of social situations; avoidance; embarrassment; self-consciousness [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure - 12-16 sessions; Social skills training; Group CBT; Acceptance and Commitment Therapy (ACT); Mindfulness-based stress reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 12, V 18] One who is equal to friends and enemies, who is equipoised in honor and dishonor... is very dear to Me. Insight: Detach from the need for social honor or praise (equipoise). When you stop seeking approval, the fear lessens."
"Social Anxiety Disorder","fear of social situations; avoidance; embarrassment; self-consciousness [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure - 12-16 sessions; Social skills training; Group CBT; Acceptance and Commitment Therapy (ACT); Mindfulness-based stress reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 18, V 37] That happiness which is derived from connection of the senses with their objects... is said to be in the mode of passion. Insight: Avoid seeking happiness only in social acceptance (passion-driven connection); seek deeper, inner joy."
"Social Anxiety Disorder","fear of social situations; avoidance; embarrassment; self-consciousness [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure - 12-16 sessions; Social skills training; Group CBT; Acceptance and Commitment Therapy (ACT); Mindfulness-based stress reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness, purification of one's existence, and cultivation of knowledge. Insight: Cultivate fearlessness (Abhayam) and purification (Saucha) by focusing on sincere presence rather than performance."
"Social Anxiety Disorder","fear of social situations; avoidance; embarrassment; self-consciousness [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure - 12-16 sessions; Social skills training; Group CBT; Acceptance and Commitment Therapy (ACT); Mindfulness-based stress reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 3, V 27] The spirit soul bewildered by the influence of false ego thinks himself the doer of activities. Insight: Self-consciousness is rooted in false ego (Ahankara). Realize that your social 'performance' is influenced by nature (modes) and is not solely your burden."
"Social Anxiety Disorder","fear of social situations; avoidance; embarrassment; self-consciousness [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure - 12-16 sessions; Social skills training; Group CBT; Acceptance and Commitment Therapy (ACT); Mindfulness-based stress reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 10, V 10] To those who are constantly devoted to serving Me with love, I give the understanding by which they can come to Me. Insight: Shift from seeking social approval to acting with devotion/kindness. This sincere intention brings true understanding and ease."
"Social Anxiety Disorder","fear of social situations; avoidance; embarrassment; self-consciousness [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure - 12-16 sessions; Social skills training; Group CBT; Acceptance and Commitment Therapy (ACT); Mindfulness-based stress reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 7, V 14] This divine energy of Mine, consisting of the three modes of material nature, is difficult to overcome. Insight: The fear is a powerful, difficult force. Surrender the struggle to control the fear and focus on the external guidance (CBT/Skills Training)."
"Social Anxiety Disorder","fear of social situations; avoidance; embarrassment; self-consciousness [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure - 12-16 sessions; Social skills training; Group CBT; Acceptance and Commitment Therapy (ACT); Mindfulness-based stress reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Abandon attachment to social approval/performance (success/failure). Focus on acting with equanimity (Samatvam)."
"Social Anxiety Disorder","fear of social situations; avoidance; embarrassment; self-consciousness [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure - 12-16 sessions; Social skills training; Group CBT; Acceptance and Commitment Therapy (ACT); Mindfulness-based stress reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 12, V 18] One who is equal to friends and enemies, who is equipoised in honor and dishonor. Insight: Practice indifference to social praise (honor) and criticism (dishonor). This neutrality frees you from self-consciousness."
"Social Anxiety Disorder","fear of social situations; avoidance; embarrassment; self-consciousness [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure - 12-16 sessions; Social skills training; Group CBT; Acceptance and Commitment Therapy (ACT); Mindfulness-based stress reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 17, V 15] Austerity of speech consists in speaking words that are truthful, pleasing, beneficial, and not agitating to others. Insight: Focus on delivering truthful, beneficial speech, not worrying about the *feeling* of the performance."
"Social Anxiety Disorder","fear of social situations; avoidance; embarrassment; self-consciousness [ICD-10: F40.10, ICD-11: 6B04, DSM-5: 300.23]","Cognitive Behavioral Therapy (CBT) with exposure - 12-16 sessions; Social skills training; Group CBT; Acceptance and Commitment Therapy (ACT); Mindfulness-based stress reduction","Paroxetine 20mg (Rx - Paxil, Parotab, Xet); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term use)","Paroxetine: 20-50mg daily (initial 20mg, increase by 10mg every 2 weeks; max 50mg; take in morning); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 18, V 46] By worship of the Lord, who is the source of all beings... a man can attain perfection through performance of his own work. Insight: Social interaction is your current 'work.' Attain perfection by performing it as a sincere duty (Dharma)."
"Somatic Symptom Disorder","distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Relaxation techniques; Mindfulness; Psychoeducation; Medication for associated anxiety","None Typically; SSRIs (for anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: The symptom is in the body ('Field'), but the awareness ('Knower') is separate. Identify with the awareness, not the physical symptom."
"Somatic Symptom Disorder","distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Relaxation techniques; Mindfulness; Psychoeducation; Medication for associated anxiety","None Typically; SSRIs (for anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress, and their disappearance in due course, are like the appearance and disappearance of winter and summer seasons. Insight: The physical distress is a temporary 'season' of the body; learn to tolerate it without being disturbed."
"Somatic Symptom Disorder","distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Relaxation techniques; Mindfulness; Psychoeducation; Medication for associated anxiety","None Typically; SSRIs (for anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: Excessive thoughts about the symptoms (wandering mind) must be gently redirected to the present moment or the Self."
"Somatic Symptom Disorder","distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Relaxation techniques; Mindfulness; Psychoeducation; Medication for associated anxiety","None Typically; SSRIs (for anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 40] There is no being existing... which is freed from the three modes of nature. Insight: Perfect health and freedom from all distress are not possible in a material body. Acceptance reduces the excessive anxiety over symptoms."
"Somatic Symptom Disorder","distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Relaxation techniques; Mindfulness; Psychoeducation; Medication for associated anxiety","None Typically; SSRIs (for anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 61] The Supreme Lord is situated in everyone's heart... directing the wanderings of all living entities. Insight: Trust that an inner, stabilizing force is present (Supersoul) that is directing the body/mind's experiences. You are not alone in the symptom."
"Somatic Symptom Disorder","distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Relaxation techniques; Mindfulness; Psychoeducation; Medication for associated anxiety","None Typically; SSRIs (for anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 14, V 9] The mode of ignorance (Tamas) causes delusion and binds the soul. Insight: Excessive focus and anxiety over the body's condition (attachment) is Tamasic. Cultivate goodness (Sattva) by focusing on service and knowledge."
"Somatic Symptom Disorder","distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Relaxation techniques; Mindfulness; Psychoeducation; Medication for associated anxiety","None Typically; SSRIs (for anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Practice mental austerity (Tapas) by maintaining silence and self-control when symptoms flare up, reducing mental agitation."
"Somatic Symptom Disorder","distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Relaxation techniques; Mindfulness; Psychoeducation; Medication for associated anxiety","None Typically; SSRIs (for anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 7, V 5] Besides these, O mighty-armed Arjuna, there is another superior energy of Mine, which comprises the living entities who are exploiting the resources of this material, inferior nature. Insight: Recognize your superior, non-physical energy (the soul) which is never bound or afflicted by the somatic distress."
"Somatic Symptom Disorder","distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Relaxation techniques; Mindfulness; Psychoeducation; Medication for associated anxiety","None Typically; SSRIs (for anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 2, V 13] As the embodied soul continuously passes... from boyhood to youth to old age, the soul similarly passes into another body at death. Insight: The body is a temporary container that changes. The symptoms are part of its change, not a threat to the eternal Self."
"Somatic Symptom Disorder","distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Relaxation techniques; Mindfulness; Psychoeducation; Medication for associated anxiety","None Typically; SSRIs (for anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Focus on the duty (daily life) and perform it, even if imperfectly, while experiencing the symptom."
"Somatic Symptom Disorder","distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Relaxation techniques; Mindfulness; Psychoeducation; Medication for associated anxiety","None Typically; SSRIs (for anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 4, V 39] A faithful man who is dedicated to transcendental knowledge and who subdues his senses attains knowledge. Insight: Faith (Shraddha) in the non-threatening nature of the symptom subdues the anxious reaction (senses) and brings peace."
"Somatic Symptom Disorder","distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Relaxation techniques; Mindfulness; Psychoeducation; Medication for associated anxiety","None Typically; SSRIs (for anxiety) - Sertraline 50mg (Rx - Serenata, Zosert, Daxid)","Sertraline (if needed): 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food)","[Gita, Ch 12, V 14] One who is always satisfied and engaged in devotional service with determination. Insight: Find satisfaction (Santosha) despite the symptoms, and engage determinedly in selfless action (service)."
"Somatic Symptom Disorder (severe)","multiple distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high health anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Relaxation techniques; Mindfulness-based stress reduction; Biofeedback; Acceptance and Commitment Therapy (ACT); Medication for associated anxiety/depression","None Typically; Duloxetine 60mg (Rx - Duzela, Dulo, Dulane); Venlafaxine 75mg (Rx - Venlor, Venfax, Venlift); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food); Venlafaxine: 75-225mg daily (initial 37.5mg, increase after 1 week; max 225mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: The body is the 'Field' (Kshetra) of symptoms. The 'Knower' (Consciousness) is the detached witness. By focusing on being the witness of the symptoms, rather than identifying with them, you can find a place of peace that is not disturbed by the body's distress."
"Somatic Symptom Disorder (severe)","multiple distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high health anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Relaxation techniques; Mindfulness-based stress reduction; Biofeedback; Acceptance and Commitment Therapy (ACT); Medication for associated anxiety/depression","None Typically; Duloxetine 60mg (Rx - Duzela, Dulo, Dulane); Venlafaxine 75mg (Rx - Venlor, Venfax, Venlift); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food); Venlafaxine: 75-225mg daily (initial 37.5mg, increase after 1 week; max 225mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Practice equanimity (Samatvam) regarding the body's symptoms. Focus on your duty (Dharma) in the world—your work, your relationships, your self-care—and perform it despite the discomfort, rather than letting your life be ruled by the symptoms."
"Somatic Symptom Disorder (severe)","multiple distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high health anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Relaxation techniques; Mindfulness-based stress reduction; Biofeedback; Acceptance and Commitment Therapy (ACT); Medication for associated anxiety/depression","None Typically; Duloxetine 60mg (Rx - Duzela, Dulo, Dulane); Venlafaxine 75mg (Rx - Venlor, Venfax, Venlift); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food); Venlafaxine: 75-225mg daily (initial 37.5mg, increase after 1 week; max 225mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 4, V 39] A faithful man who is dedicated to transcendental knowledge and who subdues his senses attains knowledge. Insight: Faith (Shraddha) in the benign nature of the symptoms (based on medical reassurance) subdues the anxious reaction (subdues senses). This faith, combined with dedicated practice of mindfulness, leads to the knowledge that the symptoms are not dangerous and can be tolerated."
"Somatic Symptom Disorder (severe)","multiple distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high health anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Relaxation techniques; Mindfulness-based stress reduction; Biofeedback; Acceptance and Commitment Therapy (ACT); Medication for associated anxiety/depression","None Typically; Duloxetine 60mg (Rx - Duzela, Dulo, Dulane); Venlafaxine 75mg (Rx - Venlor, Venfax, Venlift); Escitalopram 10mg (Rx - Nexito, Restocrit, Escitalopram)","Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food); Venlafaxine: 75-225mg daily (initial 37.5mg, increase after 1 week; max 225mg; take with food); Escitalopram: 10-20mg daily (initial 10mg, increase to 20mg after 1 week; max 20mg; take morning or evening)","[Gita, Ch 17, V 14] Austerity of the body consists in worship of the Supreme Lord... and non-violence. Insight: Treat the body with non-violence (Ahimsa) and gentle care. This means avoiding excessive medical testing driven by anxiety (a form of violence against the body) and instead providing it with rest, gentle movement, and proper nutrition."
"Somatic Symptom Disorder (severe)","multiple distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high health anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Relaxation techniques; Mindfulness-based stress reduction; Biofeedback; Medication for associated anxiety","None Typically; Duloxetine 60mg (Rx - Duzela, Dulo, Dulane); Venlafaxine 75mg (Rx - Venlor, Venfax, Venlift)","Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food); Venlafaxine: 75-225mg daily (initial 37.5mg, increase after 1 week; max 225mg; take with food)","[Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: The body is the 'Field' of symptoms. The 'Knower' (Consciousness) is the detached witness, never in danger, providing peace."
"Somatic Symptom Disorder (severe)","multiple distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high health anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Relaxation techniques; Mindfulness-based stress reduction; Biofeedback; Medication for associated anxiety","None Typically; Duloxetine 60mg (Rx - Duzela, Dulo, Dulane); Venlafaxine 75mg (Rx - Venlor, Venfax, Venlift)","Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food); Venlafaxine: 75-225mg daily (initial 37.5mg, increase after 1 week; max 225mg; take with food)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Practice equanimity (Samatvam) regarding the body's symptoms. Focus on duty (Karma Yoga) despite the discomfort."
"Somatic Symptom Disorder (severe)","multiple distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high health anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Relaxation techniques; Mindfulness-based stress reduction; Biofeedback; Medication for associated anxiety","None Typically; Duloxetine 60mg (Rx - Duzela, Dulo, Dulane); Venlafaxine 75mg (Rx - Venlor, Venfax, Venlift)","Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food); Venlafaxine: 75-225mg daily (initial 37.5mg, increase after 1 week; max 225mg; take with food)","[Gita, Ch 4, V 39] A faithful man who is dedicated to transcendental knowledge and who subdues his senses attains knowledge. Insight: Faith (Shraddha) in the non-threatening nature of the symptoms subdues the anxious reaction (senses) and brings peace."
"Somatic Symptom Disorder (severe)","multiple distressing somatic symptoms; excessive thoughts/behaviors related to symptoms; high health anxiety [ICD-10: F45.1, ICD-11: 6C20, DSM-5: 300.82]","Cognitive Behavioral Therapy (CBT) - 16-24 sessions; Relaxation techniques; Mindfulness-based stress reduction; Biofeedback; Medication for associated anxiety","None Typically; Duloxetine 60mg (Rx - Duzela, Dulo, Dulane); Venlafaxine 75mg (Rx - Venlor, Venfax, Venlift)","Duloxetine: 30-120mg daily (initial 30mg, increase to 60mg after 1 week; max 120mg; take with food); Venlafaxine: 75-225mg daily (initial 37.5mg, increase after 1 week; max 225mg; take with food)","[Gita, Ch 17, V 14] Austerity of the body consists in worship of the Supreme Lord... and non-violence. Insight: Treat the body with non-violence (Ahimsa) and gentle care, avoiding excessive medical procedures driven by anxiety."
"Specific Learning Disorder (Dyscalculia, severe)","severe difficulty with number sense/calculation; poor mathematical reasoning [ICD-10: F81.2, ICD-11: 6A03.2, DSM-5: 315.1]","Specialized math instruction (multisensory, structured); Educational accommodations (e.g., calculator use, extra time); Cognitive Behavioral Therapy (CBT) for math anxiety; Assistive technology; Tutoring; Psychoeducation","None Typically","None Typically","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Counter the frustration and anxiety (restless mind) associated with math by engaging in consistent, specialized practice (Abhyasa) and cultivating detachment (Vairagya) from the complexity of the task and the fear of being wrong."
"Specific Learning Disorder (Dyscalculia, severe)","severe difficulty with number sense/calculation; poor mathematical reasoning [ICD-10: F81.2, ICD-11: 6A03.2, DSM-5: 315.1]","Specialized math instruction (multisensory, structured); Educational accommodations (e.g., calculator use, extra time); Cognitive Behavioral Therapy (CBT) for math anxiety; Assistive technology; Tutoring; Psychoeducation","None Typically","None Typically","[Gita, Ch 2, V 41] Those who are on this path are resolute in purpose, and their aim is one. Insight: Counter mental wandering and panic with a resolute (Vyavasayatmika) commitment to one step or one problem at a time. Focus the mind on the single task in front of you, not the entire subject."
"Specific Learning Disorder (Dyscalculia, severe)","severe difficulty with number sense/calculation; poor mathematical reasoning [ICD-10: F81.2, ICD-11: 6A03.2, DSM-5: 315.1]","Specialized math instruction (multisensory, structured); Educational accommodations (e.g., calculator use, extra time); Cognitive Behavioral Therapy (CBT) for math anxiety; Assistive technology; Tutoring; Psychoeducation","None Typically","None Typically","[Gita, Ch 4, V 39] A faithful man who is dedicated to transcendental knowledge and who subdues his senses attains knowledge. Insight: Faith (Shraddha) in your own ability to learn, combined with disciplined, focused study, gradually conquers the anxiety (subdues senses) and allows knowledge to be attained, even if the path is slower."
"Specific Learning Disorder (Dyscalculia, severe)","severe difficulty with number sense/calculation; poor mathematical reasoning [ICD-10: F81.2, ICD-11: 6A03.2, DSM-5: 315.1]","Specialized math instruction (multisensory, structured); Educational accommodations (e.g., calculator use, extra time); Cognitive Behavioral Therapy (CBT) for math anxiety; Assistive technology; Tutoring; Psychoeducation","None Typically","None Typically","[Gita, Ch 5, V 18] The humble sage, by virtue of true knowledge, sees with equal vision. Insight: Practice seeing the difficulty (Math) and the ease (other subjects) with equal vision (Sama Darshana). This reduces the sense of failure and self-judgment, recognizing that different subjects present different challenges for different minds."
"Specific Learning Disorder (Dyslexia, severe)","severe difficulty with reading/decoding; poor fluency; reading comprehension deficits [ICD-10: F81.0, ICD-11: 6A03.0, DSM-5: 315.00]","Specialized reading instruction (e.g., Orton-Gillingham, multisensory); Educational accommodations (e.g., audiobooks, extra time); Assistive technology (text-to-speech); Tutoring; Cognitive Behavioral Therapy (CBT) for frustration; Psychoeducation","None Typically","None Typically","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Counter the frustration and anxiety (restless mind) caused by reading difficulties through consistent, specialized practice (Abhyasa) and by cultivating detachment (Vairagya) from the perceived failure and comparison with peers."
"Specific Learning Disorder (Dyslexia, severe)","severe difficulty with reading/decoding; poor fluency; reading comprehension deficits [ICD-10: F81.0, ICD-11: 6A03.0, DSM-5: 315.00]","Specialized reading instruction (e.g., Orton-Gillingham, multisensory); Educational accommodations (e.g., audiobooks, extra time); Assistive technology (text-to-speech); Tutoring; Cognitive Behavioral Therapy (CBT) for frustration; Psychoeducation","None Typically","None Typically","[Gita, Ch 12, V 9] If you cannot fix your mind upon Me without deviation, then follow the regulative principles of Bhakti-yoga. Insight: Follow the 'regulative principles' (specialized methods, rules, and routines) of the reading instruction with determination and devotion to the process, even when the mind wanders or the task is difficult."
"Specific Learning Disorder (Dyslexia, severe)","severe difficulty with reading/decoding; poor fluency; reading comprehension deficits [ICD-10: F81.0, ICD-11: 6A03.0, DSM-5: 315.00]","Specialized reading instruction (e.g., Orton-Gillingham, multisensory); Educational accommodations (e.g., audiobooks, extra time); Assistive technology (text-to-speech); Tutoring; Cognitive Behavioral Therapy (CBT) for frustration; Psychoeducation","None Typically","None Typically","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Abandon attachment to the immediate outcome (perfect reading, high grades). Focus on the duty (Dharma) of practicing and putting in the effort with equanimity (Samatvam). The effort itself is what builds skill."
"Specific Learning Disorder (Dyslexia, severe)","severe difficulty with reading/decoding; poor fluency; reading comprehension deficits [ICD-10: F81.0, ICD-11: 6A03.0, DSM-5: 315.00]","Specialized reading instruction (e.g., Orton-Gillingham, multisensory); Educational accommodations (e.g., audiobooks, extra time); Assistive technology (text-to-speech); Tutoring; Cognitive Behavioral Therapy (CBT) for frustration; Psychoeducation","None Typically","None Typically","[Gita, Ch 18, V 48] Every endeavor is covered by some fault, just as fire is covered by smoke. Insight: Accept the inherent 'fault' (difficulty, imperfection) in the learning process. The struggle is part of the journey. Continue the effort (Sadhana) with self-compassion, without self-blame for the difficulty."
"Substance Use Disorder (Alcohol)","craving; dependence; withdrawal symptoms; impaired control [ICD-10: F10.20, ICD-11: 6C40.2, DSM-5: 303.90]","Detoxification (medically supervised); Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Motivational Enhancement Therapy; 12-Step facilitation (AA); Relapse prevention","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Acamprosate 666mg (Rx - Campral, Acampro)","Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Acamprosate: 666mg three times daily (start during detox; take with meals)","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Sobriety is the act of self-delivery (Uddharet), using the mind and intelligence to overcome the self-degrading nature of addiction."
"Substance Use Disorder (Alcohol)","craving; dependence; withdrawal symptoms; impaired control [ICD-10: F10.20, ICD-11: 6C40.2, DSM-5: 303.90]","Detoxification (medically supervised); Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Motivational Enhancement Therapy; 12-Step facilitation (AA); Relapse prevention","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Acamprosate 666mg (Rx - Campral, Acampro)","Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Acamprosate: 666mg three times daily (start during detox; take with meals)","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Focus on the daily duty of sobriety and self-care (Dharma), accepting that recovery is imperfect and gradual."
"Substance Use Disorder (Alcohol)","craving; dependence; withdrawal symptoms; impaired control [ICD-10: F10.20, ICD-11: 6C40.2, DSM-5: 303.90]","Detoxification (medically supervised); Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Motivational Enhancement Therapy; 12-Step facilitation (AA); Relapse prevention","Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Acamprosate 666mg (Rx - Campral, Acampro)","Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Acamprosate: 666mg three times daily (start during detox; take with meals)","[Gita, Ch 12, V 9] If you cannot fix your mind upon Me without deviation, then follow the regulative principles of Bhakti-yoga. Insight: Use the strict, regulated routine of recovery programs (regulative principles) to anchor the chaotic, addicted mind."
"Substance Use Disorder (Cannabis)","craving; dependence; difficulty stopping; withdrawal (irritability, sleep problems) [ICD-10: F12.20, ICD-11: 6C41.2, DSM-5: 304.30]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Enhancement Therapy (MET); Contingency management; Support groups (Marijuana Anonymous); Treatment for comorbid conditions","None Typically; Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex - off-label for craving); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba - off-label for withdrawal)","Naltrexone (off-label): 50mg daily (monitor liver function); Gabapentin (off-label): 300-1200mg daily in divided doses (initial 300mg at bedtime, increase slowly)","[Gita, Ch 14, V 8] The mode of ignorance (Tamas) is the cause of delusion... The result is madness, indolence and sleep. Insight: Heavy, chronic cannabis use often leads to Tamasic states—indolence, lack of motivation, and mental fog. Recovery requires actively cultivating Rajas (purposeful action) and Sattva (conscious awareness) to break through this inertia."
"Substance Use Disorder (Cannabis)","craving; dependence; difficulty stopping; withdrawal (irritability, sleep problems) [ICD-10: F12.20, ICD-11: 6C41.2, DSM-5: 304.30]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Enhancement Therapy (MET); Contingency management; Support groups (Marijuana Anonymous); Treatment for comorbid conditions","None Typically; Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex - off-label for craving); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba - off-label for withdrawal)","Naltrexone (off-label): 50mg daily (monitor liver function); Gabapentin (off-label): 300-1200mg daily in divided doses (initial 300mg at bedtime, increase slowly)","[Gita, Ch 2, V 41] Those who are on this path are resolute in purpose, and their aim is one. Insight: Counter the lack of motivation and scattered thinking with a resolute (Vyavasayatmika) commitment to one aim or task at a time—whether it's the goal of sobriety or the daily duty of self-care. Focus is the antidote to Tamasic fog."
"Substance Use Disorder (Cannabis)","craving; dependence; difficulty stopping; withdrawal (irritability, sleep problems) [ICD-10: F12.20, ICD-11: 6C41.2, DSM-5: 304.30]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Enhancement Therapy (MET); Contingency management; Support groups (Marijuana Anonymous); Treatment for comorbid conditions","None Typically; Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex - off-label for craving); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba - off-label for withdrawal)","Naltrexone (off-label): 50mg daily (monitor liver function); Gabapentin (off-label): 300-1200mg daily in divided doses (initial 300mg at bedtime, increase slowly)","[Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: The craving and mental fog are the mind wandering. Gently but firmly withdraw the mind from thoughts of using and return focus to the present moment and the immediate duty at hand."
"Substance Use Disorder (Cannabis)","craving; dependence; difficulty stopping; withdrawal (irritability, sleep problems) [ICD-10: F12.20, ICD-11: 6C41.2, DSM-5: 304.30]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Enhancement Therapy (MET); Contingency management; Support groups (Marijuana Anonymous); Treatment for comorbid conditions","None Typically; Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex - off-label for craving); Gabapentin 300mg (Rx - Gabapin, Neurontin, Gaba - off-label for withdrawal)","Naltrexone (off-label): 50mg daily (monitor liver function); Gabapentin (off-label): 300-1200mg daily in divided doses (initial 300mg at bedtime, increase slowly)","[Gita, Ch 18, V 9] All prescribed duties should be performed without attachment to the results. Insight: Perform the duty of self-care and abstinence without attachment to the immediate feeling of relaxation or relief (the result) that the substance previously provided. The true reward is the long-term benefit of clarity and well-being."
"Substance Use Disorder (Cannabis)","craving; dependence; difficulty stopping; withdrawal (irritability, sleep problems) [ICD-10: F12.20, ICD-11: 6C41.2, DSM-5: 304.30]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Enhancement Therapy (MET); Contingency management; Support groups (MA); Treatment for comorbid conditions","None Typically","None Typically","[Gita, Ch 14, V 8] The mode of ignorance (Tamas) is the cause of delusion... The result is madness, indolence and sleep. Insight: Heavy, chronic use often leads to Tamasic states (indolence, lack of motivation). Actively cultivate Rajas (action) and Sattva (consciousness)."
"Substance Use Disorder (Cannabis)","craving; dependence; difficulty stopping; withdrawal (irritability, sleep problems) [ICD-10: F12.20, ICD-11: 6C41.2, DSM-5: 304.30]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Enhancement Therapy (MET); Contingency management; Support groups (MA); Treatment for comorbid conditions","None Typically","None Typically","[Gita, Ch 2, V 41] Those who are on this path are resolute in purpose, and their aim is one. Insight: Counter the lack of motivation with a resolute (Vyavasayatmika) commitment to one aim or task (sobriety/duty)."
"Substance Use Disorder (Cannabis)","craving; dependence; difficulty stopping; withdrawal (irritability, sleep problems) [ICD-10: F12.20, ICD-11: 6C41.2, DSM-5: 304.30]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Enhancement Therapy (MET); Contingency management; Support groups (MA); Treatment for comorbid conditions","None Typically","None Typically","[Gita, Ch 6, V 26] From wherever the mind wanders due to its flickering and unsteady nature, one must certainly withdraw it and bring it back under the control of the Self. Insight: The craving/mental fog is the mind wandering. Gently withdraw it and return focus to the present duty."
"Substance Use Disorder (Cannabis)","craving; dependence; difficulty stopping; withdrawal (irritability, sleep problems) [ICD-10: F12.20, ICD-11: 6C41.2, DSM-5: 304.30]","Cognitive Behavioral Therapy (CBT) - 12-20 sessions; Motivational Enhancement Therapy (MET); Contingency management; Support groups (MA); Treatment for comorbid conditions","None Typically","None Typically","[Gita, Ch 18, V 9] All prescribed duties should be performed without attachment to the results. Insight: Perform the duty of self-care and abstinence without attachment to the feeling of relaxation (the result) previously provided by the substance."
"Substance Use Disorder (Opioids)","craving; dependence; withdrawal; compulsive use; tolerance [ICD-10: F11.20, ICD-11: 6C43.2, DSM-5: 304.00]","Medication-Assisted Treatment (MAT) with counseling; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; 12-Step facilitation; Relapse prevention; Individual and group therapy","Buprenorphine/Naloxone 8mg (Rx - Suboxone, Buprenorphine, Bupregesic - Schedule X); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Methadone 40mg (Rx - only through specialized clinics)","Buprenorphine/Naloxone: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X); Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Methadone: 40-120mg daily (initial 10-30mg, titrate slowly; only through OTP)","[Gita, Ch 2, V 62] While contemplating the objects of the senses, a person develops attachment for them... Insight: The craving starts with contemplation (Dhyana) of the substance and its effects. MAT and CBT provide the structured practice (Abhyasa) to interrupt this thought process and develop healthier coping mechanisms."
"Substance Use Disorder (Opioids)","craving; dependence; withdrawal; compulsive use; tolerance [ICD-10: F11.20, ICD-11: 6C43.2, DSM-5: 304.00]","Medication-Assisted Treatment (MAT) with counseling; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; 12-Step facilitation; Relapse prevention; Individual and group therapy","Buprenorphine/Naloxone 8mg (Rx - Suboxone, Buprenorphine, Bupregesic - Schedule X); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Methadone 40mg (Rx - only through specialized clinics)","Buprenorphine/Naloxone: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X); Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Methadone: 40-120mg daily (initial 10-30mg, titrate slowly; only through OTP)","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Sobriety is the ultimate act of self-delivery (Uddharet). It requires using all available tools—medical, psychological, and spiritual—to overcome the powerful, degrading force of addiction and reclaim your life."
"Substance Use Disorder (Opioids)","craving; dependence; withdrawal; compulsive use; tolerance [ICD-10: F11.20, ICD-11: 6C43.2, DSM-5: 304.00]","Medication-Assisted Treatment (MAT) with counseling; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; 12-Step facilitation; Relapse prevention; Individual and group therapy","Buprenorphine/Naloxone 8mg (Rx - Suboxone, Buprenorphine, Bupregesic - Schedule X); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Methadone 40mg (Rx - only through specialized clinics)","Buprenorphine/Naloxone: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X); Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Methadone: 40-120mg daily (initial 10-30mg, titrate slowly; only through OTP)","[Gita, Ch 12, V 9] If you cannot fix your mind upon Me without deviation, then follow the regulative principles of Bhakti-yoga. Insight: The medication and structured therapy provide the essential 'regulative principles' (Niyama) needed to anchor the chaotic, addicted mind. Adhering to this routine is a form of devotion to your own recovery."
"Substance Use Disorder (Opioids)","craving; dependence; withdrawal; compulsive use; tolerance [ICD-10: F11.20, ICD-11: 6C43.2, DSM-5: 304.00]","Medication-Assisted Treatment (MAT) with counseling; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; 12-Step facilitation; Relapse prevention; Individual and group therapy","Buprenorphine/Naloxone 8mg (Rx - Suboxone, Buprenorphine, Bupregesic - Schedule X); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex); Methadone 40mg (Rx - only through specialized clinics)","Buprenorphine/Naloxone: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X); Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function); Methadone: 40-120mg daily (initial 10-30mg, titrate slowly; only through OTP)","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Focus on the daily duty of recovery—attending meetings, taking medication, practicing coping skills—even if you perform it imperfectly (e.g., have a difficult day, experience cravings). The sincere, daily effort is what builds a foundation for lasting sobriety."
"Substance Use Disorder (Opioids)","craving; dependence; withdrawal; compulsive use; tolerance [ICD-10: F11.20, ICD-11: 6C43.2, DSM-5: 304.00]","Medication-Assisted Treatment (MAT) with counseling; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; 12-Step facilitation; Relapse prevention","Buprenorphine/Naloxone 8mg (Rx - Suboxone, Buprenorphine, Bupregesic - Schedule X); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex)","Buprenorphine/Naloxone: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X); Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function)","[Gita, Ch 2, V 62] While contemplating the objects of the senses, a person develops attachment for them... Insight: The craving starts with contemplation (Dhyana). MAT/CBT is the structured practice (Abhyasa) to stop the thought process."
"Substance Use Disorder (Opioids)","craving; dependence; withdrawal; compulsive use; tolerance [ICD-10: F11.20, ICD-11: 6C43.2, DSM-5: 304.00]","Medication-Assisted Treatment (MAT) with counseling; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; 12-Step facilitation; Relapse prevention","Buprenorphine/Naloxone 8mg (Rx - Suboxone, Buprenorphine, Bupregesic - Schedule X); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex)","Buprenorphine/Naloxone: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X); Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function)","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Sobriety is the act of self-delivery (Uddharet), using medical and spiritual tools to overcome the degrading power of addiction."
"Substance Use Disorder (Opioids)","craving; dependence; withdrawal; compulsive use; tolerance [ICD-10: F11.20, ICD-11: 6C43.2, DSM-5: 304.00]","Medication-Assisted Treatment (MAT) with counseling; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; 12-Step facilitation; Relapse prevention","Buprenorphine/Naloxone 8mg (Rx - Suboxone, Buprenorphine, Bupregesic - Schedule X); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex)","Buprenorphine/Naloxone: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X); Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function)","[Gita, Ch 12, V 9] If you cannot fix your mind upon Me without deviation, then follow the regulative principles of Bhakti-yoga. Insight: The medication and therapy provide the essential 'regulative principles' (Niyama) to anchor the mind in stability."
"Substance Use Disorder (Opioids)","craving; dependence; withdrawal; compulsive use; tolerance [ICD-10: F11.20, ICD-11: 6C43.2, DSM-5: 304.00]","Medication-Assisted Treatment (MAT) with counseling; Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; 12-Step facilitation; Relapse prevention","Buprenorphine/Naloxone 8mg (Rx - Suboxone, Buprenorphine, Bupregesic - Schedule X); Naltrexone 50mg (Rx - Naltima, Nodict, Naltrex)","Buprenorphine/Naloxone: 8-24mg daily (initial 2-4mg, titrate to maintenance; sublingual; Schedule X); Naltrexone: 50mg daily (initiate after detox; max 100mg; monitor liver function)","[Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly. Insight: Focus on the daily duty of recovery and responsible living (Dharma), accepting that the path is imperfect."
"Substance Use Disorder (Stimulants)","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40]","Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups (Cocaine Anonymous); Matrix Model; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving); Mirtazapine 15mg (Rx - Mirtaz, Mirtel - for sleep/appetite during withdrawal)","Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk); Mirtazapine: 15-45mg at bedtime (initial 15mg, increase slowly; for sleep/ appetite)","[Gita, Ch 14, V 7] The mode of passion (Rajas) is born of unlimited desires and longings... binds the embodied soul by attachment to fruitive action. Insight: Stimulant use is the epitome of the hyper-Rajasic state—driven by intense desire, euphoria, and agitation. Recovery requires actively cultivating its opposite: Sattva (calmness, purity, balance) through regular practice and a structured lifestyle."
"Substance Use Disorder (Stimulants)","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40]","Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups (Cocaine Anonymous); Matrix Model; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving); Mirtazapine 15mg (Rx - Mirtaz, Mirtel - for sleep/appetite during withdrawal)","Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk); Mirtazapine: 15-45mg at bedtime (initial 15mg, increase slowly; for sleep/ appetite)","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Practice mental austerity (Tapas) to govern the impulsive nature of the craving and the intense agitation of the high. This involves cultivating inner silence, self-control, and a simplicity of purpose focused on well-being, not on the next high."
"Substance Use Disorder (Stimulants)","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40]","Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups (Cocaine Anonymous); Matrix Model; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving); Mirtazapine 15mg (Rx - Mirtaz, Mirtel - for sleep/appetite during withdrawal)","Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk); Mirtazapine: 15-45mg at bedtime (initial 15mg, increase slowly; for sleep/ appetite)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Curb the agitated, racing mind (restless) through consistent practice (Abhyasa) of stillness—meditation, deep breathing, grounding exercises—and by cultivating detachment (Vairagya) from the intense, euphoric, but ultimately destructive high."
"Substance Use Disorder (Stimulants)","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40]","Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups (Cocaine Anonymous); Matrix Model; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving); Mirtazapine 15mg (Rx - Mirtaz, Mirtel - for sleep/appetite during withdrawal)","Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk); Mirtazapine: 15-45mg at bedtime (initial 15mg, increase slowly; for sleep/ appetite)","[Gita, Ch 3, V 8] Perform your prescribed duty, for action is better than inaction. Insight: Channel the high energy and drive that were once directed toward obtaining and using the substance into prescribed, selfless duties (Karma Yoga)—work, creative projects, helping others. This redirects the energy in a constructive, fulfilling way."
"Substance Use Disorder (Stimulants)","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40]","Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving)","","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40], Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups; Medication for comorbid depression, None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving), Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk), [Gita, Ch 14, V 7] The mode of passion (Rajas) is born of unlimited desires and longings... binds the embodied soul by attachment to fruitive action. Insight: Stimulant use is hyper-Rajasic. Counter with Sattva (calmness, purity) and regular practice."
"Substance Use Disorder (Stimulants)","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40]","Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving)","","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40], Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups; Medication for comorbid depression, None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving), Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk), [Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Practice mental austerity (Tapas) to govern the impulsive nature of the craving and the agitation of the high."
"Substance Use Disorder (Stimulants)","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40]","Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving)","","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40], Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups; Medication for comorbid depression, None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving), Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk), [Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Curb the agitated, racing mind (restless) through consistent practice (Abhyasa) of stillness and detachment (Vairagya) from the high."
"Substance Use Disorder (Stimulants)","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40]","Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving)","","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40], Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups; Medication for comorbid depression, None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving), Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk), [Gita, Ch 3, V 8] Perform your prescribed duty, for action is better than inaction. Insight: Channel the high energy/agitation into prescribed, selfless duties (Karma Yoga) rather than destructive use."
"Substance Use Disorder (Stimulants)","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40]","Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups (Cocaine Anonymous); Matrix Model; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving); Mirtazapine 15mg (Rx - Mirtaz, Mirtel - for sleep/appetite during withdrawal)","","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40], Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups (Cocaine Anonymous); Matrix Model; Medication for comorbid depression, None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving); Mirtazapine 15mg (Rx - Mirtaz, Mirtel - for sleep/appetite during withdrawal), Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk); Mirtazapine: 15-45mg at bedtime (initial 15mg, increase slowly; for sleep/ appetite), [Gita, Ch 14, V 7] The mode of passion (Rajas) is born of unlimited desires and longings... binds the embodied soul by attachment to fruitive action. Insight: Stimulant use is the epitome of the hyper-Rajasic state—driven by intense desire, euphoria, and agitation. Recovery requires actively cultivating its opposite: Sattva (calmness, purity, balance) through regular practice and a structured lifestyle."
"Substance Use Disorder (Stimulants)","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40]","Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups (Cocaine Anonymous); Matrix Model; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving); Mirtazapine 15mg (Rx - Mirtaz, Mirtel - for sleep/appetite during withdrawal)","","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40], Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups (Cocaine Anonymous); Matrix Model; Medication for comorbid depression, None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving); Mirtazapine 15mg (Rx - Mirtaz, Mirtel - for sleep/appetite during withdrawal), Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk); Mirtazapine: 15-45mg at bedtime (initial 15mg, increase slowly; for sleep/ appetite), [Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Practice mental austerity (Tapas) to govern the impulsive nature of the craving and the intense agitation of the high. This involves cultivating inner silence, self-control, and a simplicity of purpose focused on well-being, not on the next high."
"Substance Use Disorder (Stimulants)","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40]","Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups (Cocaine Anonymous); Matrix Model; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving); Mirtazapine 15mg (Rx - Mirtaz, Mirtel - for sleep/appetite during withdrawal)","","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40], Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups (Cocaine Anonymous); Matrix Model; Medication for comorbid depression, None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving); Mirtazapine 15mg (Rx - Mirtaz, Mirtel - for sleep/appetite during withdrawal), Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk); Mirtazapine: 15-45mg at bedtime (initial 15mg, increase slowly; for sleep/ appetite), [Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: Curb the agitated, racing mind (restless) through consistent practice (Abhyasa) of stillness—meditation, deep breathing, grounding exercises—and by cultivating detachment (Vairagya) from the intense, euphoric, but ultimately destructive high."
"Substance Use Disorder (Stimulants)","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40]","Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups (Cocaine Anonymous); Matrix Model; Medication for comorbid depression","None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving); Mirtazapine 15mg (Rx - Mirtaz, Mirtel - for sleep/appetite during withdrawal)","","craving; euphoria; agitation; paranoia; depression (crash) [ICD-10: F15.20, ICD-11: 6C46.2, DSM-5: 304.40], Cognitive Behavioral Therapy (CBT) - 12-24 sessions; Contingency management; Motivational Interviewing; Support groups (Cocaine Anonymous); Matrix Model; Medication for comorbid depression, None Typically; Bupropion 150mg (Rx - Bupron, Wellbutrin, Elontril - for depression/craving); Mirtazapine 15mg (Rx - Mirtaz, Mirtel - for sleep/appetite during withdrawal), Bupropion (off-label): 150-300mg daily (initial 150mg, increase to 300mg after 3 days; max 450mg; avoid if seizure risk); Mirtazapine: 15-45mg at bedtime (initial 15mg, increase slowly; for sleep/ appetite), [Gita, Ch 3, V 8] Perform your prescribed duty, for action is better than inaction. Insight: Channel the high energy and drive that were once directed toward obtaining and using the substance into prescribed, selfless duties (Karma Yoga)—work, creative projects, helping others. This redirects the energy in a constructive, fulfilling way."
"Traumatic Brain Injury (TBI)","","cognitive deficits; mood changes; headache; fatigue; irritability [ICD-10: S06.9, ICD-11: NA07.Z, DSM-5: Not applicable], Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms","Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil)","","Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms, Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil), Amantadine: 100-300mg twice daily (initial 100mg, increase to 200mg after 1 week; max 400mg/day); Donepezil: 5-10mg nightly (initial 5mg, increase to 10mg after 4-6 weeks; max 10mg), [Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: Cognitive deficits affect the body/mind (the Field), but the Knower (Consciousness) remains intact, offering a stable identity."
"Traumatic Brain Injury (TBI)","","cognitive deficits; mood changes; headache; fatigue; irritability [ICD-10: S06.9, ICD-11: NA07.Z, DSM-5: Not applicable], Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms","Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil)","","Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms, Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil), Amantadine: 100-300mg twice daily (initial 100mg, increase to 200mg after 1 week; max 400mg/day); Donepezil: 5-10mg nightly (initial 5mg, increase to 10mg after 4-6 weeks; max 10mg), [Gita, Ch 6, V 25] Gradually, step by step, one should become situated in trance by means of intelligence sustained by conviction. Insight: Rehabilitation is a gradual process (step-by-step). Patience and conviction (Shraddha) are essential for recovery."
"Traumatic Brain Injury (TBI)","","cognitive deficits; mood changes; headache; fatigue; irritability [ICD-10: S06.9, ICD-11: NA07.Z, DSM-5: Not applicable], Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms","Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil)","","Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms, Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil), Amantadine: 100-300mg twice daily (initial 100mg, increase to 200mg after 1 week; max 400mg/day); Donepezil: 5-10mg nightly (initial 5mg, increase to 10mg after 4-6 weeks; max 10mg), [Gita, Ch 18, V 47] It is better to engage in one's own occupation, even though one may perform it imperfectly, than to accept another's occupation. Insight: Accept the current limitations of the 'occupation' (cognitive capacity) and perform it imperfectly, rather than giving up due to frustration."
"Traumatic Brain Injury (TBI)","","cognitive deficits; mood changes; headache; fatigue; irritability [ICD-10: S06.9, ICD-11: NA07.Z, DSM-5: Not applicable], Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms","Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil)","","Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms, Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil), Amantadine: 100-300mg twice daily (initial 100mg, increase to 200mg after 1 week; max 400mg/day); Donepezil: 5-10mg nightly (initial 5mg, increase to 10mg after 4-6 weeks; max 10mg), [Gita, Ch 14, V 6] The mode of goodness (Sattva), being purer than the others, is illuminating and healthy. Insight: Recovery is accelerated by cultivating Sattva through quiet, pure, and simple living, reducing cognitive load."
"Traumatic Brain Injury (TBI)","","cognitive deficits; mood changes; headache; fatigue; irritability [ICD-10: S06.9, ICD-11: NA07.Z, DSM-5: Not applicable], Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms","Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil)","","Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms, Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil), Amantadine: 100-300mg twice daily (initial 100mg, increase to 200mg after 1 week; max 400mg/day); Donepezil: 5-10mg nightly (initial 5mg, increase to 10mg after 4-6 weeks; max 10mg), [Gita, Ch 4, V 40] A person who has no faith and is full of doubts is lost. Insight: Do not lose faith (Shraddha) in the possibility of neuroplasticity and recovery, even with slow progress."
"Traumatic Brain Injury (TBI)","","cognitive deficits; mood changes; headache; fatigue; irritability [ICD-10: S06.9, ICD-11: NA07.Z, DSM-5: Not applicable], Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms","Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil)","","Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms, Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil), Amantadine: 100-300mg twice daily (initial 100mg, increase to 200mg after 1 week; max 400mg/day); Donepezil: 5-10mg nightly (initial 5mg, increase to 10mg after 4-6 weeks; max 10mg), [Gita, Ch 18, V 63] Deliberate on this fully, and then do what you wish to do. Insight: The choice to apply oneself to rehabilitation, despite the difficulty, remains a personal act of intelligence (Buddhi)."
"Traumatic Brain Injury (TBI)","","cognitive deficits; mood changes; headache; fatigue; irritability [ICD-10: S06.9, ICD-11: NA07.Z, DSM-5: Not applicable], Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms","Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil)","","Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms, Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil), Amantadine: 100-300mg twice daily (initial 100mg, increase to 200mg after 1 week; max 400mg/day); Donepezil: 5-10mg nightly (initial 5mg, increase to 10mg after 4-6 weeks; max 10mg), [Gita, Ch 6, V 25] Gradually, step by step, one should become situated in trance by means of intelligence sustained by conviction. Insight: Recovery is a gradual, step-by-step process. Patience and deep conviction (Shraddha) are vital."
"Traumatic Brain Injury (TBI)","","cognitive deficits; mood changes; headache; fatigue; irritability [ICD-10: S06.9, ICD-11: NA07.Z, DSM-5: Not applicable], Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms","Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil)","","Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms, Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil), Amantadine: 100-300mg twice daily (initial 100mg, increase to 200mg after 1 week; max 400mg/day); Donepezil: 5-10mg nightly (initial 5mg, increase to 10mg after 4-6 weeks; max 10mg), [Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries. Insight: Use coping strategies to keep the mind undisturbed (Sthita-prajna) despite the misery of headaches or cognitive frustration."
"Traumatic Brain Injury (TBI)","","cognitive deficits; mood changes; headache; fatigue; irritability [ICD-10: S06.9, ICD-11: NA07.Z, DSM-5: Not applicable], Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms","Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil)","","Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms, Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil), Amantadine: 100-300mg twice daily (initial 100mg, increase to 200mg after 1 week; max 400mg/day); Donepezil: 5-10mg nightly (initial 5mg, increase to 10mg after 4-6 weeks; max 10mg), [Gita, Ch 14, V 6] The mode of goodness (Sattva), being purer than the others, is illuminating and healthy. Insight: Cultivate Sattva (purity, calm, simplicity) to create the optimal environment for neuroplasticity and healing."
"Traumatic Brain Injury (TBI)","","cognitive deficits; mood changes; headache; fatigue; irritability [ICD-10: S06.9, ICD-11: NA07.Z, DSM-5: Not applicable], Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms","Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil)","","Cognitive rehabilitation therapy - 20-40 sessions; Neurofeedback; Occupational therapy; Speech therapy; Physical therapy; Medication for symptoms, Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Donepezil 5mg (Rx - Aricep, Donep, Alzil), Amantadine: 100-300mg twice daily (initial 100mg, increase to 200mg after 1 week; max 400mg/day); Donepezil: 5-10mg nightly (initial 5mg, increase to 10mg after 4-6 weeks; max 10mg), [Gita, Ch 18, V 48] Every endeavor is covered by some fault, just as fire is covered by smoke. Insight: Accept the current cognitive 'faults' (imperfections) and continue the effort (rehabilitation) regardless."
"Traumatic Brain Injury (TBI, severe)","","severe cognitive deficits; major mood/personality changes; severe fatigue; aggressive outbursts [ICD-10: S06.9, ICD-11: NA07.Z, DSM-5: Not applicable], Neuro-rehabilitation program (intensive, multidisciplinary); Cognitive rehabilitation therapy; Physical therapy; Occupational therapy; Speech therapy; Medication management","Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression)","","Neuro-rehabilitation program (intensive, multidisciplinary); Cognitive rehabilitation therapy; Physical therapy; Occupational therapy; Speech therapy; Medication management, Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression), Amantadine: 100-300mg twice daily (initial 100mg, increase to 200mg after 1 week; max 400mg/day); Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 13, V 3] You should understand that I am also the knower in all bodies. Insight: Severe cognitive deficits affect the body/mind (the Field), but the Knower (Consciousness) remains intact, offering a stable identity."
"Traumatic Brain Injury (TBI, severe)","","severe cognitive deficits; major mood/personality changes; severe fatigue; aggressive outbursts [ICD-10: S06.9, ICD-11: NA07.Z, DSM-5: Not applicable], Neuro-rehabilitation program (intensive, multidisciplinary); Cognitive rehabilitation therapy; Physical therapy; Occupational therapy; Speech therapy; Medication management","Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression)","","Neuro-rehabilitation program (intensive, multidisciplinary); Cognitive rehabilitation therapy; Physical therapy; Occupational therapy; Speech therapy; Medication management, Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression), Amantadine: 100-300mg twice daily (initial 100mg, increase to 200mg after 1 week; max 400mg/day); Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 6, V 25] Gradually, step by step, one should become situated in trance by means of intelligence sustained by conviction. Insight: Rehabilitation is a gradual, step-by-step process. Patience and deep conviction (Shraddha) are vital."
"Traumatic Brain Injury (TBI, severe)","","severe cognitive deficits; major mood/personality changes; severe fatigue; aggressive outbursts [ICD-10: S06.9, ICD-11: NA07.Z, DSM-5: Not applicable], Neuro-rehabilitation program (intensive, multidisciplinary); Cognitive rehabilitation therapy; Physical therapy; Occupational therapy; Speech therapy; Medication management","Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression)","","Neuro-rehabilitation program (intensive, multidisciplinary); Cognitive rehabilitation therapy; Physical therapy; Occupational therapy; Speech therapy; Medication management, Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression), Amantadine: 100-300mg twice daily (initial 100mg, increase to 200mg after 1 week; max 400mg/day); Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries. Insight: Use coping strategies to keep the mind undisturbed (Sthita-prajna) despite the misery of severe cognitive frustration."
"Traumatic Brain Injury (TBI, severe)","","severe cognitive deficits; major mood/personality changes; severe fatigue; aggressive outbursts [ICD-10: S06.9, ICD-11: NA07.Z, DSM-5: Not applicable], Neuro-rehabilitation program (intensive, multidisciplinary); Cognitive rehabilitation therapy; Physical therapy; Occupational therapy; Speech therapy; Medication management","Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression)","","Neuro-rehabilitation program (intensive, multidisciplinary); Cognitive rehabilitation therapy; Physical therapy; Occupational therapy; Speech therapy; Medication management, Amantadine 100mg (Rx - Amantrel, Symmetrel, Amanta); Risperidone 2mg (Rx - Risperdal, Sizodon, Risdon - for aggression), Amantadine: 100-300mg twice daily (initial 100mg, increase to 200mg after 1 week; max 400mg/day); Risperidone: 2-8mg daily (initial 2mg, increase by 1-2mg weekly; max 16mg; monitor metabolic parameters), [Gita, Ch 18, V 48] Every endeavor is covered by some fault, just as fire is covered by smoke. Insight: Accept the current cognitive 'faults' (imperfections) and continue the effort (rehabilitation) regardless."
"Trichotillomania (Hair Pulling)","recurrent hair pulling; hair loss; distress; attempts to stop fail [ICD-10: F63.3, ICD-11: 6B25.0, DSM-5: 312.39]","Habit Reversal Training (HRT); Acceptance and Commitment Therapy (ACT); Cognitive Behavioral Therapy (CBT); Support groups","Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil); N-Acetylcysteine (NAC) 1200mg (OTC - N-A-C, Mucolytic)","Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime); NAC: 600-1200mg twice daily (initial 600mg, increase to 1200mg after 2 weeks; max 2400mg)","[Gita, Ch 6, V 35] It is possible to curb the restless mind by suitable practice and by detachment. Insight: The urge (restless mind) is curbed by consistent habit reversal practice (Abhyasa) and detachment (Vairagya) from the anxiety that fuels the pull."
"Trichotillomania (Hair Pulling)","recurrent hair pulling; hair loss; distress; attempts to stop fail [ICD-10: F63.3, ICD-11: 6B25.0, DSM-5: 312.39]","Habit Reversal Training (HRT); Acceptance and Commitment Therapy (ACT); Cognitive Behavioral Therapy (CBT); Support groups","Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil); N-Acetylcysteine (NAC) 1200mg (OTC - N-A-C, Mucolytic)","Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime); NAC: 600-1200mg twice daily (initial 600mg, increase to 1200mg after 2 weeks; max 2400mg)","[Gita, Ch 5, V 23] If one is able to tolerate the urges of the material senses and check the force of desire and anger, he is a yogi. Insight: The urge to pull is a sensory 'urge' that must be tolerated (Titiksha) and checked (Dama) without giving in."
"Trichotillomania (Hair Pulling)","recurrent hair pulling; hair loss; distress; attempts to stop fail [ICD-10: F63.3, ICD-11: 6B25.0, DSM-5: 312.39]","Habit Reversal Training (HRT); Acceptance and Commitment Therapy (ACT); Cognitive Behavioral Therapy (CBT); Support groups","Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil); N-Acetylcysteine (NAC) 1200mg (OTC - N-A-C, Mucolytic)","Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime); NAC: 600-1200mg twice daily (initial 600mg, increase to 1200mg after 2 weeks; max 2400mg)","[Gita, Ch 14, V 8] The mode of ignorance (Tamas) is the cause of delusion... and indolence. Insight: The automatic, unconscious pulling is Tamasic (ignorance). Bring consciousness (Sattva) to the urge using mindfulness."
"Trichotillomania (Hair Pulling)","recurrent hair pulling; hair loss; distress; attempts to stop fail [ICD-10: F63.3, ICD-11: 6B25.0, DSM-5: 312.39]","Habit Reversal Training (HRT); Acceptance and Commitment Therapy (ACT); Cognitive Behavioral Therapy (CBT); Support groups","Clomipramine 50mg (Rx - Clofranil, Clomip, Anafranil); N-Acetylcysteine (NAC) 1200mg (OTC - N-A-C, Mucolytic)","Clomipramine: 25-250mg daily (initial 25mg, increase by 25mg weekly; max 250mg; take at bedtime); NAC: 600-1200mg twice daily (initial 600mg, increase to 1200mg after 2 weeks; max 2400mg)","[Gita, Ch 2, V 48] Perform your duty equipoised, O Arjuna, abandoning all attachment to success or failure. Insight: Abandon attachment to the outcome (perfect hair/zero pulls). Focus on the duty (practice) with equanimity (Samatvam)."
"Witnessing Violence Trauma (Childhood)","fear; hypervigilance; emotional numbing; anxiety; distress [ICD-10: Z62.810, ICD-11: QE51.0, DSM-5: V61.21]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 12-20 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Play therapy; Supportive counseling; Psychoeducation for parents; Medication for anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for severe anxiety)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 2, V 56] One whose mind is not disturbed in spite of the threefold miseries. Insight: The goal is to help the child achieve an undisturbed mind (Sthita-prajna) that can witness the memory of the violence without being overwhelmed by fear and anxiety, gradually restoring a sense of safety in the world."
"Witnessing Violence Trauma (Childhood)","fear; hypervigilance; emotional numbing; anxiety; distress [ICD-10: Z62.810, ICD-11: QE51.0, DSM-5: V61.21]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 12-20 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Play therapy; Supportive counseling; Psychoeducation for parents; Medication for anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for severe anxiety)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 16, V 3] The qualities of those who are godly are fearlessness. Insight: Trauma therapy cultivates fearlessness (Abhayam) by allowing the child to face the traumatic memory in a safe, controlled therapeutic setting, process the associated feelings, and gradually rebuild trust in their environment and in adults."
"Witnessing Violence Trauma (Childhood)","fear; hypervigilance; emotional numbing; anxiety; distress [ICD-10: Z62.810, ICD-11: QE51.0, DSM-5: V61.21]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 12-20 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Play therapy; Supportive counseling; Psychoeducation for parents; Medication for anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for severe anxiety)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 2, V 14] The nonpermanent appearance of happiness and distress... one must learn to tolerate them without being disturbed. Insight: Help the child understand that the intense fear and distress from the memory are temporary. They are a reaction to a past event, not a permanent state. Practice tolerance (Titiksha), knowing that the intense feelings will subside."
"Witnessing Violence Trauma (Childhood)","fear; hypervigilance; emotional numbing; anxiety; distress [ICD-10: Z62.810, ICD-11: QE51.0, DSM-5: V61.21]","Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) - 12-20 sessions; Eye Movement Desensitization and Reprocessing (EMDR) - 6-12 sessions; Play therapy; Supportive counseling; Psychoeducation for parents; Medication for anxiety/depression","Sertraline 50mg (Rx - Serenata, Zosert, Daxid); Clonazepam 0.5mg (Rx - Clonapax, Epitril - short-term for severe anxiety)","Sertraline: 50-200mg daily (initial 50mg, increase to 100mg after 1 week; max 200mg; take with food); Clonazepam: 0.25-0.5mg twice daily (short-term only, 2-4 weeks; taper to discontinue)","[Gita, Ch 18, V 66] Abandon all varieties of religion and just surrender unto Me. I shall deliver you from all sinful reactions. Do not fear. Insight: For a child, this can be simplified as surrendering the need to control the world and trusting in the safety provided by caring adults (parents, therapists) and, if applicable, a higher power. This trust helps manage the anxiety and fear."
"Workplace Stress","overwhelm; tight deadlines; lack of support; dissatisfaction [ICD-10: Z56.9, ICD-11: QD84, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Time management coaching; Organizational interventions","None Typically","None Typically","[Gita, Ch 2, V 47] You have a right to perform your prescribed duty, but you are not entitled to the fruits of action. Insight: Focus on the duty, not the deadline, promotion, or recognition (fruits). This reduces overwhelm and pressure."
"Workplace Stress","overwhelm; tight deadlines; lack of support; dissatisfaction [ICD-10: Z56.9, ICD-11: QD84, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Time management coaching; Organizational interventions","None Typically","None Typically","[Gita, Ch 2, V 50] Yoga is the art of working without attachment. Insight: Make your professional work an act of Yoga (skill in action). Detachment from the outcome is the 'skill' that reduces stress."
"Workplace Stress","overwhelm; tight deadlines; lack of support; dissatisfaction [ICD-10: Z56.9, ICD-11: QD84, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Time management coaching; Organizational interventions","None Typically","None Typically","[Gita, Ch 6, V 17] He who is regulated in his habits of eating, sleeping, recreation and work can mitigate all material pains. Insight: Stress is managed by strict regulation (Yukta) of work hours, rest, and sleep."
"Workplace Stress","overwhelm; tight deadlines; lack of support; dissatisfaction [ICD-10: Z56.9, ICD-11: QD84, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Time management coaching; Organizational interventions","None Typically","None Typically","[Gita, Ch 3, V 19] Therefore, without being attached to the fruits of activities, one should act as a matter of duty. Insight: Do the work as duty (Dharma) for the sake of the work itself, not the exhausting pursuit of satisfaction or reward."
"Workplace Stress","overwhelm; tight deadlines; lack of support; dissatisfaction [ICD-10: Z56.9, ICD-11: QD84, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Time management coaching; Organizational interventions","None Typically","None Typically","[Gita, Ch 18, V 48] Every endeavor is covered by some fault, just as fire is covered by smoke. Insight: Perfectionism is impossible. Accept that every task will have some flaw, reducing the pressure to be faultless."
"Workplace Stress","overwhelm; tight deadlines; lack of support; dissatisfaction [ICD-10: Z56.9, ICD-11: QD84, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Time management coaching; Organizational interventions","None Typically","None Typically","[Gita, Ch 12, V 14] One who is always satisfied and engaged in devotional service with determination. Insight: Find satisfaction in the *present moment* of work (determined devotion) rather than waiting for the future result."
"Workplace Stress","overwhelm; tight deadlines; lack of support; dissatisfaction [ICD-10: Z56.9, ICD-11: QD84, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Time management coaching; Organizational interventions","None Typically","None Typically","[Gita, Ch 18, V 46] By worship of the Lord, who is the source of all beings... a man can attain perfection through performance of his own work. Insight: Perfection is attained through the sincere effort of your work (Dharma), not the workload or the results, reducing stress."
"Workplace Stress","overwhelm; tight deadlines; lack of support; dissatisfaction [ICD-10: Z56.9, ICD-11: QD84, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Time management coaching; Organizational interventions","None Typically","None Typically","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Use your mind (mindfulness, boundaries) to pull yourself out of overwhelm (deliver yourself) instead of succumbing to it."
"Workplace Stress","overwhelm; tight deadlines; lack of support; dissatisfaction [ICD-10: Z56.9, ICD-11: QD84, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Time management coaching; Organizational interventions","None Typically","None Typically","[Gita, Ch 14, V 7] The mode of passion (Rajas) is characterized by intense striving and unlimited desire. Insight: Workplace stress is fueled by the Rajasic mode (intense striving). Shift to Sattva (goodness) through calm, regulated effort."
"Workplace Stress","overwhelm; tight deadlines; lack of support; dissatisfaction [ICD-10: Z56.9, ICD-11: QD84, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Time management coaching; Organizational interventions","None Typically","None Typically","[Gita, Ch 17, V 16] Silence, self-control, simplicity, and purity of purpose are the austerity of the mind. Insight: Practice mental austerity (simplicity) by focusing on one task at a time, reducing overwhelm."
"Workplace Stress","overwhelm; tight deadlines; lack of support; dissatisfaction [ICD-10: Z56.9, ICD-11: QD84, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Time management coaching; Organizational interventions","None Typically","None Typically","[Gita, Ch 2, V 50] Yoga is the art of working without attachment. Insight: Work stress is eliminated by making work an 'art' (Yoga) by skillfully performing the action without attachment to the reward or consequence."
"Workplace Stress","overwhelm; tight deadlines; lack of support; dissatisfaction [ICD-10: Z56.9, ICD-11: QD84, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Time management coaching; Organizational interventions","None Typically","None Typically","[Gita, Ch 6, V 5] One must deliver himself with the help of his mind, and not degrade himself. Insight: Use your mind (boundaries, planning) to manage your workload and deliver yourself from chronic overwhelm."
"Workplace Stress","overwhelm; tight deadlines; lack of support; dissatisfaction [ICD-10: Z56.9, ICD-11: QD84, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Time management coaching; Organizational interventions","None Typically","None Typically","[Gita, Ch 18, V 30] That which knows what is to be done and what is not to be done... that intelligence is in the mode of goodness. Insight: Use Sattvic intelligence (Buddhi) to determine 'what is to be done' (prioritize) and 'what is not to be done' (say no) to reduce overwhelm."
"Workplace Stress","overwhelm; tight deadlines; lack of support; dissatisfaction [ICD-10: Z56.9, ICD-11: QD84, DSM-5: Not applicable]","Cognitive Behavioral Therapy (CBT) - 8-12 sessions; Mindfulness-Based Stress Reduction (MBSR); Employee assistance programs; Time management coaching; Organizational interventions","None Typically","None Typically","[Gita, Ch 4, V 20] Abandoning all results of their activities, the wise are always satisfied. Insight: Be satisfied with the effort, not the external validation or outcome (results), thereby reducing stress."