1. Evaluation of Clinical Yoga Techniques in the Management of Depressive Disorders Dr. K V Dilipkumar M D(Ay) ; Dr.Rubin Mary MD(Ay); Dr. A K Manojkumar M D(Ay) Clinical Yoga Research Institute Ayurveda College, Kottakkal

2. Depression Incidence more in women(twice) Chances of episodes increases with age Risk of serious depression increases in later years of life Affects children also

3. Depression…. Loss of energy and interest Feelings of guilt Difficulty in concentration Loss of appetite Thoughts of death or suicide

4. Vishada

5. Satvavajaya Chikitsa Promotes satva by means of Jnana, Vijnana, Dhee, Smrti and Samadhi Diminishes Rajas and Thamas State of moksha Yoga is the tool

6. Yogic approach Chitta vikshepa Disease (vyādhi) Disability of mind (styāna) Lack of confidence(samsaya) Error (pramāda) Laziness (ālasya) Attachment (avirathi) Infatuation (bhrānti darsana) Unable to achieve the goal (ālabdabhoomika) Feeling of non attainment (anavastitatva).

7. Vikshepa induces… Misery(dukha) Depression(dourmanasya) Movement of organs (Angamejayatva) Defective respiration(Svasaprasvasa)

8. Remedial measures-Patanjali Meditation-Focusing mind in a single thought Rehabilitation- Mythri,Karuna,Mudita,Upeksha Pranayama-improves vitality and gain control over mind (PYS 1/32-34)

9. Subjects * Selected as per DSM IV No. Of Patients MaleFemaleAge (Mean SD) 2014638±12

10. Treatment schedule 7.00-8.30 am- Asanas 8.30-10.00am -Break fast 10.00-11.30am -Group counseling/theory classes *Positive thoughts *Managing psychological problems *Happiness analysis *What is stress? *How to manage stress? *What is personality? *What is yoga? *Explore self-healing power *Good food promotes health

11. Treatment Schedule …….. 11.30-12.30pm -Pranayama 12.30-2.30 pm -Lunch break 2.30 -3.30 pm -Activities (Karma yoga) 3.30 -4.30 pm -Meditation 4.30 -5.30 pm- Entertainments Vamanadhouthi- 7 th day Diet-vegetarian

12. Assessment criteria Zungs’self-rating scale Hamilton rating scale for depression

13. Results ScalesBTATSD±SEt value Level of significance Zung’s Self Rating Depression Scale 0.650.450.150.036.1P<0.001 Hamilton Rating Scale For Depression 19.94.98.831.987.6P<0.001

14. Discussion Individual management necessary for Major Depressive Disorder. Initial hesitation in involving sessions. Changes in sleep pattern. Concern about future. Length of camp. Categorical evaluation not done. This reciprocal support enhanced confidence Yoga helped to relax externally and purge out the compressed emotions.

15. Conclusion Clinical Yoga techniques were proved to be effective in improving the quality of life in depressive patients.

16. Thanks