DISCUSS THE PRESENT CONDITION OF

COVID 19 PANDEMIC SITUATION AFFECTED

ON MENTAL STATUS
MANASA CIKITSA
CHMC – 42123

LEVEL IV SEMESTER II
MID SEMESTER EXAMINATION
S.MAYURAN
GWAI – 2014 – 021
INTRODUCTION

The World Health Organisation (WHO) has declared the coronavirus a

worldwide 2019 (COVID-19) a pandemic . a world coordinated effort is
required to prevent the more Contagious of the virus. an outbreak is outlined as
“occurring over a large geographical area associated moving an exceptionally
high proportion of the population.” The last pandemic reported within the world
was the H1N1 respiratory disorder pandemic in 2009.

On 31 st December 2019, a cluster of cases of respiratory disease of unknown

cause, within the town of city, Hubei province in China, was reported to the
globe Health Organisation. In January 2020, a Before unknown new virus was
identified, after named the 2019 novel coronavirus, and samples obtained from
cases and analysis of the virus’ biological science indicated that this was the
explanation for the occurrence. This novel coronavirus was named Coronavirus
illness 2019 (COVID-19) by United Nations agency in february 2020. The virus
is named as SARS-CoV-2 and also the associated sickness is COVID-19.

The uncertainty about the duration of the pandemic, limitations in health care
resources, physical distancing measures, financial looses unemployment & loss
of earnings, could lead to emotional distress and psychological manifestations.
The psychological sequelae of the COVID-19 pandemic are still emerging. A
systematic review published this year, shows that there is an increased
prevalence of depressive and anxiety symptoms, post- traumatic stress
symptoms and psychological stress in the general population.

More psychological distress was shown to be associated with the female gender,
younger individuals, presence of chronic physical/mental illnesses,
unemployment, student status & high exposure to news concerning the
pandemic. Associated emotional frustration could lead to unhealthy ways of
coping such as substance use and non – compliance with public safety
measures.
How do manasika bhavas affect Ahara pachana
The base of a prakrut Rasa dhatu formation is prakrut condition of Rasa
Dhatvagni, Ahara Rasa, Jatharagni and Vidhivat ahara sevan in a
retrospective view. Hence, the core hetu of Aaartavavaha srotasa dushti
points towards discrepancy in Ahar ashana vidhi, Asamyaka pachan,
Agnimandya and Ajirna, all of which have Manasika factors included. A great
importance to manasika bhavas while consuming food is described by our
Acharyas at various places. Acharya Charaka had quoted the effect of
consuming Ahara with ishtaVarna,Gandha , Rasa, Sparsha and Vidhi vihita
anna. He says that such ahara imbibes Urja(Strength) to Manas. In
Chikitsa sthana. , prime importance is given to Mano-anukoolata (well-being
of manas) and its positive effects are mentioned .Acharya Charaka had
emphasized on vitality of Manasika bhavas over all other factors, in the
causation of Ajirna in Vimanasthana in which it is mentioned that even though
one consumes food which is in an adequate quantity and which is
pathyakara , it does not get digested if the hetus like Chinta, Shoka,
Bhaya ,Krodha are associated. A very clear explanation about relation
between manasika dushti and its effects on Ahara pachana is given by
Acharya Sushruta too. He has quoted that the food consumed with a manas
flooded with Irshya, Bhaya, Krodha, or with manas inflicted by lobha,
ruja(pain), misery or with a manas flooded with dwesha bhavana ; such
food does not undergo Samyak Pachana due to Agnimandya and leads to
Ajirna,[18] a preliminary stage of Amotpatti and subsequent vyadhis. This
highlights the effects of manasika avastha in poshana of both sharir and
manas. Thus, Manasika vrittis have a striking impact on Ahara pachana
and have a major role in forming a vicious cycle of jatharagnimandya
,Ajirna, Ahara rasadushti, Aama utpatti, Rasa dhatvagni mandya, Rasa dushti
and ultimately Aartava-vahasrotasa dushti. Such a condition lays a
foundation for Sharir vyadhis as well as manasika vyadhis in females.
Amongst school going adolescent girls and working women consuming food
under work pressure, peer pressure, work stress is found, due to which bhavnas
such food does not undergo Samyak Pachana due to Agnimandya and leads
to Ajirna,a preliminary stage of Amotpatti and subsequent vyadhis. This
highlights the effects of manasika avastha in poshana of both sharir and
manas. Thus, Manasika vrittis have a striking impact on Ahara pachana
and have a major role in forming a vicious cycle of jatharagnimandya
,Ajirna, Ahara rasadushti, Aama utpatti, Rasa dhatvagni mandya, Rasa dushti
and ultimately Aartava-vahasrotasa dushti. Such a condition lays a
foundation for Sharir vyadhis as well as manasika vyadhis in females.
Amongst school going adolescent girls and working women consuming food
under work pressure, peer pressure, work stress is found, due to which bhavnas
like Bhaya, Krodha, Dwesha, Irshya are expressed frequently and inevitably

Covid 19 & mental health

The COVID-19 pandemic and therefore the resulting economic recession have
negatively affected several individual’s mental state and created new barriers
for people already affected by mental disease and substance use disorders.
Throughout the pandemic, regarding four in ten adults within the world. have
reportable symptoms of tension or emotional disturbance, a share that has been
mostly consistent, up from one in 10 adults WHO tells these symptoms from
reported to June 2019. Health chase poll from July 2020 additionally found that
several adults are complaining specific negative impacts on their mental state
and well-being, like problem sleeping (36%) or Food intake (32%), will
increase in alcohol consumption or substance use (12%), and worsening chronic
conditions (12%), because of worry and stress over the coronavirus. Due to
pandemic wears on, in progress and necessary public health measures expose
Lots of individuals to experiencing things connected to poor mental state
outcomes, like isolation and job loss.
Young adults have Felled variety of pandemic-related consequences, like
closures of universities and loss of financial gain, that will contribute to poor
psychological state. throughout the pandemic, a bigger than average share of
young adults (ages 18-24) report symptoms of tension and/or emotional
disorder. Compared to any or all adults, young adults are a lot of possible to
report substance use (25% vs. 13%) and self-destructive thoughts (26% vs.
11%). before the pandemic, young adults were already at high risk of poor
psychological state and substance use disorder, although several didn't receive
treatment.
This brief explores mental health and substance use during, and prior to, the
COVID-19 pandemic. It focuses on populations that were particularly at risk for
experiencing negative mental health or substance abuse consequences during
the pandemic, including young adults, people experiencing job loss, parents and
children, communities of colour, and essential workers.
Many essential employees still face variety of challenges, as well as larger risk
of acquiring the coronavirus than different employees. Compared to
nonessential employees, essential employees are a lot of seemingly to report
symptoms of tension or emotional disturbance , beginning or increasing
substance use , and dangerous thoughts throughout the pandemic.
Both those new experiencing mental state or abuse disorders and people already
diagnosed before the pandemic might need mental state and substance use
services however might face extra barriers attributable to the pandemic.
COVID-19 pandemic has had a significant impact on our lives. several people
face challenges which will be stressful, overwhelming, and cause strong
emotions in adults and youngsters. Public health actions, like social distancing,
are necessary To decrease the Contagious of COVID-19, however they will
build And feel isolated and lonely and may increase stress and anxiety.
Learning to deal with stress during a healthy manner can cause you to, the
individuals you care regarding, and people around you become a lot of resilient.

Group who are under the critical mental situation

 Children
 Teens
 Elders
 Health care workers
 Day workers
 Final year students in universities

Stress will cause the following:

 Feelings of concern, anger, sadness, worry, numbness, or frustration

 Changes in appetence, energy, desires, and interests
 Difficulty concentrating and creating choices
 Difficulty sleeping or nightmares
 Physical reactions, like headaches, body pains, abdomen issues, and skin
rashes
 Worsening of chronic health issues
 Worsening of psychological state conditions
 Increased use of tobacco, alcohol, and different substances
 It is natural to feel stress, anxiety, grief, and worry throughout the
COVID-19 pandemic. Below area unit ways in which you'll facilitate
yourself, others, and your community manage stress.
Prevalence of mental ilness during the covid 19 pandemic

During the COVID-19 pandemic, concerns about mental health has grown,
including concerns about suicidal ideation. In January 2021, 41% of adults
reported symptoms of anxiety and/or depressive disorder , a share that has been
largely stable since spring 2020. In a survey from June 2020, 13% of adults
reported new or increased substance use due to coronavirus-related stress, and
11% of adults reported thoughts of suicide in the past 30 days. Suicide rates
have long been on the rise and may worsen due to the pandemic. Early 2020
data show that drug overdose deaths were particularly pronounced from March
to May 2020, coinciding with the start of pandemic-related lockdowns.

As was the case prior to the pandemic, adults in poor general health (which may
reflect both physical and mental health) continue to report higher rates of
anxiety and/or depression than adults in good general health.1,2 For people with
chronic illness in particular, the already high likelihood of having a concurrent
mental health disorder may be exacerbated by their vulnerability to severe
illness from COVID-19. Recently, a study also found that 18% of individuals
(including people with and without a past psychiatric diagnosis) who received a
COVID-19 diagnosis were later diagnosed with a mental health disorder, such
as anxiety or mood disorders. Older adults are also more vulnerable to severe
illness from coronavirus and have experienced increased levels of anxiety and
depression during the pandemic.

Mental distress during the pandemic is occurring against a backdrop of high

rates of mental illness and substance use that existed prior to the current crisis.
Prior to the pandemic, one in ten adults reported symptoms of anxiety and/or
depressive disorder. Nearly one in five U.S. adults (47 million) reported having
any mental illness. In 2018, over 48,000 Americans died by suicide,3 and on
average across 2017 and 2018, nearly eleven million adults reported having
serious thoughts of suicide in the past year. Additionally, deaths due to drug
overdose were four times higher in 2018 than in 1999, driven by the opioid
crisis.
There are a variety of ways the pandemic has likely affected mental health,
particularly with widespread social isolation resulting from necessary safety
measures. A broad body of research links social isolation and loneliness to both
poor mental and physical health. The widespread experience of loneliness
became a public health concern even before the pandemic, given its association
with reduced lifespan and greater risk of both mental and physical illnesses. A
KFF Health Tracking Poll conducted in late March 2020, shortly after many
stay-at-home orders were issued, found those sheltering-in-place were more
likely to report negative mental health effects resulting from worry or stress
related to coronavirus compared to those not sheltering-in-place.

Some prior epidemics have induced general stress and led to new mental health
and substance use issues. As the COVID-19 pandemic continues, different
populations are at increased risk to experience poor mental health and may face
challenges accessing needed care.

Symptoms related to mental illness due to covid 19 pandemic

 Feeling sad or down

 Confused thinking or reduced ability to concentrate
 Excessive fears or worries, or extreme feelings of guilt
 Extreme mood changes of highs and lows
 Withdrawal from friends and activities
 Significant tiredness, low energy or problems sleeping
 Detachment from reality (delusions), paranoia or hallucinations
 Inability to cope with daily problems or stress
 Trouble understanding and relating to situations and to people
 Problems with alcohol or drug use
 Major changes in eating habits
 Sex drive changes
 Excessive anger, hostility or violence
 Suicidal thinking
Mental illness due to the covid 19 pandemic
 Unmada
 Apasmara
 Apatanaka,
 Apatantraka
 Atatwabhinivesa
 Madatyaya
 Sanyasa (coma)
 Schizophrenia

Disorders / illness which can lead mental disturbance due to Covid

pandemic
 Cardiovascular disease
 Insomnia
 Diabetes
 Skin disease like psoriasis
 Migraine
 Premenstrual syndrome
 Ulcers
 Atisara
 Immune defect disease
 Hypertension
 Digestive disorder
 Eczema
 Treatment related to mental disturbance due to covid 19 pandemic

General principles of management

1. Yukti vyapashraya
- Antah parimarjana – Shodhana & Shamana
- Bahi parimarjana – Murdhi Thaila
- Shastra pranidhana

2. Daiva vyapashraya
Mainly practices of yoga, Mantra, Aushadha, Mani, Mangala, Bali,
Upahara, Homa, Niyama, Prayascitta, Upavasa, Svastyayana, Pranipata,
Yatragamana

3. Satvavajaya
- Trivarga Anveshsna – Contemplation of the three objectives of life.
(Dharma, Artha & Kama)
- Tadvidyaseva - Service of those who are well versed in the
treatment of mental diseases.
- Atmajnana - Self-realization.

A. PREVENTIVE ASPECTS
 Tyagaha pragnaparadhasvha
 Indriyopashamana
 Sadvritta palana

B. CURATIVE ASPECTS
 Dravya bhūta chikitsa – Shodhana & Shamana Chikitsa
 Adrvya bhūta chikitsa – Bandhana, tadana & tamograha pravesha
etc.