Anxiety is not easy to deal with, especially when the topic is such a taboo. As per the latest data which is available on the World Health Organization (WHO) from 2017, it was estimated that almost 38 million Indians suffer form anxiety. The National Mental Health Survey (NHMS) is the last comprehensive Mental Health Assessment conducted in India in 2015-16. It estimated that around 40 million people in India suffer from anxiety-related disorders. While SSRI or Selective Serotonin Reuptake Inhibitors are available to treat anxiety, some may refrain from it and try to look for alternative. But can anxiety ways really help manage anxiety? Anxiety can also induce insomnia, it could also come often in the form of nightmares, making it worse to cope with. So, is there really any alternative?According to Dr Savitha HP, professor and head of department Manasaroga, at Shri Dharmasthal Manjunatheshwara College of Ayurveda and Hospital, "Anxiety and insomnia are the common medical conditions widespread globally leading to decline in physical and mental health affecting quality of life. Ayurveda, ancient Indian system of holistic healing offers time tested remedies for life which is the integration of four pillars namely, Sharira (body), Indriya (senses), Satva (mind), and Atma (soul)."How Does Ayurveda Explain It?Anxiety and sleeplessness often stem from an imbalance among the four key pillars of health, triggered by the aggravation of Vata dosha and disturbances in the mind’s Rajas and Tamas gunas. According to Ayurveda, quality sleep—along with a proper diet and balanced lifestyle—is essential for maintaining overall health and longevity. Ayurvedic remedies help calm the overactive nervous system by reducing sympathetic overdrive, balancing neurotransmitter activity, and enhancing parasympathetic response, thereby encouraging relaxation and restful sleep.What Can Be Done?Dr Savitha explains, Dinacharya (daily regime) and Ratricharya (night regime) are vital in maintaining body’s natural rhythms. These regimes stabilize the circadian cycle including sleep-wake patten which is directly related to regulation of melatonin and cortisol. "Practices such as consuming warm and light meals, drinking medicated milk, performing foot massage, practicing mudras and engaging in calming meditation poses reduce stress levels and naturally promote melatonin secretion which supports emotional well-being and facilitates restful sleep."Another concept is of Ritucharya or seasonal regimens, which align the body routines with seasonal changes and help the body to adapt to seasonal shifts. Available TherapiesDoctor also explains that Panchakarma therapies like Shirodhara (continuous stream of medicated oil poured over forehead), Abhyanga (oil massage), and Shiro-pichu (application of oil-soaked cotton on head) deeply relax the nervous system through the transdermal activity of selected medicines. Speaking on the benefits, the doctor say, "Shirodhara is beneficial to modulate the hypothalamic-pituitary-adrenal (HPA) axis, reduce cortisol levels, and enhance dopamine and serotonin activity. This process is helpful in maintaining emotional stability and undisturbed sleep." Common herbs such as Ashwagandha, Brahmi, Jatamansi, Shaavari, Mandukaparni, Guduchi, Yashtimadhu and Shankhapushpi act as adaptogens and nootropics. These herbs protect neurons, regulate stress hormones thereby reducing anxiety and enhancing higher brain functions like memory, attention and concentration. Doctor also explains that Satvavajaya Chikitsa, or Ayurvedic psychotherapy, targets the psychological roots of anxiety and insomnia. Through practices such as self-inquiry, emotional regulation, mantra chanting, and counseling, it helps reframe negative thinking, calm the mind, and promote emotional stability. Complementing this is Daivavyapashraya Chikitsa, which uses spiritual practices and faith-based healing to foster inner peace through connection and surrender."By healing the nervous system, regulating brain function, and aligning the body (Sharira), mind (Manas), and soul (Atma), it offers a natural and sustainable path to overcoming anxiety and insomnia."Note: The views and practices mentioned in this article are based on inputs from qualified professionals and practitioners. They are intended for informational purposes only and should not be considered as medical advice.