ayurveda practice

Member Spotlight: Anjali Deva, CAP

We are delighted to highlight NAMA members who presented TED-style talks at our first-ever VEDAtalks session at NAMA’s 2022 Annual Conference in Tucson, Arizona last April. Our community comes from all walks of life and we hope that you will find inspiration and encouragement as they share their stories and experiences. Learn more about the VEDAtalks session here →

Anjali will also be a panelist at NAMA’s 3rd Annual Ayurveda Day Summit in October — don’t miss it!

Anjali Deva, CAP is an Ayurvedic practitioner currently residing in Los Angeles. Her private practice, Rooted Rasa, specializes in an integrative and trauma-informed approach to Ayurveda. Anjali founded Mādhya Way, a school for Ayurveda. She is dedicated to sharing the Wisdom of Ayurveda for the benefit of all living beings.

What type of NAMA member are you?
I'm a NAMA AP [Professional] member.

How long have you been a NAMA member?
Since 2013

Where are you based?
Los Angeles, CA

Can you say a few words about why you are a NAMA member?
I'm a NAMA member because I believe in the power of community for progressing our professional field.

Learn more about Anjali’s Ayurvedic journey in the video below.

 
 
 

Teaching the Full Wealth of Ayurveda in the Modern Western World

by Nidhi Pandya, CAP

“I consume ashwagandha, thus I practice Ayurveda.”

“I follow Ayurveda. I have taken a dosha quiz online.”

“I like what Ayurveda has to offer, but I find it very restrictive and daunting.” 

I have lost count of the number of times I have heard such statements. Given its vast scope and accessibility, it’s surprising how completely misunderstood and underutilized Ayurveda is here in the West. To put it into perspective, 36 million Americans practice or have tried yoga and 65 million have explored Traditional Chinese Medicine, while only 250,000 Americans have dabbled in Ayurveda. Given the potential that Ayurveda holds, this number boggles my mind.

Upon investigation and introspection, I found that Ayurveda is often presented in a very dogmatic and counterintuitive form. How did a health preserving and nurturing science that was meant to be intuitive, get so far removed from its original intent? This question led me to look back into my own childhood. My grandfather, being an Ayurvedic healer in Mumbai, introduced me to Ayurveda when I was still a baby. As a result, I was taught this natural healing science like one learns a first language, effortlessly through immersion. This approach eventually brought me to an epiphany: Ayurveda needs to be passed on as a science, not with a list of practices or prescriptions. Rather, it should be passed on as a complete set of principles that can be applied to all aspects of one’s life.  

As a practitioner in the West, carrying my lineage from the East, I feel responsible for passing on this wisdom in a way that communicates its true potential so more people can benefit from its richness. Together, we can present Ayurveda in its true light and preserve its original teachings, albeit in the modern world. The first part of this article deals with the challenges of the current presentation of Ayurveda by putting us in the shoes of the modern Ayurvedic enthusiast. The second part offers some tried and tested ideas that practitioners can put into practice to empower their clients and give them a more intuitive understanding of Ayurveda.

Challenge #1: You need to know your dosha to practice Ayurveda

The Challenge

Most people stumble on Ayurveda because it respects bio-individuality. And while a dosha quiz makes people feel understood, it can quickly become a trap. The body is a very complex machine that is changing all the time. It is impossible for any quiz to cover all aspects of a human body and at the same time be able to consider its dynamism. People are often frustrated as different quizzes may yield different doshic results. Additionally, putting ourselves into a box can be confusing as we may experience different symptoms at any given time. This often leads to doubt and frustration and even shying away from Ayurveda altogether. 

The Solution

While taking a dosha quiz can be entertaining and give someone an idea of his or her dosha, the results should not be considered a definitive analysis. However, the experience can empower people to tune into their own body to understand symptoms. Presenting them with a chart of 20 gunas, or pairs of opposite qualities (for example, wet and dry, hot and cold), and exploring their symptoms on the basis of their gunas, has often worked well with my clients. Additionally, dividing all symptoms into three categories—building or nourishing (K), transforming or heating (P), and drying or depleting (V)—can be very useful in getting a sense of one’s own body. As intuitive understanding is achieved, one can extend that understanding to everything in his or her universe. This is more empowering than surrendering to a quiz that one cannot fully comprehend.

 

Challenge #2: You have to eat Indian foods to practice Ayurveda

The Challenge

While Ayurveda has its roots in India, it is a truly universal science based on simple principles of the planet—of Mother Nature. When people feel they are limited to spicing their food with turmeric or eating khichdi every day, they find Ayurveda extremely restrictive and are less likely to practice it and pass it on. Additionally, certain Indian spices and foods can be very pungent for some. I often say that an Indian spice such as turmeric, when consumed with the wrong understanding, can become non-Ayurvedic, whereas a Western spice used with the right principles can become Ayurvedic.

The Solution

As practitioners, we have a duty to communicate the principles on which and how substances are used in Ayurveda. Substances are not used for their absolute benefits as measured in laboratories. They are used on the principle of Dravya (Substance), Guna (Properties) and Karma (Action). Each substance is understood for its potency, its properties, and thus its actions. It can then be determined if the herb or food should be used alone or in combination to create the desired outcome. Ayurveda provides the tools, or pramanas, so that new substances can be studied through this lens and their application can be understood in the modern world. The misuse of Ayurvedic substances has caused a backlash and thus slowed down the growth of Ayurveda globally.

 

Challenge #3: Ayurveda is not backed by science

The Challenge

In the world of rationalization and research, people are likely to label Ayurveda as unscientific. We ascribe so much power to only those things that can be comprehended through the five senses that we tend to discard explanations that require us to look beyond our usual way of perceiving as gibberish.

The Solution

One needs to be reminded of the innate power and instinct we all possess. Some of the most complex processes of life are intuitive. For example, when a baby is born, he or she instantly knows how to suckle. Even the process of intercourse, which leads to the creation of an entire organism, is almost free of intellect and cannot be replicated in a laboratory with cells even if one tries. I also often point at the accuracy of the scriptures to prove their merit. A verse in the Sharira Sthana, states that a woman is most likely to conceive on Dwadash Nisha, the twelfth night after her period. How did the sages know this information long before the West even understood ovulation? It is important to convey that this knowledge was procured through inner wisdom that was a result of deep meditation and total detachment from the sensory world.

 

Challenge #4: Ayurveda is popularized as a treatment modality

The Challenge

People often come to Ayurveda in their quest for an alternative healing method when the mainstream medical system has yielded no results. They are prescribed herbs and a diet they may follow blindly and see some results without knowing how these treatments work. While this approach to Ayurveda may help them in the short term, it does not offer the potential to transform their way of living. Ayurveda clearly states that eliminating the cause of the disease is more important than merely treating it.

The Solution

Seldom do people have an awareness or understanding that Ayurveda is an all-encompassing science and a source of profound wisdom that lends perspective to every aspect of life and our lived experience. It is not only a treatment modality, but also a body of knowledge that really teaches us how to live well, nurture and sustain well-being, and prevent disease. For example, the second chapter of Ashtanga Hridayam talks about sadvrutta, or good conduct. Similarly, the Uttar Sthan goes into details of caring for a newborn. There are no questions regarding human life that Ayurveda cannot answer. By offering clients simple Ayurvedic principles to follow, we can empower them to change their everyday life for the better. Some principles I offer in my practice are listed at the end of this article.

 

Challenge #5: Ayurveda is ancient

The Challenge

If Ayurveda dates back 5,000 years, why should it be relevant today? A lot of people dismiss Ayurveda as an outdated system, one that may have held merit in the past but is obsolete today.

The Solution

Just as physics is the science of matter and chemistry is the science of chemicals, Ayurveda is the science of life. The laws of physics don’t change, but their applications do. Similarly, since Ayurveda is based on the study of the human body and its connection with the universe, the principles of Ayurveda will remain relevant for as long as the Earth orbits the sun. I have found that instead of backing up the merits of Ayurveda using modern-day research, which can be easily refuted, it has been more rewarding to explain the Ayurvedic perspective by going back to how it originated, with a deep understanding of the macro-cosmos and micro-cosmos.

 

Challenge #6: Ayurvedic terms lose their meanings when translated

The Challenge

I have found this issue to be a real challenge. Sanskrit is a rich language, and the nomenclature encodes what a substance means. Very often, the message and depth are lost in translation.

The Solution

I find it very useful to use analogies and metaphors to convey the right meaning. For example, the word for oil is sneha, which also means “love.” Translating the name of the substance used for abhyanga as “oil” misses that point. Therefore, it is important for us as practitioners to familiarize ourselves with the basics of Sanskrit terminology so we can convey its deeper meaning to our clients. I have found that people connect more deeply with their practices when they understand their true essence.

 

Simple Principles & Tools

I would now like to offer some simple principles and tools that as practitioners we can use to educate our clients, teaching them how to bring sustainable Ayurveda into their lives or the lives of their clients. 

Following the Circadian Rhythm

I have found this to be the easiest way to communicate the ideal design for the day. We are diurnal mammals, and just as all mammals function according to their relationship with the sun, so should we. Our body is designed to rise with the sun and go to sleep when it sets on most days, except during really cold winters. Additionally, as the sun is just coming up in the morning and the earth remains wet from dew, our agni and biological systems are mirroring these phenomena. We can honor this synchronicity by kick-starting our system with some vyayam or exercise and a warm breakfast. As the sun peaks in the sky, our agni and ability to concentrate and focus also reach their zenith, making the afternoon pitta kala the best time for a big meal and intellectually stimulating work. All phases of the day can be explained by encouraging the client to look at the clock of the universe. 

Human Beings Are Warm Blooded

Human beings are warm-blooded creatures with a normal body temperature of 98.7℉, and our body likes to stay in that zone. At the same time, our body is constantly processing and transforming what we take in, whether it be food or information. Just as all transformation in the universe requires warmth, so does our human body, by way of endothermic and exothermic reactions. This analogy makes a great case for avoiding cold foods and keeping warm all that we consume.  

The Gunas Chart

Encouraging clients to pin up a chart with the 20 gunas to refer to consistently will be greatly beneficial. I encourage my clients to go back to the chart every time they are experiencing a symptom and to try to see where it falls on the chart. I also encourage them to bring their attention to the opposite guna to understand what they need to do or what they may need to avoid.

The above are simple and non-overwhelming ways to bring Ayurveda into one’s life. If we can make this science more accessible to people in a comprehensible manner, I am certain that it can be established as a health system that takes people away from the fear of disease and gives them the freedom that comes from being well.


About the Author

Nidhi Pandya, CAP, is a third generation Ayurvedic practitioner. She has a strong foundation in the ancient Ayurvedic texts. She is a core part of the faculty at the US based Shakti School and been a speaker at various organizations, including Google and The Chopra Center.

National Ayurvedic Medical Association 2021 Annual Conference Report

NAMA conference

by Baba Lou Haber

The 17th Annual Conference of the National Ayurvedic Medical Association (NAMA) brought together online 45 experts whose presentations centered on Ayurveda as evidenced-based and integrative medicine. The conference demonstrated how practitioners are harnessing scientific research to validate classical Ayurvedic approaches, growing expertise in disciplines of emerging importance such as microbiome research and genomics, and building bridges with Western medicine.

Integrative Medicine Defined

Among the first presenters was Victoria Maizes, MD, executive director and professor of medicine at the University of Arizona Andrew Weil Center for Integrative Medicine. Maizes offered a definition of integrative medicine as “healing-oriented medicine that takes account of the whole person, including all aspects of lifestyle” and “emphasizes the therapeutic relationship between practitioner and patient, is informed by evidence, and makes use of all appropriate therapies.”

An internationally recognized leader in integrative medicine, Maizes began with an alarming statistic from JAMA: Even though 70% of deaths in the United States are due to behavioral and environmental factors, only 1%–3% of healthcare dollars are spent on disease prevention, compared to 97%–99% spent on medical care and biomedical research. She emphasized how “something is missing from our healthcare systems, and we believe that we can do a better job taking care of our patients through integrative medicine.”

Innovative Integrative Approaches

That spirit of advancing a better way to improve healthcare and foster wellness was abundantly evident throughout the NAMA conference. Presentation topics included evidenced-based approaches to healing leaky-gut syndrome (in which an unhealthy gut lining allows undigested food and toxins to leak into the bloodstream); innovative therapies to address gastrointestinal tumors; Ayurvedic approaches to mitochondrial diseases and disorders (which occur when mitochondria fail to produce sufficient energy for the body to properly function); and Ayurvedic prevention and treatment of gynecological disorders.

Among the presenters on yoga were Susan Bass, AP- and AYT-NAMA, E-RYT 500, C-IAYT, a certified Ayurvedic practitioner and Ayurvedic yoga therapist who founded the Sarasvati Institute of Ayurveda & Yoga Therapy and the Sarasvati Mission. “Ayurveda excels at digestion and detoxification, so it is about improving the quality of blood,” noted Bass. “That’s why Ayurveda and yoga are exponentially more effective when practiced together, because who cares if you have the blood moving around the body when it is of poor quality and does not nourish the cells and the organs?”

Bass led two sessions. The first examined the beneficial role of yoga in reducing stress and improving mental health. In her second presentation, Bass brought together asana, pranayama, mudra (gestures), and marma (vital body junction points) therapy to address vishama agni (irregular/weak metabolism), the type of digestive imbalance caused by excess vata (air/wind).

A Deeper Understanding of “Evidence”

Bhushan Patwardhan, PhD, national research professor at the Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, provided an overview of Ayurveda as an evidenced-based science. He emphasized that Ayurveda and yoga require a different approach to research and a fresh look at what constitutes evidence, given that they have an entirely different framework than Western medicine.

According to Patwardhan, the integration of Ayurveda and modern medicine will entail an “epistemological transformation process” in which Ayurveda as a holistic, experiential, and natural approach will need to be more fully appreciated and understood by medical practitioners and the medical research community.

A New Paradigm to Foster and Sustain Health and Wellness

In her presentation “Biodiversity Is Health; Biodiversity Is Sustainability,” Vandana Shiva, PhD, likewise emphasized the critical importance of a paradigm shift—one to a more holistic understanding of health that includes our interconnectedness with all species and the entire planet.

“The paradigm we have today is one that doesn’t work with whole systems,” said Shiva, a researcher and eco-feminist food-sovereignty activist who founded the Research Foundation for Science, Technology, and Ecology in Dehradun, India. In contrast, Shiva noted, Ayurveda teaches us that health is about balance. “The body is not little fragments and parts; the body is a non-separable whole interacting non-separably with the world and the biodiversity around us,” she said.

Shiva ended her talk with a call to action. “If there is one thing we can take forward from ecology, from biodiversity, from Ayurveda, it is our interconnectedness,” she said. “We are one, and we can be interconnected through health and regeneration, or through disease and degeneration. [E]ach of us should cultivate the will and determination and the hope that the regeneration part is what we will evolve.”

A Look at COVID-19

NAMA additionally offered a post conference event providing perspectives from conventional medicine and Ayurveda on COVID-19. The presentation, by Dhaval Dhru, MD, and Mimi Guarneri, MD, included a survey of preliminary research looking at promising results of both integrative and Ayurvedic treatments of the virus.

Throughout the conference, NAMA encouraged attendee donations to help the people of India during the country’s COVID-19 crisis through such organizations as Sewa International USA (www.sewausa.org).

Mark Your Calendars

Planning is already underway for NAMA’s next annual conference. The 2022 gathering will be a special event where participants will hopefully again meet in person. The theme of the conference, to be held in Tucson, Arizona, April 22–24, is “Ayurveda for Family Health.”

 

Originally published in Yoga Therapy Today, a publication of the International Association of Yoga Therapists (www.iayt.org). Shared with permission.


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About the Author

Baba Lou Haber has written for CBS News, served as a communications executive for several companies and public agencies, and is a Cicero Award–winning speechwriter. He is currently studying to be an Ayurvedic Health Counselor. Baba Lou also serves as a member of NAMA’s Communications Committee.

Integrating Ayurveda and Allopathic Medicine: An Interview with Charles Elder, MD, MPH

Internist, researcher, noted author, and NAMA member Dr. Charles Elder has expertise in both conventional and complementary medicine. He recently spoke with Baba Lou Haber, a member of the NAMA Communications Committee, to offer insights on how NAMA members can work collaboratively with allopathic practitioners. Read their conversation below.

Baba Lou Haber: Let’s start with how you became interested in Ayurveda.

Dr. Charles Elder: My journey actually began when I was admitted to medical school right out of high school. I was accepted to Boston University’s combined BA/MD program. I was only 17 and new to Boston, having been raised in northeast Ohio. To relieve the stress of it all I started a meditation practice at the greater Boston Transcendental Meditation Center and began practicing yoga as well. So I went through medical training meditating the whole time, which shaped my thinking. For example, if there was a patient suffering from anxiety for whom we were prescribing Valium, it struck me as bizarre that we were not suggesting meditation to help him.

I did my residency in Internal Medicine at the University of Michigan, where I met my wife, Leslie, who was also a resident. She also had a meditation practice and already had some interest in Ayurveda. Together we went on a weekend meditation retreat where one of the speakers was Dr. Hari Sharma, who is an outstanding scientist. He gave a talk describing the antioxidant and antineoplastic properties of some of the traditional Ayurvedic formulas that he was studying in his lab. I found the whole thing mindboggling.

Baba Lou Haber: What a gift to have discovered Ayurveda at the beginning of your medical career! How were you able to integrate it into your practice?

Dr. Charles Elder: When we finished our residencies 30 years ago, Leslie and I moved to Portland, Oregon. I started working as a primary care doctor at Kaiser Permanente, where I still am. For the first 10 years or so I was just working hard being an internist, and it was a busy time. My wife and I had to balance career and family, as well as pay off student loans. But we also made time to take short courses in Ayurveda for physicians offered by Maharishi University, and we incorporated what we learned into our own lives.

About six or eight years into my job, I started getting frustrated because I had patients coming in with problems such as chronic pain, functional bowel disorder, anxiety, depression – problems where allopathic medicine can be weak. I knew I had all these tools in these areas, but could not use them, which was problematic. Eventually I wrote a proposal and got permission from Kaiser Permanente to do some innovative Ayurvedic consultations with patients who had these conditions. I detailed what I was going to offer and the metrics that would measure outcomes. The reviews after working with about a dozen patients were so positive that the pilot initiative ended up getting expanded to a Kaiser Permanente referral-based clinic, where I have since been doing integrative Ayurvedic consultations.

Baba Lou Haber: How have you continued to spread the word about Ayurveda beyond your clinic in Portland?

Dr. Charles Elder: In 2000 I did a part-time sabbatical at the Kaiser Permanente Center for Health Research, where there was a group of researchers interested in integrative medicine. That opened the door for me to begin research at the Center focused on how complementary medicine can improve mainstream medical care.

And in 2017 I took a second sabbatical during which Leslie and I wrote a book entitled Picture of Health to help people incorporate Ayurveda into their lifestyles. We use it as a manual for people who come to our clinic, and it also is designed to be a guide that people in conventional medicine can digest and assimilate.

Baba Lou Haber: Your story speaks to the importance of collaboration between Ayurvedic and allopathic practitioners.

Dr. Charles Elder: The potential for collaboration is enormous, and we need to make the most of it through relationship building around areas of mutual interest. There is so much common ground and so many things we can talk about in Ayurveda.

Take, for example, functional bowel disorders. Allopathic doctors in general are not great with what we call irritable bowel syndrome because it is abdominal pain and digestive complaints that we cannot explain. In so many words, that is the description and diagnosis. But the area of digestive disorders is one in which Ayurveda is very rich, and people can make a lot of progress seeing a NAMACB board certified practitioner. There are gastroenterologists out there who would love to have a competent, trustworthy person that could help these patients with diet and lifestyle.

Chronic pain is another example where Ayurveda can help patients make a lot of progress. Many times, not always, but many times, mind-body techniques, diet, daily routine, exercise, and yoga can a make huge difference in alleviating chronic pain.

There are many other areas – for example, high blood pressure, high cholesterol, depression, and menopausal disorders – where allopathic doctors need help and there is space for dialogue. So identifying and building relationships in those areas through dialogue can be extremely powerful.  

Baba Lou Haber: From my personal experience, not every doctor in conventional medicine is open to a conversation about Ayurveda. Are you being overly optimistic?

Dr. Charles Elder: Keep in mind that, in large part, training for allopathic doctors is focused on procedures and drugs, and their knowledge in other areas may be limited. Some doctors are more evolved and open to a conversation than others.

Remember also that different doctors will have sensitivities about different things. So you don’t want to jump right in talking about bastis and vamana, which are for a later discussion. And when you start prescribing herbs, be a little sensitive to where some doctors are coming from, because some have misconceptions. I would not necessarily talk about herbal supplements on a “first date.” As for me, I feel that if someone is getting herbs from a trained and certified practitioner, I don’t worry about it. On the other hand, if a patient just grabbed them off the shelf, I may be more concerned.

Baba Lou Haber: And what would you say to an Ayurvedic practitioner or student who looks with skepticism at for-profit companies within the healthcare industry?

Dr. Charles Elder: Let’s focus on people. I honestly believe that 99.9999 percent of healthcare practitioners want the patient to get better. With the well-being of the patient at the center of the discussion, everyone can get on the same page.

Baba Lou Haber: Tactically speaking, what is the best way for an Ayurvedic doctor to build bridges with allopathic doctors?

Dr. Charles Elder: That is a great question. How do you reach out to people? Get out there and network – that would be my approach. I think giving public talks is a good idea. Also, advertising in medical publications in a very targeted way. And if you can get into integrative medicine circles, good. Find institutions in your area that can serve as meeting grounds for people on both sides. Here in Portland, for example, there is a big integrative medicine community in which people can reach out if they are looking to collaborate. And there are a number of medical schools that have fellowship and research programs that may provide networking opportunities.

Of course, it is important to develop relationships with the right people. A lot of that can be personal chemistry. The good news is that, from what I see, the allopathic community is much more open these days than it used to be. The wisdom and science behind Ayurveda is so powerful – doctors are seeing that and taking notice.


 

About the Author

Charles R. Elder MD, MPH, FACP, received his MD and MPH degrees from Boston University School of Medicine and completed residency training in internal medicine at the University of Michigan hospitals. He has served as a primary care internist at Kaiser Permanente Northwest (KPNW) for 30 years and has been the physician lead for the complementary and integrative medicine program at KPNW for 20 years. In this capacity, Dr. Elder offers a referral-based integrative Ayurvedic clinic, advising patients in the areas of diet, exercise, herbal medicine, mind-body practices, and other complementary medicine modalities. Dr. Elder holds a Senior Investigator appointment at the Kaiser Permanente Center for Health Research, where he has served as principal or co-investigator on a range of federally funded studies evaluating mind-body and other complementary medicine interventions in the setting of chronic disease management. Dr. Elder has an adjunct faculty appointment at Maharishi International University, where he serves as a course instructor for the online MS in Ayurveda program.

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Baba Lou Haber is the chair of the NAMA Articles and Interviews Subcommittee. He has written for CBS News, served as an executive in the communications functions for several companies and public agencies, and is a Cicero Award-winning speechwriter. A certified yoga instructor (RYT 200), he is currently studying to be an Ayurvedic Health Counselor. Baba Lou is a graduate of Swarthmore College and Brooklyn Law School.

Why I Plan to Take the NAMACB Board Certification Exam

By Laura Klover

You might think that as a near straight-A student in college, I would be okay with the idea of taking a national certification exam. College, however, was many, many moons ago. Given that it has been such a long time since my last big exam, it stands to reason that as my Ayurvedic Health Counselor (AHC) program comes to a close and the prospect of taking the National Ayurvedic Medical Association Certification Board (NAMACB) exam looms, I am filled with trepidation.

The Importance of the Exam

To me, taking the AHC exam will be the culmination of my formal studies and a rite of passage. Not taking the exam would be like studying law and not taking the bar exam, or studying accounting and not taking the CPA exam. Taking the NAMACB exam marks a major milestone in my studies, an accomplishment in and of itself. Successful completion of the exam will provide proof that all my hard work and efforts have paid off.

 Ayurvedic medicine as a wellness profession is still emerging in the U.S. Passing the exam demonstrates to the public that I am an Ayurvedic professional who has attained a standardized amount of knowledge. NAMACB certification also assures clients of my proficiency in the services that I offer. Besides, when and if licensing comes to my state, I will have my NAMACB credential to support my state license application.

 Since I want to practice as an Ayurvedic professional, I believe it is important to support my profession, demonstrate my commitment to it, and participate in its self-regulation. NAMACB certification is one way I plan to provide such support. Credentialing processes in any profession or discipline foster credibility and elevate the profession. For the practitioner, credentials demonstrate attainment of peer-developed competency standards.

Passing my exam will allow me to use the NAMACB “CAHC” (Certified Ayurvedic Health Counselor) mark,  and will convey my credibility as a practitioner to my clients. As a NAMA Professional Member, my status as a CAHC will also enable potential clients to find me and verify my credentials via the “Find an Ayurvedic Professional” search on the NAMA website.

Passing my exam will allow me to use the NAMACB “CAHC” (Certified Ayurvedic Health Counselor) mark, and will convey my credibility as a practitioner to my clients.
— Laura Klover

Exam Preparation

Fortunately, the NAMACB provides potential exam candidates with some extremely helpful exam reference guides and practice questions. These resources are thorough to be sure, but I admit that I find them a little daunting in their breadth and depth. Then, there is the Sanskrit in the study materials. I am torn between utter respect for this sacred language and awareness of my lack of proficiency in it. Sighing, I return to my notes.

How will I know when I am ready to take the exam? Everyone is different; as for me, I will give myself a time limit in which to study and then force myself to take the test, treating it much like a final exam in college. Better to get it over and done with and the sooner, the better, while everything is still fresh in my mind.  

Time to get my exam scheduled! The NAMACB provides step-by-step directions on how to apply for the test and get a transcript approved and where and how to schedule your exam (online or on site). Click here for all this information and to schedule your exam!

One day soon, I plan to practice as a Certified Ayurvedic Health Counselor, and the path to this goal is through the national exam. If you are a student of Ayurveda graduating soon, or you graduated a while ago but have not yet taken the exam, won’t you join me?


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About the Author

Laura Klover is an Ayurvedic Yoga Specialist, registered yoga and meditation teacher, and a member of the NAMA Student Subcommittee. She loves building ojas by hiking with her man and her dog in the Kansas City heartland. Website: www.yogaprime.com; Instagram: @livingyogaprime.

Through the Ether: Moving the Study and Practice of Ayurveda Online

By Jennifer Kurdyla

“And may I see your tongue?” After several years of peering at my own tongue in the mirror every morning, and a week of looking at my classmates’ tongues during an AHC module at school, I was still nervous asking my first client to open her mouth for this integral part of our intake session. What made it even stranger, though, were the cues I had to give to actually be able to see her tongue: “Can you tilt your chin down a little, open wider, and say ‘aaaaah’? There, stop, now just hold it there!” The consultation was taking place over Zoom, and despite the clarity of our video connection, peering into the dark recesses of someone’s mouth probably wasn’t top of mind when laptop cameras were developed. 

Practically overnight, the slightly nerve-wracking, totally rewarding, experience of working with clients one-on-one got a whole lot more complicated—and Ayurveda programs like mine couldn’t have had the foresight to prep my class of budding health counselors in the art of online consults. Word of the spread of COVID-19 in the United States had just started to pepper news headlines during the aforementioned training module at the end of February 2020, and while hand sanitizer and Clorox wipes were in plentiful supply (along with coughs and sneezes and mucus, for that matter) in the center where my class gathered to study for ten days, no one was prepared for what would unfold in a matter of weeks. The global pandemic continues to create devastating losses, including closing the doors of many Ayurvedic schools, yoga centers, and other places of wellness around the world where Ayurveda is practiced.  

For me as a student of Ayurveda, the loss was manifold. My program, which I deliberately chose over others for the in-person learning environment, was put on indefinite pause, preventing me and my classmates from making dough bastis together in the kitchen, conducting our daily morning sadhana in the clear mountain air, and attending our graduation ceremony where we’d be together with friends and family, hug freely, and drink chai. Still, we were able to finish the program virtually and had a lovely and moving close to complete this transformative experience. Our dean and teachers sent us off with a missive that felt both scary and imperative: to embody Ayurveda even when it felt impossible in our uncertain world and to keep this healing art alive in a time where it was needed more than ever. 

And indeed, here we are. Ayurveda is persisting, thriving even, in virtual classrooms, consulting rooms, personal and professional calls, kitchens and dorms and hospitals all over the world. This should come as no surprise, really—throughout its long history of this medical system, Ayurveda has been threatened by many forces, and yet it has always found its way back into the light. The principles of adaptation, presence, and integrity at the core of its teachings are what keep Ayurveda alive in the face of all of these obstacles. They’re also what we, as students and practitioners, can return to as inspiration to help us adapt our work to the current times and the needs of our clients.

As a new AHC, I am myself surprised by how the seeming obstacle of working online has turned into an asset. My program’s cohort is able to have regular Zoom sessions to not only keep in touch with each other, but also “talk shop” about what we’re seeing in our practices clinically and brainstorm ideas for our individual offerings. Rather than being restricted by geography (which for me includes a fair amount of competition, since I live in a wellness-heavy city), I’m able to work with people in different time zones and countries one-on-one and in group settings. I’ve had to rethink my business strategy overall, but knowing that I can take and teach Ayurveda wherever I am has freed up the idea of where I call home, allowing me to live Ayurveda with more authenticity. As such, I can see how the way I teach, write, and create offerings is much more innovative and responsive to the needs of the moment, rather than a reaction to the “marketplace” or an attempt to keep up with my peers on social media. I feel that I’m planting seeds in more resilient and adaptable soil, and that I’ll be able to harvest good fruit from them for my clients and students for a long time.

Whether you see the current situation as a glass half empty or half full, Ayurveda asks us to see the situation clearly for what it is. In making decisions that support our ability to study and practice while sustaining our basic needs, there’s no wrong way we can go. Rather than resorting to worrisome extremes—I’ll never be able to take someone’s pulse again, or I’ll never be able to graduate now!—we can all practice taking the middle path and surrendering to the truth of our new world as it changes breath by breath. The macrocosm may be reflected in our microcosm, but the way we tend to our microcosms will ultimately reflect in the macrocosm with equal potency. By choosing to view the online Ayurveda universe through eyes of hope, compassion, and opportunity—whether we share the practices through our own self-care or helping others—we can take a mighty step forward in generating those qualities in the world at large. 


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About the Author

Jennifer Kurdyla is an Ayurvedic Health Counselor, yoga teacher, and writer. She is the co-author of the forthcoming cookbook, Root & Nourish: An Herbal Cookbook for Women's Wellness (Tiller Press, April 2021), and lives in Brooklyn, New York. Website: benourished.me | Instagram: @jenniferkurdyla

Dr. Anu is Helping to Grow and Expand Global Awareness of Ayurveda

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One of the foremost leaders in the field of Ayurveda, Dr. Anu is helping to grow and expand global awareness of Ayurveda. I sat down with her in February to discuss her inspiring travels around the world.

In October 2019 Dr. Anu traveled to China for the World Traditional Medicine Forum. Here is a brief description of her time there.

I was honored to receive an invitation to participate in the Shanghai Forum for World Traditional Medicine as a representative from the field of Ayurveda. Experts from Germany, Japan, Thailand, the USA, China, Australia, Malaysia, and Sri Lanka, along with three international organizations, were there to discuss the latest developments in traditional medicine and international standardization of traditional complementary medicine in their home countries and their region of the world. During the last part of the trip, I had the opportunity to visit a few temples in Shanghai. These experiences made my time in China very special.

 What did you find most interesting about the forum?

[I was very amazed ] by the progress of  traditional medicine in other countries. It was interesting to learn how these traditional healing arts are practiced in some of these countries and how they have been integrated into the main healthcare system. I was proud to represent Ayurveda at this conference. We are also at the forefront of this resurgence of traditional medicine. Ayurveda is one of the oldest  medical systems in the world and a fully developed approach to healthcare in India, and it has been growing globally over the past few decades. 

What were your takeaways from the forum?

Understanding how other systems of medicine, like Chinese Medicine, have gained acceptance worldwide helps me envision how Ayurveda can achieve the same. The biggest difference with Chinese Medicine is that Chinese scientists have been successful in promoting its practice with evidence-based research, while Ayurveda is still in the process of doing so. We need to conduct more pharmacoepidemiological studies documenting the safety and effectiveness of Ayurvedic  medicine. Different systems of medicine can learn how to progress and grow from each other. 

You have also traveled to Japan; can you tell me about that?

Since few years, I have been travelling to Japan to give a talk at Japan school of Ayurveda and this time I also got the invitation to give a lecture organized by Tokyo University, and Nihon Pharmaceuticals university. While I was there, I also taught an introduction to Ayurveda at a yoga center. Ayurveda is gaining popularity in Japan. Its educational aspect is the primary focus of interest in that country. Over the last 10–20 years, a few clinics in other healthcare modalities have introduced Ayurvedic approaches to wellness. It is very interesting to see that few Ayurvedic research studies were also conducted there. Since aging populations are a major concern in Japan, medical providers there are more interested in the practical application of Ayurvedic strategies for preventing disease and optimizing health.

Can you tell me about your participation in the World Health Organization’s benchmark development meeting?

 It was a great honor to be part of the World Health Organization meeting on benchmarking documents for the practice of Ayurveda, Panchakarma, and Unani. There were 53 members from different countries who participated in this meeting. I truly enjoyed working with this team, and I am so proud to see the growth of Ayurveda globally! 

The WHO is currently taking an active role in developing global training, practice, and educational standards for Ayurveda, and I was glad to be able to represent the U.S. in discussions toward that end.

To what do you attribute the current surge in interest in establishing global standards for Ayurveda? 

The Indian Government is putting a lot of effort into the development and growth of Ayurveda worldwide. In India, AYSUH is collaborating with the WHO to establish consistently rigorous standards for Ayurveda practice and education globally. I believe that we are on the right path, though it may take some time to develop and implement these standards. Once our profession is firmly grounded in standards that ensure the safety, quality, and effectiveness of our services, Ayurveda will gain increased acceptance and respect around the world . 

What are your goals for the future of Ayurveda?

My dream is to see Ayurveda as a mainstream practice in U.S. Though this may take time, we need to start doing groundwork for this. I believe that this ancient medicine has so much value. It is a time-tested medicine practiced for thousands of years. Recent studies in modern medicine indicate the importance  of diet, sleep, and exercise for health promotion and disease management, a concept that emerged thousands of years ago in Ayurveda. Ayurveda is a complete science, but it is not yet very well known to the world, so we have to educate others about this profound healing science of life—Ayurveda. 

Do you have any advice for new practitioners?

It can be overwhelming when you are starting out, because of the need to master the specific language, terminology, and extensive knowledge base of Ayurveda. In the U.S. the number of educational hours required for graduation from Ayurvedic programs is increasing, and this is very important and good for the students. Do not give up; have commitment to and a passion for learning Ayurveda. Practice in a genuine way, without relying on shortcuts. Our profession is growing with more and more  clients seeking care from Ayurvedic professionals. Protect the profession while practicing and teaching. Strict ethical standards need to be followed. Understand your limitations and the scope of your practice, pursue continuing education, and read the classical texts. I also feel that we need to learn to speak in a shared language that makes Ayurveda understandable to everyone. Ayurveda is a patient-centered, customized approach to healthcare for individuals and families, as well as an all-encompassing way of life. The unique value of Ayurveda lies in consciousness-based practices that nurture health in body, mind, and spirit and that promote balance in every aspect of our life. A balanced and peaceful state of mind is a key aspect of well-being. Ayurveda has taught me to value community, family, relationships, love, compassion, and peace. Its lessons inform my belief that we must all join hands with each other because our future depends on a community that stays together. A strong, united community will guide the mission, vision, and growth of Ayurveda. 

Your work is currently receiving international recognition. Which awards have meant the most to you?

I am extremely honored and humbled to have received the Sheikh Zayed International Award for Ayurveda in Abu Dhabi. This award bears the name of late Sheikh Zayed bin Sultan Al Nahyan, the founder of the United Arab Emirates (UAE) and a visionary statesman who dedicated his life to laying a solid foundation for a progressive society that benefits everyone. The award aims to create, recognize, and reward excellence in traditional, complementary, and alternative medicine. 

The APHA ICTHP service award for outstanding leadership, service, and dedication to integrative complementary and traditional health practices also means a great deal to me.

 Another award that I cherish came from the SoCaL Kerala Ladies: the 2020 Surya Prabha Women Achievers Award for outstanding contribution in the field of Ayurvedic medicine.

I dedicate all these awards to my family, teachers, friends, students, and the Almighty. These honors make me more determined than ever to dedicate my life to Ayurveda. Ayurveda has been practiced for thousands of years. As the adoption of this powerful healing system continues to spread around the globe, the ancient science of Ayurveda now promises to become one of the most valuable contributions to the future of modern healthcare. 

Anupama (Anu) Kizhakkeveettil, BAMS (Ayurveda), MAOM, L.Ac., CMT, C-IAYT, Ph.D.

Dr. Anupama (Anu) Kizhakkeveettil is an Ayurvedic Practitioner, licensed acupuncturist, and certified yoga teacher. She is a professor and Program Director of Ayurvedic Medicine at Southern California University of Health Sciences. She serves as Board Director for National Ayurvedic Medical Association and California Association of Ayurvedic Medicine. She also serves as president of Athreya Herbs.


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About Author

Anjali Deva, AP

Anjali Deva is an Ayurvedic practitioner, writer & teacher in Los Angeles. Her private practice Rooted Rasa specializes in understanding anxiety, depression, PTSD, digestive disorders and women’s health. Anjali has been greatly fortunate to have been introduced to Ayurveda at a young age by her father and mentor Arun Deva. 

Ayurveda for Corporate America

By Vish Chatterji, BS Engineering, MBA, RYT

I spent 20 years climbing the corporate ladder, encountering increasingly mind-numbing stress. I relied on yoga and Ayurveda to keep me sane and balanced. When I finally called it quits, I decided to pay it forward and help my former colleagues do the same. After completing certification in executive coaching, Ayurveda, meditation, jyotish, and yoga, I emerged as an East-meets-West executive coach.

I have recently observed a wave of Human Resource departments trying to tackle the stresses and pressures of corporate life. Wellness coaches, meditation trainers, and yoga teachers are now showing up in corporate settings, and I believe Ayurveda is next. 

Corporate leaders have long loved categorization tools such as Myers-Briggs and DISC profiles and are forever trying to understand how different team members work and how to improve working relationships. Nothing, however, compares to the elegance and sophistication of the doshas. In a tense meeting, you can clearly see them at work. Vatas get anxious and think it’s their fault, while pittas get furious and start blaming everybody and kaphasget withdrawn. And inevitably the pitta yells at the kapha—“Why aren’t you saying anything?!”

I have been using Ayurveda for the past three years to help executives improve self-awareness, team spirit, and emotional health, and they readily gravitate to it. They appreciate the simple logic, connect it to daily examples at work, and relate it to their often long-standing health imbalances. From diet to appropriate scheduling (e.g., endurance tasks during kaphatime, negotiations during pitta time, and creative tasks during vatatime) to abhyanga, meditation, and pranayama, these simple “hacks” have markedly improved the performance and mental health of my clients.

I have shared many of my insights of Vedic wisdom for the corporate world in my upcoming book The Business Casual Yogi, where I hope you will find inspiration to share your knowledge in this underserved market. 

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ABOUT THE AUTHOR

Vish Chatterji, BS Engineering, MBA, RYT, NAMA member, is an accomplished business leader turned executive coach, author, and speaker. He takes an East-meets-West approach to integratingVedic wisdom into his coaching services. He is a publicly elected Board Director of the Beach Cities Health District and author of the upcoming book The Business Casual Yogi.

The Value of the NAMACB Certification Board Exam 

By Paula A. Witt-Enderby, Ph.D., CAHC
 
When new graduates think about preparing for the National Ayurvedic Medical Association Certification Board (NAMACB) exam, they probably become nervous as I was when I was getting ready for mine. We dread studying. We have doubts about our mastery of the subject matter. We wonder why we’re doing this.   
 
It’s perfectly normal to feel this way. When nearing the end of my health counselor training in May 2017 at the Kripalu School of Ayurveda, I wondered if I was prepared enough to pass the boards. I wasn’t sure when I should take the boards—I didn’t want to take them before I had studied sufficiently, but I also didn’t want to wait too long for fear that I would have trouble recalling all that I learned during my training.  
 
Nevertheless, I took the boards soon after graduating because I recognized their importance. The NAMACB boards play a critical role in standardizing training from the different schools of Ayurveda, lending credibility to our field, and ensuring that each of us emerges from our respective training programs as a truly competent Ayurvedic professional. 
 
From everything I now know after a year and a half in practice, I can say without a doubt that preparing for and taking the boards has given me confidence in my counseling skills and lent credibility to my services as a certified Ayurvedic health counselor. I proudly display my NAMACB-recognized Ayurvedic health counselor insignia on my business cards, on my website, and in any informational brochures or presentations that accompany my workshops.  
 
Getting ready for the boards by reviewing the study guides prepared by NAMACB and posted on its website helped me untangle many of the complexities of our field: I gained a clearer understanding of how to place the philosophy and history of Ayurveda in the proper context, what the 25 principles of samkhyaare and how they form the entire basis of Ayurveda, and how to differentiate between interrelated yet distinct Ayurvedic concepts such as the following:

  1. The goals of Ayurveda (maintain the health of the healthy and cure the sick) 

  2. The three pillars of Ayurveda (diet [ahara], lifestyle [vihara], and herbs [auśadha]) 

  3. The three pillars of health (diet [ahara], sleep [nidra], and energy conservation [bramacharya]) 

  4. Ayus(body, mind, senses, soul) 

  5. The three causes of disease (misuse of the senses [asatmyendriyartha samyoga], crime of the intellect [prajnaparadha], and temporal factors [parinama])  

 
The study guides helped not only clarify the six schools of philosophy and their main principles—areas that I had trouble synthesizing during my training—but also deepened my understanding of the characteristics and symptoms associated with amaand low ojasby dosha(vata, pitta, kapha) and by system (digestive, musculoskeletal, nervous, general) as they relate to imbalances in the mind and body.  
 
Equally important, studying these guides helped realize what I didn’t know, sending me back to my class notes, training handbooks, or Dr. Lad’s textbooks to fill the gaps in my knowledge. The preparation process also forced me to memorize all the relevant details about herbs—their Sanskrit name, classification by genus and species, indications, contraindications, qualities, etc.  
 
As a professor for 23 years in a pharmacy school and coming from a discipline where testing, certification, and licensure are routine steps to a successful career as a healthcare professional, I want to reassure every examinee that the high quality of our Ayurvedic training ensures that we gain the competence required  to complete  a similar path to professional credibility.  
 
No doubt your training was as rigorous as mine and your teachers, like mine, did a brilliant job of infusing your training with the essence of Ayurveda as it was conceived in classic texts and passed down  in words, mantras, songs, and writing exercises and presented you with enough case scenarios from their diverse backgrounds and broad and deep experience to enable you to not only pass the boards but also achieve excellence as Ayurvedic professionals. 
 
We were led to Ayurveda for a reason. We are lucky to have been given this ancient wisdom. May we all trust in ourselves as our teachers and the Ayurvedic community trust in us!


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About the Author

Dr. Paula Witt-Enderby, Ph.D., CAHC is a Professor of Pharmacology and Toxicology, NIH-funded melatonin research scientist and Board Certified Ayurvedic Health Counselor. She blends Western and Eastern medicine into her research on bone and breast cancer.

How Applying Ayurvedic Therapeutic Practices in Working with Addiction

By Jessica Ferrol, AD, MHC, CYT, PKS

The Centers for Disease Control and Prevention estimates that at least 72,000 Americans died from drug overdoses in 2017. This number does not include people who died from conditions related to alcohol or cigarettes. The same source asserts that 480,000 Americans die each year from smoking-related illness alone. The National Institute on Alcohol Abuse and Alcoholism estimates that 88,000 die from alcohol- related conditions. It is not known how many Americans suffer from some form of addiction, but these statistics reveal a frightening reality.

Addiction is a disease without a specific cure. Treatment involves managed care. Substance abuse ranks as a leading cause of sickness and death, and addiction itself is now recognized as a chronic disease that causes long-term changes in neuronal activity patterns.

Most addictive substances cause the brain to release hormones that elicit a feeling of pleasure and, at high doses, euphoria. Addiction occurs when an individual has abused a substance or substances to the point that the brain loses the capacity to naturally generate pleasure hormones, leaving the individual to rely on one or more substances to achieve a feeling of normalcy. In fact, nothing about an addicted brain is normal.

Āyurveda, as a holistic healthcare system, provides a complete maintenance approach to supporting sobriety with daily self-care practices and routines that promote physical rejuvenation and mental well-being and restore a normal physical state over time. Āyurvedic theory states that all humans naturally experience kama (“the desire for pleasure”) and that this longing and the wish to avoid pain are basic survival instincts shared by all organisms. Āyurveda also asserts that the attachment to pleasure and the avoidance of pain can lead to disease if pursued at any cost. Addiction is a case in point: The addict will sacrifice nearly everything to feel a high. In the deepest throes of addiction, the addict will sustain a dangerous lifestyle simply to find a feeling of normalcy.

The Āyurvedic practitioner may use the conceptual theory of the five sheaths as a foundation for treatment of addiction. The theoretical understanding of the five sheaths provides a map of how to access body (annamaya kosha), breath (pranamaya kosha), mind (manomaya kosha), intelligence (vijnamaya kosha) and consciousness (anandamaya kosha) as well a way to understand how these parts are connected or can become disconnected.   

Addiction is a disease that takes residence in the body, breath, and mind sheaths and creates a disconnect from the intelligence and consciousness sheaths. Disconnection from intelligence results in an inability to discern reality from illusion, causing the mind to become flooded by irrational, obsessive thoughts. These negatively affect the movement of breath and create a state of hyperarousal (“heightened anxiety, fear, or anger and increased sensitivity to stimuli”) or hypoarousal (a feeling of depression, lethargy, or paralysis) in the physical body.

The addict hopes to achieve a feeling of normalcy by using a drug. In fact, the drug is dangerous, and it works against this end. When the short-term effect of the drug goes away, the addicted mind is once again overwhelmed with irrational, obsessive thoughts. It is in a physically worsened condition, and the cycle of substance abuse begins again. Addicts might instead employ Āyurvedic practices, which may bring stability to the mind and return the body to a well-regulated state.  Over time, these practices may re-establish access to innate intelligence. Connection to innate intelligence is crucial to relapse prevention. 

Proper diet, adequate sleep, and a healthy sensory environment will help minimize cravings. A safe environment is essential in order to deny access to substances that can be abused. Herbs will support the body in detoxifying while also sedating the nervous system. The overall goal is to guide clients to re-inhabit their body, to return home. By cultivating awareness and sensory connection to the physical body, the addicted client ignites activity in the root chakra and circulates a feeling of safety and stability through the mind. This in turn sets the stage for cellular repair to heal the body.

Restoration of the breath involves recovery of the natural, instinctual breath through meditative practices. Life events that are stored as implicit memory affect the natural depth of inhalation and the natural length of exhalation. Recovery of full inhale and full exhale through gentle breathing exercises creates a state of equilibrium in the parasympathetic and sympathetic nervous systems, generating an overall feeling of regulation in the mind and body.

The practitioner must guide the addicted client to the sensation of body through yoga asanas or meditative practices. This will slow the thought process and calm the mind. Trauma often accompanies addiction. Āyurvedic practitioners should be careful not to trigger the client while navigating the terrain of the mind. It might, therefore, be helpful to support this process with one-on-one therapy as well as group therapy, guided by trained mental health counselors.

The following is a method of healing that works with body, breath, and mind: 

Come into a comfortable position that feels supportive for your spine. Feel yourself intentionally withdraw your awareness from the outer environment into the inner terrain. Drop into the body through the breath. Track the movement of breath by feeling the air draw deeply into the nostrils, and follow it to the very end of the exhale. As the body drinks in the air, notice the physical feeling of needs being met. Invite the emotional heart to take in what it needs with the movement of incoming breath. Notice how your body responds to the words “I have all I need in this moment.”  Then, turn your awareness to the sensation of letting go that is present in every exhale. Invite the emotional heart to release that which it no longer needs with the movement of outgoing breath. Notice how the body responds to the words “I belong.”  Make a note of how your body feels at this moment. As you slowly turn your awareness back toward outer environment, stay in contact with inner body sensation. See if you can maintain awareness of inner sensation while you engage with the world around you.


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ABOUT THE AUTHOR

Jessica Ferrol, AD, MHC, CYT, PKS is an Ayurvedic Doctor, Holistic Mental Health Counselor, Herbalist and Certified Yoga Teacher.  She incorporates Ayurvedic practices and psychosomatic therapy in her private practice and an addiction treatment facility.  The purpose of her work is to rekindle the connection to one’s inner source of wisdom.