Stories, signs to notice and what to do
The Restless Night Shift
Arjun, twenty-eight, worked in a software support centre in Bengaluru. His shifts changed every week. He ate when he could, usually cold snacks and strong tea, and slept in broken pieces. His mind raced, his hands felt cold, his skin was dry, and he worried about small things. At night he lay awake with a swarm of thoughts.
His grandmother, visiting from Kerala, looked at him and said gently that he seemed 'all air, no ground'. In the language of Ayurveda, the traditional Indian system of health, this is called excess Vata, linked with air and space: movement, dryness, irregularity and restlessness. She did not claim to treat him. She simply asked him to eat warm, simple meals at fixed times, keep a regular bedtime, oil massage his feet, and walk slowly each evening.
Arjun was sceptical, but he tried. He also did something else: at his sister's urging, he went to a doctor. Blood tests and a conversation showed that he had no thyroid or other physical illness, but the doctor said his anxiety and sleep loss needed attention, and suggested a counsellor and sleep habits.
Within a month, with a steadier routine, warm food, a short breathing practice and counselling, his nights improved. 'The old ideas gave me a way to see my lifestyle,' he said, 'and the doctor made sure I wasn't missing something real.'
How to recognise it
- Racing thoughts, worry and difficulty settling, especially at night.
- Irregular sleep, meals and routine, often with too much travel or screen time.
- Feeling cold, dry or light-headed, and being easily startled or tired.
- Symptoms worsen when routine is broken and ease with regular, warm, grounding habits.
- Problems lasting weeks and affecting work, health or relationships.
What this story explains
The chapter shows how the elements of air and space are used in Indian tradition to describe an unsettled, over-active state (excess Vata), and how routine and grounding are lifestyle supports. These sit alongside, never instead of, medical care.
Probable root causes
- Irregular sleep, shift work and skipped or cold, dry meals.
- Stress, overstimulation and heavy screen use.
- Anxiety, which can run in families.
- Possible physical causes such as thyroid problems, anaemia or too much caffeine.
What to do
- Fix a regular time for waking, eating and sleeping as far as work allows.
- Eat warm, simple, freshly cooked meals and cut down on very strong tea or coffee.
- Add a gentle grounding routine such as a slow walk, a warm bath or slow breathing.
- Reduce screens late at night.
- See a doctor to rule out physical causes, and ask about counselling if worry continues.
Whom to consult
- Family doctor first for a check-up and blood tests if tiredness, palpitations or weight change are present.
- Psychiatrist or clinical psychologist if anxiety or insomnia lasts more than a few weeks.
- A qualified Ayurvedic practitioner only as an addition, with your doctor informed of everything you take.
- Emergency services or nearest hospital if there are thoughts of self-harm.
Do and don’t
|
Do |
Don’t |
|---|---|
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Do keep regular meal and sleep times. |
Don't stop any prescribed medicine on your own. |
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Do inform your doctor about any herbal remedy you use. |
Don't use tradition to delay a medical check. |
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Do practise slow breathing for a few minutes. |
Don't rely on caffeine to cope. |
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Do treat tradition as support, not a cure. |
Don't label yourself with a 'type' as a final truth. |
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Do ask for help early. |
Don't buy remedies from unqualified sellers. |
How to behave and communicate
- Be curious, not dismissive: 'Tell me what your days look like. That might explain a lot.'
- Say 'I respect what you believe, and I would like a doctor to check as well.'
- Listen without correcting the person's words for their experience.
- Offer to walk or cook with them rather than give orders.
- Praise small steady habits.
The Manager Who Burned Hot
Seema Rao ran a busy finance team in Mumbai. She was sharp and respected, but lately every small delay made her snap. Her chest felt hot, her face flushed, and she woke at 3 a.m. replaying meetings. She ate spicy takeaway lunches at her desk and skipped breaks. At home she shouted at her teenage son for leaving his shoes out, then lay awake feeling ashamed.
Her aunt, who followed Ayurveda, said Seema had 'too much Agni', fire, the element of heat, sharpness, digestion and drive. Used well, fire is energy and clarity. In excess it becomes irritability, impatience and burnout. The aunt suggested cooling habits: less spicy food, regular meals, time near water, a gentle evening walk, and quiet time before sleep.
Seema laughed, but she tried it. She also noticed her anger had grown beyond a bad week. When her team member quietly said, 'We are afraid to bring you bad news,' she decided to see a counsellor. The counsellor taught her to notice anger rising in her body, take a pause before replying, and look at the workload she was carrying. A doctor checked her blood pressure and sleep.
The change was slow. She learned that her fire was useful, but needed a hearth, not a wildfire. She started to apologise to her son, and to leave on time twice a week.
How to recognise it
- Frequent irritability, impatience or sharp words that others begin to avoid.
- Feeling physically hot, flushed or tense, with acidity or poor digestion.
- Perfectionism and workaholic habits, with no real breaks.
- Waking at night with racing, critical thoughts.
- Regret after outbursts and strain on family and workplace relationships.
What this story explains
The chapter describes fire as the element of heat, drive and transformation, and excess Pitta as anger, intensity and burnout. The story shows cooling lifestyle habits together with counselling and medical review.
Probable root causes
- Chronic overwork, deadlines and pressure to perform.
- Skipped meals, very spicy food and heavy caffeine.
- Poor sleep and no recovery time.
- Unprocessed anger, perfectionism or learned habits of reacting with force.
What to do
- Notice early signs of anger: heat, tight jaw, fast breathing.
- Pause for a slow breath or a short walk before responding.
- Eat regular meals and take real breaks away from the desk.
- Reduce very spicy food and excess caffeine, especially in the evening.
- Seek counselling to look at workload and anger patterns, and have blood pressure and sleep checked.
Whom to consult
- Family doctor for blood pressure, acidity and sleep problems.
- Counsellor or clinical psychologist for anger management and burnout.
- Psychiatrist if anger is extreme, there is violence, or mood has changed greatly.
- Qualified Ayurvedic practitioner only as an addition, with your doctor informed.
Do and don’t
|
Do |
Don’t |
|---|---|
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Do take a pause before responding when angry. |
Don't use shouting as a management style. |
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Do apologise sincerely afterwards. |
Don't skip meals to save time. |
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Do keep regular meals and sleep. |
Don't use alcohol to cool down. |
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Do exercise or walk in the cool of the day. |
Don't expect tradition alone to fix burnout. |
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Do talk to a professional if anger frightens you or others. |
Don't blame others for every outburst. |
How to behave and communicate
- Take a pause with words: 'I need five minutes to think before I answer.'
- Own your part: 'I was sharp earlier, and that was not fair to you.'
- Listen to feedback without defending yourself.
- If you are supporting someone like this, say 'I want to understand what is weighing on you.'
- Use a low, slow voice and short sentences when tension is high.
Heavy as a Monsoon Cloud
After her husband died, Kamala Devi, sixty-two, lived with her son's family in a village near Madurai. Months passed and she moved less and less. She slept long, ate sweet foods for comfort, felt heavy in body and mind, and said little. 'I am just tired,' she would say. Her daughter-in-law, Lakshmi, worried.
Her son's friend, an Ayurvedic practitioner, visited and said her state sounded like a Kapha pattern: earth and water, which bring stability and calm in balance, but in excess give heaviness, dullness and clinging. He suggested light, warm food, waking early, and daily movement such as a morning walk and simple stretches. Lakshmi started taking her out, first to the temple courtyard and then to the market.
But Lakshmi also noticed that Kamala no longer enjoyed her grandchildren, cried when alone, and spoke once about not wanting to be a burden. This was more than a sluggish season. She took her mother-in-law to the family doctor, who spoke about grief and depression, did tests to rule out physical causes like thyroid problems, and arranged a visit with a psychiatrist.
With medical care, talking support, the morning walks and the company of other widows at the temple, Kamala began to lift. 'The walks gave me the strength to go to the doctor,' she said. 'And the doctor made sure the heaviness was treated properly.'
How to recognise it
- Long sleep, slow movement, low energy and weight gain over weeks or months.
- Clinging to the past, difficulty letting go of grief or old routines.
- Loss of interest in people and activities, with little motivation to start anything.
- Comfort eating and heavy, sweet food as a way of coping.
- Hopeless words or feeling like a burden, which signal more than heaviness.
What this story explains
Earth and water in the chapter are linked with stability and also with heaviness and clinging when in excess (Kapha). Lifestyle movement helps, but persistent low mood needs proper medical and psychological care.
Probable root causes
- Grief and bereavement, and loss of daily roles.
- Low physical activity and isolation.
- Depression, thyroid problems or other physical conditions that cause tiredness.
- Social changes in older age, such as widowhood and dependency.
What to do
- Start with small movement every day: a walk, gentle stretches or household tasks.
- Keep regular, lighter meals and wake at the same time daily.
- Invite the person into company, such as temple, neighbours, grandchildren, and community groups.
- Listen to grief without hurrying it.
- See a doctor if low mood lasts two weeks or more or if hopeless words appear.
Whom to consult
- Family doctor for a full check including thyroid and other blood tests.
- Psychiatrist or clinical psychologist for depression and grief that does not ease.
- Grief counsellor or a trusted elder or spiritual guide for companionship.
- Emergency services or nearest hospital if the person speaks of ending their life.
Do and don’t
|
Do |
Don’t |
|---|---|
|
Do walk with them rather than telling them to go. |
Don't say 'get over it'. |
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Do allow time for tears and stories of the person lost. |
Don't leave them alone for long hours. |
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Do keep a daily routine. |
Don't treat constant sleepiness as only laziness. |
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Do ask directly about hopeless thoughts. |
Don't push heavy sweets as comfort. |
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Do combine tradition with medical care. |
Don't rely on remedies alone for deep sadness. |
How to behave and communicate
- Use a soft voice: 'I miss him too. Tell me about him.'
- Ask clearly: 'Have you felt that life is not worth living?'
- Sit beside them in silence if words do not come.
- Avoid advice, and give attention first.
- Say 'You are not a burden to us.'
This book is for education and general awareness. It does not replace diagnosis or treatment by a qualified professional. If anyone is in danger, contact your local emergency services.