Background
Emotional factors play a significant role in the causation, aggravation, and prognosis of various physical illnesses. Ayurveda emphasizes the importance of the physician's wisdom, experience, and therapeutic approach in achieving successful treatment outcomes. The BATHE (Background, Affect, Trouble, Handling, and Empathy) counselling technique is a brief psychotherapeutic intervention that can be integrated into routine clinical practice to address emotional distress and improve patient care.
Objective
To evaluate the therapeutic effect of the BATHE counselling technique as an adjunct to Ayurvedic treatment in patients presenting with emotional co-morbidity associated with Vicharchika.
Materials and Methods
A clinical trial was conducted involving 30 patients aged between 15 and 60 years who exhibited signs and symptoms of Vicharchika, including kandu (itching), pidaka (eruptions), syava or aruna (discoloration/redness), and lasikasrava (oozing). Participants were divided into two groups. Group A received Panchatikthaka Kashayam, Triphaladi Kwatha Kshalanam, Sudhadooradi Keram, and BATHE counselling. Group B received the same Ayurvedic treatment without BATHE counselling. The study duration was four weeks. Clinical assessment was based on changes in the severity of the symptoms.
Results
The incorporation of BATHE counselling alongside conventional Ayurvedic management enhanced the doctor–patient relationship and helped patients feel more connected, competent, and emotionally supported. Patients demonstrated a more positive attitude toward managing their health-related problems.
Conclusion
BATHE counselling is an effective supportive intervention in Ayurvedic clinical practice. By addressing emotional co-morbidity and strengthening the therapeutic alliance between physician and patient, it contributes to a more positive outlook and improved management of chronic health conditions. The technique may be beneficial as a complementary approach in the holistic treatment of psychosomatic disorders.
Keywords-BATHE counselling, Ayurveda, emotional disorders, Vicharchika, psychosomatic medicine, doctor–patient relationship, emotional co-morbidity.