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Alok Kanojia

Alok Kanojia, also known as Dr. K. (born October 7, 1982), is an American psychiatrist and co-founder of the mental health coaching company Healthy Gamer. He streams interviews on Twitch, where he and participants discuss mental health topics.

wikipedia/en/Alok%20KanojiaWikipedia


ADHD Module


The Emotional Cost Of Being A Deep Thinker - Dr K HealthyGamer - YouTube

Awareness is neither good nor bad, control is what matters

Having a lot of self-awareness or being a deep thinker is neither inherently good nor bad. The key is who is in control of where the awareness goes. If the awareness is out of control and the person is hyper-vigilant or hyper-sensitive to internal signals, it can be problematic. The goal is to harness and focus awareness like a laser beam, so it can be a powerful tool.

“The problem with people who have quote unquote too much self-awareness is that they are not in control of where their awareness goes"
"If you have too much awareness it’s not that it’s good or it’s bad, it’s that it’s out of control”

  • How can I gain better control over my awareness and focus it productively?
  • In what areas of my life might I be hyper-vigilant or hyper-sensitive, and how can I manage that?

Hyper-vigilance, Mindfulness practices for focusing awareness, The power of harnessing awareness

Trataka (fixed-point gazing) practice for training attention

Trataka is a practice that involves gazing at a fixed point, such as a candle flame or spiritual symbol, for increasing periods of time without blinking. This trains attention and helps individuals control their awareness. It can lead to psychedelic experiences and a sense of badassness.

  1. Start with gazing for 30-60 seconds and gradually work up to 2-4 minutes.
  2. Look at the point without blinking to the point of discomfort but not pain.
  3. After exhausting the photoreceptors, close your eyes to see the afterimage and continue the practice in your mind for 15-20 minutes.

“Fixed-point gazing is usually when you look at something like a candle flame or like a yantra which is like a spiritual symbol and you gaze at it for maybe 30 seconds, 60 seconds, 90 seconds, you work your way up slowly and it’s best to learn this from a teacher without blinking”

Special Notes:

  • There are medical contraindications like glaucoma, so consult with a doctor before starting the practice.
  • It’s best to learn trataka from a trained teacher.

Yogic eye exercises, Photoreceptor exhaustion and afterimages, Spiritual symbols for meditation (yantras)

Kaya sthairyam (perfect stillness) practice

Kaya sthairyam involves sitting in a perfectly still posture for increasing periods of time. As the body becomes uncomfortable, the breath becomes the only source of solace and pleasure. This practice helps individuals realize that a lot of happiness in life is not dependent on external factors but can be created from within.

  1. Sit in a perfectly still posture, not moving despite the body’s cries for movement.
  2. Focus on the breath as the body becomes increasingly uncomfortable.
  3. Realize the joy and ecstasy that can be derived just from breathing.

“As your body becomes uncomfortable the only solace that you have is the breath while you’re focused on the breath while you’re breathing in and out then you feel amazing"
"A lot of your happiness in life is not dependent on the things that you think normally bring you happiness, even the breath can be so pleasurable, so intoxicating, so relaxing and you do this all day long and you just have no awareness of it”

  • How often do I rely on external factors for my happiness and wellbeing?
  • What internal sources of joy and contentment can I cultivate?

The role of the breath in meditation, Finding happiness independent of external circumstances, Yogic practices for stillness

Staring at a wall practice for self-connection

Staring at a wall for an extended period (e.g. an hour) helps individuals connect with themselves and process buried emotions. In the modern world, people are constantly distracting themselves and listening to external voices, losing touch with their internal compass. By sitting with oneself without distractions, repressed pains and hurts can surface to be processed.

  1. Sit and stare at a wall for an hour without distractions.
  2. Allow boredom, restlessness, and any buried emotions to surface.
  3. Realize you can be with yourself without external entertainment.

“Sit at a wall and we’re just going to look at a wall for an hour and then at the beginning you’ll be bored but then you have all of this crap that is piled up inside you all these some scars that are dormant all these negative experiences of hurt that the second you felt hurt you flipped open your phone to distract yourself for the pain and then that pain sunk into you and lived in your subconscious”

  • What emotions and pains might I be repressing or distracting myself from?
  • How comfortable am I being alone with myself without external stimulation?

Digital distractions and lack of self-connection, Emotional processing techniques, The importance of solitude

The pathway to inner peace involves facing inner poisons first

In many spiritual traditions, the path to finding inner gold or nectar involves first encountering inner poisons or negativity. When an individual first starts sitting with themselves and doing self-inquiry, they will likely uncover many uncomfortable and painful things before reaching insights that make them feel whole.

“Anytime you want to find gold within you or anytime you want to find nectar or amut, you’re going to find poison first, so the pathway to finding inner peace involves going through poison"
"For every [insight]…that’s really beautiful that you’re proud about yourself for, it’s a realization that you feel whole…but that’s one out of 20 and the remaining 19 have something terrifying and disgusting and and awful hiding underneath”

  • How can I maintain motivation to continue self-inquiry when I encounter inner poisons?
  • What tools and support systems can I put in place to help me process difficult emotions that arise?

Spiritual symbolism of nectar and poison, The dark night of the soul in spiritual journeys, Psychological approaches to inner shadow work

Self-inquiry as an evolving practice

As an individual continues practicing self-inquiry over time, the nature of what they notice evolves. At first, it may just involve learning to still the mind and body. Then one starts noticing thoughts as they arise. Eventually, one starts inquiring into the origins and motivations behind thought patterns and obsessive tendencies.

“Originally I think I was just trying to sort of lay down a path it was really struggling…the first 500 sessions of meditation that I did were I think just like learning to be able to have a slightly still mind and a slightly still body, then the next 500 were probably a little bit more about noticing thoughts when they arise and the next stage where I’m trying to get to now is where are these coming from, like what is the motivation for this story that I tell myself”

  • At what stage of self-inquiry do I feel I am currently at?
  • What new layers of self-understanding do I want to uncover through continued practice?

The evolution of meditation practice over time, Thought origins and motivations, Samatha vs vipassana meditation techniques

The importance of emotional processing time

Humans evolved having ample time each day for emotional processing while engaging in “rot tasks” that didn’t require much mental engagement. In the modern world, we have lost this time for internal reflection and emotional processing, leading to a buildup of repressed negativity. This is why practices like therapy, meditation and self-inquiry are needed.

“In the normal human’s life we had so much time for emotional processing…for hours you’re with yourself and that’s how our brains evolved, our brains evolved with a minimum of external stimulation which means the default mode of where our attention goes like so much of it eight hours of the day was internal"
"Our brain defaults to so much time for emotional processing and now what started to happen is we lose that time, this negativity piles up, then as you start to look within yourself there’s a bunch of negativity which is why we need therapists because most people can’t handle that on their own”

  • How can I deliberately carve out time for emotional processing and self-reflection in my daily life?
  • What “rot tasks” can I engage in to give my mind time to wander and process?

Hunter-gatherer lifestyle and psychology, Evolutionary mismatch theory, The role of boredom and mind-wandering


What Everyone Gets Wrong About Semen Retention! Ft. Dr. K - YouTube

The impact of pornography on the brain

Pornography activates almost every part of the brain, including the visual cortex, auditory cortex, imagination, and emotional engagement. It involves every neurotransmitter, especially dopamine. Pornography is very effective at suppressing negative emotional circuitry, as the brain prioritizes sex for procreation over other functions.

Key quotes:

“it turns out that it’s like everywhere just about every lobe of the brain is associated with sexual arousal and and in some way you know you can get visual cortex stimulation auditory cortex stimulation imagination emotional engagement so every part of the brain dopamine is involved in pornography” [18:57]

“sex is really important and so our brain is willing to push everything else away in order to have sex and procreate so it’s it’s incredibly effective at really suppressing our negative emotional circuitry” [19:30]

Reflective questions:

  • How does the all-consuming nature of pornography in the brain impact daily functioning and emotional regulation?
  • In what ways might pornography serve as an unhealthy coping mechanism to suppress negative emotions?

Dopamine and addiction, Evolution of sexual impulses in the brain, Negative emotional suppression through addictive behaviors, Pornography as emotional regulation

Risk factors for developing pornography addiction

Some key risk factors for developing pornography addiction include exposure to pornography at a young age (especially pre-puberty), using pornography as a way to suppress negative emotions and regulate emotions, and a lack of healthy coping mechanisms. Meaninglessness in life and difficulty finding a romantic partner are also correlated with higher rates of pornography addiction.

Actionable steps:

  • Develop a strong, open relationship with your children to discuss sensitive topics like pornography
  • Be involved in your child’s online activities and use of devices
  • Help your child build self-esteem, life purpose, and healthy emotional coping skills to reduce their vulnerability to addiction

Key quotes:

“prepubertal exposure to pornography seems to like really increase the risk… often times these people are exposed to pornography like very young” [23:10]

“older siblings or friends of older siblings who are showing them this kind of stuff because like if you’re eight right and you’ve got an older brother and your older brother is going through puberty with his buddies and they’re like watching something you’re super curious about it” [30:17]

Reflective questions:

  • How can parents effectively discuss pornography with their children in an age-appropriate way?
  • What societal factors might contribute to young people turning to pornography to cope with emotional distress?

Parental involvement in children’s online activities, Teaching emotional regulation skills, Fostering life purpose and meaning, Discussing pornography with children

Negative consequences of fighting against addictive impulses

Aggressively trying to suppress addictive impulses like the desire to watch pornography often backfires and intensifies the mental conflict. The more you fight the urge, the more tension builds in the mind. A healthier approach is to address the underlying emotional drivers of the addiction and develop alternative coping mechanisms.

Analogies:

  • Trying to force yourself not to watch pornography is like wrestling with your mind, similar to obsessing about falling asleep which only makes sleep more elusive
  • Putting immense pressure on yourself to abstain from an addiction fuels the mental tension, like tightening a spring that will eventually recoil

Key quotes:

“forcing yourself and struggling with yourself in the mind to not have sex still means that your mind is obsessed with the sex” [1:08:18]

“the more you suppress something you’re sort of fueling that tension in the mind and tension in the mind and conflict in the mind will never lead to peacefulness” [1:10:22]

Reflective question:

  • What underlying emotional needs or issues might be driving my addictive impulses, and how can I address those in a healthy way?

Sublimating desires vs. conquering them, Addiction as a symptom of deeper issues, Developing emotional coping skills, Mindfulness and urge surfing

The bonding effect of sexual activity on the brain

Having sex with someone creates a powerful impression and emotional bond in the brain, likely tied to the release of oxytocin and other bonding-related neurochemicals. This bonding effect makes it harder to engage in casual sex without emotional impact over time. Numbing out emotions or dehumanizing sexual partners allows some people to override this, but emotional healing makes casual sex more difficult.

Key quotes:

“anytime you have sex with someone there’s a tendency to bond and what I tend to find is that with people who are having more and more casual sex we are seeing more and more more emotional suppression” [1:20:20]

“as we do like emotional healing casual sex becomes more difficult” [1:20:59]

Reflective questions:

  • How might the bonding effects of sex impact my emotional well-being if engaging in casual sexual activity?
  • What emotional factors allow some people to more easily engage in sex without bonding?

Oxytocin and human bonding, Emotional numbing and dehumanization, Polyamory and casual sex, Evolutionary basis of sexual bonding

The concerning implications of AI and VR sex technologies

As artificial intelligence and virtual reality sex technologies become increasingly sophisticated, they risk addicting people even more powerfully than current pornography. By perfectly stimulating the brain’s reward systems and replicating the dynamics of human relationships, including elements of randomized reinforcement, drama, and emotional connection, AI sex partners could be extremely difficult to resist and may drastically reduce normal human pair bonding.

Key quotes:

“someone is soon going to figure out so if we look at the trend in technology addiction… they’re going to start like getting mad at you and they’re going to start having fights and someone is is going to figure out from an algorithmic sense what is the right amount of denial of reward” [1:37:44]

“as these virtual AI like girlfriends or boyfriends or whatever become more and more robust um as they become like more as you mentioned like they’re going to get integrated into sex dolls and like physical Sensations and things like that you’re going to have emotional connections where they’re going to be like activating emotional circuitry… the closer we get to approximating a real relationship I think the more pulled into this we’re going to get” [1:38:43]

Reflective questions:

  • How might the rise of AI sex partners impact human relationships and society as a whole?
  • What regulations or limits, if any, should be placed on the development of AI sex technologies?

Regulation of addictive technologies, Gamification and randomized rewards, Evolutionary hacking through AI, Sex robots and human intimacy

The importance of teaching mental self-control and emotional health

To combat the rise of technological and behavioral addictions, it’s crucial to teach people from a young age how to control their own minds and build emotional resilience. This could take the form of meditation and emotional health training being integrated into standard K-12 education. As technological systems become increasingly adept at hacking and controlling human psychology, individuals need to learn countermeasures.

Actionable steps:

  • Advocate for the inclusion of meditation, mindfulness, and emotional coping skills in school curricula
  • Practice regulating your own attention and emotion through yoga and meditation techniques
  • Teach your children how to deal with boredom, impulses, and emotional challenges in a healthy way

Key quotes:

“we taught kids like mathematics and how to meditate so we taught kids how to control your desires how to train your attention” [1:44:10]

“everyone needs to learn this because what’s going on right now is that we don’t know how to control our mind but the people who develop technology are getting better and better and better at it” [1:44:27]

Reflective questions:

  • How can I take greater responsibility for directing my own attention and mental states?
  • In what ways is my psychology being influenced and manipulated by the technological systems I interact with?

Educational system reform, Meditation in schools, Gamification in technology, The attention economy, Willpower and self-control

The role of boredom and constant stimulation

Modern society has made it difficult for people to tolerate boredom, as we constantly seek stimulation and distraction through our devices. This constant externalizing of attention undermines our ability to be introspective and process our emotions. It’s important to allow ourselves to be bored sometimes.

Key quotes:

“I think one of the things that we’ve like lost is the ability to be bored” [4:27]

“evolutionarily like human beings used to have a lot of time with themselves like we’d be like hunter gatherers and doing like rot work where the mind is unoccupied so I think evolutionarily we really need that for things like emotional processing” [7:08]

Attention economy, Digital minimalism, Emotional processing and downtime

Changing expectations in relationships and difficulty finding partners

Economic and social shifts have made it harder for many young people, especially men, to meet the evolving expectations of potential romantic partners. Women increasingly prefer men who have their own place and make more money than them, which is more difficult as more women out-earn men. Dating apps create a perceived scarcity for men. These factors, along with poor emotional health, are leading more young men to struggle with dating.

Key quotes:

“50% of people under the age of 30 who are adults still live with their parents men and women both” [1:30:16]

“most women I want to say like statistics orally somewhere around 70 to 80% of women will want to date a man who makes more money than they do but 60% of college graduates are now women” [1:30:43]

Economic barriers to dating, Gender and education levels, Dating app gender ratios, Emotional intelligence and relationships

The importance of comprehensive sex education

Many young people are learning about sex through pornography, which presents an unrealistic and often unhealthy view. Schools need to provide better sex education that goes beyond basic anatomy and discusses pleasure, relationship dynamics, and realistic expectations. This could lead to healthier relationships and attitudes around sex.

Key quotes:

“just 1/4 of teenagers are learning through pornography Based on data that we have and so just 1/4th well at least that’s a few years old but yeah I mean it’s probably more than that right” [1:51:23]

“if people knew what sex should be like and what actually uh female Partners like what male Partners like I mean there’s on both sides right men have a lot of expectations of for performance women are expected to enjoy penetration immediately an orgasm within minutes like none of this is accurate” [1:51:52]

Porn literacy, Pleasure-focused sex education, Realistic relationship education, Closing the orgasm gap

Dr K’s BRUTALLY Honest Opinion On Andrew Tate, “TOXIC” Masculinity & Incel Culture… - YouTube

The rise of toxic masculinity and its appeal to struggling men

Dr. K discusses how the recent wave of “toxic masculinity” influencers, characterized by their focus on wealth, women, and physical strength, has resonated with a generation of young men. He argues that the more society demonizes these influencers, the stronger their appeal becomes to men who feel their struggles are being ignored or invalidated by the rest of the world. These influencers provide a space where men’s experiences are validated and offer a path to improvement, even if it’s through toxic means.

Actionable steps:

  1. Seek to understand why men are drawn to these influencers instead of immediately trying to stop them.
  2. Ask questions like “What is it like to be a man in today’s day and age?” and “How do you feel about yourself?” to create a safe space for men to express their experiences.
  3. Offer an alternative place where men can be heard, supported, and understood without judgment.

Reflective questions:

  • How can we create a society that validates and addresses the struggles of men without promoting toxic behaviors?
  • What role do individuals play in supporting men who are drawn to toxic masculinity?
  • How can we balance compassion for those who are struggling with holding people accountable for their actions?

The importance of understanding and compassion in addressing toxic behavior
The need for individual responsibility in addressing men’s issues

The root of toxic masculinity: trauma and unmet needs

Dr. K emphasizes that toxic masculinity often stems from trauma and unmet needs. He shares an example of a patient who smeared feces on school walls, highlighting how punishment is often the default response rather than seeking to understand the underlying causes of the behavior. He argues that people who are raised with love, compassion, and strong connections are less likely to go down the path of toxic masculinity.

“Unless we are willing to be what these people need, they’re going to continue going down the toxic masculinity route. Someone needs to start offering these people safe haven, no matter what they say or not.”

Reflective questions:

  • How can we create a society that prioritizes understanding and addressing the root causes of toxic behavior?
  • What role do trauma and unmet needs play in the development of toxic masculinity?
  • How can we balance providing a safe haven for those who are struggling with holding people accountable for their actions?

The importance of addressing the underlying causes of problematic behavior
The role of love, compassion, and connection in preventing toxic masculinity

The need for individual responsibility in addressing men’s issues

Dr. K argues that while it’s not any individual’s responsibility to solve the issues men face, such as loneliness, isolation, touch starvation, and sexlessness, these problems cannot be solved by men alone. He emphasizes that society as a whole has failed to address these issues and that individuals must take responsibility for connecting with and supporting the men in their lives.

Actionable steps:

  1. Recognize that the issues men face cannot be solved by men alone and require the support of others.
  2. Take individual responsibility for connecting with and supporting the men in your life, even if it’s not “fair” or your sole responsibility.
  3. Engage in introspection to attain inner peace and resilience, regardless of external circumstances.

“Unless everyone who is listening to this podcast goes out and literally hugs a man, no one else is going to do it. Because if you don’t do it, who’s going to do it? You can’t rely on society. We’ve been relying on society to fix the problem; it’s not working. Society can’t do [ __ ].”

The limitations of relying on society to solve complex issues
The power of introspection in attaining inner peace and resilience

The importance of asking questions and seeking to understand

Dr. K emphasizes the importance of asking questions and seeking to understand the experiences and motivations of men who are drawn to toxic masculinity. He argues that when we make judgments, our minds have already reached a conclusion, leaving no room for learning or understanding. Instead of immediately labeling these men as “toxic” or trying to stop their behavior, we should ask questions like “What is it like to be a man in today’s day and age?” and “How do you feel about yourself?”

“Anytime we make a judgment, our mind already has a conclusion. There’s nothing left to learn. Anytime we’re judgmental.”

Reflective questions:

  • How can we cultivate a mindset of curiosity and understanding when confronted with behaviors or beliefs we disagree with?
  • What are the benefits of seeking to understand the experiences and motivations of others, even when we find their actions problematic?
  • How can we balance the need for understanding with the need for accountability and consequences for harmful actions?

The dangers of judgment and labeling in preventing understanding
The importance of curiosity and openness in fostering personal growth and social change

The impossibility of meeting societal expectations for men

Dr. K highlights the impossible expectations men face in today’s society, such as the pressure to out-earn women in a world where women make up the majority of college graduates. He argues that many men feel they have no chance at success due to these conflicting expectations and that this contributes to their sense of helplessness and frustration.

“Men are faced with living in a world today where there are impossible expectations to meet. […] What is it like to be someone who fundamentally has no chance at success?”

Reflective questions:

  • How can we create a society that supports and empowers men without reinforcing harmful gender stereotypes or expectations?
  • What role do conflicting societal expectations play in the development of toxic masculinity and other problematic behaviors?
  • How can we help men develop a sense of self-worth and purpose that is not tied to external markers of success or traditional gender roles?

The impact of conflicting societal expectations on mental health and well-being
The need for a more inclusive and supportive definition of masculinity

Glossary

  1. Dhyana (ध्यान)

    • A meditative state where mental functions stop, leading to a state of consciousness with no active thoughts.
  2. Samadhi (समाधि)

    • A transcendental state of consciousness characterized by bliss and complete absorption in meditation.
  3. Alambana (आलम्बन)

    • A support or focus used in meditation, such as a mantra, prayer beads, or a visual object.
  4. Brahmacharya (ब्रह्मचर्य)

    • Traditionally means celibacy but more accurately refers to dwelling in the infinite and practicing non-lustfulness, focusing on spiritual growth rather than physical abstinence alone.
  5. Siddhasana (सिद्धासन)

    • A yogic posture used in meditation, which involves pressing the heel against the perineum to affect blood flow and potentially influence hormonal balance.
  6. Sattva (सत्त्व)

    • A quality of balance, harmony, purity, and goodness. A sattvic mind is calm, clear, and thoughtful, essential for spiritual growth and mental well-being.
  7. Rajas (रजस्)

    • A quality of activity, passion, and restlessness. A rajasic mind is driven by desires and ambitions, often leading to stress and agitation.
  8. Tamas (तमस्)

    • A quality of darkness, inertia, and ignorance. A tamasic mind is lethargic, dull, and resistant to change, often leading to negative mental states.

  • Doing Stuff
  • Model of motivation

Non-Clinical Track

  • Hunters vs. Farmers
  • (Science of Thought)
    • Neuroscience of Motivation
    • Dopamine Reward Circuitry
    • Hedonic Circuitry
    • Dopamine Reset and Detox
    • Action Success Calculation
  • (Spirituality of Thoughts)
    • Origin of Action
    • Origin of Motivation
    • How to Concentrate
    • Indriyas
    • Pratyahara
    • Cognitive Drains
  • (Goal Setting & Motivation)
    • Planning and Goal Setting
    • Learning Mindset vs. Performance Mindset
    • Common Pitfalls in Goal Setting
    • 25% Rule
    • Getting Overwhelmed
  • (Organization)
    • Environment - Organization
    • Permissive Influences on Motivation
    • Top-Down vs. Bottom-Up Thinking
    • Technology Habits
  • (Resistance)
    • Resistance - Emotions
    • Ahamkara
    • Procrastination
  • Vedic Psychology
    • Freud – inference, Psychiatry and Psychology
    • Manas is where Emotions, likes, dislikes come from. Emotional part of your Mind.
    • Buddhi capacity for reasoning, intellect. Performs other functions like retrieving Memory, scans your knowledge
    • Ahamkara feeling of “I”, Ego or Identity, “I-ness”
    • Samskaras unconscious, a ball of stuff sitting in the subconscious/unconscious
    • Chitta the backdrop of the mind, the screen, the sky — all Samskaras are stored in Chitta and are sometimes active in our mind, Samskaras are dormant energy stored in your unconscious.
    • Psychotherapy is basically you hiring somebody to help you strengthen your buddhi to metabolize an emotion.
  • Intro to Samskaras Relating to Motivation
  • Working with Samskaras
  • “This may work for other people, but I’m different”
  • “I’d rather stay in limbo than take a chance”
  • “I’m not ready/I’ll do it when I’m ready”
  • “It’s a waste of time, so don’t bother”
  • “It doesn’t matter what I do”
  • Intro to Ayurveda
  • Ayurveda for Motivation

Clinical Track

  • What is ADHD?
    • Clinical Criteria of ADHD
    • Treatment for Children with ADHD
    • Treatment for Adults with ADHD
    • Parenting and ADHD
    • Treatment - What to do as a Parent?
    • Neuroscience of ADHD
    • Executive Function
    • ADHD and Depression
    • ADHD and Social Function
    • ADHD and Addictions
    • ADHD and Anxiety

Nature of Attention and Focus

Dopamine and Reward Circuitry

Resistance

References

  • Tin, S. S., & Wiwanitkit, V. (2015). Trataka and cognitive function. International journal of yoga, 8(1), 82.
  • Ayurvedic Dosha Quiz
  • Frawley, D. (2000). Ayurvedic healing: A comprehensive guide. Twin Lakes, Wisc: Lotus Press.
  • Govindaraj, P., Nizamuddin, S., Sharath, A., Jyothi, V., Rotti, H., Raval, R., … & Thangaraj, K. (2015). Genome-wide analysis correlates Ayurveda Prakriti. Scientific reports, 5(1), 1-12.
  • Kaptchuk, T. J. (2000). The web that has no weaver. Contemporary Books.
  • Rastogi, S. (2010). Building bridges between Ayurveda and modern science. International journal of Ayurveda research, 1(1), 41.
  • Robb, S. L. (2000). Music assisted progressive muscle relaxation, progressive muscle relaxation, music listening, and silence: A comparison of relaxation techniques. Journal of Music Therapy, 37(1), 2-21.