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From the yogic viewpoint of disease, psychosomatic, stress-related disorders appear to progress through four distinct phases. These can be understood as follows:3

• Psychic: This phase is marked by mild but persistent psychological and behavioral symptoms of stress such as irritability, disturbed sleep, and other minor symptoms. It can be correlated with the intellectual (vijnamaya) and psychological (manomaya) aspects of one’s existence, and yoga as a therapy can be very effective in this phase.

• Psychosomatic: If the stress continues, there is an increase in symptoms, along with the appearance of generalized physiological symptoms such as occasional hypertension or tremors. This phase can be correlated with the psychological (manomaya) and functional-physiological (pranamaya) aspects of one’s existence, and once again, yoga as a therapy can prove very effective in this phase.

• Somatic: This phase is marked by disturbed function of organs, particularly the target, or involved, organ. At this stage the diseased state can begin to be identified. This phase can be correlated with the anatomical-physical (annamaya) and functional-physiological (pranamaya) aspects of one’s existence. Yoga as a therapy is less effective in this phase, and may need to be used in conjunction with other methods of treatment.