Note: The names and stories in this article are fictional and used to illustrate common scenarios faced by adolescents.
Joseph, a twelve-year-old boy, never quite understood why he was constantly at odds with those around him. Whenever he tried to express himself at home or school, his words were often misinterpreted as defiance. His father would rebuke him, and his mother would end up in tears, often blaming Joseph for the conflict. At school, he was labeled the troublemaker, isolated by teachers and peers alike.
Jatin, a thirteen-year-old, faced a similar fate. His teacher singled him out as the class disruptor, forcing him to sit away from his classmates, amplifying his feelings of embarrassment and rejection. Every time noise erupted in the classroom, Jatin was the first to be blamed, even when the real culprits were other students. Despite recognising his innocence later, the teacher rarely corrected the misunderstanding.
Swara’s parents were equally puzzled. Their once calm daughter had begun shouting back at them and her teachers, behavior they couldn’t comprehend. They viewed it as sulking and brought her to therapy, hoping for a quick fix.

These cases are not isolated. Many children and adolescents, like Joseph, Jatin, and Swara, are often labeled by parents and teachers as defiant, difficult, or problematic. They are frequently referred to psychologists or psychiatrists for behavior correction and treatment for Oppositional Defiant Disorder (ODD), ADHD, or similar issues. Concerns about aggressive outbursts, disrespect, truancy, self-harm threats, and even suicide attempts often drive parents to seek professional help. However, what often goes unnoticed is the underlying stress, trauma, and unhealthy family dynamics that contribute to these outward behaviors.
Teachers typically report uncooperative behavior to parents, who, in turn, resort to punishments or admonishments when corrective efforts fail. When these measures prove ineffective, they turn to mental health professionals with one primary expectation: “Just fix my kid.” Unfortunately, this approach overlooks the crucial role that parental involvement and a supportive, positive environment at school can play in managing and improving these behaviors.
Therapy alone is often not enough. Adolescents with ADHD, Dissocial Behavior, or Adjustment Disorder are likely to regress if they return to a negative or unsupportive environment at home or school. Without addressing the root causes and making holistic changes, relapse is almost inevitable.
In Joseph’s case, a few changes at school, combined with the support of an understanding teacher, led to significant improvement. He went from being labeled a troublemaker to becoming a favorite student among his teachers. Similarly, Swara’s parents became actively involved in her therapy, learning to adjust their expectations and create a healthier family environment. As a result, Swara became more tolerant and communicative, leading to a harmonious household.

We’ve observed that a comprehensive approach involving the entire family, as well as collaboration with school teachers, is the most effective way to treat conditions like ODD, ADD, ADHD, and Dissocial Disorder. At Family Therapy India and Alka Mansik Pramarsh Foundation, we advocate for a top-down approach that includes active participation from both parents and teachers. This holistic method has proven to bring about positive, lasting changes in the behavior and emotional well-being of children and adolescents without resorting to medication.
It’s important to recognize that behavioral challenges in adolescents are rarely about defiance alone. They are often expressions of deeper struggles that require understanding, compassion, and a collective effort from families, schools, and therapists to create a nurturing environment for these young individuals to thrive.

















Veena a company general manager swerved her car swiftly from hitting the road divider on the highway on way back home from the office, as the driver of another car overtook without any warning or flashing the indicator. In a reflex action Veena lowered side window glass and threw expletives on the driver of the other car. She could see a lady driver in the other car too appearing to be in a hurry to reach home after the office . “It could have been the end of my life today”, thought Veena,who was in a hurry to reach home much before her husband would make it .
“Possibly the lady driving other car too has an enraged husband waiting at home . That’s why the lady appeared to be in a hurry or it is likely that she has a sick child waiting at home”, justified Veena to herself . She found the other car drivers behind her honking , who had been equally disturbed by her abrupt change of direction to the right of the road . She breathed a few more swearing as she eased her car on the road again. Such a scene has become quite common in almost all towns where people appear to be in a mad rush with the surge of anger seething under their breaths. Veena could cool anger by feeling empathy for lady driver of the other car. But how many of us can actually feel such an empathy for the one who has been the cause of our anger .
Let us analyse one more situation. Maharishi family has come out for a dinner with another family friend of theirs to a high class restaurant known for its elegant ambiance. As soon as the waiter had placed soup dishes on the table , Mrs Maharishi’s younger child insisted on serving the soup into her dish herself. The young baby could hardly handle the hot dish and she found herself spilling the soup all over on the table.
Many a times it would so happen that the anger comes to us in a sequence of various events and by the time we realize what has happened we end up losing control of the situation completely .This anger as we saw in the restaurant begins with one small event later on building up on the subsequent emotional reactions of angry
Manoj and his wife had been having argument for over a week now over some trivial matter. His wife noticed that every time the argument had begun Manoj would simply slip out of the house and return much later after her temper had died down. She followed him in their next bout of angry expletives .Manoj had gone to the temple nearby and he sat amongst the bed of flowers in the green lawns of the temple. She sat next to him as he moved aside to offer her more space. All that was causing trouble in them had been forgotten .They both decided to come to the same place next time an argument would start among 
Family Always Comes First






Somewhat similar story has been going on between Bhuvan and Anita .Their 16 years of marriage has come to a stand still with both virtually accusing each other of neglect and oppression .Anita blames Bhuvan of having neglected her for all their marriage period. She feels she could have done better if she had adopted a career so that she could get away from the demands of married life. Bhuvan on the other hand feels oppressed, saying, ” She has been a very demanding wife and does not allow me to breathe freely .I need space of my own now”. he continues, ” from the day we began dating each other she has been like this always”.
While dating prior to the commitment made to each other for a long term relationship, everything is seen by the lovers from behind the rosy shades of love and affection for each other. The emotions of possessiveness and yearning do not allow the lovers to think of and bring in the mundane communication of a daily grinds of life.
As a couple begins their journey into the long-term relationship of wedded bliss, their love for each other many a times may take a back seat and the love gets reduced to a few stolen kisses and quickies here and there. The couple forgets about nurturing and keeping the flame of love and desire for each other alive. Soon the infatuation of physical hunger wears off and then the focus shifts from the affection to the problems.
The stark realities of need for more money, career priorities and of culture, of religion, and of family may cause concerns and small squabbles. Before these squabbles get blown into major issues and a beautiful relationship begins to disintegrate. The couple needs to understand that every relationship is important in life and more so with the one with whom you have to spend your life time.
Communication in person and not on the social media , is the only tool and doorway to establish a better understanding. The couple, need to take up all those problems that are causing strangled relationship .It is always good to keep the bedroom stories confined to four walls of the personal bedrooms .But should the couple feel they are not able to communicate with each other without raising voices and angers , they should get the professional advise of the family therapist and relationship counselor. The airing of grievances in the family sitting room can aggravate the problems and cut down the love quotient. Isn’t it a fact that the love still exists, we just have to bring it to the fore again.








When Deepti (name changed) had called on us the other day , she had wanted an appointment for her husband , who she thought had been suffering from depression for quite long time . I had advised her that she should accompany her husband to the counseling session. After a few sessions with both of them together and separately with each partner ,it emerged that both of them suffered from depression.Yet they have been in a denial mode.I have seen in many cases that partners refuse to believe that what they are suspecting others suffer from could also be happening to them .They would always believe that just because the other person is complaining he or she could be depressed.Deepti had faced similar situation when she had come to me.Explained Deepti,”my husband Sameer {name changed}blames me for the problems in our marriage.He says that we have all the problems in our relationship because I am depressed.He tells everyone in my family and his family that if my wife was not undergoing depression,there would not be any issues in our marriage.But on the contrary I believe it’s always my husband who suffers from depression.He always complains about everything and blames me unnecessarily when things do not workout as per his plans”.
Somewhat similar is the story of Seema and Jatin (names changed) both budding doctors still in their process of setting up their household. The problem arose when a fine day Seema threatened to commit suicide on a very small whimsical issue. She had convinced herself that her husband does not pay her as much attention as he is giving to his other female colleagues in the hospital where he works . This came as a very major shock to Jatin. Jatin had nowhere ever thought about his coworkers in this manner. No amount of explanation could convince his wife and she continued to fight with him from time to time on the same subject forcing her husband to lead a solitary life away from the friends and acquaintances.What began as a depression with one of the spouses had pulled the other partner too into the same state of mind ,giving him depression. Jatin explains his situation in the following words,” My wife Seema has been idealising suicide from her college days. Our relationship dates back to seven years now. We had begun dating in the first year of our college. In the college too she was always throwing tantrums on me.It is quite surprising that she acts in this manner only when I am around and with me only.She would often break up with me on small pretexts and remain incommunicado for days together. She will come out of her shell on her own. She would then hardly remember that she has not been in touch with me for so many days. Everything becomes very normal for her soon , but it leaves me completely drained out emotionally.I can never discuss about such a behaviour of my wife to any one in the family or friends as she behaves normal in front of others.I do understand that she does it to gain my attention . For me she is my wife .I do give her the required love and affection. My whole life revolves around her . But I fail to understand why would she want me to be exclusively with her only all the times. This kind of obsessive behaviour from my wife has started telling on my professional responsibility. I can not be a doctor in such a big hospital where I am working by living in isolation and yet I do not know how to solve the problem.You being a psychologist could possibly understand the situation better and help us”.
It has been observed by us that one partner in a marriage is depressed , the cause would always be a marital situation between the two spouses. The solution to such a situation has to be found within the marriage situation only.There can be no solution by putting the onus to only one of the members to the marriage, as the reason is not individual but a common factor is responsible for whatever is happening to the spouses.
In the event of either of you suffering from depression , both of you should help each other explore how your relationship dynamic could be causing such a depression. Though you may want the other person to get individual treatment to his or her complaints by way of the intervention of a psychologist, it is in truth be your total marital situation that needs to be looked in a different perspective as different from your own point of view. In such a situation you would do well to get your self assessed by our professional family therapist and counselor. We will together then work out a plan that works to revive your marital relationship .Always remember that you both are equal partners to the happiness and bliss of your marriage and hence let us find the way to the resolution of the differences in marriage too together with each partner respecting and trusting the other equally.
Family will survive all storms with a little patience and perseverance