Tag: anxiety

Unseen Depression in Couples Can Stall Counselling Progress

Ramneek Kapoor

Note: The names in this article are fictional, but the cases are real‑life situations.

When Deepti contacted me recently, she was worried about her husband, Sameer. For quite some time she had noticed changes in his behaviour. He was often irritable and generally not the man she knew. She believed he was depressed, but Sameer avoided admitting it or seeking help. After much persuasion she finally brought him in for a counselling session, and I suggested she sit in as well. Couples counselling often reveals hidden dynamics.

After several sessions it became clear the issue was not only Sameer’s depression; Deepti was struggling too, although she hadn’t realised it. Both were in denial about their emotional health, each convinced the other was the one who needed help. I see this often: it’s easier to blame a partner than look in the mirror.

Denial and deflection in relationships

A common pattern is the “It’s not me, it’s you” mindset around emotions. People dislike admitting something is wrong—especially when the word depression appears. The stigma makes admitting depression feel like defeat, so partners shift all blame to each other.

Deepti’s words show this clearly:

“Sameer says our problems exist because of me, and he tells people if I weren’t depressed we’d be fine. But honestly, I think he’s the one who’s depressed. He’s always complaining, and whenever things don’t go his way, he lashes out at me.”

While Sameer focused on Deepti’s supposed depression, she was battling her own. Neither saw how their emotional states fed off each other. It’s common: partners fixate on the other’s behaviour and ignore their own mental health.

Emotional alienation and its cost

Marriage and argument go hand in hand. Differences of opinion are normal. Trouble starts when every disagreement turns into a full‑blown fight and no one can build a bridge. Depression magnifies conflicts, making everyday issues seem larger and more upsetting than they are. Minor clashes feel like assaults on someone already vulnerable, and couples retreat into isolation.

For Deepti and Sameer, depression ran deep. Sameer’s mood swings and blame‑shifting grew from his own struggles. Deepti felt constantly on the defensive and withdrew. Both wore emotional blinders; neither saw how their feelings fed the problem.

Depression and marital conflict

Depression in relationships doesn’t always appear as expected. One partner may feel the other is hostile when that isn’t true. A small irritation suddenly becomes a crisis. With depression involved, everything feels heavier.

What looked like a simple concern—Sameer’s mental‑health dilemma—revealed that both partners were depressed and that their relationship nurtured it. He became irritable and emotionally shut down, while Deepti felt frustrated and isolated—classic signs of emotional exhaustion.

Sameer believed everything would improve if Deepti weren’t depressed; Deepti believed the same about Sameer’s negativity. Neither realised their shared emotional state lay at the heart of the problem.

Many see depression as something that happens to “other people” or as a personal failure, so couples deny it and point to each other’s actions. Yet mental health in relationships is rarely individual; it’s rooted in how partners relate. If one struggles, the other feels the effects—even if they deny it.

Seema and Jatin: a layer of complexity

Every couple’s story is unique. Seema and Jatin (names changed) were young doctors starting their careers and life together.

One day Seema threatened suicide because Jatin chatted with female colleagues. It stunned him. He hadn’t thought of them romantically, and no amount of explanation eased Seema’s suspicions.

That single incident became a pattern. Seema’s insecurity and emotional instability drained Jatin. He pulled back from friends and family to avoid the drama at home. He told me:

“Seema has idealised suicide since college. We’ve been together seven years, and she throws tantrums only with me. She’ll break up over the smallest things, stay silent for days, then act normal. It’s exhausting, and I have no one to talk to—she seems fine around others.”

The emotional disconnect was huge. Jatin felt he was drowning; Seema didn’t know how to express her needs without terrifying him.

The effect of unmet emotional needs

Depression often grows from unmet emotional needs. Feeling unheard or unloved can spiral into inadequacy and depression. Seema needed Jatin’s attention so intensely that when she didn’t receive it as expected, her balance collapsed.

Jatin tried to hold everything together yet felt hostage to Seema’s demands. Their lack of emotional bonding fed both depressions, and neither saw a way out.

Breaking the cycle

How can couples like Deepti and Sameer or Seema and Jatin break free? They must acknowledge that depression isn’t just an individual illness; it’s shaped by the relationship dynamic. Each partner needs to see how the other’s emotional state affects their own.

Individual therapy helps one person’s conflicts, but couples therapy is vital because it shows how the relationship contributes to the problem. With shared effort, partners can address the emotional disconnect that fuels depression and change it constructively.

The power of mutual support

Marriage is a partnership. Each partner must care about the other’s emotional well‑being; no one can fix everything alone. Mutual support lifts depression and strengthens the bond. Deepti and Sameer improved only when they both accepted their depression and searched for ways to heal together.

Seeking help together

If you or your spouse is depressed, both of you need treatment. Depression is treatable, but it requires effort from each partner. Couples therapy can help you overcome emotional hurdles and rebuild your relationship.

Two are stronger than one. United, couples can find their way back. This isn’t about blame; it’s about knowing you’re in it together. Marriage is a journey, and depression can strain even strong relationships, but it doesn’t have to define them. Acknowledge its role, seek help, and face the road ahead as a team.

We offer family, relationship, and marriage counselling for families, men, women, and couples—whether you have children, are newly married, are considering separation, are divorcing, or are facing any relationship difficulty. We help partners understand each other’s mental and emotional states, improve communication, and overcome obstacles blocking their happiness.

Get in touch with us today or write to us at mansikpramarsh@gmail.com.

How Do We Manage Anxiety in Children.

Ramneek Kapoor

We often think that our children have better resilience to their anxiety and they become normal once we have either given them positive strokes,bought them a chocolate,a gift or diverted their attention by permitting them to play video games . But it needs to be understood that anxiety doesn’t happen to the kids like the way we experience it happening to us adults. Anxiety in children can trigger, in panic attacks,in their tantrums ,in their sudden rush of energy or it may occur in the untimely defiant behaviour.We as parents just push it aside by ascribing it to their misbehaving or being in the company of wrong friends .However children may react differently depending on the immediate situation ,past incidents or future anticipations.

As psychologists counselors and family therapists we have to deal with couples , parents and other family members of our clients who always appear to be suffering from anxiety, In most such cases their children too suffer from similar anxiety or otherwise children from families where there is a good coordination amongst parents struggle with anxiety too .

Some parents would pretend and hide their issues of anxiety and other concerns from their children . Even when kids are understanding the parents would try to act as if everything was fine .These parents would do everything they deem fit or within their reach to calm their wards and reset their nervous system through various practices of calming . Children can pick up anxiety from their parents through the verbal communication, through the body language of their parents,through their mood disorders or the kids themselves can react to any genreal event in the family and develop a full or partial panic attack.

We have seen many a parents fighting and undermining each other when they come to us. They fail to realise that when they behave so their children too suffer mental agony and a fear of being abandoned by either or both of their parents. Children feel abused when their parents fight .They feel cheated by their parents.Children want to live in a typical family life environment irrespective of the riches or poverty.Any thought of living without a parent causes them much mental pain and that triggers anxiety.To them, their family is their safety nest. Their family enables them to play, to study, to make friends .It helps them grow. It is the reason of their being here in the world. To them family is the only reality ,rest all is just make believe.Any iota of doubt on family’s continuity causes deep anxiety.

Parents should remember that their children would always pick up the stress and trauma that their parents experience and exhibit. The parents may think that their children are safe and that children have not been exposed to any kind of stress , physical,sexual, or emotional or personality abuse . They may believe that they are offering their children a great childhood compared to parents’ own childhood or other experiences that parents had to suffer. But actual truth is far from this .Children can become anxious for many reasons triggered by the parents obvious circumstances or not so obvious happenings within the family .Some of these reasons could be the actual and some could be as perceived by the children. To us adults many of those reasons might not be major , but to a child they become quite significant in triggering insecurities and anxiety thereof. Should the parents happen to be separated or divorced the self blaming mind of the children would always be devastated by the memories of the times when the family was together. They would not understand the sudden blow of isolation and the non availability of the parental umbrella .They struggle to be emotionally available to the single parent they now live with and at the same time add on a make believe relationship with the parent they have been separated from which they continue to believe was on their account.A two edged anxiety of this kind breaks them . It shreds the very fiber of their mental balance.

Children are often left heart broken if there happens to be a fight in their family.They tend to believe that all tension is on account of their being a cause of distress to their parents. Often they are left with a broken trust .They feel guilty with their self confidence devastated by the memories of parents shouting at each other.They are afraid of the sudden isolation caused by such disputes amongst their parents.

We always assume that our children are understanding. They adjust to the life as they grow . That they have stronger plasticity. This could be applicable in some way but it is not the complete truth .They are not as strongly fortified against anxiety as we tend to believe. Children do build up their defence mechanisms but these defence mechanisms may prove more damaging to their growing personality during adolescence and later on in their grown up relationships. We often come across young persons and old people alike who suffer from the traumas of their growing up years in anxiety .

We give hereunder some of the symptoms that we have witnessed in children while counseling the families .

1) Dissociation: Children have exhibited dissociation by completely cutting themselves off mentally from what is happening in their families.They form their own make believe world to hide the pain .Though parents may believe that the child is being creative ,when the child speaks to and play with imaginary characters .Riya 6 years is one such case .Her parents donot see each other eye to eye .Their constant bickering causes much anxiety to the child. The child is seen talking to her doll most of the times and refuses to part with the doll when she goes to school or goes to bed. Her parents eventually brought her to the counselor when her teacher noticed the child talking to the doll she had brought into her school bag to the classroom.

Monty’s (9 years) parents had been advised by the psychologist that their child suffers from ADHD because that’s the only way he can get their attention and evoke sympathy from them.His parents both working, hardly find time to spend with their child .Their occasional outbursts cause him such a deep distress . He exhibits his anxiety by getting irritated, by indulging into hyperactivity , impulsiveness and inattentive behavior.

Depression was diagnosed in Deepa ( 10 years ) as a mood disorder because the chronic emotional outbursts indulged in by her grandmother and mother in their interactions caused much disturbance to the child.

2)Gastrointestinal : Meenu’s (5 years ) anxiety has been cropping up in her difficult behavior to ease up herself. She holds up her anxiety in her abdominal area.Inspite of her feeling pressure on the stomach she would refuse to sit on the pot to clear her stomach. She suffers from constipation.Her bowel training has been conducted a few times .But whenever she needs to clean her bowels , she holds on to her stool and often soils her clothes.A better approach would be to ensure the child is offered a better protective environment at home free from tension and stress. We noticed she catches on to her parents’ anxiety and expresses her own in the manner described.

3) Obsessive seeking of Validation : Divya (11 years ) exhibits lack of self confidence.She most of the times struggles to express herself confidently. She would often speak in almost inaudible tone She needs to be reassured that others are paying attention to her and she must speak louder with confidence. She always needs validation from her mother.

Children themselves may not be aware of their anxiety but parents and the teachers need to read the symptoms and signs that speak of anxiety in the children.

If you can be aware that a life experience has created anxiety in their lives, you can bring attention to it and help them cope with that anxiety. You must take your child to a psychologist for evaluation and necessary counseling wherever needed .The psychologist may have to counsel the parents too.

Just being aware that your child can suffer from your chronic circumstances and catch on to anxiety should be taken as an initial step to prevention.Take them to a psychologist whenever or if they exhibit symptoms of anxiety. Whenever possible speak to them about their fears ,concerns and phobias whether implied or implicit .Children should be trained and encouraged by both parents to discuss ,open up and ask questions from parents should there be any stressful occassion in the family. This will help them to understand that there can be differences of opinions,arguments and even conflicts within the family but that you will always protect them and be with them to take care of them.

Family is Everything even for your children .Make them feel safe and protected.
Continue reading “How Do We Manage Anxiety in Children.” →

Is your uncontrolled anger damaging your relationship with your spouse ?

Ramneek Kapoor

Nothing else can be as fatal for the marital relationship as your anger. An uncontrolled anger is like a slow poison to the strong threads of relations between husband and wife .The uncontrolled anger virtually eats into the very roots of love,trust and respectability of both the partners .

I have observed while counseling estranged or opposing spouses that couples would often express their anger and resentment towards each other and after a while they tend to cool down when educated about their misplacement of their emotions or expectations from each other.

However heavens may help in situations where one of the spouses happen to have an uncontrolable anger . Such expression of constant complaints and anger often leads to physical abuse ,emotional accusations against each other and ultimate separation.

Anger is not so bad if used momentarily and allowed to subside and defused once it has been expressed. The message that the angry person has been upset over certain issues or acts of either spouse can be conveyed and thereafter both would do better to come to the levels of finding ways to negotiate peace and make amends .

There comes a stage when the partners need to involve a professional family therapist who can help them look at their differences or different perceptions in new light to sort out the disputes .Such intervention is arranged with a view to evolve newer and better emotional understanding amongst the couple ,even though the previous hurt still remains at the background. But the seething anger has been overcome as the partners give each other opportunities to grow their new closeness and understanding.

But many a times the harmed partner particularly wife finds it difficult to let go of the past and forgive her husband. Her anger seethes like a wild fire that knows no direction ,hovering over the relationship and destroying everything that comes in its path .Such situation finds no retrieval and the couple sooner or later ends up parting ways through legal separation,or finding it difficult to stay together peacefully.

A partner with such an uncontrolled anger often brings to the fore the mistakes of the other partner,by shaming him or her at every available opportunities,refuses to listen to any explanation by the partner and believes no compromise can be big enough to solve the problems which have arisen in their relationship.

An understanding partner can help coverup many shortcomings ,mistakes and at times blunders of the other partner unless it happens to be a complete erosion of trust and faith.But in the event of such a situation too,the partners need to sit together by letting the anger go and understand how to proceed with their relationship further or even give it a break by inflicting the minimum damage to the family and partners themselves.

It is important that both husband and wife should pay attention to their anger control and if they find that their relationship is getting affected by such frequent bursts of anger. They should consult a counseling psychologist and family therapist .A trained professional counselor and family therapist would help them with relevant anger management therapies including perceptive breathing exercises .

  • Family therapist during meeting with unhappy, married couple

While there are enough advisors in every social circle to guide and help the estranged or fighting couples but such unprofessional approach unknowingly out of their ignorance can ignite more anger or mistrust towards each other often leading to frequent accusations. As far as possible couples should avoid such agony aunts for their own betterment .Repeated complaints, frequent bickerings and trying to put down the partner or staging a show down for your partner just because you are angry with him or her can on the contrary take the love out of relations,resulting into the damaged partner finding solace elsewhere .No partner in the right mind who values relationship would like to be in such an embarrassing situation .Anytime you feel angry with or at your partner ,give yourself sometime to think over if the confrontation can be through anger or matters can also be discussed without losing control and being firm in your tone and body language.

,If you have such  uncontrolled anger /domestic violence  situation You should come to us at Family Therapy India and we will help you resolve all issues of your marriage in more amicable manner .Find us @ http://www.familytherapyindia.com.

Email us @mansikpramarsh@gmail.com

Call: 09179383554,917314263087

–Ramneek Kapoor – Family Therapist, Psychologist Counselor and Science of Living Expert .

    Energising your Relationships

    Ramneek Kapoor

    img-20190313-wa0000-444810066.jpgI love to go to a garden nearby to look at the plants growing and to savor their fragrant breeze full of oxygen and greens. And let me tell you I do love to speak to the plants in the morning as they open up their lovely flowers to the rising Sun and rebuild their energy which they gather from the sunlight .At home we do not have a lawn where we could grow these plants (we live in an apartment) . But on the top of the building where we have managed to rent a terrace we do have a few pots with plants. These plants have very tenderly been reared by my daughter with great care and love. I have seen the fresh flowers of white, red and yellow colors bloom to the plants virtually growing from little buds to the full blown beautiful flowers. Whenever I go the terrace I water them, talk to them and make sure they feel loved and taken care of by me and feel happy about this. I feel my conversing with my plants exactly is the reason these plants have grown from tiny saplings to the full grown plants adorning their smile into these flowers.
    Similar to these little saplings and plants all kinds of relationships need constant communication, love, tender care, nurturing and sunshine of trust and admiration. If any of the same is missing our relationships tend to get withered away just as all those seedlings died which had not been attended to by me.
    We would often take our relationships for granted once we have formed them. We allow the novelty and the freshness of each other’s company wear of, thinking, “now that we have each other where the hell can the person go”. It is easy to do that as you get busy with the daily grinds of life. But like the delicate plants that were given extra care by me to grow, each relationship too needs to be handled with full involvement and care.
    In a relationship or in a friendship, we need to regularly spread the showers of mutual understanding, of admiration the nurture and love. Not all relationships may require you to go out of your way to attend to them. A periodic touch of getting to know about each person as to how he or she is living life ensures we do not feel cut off and likewise the other person too feels in touch. In the current age of internet and social media though people are always available online, yet the lack of personal touch and physical presence of good listeners is felt by one and all. People living under the same roof and sleeping in the common bedroom become strangers as they remain occupied in their own virtual world of WhatsApp.Facebook,instagram,twitter and other online social media apps.
    I have many a times met such husbands and wives who do not have either time or an empathetic ear for each other to give at least a hearing to the partners when they need to talk. Being there with an empathetic attitude and listening with patience to the other’s point of view can go a long way in solving many compatibility issues the couples face in their marital life.
    I am currently meeting and counseling quite a few numbers of families, where all family members have agreed to spend at least two evenings in a week on working days and every alternate weekend in a month together on family outing or family dinner and they have shown wonderful results in their understanding of each other. The faces of the family members more especially the younger members beam smiles as big as the rose in the picture above after they find their parents spending a quality time with them in such a positive manner.

    fam din
    Just as we need to take care of the plants, saplings and flowers an protect them from all kinds of weeds, strong winds, too much of sunshine, the same way we need to tend to the relationship by giving our empathetic, loving , and understanding physical presence and listening ears  to all family members.

    -Ramneek Kapoor – Family Therapist, Psychologist Counselor and Science of Living Expert.

    family therapyFamily will survive all storms with a little patience and perseverance

    Perceptive Meditation and Mindfulness

    Ramneek Kapoor

    download“Perceptive Meditation enables you live in and with your breath taking your mind away from your anxiety stress and worries of life .It empowers you to live in the moment with complete mindfulness of your soul ,body and mind “. Ramneek Kapoor.

    What is Perceptive Meditation and What is Mindfulness ?

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    “Perceptive Meditation is the intense involvement of body and mind into deep meditation on the psychic centres being fully aware of the moment and the breathe present in every living moment in its total intensity”

    Mindfulness refers to the process of focussing complete attention to the present moment of life and living life in its every moment with complete awareness .This enables acceptance of life’s every moment in its totality and being aware of life in a non judgemental manner .In a way Perceptive Meditation and Mindfulness both work in the same direction for the same purpose.

    How do Perceptive Meditation and Mindfulness help when Practiced together
    • Both are practiced with the mind fully present in the here and now
    • Perceptive meditation through the process of Srir Preksha {Perceptive Meditation on various parts of human body each focussed separately } helps the protagonist meditate on the various parts of the body to experience both the negative and the positive without reacting or expressing any likes or the dislikes, love or hatred for any part , making the journey of the mind through the pleasant or the unpleasant thoughts sans reactions and thus developing a feeling of equanimity in all kinds of circumstances. Mindfulness is similar way of experiences of the pleasant and unpleasant being fully aware and feeling unthreatened .
    • Perceptive meditation develops better connect to the self and in the process bringing better acceptance of the internals with the externals, and of the other humans in the world around with complete mindfulness
    • The process of practising deep meditation in total mindfulness of the psychic centres brings about a complete peace of mind, a better physical , mental and emotional health in the individual and empowers with the cosmic energy.
    • The process of kayotsarga ie, the progressive mindful journey on all the body parts and psychic centres to dissociate the psychic centres and body parts consciously from the mind brings about a total; celestial self-awareness
    • The process of Lesya Preksha (mindful perception of the celestial colourful lights )on the psychic centers brings about a total peace of mind, better mental and emotional health and develops acceptance of all kinds of ups and downs in life without extreme reactions , thus empowering the mind for better tolerance and understanding .
    • Mindful perceptive meditation of the psychic centres helps separate the thoughts from the emotions distinguishing imagined from the reality.
    • Mindful perceptions of the psychic centres teaches to the practitioner that everything is temporal and that everything changes; that same way emotions, thoughts and feelings are also short-lived and temporary like the weather.Nothing remains permanent .
    • Perceptive meditation with total mindfulness brings about better balance of mind and emotional stability.
    • Mindful Perceptive Meditation brings about serenity ,calmness and peacefulness.
    • The mindful perceptive meditation makes the practitioner aware of the negative and the positive both and trains to focus the mind on positives .

    Perceptive Meditation, Mindfulness and Psychotherapy

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    Mindful Perceptive Meditation on Psychic Centres is a very powerful, evidence-based meditation tool for enhancing emotional ,psychological and mental health.

    It has very successfully been used as an effective intervention in a wide range of clinical disorders, including bodily distress disorder,psychosomatic pains, chronic stress disorder, anxiety disorders, depression, PTSD, OCD, substance abuse, and other neurotic and psychotic disorders bringing relief to the affected .

    -Ramneek Kapoor – Family Therapist, Psychologist Counselor and Science of Living Expert.

    logo family therapyFamily will survive all storms with a little patience and perseverance