Tag: family counselling

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.

Coping with Betrayal: A Family’s Journey Through Post-Infidelity Trauma

Ramneek Kapoor

Discovering that her husband had been engaged in an extramarital affair for the past three years with a colleague was a traumatic shock for Shilpa (name changed) and her two children. The revelation devastated her, leaving her stressed and deeply depressed. It felt as though a heavy stone had struck her head. She felt dizzy, foreseeing a challenging time ahead for her and her children. Her heart sank as she saw her twenty-year marriage crumble in an instant.

Shilpa and Arun (name changed) had been married for two decades. They have an 11-year-old son and a daughter who had just turned 18 the previous week. Until this revelation, their family life had been typical of a middle-class, educated household. They experienced occasional arguments and some disputes between husband and wife or mother-in-law and daughter-in-law. However, no one could have anticipated that infidelity would threaten their relationship at a stage when it was believed that their marriage had weathered all storms and smooth sailing was ahead.

The traumatic stress that enveloped the entire family after the revelation of Arun’s affair must be understood in a broader context. It’s a common misconception that such a situation affects only the couple and has minimal impact on other family members. This is far from the truth; the emotional scars run deep for all family members.

The traumatic shock of discovering infidelity brings about intense stress for the entire family. The impact of such a revelation can be as devastating as a natural disaster, mentally, socially, emotionally, and financially uprooting the family. Post-Infidelity Traumatic Stress Disorder (PITSD) needs to be assessed not only on the family as a unit but also on each individual member.

In Shilpa’s case, the effects of PITSD were profound and pervasive.

The Wife’s Struggle with Self-Esteem and Trust

Shilpa lost all confidence in herself and suffered from low self-esteem. She couldn’t comprehend her husband’s infidelity, which shattered the world she had built around him over twenty years. She frequently experienced somatic pains and sleeplessness. At times, her memory was affected, and she would forget minor details about herself. Although frequent visits to her psychiatrist and psychologist provided some relief, the persistent pain and the haunting question of “why” kept resurfacing. Recovery from PITSD seemed like a distant goal for her.

The Children’s Silent Suffering

The children also suffered from PITSD. The looming breakup of their parents’ marriage cast a shadow over their lives. Their son, unable to side with either parent, retreated into silence. He spoke in low tones and used very few words to express his needs. This resulted in neglect of his studies and self-care. However, the situation brought the siblings closer together, offering each other the comfort and support their parents could no longer provide.

The Daughter’s Emotional Turmoil

The daughter struggled to cope with the situation. She believed that if she had paid more attention to the family dynamics over the years, the affair could have been avoided. She was engulfed in self-remorse. Any discussion about the affair triggered severe depression, and she would start crying uncontrollably. Her father, whom she had seen as an infallible hero, had let her down profoundly. She ended up fighting with both her parents multiple times a day, refusing to listen to any explanations from her father. She developed an eating disorder, and her physician diagnosed her with Irritable Bowel Syndrome (IBS). PITSD doesn’t affect just one individual; it disrupts the entire family system. As family therapists, it’s crucial to focus on the couple as a single unit, but in such cases, it’s evident that the sub-systems within the family also need as much attention and intervention as the main couple.

The Strain on the Unfaithful Spouse

The revelation of infidelity is traumatic for the unfaithful spouse too. Arun felt miserable, knowing his children were aware of his actions. He faced constant guilt and the wrath of his partner. A defiant attitude had been manageable while dealing with his spouse alone, but the reaction from his adult daughter and adolescent son was too intense to ignore. Consequently, his business suffered, he experienced nightmares, and visits to the family therapist became frequent.

Addressing Post-Infidelity Traumatic Stress Disorder (PITSD)

PITSD is a condition that needs to be taken seriously. The profound impact on all family members requires a comprehensive approach to healing. Here are some essential steps for addressing PITSD within a family:

  1. Acknowledgment and Acceptance: The first step is to acknowledge the pain and accept that healing will take time. Both the unfaithful spouse and the betrayed partner need to recognize the trauma caused by the infidelity.
  2. Therapy for All Members: Individual therapy for each family member and family therapy sessions can help address the emotional wounds. A professional therapist can guide the family through the healing process, providing tools to cope with the trauma.
  3. Open Communication: Encouraging open communication within the family is crucial. Each member should feel safe to express their feelings and thoughts without fear of judgment. This can help in rebuilding trust and understanding.
  4. Support Networks: Leaning on support networks, such as friends, extended family, or support groups for those affected by infidelity, can provide additional emotional support and practical advice.
  5. Self-Care and Coping Mechanisms: Each family member should be encouraged to engage in self-care practices and develop healthy coping mechanisms. This can include physical activities, hobbies, or mindfulness exercises that promote emotional well-being.
  6. Setting Boundaries: Establishing clear boundaries can help in managing interactions and reducing conflicts. It’s important for each family member to understand and respect these boundaries to create a safe environment for healing.
  7. Rebuilding Trust: Rebuilding trust is a slow process that requires consistent effort. The unfaithful spouse must demonstrate genuine remorse and commitment to change, while the betrayed partner needs time and space to heal and eventually rebuild trust.
  8. Focus on the Children: Special attention should be given to the children’s emotional needs. They may require additional support from school counselors or child psychologists to help them process their feelings and cope with the changes in their family dynamics.

Infidelity is a painful and challenging experience, but with the right support and strategies, families can navigate through the trauma and emerge stronger. Understanding the profound impact of Post-Infidelity Traumatic Stress Disorder and addressing it with empathy and care is essential for the healing process. Each member of the family deserves attention and support to rebuild their lives and move forward.

Selecting the Perfect Family Therapist for You

Ramneek Kapoor

It’s commendable that you’ve made the decision to seek help from a professional family therapist after much consideration and encouragement. This is an important step towards addressing the issues within your family dynamics. To ensure that this endeavor is fruitful, it’s essential to choose the right therapist who can understand your situation, provide insights, and assist both partners in making informed decisions with confidentiality.

Choosing a family therapist is not merely about finding a professional to listen to your concerns; it’s about selecting a compassionate and knowledgeable guide who can navigate through the complexities of familial relationships. 

Take Seema’s experience, for example. She faced marital challenges but was hastily taken to a psychiatrist/psychotherapist by her family, overlooking the underlying relationship issues. This rushed decision led to wasted time and resources, as well as unwarranted stigma attached to Seema.

To avoid such pitfalls, consider the following guidelines:

  1. Research Online: Begin your search by exploring family therapists in your area or those who are available for sessions online. Pay attention to ratings and reviews from verified clients.
  2. Seek Recommendations: While discussing personal matters with friends might be challenging, remember that family therapy encompasses a broad spectrum of issues affecting various family members. Some friends or family might have valuable recommendations based on their experiences. Keep in mind the importance of confidentiality, but also remember that all therapy sessions are strictly confidential.
  3. Review Client Feedback: Read comments and recommendations from previous clients to gauge therapist satisfaction levels. Trust your instincts when evaluating feedback.
  4. Consider Therapist Gender: Choose a therapist whose gender you feel comfortable with. Some clinics offer both male and female therapists, and some even provide couple therapy with both partners.
  5. Differentiate Between Family Therapists and Psychologists: Ensure that the therapist has specific qualifications and credentials in family therapy, in addition to a psychology degree. Family therapists specialize in relationship dynamics within families, while psychologists focus more on individual psychological issues.
  6. Schedule Appointments: Don’t procrastinate reaching out to therapists. Make phone calls to discuss your needs briefly and schedule appointments for in-person visits. While online counseling is an option, face-to-face sessions may be preferable, especially if multiple family members will be involved.

By following these steps, you’re on track to finding a family therapist who can provide the support and guidance needed to navigate your family dynamics effectively.

The Woes of a Dysfunctional Family -We Help You Resolve Them

Ramneek Kapoor

Members of families in their ignorance or sometimes deliberately hurt each other to cause an unending mental emotional pain. Although a good family is meant to help individual members develop themselves to their full potential but chains of miscommunications, uncalled for egos, familial fights, discords and long-drawn-out misunderstandings result into a dysfunctional family hampering not only relationships but also a complete non achievement of personal career goals by individuals.

Kritika and Vijay (names changed) have been victims of two such grossly dysfunctional families themselves in their young age prior to their marriage and have till date (even after a decade of their having been married) not been able to overcome traumas of their young days in their parental homes. Resultantly now their children suffer from traumas of dis -functioning of their own families.

Little girl doesn’t want to hear arguing of parents

Dr Kritika (name changed) and her two siblings have been witnessing painful fights of their parents all through their life where a triangular drama would take place every day and night with sibling shifting allegiances and taking sides sometimes with their father, another time with mother or being at war with each other. These fights still continue even though all siblings have chosen their own paths in life, they continue abhorring each other. Kritika’ s all efforts to bring her parents and siblings together again is not being accepted by others of family resultantly their deadlock remains.

Such painful family events and interactions leave intense hurts, personality issues, traumas and social adjustment issues all through life. Sejal, Sonia, Kamolika, Anand, Sumit (fictitious names ) and many others such people have been suffering PTSD, Anxieties ,Mistrusts ,phobias ,adjustment issues after they lived through such most painful family dramas and now they suffer alongside their children and spouses too because of the torments of the past .

The indelible scars of family fights destabilise the psyches of family members, have impacted their relationships, job performance and emotional stability all through the life. We have been helping many of such families deal with such dis functioning, Traumatic experiences childhood scars, depression anxiety and stresses to enable them understand what emotions prevailed when the dis functioning occurred, and how these family members could not deal with their as well as their parents’ partners, children and their siblings’ similar experiences —in which their entire family had suffered and many of them still suffer.

Understanding Triangulation of the dis functioning.

The functioning of any family gets disturbed when the normal day to day interaction with each other turns into accusations of not fulfilling expectations. Or when communication is not understood in the right perceptive or when the words used for emotions do not convey the spirit behind but the use of those words and dialogues or when patience is short lived and angers flare up.

In any such situation, the battle field turns into the members un knowingly playing the roles of perpetrators, victims or the negotiators who often act as mediators or pacifiers. But sometimes they also end up taking sides with either one. We believe every household or a family can get into such a situation one time or the other. However, if such a situation continues or comes up recurrently is the cause for alarm. Because if not resolved at the appropriate time it can turn onto a chronic dis functioning of the family.

A new understanding and perception of dealing with those situations have helped these families deal with and each individual member transformed into a stable, loving, mature, and dependable person, attaining their best personal success after they have come over to Family Therapy India.

If your family is one such family suffering from misfunctioning and traumas of the past . It is time now to help your family overcome such disputes, ego bruises, mistrusts and angers of the past. Take control of your life and feelings, and help others understand the need for curing their feelings. Know that we can help you bring about a positive change in your filial relationships. With commitment and time and our expert counseling sessions of family therapy, healing begins steadily and gradually until the family adopts the new normal relationships.

Post Infidelity Traumatic Stress Disorder

Ramneek Kapoor

The revelation that her husband has been having  an extramarital affair for past three years with one of his office colleagues came as a big traumatic shock to Shalini (name changed) and her two children.

She had been devastated, traumatized stressed and depressed .She felt as if someone had hit her with a big stone on her head. She felt dizzy as she could foresee a tough time ahead for her and her two children .Her heart sank. She could see her marriage of twenty years, falling apart at that instant.

Shalini and Amit (name changed ) have been married for twenty years .They have a son 11years and a daughter who had just completed her 18th birthday last week .So far they have had an acceptable level of understanding within the family, like any other middle class educated family. There have been occasional arguments and some fighting incidents between husband -wife or mother in -law and daughter in law, but none could have expected that one of them could be going astray in an age when it is often felt that marriage has withered all storms and it will be all smooth sailing from here. The kind of traumatic stress that had befallen all members of family after the revelation of extramarital affairs of the head of the family needs to be understood in the larger context here.

It has often been assumed that such an unfortunate situation affects the couple and it may not have much impact on other members of the family. But that is only a myth; in fact it leaves very deep scars on all members of the affected family.

The traumatic shock of such revelation of infidelity by (either spouse), brings about profound stress levels to all members of the family. The impact of such revelation of the infidelity perpetrated by the spouse can be as potentially and severely traumatic as the trauma brought about by a natural disaster uprooting entire family, mentally, socially, emotionally and financially. The post infidelity traumatic stress disorder unlike the other PTSD needs to be assessed on entire family as a whole and on each individual family member individually .

PITSD mentioned in the above case can be seen as it affected all members of the family, in the following manner.

The wife has lost total confidence in her and has ever since been suffering from low self esteem. She has not been able to find reasons for the infidelity brought about by her husband, around whom she had built her world of twenty years.

She often complains of somatic pains and sleeplessness. At times her memory gets affected .She forgets attending to smaller details about herself. Frequent visits to her psychiatrist /psychologist do help .Yet the gnawing pains and the thought “why” come back repeatedly. Seems she will take a long time to recover from the PITSD.

The young ones too suffer from PITSD .A sense of impending breakup of the parents’ marriage hurts them all the time. Their  son not being  in a position to side with any parent ,has gone into silence .He speaks in low tones and uses very few words to ask for anything needed by him This has resulted into his neglected of studies and self care. It has however brought both siblings closer to each other.

Daughter of the family doesn’t like such a situation .She believes that this could have been avoided if she had paid more attention to the family environment over the years. She has been in the process of self remorse .Any discussion in the family on the subject matter triggers her severe depression and she would start crying in no time .She believes her father has been her infallible hero and should have been more careful with his conduct. She ends up fighting with both her parents a few times a day. She refuses to listen to any reason by her father. She suffers from eating disorder and her physician has diagnosed her for IBS

Post Infidelity Traumatic Stress Disorder as such doesn’t happen to one individual .It virtually affects the complete family system. As a family therapist we have been focusing on the couple #both the spouses as a single system but in such cases it becomes obvious that the systems within the system too need as much attention and intervention/therapy as we give to the main couple.

The impact of such revelation/disclosure/finding is no less traumatic to the spouse who has been wayward and promiscuously adventurous .He feels miserable now thinking that his children know everything about him. He faces the wrath of his partner always feeling guilty. A defiance attitude was fine so long as he had been dealing with the spouse. But the reaction of both, the daughter (who’s an adult) and the adolescent son has been a little stronger to be taken lightly .Resultantly business suffers, nightmares occur and visit to family therapist occur frequently now.