Unseen Depression in Couples Can Stall Counselling Progress

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 to Identify and Set Boundaries with Emotional Abusers and Difficult People

Identifying Emotional Abusers

We had earlier written about emotional abusers on this blog, and we’ve received a very positive response from our large number of readers and clients. Many were able to identify the abuse in their lives and managed to deal with it.

We feel it’s important to identify difficult people, self-obsessed individuals, insistent personalities, and narcissists. People can be hard to deal with in many situations—whether in an employer-employee relationship, student-teacher dynamic, sibling interactions, and especially in marital relationships, where both partners can sometimes act difficult, insistent, demanding, self-obsessed, or narcissistic.

Various strategies have been identified and adopted to deal with such people—from being firm to using isolation or not responding to their demands.

But the most effective strategy so far has been setting boundaries. This helps make them understand how far they’re allowed to go and how much of their behavior will be tolerated.

The “Setting Boundaries” Method

This technique helps manage interactions with emotional, commanding, controlling, or narcissistic people. The idea is to subtly show them that no matter what they do, your response will be bland, unresponsive, and uninteresting—like a solid wall. They begin to feel that interacting with you emotionally will lead to dull, detached, and unsatisfying outcomes. This signals that you’re not interested in engaging with their behavior.

This mental boundary-setting strategy has worked well for many of our clients dealing with toxic relationships.

Benefits of Setting Boundaries:

  • Takes away control by denying the emotional reactions they seek
  • Protects your emotional well-being and mental health
  • Limits exposure to manipulation, insults, drama, and conflict
  • Reduces stress and anxiety in difficult interactions

How It Works

Setting boundaries isn’t complicated. It just involves using simple communication techniques like:

  • Keeping interactions short and to the point
  • Using a neutral tone and facial expression
  • Avoiding eye contact
  • Responding with short, non-descriptive words
  • Staying calm and emotionally detached
  • Offering no explanations
  • Not defending yourself

Some call this “grey rocking.” If someone uses these behaviors to keep a narcissistic, unpleasant, or abusive person at bay, it’s a valid approach.

Keeping Your Mind Balanced

This takes time and practice. But once you get used to it, navigating tough interactions becomes easier and less draining.

Here’s how you can stay balanced:

  • Practice perceptive mindfulness. Stay aware of your emotional reactions and learn to manage them.
  • Know your boundaries. Be clear about what’s acceptable to you and what’s not.
  • Prepare responses in advance. Think through common situations and decide how you’ll respond neutrally.
  • Seek support. Talk to a trusted friend or therapist about what you’re going through.

We at Alka Mansik Pramarsh Foundation are here to help.
Reach us by email at mansikpramarsh@gmail.com or give us a call.

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

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

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.

Is your uncontrolled anger damaging your relationship with your spouse ?

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 .

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 .