Tag: family therapy

KEEPING MARIAGE ALIVE

Ramneek Kapoor

Love is a beautiful song .But love is a lonely song if either of the love birds moves away .Love becomes a bitter song if the bitterness in relationship comes in .But love remains under all conditions sweet or bitter and the fragrance lingers on .

It is wonderful feeling to be in love and date each other. While dating prior to the commitment made to each other for a long term relationship, the couples meet for a while and then pine for each other till they meet at the next date. Everything is seen by them from behind the rosy shades of love and affection for each other.

The emotions of possessiveness and yearning do not bring in the mundane communication of a daily grinds of life. But being in a long-term relationship isn’t merely pining for the lover’s physical intimacy alone, it is a feeling of always being there ,always connected and always understanding without the use of words .

Being in long term relationships will involve managing and taking care of many other lives in addition to the lives of the lovers. And it is not an easy task. Both people need to accommodate themselves to new family environment and new relationships in their lives.

Over a period of time ,they will have to raise their own new family unit together to make their family home a happy abode to come to and partaking the joys of love and affection.

They however need to then communicate over many other issues in addition to the romance and love in marriage. Their issues that gain priority over love may pertain to jobs and careers, money and household expense, household work and taking care of the babies, social, cultural and religious affairs, parenting and in many cases taking care of the aged and old in the families.

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.

Needless to say, that every difference and misunderstanding should be treated as worth working for and saving. once the infatuation begins to fade.

Communication is the only tool and doorway to establish a better understanding. Essentially the couple, need to take  up all those problems that are causing strangled relationship .

For further indulgence contact us

http://www.familytherapyindia.com

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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.

Understanding the Real Causes Behind Oppositional Behaviours in Adolescents

Ramneek Kapoor

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.

Photo by Stephen Andrews on Pexels.com

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.

Photo by Alexander Grey on Pexels.com

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.

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.