Depression Treatment Options


However the client should be aware of the treatment options so that he /she can discuss with the consultant. Broadly speaking, the treatment of depression rests on two factors Medication, and Psychotherapy or Counselling.

  • Medication is required for moderate and severe depressive disorder cases.
  • Counseling and psychotherapy serves as an edge in treating depression and need to be started simultaneously along with medicines.
  • You should continue the full course of psychotherapy even if you are feeling better to prevent a relapse.
  • Suddenly stopping antidepressants can precipitate a relapse. Medication needs be tapered gradually under your doctor’s supervision.

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Varsha Bhosle’s Suicide….A psychological perspective


Warning bells for depressed clients:

Person turns recluse
Shows little or no interest in the on-going activities / personal care
Has a history of previous suicide attempts or talks about wanting to end life
Has recently met with disappointment or failure
Has lost a loved one or moved away from a loved one
Changes in food and / or sleep habits
Increased physical complains
All the above mentioned signs were present in Varsha Bhosle. With a series of disappointments and failures in her life, losing a close friend and associate might have been the last straw which led her to end her life. However how does a caretaker determine in such a long standing case history of a depressed individual and repeated suicide attempts, when is she most likely to commit suicide? Often it so happens that the people around them take their depression as a routine and do not find anything unusually wrong in their behaviour that particular day.

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Surviving Cancer


For all cancer patients, life after recovery is never the same. Although they step out of the shadow of cancer physically, many remain tied to it mentally for the rest of their lives unless they make a conscious effort to get out of it. The words ‘cancer survivor’ is inspiring during the treatment and boosts up your spirits at the end of the treatment however do you really want to be labelled a cancer survivor for the rest of your life? Ever wondered why other terminal illnesses (hepatitis C or Asthma or diabetes or cardiac arrests or other traumas such as earthquake) haven’t got such survivor name tag to them? Pause and think before you go any further….What is actually the role of the patient here in the recovery? Apart from the physical pain and mental trauma, managing the illness is the work of a doctor, like in any illness.  Then why glorify it for the rest of your life? Why make it the centre of your existence. Don’t you feel that you need to move on with your life like one does with all illnesses / traumas? Because if you don’t are you not subtly and surely wallowing in self-glorification of something that you haven’t really worked on? Is this then another way of portraying yourself as a victim and wasting time wallowing in self-pity? This is the conscious decision that you need to make at the end of the treatment which in turn will shape up your remaining life. Will you be known as cancer survivor or someone who has achieved more than surviving a trauma in his/ her field? Just being just a cancer survivor does not help to regain confidence in oneself. But if one goes on further to make his dreams come true then it does help.

Lance Armstrong, one of the cancer survivors did just that. He went back to pursue his dreams with the ferocity that drowned all the woes of cancer. Will our Indian skipper, Yuvraj Singh follow his path?

This article is a follow up on the previous article on Yuvraj Singh and surviving cancer :

https://revivallife.wordpress.com/2012/02/07/surving-cancer/Image

Revivallife Counselling
, REVIVAL.LIFE
email: revival.life@gmail.com
http://in.linkedin.com/in/revivallife

http://revivalife@blogspot.comrevival.life@gmail.com
http://www.facebook.com/Revival.life 

                      

ABOUT DIMPLE SHAH
Im a Consulting Psychotherapist  for over 15 years
Director Founder of revival.life Therapeutic Aid and Resource Center
Worked with schools, colleges, psychiatrists, NGO’s and organisations both with individuals and groups.
At revival.life we offer Certificate Courses and training to aspiring professionals apart from providing net and phone based on line consultancy services, conducting research, training programs and lectures / workshops.
Area of service extends to children, parents, adolescents, adults, patients, marital couples, organizational issues, families, specialized therapeutic groups.
Send me an email on revival.life@gmail.com if you are interested in

TU TU MAIN MAIN – GAMES COUPLES PLAY


Games are sets of ulterior unconscious transactions which are played by the couple which always ends up with each person experiencing negative, uncomfortable and familiar feelings. They are characteristically repetitive and will always contain with an element of confusion and surprise.  These games in a couple can get very destructive to the relationship however the couple is unable to disengage from the same without feeling a loss of intimacy. Paradoxical as it may sound, although the outcome of these games is negative, the process re-establishes feelings of love and intimacy which in turn helps them to e entrenched in the relationship. Ironically these unconscious attempts to get close to your partner are the very thing that takes you away from the partner. If you ask any couple about their repetitive arguments, you will be surprised to hear that both the partners know exactly how the conversation will proceed, including the partners responses and yet they have been unable to resolve these conflicts. Often these conflicts are high stakes games and involve intense emotions of anger, fear and lonely, occasionally ending up disastrously for both or one.  No one wins in this game, both are losers.

The emotions experienced by each partner are linked with their assumptions which in turn will be directly linked to a childhood experience/event where they made a decision about themselves, others and the world around them. Underneath these decisions / life game roles will be unresolved and deep rooted feelings from childhood -eg anger that no one heard them as a child; sadness that they didn’t feel important as a child; fear that their parents would leave/overwhelm them. Part of the process of couple’s therapy will be to grieve and let go of these unmet childhood needs. During the stress of game playing these assumptions about reality are perceived as facts in the minds of each person in the couple, even though they are not facts. Seeing a couple’s counsellor will minimize the game playing between you and your partner, as becoming aware of the games you play is the first step to stopping the games.

Therefore game playing in couples also confirms our game role. According to Stephen Karpman there are 3 game roles- Victim, Persecutor and Rescuer. In the Drama Triangle game we can alternate between game roles, but people usually have a preferred life position game role, where they experience familiar feelings which reinforce how they see themselves, others and the world. These life position game roles are fixed during childhood and continue to operate unconsciously until one is made aware of and one chooses a different response that will benefit him/ her.

For example the Victim concludes ‘poor me, as usual no one cares about me'(feeling familiar feelings of helplessness); the Rescuer concludes ‘I just tried to help them ‘ (feeling familiar feelings of confusion and not being appreciated)and the Persecutor concludes ‘I’ll show them ‘(feeling familiar feelings of blaming, anger and self righteousness).

All 3 game roles involve someone not taking responsibility for themselves eg the Victim looks for a partner to take responsibility for them ; the Rescuer seeks out a Victim to take care of but fails to attend to their own needs as well as minimising the Victim’s ability to look after themselves while the Persecutor shifts responsibility by blaming their partner for the difficulties in their life.

Here are some common—albeit negative—games many couples unwittingly play with each other:


  1. Argumentative and oppositional.
     Some people tend to be argumentative and oppositional, picking on their partners to get a rise out of them.  One or both parties are driven to turmoil, so there is often a battle going on in the relationship, and things are frequently on edge and volatile.  Your mate—who knows every hot button you have—intentionally pushes your buttons, and does so on a regular basis.  Frequently, what is really going on is that one person needs reassurance or calming—and asks for it in the seemingly contradictory way of being contentious and oppositional.
  2. Complaining a lot. Some people are experts at picking out the most negative thoughts possible and staying focused on them for prolonged periods of time.  If ten good things and one bad thing happen, most of their thoughts are focused on the bad thing.  These people complain, disagree, find fault or undermine their partner, and are anxious a lot.  Few people are drawn closer to people who are negative, complaining or filled with anxious thoughts.  Therefore, many who unknowingly play this game end up isolated, lonely, depressed and even more negative.
  3. It’s your fault. The person reasons that s/he has little, if anything, to do with the problems in the relationship.  Any problem is, therefore, the other person’s fault.
  4. I’m going to blame you for the same things you blame me for. In this game, one person blames the other for the very things s/he does.  For example, if your spouse complains that you do not listen to him/her, you deny it and say that s/he does not listen to you.  Whenever someone has a complaint or criticism, the other adopts the complaint as his/her own.
  5. Fighting as foreplay. In this game there is an intense fight, then a period of making up.  The swing of emotions is quick and dramatic.  One minute, you are fighting, thinking about divorce and ready to leave, the next moment you are making mad passionate love.  This is because the fight creates adrenaline and is stimulating.  Once stimulated, you are ready for love.
  6. You owe me. I do so much for you and/or our family.  You do considerably less.  You are therefore indebted to me, and whenever I decide to call your debt due, you must perform to my satisfaction.  But perhaps I will prefer not to call the debt due—so I can always have something to hold over your head.
  7. Guess. Guess how I feel, what’s important to me, what will make me happy, what will make me unhappy.
  8. I call the shots. I decide what we’re going to do, and if you cross me, there will be hell to pay.  Therefore, don’t ever cross me.  I am stronger than you.Image
Revivallife Counselling
, REVIVAL.LIFE
email: revival.life@gmail.com
http://in.linkedin.com/in/revivallife

http://revivalife@blogspot.comrevival.life@gmail.com
http://www.facebook.com/Revival.life 

                      

ABOUT DIMPLE SHAH
Im a Consulting Psychotherapist  for over 15 years 
Director Founder of revival.life Therapeutic Aid and Resource Center 
Worked with schools, colleges, psychiatrists, NGO’s and organisations both with individuals and groups.
At revival.life we offer Certificate Courses and training to aspiring professionals apart from providing net and phone based on line consultancy services, conducting research, training programs and lectures / workshops.
Area of service extends to children, parents, adolescents, adults, patients, marital couples, organizational issues, families, specialized therapeutic groups. 
Send me an email on revival.life@gmail.com if you are interested in  

Why is Sachin still far from 100 not out? Is the psychological self sabotage at play here



While Sachin has dismissed the hundredth 100 as just another century, the Indian diaspora is keenly awaiting this one. And with the over zealous aspirations of 1.2 billion riding high on the bat of this young master, pressure is bound to build on him? Suddenly Sachin is out of form and the runs off the bat have abruptly dried up. In our opinion, we do not believe that the lack of form is at work here but certain certain self sabotaging behaviors are preventing him from achieving the much awaited milestone. In this article we explore the psychological impact of self sabotaging behaviour and how it emanates in daily walks of life.

Consider the following self-sabotaging behaviours which are commonly observed: Why do we wait till the last minute to leave for a place? Why are some people perpetually late for something important that they have really desired? Why do we remain employed in a company although we know we deserve and can get a better job? Why do we repeatedly get into an abusive relationship? We’ve all seen this in our friends and even, regrettably, in ourselves.

However bizarre as it may seem, we must derive some benefit from these problematic behaviours of ours. These problems may appear maladaptive on surface but if we give it a closer look, we will realize that in some way, we benefit from them. In other words, in some way we are protected by our problems. One can’t usually explain the “real” reasons for ones behavior because the reasons are outside of their conscious awareness. So although we may consciously strive for something, it is possible that our unconscious mind works in direct opposition to it, self-sabotaging our resolves leaving us frustrated and helpless.

This is precisely the reason why an obese person is unable to stick to the food diet regime. Maybe unconsciously becoming fitter would draw more attention from the opposite sex or make the person more successful than his loved one and thereby lose love of her spouse. Or getting into an abusive relationship is ones way to remain in agreement with the unconscious belief that one is not worthy of love. Or becoming more successful than ones parent will in some way unleash the wrath of the parent who may abandon them. These fears of abandonment or of a loved one getting angry are deeply rooted in one’s childhood experiences and are extremely anxiety provoking. They continue to strongly influence our current behavior unless we bring this conflict into consciousness to be worked on in therapy.

I was approached by a manager at a very senior level for marital counseling. The couple was batting infidelity in their marriage. While his outward behavior seemed very protective and caring towards his wife, his unwarranted affair had a devastating effect on his marriage. During sessions when I enquired about how the affair started and what the other woman meant to him, I was not surprised to hear that she meant nothing to him and that he himself couldn’t justify the need to get into this one night stand and risking his marriage. Worse still he made no effort to hide it from his wife and in fact seemed relieved when she got to know about it. This seemed to fit the bill of the maladaptive behavior perfectly and we looked for further clues on the possible benefits. As we explored the childhood and some of his current behaviours things crystalized further. He was a neglected child and grew up with a feeling of not worthy of love. This feeling remained entrenched in his unconscious although he gained good marks and then went on to become the most successful of all his siblings, taking care to help them settle in life and therefore much adored too. When he got married he started facing difficulties in developing intimacy with his. His wife found him very appropriate however lacking in demonstration of love and affection. She however was deeply in love with him and found his aloofness disturbing. This became an issue when she discovered that he had had a one night stand with a woman. What was disturbing her further was that he could not furbish any justifiable excuse nor did he even attempt to hide the truth from her. It was almost as if he wanted her to find out and thereby punish him by withdrawing her love. This was in line with his unconscious belief that he was not loveable and now he had proven to himself once again that he is not worthy of love.

Sachin Tendulkar too seems to be having this mal adaptive behavior which appears repetitive wherein he gets out just as he is touching his century or when there is tremendous pressure on him to perform. It’s almost as if, if he does meet with the expectations of the country then something terrible will befall on him. If he is successful then maybe he will be abandoned / not loved? Or worse still he will become somehow bigger and stronger than the father whose oedipal complex may still haunt him. It isn’t uncommon to be unable to perform at peak capacity or self-sabotage once life and career to tag the line of one’s unconscious oedipal fears of the opposite sex parent or the belief system of not being good enough/ not loveable/ not worthy of. Our actions are mainly governed by this unconscious dictum and efforts are made to keep it unconscious and seeking more and more proof through experiences that match these beliefs. It is kept unconscious precisely for this reason that it produces anxiety while conscious life experiences seem to fall in line magically with these beliefs.

Most people find the notion that all behavior, no matter how self-destructive, has an adaptive function difficult to grasp. So, how do you go about learning more about the advantages to maintaining your current (purportedly unwanted) situation? A first step is to examine the advantages to maintaining the status quo. To do this, ask yourself the following questions.
Describe a longstanding difficulty with which you have struggled. Describe the ways in which it is maladaptive. How does this difficulty hurt you or hold you back or make you unhappy? What is its impact on your relationships at work, at home, and socially? Ask yourself the following question:

1. Have you attempted to change this difficulty? If not, why not? If so, describe the nature of your efforts?
2. In what ways have your efforts been successful? If they have been unsuccessful, why?
3. In what ways have your efforts been thwarted? How were they sabotaged?

Most people never come to the stage of seeking out professional assistance because they are not aware that they are sabotaging themselves. Those that do seek help often wait until well into adulthood. In life, we all aspire to both conscious and unconscious goals, but often there are psychological barriers that we may cling to and be haunted by, which block our aspirations. Projected envy and terrors of the actual envy of others can block motivations to succeed, when dissociated and/or repressed primal rage intensify the intimidating power of projected hostility and envy, and of perceptions of others as rivalries in areas of competition. Desire can be blocked by oedipal level fears of rivalry and hostile completion, but more primitive and primal fears of abandonment can also be at play, when developmental arrests have taken place in the preoedipal years of separation-individuation and self-integration. How we address these psychological blocks in a clinical situation is critical to helping patients to overcome all their inhibitions and intimidations, as they attempt to motivate themselves to succeed in life.

Dealing with rejection



What makes Priyanka Chopra rejected by the wives of her co actors? Is there really a flaw in her character or is she a victim of the wives’ insecurities. Decide yourself in the article dealing with rejection.
Rejection is experienced as a deep blow to self esteem as it involves blaming you as a person. It is difficult to deal with it because it conveys the message of non-acceptance and that there is something wrong with you and you are not good enough or worse still there is something wrong with you, that you will never change and that you do not belong to this group and you’ve done something wrong or unacceptable. This leaves you with a deep sense of helplessness. There is nothing that you can do to change another person’s biases and perceptions and you are left to deal with all these emotions yourself. More often than not, these perceptions are often backed by societal or religious norms justifying the persons rejection.
Often people who are a victim of rejection keep going in circles feeling victimized and angry and are unable to get over it easily. Psychotherapy helps such individuals to differentiate between what is intrinsic to themselves and that which is not. This goes a long way in handling difficult emotions of rejection. By understanding ones ownself and how one uses psychological defense of projection and introjection one realizes that the emotions thrown into him by the person rejecting actually form the dark and unknown side of the rejecting individual’s personality which is unfortunately being flashed onto your character screen. Although not aware, the person has sense that he can succumb to these very biases and therefore fights it externally whenever he sees it. Unfortunately in the process does not cure himself and accumulates greater fear of the same biases. Therefore no logical argument is able to convince the person to give them up. The reason being, if they give up these biases, maybe there is a fear that he will have to face it within himself. After all isn’t it much easier to fight the devil on an external screen than to have him within yourself.
Equipped with this understanding by experiencing it within ones ownself, the individual is able to detach oneself from the influences of these negative emotions projected on him by the world and is able to restore his self esteem. Of course talking about these emotions forms the initial part of the cathartic therapy but psychotherapy does not stop at that alone. In fact if the therapist is unable to take the client beyond catharsis, the client keeps experiencing the wound in his mind but is unable to come out of it.
Understanding the mechanisms of rejection and knowing that it is never, and I repeat, never warranted or earned are the most fundamental keys to safeguarding your self esteem and sense of self worth. This is a choice. You have to make a choice about how you are going to understand the messages of rejection you receive everyday, and how you are going to, or not going to, integrate these messages into your psyche.
Remember that facing your fears, expressing and sharing your experience, no matter how shameful, is vital in overcoming the aloneness that rejection creates and which sustains its impact.
Make a choice today to focus on the dynamic you and your untapped potential and you will be unscathed by any experiences of rejection.

HOW TO IMPROVE YOUR MEMORY



Ramesh (37 years old) had been coming for therapy for depression for a week now. One evening he came for the session really frustrated. He asked tentatively whether loss of memory could be due to his depression or the related antidepressants that he was given by his psychiatrist. He then went on to explain that he had excellent memory as far as numbers were concerned, so much so that as a child he could remember almost all 49 children’s marks in the class as the teacher called them out aloud before handing over the papers. Yet the previous evening when he had to give his new office number to his very important client he could not just get it right. It almost cost him his contract as the client got offended.

When I asked him when he started noticing this forgetfulness in him, he mentioned that a little before his divorce 3 years ago he had been noticing his forgetfulness but had been too emotionally wrapped up to pay further attention to it. He now realizes that the forgetfulness has been increasing over the years. Initially he thought that he was preoccupied and later brushed it off as a sign of early ageing and even hereditary. But yesterday’s incident was disturbing him.

First and foremost any physical disorder needs to be eradicated. Secondly causal factors as well as the mechanism of forgetting need to be understood. Usually mental decline begins by the age of 40 or 50. However people who are undergoing high emotional stress for an extended period of time also experience these symptoms as early as in their 30’s. Some of the stressors one cannot do away with given the stressful and competitive environment we live in, however we can counter them with certain changes in lifestyle. Health conscious people interested in living quality life introduce yoga/ physical exercises to their routine along with dietary changes. Similarly for mental health one needs to introduce what is called Neurobics in their life, a mental gym. Also contrary to popular belief, the mental decline most people experience is not due to the steady death of nerve cells. Instead, it usually results from the thinning out of the number and complexity of dendrites, the branches on nerve cells that directly receive and process information from other nerve cells that forms the basis of memory. Dendrites receive information across connections called synapses. If connections aren’t regularly switched on, the dendrites can atrophy.

The function of memory is primarily carried out by the cortex and the hypothalamus in the brain. Hypothalamus is the emotional seat of the brain. Anything which is emotionally laden is usually easier to recall, however if there is a flood of emotions it leads to confusion however if this flood continues for extended period of time, it can even cause atrophy in dendrites. This reduces the brains ability to put new information into memory as well as to retrieve old information. The good news is that aging brain, however, continues to have a remarkable ability to grow, adapt, and change patterns of connections. Therefore establishing associations and new pathways for connection have a healing effect on the brain.

The exercise program calls for presenting the brain with nonroutine or unexpected experiences using various combinations of your physical senses—vision, smell, touch, taste, and hearing—as well as your emotional “sense.” It stimulates patterns of neural activity that create more connections between different brain areas and causes nerve cells to produce natural brain nutrients, called neurotrophins, that can dramatically increase the size and complexity of nerve cell dendrites. Neurotrophins make surrounding cells stronger and more resistant to the effects of aging. Also, using multisensory approach, retrieving from the memory becomes easier with a web of associations supporting the matter. More often than not, adults don’t exploit the brain’s rich potential for multisensory associations. Think of a baby encountering a rattle. She’ll look at it closely, pick it up, and run her fingers around it, shake it, listen to whether it makes a sound, and then most likely stick it in her mouth to taste and feel it with her tongue and lips. The child’s rapidly growing brain uses all of her senses to develop the network of associations that will become her memory of a rattle. Adults miss out on this multisensory experience of new associations and sensory involvement because we tend to rely heavily on only one or two senses. As we grow older, we find that life is easier and less stressful when it’s predictable. So we tend to avoid new experiences and develop routines around what we already know and feel comfortable with. By doing this, we reduce opportunities for making new associations to a level that is less than idea. Simultaneous sensory input creates a neural “safety net” that traps information for future access.

Social interactions are also non routine and therefore socializing has similar effect. However we find more often than not that people who are undergoing emotional stress / depression want to be left alone and withdraw from social contacts. Is it any wonder why Psychiatrists suggest going for a walk rather that doing a fitness workout alone in your gym? Going for a walk allows one to experience all 5 senses and also provides the brain with social nutrients necessary to heal the brain.

Here are some of the ways in which you can use mental gym to improve on your memory:

1. Involve one or more of your senses in a novel context.
By blunting the sense you normally use, force yourself to rely on other senses to do an ordinary task. For instance: Get dressed for work with your eyes closed. Eat a meal with your family in silence.
Or combine two or more senses in unexpected ways: Listen to a specific piece of music while smelling a particular aroma.

2. Engage your attention. To stand out from the background of everyday events and make your brain go into alert mode, an activity has to be unusual, fun, surprising, engage your emotions, or have meaning for you. Turn the pictures on your desktop upside down. Take your child, spouse, or parent to your office for the day.

3. Break a routine activity in an unexpected, nontrivial way.
(Novelty just for its own sake is not highly Neurobic.)
Take a completely new route to work. Shop at a road side market instead of a supermarket. Normally, placing a key in a lock uses vision and “motor memory”—an unconscious “map” in the parts of our brain that control movement—which provides an ongoing feedback that allows us to sense where parts of our body are in space. (This is called the proprioceptive sense.)

Neurobics is recommended as a lifestyle choice, not a crash course or a quick fix. Simply by making small changes in your daily habits, you can turn everyday routines into “mind-building” exercises. It’s like improving your physical state by using the stairs instead of the elevator or walking to the store instead of driving.

Ramesh worked on these mental gym exercises for about 6 months and started regaining confidence in himself and also noticed his stress reducing, life feeling more meaningful, increase in interest and involvement in routine as well as novel things and social interactions and in general an elevated mood.

DEALING WITH JEALOUSY IN YOUR MARRIAGE



As Akash explains his marital relationship, there are tears brimming in his eyes. He looks down, unable to look the therapists in eye as he talks about why his marriage was not consummated even though they had been married for nearly 4 years now. They met at a wedding and he was instantly drawn towards Alka. Before the week ended he proposed to Alka through a common family friend. Alka and Akash met a couple of times before they committed to get married. As they courted, Akash sensed that Alka seemed disinterested in him and he asked her about her lack of enthusiasm, but she brushed it aside. They got married shortly and didn’t get much time to discuss this further in all the wedding preparations.
The wedding night Alka seemed to be very scared of sexual intercourse and Akash thinking that she will overcome it as time goes by, focused on making her feel comfortable in his joint family. Despite Alka’s efforts to be an ideal wife and Akash’s efforts to break the ice between the family members and Alka, she was unable to mingle with her family. Soon there began arguments which turned into huge fights between his mother and Alka. Initially he tried to explain to Alka that his mother used strong words to express her disappointments and that if she just let things be, it would help bridge gaps. But Alka was unable to digest this and started withdrawing and/ or getting righteous whenever she was criticized. Often they would end up in an argument wherein Alka felt that Akash was unable to stand up for himself and her. She complained of feeling unprotected in the family environment and they decided to move out on their own to maintain peace, sanity and intimacy in his marriage.
He got the desired benefits and they became closer to each other in their own house. Alka also started coming out of her shell and shared her feelings of how she thought that Akash was very naïve and not smart. He felt extremely hurt initially but also started matching up with her expectations of a husband. So he started learning dance, grooming himself well and even life coaching for his business. They now seemed to share some fun moments, however he was perpetually falling short of her expectations. He seemed to have gotten out of his mothers rows of criticism only to fall in love with a person who only could match his mother in being critical.
Soon he started feeling insecure and jealous of all his friends and cousins who seemed to evoke respect and / or interest of his wife. He found himself often in the periphery of their life events and withdrew further into his depression. He would often wonder with whom his wife talks to when he was at office. So he started giving ‘surprises’ to his wife when she least expected to check on her activities. On one such visit, he found his cousin cum business partner and wife in a compromising position. This is when he totally lost his faith and he started hurling abuses at her and at the same time criticizing himself. She unable to bear the abuse in a no – love marriage decided to move out into a rented apartment by herself. This made him even more insecure. He started begging and pleading at times in hope of getting her back and at other times he would shower her with violent abuses.
He blamed himself viciously for the break up of the marriage at times in his therapy and at other times he felt absolutely justified as she seemed to have evoked / instigated all this. It was now at a point wherein he did not know how mend their marriage. He was unable to forgive or forget her. He felt like an animal and was ashamed and scared as well as angry. Let us look at some of the theories to understand how and what this jealousy is and how one can overcome it.
Jealousy is a complex monster that develops from the melding of three other emotions – fear, anger and love. Romantic jealousy can be defined as “a perception of a threat of loss of a valued relationship to a real or imagined rival”. Jealousy in committed relationships is cultural and universal as a boundary-setting mechanism to protect certain relationships as important and exclusive. to protect the relationship of physical intimacy and self-disclosure from trespassers. In fact, all committed relationships, where physical and emotional intimacy exists (including purely sexual relationships), will be subjected to jealousy. Early attachment problems with significant others are known to profoundly affect feeling secure in future relationships, particularly the capacity to initiate and maintain loving relationships in adulthood. Given that attachment relates to anxiety regulation, support, and intimacy, it is not surprising that attachment also relates to jealousy.
According to the attachment theory of love, an adult becomes a secure lover, avoidant lover or an anxious-ambivalent lover in his or her romantic relationships based on the quality of his or her childhood parental relationship. Secure lovers are people who are comfortable with intimacy and have no problems with others feeling close to them. In contrast, avoidant lovers feel uneasy when close to another person. They have difficulty trusting or depending upon a partner. The third type, anxious-ambivalent lovers want to desperately get close to a partner, but often find that the partner does not reciprocate the feeling. This insecure relationship is often due to too much anxiety within the relationship stemming from the feeling that the partner does not really love them.
When “paranoia” or extreme distrust, arises in a relationship there are many factors which can be causing it. It is absolutely necessary to understand where these feelings are coming from, or else it is easy to act out in the relationship, blame the partner, put all kinds of unhealthy demands upon him, and even believe that he is cheating on you when he is not. Not only does this destroy his trust in himself and good feelings about himself, but he can easily grow to feel there is no way he can please you, or make you secure and happy.

When an individual gives into these feelings of paranoia, (or extreme fear, suspiciousness and jealousy,) and begins to create more and more restrictions upon the partner, or demand more and more information about what he is doing, this is often the beginning of the end.

Loving another person does not mean possessing them, or having them there simply to help you feel better about yourself. This does not take their needs into account. It is not loving or respectful of them, of who they are.

In all relationships each individual needs time alone, time with friends and of course time together. When we take away a person’s individuality and freedom to enjoy all aspects of their lives and grow, we are not behaving in a loving way. Sooner or later the individual begins to feel it, and can feel trapped, misunderstood and blamed falsely. Naturally, they then often think of ways of getting out of a relationship such as this.
Much like infidelity, distrust can leave an indelible mark on a relationship and challenge even the strongest of marriages. Depending on a variety of circumstances, such as whether or not distrust and dishonesty have become a constant in the relationship, couples can work through past hurts to become closer together if both are committed to making positive changes.

If one requires that their partner take away the pain they are feeling, they will be disappointed sooner or later. They are looking in the wrong direction. No matter how loving a person is, no matter how solid the relationship, they cannot take away pain and confusion that exists within oneself. We have to take responsibility for our feelings and work them through on our own. Psychotherapy is an insight oriented process and helps couples achieve this. Do not hesitate to take professional help of a psychotherapist if you find yourself going around in circles.
Handling insecurity and jealousy in a relationship can be difficult. However, change is possible once you understand their underlying causes. In order to overcome insecurity, people need to:

* Be willing to be put in vulnerable positions in life where they might get hurt.
* Take risks to change their current behavior.
* Trust others enough to expose themselves to them, risking vulnerability and the possibility of being hurt.
* Have a healthy and humorous belief in themselves in order to overlook their exaggerated need for acceptance and approval.
* Take a rational approach to each problem they face so that they are no longer inhibited by debilitating fears or beliefs.
* Practice assertive behavior in their lives, earning respect and the acknowledgment of their rights.
* Arouse the courage to take small steps in learning to experience success and overcoming their lack of belief in self. Once the success is experienced, they can build on it to gain the courage to act out of a strong conviction in their self-goodness and worth.
* Break the barrier or outer shell of the self-doubt they have hidden behind and reach out to others. Breaking out of their “shells” requires letting go of past hurts (real or imagined) and moving on with life.
* Open themselves to the possibility of success and accomplishment. Visualize or make a prophecy of winning at life so their energies are focused in a growth direction.
* Reward themselves for who they are and capitalize on their strengths, attributes, skills and competencies.

Answer the following questions to handle insecurity:
a. What behavior traits signal my insecurity?
b. What happened in my past to make me insecure?
c. What are some of my beliefs that account for my insecurity?
d. What are some negative consequences I’ve experienced due to my insecurity?
e. What behavior traits do I need to develop in order to overcome my insecurity?

Even in a loving and open relationship, it is normal to experience some paranoia or doubt. However, if you find yourself overwhelmed with distrust and suspicion, it’s time to confront your spouse. Whether he or she is guilty or not, it is important that you clear your conscience and put yourself at peace.
Confront your spouse but avoid making accusations at all costs. Your spouse will automatically react defensively, and if you are wrong, which you very well may be, you run the risk of making some painful and potentially permanent dents in your relationship. It is never a good idea to hurl unfounded accusations at your spouse. Instead, approach him or her with compassion and trust. Tell your spouse that you have been experiencing some worries in your relationship. Make sure and let your spouse know that you are approaching him or her out of love and a genuine concern for your relationship. It is extremely important that you do not attack them or judge them before finding out all of the facts. Specify what concerns you, keeping in mind not to accuse.
Accordingly, if your spouse is the one experiencing doubt, the most important thing to remember is that he or she is simply concerned out of love for you. Instead of immediately lashing out in defense, take time to consider what your spouse is saying and consider how it might make you feel if the situation were reversed. Instead of getting offended, be compassionate and empathetic. Your spouse will calm down when he or she sees that you have truly have nothing to hide. A defensive response, even if you are not guilty, makes you look as if you’re trying to divert attention from the issue at hand.
Doubt in a relationship has serious and obvious consequences, and you and your spouse must work together to eradicate these feelings and concerns. Jealousy is a very strong emotion and often a culprit in leading to marriage breakups. It helps if there are intense emotions and hurts to take help of a psychotherapist who can sit down with both of you to help each of you gain objective insights into your own thoughts, emotions and behaviours which are causing this drift in your marriage and help you both arrive at a solution.

Enhancing communication and intimacy in marraige



Even in the strongest of relationships, there will be times when small irritations can cause mountains to grow out of molehills, so it’s important to keep striving for better communication. Good communication involves both partners being aware of their own thoughts and feelings and expressing them in an open, clear way. When a person communicates effectively, there is congruence between their inner experience and their outward expression.
As the essence of relationships, communication has a great impact on every aspect of life. Yet the channels of communication can sometimes become blocked, even among people who care deeply for each other. It’s often difficult to put our feelings into words or concentrate fully when our partner speaks. Unhelpful silences or verbal attacks can arise and drive us further apart.
Common barriers to communication include: threatening or unpleasant behavior such as criticism and bossiness; only hearing what we want to hear; getting bored or distracted; and not expressing our point clearly. Fortunately, working on our communication skills helps us to break through this sort of impasse. So follow these tried and tested tips to stop you reaching for the expletives and reach an understanding instead.
No matter what else is going on, try to make time for your partner on a day-to-day basis. Good communication is about deepening your understanding of each other, not simply avoiding arguments. Easier said than done, of course, but making time to talk is worth the effort. All being well, these occasions will be enjoyable and bring great rewards, so make a dinner date, share a bath or go for a walk together and let the conversation flow.
Secondly, remember the importance of intimate, non-sexual contact. Hugs and kisses are the glue which holds a relationship together, and consider activities such as sport to reconnect non-verbally. Psychologists believe the vast majority of communication takes place without words through body language.
Do you believe you know everything there is to know about your partner? It may be worth checking this out by asking them questions to reveal more about themselves. To deepen the communication and understanding between you, try talking about the times when you feel happiest or your hopes and dreams for the future. Don’t assume that your partner feels the same way you do.
This could bring up relationship ‘hot spots’ – work, money, childcare – which can then be dealt with openly. Experts suggest setting up reciprocal arrangements in which you both agree to take on an equal number of tasks and chores.
Arguments and disagreements between husbands and wives are normal. However, prolonged anger, frustration and resentment are not healthy for the relationship. What couples should engage in is arguing positively whenever conflicts in the marriage arise.
Edit the Argument
Refrain from saying out loud every single angry thought during an argument. Sometimes, talking about sensitive topics can turn really ugly if everything is let out. Couples who edit their arguments are consistently much happier than those who don’t.
Start Argument Gently
Stay positive. Bring up problems gently instead of in an accusing and sarcastic tone. Don’t start the argument as if you are preparing yourself for a big battle. When the tone is non-confrontational and the starting point has been given a lot of thoughts, the chances of the other person listening positively also increase.
Set High Standards in the Relationship
Successful married couples usually practice zero tolerance for hurtful behavior from each other, even when they were newly married. The lower the tolerance level for bad behavior in the early stages of the relationship, the happier the couple will be later on.
End the Argument Constructively
It’s common to see couples shouting at each other and ending the quarrel without any real solution, leaving both parties feeling drained and resentful. This can be prevented by learning to repair and exit the argument.
For instance, before the argument goes completely out of hand, change the subject, use humor, make caring and considerate remarks or show that you are both on the same side. If it’s too heated, call for a time-out. Agree to talk about the issue at another time.
Stay Positive
Happily married couples make at least five times as many positive remarks to and about each other as negative ones whenever they discuss an issue. So focus on the good side instead of the bad. In the heat of the moment, try to stay calm and accentuate the positive. See the other’s point of view while showing respect, and then look for a compromise that you can both accept. Listen carefully, give empathy and positive responses, and overlook the insults. Respond to criticism as useful information, if at all possible! Remember, the objective is not to stop every argument but to stop the escalating bitterness.
Give each other chance to constructively talk
Often couple either using emotions or anger do not allow the other to talk. This further adds to frustration. Give space for the other to talk and empathize by repeating the same sentence using the key words of what the spouse has said.

Accept Influence
To succeed in a marriage, a husband needs to be able to accept influence from his wife. Most women have no problem accepting influence from their husbands but for most men, this is something they need to learn.. A real partnership exists only when both husband and wife can influence one another in the same manner.
It’s alright to argue every now and then in a marriage. In fact, arguments help keep the marital relationship strong and healthy. The trick is to argue positively and constructively. Editing the anger, starting arguments gently, refusing to accept bad behavior towards each other, exiting the argument properly, focusing on positive statements and accepting influence from each other are strategies that smart couples use to stay happily married amidst arguments.
Accept responsibility of your emotions and thoughts
If you find yourself slipping into an argument, there are many ways to keep the row healthy. Most importantly, own your emotions by using “I” statements. For example, rather than “You make me angry,” or “This is all your fault,” try saying, “I feel concerned/upset…”. This keeps things calmer and makes it easier to compromise, as your partner will not become so defensive. Then keep to the point rather than slipping into attack and counter-attack, or emotional withdrawal. But talking this way is only possible if you are aware of your own feelings. For this, you must recognize them, be accepting of them, and able to express them. We each have our own way of dealing with conflicts – your style may be to avoid the issue, give in, or blame the other person. Being aware of your style and that of your partner will help you resolve the situation.
If either partner gets beyond the point of being civil and rational, ask for a “time-out” to calm down. But be sure to agree on continuing the discussion when you have had time to think about it.
Bear in mind that one of the secrets of happy couples is learning to tolerate or accept the other person’s faults. So-called “perfect relationships” do not exist, therefore small faults need to be accepted. Couples counseling encourages reaching an acceptance of one another through compassion and empathy, so you both come to truly understand the other person and become able to share your own feelings in depth. Then you can see the underlying reasons for their criticism or silence, perhaps they are really feeling unloved, rejected or hurt.
Having awareness of these techniques and skills is only half the battle – you need to develop them through practice until they become second nature. It will be an effort to change long-standing habits, but improving communication in your relationship is worth doing, as poor communication is one of the top causes of unhappy relationships.

Relationship Break-Up – Living in the Void



Let’s be honest. I believe separation, divorce, and relationship break-ups always have a gift to offer us, but the initial breakup period hurts. For most of us, when we’re in relationship, it feels like we’re on solid ground. It may feel comfortable and soft to walk on, or it may be rocky and painful, but at least you know where you stand.
When a relationship ends, we are inevitably launched into a void or abyss, where there’s nothing solid yet to land on. This is when the emotional rollercoaster goes on overdrive. Falling into the void feels disorienting and we don’t know where or when we’re going to land on our feet again.
Living in the void is a critical time to really dance and flow with our feelings. We feel the grief, sadness and loss not only of the person, but the dreams we had and the opportunities that were not yet realized. This grief is intense and overwhelming. Even those who initiate the break-up are not immune from this, although the degree of their emotional suffering is different than those who were left behind.
Inevitably the conclusion was “You can’t go over it, you can’t go under it, you can’t go around it. Oh, no! We have to go through it!” Our healing comes from going through and flowing with our feelings, not bottling them up or denying them.
There is discomfort in the void, often bordering on pain. Literally, our hearts ache. It seethes with anger. It curls up in despair. Yet it’s so important to take time in this vacuum. Emotions live on a spectrum, and when we cap the downside risk of pain, we simultaneously cap the up-side reward of joy and love. If we rush the process of grief we risk leaving some unresolved pain and issues within us that will make an encore appearance in a future relationship.
Imagine when a child develops an infection. It stubbornly grows into a swollen, painful abscess below the skin. Eventually the toxins built up to the point where the abscess burst, releasing the infection in the form of pus. It was the release the doctor was hoping for, but it was nonetheless painful. Yet to complete the healing process for the child, it wasn’t enough. The doctor had to make a small incision in the seeping wound to make it bigger. He had to probe within the wound with medical instruments and disinfectant to ensure all the pus was indeed leaving child’s body. The wound had to be intentionally left open for a few days to ensure that everything drained out so that the healing would be complete.
Just as my doctor selected from various medical instruments to probe the child’s wound, here are some recommendations for how to probe gingerly into our own wounds to ensure a complete healing.
1. Practice pranayam
One strategy I’ve been using effectively is to welcome and breathe into my wounded heart. Make sure you take deep, conscious breaths. Shallow breathing doesn’t allow sufficient oxygen to come into the body and creates stress. Deep belly breaths help to quiet the ego-mind that may begin to start racing with thoughts in an effort to avoid the pain. Breathing deeply while having an emotional moment will help you digest the feelings and be able to restore a sense of calm and grounded ness more quickly.
2. Your Journal is Your sponge
A journal is like a clean, sterile sponge for a seeping wound. A journal is a safe place to collect all of those internal thoughts and feelings that must be released. I would even argue that life in the void requires a journal. Otherwise the unreleased feelings and toxic thoughts that are created in relationship break-up simply continue to run rampant within your consciousness. It is also the doorway to connecting with the wisdom and gift of why you have manifested this situation in the first place. There are no rights and wrongs about how to journal properly. Its job is to provide an arena for catharsis and objectivity.
3. The Medicine of Music
Music is a powerful tool to explore and help you release emotion. One particular tune or lyric can touch your heart to either uplift you or stir the pot of sadness and grief. If you feel numb and don’t know how to jump-start the release of your emotions, music can do it.
4. Let the tears flow
No need to bottle them up or keep a stiff upper lip. Talk it out with a friend or out loud to yourself and vent out your emotions. Feelings flow like water. When we bottle them up, resist them or deny them, it’s like we damming up the water. Like the water in the dam also finds its own outlet so do emotions, especially when we least expect them to. Therefore many dams have trickling water which has found its way to the other side and they are called weeping holes as they help ease the water pressure on the dam walls. Similarly expressing emotions in terms of tears just helps us channels emotions in an appropriate manner and releases the tension built up inside us. This in fact prevents unexpected flooding due to dam walls caving away suddenly or inappropriate demonstration of emotions. Tears are not a sign of weakness or neediness, but as a sign you are honoring your heart and growing stronger.
5. Time heals
Break-ups are painful and people struggle to dodge that pain. Sometimes our loved ones, hating to see us in pain, may urge us to move forward quickly and out of the void. But the void is the place where we will find the wisdom of the relationship breakdown, so we need to take the time to do our own inner work.