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Archive for the ‘daily writings and musings of the psychologist’ Category

Depression

Do you  feel sad stressed and down  sometimes,  it could be natural to have a low state of mind  for  day or two but if it  persists and  low mood lingers on for more than a week   or two it could be  depression. Major depression is an episode of sadness or apathy along with other symptoms that  stay with you  at least two weeks and  interrupt   your daily activities. Depression does not indicate weakness or   that you are a negative personality. all kinds of depression indicate some a major   health problem and needs to be treated medically .
Depression Symptoms: Emotional
The primary symptoms of depression are a  low and sad   and/or loss of interest in  day to day activities   of your  life. daily routine tasks  that were once pleasurable appear  much burdensome now .  a sense of guilt or worthlessness  prevails on the mind causing a  lack of hope, and recurring thoughts of death or suicide   can often trouble .
Depression Symptoms: Physical
Depression is sometimes linked to physical symptoms. These include:
•   tiredness, low  energy and fatigue .
•   sleeping very late in the night, early-morning waking and Insomnia.
• Excessive sleep  for long hours
• Persistent aches or pains, headaches, cramps, or digestive problems that do not ease even with treatment
Depression can make other health problems feel worse, particularly chronic pain. Key brain chemicals influence both mood and pain. Treating depression has been shown to improve co-existing illnesses.
Depression Symptom:  
Changes in appetite , sudden changes in the body  weight are symptoms  of depression. Increased appetite, or loss of appetite .sudden and  serious   unexplained weight loss or weight gain.

Serious effects on daily routine of life.
Depression can cause loss of  careers, and strain relationships . Nothing seems good.    there is a complete loss of interest in pleasure  activities, including sex. In severe cases, depression can become life-threatening.
Suicide ideation can be sign of warning
Suicide  ideation is common amongst the depressed.  they often indulge in   talking about death or suicide.  they can get aggressive and  threaten to hurt people. This can be serious . You can immediately call 09179383554 to speak to us If   you ever think of or idealise suicide . We will help you overcome  such negativity.
Doctors   link the cause  of depression  to  altered brain structure and chemical function.   they are of the opinion that ,”Brain circuits that regulate mood may work less efficiently during depression.although it has not been conclusively proven in any validated research.   yet the Medicines  that treat depression are  prescribed  with the belief  to improve communication between neurons , making them function  normally. Experts also think that while   traumas caused by the stress of life  can trigger depression if and when  one is biologically prone and vulnerable  to develop the disorder. depression can also be caused by long term chronic disease , lack of vitamins  ,some of the  medications, alcohol or substance abuse,   thyroid, PCOS, hormonal changes, or even the season.
Diagnosing Depression:There is no   established  lab test for depression. There are a few tests developed by psychologists , make an accurate diagnosis, where the psychologists/  doctors analyse  a patient’s description of the symptoms  over a period of past two to six months . These tests will refer to your medical history, your mood history,  and  discuss   behaviors, and daily activities  which will help reveal the severity and type of depression . The test can also reveal anxiety and stress to find out the most effective treatment for depression.
Therapy for Depression
It has been observed  that various kind of  talk therapy can fight mild to moderate depression. Cognitive behavioral therapy helps analyse and change   thoughts and behaviors that contribute to depression. Interpersonal therapy identifies how your relationships impact your mood. Psychodynamic psychotherapy helps people understand how their behavior and mood are affected by unresolved issues and unconscious feelings. Some patients find a few months of therapy are all they need, while others continue long term.
Medications for Depression
Good follow-up with your doctor is importance. If the first medication tried doesn’t help, there’s a good chance another will. The combination of talk therapy and medication appears particularly effective.

The Role of Social Support
Because loneliness goes hand-in-hand with depression, developing a social support network can be an important part of treatment. This may include joining a support group, finding an online support community, or making a genuine effort to see friends and family more often. Even joining a book club or taking classes at your gym can help you connect with people on a regular basis.
Electroconvulsive Therapy (ECT)
Another option for patients with treatment-resistant or severe melancholic depression is electroconvulsive therapy (ECT). This treatment uses electric charges to create a controlled seizure. Patients are not conscious for the procedure. ECT helps 80% to 90% of patients who receive it, giving new hope to those who don’t improve with medication.

Preksha meditation :The Perceptive Breathing Technique Helps Fight Major Depression

preksha-meditation

Preksha meditation -The Perceptive Breathing technique can   bring down  the stress hormones in the central nervous system.

Preksha meditation -The Perceptive  breathing  exercises help alleviate severe depression, as has been proved by the treatment of many patients by  us who have long been under the treatment  of  medication  administering  medicines .

Most of our  patients  , had depression that had not responded to medication  even after a long treatment .The beneficial treatment   under Preksha meditation -shwas preksha -The Perceptive Breathing Technique conducted on a large group of patients , by us in our clinic reveal that :“a large number of patients not responding to the treatment of antidepressants and SSRIs , find the new technique of controlled breathing – under Preksha Meditation  shwas preksha  much more helpful  -The Perceptive Breathing technique   had in reality worked  best for each person to treat their  severe and chronic depression. Preksha meditation -The Perceptive Breathing Technique   comes out as the short term but long lasting promising, lower-cost therapy and a , non-drug approach for patients suffering from severe depression. .”

Preksha meditation  -The Perceptive Breathing Technique   can be learnt over a series of sitting sessions of Preksha meditation -The Perceptive Breathing Technique  in our clinic over a period of two to three months and the disease can be eliminated  completely.

The technique involves a series of   perceptive rhythmic breathing exercises designed to put the mind and body of the affected  in a tranquil, calm , peaceful , purposeful  and meditative state.

How can we help you:  our regular daily  sessions of preksha meditation , Kayotsarga ,counseling sessions/mental exercises   at Mansik Pramarsh is a specialist conducted  program for managing to overcome depression   . Hundreds have benefited, it is your  turn now.   come and join .Call 09179383554 or email : mansikpramarsh@gmail.com.

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maxresdefaultWhen Deepti (name changed) had called on us the other day , she had wanted an appointment for her husband , who she thought had been suffering from depression for quite long time . I had advised her that she should accompany her husband to the counseling session. After a few sessions with both of them together and separately with each partner ,it emerged that both of them suffered from depression.Yet they have been in a denial mode.I have seen in many cases that partners refuse to believe that what they are suspecting others suffer from could also be happening to them .They would always believe that just because the other person is complaining he or she could be depressed.Deepti had faced similar situation when she had come to me.Explained Deepti,”my husband Sameer {name changed}blames me for the problems in our marriage.He says that we have all the problems in our relationship because I am depressed.He tells everyone in my family and his family that if my wife was not undergoing depression,there would not be any issues in our marriage.But on the contrary I believe it’s always my husband who suffers from depression.He always complains about everything and blames me unnecessarily when things do not workout as per his plans”.

Family therapist during meeting with unhappy, married coupleIt is normal to have little bit difference of opinion in marital life but should each time difference arisen become the cause of a major fight then the husband wife team need to look at their status of their perceptual faculty. It is common to become little dejected after marital argument but to think of the other person being depressed definitely should be a cause of concern for the partners.It is very likely that both partners are perceiving some issues,concerns and a few problems in marriage negatively that has been giving depression to each other.Depression is made out to be a neurotic  disorder  hence people are always afraid of agreeing that they are undergoing such state of emotional upheaval.The usual response to such situation being.”I am o.k. it is the other person who seems to be suffering from depression”.

argu cplSomewhat similar is the story of Seema and Jatin (names changed) both budding doctors still in their process of setting up their household. The problem arose when a fine day Seema threatened to commit suicide on a very small whimsical issue. She had convinced herself that her husband does not pay her as much attention as he is giving to his other female colleagues in the hospital where he works . This came as a very major shock to Jatin. Jatin had nowhere ever thought about his coworkers in this manner. No amount of explanation could convince his wife and she continued to fight with him from time to time on the same subject forcing her husband to lead a solitary life away from the friends and acquaintances.What began as a depression with one of the spouses had pulled the other partner too into the same state of mind ,giving him depression. Jatin explains his situation in the following words,” My wife Seema has been idealising suicide from her college days. Our relationship dates back to seven years now. We had begun  dating in the first year of our college. In the college too she was always throwing tantrums on me.It is quite surprising that she acts in this manner only when I am around and with me only.She would often break up with me on small pretexts and remain incommunicado for days together. She  will come out of her shell on her own. She would then hardly remember that she has not been in touch with me for so many days. Everything becomes very normal for her soon , but it leaves me completely drained out emotionally.I can never discuss about such a behaviour of my wife to any one in the family or friends as she behaves normal in front of others.I do understand that she does it to gain my attention . For me she is my wife .I do give her the required love and affection. My whole life revolves around her . But I fail to understand why would she want me to be exclusively with her  only all the times. This kind of obsessive  behaviour from my wife has started telling on my professional responsibility. I can not be a doctor in such a big hospital where I am working by living in isolation and yet I do not know how to solve the problem.You being a psychologist could possibly understand the situation better and help us”.

A few sessions with the couple revealed that they both in spite of their long dating history had failed to emotionally connect with each other so far. Seema had wanted to make the emotional connection but had not understood how to proceed with it. She had always wanted to make Jatin part of her inner life. Each time she tried she sounded more pathetic and distressed and felt completely remorseful  when she did not get the desired attention and response from Jatin.

arguing coupleJatin understood her well but he too could not connect with Seema.He did not know how to make her feel loved and understood.She just wanted him to love her and care about her. But her such behaviour had put  off Jatin, leaving him cold and at times uninterested in her .Both the partners had been frustrated and didn’t know how to handle such a situation.

It has been observed by us that one partner in a marriage is depressed , the cause would always  be a marital situation  between the two spouses.  The solution to such a situation has to be found within the marriage situation only.There can be no solution by putting the onus to only one of the  members to the marriage, as the reason is not individual but a common factor is responsible for  whatever is happening to the spouses.

psychologist-helping-couple-relationship-difficulties-office-49310915In the event of either of you suffering from depression , both of you should help each other explore how your relationship dynamic could be  causing such a depression. Though you may want the other person to get individual treatment to his or her complaints by way of the intervention of a psychologist, it is in truth be your total marital situation that needs to be looked in a different perspective as different from your own point of view.  In such a situation you would do well to get your self assessed by our   professional family therapist and counselor. We will together then  work out a plan  that works to revive your marital relationship .Always remember that  you both are equal partners to the happiness and bliss of your marriage and hence let us find the way to the resolution of the differences in marriage too together with each partner respecting and trusting the other equally.

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

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

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First, let’s hear from those who have bravely faced their obsessions and compulsions and, with the help of our four-step strategic therapy, have managed to reclaim control of their lives. Doesn’t it sound surprising that individuals who suffered from OCD for years, despite being on long-term medication, have finally found relief? It may seem unbelievable to many who have struggled with OCD for years. However, this is often due to a lack of proper guidance and corrective approaches.

Let’s listen to the inspiring stories of individuals who have successfully taken control of their OCD and are now leading normal lives:

Aarti’s Journey
Aarti, 22 (name changed), doesn’t even remember when she first developed the habit of compulsively washing every piece of clothing she wore outside. Each time she returned home, whether from college or the market, she would immediately head to the washroom, change her clothes, and wash them. Initially, her parents saw this as an attempt to maintain cleanliness. However, their concern grew when they noticed her repeating this behavior throughout the day, from morning until evening.

By the time Aarti came to us, she had been on strong psychiatric medications for over six years. Despite relying on anti-anxiety and SSRI pills, her OCD persisted. It wasn’t until she began our treatment program that she experienced significant relief.

Ahmad’s Story
Ahmad, a businessman in Dubai, had achieved considerable success in his career. However, he couldn’t fully enjoy his accomplishments due to intrusive, obsessive thoughts. “An unknown anxiety grips my mind over trivial matters,” Ahmad explains. This overwhelming anxiety would only subside after he performed certain repetitive acts, which frightened his family.

Prakash’s Experience
Prakash, an architect, had built a flourishing career and enjoyed a high social status. Yet, he struggled with obsessive thoughts that began in high school. Although medications temporarily alleviated his symptoms, the obsessive thoughts returned with greater intensity whenever he stopped the medications for more than a week.


Understanding OCD

Obsessive-compulsive disorder (OCD) is a mental and behavioral health condition characterized by unwanted, intrusive thoughts (obsessions) and repetitive behaviors (compulsions). These compulsions are performed to reduce the distress caused by obsessions, perpetuating a vicious cycle.

The cycle of OCD typically includes:

  1. Obsession: Unwanted, intrusive thoughts or impulses.
  2. Mental distress: Anxiety or fear triggered by these thoughts.
  3. Compulsion: Repetitive actions performed to alleviate the distress.
  4. Temporary relief: A short-lived sense of relief before the cycle restarts.

Common Symptoms of OCD

Obsessions

Obsessions are repetitive, intrusive thoughts that are often illogical but feel uncontrollable. These may include:

  • Concerns about safety or cleanliness.
  • Worries about relationships or social interactions.
  • Irrational fears about natural or unnatural phenomena.

Compulsions

Compulsions are repetitive behaviors or rituals performed to relieve the distress caused by obsessions. Common compulsions include:

  • Excessive cleaning or handwashing.
  • Repeatedly checking locks, appliances, or emails.
  • Counting or arranging objects.
  • Hoarding or obsessive texting.

Our Treatment Approach

We have developed an effective program to help clients overcome OCD and regain control of their lives:

  1. Trans-Cranial Cerebral Spinal Stimulation
    Using self-projected inner sound therapy (Mahapran Dhwani), this technique targets affected brain areas. Patients undergo daily or alternate-day sessions of 45 minutes for 8–12 weeks, resulting in significant OCD remission.
  2. Gut and Mind Correction Therapy
    By focusing on the gut-brain axis and ventral vagus nerve stimulation, we address the emotional and mental imbalances that trigger obsessive thoughts.
  3. Kayotsarga and Chakra Meditation
    Kayotsarga exercises and chakra-focused meditation (Swas Preksha) help patients achieve emotional balance and self-regulation.
  4. Cognitive Behavioral Therapy (CBT) and Affirmations
    Guided CBT sessions and positive affirmations empower patients to replace compulsive behaviors with healthier coping strategies.

Transforming Lives

Through a combination of advanced therapies, holistic practices, and expert guidance, our patients have achieved remarkable results. Many, including Aarti, Ahmad, and Prakash, are now living peaceful, medication-free lives, enjoying a sense of freedom they thought was unattainable.

Please let us know if we can help you with your OCD .

Write to us

mansikPramarsh@gmail.com

http://www.mansikpramarsh.com

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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.

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Ashu (name changed) had been unable to lead a fulfilling life ever since he was diagnosed with schizophrenia by a psychiatrist. He had been prescribed antipsychotic medicines by various psychiatrists at every clinic his family had brought him to. Yet nothing seemed to work. His fears and phobias had grown worse over time. The voices in his head continued to torment him. His rational thinking had been severely distorted, and for him, all the delusions had taken on the form of real images and characters.

Similarly, Sheena (name changed) lived in constant fear and phobia of persecution by a person who had long since walked out of her life, five years prior. Sheena had been diagnosed with delusional disorder, a psychotic disorder. Her life had become utterly distressing, as she would frequently get consumed by her phobia and was unable to manage her normal day-to-day routine.

Schizophrenia is a psychiatric condition that impairs and distorts the logical thinking and cognition of the individual affected by this chronic brain disorder, encompassing both “positive” and “negative” symptoms.

Positive symptoms include hallucinations (hearing voices or seeing things that aren’t real), delusions (firmly held false beliefs), and disorganized thinking or speech. People experiencing active positive symptoms often react to those symptoms in ways that are noticeable to those around them (e.g., agitation, confusion). Ashu had been troubled by imagined voices telling him that someone was planning to prosecute him and have him imprisoned. While these thoughts were not apparent to others, he frequently spoke of hearing voices and linked them to someone he had dealt with in his family business.

Negative symptoms involve a marked decline in the affected person’s social engagement, communication, and motivation to handle everyday responsibilities. Sheena had shown negative symptoms when she was first referred to us for what was described as “split personality” behaviour. However, schizophrenia is unrelated to split personality. She had in fact been suffering from delusional disorder, a form of psychotic disorder on the schizophrenia spectrum.

Both Ashu and Sheena showed resistance to antipsychotic medications, and their families had reached a point of near despair, feeling that nothing would ever help. Ashu would occasionally show some partial improvement, only to slide back to where things had originally begun. We observed that Sheena’s condition remained more deeply chronic and touched every area of her life. She showed no response to any antipsychotic medications being given by the psychiatrist.

Both Sheena and Ashu struggled to build and sustain relationships, whether within the family or outside of it. They found it hard to manage their everyday responsibilities due to mood swings and delusions that continuously undermined their ability to think clearly. Both had largely withdrawn from social life. Their disrupted thought patterns made it impossible for them to recognise that their thinking differed from those around them. Their families also found it an overwhelming and financially draining challenge to keep up with the treatment prescribed every two weeks, owing to the high expense and the patients’ persistent refusal to take their medication.

Photo by KATRIN BOLOVTSOVA on Pexels.com

We chose to combine Mindful Perceptive Meditation Therapy and Cognitive Behaviour Therapy to treat both Ashu and Sheena on alternate days, ensuring consistency and reducing the chances of them slipping back into their ingrained schizophrenic patterns of thought and behaviour. In the beginning, engaging with them was a challenge — they would either skip sessions entirely or, when present, struggle to focus on what was being addressed. Over time, they began responding to our guidance. We introduced the treatment with “Shwas Preksha” — a mindful perceptive breathing exercise centred on the psychic centres — carried out under the supervision of an experienced instructor. Before long, we began to see meaningful progress in both clients.

We then introduced them to the practice of “Mindful Perceptive Meditation,” which draws both the body and mind into deep meditation on the psychic centres, with full awareness of the present moment and the breath experienced in its complete intensity. This was continued alongside regular Kayotsarga exercises, offering the clients a deeply needed sense of physical calm through mental focus. Kayotsarga is a meditative practice that separates the physical body from the mind and brings the body’s muscles to a state of complete, progressive rest — not unlike the progressive muscle relaxation technique.

Gradually, notable improvement was seen in several negative symptoms. Feelings of negativity towards self and family, a persistent sense of hopelessness, and a lack of interest or motivation began giving way to more positive thoughts and outlooks. Both clients responded encouragingly — Ashu and Sheena had begun acknowledging the brighter aspects of their lives. A growing sense of gratitude and appreciation became evident in their daily conversations with us, and we observed a renewed engagement with their everyday routines.

These gains were further reinforced through the practice of Mahaprana Dhwani — the generation of deep inner sound vibrations using the mouth and nose during exhalation — performed across all psychic centres as part of the deep perceptive breathing exercises undertaken by the patients.

Mindful Perceptive Meditation and CBT have been applied with considerable success across a range of psychiatric and psychological conditions. We have used Mindful Perceptive Meditation alongside positive affirmative techniques to assist affected individuals in regulating the functioning of endocrine glands associated with stress hormones and negative emotions, and to address the faulty thought patterns that follow. CBT fosters a more objective and evidence-based understanding of situations, helping individuals examine their thoughts with clarity and reason. Mindful Perceptive Meditation therapy also incorporates written affirmations about the self and one’s circumstances, assigned as homework and later discussed with the clients. The entire approach was directed at transforming negative self-perceptions and situational views into positive emotions and constructive thinking.

As a general guideline, a patient requires between 50 and 60 sessions spread over three to four months. In more severe cases, however, sessions — each lasting between 45 minutes and one hour — may extend to between 90 and 120 sessions over six to nine months, as was necessary in both of these cases.

It brings us immense satisfaction and joy that, following six months of consistent and dedicated effort, both patients had recovered substantially. With the loving support of their families and friends, the journey of reintegrating both of them into family life and society was successfully completed.

We have continued to apply Mindful Perceptive Meditation and Cognitive Behaviour Therapy with positive outcomes across many other cases involving depression, anxiety, stress, and various psychological disorders, helping numerous individuals return to a fulfilling and normal life.

“Perceptive Meditation allows you to live in and with your breath, gently drawing your mind away from the anxiety, stress, and burdens of daily life. It empowers you to be present in each moment with complete mindfulness of your soul, body, and mind.” — Ramneek Kapoor

If you have a family member suffering from any such condition, we warmly invite you to reach out and discuss how we can help you move forward.

Take that first step today, and we will walk with you towards the happiness and peace you deserve.

Call us at 9179383554 or write to us at mansikpramarsh@gmail.com

— Ramneek Kapoor, Family Therapist, Psychological Counsellor, and Science of Living Expert

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Neena felt desolate and lonely, and she suffered a sense of disorientation as she had been denied the job she was so confident of getting.

Rueben had completely given up after he had been passed over for a promotion, with his employer company preferring another candidate much junior to him in experience.

Tamanna felt numb and low after her boyfriend Nahar dropped her and opted for another relationship.

All these people have been denied and rejected from doing whatever they had expected or wanted to do. Some of them had worked for and invested years in reaching where they wanted to be in their careers or relationships.

Photo by http://www.kaboompics.com on Pexels.com

Many such rejections have been witnessed in recent times, where people had to leave their homes and friends abroad after being denied extensions of visas, or students had to shelve their study plans for similar reasons.

Getting rejected breaks morale. It hurts to the core too. Whether it’s being rejected by a suitor, denial of a much-awaited promotion, or a rejected job interview, rejection is not always taken in an acceptable manner. Even though people are sometimes apprehensive of hearing a “no,” they do not want to hear it for fear of not being approved.

For some people, the fear of hearing “no” becomes so strong that it stops them from taking risks or asking for what they want. Rejection sensitivity can deeply affect daily life, leading to anger, irritation, financial stress, social stress, and often much more than what is stated above.

With so many layoffs, upheavals, and shelving of long-term plans, the hopes and confidence of many are getting derailed.

Let’s understand how we can deal with rejections and the shattering of dreams and expectations, and make rejections less hurtful and more introspective in an accepting way to help rebuild mental and emotional strength and move forward. It sounds easy, but it is not. That’s where the process of “rejection therapy” plays a very positive role in rebuilding and re-emerging as a better person.

What is rejection therapy, and how does it help?

We would rather call it a reconfirming self-technique, where we undertake self-acceptance, self-expression, and a self-improvement process that we can practice on our own when needed.

In this therapy, instead of avoiding situations where we might be told “no,” we actively anticipate them without causing apprehension and anxiety.

The dynamic social environment carries a lot of grapevine, and if we pay attention to these rumours, we can expect to be either accepted, ignored, or rejected. The anticipated discomfort begins much in advance, and we can build resilience to it in smaller steps.

You start with tiny social challenges where you expect to be rejected, and then gradually build your tolerance to discomfort.

The goal isn’t to reject rejection. The exercise helps build confidence, reduce social anxiety, and not permit fear to control your life. When we realise that rejection does not mean as much as we thought—and that many people are kinder than we imagine—it becomes easier to take risks that matter.

But that doesn’t mean you should expect only negative results. Being hopeful and positive has its rewards, and that realisation brings happiness and acceptance.

Wherever you fear and anticipate rejection, acceptance can bring wonderful surprises and self-acceptance.

Gradually, the human brain learns that rejection can be worked through by looking for substitute rewards, and that rejection is not as damaging as expected.

Small steps in dealing with anticipated refusals make you more accepting and comforted. You move on in life and develop maturity and patience to bear the brunt of major challenges.

Each rejection handled with calmness and maturity builds mental and emotional strength and equips the brain with a better understanding of the subject, developing resilience and adjustment.

Rejection then becomes less painful and traumatic as you learn to manage such situations deliberately.

Rejection becomes less self-effacing and more about learning and adjustment. Your brain rewires itself to see social situations as opportunities for growth rather than threats to avoid.

If the thought of anticipated rejection or refusal causes severe anxiety, panic, or intense negative emotions, you should seek professional support from a therapist rather than trying to handle it alone. We at Alka Mansik Pramarsh Foundation can help you manage such anxiety, fear, or panic and help you move forward.

Rejection does not define your life in totality. It can be an opportunity to build a stronger future and prepare yourself to overcome the fear of rejection.

When you stop letting the possibility of hearing “no” determine your worth and start adding value to your decisions for the future, you open yourself to opportunities, connections, and experiences you might have overlooked.

You can contact us at Alka Mansik Pramarsh Foundation if you feel you need professional counselling in the following situations:

  • When your anxiety, fear, or stress worsens and causes distress
  • When you are unable to move past feelings of rejection and constantly feel sad or hopeless
  • When you experience panic
  • When you develop physical symptoms or traumatic stress linked to negative thoughts
  • When you find yourself becoming avoidant, overly self-critical, or nihilistic
  • When you feel overwhelmed or have thoughts of self-harm
  • When you are unable to carry out your day-to-day functioning

Please call or reach out to us at @mansikpramarsh. We would be glad to help you.

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In a world where stress, anxiety, and depression often feel like unavoidable parts of life, many are looking for a way to heal that doesn’t rely solely on a prescription bottle.

The “Science of Living” offers a powerful, drug-free alternative by combining two proven methods: Perceptive Meditation and Cognitive Behavioral Therapy (CBT). While CBT gives you the mental tools to handle life’s challenges, Perceptive Meditation works directly on your body’s internal chemistry, helping to balance your hormones and nervous system from the inside out.

Together, these therapies bridge the gap between the mind and the body, offering a holistic path to lasting peace and emotional resilience.

The Body-Mind Connection

Modern science is beginning to validate what traditional practices have long held: the “psychic centers” of the body—biologically known as the endocrine glands—are the bridges between our physical and mental states. This field, known as psychoneuroendocrinology, studies how our thoughts affect our hormones, emotions, and intellectual functioning.

Recent evidence highlights the power of focusing on these centers:

  • Hormonal Reset: A 2025 study in Nature confirmed that specific breathing and focus techniques (like those in Perceptive/Preksha meditation) increase oxytocin and endorphins while significantly lowering cortisol.
  • Neuroplasticity: 2026 research shows that short-term meditation can “shrink” the amygdala (the brain’s fear center) and “thicken” the prefrontal cortex (the center for logic and control).
  • Genetic Impact: Trials indicate that 8 weeks of consistent practice can positively alter gene expression related to immunity and metabolism.

2. Defining the Two Pillars

What is Perceptive Meditation?

Perceptive Meditation is a technique focused on the psychic centers (endocrine glands) to transform emotions, attitudes, and behaviors. By meditating on these centers with complete absorption, practitioners can “rectify” chemical secretions—shifting them from negative (stress-inducing) to positive (wellness-inducing).

It works on three levels:

  1. Physical: Rejuvenates the immune system and improves circulation.
  2. Emotional: Harmonizes the nervous system to eradicate depression, anxiety, and psychosomatic disorders without medication.
  3. Psychological: Cleanses the mind of suicidal ideation, low self-esteem, and chronic negativity.

What is Cognitive Behavioral Therapy (CBT)?

Cognition refers to the conscious mental processes of thinking and reasoning. CBT is a goal-oriented “talk therapy” designed to help individuals rectify distorted thinking patterns that occur during emotional distress.

When we experience trauma or upheaval, our minds often lose touch with healthy cognition, leading to a “negative filter” through which we view all events, people, and ourselves. CBT provides the tools to challenge these thoughts and return to a balanced perspective.


3. How the “Joint Therapy” Works

By combining these two methods, we create a two-pronged approach to healing:

FeaturePerceptive Meditation (The Body)CBT (The Mind)
FocusInternal “Psychic Centers”External Triggers & Beliefs
MechanismFlushes negative chemicals; calms the nervous system.Identifies sources of distress (e.g., bullying, trauma).
GoalPhysical re-tuning of the stress response.Cognitive tools to handle future triggers.

4. Real-World Applications

Clinical trials from 2024–2026 show that this integrated approach produces spectacular results for:

  • Severe Conditions: PTSD, Chronic Pain, and Clinical Anxiety.
  • Behavioral Disorders: OCD, ADHD, and Eating Disorders (Anorexia/Bulimia).
  • General Well-being: Improving resilience in students and retirees, and preventing depression relapses.

5. What to Expect in a Session

This joint therapy is a collaborative, non-medicinal process. A standard program involves:

  • Frequency: 50-minute sessions, 3 times per week.
  • Practice: Combining deep meditation on endocrine points with written and spoken cognitive exercises.
  • Outcome: A long-lasting empowerment that develops new cognitive abilities and a positive self-perception without causing additional mental trauma.

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

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Would you believe it that the best armies in the world today are making use of Mindful Perceptive Meditation (Preksha Dhyan) in different forms to train their personnel? On self-discipline, stress management, develop focus and resilience, and improve performance in all areas of their professional life, and lead a holistic, meaningful personal life too.

What does Mindful Perceptive Meditation (Preksha Dhyan) do, and how does it become beneficial in our professional, student, and personal life?

The therapeutic technique of Preksha Dhyan or Mindful Perceptive Meditation includes five ‘A’ exercises: Attention, Acceptance, Appreciation, Adjustment, Adoption, or Adaptation. These extensive exercises, emphasizing the mental perception build-up of a solid personal and professional self, are undertaken during the therapy on a regular basis.

How does it help me better my professional self?

Stress Reduction: Stress happens to all. There is always stress of performing better than everyone, more so if you are under evaluation, be it a study examination, competitive performance, doing better in business relationships, or even regular work and jobs. Such stress often saps your confidence and energy, bringing about a feeling of not being up to it.

Preksha Dhyan sessions help in all situations of professional and personal life. A few sessions of Preksha Dhyan (Mindful Perceptive Meditation) enable professionals, students, trainees, and others to regulate their autonomic nervous system to “turn off” the stress response, and re-energize them with a fresh sense of taking on tasks with new vigor and a positive mindset. Preksha Dhyan or Mindful Perceptive Meditation training thus becomes a key element of inoculation training against any kind of stress and brings instant relief, and when done on a regular basis, it keeps stress away.

Enhanced Performance: Preksha Dhyan or perceptive meditation therapy aims to improve focus, analytical understanding, memory, ability to recall, decision-making, overall cognitive performance under pressure, and make delivering better performance each time a regular habit, improving effectiveness in all areas of life of students, professionals, executives, sportsperson, and industrial workers.

Integration: It brings about harmony with the self and the external world, improving understanding of the self and of the environment around. A better interaction of both takes place each time a challenge occurs in life. Incorporated into daily, easy-to-do cerebral exercises of a few minutes, it goes a long way in keeping the mind and body at peace with each other, reducing anxiety to a minimal level, developing general resilience, body awareness, and awareness of the environment. Conflicts in life are thus handled by the person in a very cool, calm, positive, and unperturbed manner.

Key Programs & Concepts:

Mindfulness-Based Mind Fitness Training (MBFMT): Instead of working only on stress, the program aims to focus on training the mind to stay fit in all kinds of situations and stay alert, with inbuilt positive responses to environmental and atmospheric changes.

Resilience Training: Preksha Dhyan or Mindful Perceptive Meditation aims to build stronger mental strength and a truthful, transparent character with inherent qualities of honesty and morality in modern times.

Evolution of a holistic personality that is always learning, adopting, and adapting thus becomes the main force of any individual undertaking training in Preksha Dhyan (Mindful Perceptive Meditation) at Alka Mansik Pramarsh Foundation.

You can call or email us:

0731-4263087

mansikpramarsh@gmail.com

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What is high-functioning depression?

Sudhir (name changed ) has been managing his large company for years together and didn’t believe it could happen to him when he was told by this psychologist ,” you have been suffering from high functioning depression”. “ But how is this possible ,I have been managing all my affairs well and attending to all my routine .However the family could notice him being bored quite quickly and Sudhir has of late been getting tired often ,showing signs of irritation and impatience .

Often it is believed that a high functioning individual can never be depressed or even tired because he seems to always be active ,agile and his metabolism could be working at its best .But that may not be the case always .

High-functioning people always seem to be on the drive manning not only their work but also of others work too. High functioning depression is a term used to describe people who experience symptoms of depression  while largely maintaining their daily responsibilities and outward appearance. Such high functioning individuals often are able to maintain high flying careers, professional relationships, and social lives, making it difficult even for themselves to recognize their own depressed state of mind .It could generally be taken as tiredness and distraction and they shrug it away ,when told that they could have a depression.

Is high -functioning depression a mental illness or an emotional disorder ?

The term high-functioning depression has not been officially recognised anywhere till now neither in ICD 10 or even in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It is thus obviously not diagnosed by your psychiatrist or a psychologist.

It’s possible for a person to meet the diagnostic criteria for major depressive disorder (MDD) or persistent depressive disorder (PDD) while hiding many of the signs and symptoms by their being busy active and over the situation.When this is the case, they may be informally described as having high-functioning depression.

Persistent Depressive disorder is a recognised mental health condition characterized by long-term, chronic bouts of depression.

High-functioning depression and PDD share similarities, but they’re not the same. The term “high-functioning depression” describes someone who mostly keeps up appearances ,despite depressive symptoms.

If you think you or a loved one may be experiencing any form of depression and feel that because of your high functioning you are not able to decide what it is , it’s important to seek professional help. A professional psychologist or a psychiatrist can provide a proper diagnosis and recommend appropriate treatment options.

Symptoms of high functioning depression

Because it’s not an official diagnosis, high-functioning depression doesn’t have distinct symptoms. Warning signs of high-functioning depression, and of depressive disorders generally, can include:

  • Persistent feelings of aloofness ,sadness  or emptiness
  • Difficulty concentrating or making decisions with clarity
  • Periodic low self esteem and self-doubts
  • Persistent fatigue or regular low energy
  • Erratic or altered sleep patterns (not able to sleep or oversleeping)
  • Change in eating habits .Appetite changes (increased or decreased)
  • Irritation or restlessness
  • Loss of interest in normally previous enjoyed activities
  • Feelings of giving up ,hopelessness or pessimism
  • Physical symptoms like headaches or digestive issues
  • Thoughts of self harm ,death or suicide .

The situation can be different for different people.Depression can look different for everyone, and you don’t need to hit a bout of actual sickness or depression. Now is the good time for you to seek help.

People with high-functioning depression may try to hide their symptoms from others, often out of fear of being judged or a feeling of embarrassment.Seeking help isn’t a sign of weakness. Even if coping with high-functioning depression seems possible on your own, you don’t need to manage without help. Treatment can help alleviate symptoms, improve quality of life, and prevent the condition from worsening over time.A person attempting to hide symptoms of depression may aggravate the problem hence let’s not delay further but talk now .

You can reach out to us

Call 7224896739 or email

mansikpramarsh@gmail.com

http://www.mansikpramarsh.com.

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When Rashi had her first panic attack she was appearing for school board exams .She didn’t know she was having one till her throat felt dry ,her hands started trembling and all of a sudden she felt she was going to faint .That made her cry out loud for help .She wanted to immediately get out of the examination hall.

However a timely intervention by the people around helped her recover faster as she was given the first aid support in time.

Panic attacks do not come with a warning and they become too scary to those who suffer one all of sudden and if a timely help is not available the same can turn a little damaging too .

Rashi did have some stress of her ensuing examination but she had also been suffering from fever for a few days and had not yet fully recovered . She had been feeling weak, a bit tired and sleepy . In this kind of stressful situation she had suddenly developed an anxiety   and lost control of mind .Her breathing seemed to have become very shallow,rapid and she had hyperventilated .

The feeling passed after little first aid support and within a few minutes she felt better although still dazed .No one knew that she had experienced her first panic attack that day, until it happened again when she was in a crowded shopping mall .

How to know if it is a panic attack

It can happen to anyone and can take place in any situation.We discuss hereunder the early signs and symptoms indicating about panic attack :

Usually it begins with a dizziness of the head and the person feels a little disoriented to the environment around .The other symptoms not necessary all of them together can be :

  • Mild pounding of heart in the middle of chest and feeling of fast heart beats
  • Shortness of breathing and feeling of suffocation
  • Breathless and major discomfort breathing even though the environment is not claustrophobic
  • Feeling a sense of numbness in the arms or legs or both
  • Chest pain
  • Hot flashes or cold sweat
  • Nausea
  • Trembling and shaking of body parts

Anxiety attack vs. panic attack

An anxiety doesn’t come all of a sudden but it builds up over time ruminating or apprehending some of the anticipated events and it remains there even when the event may not take place .Thus anxiety is triggering of the apprehension but it stays as a constant feeling disrupting the normal functioning .

A panic attack on the other hand has more debilitating effect , comes out all of a sudden and much more intense episode of fear ,anxiety and a feeling of oncoming loss of consciousness and breathing difficulty takes over .

Anxiety and panic attacks even though have similar symptoms, but panic can make one feel like one is losing control of one’s awareness,orientation .The person feels that brain and body are not coordinating . This can happen repeatedly leaving one helpless and worrying of being vulnerable all the time .Resultantly one may stop stepping out of home alone .

Some of the ways to calm down during a panic attack

Rashi was lucky when her first panic attack lasted only a few minutes and went away after help from the people around but the second time she wasn’t because it occurred in a shopping mall and help took a little longer .

Panic attacks tend to peak within a few minutes and go away also sooner but for some occasions these attacks can last longer and the person becomes restless with fear of something happening to him or her and gets panicky .

How do we control when a panic attack seems to be occurring or seems imminent:

Perceptive and Meditative Breathing;

Deep breathing has often been recommended as the compulsory activity to do when stressed .

In anxiety and panic perceptive breathing can really do magic on your mood.Lets understand how :

  1. Close your eyes softly
  2. Keep your body and spine supple and stress free
  3. Now focus on the lower end (tail end ) of your spine and breathe from the nose very slowly .The mind must be completely involved in the breathing .
  4. Inhale slowly from the nose feeling it’s impact on the lower end of the spine .
  5. Exhale slowly from the nose taking as much time as you took inhaling
  6. Continue for five to seven minutes
  7. Soon you would realise your mind and body relaxing and the anxiety level coming to almost nil .
  8. Repeat this exercise as often as you want to .

Relax your muscles and body by kayotsarga (progressive muscle relaxation exercise )

Anxiety and panic can cause your whole body to tense up making you feel uncomfortable. You can help reduce the stiffness of muscles of the body relaxing them one muscle at a time .Focus on each muscle beginning from the toes of the feet one by one and going upwards covering all parts of body one by one .An auto suggestion like ( my toes are relaxing ,my calf muscles are relaxing cover till the top of your forehead .

Move your body:yes that’s true:

Rather than sitting or lying down in panic going out for a walk or doing brisk walk in the room itself can help you bring your stress anxiety and the impending fear to a much reduced level .

Preferably you can, go for a walk outside or do some light stretching. Take yourself out of the environment that’s causing your anxiety .It will help ease your symptoms.

If you feel a panic attack coming on in a closed environment like bus ,train or an aircraft while travelling and you can’t get up and move , try these basic breathing exercises to help ground yourself and reduce the intensity of the attack.

  • Do some deep breathes and focus on the tip of your nostrils to feel the air getting in and exhaled air coming out . Soon you will feel better with diverted focus .
  • Breathe in deeply and exhale every breathe from the fingers of your feet one by one and later through each finger and toes of your hands .You will feel an ease coming to your mind and body soon.
  • Rub the palms of your hands slowly and putting the palms on your eyes later will help .

Doing this activity with your hands can help take your mind off anxiety a calmness sets in .

Repeat positive affirmations to yourself

A positive affirmation is a phrase or a sentence you repeat to yourself over and over but if you can write it and read it aloud ,the impact is many times more and empowering .

The statement can be

“ I am a calm person I am a powerful person “

or “I am a powerful person I can handle this situation “

Or “ I am a powerful person I have the power of mind “ .

Reading and saying these affirmations out loud can help, but if you’re in a public place and don’t feel comfortable with that, just say it silently to yourself. Make sure to read or speak the words slowly in your mind.

Get help of psychologist /Counselor

In order to prevent repeated occurrences ,you must seek the help of a psychologist .You can reach out to us at

Alka Mansik Pramarsh Foundation

http://www.mansikpramarsh.com

Family Therapy India

http://www.familytherapyindia.com

Or email

mansikpramarsh@gmail.com

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