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What Is Schizophrenia?

Posted in daily writings and musings of the psychologist, tagged , , , , , , , , , , , , , , , , , , , , , on August 6, 2026| Leave a Comment »

What Is Schizophrenia?
Schizophrenia is a chronic, disabling brain disorder that affects about 1% of Americans. It may cause people to hear voices, see imaginary sights, or believe other people are controlling their thoughts. These sensations can be frightening and often lead to erratic behavior. There is no cure, but treatment can usually control the most serious symptoms.
Schizophrenia Symptoms

Symptoms of schizophrenia may include
• Delusions — wildly false beliefs
• Paranoia — the fear others are plotting against you
• Hallucinations — hearing voices or imagining things that do not exist
Some symptoms, such as lack of enjoyment in everyday life and withdrawal from social activities, may mimic depression.
How Schizophrenia Affects Thoughts

People with schizophrenia often have abnormal ways of thinking. They may have trouble organizing their thoughts or making logical connections. They may feel like the mind is racing from one unrelated thought to another. Sometimes they experience “thought blocking,” a feeling that thoughts are removed from their head. Despite popular belief, schizophrenia is not dissociative identity disorder (multiple personality disorder.
How Schizophrenia Affects Behavior

Schizophrenia causes a wide range of behaviors. People may speak incoherently or even make up words. They may act agitated or appear stone-faced. Many people have trouble maintaining basic hygiene or orderly homes. Schizophrenia can also cause repetitive behaviors, such as pacing. In contrast to common stereotypes, the risk of violence against others is small.
Who Gets Schizophrenia?

Schizophrenia affects men and women at the same rate, and occurs almost equally in all ethnic groups around the world. Symptoms usually begin between ages 16 and 30. The onset tends to be earlier in men than in women. Schizophrenia rarely begins during childhood or after age 45. People with schizophrenia in their family may have a higher risk for the illness.
What Causes Schizophrenia?

The exact cause is not known, but scientists suspect genes and environment both play a role. Inside the brain, levels of the chemical messengers’ dopamine and glutamate may be out of balance. And brain structures may be abnormal, too. For example, brain scans of identical twins show that the fluid-filled “ventricles” can be larger in a twin with schizophrenia, compared with a twin who does not have the illness. Activity levels can also be higher or lower than normal in some areas of the schizophrenic brain.
Diagnosing Schizophrenia

There are no lab tests to detect schizophrenia, so a diagnosis is usually based on history and symptoms. Tests may be ordered to rule out other medical causes of symptoms. In teenagers, a combination of family history and certain behaviors can help predict the onset of schizophrenia. These behaviors include withdrawing from social groups and expressing unusual suspicions.
Medicine for Schizophrenia

Prescription drugs can reduce symptoms such as abnormal thinking, hallucinations, and delusions. It’s thought they work by regulating certain brain chemicals and receptors that influence thinking, perception, and behavior. Some people have troubling side effects, including tremors and weight gain. Schizophrenia drugs can also interact with other medications or supplements. In most cases, long-term medication is essential to managing schizophrenia.

Preksha Meditation

The symptoms associated with schizophrenia can be  reduced and behaviors and thoughts can be brought back to normal  by our regular daily counseling sessions/mental exercises/ preksha meditation and Kayotsarg
Psychosocial Therapies

Counseling can help people cope with their problem behaviors and thoughts, and improve how they relate to others. In cognitive behavioral therapy (CBT), people learn to test the reality of their thoughts and better manage symptoms. Other forms of therapy aim to improve self-care, communication, and relationship skills. These strategies are are adopted in addition to medication, to help people  manage everyday challenges.
Rehabilitation

Rehabilitation may include job training, money management counseling, and guidance in using public transportation or shopping for groceries. The goal is to help people with schizophrenia stay employed and maintain as much independence as possible. Rehab programs are particularly effective when combined with psychotherapy.
Relapse Prevention

People with schizophrenia sometimes quit their medications because of side effects or a poor understanding of their illness. They may stop attending counselling / preksha meditation sessions  before the actual benefits occur to them. This raises the risk of serious symptoms returning and triggering a full psychotic episode. Regular psycho social therapy can help people stay on medication/CBT/ Preksha Meditation  and avoid a relapse or the need for hospitalization.
Schizophrenia and Relationships
Relationships can be a challenge for people with schizophrenia. Their unusual thoughts and behaviors may alienate friends, co-workers, and family members. Sticking to a treatment plan can reduce social isolation. One form of therapy focuses on forming and nurturing interpersonal relationships. In addition, support groups or family therapy can help loved ones better understand the illness.
Schizophrenia and Substance Abuse

People with schizophrenia are much more likely than the general population to abuse drugs or alcohol. Some drugs, including marijuana and cocaine, can make symptoms worse. Drug abuse can also interfere with treatments for schizophrenia. Patients with a drug problem may benefit from substance abuse programs specifically designed for people with schizophrenia.
Schizophrenia and Pregnancy

Most drugs used to treat schizophrenia have no known risk for increasing the risk of birth defects, but decisions about medication treatment for schizophrenia during pregnancy should be discussed with your doctor.
Tips for Family Members

Schizophrenia can be confused with other mental health disorders so a careful evaluation is key. It can also be difficult to convince someone with schizophrenia to get help. Treatment often begins when a psychotic episode results in a hospital stay. Once the person is stabilized, family members can help prevent a relapse by:
• Encouraging the person to stay on meditation/counselling /medication.
How can we help you: Mansik Pramarsh program for managing schizophrenia disorder is supported to help children and adults to overcome the symptoms associated with schizophrenia by our regular daily counseling sessions/mental exercises/ preksha meditation and Kayotsarg. Hundreds have benefited, it is your /your child’s turn now. Call 09179383554 or email: mansikpramarsh@gmail.com.

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Why Don’t My Kids Listen To Me and Always Oppose and Defy Me ?

Posted in daily writings and musings of the psychologist, tagged , , , , , , , , , , , , , on July 19, 2026| Leave a Comment »

Joseph a twelve years old adolescent didn’t quite understand what was happening to him .Every time he would want to say something to his parents or even to the teacher in the school it would be taken as an upfront defiance .His father would rebuke him and mother would end up in tears resting the blame on Joseph .Joseph had been identified as the trouble maker in school too .

Jatin a 13 years old lad had been singled out by his class teacher for creating trouble for others in class and he had been set up a bench to sit away from others in the class room ,causing so much embarrassment to him.

He would be rebuked each time others would make a noise in the class .The teacher would simply name him out first and would not even make amends when she found it was some other student who led the riot .

Swara’s family didn’t quite understand why she had started shouting back at her parents and teachers of late .They looked at it as her sulking behaviour and brought her to the clinic for counseling.

Apparently all these and many more of such Children and adolescents are singled out by the parents and their teachers as defiant kids and they are brought to us so resolve their behaviours issues and treat them for oppositional and defiant disorder . Such children are often referred to psychologists or even psychiatrists for behaviour correction because of their regular bad behaviours ,emotional adjustment problems – aggressive outbursts ,disrespect of others ,not following the norms set up by schools or families.the other issues often referred to are truancy , skipping exams ,acts or threats of self-harm, suicide attempts , running away from home .None of the parents would understand that the problem is not the outward expressive behaviour but the underlying stresses ,trauma and unhealthy family relationships ,environment or dynamics could be the cause of the unacceptable behaviour and problematic adjustment in society.

Teachers would simply complain to the parents about the non cooperative manners of child and when parents fail to correct the child by way of punishment or admonishment ,they walk into the clinic with only one expectation of “just fix my kid.”

In all such cases it has been observed that come what may the parents will simply look at the Counselor for help and magic cure without realising that the parental active participation and the school teachers pro positive approach will be more helpful along with the therapy sessions at the psychologist’

Just one way efforts by the therapist do not work with adolescents with ADHD /Dissocial behaviour / Adjustment disorder .They regress sooner to the same behaviour as soon as they return to the familiar negative environment The relapse will occur as soon as the affected adolescent returns to the same unhealthy patterns in the family /school environment.

A few changes at Joseph’s school with support from an understanding teacher helped us bring about a very positive result .The same child now has become a favourite student of all teachers . As a result of active participation by Swara’s parents Swara has become more tolerant of her parents expectations and a very healthy environment prevails at the family.

Similarly we found out that a comprehensive holistic treatment with the entire family of other children mentioned above has been very productive and effective way of treating Oppositional Defiance disorder /ADD/ADHD /Dissocial disorder without taking resort to medications.

Our experience at the Family Therapy India and Alka Mansik Pramarsh Foundation has been to go for the top down approach by involving school teachers and parents to help kids with above problems and bring about a positive changes to the defiance and anxiety of the kids .

Family is fine when kids are fine

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Understanding depression and finding a solution .

Posted in daily writings and musings of the psychologist, tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , on June 25, 2026| Leave a Comment »

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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Do you think your spouse is depressed and want to know how to help

Posted in daily writings and musings of the psychologist, tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , on June 20, 2026| Leave a Comment »

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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Getting Control of your OCD in 4 Comprehensive (medication-free) Steps

Posted in daily writings and musings of the psychologist, tagged , , , , , , , , , , , on June 18, 2026| 2 Comments »

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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Healing Dysfunctional Family Relationships

Posted in The psychology counselling services available, tagged , , , , , , , , , , , , , , , , , , , on June 8, 2026| Leave a Comment »

Families are often envisioned as the cornerstone of love, support, and growth. However, the reality is far more nuanced, with many families grappling with the complexities of dysfunction, unresolved conflicts, and intergenerational trauma. In this blog post, we will deep-dive into the profound impacts of dysfunctional family dynamics, exploring real-life examples and therapeutic insights to understand the journey towards healing and restoring familial harmony.

Healing Dysfunctional Family Relationships

The Ripple Effects of Dysfunction:

Meet Kritika and Vijay (names changed), whose experiences epitomize the enduring repercussions of dysfunctional family environments. Their stories resonate deeply with countless individuals who have experienced familial dysfunction. Kritika and Vijay, having weathered tumultuous family dynamics in their formative years, continue to grapple with the emotional scars, even a decade into their marriage. Their unresolved traumas have cast a long shadow over their parenting journey, as their children inherit the legacy of unresolved conflict and emotional turmoil.

Dr. Kritika, a pseudonym for a real individual, provides a poignant example of the intergenerational transmission of dysfunction. Raised amidst the daily tumult of her parents’ disputes, she and her siblings bore witness to a triangular drama that played out with agonizing regularity. Lines were drawn, allegiances shifted, and familial bonds strained under the weight of unresolved grievances. 

The ripple effects of dysfunctional family dynamics extend far beyond the immediate participants, permeating the lives of subsequent generations. Individuals like Sejal, Sonia, Kamolika, Anand, and Sumit, though fictional in name, embody the collective struggles of those who have endured traumatic family events. From PTSD and anxiety to deep-seated mistrust and unresolved phobias, the psychological toll of dysfunctional family dynamics reverberates through every facet of their lives. Moreover, their own children and spouses find themselves unwitting participants in a cycle of dysfunction, perpetuating the cycle unless intervention occurs.

Understanding Triangulation:

Central to our understanding of dysfunctional family dynamics is the concept of triangulation. What begins as innocuous interactions can quickly devolve into accusations, misunderstandings, and unresolved emotions, with family members unwittingly assuming roles as perpetrators, victims, or mediators. Left unchecked, these patterns of dysfunction can become entrenched, eroding familial bonds and hindering individual growth.

Yet, amidst the turmoil, there is hope. Through innovative therapeutic approaches, families can take on healing and reconciliation, managing past trauma to embrace a future defined by mutual understanding and support.

The Path to Healing:

At our organization, we offer a framework for addressing the underlying issues that contribute to familial dysfunction, empowering you to break free from the shackles of intergenerational trauma. Central to this process is the cultivation of empathy and understanding, both within the family unit and in the broader community.

By creating a safe space for open dialogue and honest communication, we begin the healing process, allowing individuals to confront their past traumas and head towards a brighter future. Through individual and group therapy sessions, families learn to navigate conflict constructively.

For individuals like Kritika and Vijay, the journey towards healing is challenging, but ultimately important. By confronting their past traumas and embracing a future defined by mutual respect and understanding, they lay the foundation for a closer bond.

Conclusion:

Through therapeutic support, families heal and reconcile, overcoming past trauma for mutual understanding. Together, we can break the cycle of dysfunction.

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Rejection therapy: How to Overcome Rejection and Rebuild Confidence and Trust in Self

Posted in daily writings and musings of the psychologist, tagged , , , , , , , , , , , , , , , , , , , on March 18, 2026| Leave a Comment »

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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High-functioning depression: Symptoms, causes, and treatments

Posted in daily writings and musings of the psychologist, tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , on November 11, 2025| Leave a Comment »

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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Panic Attack :How to identify one and calm down during a panic attack

Posted in daily writings and musings of the psychologist, tagged , , , , , , , , , , , , , , , , , , on September 11, 2025| Leave a Comment »

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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Mindful Perceptive Meditation can help cure ADHD

Posted in daily writings and musings of the psychologist, tagged , , , , , , , , , , , , , , , , , , , , , , , , on March 23, 2019| Leave a Comment »

adhdSachin (name changed)a young boy of 12 and a student of grade 7th had been termed a big nuisance by his class teachers.They could hardly control his activities.He would just not sit at one place in the classroom. His indiscipline created problems for his teachers in school . Of late he had started arguing back with his tutors at home .There have been complaints of his misbehaving with other children of his class . His mother, a single parent was at her wits end,not knowing how to proceed about. She was advised by the school to consult a psychologist.

ADHD-Awareness-Week-OPI-LivingAkshat {name changed} another child was standing outside the school Principal’s office.This was the third time in the current session when his parents have been called to the school by the authorities.Akshat had been sliding down the side railing of the second floor stairs all alone, when he had been intercepted by his class incharge.A joint evaluation by the school teachers,psychologist and psychiatrist diagnosed severe ADHD in the child. Our experience with treating ADHD children in many such cases have proved that mindful perceptive meditation can train and condition the young brain to concentrate better and hold focus even in the event of child suffering from ADHD.Such a holistic intervention and alternative treatment have benefited many and can help your child maintain self regulation, self discipline, and developing a better attention span.

38372779-confused-teenage-girls-preparing-for-exam-while-studying-with-laptop-and-textbooksWe have observed that many adults and children affected by ADHD find it very challenging to sustain their attention, and they exhibit a very hyper state of mind in situations where they are expected to remain calm and attentive.

Mindful Perceptive Meditation helps calm the hyper mind and delivers the attention training that brings about the much needed self-control.

Mindful Perceptive Meditation is neither religious nor does it promote any kind of cult. It basically involves perceiving your own breathings and vibrations, sensitivity of the endocrine glands of body thereby relaxing all your anxiety, stress and emotional upheavals .It transports you to a stage of oneness with your true inner self. Mindful perceptive Meditation connects you to your emotions , to your thoughts, feelings, and bodily sensitivity and brings about a greater awareness of what’s going on within you. It brings about a complete sense of physical,mental, psychological emotional well-being.

Mindful Perceptive Meditation have been very effectively used by us to treat anxiety stress and depression. It helps control hypertension and brings down blood pressure .We have successfully verified its positive impact in the treatment of thyroid disorder . Mindful Perceptive Meditation has been effectively used in managing chronic neurological disorders and mood disorders.

HOW CAN MINDFUL PERCEPTIVE MEDITATION HELP PEOPLE WITH ADHD?

psychic cenMindful perceptive meditation exercise develops the inner peace of mind,establishes positive relationship with the self and brings about sense of confidence and stability of mind.It helps regulate functioning of the endocrine glands of body and creates good hormones in the body. Since mindful perceptive meditation involves perception of breathing, perception of centres of our psychic hence brings about a sea change in the mindset of the protagonists.It enhances attention span. It trains the mind in the process of self-observation , trains to take care of all kinds of negativity and develop an internal power of positivity, attention, and to develop different faculties of mind and intellect . It makes the subject better aware of his or her emotional state of mind and impulsivity.

meditation classHOW DOES YOUR CENTER TEACH THE PRACTICE OF MINDFUL PERCEPTIVE MEDITATION ?

Our focus is the client and the issue of ADHD that the client suffers from in addition to providing holistic solution to total life of the client. We provide Mindful Perceptive Meditation on individual basis exclusively as it involves complete focus and involvement of the person’s mind and body which can be done only in an atmosphere where the prime focus is on the individual himself/herself . Our 12 -weeks program consists of daily or on alternate day a one hours training session , and regular -home practise.We also make use of colour therapy and Cognitive Behaviour Therapy simultaneously .

IS THE MINDFUL PERCEPTIVE MEDITATION AN ALTERNATIVE CURE OR A COMPLIMENTARY CURING PROCESS FOR ADHD .

Yes, Mindful Perceptive definitely provides a cure for ADHD,like we have mentioned above but in addition we also make use of Cognitive Behavior Therapy ,Colour Therapy and Holistic Therapy to bring about a total change in Perceptive faculties of the individual.Mindful Perceptive Meditation enables the person to shift focus from disturbing thoughts to constructive and positive thoughts

Although we do not recommend any medication but if someone is on medication already ,after a few weeks, the need for medication will be significantly reduced . Eventually the person will not be needing any such medicine,once the practise of mindful perceptive meditation is done by the person regularly at home too.Unlike meditation ,there are no side effects of perceptive meditation.

The person can in fact practise Mindful Perceptive Meditation anywhere and at any time, and gain complete control on his body and mind rather than reaching for medicine.It is the best stress buster and anxiety control technique for bringing down negative thinking,restlessness and sleeplessness too.

meditation singleHOW AND WHERE CAN MY CHILD JOIN MINDFUL PERCEPTIVE MEDITATION PROGRAM?

Mindful Perceptive Meditation Program is an ongoing individual focussed program.As such any one can join the program whenever the need is felt by the individual,the teacher of the child or even the parents themselves.Psychiatrists too can recommend your child/ward for this program as a complementary treatment for an early cure to the problem.

You can get in touch with us the following way:

Call 07314263087,09179383554,07224896739

Or visit our websites

http://www.perceptivemeditation.com

http://www.familytherapyindia.com

http://www.mansikpramarsh.com

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

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

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