Marital Issues

Marriages in India, unlike is the solemn affair of two different families. In Indian context, marriages are expected to happen between families, naturally involving more than two persons. When there is a confluence of thoughts, habits, culture, food and ideas, most of the time, the resultant fusion is rather unpleasant to many leading to many skirmishes in the initial phases of life of the young couple. In the current situation, where both the partners are working, often in nuclear setup, the chances of skirmishes are bound to happen for several reasons. This interpersonal, intimate relationship gets overshadowed by issues stemming from ego, finance, socio-cultural issues etc., Additionally, there are certain high stress occupation that have inherent targets to complete on a time bound fashion, frequent travels and re-locations, adjustments could be a contributing reason.

 

With nuclear families and single child on the raise, the adjustment and tolerance levels of the couples are at its lowest. Superimposed with the fact of partial loss of the familial support system, the skirmishes often quickly escalates in to discordant and rapidly turns in to events precipitating marital issues.  Exchange of unpleasantness may result in verbal or physical altercations that may further precipitate more marital issues. This never ending cycle of unpleasantness, absence of appropriate mediation, erase of negativity/toxicity in relationship leads to strong marital issues. This may be further accelerated, if and when sexual dimensional problems also exists.

 

Psychiatrist, Dr. Anusa, has the learnt the art and science of looking through the marital issues and complexities during her training years in the Government Madurai Medical College and Hospital, The Tamil Nadu Dr. MGR Medical University. She explores the various factors through her own customized interview approach, following recommended norms without getting judgmental during the interviews of the couple. She looks the issues that precipitates the discordant, factors that precipitate the discordancy without taking any sides. As a mental health professional, she rules out any physical illness that could contribute to the marital issues. She effectively liaises with other medical specialties to rule out organic or other illness that could cause or contribute to the factors. If a disease/disorder is found, treatment is directed against the same.

 

In absence of any other illness, Dr. Anusa uses effective psychotherapy for resolving. In this form of treatment, the couples are counseled together and separately to recognize the reason for their marital conflict, remove negativity, resolve conflicts and improve their marital relationship. In a young kid is involved, they are helped to make informed, voluntary decisions about rebuilding their relationship or for the better ways – going separate way, in better interest of all those involved.

 

Though such counseling are believed to be short term, appropriate planning, making partners realizing their deficiencies and motivating them to resolve their conflicts often saves the institution of marriage. The specific treatment plan depends on the situation and or the conflicts.

 

Healthy couples in a health relationship may also be referred for a session, when some transient medical issues, especially those involving sexual impotency or inability crop up as a result of disease process or treatment. Some couple also seek such therapy to renew their vows, strengthen their marital bonds as well as to gain a better insight of each other.

 

In the present day context, premarital counseling, especially those involved with cross-cultural relationships, may be needed to obtain and strengthen their relationship and identify potential avenues of differences even before marriage or remove the troublesome aspects of their marital relationship.

 

Psychiatrist, Dr. Anusa consulting at Old Mahabalipuram Road at Thuraipakkam (Near Shollinganallur) can help the couples to identify the potential

• Communication problems
• Grey zones in relationships
• Perceived abnormal body languages
• Sharing household responsibilities
• Sexual Issues
• Adjustments/Conflicts/responsibilities with child upbringing
• Taking care of aged Parents/ in-Laws
• Substance abuse
• Economic Aspects
• Anger management in marital relationship
• Toxicities in relationship such as – Infidelity, domestic abuse etc.,

 

Dr. Anusa, by her training and interview will slowly evolve for joint therapy sessions teaching them to identify the issues that harm their relationship and manage them effectively to create a harmonious marital relationship. The other primary skills that she would impart is about inter-partner communication, solving and resolving issues on a practical, rational basis rather than on an emotional front. A perfect resolution starts with identifying the stressor or crisis. The pre-requisite is a voluntary participation and being involved in the process, making earnest attempts to solve and resolve to preserve the marriage. Psychiatrist, Dr. Anusa provides the best marriage related problem solving skills in old mahabalipuram road to her clients.

 

In the current situation, where both the partners are working, often in nuclear setup, the chances of skirmishes are bound to happen for several reasons. This interpersonal, intimate relationship gets overshadowed by issues stemming from ego, finance, socio-cultural issues etc.,

Sexual Issues

Nearly fifty percentage of the Sexual related issues are related to mind and psychology. The physical issues surrounding sexual problems are often dealt by General Physicians, Surgeons, Andrologists, Obstetrician and Gynecologists, the mind and psychological issues are dealt by Psychiatrists. Sexual issues could range from performance related anxiety, phobia or aversion, mostly stemming from misinformation, myths and stigma surrounding this important but less discussed part of life.

The treatment could range from proper sexual education, counselling, debunking myths and teaching to respect partner’s emotional and physical needs. Improper communication, marital conflicts, domestic fights, childhood negative trauma, stress, anxiety, depression, substance abuse are some of the common factors that act as a barrier in health sexual relationship in consensual partners. Lifestyle related illness such as diabetes, hypertension and several other chronic diseases may hamper healthy issues. Not so commonly issues are abnormal sexual desires, practices or expectations, infidelity related issues, compulsive pornography addiction.

Dr. Anusa, will approach the client-patient, discuss in length to understand the root cause of issue(s), if required as a couple-partner. She will then choose the appropriate methods of the treatment – simple education, psycho-education to counselling to behavioral modifications as and when required. If required, she will liaise with specialist to identify co-existing systemic illness, perform tests to rule out sub-clinical existence of lifestyle disorder and may advice de-addiction as a part of the sessions. When sexual discordance persists, it could form a basis for marital complications. To avoid unpleasant later situation, early intervention and treatment is advised.

Also, Psychiatrist Dr. Anusa will help to effectively establish healthy communication among partners, in a perfectly relaxing, strictly confidential and assuring fashion in the Health Central Multidisciplinary Clinic at Okkiyam Thoraipakkam, Old Mahabalipuram Road, Chennai. As a part of her treatment, Dr. Anusa also will teach the partners to identify and respect partner’s decisions, inclinations and desires that is mutually agreeable.