Tuesday, June 21, 2011

POST MARITAL THERAPY

When you want to get married ,every thing looks rosy and you look forward to long ,happy, married life.
 Marriage  is seen as a commitment for keeps. But when distress abounds, couples are faced with a number of survival strategies. Depending on the issue, some couples will bind together to overcome adversity. Other couples may run in opposite direction, losing the benefit of mutual support and others will simply hunker down to ride out the storm. Interestingly, recent research suggests that of unhappy couples that do hunker down 2/3's become happy couples after a period of about five years.
who needs therapy or counselling  
For those that cannot hunker down or pull together, marital therapy is seen as strategy to get on back on track of happiness.

Marital therapy is more often provided by persons whose training is primarily in individual therapy as if to say all therapy is alike. This leaves consumers of marital therapy at a distinct disadvantage when looking for a therapist.

Very often the call for therapy comes from only one member of the marriage. The caller is often distressed and looking for help with the marriage. The caller may request to see the therapist alone first to deal with their intense feelings, or alternately they may conclude that their spouse will refuse to attend. A therapist trained in individual therapy will likely see the caller alone. A therapist trained in marital therapy will strongly recommend that the couple be seen together and will explain that beginning alone may increase the probability of a break-up and that the spouse would reasonably reject coming in later, concerned for a pre-established bias on the part of the therapist from having met first with the caller.

Other callers may concern themselves for neutrality on the part of the therapist. Indeed many styles of individual therapy do call for neutrality and intervention is based upon passive reflecting of client issues. Trained marital therapists however, are rarely neutral. A trained marital therapist should be biased in favour of the integrity of your marriage lest they become the catalyst for its demise. Similarly, a trained marital therapist should have a stated opinion on matters of violence or abuse or infidelity and see these as serious issues to be addressed within the context of the marriage.

Marital therapy is one of the most intense venues for displaying emotion. A trained marital therapist should be comfortable with emotional intensity and be able to manage and structure the meeting to provide for the safety of the couple. Marital therapists can be highly directive or prescriptive. Couples entering marital therapy should expect the therapist to be active in the process and provide clear direction to improve the marital relationship.

If you are experiencing marital distress, don't treat all therapists alike. Look for a marital therapist who has had specific training, is comfortable with emotional intensity and will offer clear direction to help resolve identified problems. Lastly, be sure the marital therapist will respect the integrity of your marriage and work towards resolving problems as opposed to falling prey to your conflict or questioning your commitment or desire to remain married.
If in the process you decide to end your marriage, it should be a matter of your decision, not the outcome of poor therapy. Poor therapy can hurt. Good therapy can help.

Thursday, June 16, 2011

Why does Menopause cause Depression?

Why does Menopause cause Depression?

At the onset of menopause, women undergo a host of changes in their bodies. It is not uncommon for women to feel frustrated with these changes, in addition to feeling sad about their inability to conceive anymore. In fact, signs of anxiety and depression at both menopausal and perimenopausal stages of a woman’s life are perfectly normal. Both these psychological conditions are 2 of the 34 menopause symptoms.

The causes of anxiety and depression during menopause can be either physical or psychological. Some researchers believe that the decrease in oestrogen level triggers changes in the brain, causing depression. Another view is that the other symptoms of menopause, like hot flushes, fatigue, sleep problems and night sweats cause these feelings.

Menopause happens to women, in their twilight years. There are exceptions of course, but that is generally the norm. At that time in their lives, most women find themselves in a situation where the busy,active and involved life she had, setting up home and bringing up children, is past and she has time on her hands, most often the empty nest syndrome, and perhaps a feeling of not being needed anymore. With these come the physical symptoms of menopause, the hot flushes, the fatigue, the night sweats and several others. Everything combined can suddenly become overwhelming and lead to anxiety attacks, nervousness and eventually, for some, depression.

Depression is a disease caused by biological factors. Some hormones in the brain, especially serotonin, regulate our mood. A drop in the serotonin level can cause mood fluctuations and depression. There are indications that between 8%  and 15% of menopausal women suffer from depression of some kind. Depression due to menopause is most likely to hit during perimenopause, the phase leading up to menopause.

The causes of menopausal depression are still under debate, but there are various theories suggesting why such a large number of women experience mood disorders during menopause.The two main causes, as already mentioned above are :

  1. The stress of dealing with the other symptoms of menopause.
  2. Fluctuating levels of hormones in the body.

Other Things that can cause Depression



  • Not being physically active.
  • Having problems in a relationship.
  • Financial Problems.
  • Employment problems.
  • Having low self esteem.
  • Regret over not being able to have children any more.
  • Not having a strong support system.

Risk factors


A woman with a history of depression and / or mood disorders, are at an increased risk of developing depression during menopause. This is more applicable to women who have had depression in their twenties. Also at high risk are women who have gone through surgical menopause, because surgery causes a dramatic drop in oestrogen levels. Other women more likely to experience depressionduring menopause are smokers, those who have young children and those who are under a lot of stress.

However, whatever the cause,it is important to get immediate and appropriate help, as left untreated, it can have serious physical and emotional side effects.


Source:
Content provided by: Onlymyhealth editorial team


http://www.onlymyhealth.com/why-does-menopause-cause-depression-1306837611