Relationship difficulties: when to get help
रिश्तों की कठिनाइयाँ
All relationships have difficult phases. Persistent conflict or distance affects mental health, sexual life and children.
A psychiatrist can also identify depression, anxiety, addiction or personality factors that strain a relationship.
Medically reviewed by Dr. Kuldeep Budania, MBBS, MD Psychiatry
Common signs
- Repeated arguments that never get resolved
- Emotional distance, little communication
- Trust issues, jealousy or suspicion
- Reduced intimacy or mismatched expectations
Causes
- Communication problems and unmet expectations
- Stress: work, money, in-laws, children
- Addiction, depression or anxiety in a partner
Risk factors
- Major life changes: marriage, a new baby, relocation, job loss
How it is diagnosed
- Individual and joint sessions to understand both perspectives
Treatment options
- 1Couples counselling with clear goals
- 2Treating individual mental health or addiction problems
Psychotherapy and counselling
- Communication and conflict-resolution skills
- Rebuilding trust and intimacy
Guidance for family
- Avoid taking sides publicly; encourage the couple to seek help together
When to see a psychiatrist
- Conflict affecting sleep, work or children
- Any violence or threats — safety comes first; call 112 in an emergency
Thoughts of self-harm or a medical emergency? Call Tele-MANAS 14416 (24×7, free) or 112.
Frequently asked questions
What if my partner won't come?
You can start alone. Individual sessions still help, and many partners join later.
Is the consultation private?
Yes. It is one-to-one by private video and your details stay confidential. Your partner can join if you wish.
Can this be assessed by video?
Most concerns can be discussed and treated by private video. If a physical examination or tests are needed, you will be guided to a physician or gynaecologist.
Help is available — confidential, in Hindi or English.
Private video consultation from anywhere in India with an Ajmer-based psychiatrist. Psychiatry consultation ₹500.
This page is for education and does not replace a personal consultation. Do not start or stop any medicine without a doctor's advice.