<<Prev Next>>

Walking towards hope

R Sriram Srinivas, who has multiple disabilities—mental retardation and spastic diplegia—takes a breather during his yoga session at home. P Settu, his yoga therapist, who has been teaching Sriram two years now, says that Sriram used to be inattentive and restless, but now follows instructions well and has mellowed down significantly.  



Images and text by Naveen P M

Walking towards hope (2/9)

M Vanitha, Sriram's teacher, helps Sriram wear his dance apparel before the start of the 'World Differently Abled Day Cultural Programme' at Don Guanella Special School in Chennai. Due to Sriram's condition, simple tasks such as putting on clothes can become a chore and he often ends up needing some assistance. 


Walking towards hope (3/9)

Sriram rides his bicycle—fitted with a custom-made backrest—flanked by special education teacher, G V Arumugam. Arumugam has known Sriram for 15 years and was initially hired to teach him basic reading and writing skills. On Sriram's parents' request, he started to assist Sriram in walking and then taught him how to ride a bicycle so he could improve his muscle tone. 

Read Sriram's story here


Walking towards hope (4/9)

R Devi helps Sriram read a clock at Sai Sri Ram Training Centre. Sriram has difficulty reading and writing even basic words, and has a hard time grasping universal concepts such as time, date, and money. Devi is Sriram's favorite teacher. Sai Sri Ram Training Centre has eight students with special needs, two teachers, and a domestic help. The school functions from 10 am to 3 pm and keeps the students busy with a plethora of activities such as coloring, computer games, and yoga.


Walking towards hope (5/9)

M R Karthik, physical trainer, subjects Sriram to one of the many "balancing exercises" to improve his balance and correct his "scissor gait". Karthik has been training Sriram for the last two years. "In the beginning, Sriram could hardly stand for a minute on his own and displayed a lot of traits commonly seen in persons with Intellectual Disability (ID), such as lack of eye contact, droning, drooling...," says Karthik.

Read Sriram's story here


Walking towards hope (6/9)

Sriram and his classmates from Sai Sri Ram Training Centre perform to a medley of Bollywood songs at the 'World Differently Abled Day Cultural Programme' held in Don Guanella Special School, Chennai. P Dharani Kumar, a professional choreographer, composed the dance moves for this performance. He visits the school every weekend to teach dance to these students. "Sriram usually has trouble recollecting and executing my dance moves but he stepped his game up through some spontaneous moves," he said. 

Read Sriram's story here

Walking towards hope (7/9)

Sriram is ecstatic after receiving a silver medal for the Standing Long Jump event. His driver, D Alvin (right), and Sriram's mother, R Vanitha, gather around to congratulate him, at the Special Olympics Sports Meet held on YMCA Grounds, Chennai. Sriram shares a special bond with Alvin and the two can often be seen engaging in healthy banter. 


Walking towards hope (8/9)

Sriram does a lap of backstroke at The League Club, Chennai. His parents introduced him to swimming at the age of seven after a doctor suggested hydropathy as treatment. Sriram has been training under U Sathish Kumar, swim coach for children with special needs, for one year now. Sriram won four gold medals in as many events at two swim meets for para-athletes held last year in Tamil Nadu.


Walking towards hope (9/9)

Dr J Paul Devasagayam, Area Director, Special Olympics Bharat, Tamil Nadu, reviews Sriram Srinivas's progress with his mother, R Vanitha, during one of their monthly meetings at his 100-square-foot office in Purasawalkam, Chennai.


Can marriage affect a woman's mental health?

Though a happy and important life stage, marriage can sometimes trigger mental health issues in women

Two of eight people who walk into psychiatrist Sabina Rao's clinic are women whose mental health issues are triggered by conflict and abuse (emotional, financial and physical) in marriage.  "Often, they walk in with signs of anxiety and depression, but sometimes they are just overwhelmed by all the changes and shocks that marriage brings with it," says Dr Rao who consults at Bangalore's Sakra World Hospital.

While it is known that abuse of any kind results in a range of mental health issues, Dr Rao points out that just the sudden change in both personal and environmental factors can also affect women's mental health.

Much like any other life-impacting decision, opting to be a part of a marriage/partnership is both exciting and challenging. While on the one hand it brings with it all the joys of partnership, on the other hand, it comes with the challenges of adjusting to a new environment, a new family and in many cases a new city/town away from the one a woman has lived in before marriage.

"The stresses and demands for adjustment on women are certainly higher. A new partnership often means many more unfamiliar factors for women than for men in India," says Bangalore based counselor, Simi Mathew. We explored the challenges women face when entering a new marriage and the mental health issues that may arise from them.

Adjustment to new environments

Marriage for Indian women often includes moving to a new space/geography. While some move into a new and unfamiliar family, others move away from their own families to a new city to join their partners. "That a woman will make this move and accept it is still a given. And this is true in both urban and rural spaces. Often the woman herself hesitates to talk about the emotional toll of this move to avoid being seen as fussy or too emotional," says Mathew. Depending on the support from her new family and spouse, and the extent of adjustment required, many women do adapt over time.  But for some others, the stress, sadness and helplessness that comes from being in a significantly new situation can also lead to an adjustment disorder, depression and anxiety.

Sense of self

“Marriage ( in the broad Indian context) comes as a shock to many women who have spent the first 25-30 years of their lives being encouraged to think freely. They have careers and opinions and when suddenly faced with in-laws who haven’t evolved at the same pace, or if their partner doesn’t accept parity, they start to lose their sense of self,” says Dr Rao. She adds that often suppressing these feelings of frustration and helplessness can give rise to symptoms of depression and anxiety. Any stressor that is not dealt with can snowball into a mental health issue. 

Expectation vs reality

But while several of the mental health issues in adjustment to marriage come from the outside, there’s also the factor of unrealistic expectations set by both partners. “Sadly, a lot of couples expect marriage to solve a lot of problems,” say Mathew. Couples should be encouraged to discuss their expectations from a partnership. An understanding that all relationships require work is very important for a good foundation. Unlike many other relationships, marriage includes two people with different emotional styles, different families and often a different value system, coming together to live in a very intimate setting. “The solution here is just simple communication,” says Mathew adding, “go to a counselor if that’s required. But know why you’re getting married.”

How to deal with the stresses of marriage

Mental health issues are often difficult to diagnose when in a marriage. Many symptoms are manifested as marital discord, disagreements or just unmet expectations, unless it is a severe symptom. Which is why it’s important for both partners to work towards the wellbeing of their partners.

1) Talk to your partner about what marriage means to you. Understand if you are on the same page with regards to your expectation from marriage. Include a mentor/ counselor to moderate this conversation.

2) Understand how living with your partner is going to affect your daily routine and life. Communicate your discomfort, if any, to your partner.

3) Husbands of women moving into a joint family need to be cognizant of new adjustments.  Understand that your partner is a person with agency and opinion.

When a woman has an existing mental health issue

Mental health issues come with a great deal of stigma, leading families of both men and women with mental health issues to not divulge the condition when marriage is on the cards. “Unethical as this practice is, when it comes to women, the issues that arise from secrecy and lack of support from her new family are several,” says psychiatrist Dr Ashlesha Bagadia.

  • In order to keep the condition a secret, women often stop taking medication. When combined with stress in the environment, many women have relapses. There can be a relapse even in the absence of stress, due to the discontinuation of medication.
  • Pregnancy can trigger some mental health issues when a woman has a pre-existing vulnerability.

But support from family can help women manage their mental health issues very well.  “Till you get into your natural rhythm and process how the relationship works, don’t take anything for granted. Work on it slowly and with patience. Marriage is not going to solve mental health issues. Bring your partner into the fold about how your illness works. "Have couples counselling,” recommends Mathew. 





Also Read