Couple Enrichment Clinic as a Model of Promotive and Preventive Mental Health Care in South India

Preventive and promotive couple-based programs are known to increase relationship satisfaction and reduce marital discord. However, such services are rare in India. Since 2011, the Couple Enrichment Clinic in Bangalore, South India, has been providing support to couples experiencing mild to moderate psychological distress. This retrospective chart review examines data from 54 couples who consulted the clinic between January 2023 and July 2024. The majority were urban, educated couples seeking help for issues like life transitions, communication difficulties, trust, and conflict management. Therapy was delivered through conjoint, individual, or combined sessions, using an integrative approach adapted from enrichment modules like PAIRS and PREP and strategies from cognitive behavioral therapy (CBT), emotionally focused therapy (EFT), and systemic principles. Cultural themes including extended family dynamics were also explored. The study emphasizes the unique needs of Indian couples and suggests that integrated therapeutic approaches can effectively promote relational health in this cultural context.