Bicultural Couples and Relationships

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Why do bicultural couples or couples in general, seek therapy?

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 There is great beauty in interracial and intercultural relationships - the chance to learn and grow from someone who may come from a different background and hold different perspectives from you.

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But relationships are knotty, couples are complex, and partners bring in varied emotional baggage with different ways of understanding and arriving at their own solutions. Partly as a result of this, intercultural couples may face a greater share of challenges that can create dissonance and disagreement. Perceived differences in culture, race, and ethnicity can cause real issues in relationships - and some bicultural couples instead of waiting for a problem to occur are increasingly seeking professional assistance preemptively to create the relationship they are passionate about. 

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Couples coaching creates a safe space to help open up such challenging dialogs both within yourself and with your partner. Couples coaching is recommended and pursued by individuals at various ages and stages of their relationship: premarital, engaged, long-distance, newly or long-term married, divorced, or co-parenting couples. Whether you may drop into therapy for a beginner's course, try it as a "last resort" during your separation, or may choose to make it a lifestyle option, we offer coaching that can help you navigate sticky phases to create a relationship where you both can flourish. Concerns if effectively listened to and attended to by a seasoned professional can often spearhead real change for couples for they can unlock distressing episodes in the partners' lived experiences. What may appear as a problem at face value, may be linked to something more deep-seated and more meaningful for one or both.  

 

Many couples who complete our course of 12 sessions report feeling more satisfied with greater intimacy and enjoyment of their partner. They also report that their relationship is on a stronger path. Scroll below to learn more about what an initial consultation and what does couples coaching look like. 

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What you can gain from couples coaching: 

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• Better deal with life transitions or crisis

• Getting in touch with your thoughts and emotions, or "check-in" with an expert for your greater mindfulness in loving

• Learning life-long skills where you can continue to understand how gender, patriarchy, race and class can affect your tensions, doubts, fear, and feeling stuck

• Broadening your palette in understanding your partner's emotional life to enhance empathy and understanding

• Removing short-cuts in your communications with each other so you can say what you mean and in a way that it is received and reciprocated

• Stepping away from reactive actions by learning the relational dances that may trap you

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The Couples Coach 

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Dr. Shaifali Sandhya is a US and UK-trained psychologist and will be leading the couples sessions. Over the course of twenty years, she has collaborated with hundreds of couples and families across cultures on rebuilding their relationships. As a former professor of Clinical Psychology, she is able to break down complex ideas into easy-to-understand and digest forms for you to bring about newer communication styles and relatedness with each other. She offers couples coaching both online through Zoom videoconference and in-person. She holds a doctorate from the University of Chicago and an M.A. from the University of Cambridge. Please email our office by clicking here or fill out our appointment form for more details. 

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What does the initial consultation look like? 

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• Duration: The initial couples consultation session lasts 50 minutes. A therapeutic hour is generally, 45-50 minutes.

• Process: The coach invites you to relate your perspective on your challenges, history of your concerns, any goals that you may have for yourself and your relationship, and other issues you may deem important. Your partner will do the same. Throughout the session, the coach while providing a safe space for potential radioactive discussions may also ask clarifying questions. In the context of an ongoing issue, the coach may ask you, "Why are you seeking therapy now?" Towards the end of the session, the coach may suggest some treatment options, including the frequency of visits that may seem right for your kind of issue. In the days that follow after your consultation, you can decide whether you'd like to embark on a 7-12 week journey of self-exploration with your partner tailored around concrete goals

• Feeling scared or shy? It will be OK. Your coach is a warm and experienced professional who will ask you the right questions to draw you out if words fail you. The therapeutic space is 'your' space where one baby-step at a time, you will be re-writing your story.

• Telehealth/Online/ Zoom: Dr. Sandhya is currently offering online coaching for those who prefer the convenience of virtual visits. Online couples therapy or tele-therapy for couples or individuals does not differ in quality or substance from in-person onsite psychotherapy. 

• Click here to make an appointment 

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What does "therapy" or "coaching" look like?

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• There is going to be a lot of talking in therapy - but with insight, reflection, and purpose - so that you can connect the many dots of your life. Facilitated by insight and interpretation, it is a different kind of chat than you would have with a friend or family member. 

• As coaching progresses and based on your unique journey/ history, the coach may collaborate with you to determine your favorite learning method and offer recommendations of books, articles, exercises, questionnaires, and other resources enjoining learning through your different senses.

• You will also learn useful couples techniques such as but not limited to, active listening skills, role-plays, perspective-taking, reframing, your unique toxic relational dance (s), and so forth to expand your relational lexicon and strategies you can utilize to have productive rather than counterproductive conversations.

• We may work together to create family genograms or "family blueprints" to understand how the past may be unconsciously affecting the present if you feel ready. Above all, you hold the reins to the pace you feel comfortable with. 

• You control the pace of our work together, how much you want to share and what you want to share. As you gain good tools that restructure your habits and retrain your mind, you will also find that the effects of good therapy can last years after therapy ends. Based on your life history and what you've shared, a good therapist gives you all the data, but you still make all the decisions. 

• Feeling scared or shy? It will be OK. Your coach will be a warm and experienced professional who will ask you the right questions to draw you if words fail you. The therapeutic space is 'your' space where one baby-step at a time, you will be re-writing your story.

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Our Philosophy

 

We believe strong relationships are not chanced upon but are actively co-created with collaboration and active listening. We help you parse through your mental noise that can exist in the form of rumination, negative filters. and other negative cognitive patterns to arrive at your inner dialogs. We help you resurrect a relationship that may have descended into a relationship where "anything goes" which may feel like mayhem to a relationship with operating values and predictability yet spontaneity if you wish.

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Some goals couples can expect for the short-term or long-term

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Whether you are with an "intellectually complex" or "impossible" partner, we assist partners from diverse cultural backgrounds with needs for both short-term and/or  long-term strategies and goals ranging from:

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• Creating meaning through articulating values

• Overcoming obstacles related to family factors

• Relating unconscious lessons from childhood to the present 

• Opening up difficult dialogs

• De-escalating conflict and destructive cycles

• Building positive and reaffirming communication

• Reducing reactive responses and enhancing compassion

• Providing actionable collaboration and ongoing support 

• Creating a shared compass for moving forward

• Introducing a shared and safe dictionary to talk with each other 

• Building accountability for promises made to enable renewed trust

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Why do couples in general, come to couples therapy?

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For modern couples who are navigating many unique stressors in our world today such as - racial justice, being a person of color, a transgender child, divorce, generational conflict, experiences of racism, historical trauma, immigration, care of a sick parent, or being gay - there may be many dialogs that can be difficult to engage with each other. 

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At other times, perfectly happy couples may find their relationship stuck and new conflicts erupting during life transitions -- wedding and the involvement of family; relocation; long-distance commute; unemployment; being in a rut; pregnancy; illness, or death of a loved family member or friend, or even a social justice issue such as the death of an African-American male. These transitions can bring about a changed or charged environment or renewed purpose in our lives, and rightfully, can create a psychological crossroads for some couples.

 

Consider 50-year old Cathy whose life was profoundly changed in 1999 with the brutal gunning down of 23-year old Amadou Diallo, the event calling into question her White middle-class values, Ivy-League schooling, professional career at a multinational company, and catalyzing a reasssment of her 15-year old marriage. Cathy's transition called into question the anchors of what she thought one's life or relationship was all about (Please feel free to scroll below to read other couples' stories; their identities have been changed)

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Couples can also seek therapy if they find themselves trapped in repetitive and unproductive arguments or situations. A couple's arguments can be triggered by almost anything: whether gas needs to be filled; which spoon to use for stirring and which one for eating cereal; how to organize kitchen cupboards; how to discipline the puppy; who ought to take charge in setting the mood for sex; the tone one uses to talk; the volume of one's talk; whether crying during a 'talk' ought to be considered as a 'discussion-ender'; which partner has the 'bad tendency to litigate and not investigate'; whether during holidays one's hotel room ought to be spic and span, and so forth. With couples coaching you will learn new skills of communication, self-regulation, and awareness to transform a frustrating relational phase into one of growth, enrichment, and vibrancy. ​

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Relationships offer a mirror to oneself and personal growth

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The way couples deal with challenges can impact their sex lives, emotions, and stress levels. The rosy self-descriptors individuals use to describe themselves when they are single like "emotionally loyal," "care-free" can be challenged by their partners or may not hold when they find themselves living with another. Couples coaching or therapy can help you course-correct and open the doors to a more vibrant, mindful, and purposeful relationship. 

 

What if I feel there's nothing wrong with me? What if my partner won't come to therapy/ coaching with me?

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Therapy sometimes is not simply about you - it can be about those who love you and who are impacted by your behavior, in which case it becomes the most compassionate thing you can engage in. So, can one person-in-therapy change things for their relationship or family?, I've often been asked this question. Yes, you can. Systems therapy is the art of changing the system with one person embarking on learning and acting on certain strategies and we will work on these strategies and others together, during the coaching process. 

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Do other couples face the same challenges we face?   

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Often times, yes, but it may not be always. We all get mad at our loved ones - however, when anger is protracted or passive, important issues are neglected and a downward spiral can begin in relationships creating a relationship rife with defensiveness, blame, stonewalling, and criticism where important issues are repressed. When important needs are postponed, and underlying differences are not validated, appreciated, or respected they can start to erode the vitality of relationships. Like yourself, even when interracial couples share similar professional and socioeconomic backgrounds they can grow up with different cultural values that exposes them to unfamiliar attitudes, behaviors, or prejudices in each other or in their family members.

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Cultural differences may span values and philosophies around money, need for independence versus interdependence, need for space, sharing home chores, children's discipline, gender roles, frequency of sex, and ascription to spirituality that may affect how you communicate with each other, levels of trust and confiding, intimacy, happiness, and the satisfaction levels in your relationship. What complicates things for intercultural couples is the absence of mentors, resources, and networks that they can call upon for support during challenging times. For, sometimes the ways they interact with their respective family/ social network might be affecting the rifts between them.

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Some challenges faced by couples who navigate differences in race, culture, class, sexualities, and religion can range from: 

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• greater emphasis, involvement, and interaction of extended family members in your relationship

• varied subscription to cultures of both families

• differential emphasis on money, materialism, space, or even what constitutes emotional connectedness

• different preferences around the display of affection and maintenance of boundaries in your relationship versus friends on social media

• how to gain acceptance from your partner's family members and/or how to prevent lingering issues from eroding your own relationship

• different preferences on whether to prioritize the "couple" over one's parents and siblings; how to manage friends' or family's opposition to your relationship

• and how to manage the differences that might emerge with being with a partner with a different immigrant status (first-generation versus the second generation)

 

But every person is unique and compared to others, you can face issues that are different.

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Obstacles to Couples Coaching 

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A major obstacle for well-meaning biracial couples or individuals belonging to different race/culture/ethnicity seeking therapy is that an overwhelming number of psychologists in the U.S. workforce are either white or in general, not experts in cultural competency and/or couples relationships, and only about 15 percent belong to other racial/ethnic minorities. This can make it tremendously challenging to seek a therapist, connect with them, and to maintain a therapeutic relationship. In general, there is a dearth of psychologists and therapists who are trained in couples and family psychotherapy which is a specialized field. 

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VIGNETTES FROM INTERCULTURAL COUPLES

*names/identifying details have been changed​

 

Caucasian American and French-Canadian Couple: "Am I falling again and again for the same wrong person?"

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Timothy, 40-years old was born on a boat in the Arctic, the last of three siblings born to parents who were research scientists. "Growing up on the seas, I was always an adventurer guided by my own inner compass," shares Timothy. When he turned 30, while on an assignment as a photographer in Latin America, he fell head over heels with an Iraqi woman, Theresa who was a model. She had arrived in Latin America as a refugee and had spent her first six years of life in a refugee camp. After six months of dating her, Timothy discovered she was also dating someone else. When he confronted her, she ended their relationship. Following that, Timothy made it his mission to woo her back. He read self-help books voraciously, consumed podcasts, joined a codependents anonymous group, and self-medicated. One year later he succeeded in marrying Theresa only for the marriage to collapse spectacularly. "My entire world was her. That one was difficult," shares Tim. Over time, his tendency "to fall for impossible but intelligent women" has become more ardent. Timothy wonders whether he has a tendency to date women "who would soon become my clinical patients." In a relationship with Sophie who is French-Canadian and a ballerina. They both are seeking therapy to figure out how to better understand their past dynamics, manage their volatility, and whether they can work together to stay away from mixed messaging in their relationship such as: "Physically I want to be with you, but mentally I don't want to be here." Creating stability in their relationship has meant installing mental safe-guards individually so their relationship does not feel like a boat on choppy waters. 

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Caucasian and Indian-American Couple: "Is it Culture or Ellen's Personality?" asks Hari

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Ellen, Caucasian, 32 years old, Director of business development at a hedge fund, and Hari, a 32-year old Indian-American Cardiologist have been dating for three years and find themselves stuck. "Mostly it is me feeling stuck with his family," shares Ellen. Although family issues have been ever-present in their relationship, as their relationship started to get more serious, family involvement also became highly charged. Hari is the eldest born son in his family, belongs to the Brahmin caste, and grew up in Michigan. Hari's parents always expected that he would marry an Indian woman.  "I was pretty familiar with the Indian culture as I had done volunteering in India," says Ellen, but nothing prepared her for Hari's family. "His family is posing a lot more difficulties than I could ever imagine." After every trip to Hari's family, "I found myself in tears" shared Ellen. They grappled with significant and strenuous objections from his family as they attempted to create their own relationship. Their challenges ranged from: whether or not Ellen ought to learn the Indian language; should Hari be expressing his affections to Ellen in front of his conservative parents; whether Hari's parents would ever give approval and hence, legitimacy to their relationship, and so forth. Such family and cultural issues started to invade their intimate space and the couple became more enmeshed in defending or attacking family members than enjoying each other's company. Cultural issues - like, Hari being the oldest son and his family's caste also played in their relational dynamics.

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Ellen and Hari were serious about their commitment but they found themselves stuck. Couples counseling assisted Hari in figuring out "Is it Ellen's personality that his mother refers as 'intolerable' or is it the culture that is posing as a challenge for us?"; helped Ellen could manage the authoritarian behaviors of Hari's family members in a culturally sensitive manner; and enabled Hari and Ellen to collaborate with each other to create a vibrant and empathic partnership along with strong family support for their wedding and ultimately, marriage. 

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Ghanian and African-American Couple: "Can we learn to communicate authentically without tearing into each other?"

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Miriam, 29-years old, African-American is married to Ethan, 30 years, from Ghana. They met in high school and have been married for 5-years. For the last couple of years, their relationship has been going through a "rough patch" where little issues become big. Right from the time Miriam moved into Ethan's home, they cannot stop fighting on everything - from which spoon to use, which and whose dishes to keep versus donate, how to use the soap dispenser, and whether or not to use social media when they are having family dinners. In therapy, the couple acknowledges the disparate ways they have learned emotional expression and how it affects their exchanges. Miriam tells Ethan, "I keep communicating to you in different ways. It feels like either you are not listening or you are not understanding." Ethan grew up in Belgium when his mother sent him to live with his grandmother when he was only one year old. At some level, he is aware that he has "deep issues as a result of being an unwanted orphan that affects his inability to express emotions, but I don't know what to do." With growing awareness of how suppressed emotions might be playing a role in their conflicts, Miriam and Ethan learn to be emotionally present and develop their nonverbal sensitivity to each other for greater insight, support, and transformation. With this, they supported each other in building an environment of non-judgment and unconditional positive regard. 

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Caucasian and Indian-American Couple: "We are planning our wedding but will we be able to trust each other?"

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Arya, 27-years old, Indian-American, and Patrick, 30 years, Caucasian, have been dating for the last year. They met each other on the dating app, Bumble, and shortly after started dating. As they spent more time together, they discovered they aligned on family values, shared an unspoken understanding of what was most important in life, had similar abilities on articulating things well, enjoyed having sex with each other, and realized they "just absolutely adored each other." Arya came from a traditional Indian family with many constraints on her freedom when she was growing up. In order to survive the controlling and strict family environment, Arya found herself lying or "manipulating the truth." When Patrick was very young, his father in pursuit of an affair, deserted their family. Following the divorce, Patrick's mother raised him and his siblings with the support of her extended family. Recently,  jealousy and trust issues seemed to have been sparked between Arya and Patrick over "flirtatious messages," Arya perceives that Patrick exchanged with an ex on Instagram, Facebook, and Facebook Messenger. Patrick is similarly concerned whether Arya "embellishes the truth" or even whether there are "lies of omission" or he wonders, "if she's manipulating with others, she's going to manipulate me." "We are bringing out the worst in each other," Arya shares, and both Arya and Patrick "want a reset button in their relationship where they can grow their relationship and themselves in positive ways." Among other goals, therapy focuses on establishing expectations and healthy boundaries of communication on social media. 

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Irish-American and Polish-American Couple: "Can we repair our marriage after an affair?"

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Scott, 40-years old, Irish-American and Brenda, 39-years old, Polish-American, have been married for 3 years. They are both surgeons and met each other when they were on a fellowship. In the past three years, they have changed home, cities, and jobs three times. Shortly after their first child was born, Scott started an affair that Brenda discovered. The affair is over and after a series of talks, they want to figure out how to heal their hurt, initiate a new way forward, and repair their relationship. 

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Iranian-American and Palestinian Couple: "If you had religion, suicide would not happen."  

 

Rania was twenty years old when her favorite uncle shot himself in the fields of Iran. He was her father's youngest brother, adored and cherished by all. Although her father was a well-established member of the Jordanian community in their town with great wealth, prestige, and respect Rania had always experienced her father as a distant patriarch who did not readily show his emotions. She had hoped though, that his brother's death would be a "wake-up call" for dad, that it might soften him to understand others' feelings and invite him to engage with her life. That was not to be - that same night her dad would berate her on her "way of living as an American" and that "if she would only pay heed to religion, all of this would not happen." Rania is now dating a Palestinian man and hopes to be able to stand her ground to marry someone outside of her community and culture; determine whether they share common values to create a compassionate yet egalitarian marriage. Rania identifies herself as "Jordanian" she also believes that "Being Iranian is not completely who I am but feeling American feels foreign." Rania feels her identity is forged by having to be an immigrant and having to juggle different cultures. She can see the similarities in culture with her Palestinian boyfriend's culture and since both of their cultures don't encourage dating, they want to understand what it means to build a partnership and be a couple in the long run. 

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Surinamese and Caucasian Couple: Can we get over his betrayal?

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"When I first arrived in Surinam as a medical student on a humanitarian mission, I fell in love with Kenny immediately. But I was married," shares Sarah. Although it was not Sarah's first dalliance, their torrid affair caused her to keep returning to Surinam from America, again and again. A year later she applied for divorce so Kenny (who had been previously married and had children) and she could be together. Kenny had grown up as fourth-generation Surinamese with Sri-Lankan roots. Life was fast-paced for Sarah and Kenny and they decided to settle in America. As Sarah traveled back and forth that year, Kenny had an affair with someone else. But Sarah's pregnancy with Kenny's child and travels proved to be a detriment in doing justice to any discussions at that time. Three years later as Kenny and Sarah set up a home in America with a blended family, old feelings of hurt resurface and they ask: "How can we resolve Kenny's betrayal?," "How can we adjust as a blended family in a small predominantly white American town?; and, "How can we help Kenny manage feelings that arise from being treated as a minority based on his skin color?" 

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Multicultural Therapy for Minority and Diverse Clients

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Psychotherapy for Minority Clients Navigating Race, Language, Sex, Faith and Ethnicity

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Dr. Sandhya provides interfaith and intercultural therapy to clients who come from different cultural, racial, religious and ethnic backgrounds such as African-American, Italian, German, Palestinian, Chinese, Saudi, Iranian, Bangladeshi, Indian, Pakistani, Palestinian, Jamaican, Moroccan, Iraqi, Cameroon, Uganda, Egyptian, Korean, Syrian, Sudanese, Nigerian, and African-American. Dr. Sandhya's multicultural orientation and sensitivity is informed by her academic writings on the global family as well as her interviews of families in many countries around the world. 

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VIGNETTES

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Benjamin: "I have not seen successful relationships. How can I be less guarded with the woman I want to marry? How can I understand the unsaid at work?" 

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What Benjamin, 38-years old, African-American, investment banker, an Ivy League graduate wants more than anything is to live a life of abandon yet spirituality, to take leaps of faith in love and be able to express himself without inner censor or fears in his professional and personal life.  Benjamin grew up in a rough inner-city neighborhood of Detroit where families never felt safe to send their children to school and where most were caught up in drugs, gangs, and poverty; his parents too, battled their own addictions. Benjamin was the only one in his county and across all generations of his family to graduate from college. Despite being talented, ambitious and successful, Benjamin struggles with articulating his thoughts to others for fear of dismissal or disparagement; taking leadership in managing communication at professional meetings; and developing a better social IQ to pick up up the subtext in a politically charged work environment. In therapy, he develops action items to to empower his public speaking abilities and nonverbal body language;  learns how invisible and insidious effects of race can affect the communication of even successful Black men like himself; how to proactively build supportive and mentoring relationships; and, how to invite, encourage, and sustain open-hearted conversations with his girlfriend. 

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Anthony: Achieving Success While Negotiating Identity and Race In Corporate Finance

 

Anthony, a Stanford-educated MBA, African-American, works in a high-stress and cut-throat financial environment where smooth interpersonal dynamics are key factors in driving success and determining promotions. Anthony is ambitious, trustworthy, with a high social IQ, and hardworking but struggles with confidence, self-esteem, and projecting leadership attributes, stumbling blocks in moving up the corporate ladder. Most specifically, "I am fine in small groups, but in large groups, my heart starts racing and I feel my nervousness overpower my expressions." 

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Anthony grew up impoverished in a crime-ridden inner-city neighborhood of Chicago were crack cocaine, alcohol, and violence were the norm of life. "There were lots of disappointments in my childhood. I saw my friends, family and neighbors did not attend school, but instead, they battled addictions" he shares.

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Unspoken and unique cultural challenges of race may affect even successful African-American men and women in our society today; these need to be expressed, validated, and integrated for their overall well-being. Sheer grit, perseverance and hard work have brought Anthony material successes - in therapy Anthony's goals are to embark on authentic conversations with himself; to express himself to others without fear of repercussions; to learn the invisible impact his family, race, and cultural legacy have on his present-day behaviors, nonverbal expression, identity, and belongingness; and to create rewarding mentorships for interpersonal and professional successes. 

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Kristina and Alison: An Out and Proud Lesbian Couple 

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Kristina and Alison met while working at a multinational technology company, and they soon learned that their backgrounds could not be more different. Alison belonged to a family who was staunch social conservatives, white, blue-collar community, and not college-educated. Although Alison's mother was Catholic, she was supportive of Alison and was loving and warm towards Kristina. However, being in a relationship Alison and Kristina learned that even though they came from loving families, homophobia occurred in nuanced and sometimes, overt ways. It could also manifest in the expectations and aspirations they held of themselves and their relationship - "aspiring to be married versus always having a pretend friend who, in effect was one's partner" or "being a parent versus always being a cool aunt." For their families too although times are changing, heteronormative notions of coupledom and legally recognized marriage were still ideas that subconsciously organized their thinking and behaviors. Alison and Kristina seek intercultural psychotherapy as a lesbian couple to relearn new methods of communicating their emotions and expectations with each other and their families. 

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Multicultural Therapy for Minority Couples

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Psychotherapy for Urdu and Arabic-Speaking Clients

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For many minority couples, such as immigrants or first-generation couples from cultures with enduring marriages, setting up home in America has not been easy. Despite the dictum in their traditional cultures such as that "marriages are forever" and their material comforts they may find themselves more disconnected from each other. The scarcity of culturally fluent therapists who are knowledgeable about how their clients' gender, culture, religion, language, and assimilation in the American culture can shape their self and relational dynamics affects their reluctance to seek therapy, even when they know their failing relationship necessitates expert intervention. 

 

Our Arabic-speaking clients appreciate Dr. Sandhya's culturally-sensitive approach that rests on knowledge of historical scholarship of Islam and conflicting understandings within it. For those seeking a therapist familiar with the Islamic religion and Muslim family values we provide counseling for:

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• Second-generation Muslim young adults exploring self-identity while balancing traditional family values

• First-generation Muslim female physicians negotiating their professional identity and personal aspirations 

• Muslim couples struggling with infidelity 

• Muslim parents seeking greater support for their children struggling with academic performance and mental health concerns

• Muslim husbands and wives seeking greater alignment of their intimacy and values 

 

VIGNETTE

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"I just want to be a normal college kid but then my eyes happened...."

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When Adib, 20-years old was in his first semester at college, he realized he "had trouble listening" "would overthink" and experienced "social anxiety where I would have trouble talking to girls." His parents are first-generation immigrants from Pakistan who worked hard to open many grocery stores around the country; his father who had battled with depression too, told Adib, "You just need a positive mindset," or "you need to wake up at 6 am everyday, and then you watch, things will get better" or "I am tired everyday too, you just have to pick yourself up and keep moving." When home-grown remedies did not work and after much valuable time was lost, Adib's parents took him to a psychiatrist who prescribed him Effexor, a serotonin-norepinephrine reuptake inhibitor (SNRI) commonly prescribed for depression. Although his mood improved but his energy level continued to sag. "Mentally and physically I was always exhausted," says Adib. "I would try going to the gym to workout to improve my self-esteem, but that left me more tired." In the meantime, Adib's situation was deteriorating. Now, his eyes were drying up, he wasn't producing "any tears" and Adib was unable to get out of bed. Suspecting something else was going on, his third semester at college, he sought out a specialist who diagnosed him with Sjogren's syndrome, an autoimmune disease where your immune system attacks parts of your own body by mistake. In Sjogren's syndrome, it attacks the glands that make tears and saliva. Feeling overwhelmed with varying diagnoses from different specialists, Adib is seeking therapy to figure out healthy tools to manage the growing stress in his life. 

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RESOURCES FOR BIRACIAL AND BICULTURAL COUPLES

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Nearly 1 in 5 Newlyweds In Chicago Area Are In Interracial Marriage: Some 19 percent of marriages over a recent five-year period in the Chicago area were between people of different races or ethnicities. 

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Recent trends in intercultural and biracial relationships: In today’s globalized world, mixed or inter-cultural relationships are on the rise as it becomes increasingly simple to meet and date people from other cultures and racial backgrounds. Intermarriage across the U.S. by metro area has been increasing, and the share of newlyweds married to someone of a different race or ethnicity has been steadily climbing in the United States.In 1967, 3% of newlyweds were intermarried, and by 2015, that share had risen to 17%. Across metropolitan areas, intermarriage rates vary dramatically. We have come a long way from Loving v. Virginia (1967), the civil rights decision of the United States Supreme Court, which invalidated laws prohibiting interracial marriage. Highlights a recent Pew Report from May 2017 highlights the increasing trends of intermarriage across many cities across the United States:

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"Honolulu has the highest rate of intermarriage – 42% of newlyweds have a spouse of a different race or ethnicity. On the other hand, in Jackson, Mississippi, and Asheville, North Carolina, just 3% of the recently wed are intermarried. As is the case nationally, within metro areas, intermarriage rates differ across races. For instance, among newlyweds in Chicago, 35% of Asians are married to someone of a different race or ethnicity, compared with 24% of Hispanics, 14% of whites, and 13% of blacks." 

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"The most dramatic increases in intermarriage have occurred among black newlyweds. Since 1980, the share who married someone of a different race or ethnicity has more than tripled from 5% to 18%. White newlyweds, too, have experienced a rapid increase in intermarriage, with rates rising from 4% to 11%. However, despite this increase, they remain the least likely of all major racial or ethnic groups to marry someone of a different race or ethnicity."

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Public views on Intermarriage; http://www.pewsocialtrends.org/2017/05/18/2-public-views-on-intermarriage/

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Census shows big jump in interracial couples (USA Today)

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Interracial marriages and unmarried interracial couples have been rising over the past decade. Among opposite-sex married couples, one in 10 (5.4 million couples) are interracial, a 28% jump since 2000. In 2010, 18% of heterosexual unmarried couples were of different races (1.2 million couples) and 21% of same-sex couples (133,477 couples) were mixed according to USA Today.  Demographer William Frey of the Brookings Institution suggests that the data show "we're becoming much more of an integrated, multiracial society." 

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Several other household trends have been observed from 2000 to 2010.  For example, Non-family households rose 16% (34 million to 39 million).  In addition, Households with just one person increased from 25.8% to 26.7%; among cities with 100,000 or more people, Atlanta and Washington had the highest percentage of one-person households, both 44%.  Finally, unmarried-partner households increased from 5.5 million to 7.7 million and households with three or more generations rose from 3.9 million to 5.1 million.

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http://usatoday30.usatoday.com/news/nation/story/2012-04-24/census-interracial-couples/54531706/1

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Interracial Marriage In The U.S. Climbs To New High, Study Finds (Huffington Post)

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Interracial marriages in the U.S. have climbed to 4.8 million – a record 1 in 12 – as a steady flow of new Asian and Hispanic immigrants expands the pool of prospective spouses. Blacks are now substantially more likely than before to marry whites.  A Pew Research Center study details a diversifying America where interracial unions and the mixed-race children they produce are challenging typical notions of race.   Nevertheless, about 83 percent of Americans say it is "all right for blacks and whites to date each other," up from 48 percent in 1987.  As a whole, about 63 percent of those surveyed say it "would be fine" if a family member were to marry outside their own race.  In all, more than 15 percent of new marriages in 2010 were interracial. 

 

http://www.huffingtonpost.com/2012/02/16/interracial-marriage-in-us_n_1281229.html

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Changes in Family Structure (PEW)

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The Pew Research Center conducted of responses to a survey in which a nationally representative sample of 2,691 adults were asked whether they considered the following seven trends to be good, bad or of no consequence to society: more unmarried couples raising children; more gay and lesbian couples raising children; more single women having children without a male partner to help raise them; more people living together without getting married; more mothers of young children working outside the home; more people of different races marrying each other; and more women not ever having children.  Responders can be roughly divided into accepters (31%), rejecters (32%), and skeptics (37%).  Overall, research has found a widely shared verdict: Three-quarters or more of each group say the increase in interracial marriage has done no harm to society or is a positive development. Still, about a quarter (24%) of Rejecters say this trend is bad for society, while only 11% of Skeptics and 6% of Accepters agree. 

 

http://www.pewsocialtrends.org/2011/02/16/the-public-renders-a-split-verdict-on-changes-in-family-structure/

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The Decline of Marriage  And  Rise of New Families (PEW)

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A new “marriage gap” in the United States is increasingly aligned with a growing income gap. Marriage, while declining among all groups, remains the norm for adults with a college education and good income but is now markedly less prevalent among those on the lower rungs of the socio-economic ladder.  The transformative trends of the past 50 years that have led to a sharp decline in marriage and a rise of new family forms have been shaped by attitudes and behaviors that differ by class, age and race, according to a new Pew Research Center nationwide survey, done in association with Time, complemented by an analysis of demographic and economic data from the U.S. Census Bureau. 

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A summary of the results attempts to answer the following questions: Is there a class-based decline in marriage?, Is marriage becoming obsolete?, Is the public ambivalent to the changes?, How do people view group differences?, How has this impacted the resilience of families?, Is marriage the only path to family formation?  What is the role of relatives in fractures marriages?  What are the changes in spousal roles?  How has cohabitation changed?, what is the impact on children?  What are the views on love and money in regards to lifelong commitment?

 

http://www.pewsocialtrends.org/2010/11/18/the-decline-of-marriage-and-rise-of-new-families/

 

The Changing American Family (PEW)

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Decades of demographic, economic, and social change have transformed the structure and composition of the American family.  Interactive charts show trends related to marriage, children and household composition.  Interracial marriage has been on the rise.  Between 1960 and 2008, new marriages between people of different races and ethnicities have risen from 2% to 15%.   

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http://www.pewsocialtrends.org/2010/11/18/five-decades-of-marriage-trends/

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A Survey of LGBT Americans (PEW)

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A recent nationally representative survey of 1,197 LGBT adults offers testimony to the many ways they feel they have been stigmatized by society. About four-in-ten (39%) say that at some point in their lives they were rejected by a family member or close friend because of their sexual orientation or gender identity; 30% say they have been physically attacked or threatened; 29% say they have been made to feel unwelcome in a place of worship, and 21% say they have been treated unfairly by an employer. About six-in-ten (58%) say they’ve been the target of slurs or jokes.  The survey finds that the LGBT population is distinctive in many ways beyond sexual orientation. Compared with the general public, Pew Research LGBT survey respondents are more liberal, more Democratic, less religious, less happy with their lives, and more satisfied with the general direction of the country. 

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http://www.pewsocialtrends.org/2013/06/13/a-survey-of-lgbt-americans/

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Mixed Marriages And A Referral for South Asian Marriages

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In Open magazine, journalist David Lepeska describes how people of Indian origin appear readier than ever to join America’s great melting pot—marrying people of other ethnicities in growing numbers, and the challenges they will confront: "What’s more, among South Asians, inter-ethnic unions often fare better than intra-ethnic. “Desi-desi marriages are more fragile than desi-White marriages in the US,” says Shaifali Sandhya, a Chicago-based clinical psychologist and the author of Love Will Follow: Why the Indian Marriage Is Burning. She cites an excess of parental involvement and the couple’s resulting inability to find privacy as possible explanations."

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Quick Glance at Interracial Marriage Facts

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• In the United States, the percentage of new marriage between people of different races and ethnicities has risen from 2% in 1960 to 15% in 2008

• Overall, Hispanics have the highest intermarriage rates, with one-in-four (26%) of new Hispanic marriages in 2010 interracial or interethnic

• Among all newlyweds in 2010, 9% of whites, 17% of blacks, 26% of Hispanics, and 28% of Asians married outside of their racial or ethnic group

• About 24% of all black male newlyweds in 2010 married outside of their race, compared to just 9% of black female newlyweds.

• About 36% of Asian female newlyweds married outside of their race in 2010, compared to just 17% percent of Asian male newlyweds.

• In 2008-2010, the median combined income for interracial married couples was $56,711

• White and Asian couples have significantly higher median combined earnings of $70,952

• About one-in-five or 22% of all newlyweds in the Western states married someone of a different race or ethnicity, compared to 14% in the South, 13% in the Northeast and 11% in the Midwest

• 43% of Americans say that marriage between people of different races has been a change for the better, while 28% of people say that marriage between different races was not acceptable

• About 35% of Americans report that a member of their immediate family or close relative is currently married to someone of a different race

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