Impact of Psychotherapy on School Performance in School Going Adolescent

Background: Psychotherapy is the use of psychological methods particularly when based on interpersonal interaction to help a person to change behaviour and overcome emotional problems like aggression, low self-esteem, anxiety. As a part of Psychotherapy, counselling is a learning oriented process which usually occurs in an interactive relationship with the aim of helping students to learn more about him or herself. Subjects and Methods: The study was conducted in department of Paediatrics Dr Sushila Tiwari Hospital Haldwani Uttarakhand. It was a school based study and students of 9th and 10th class (13-17 years) with normal IQ were included. The result was analysed on the basis of a preformed questionnaire filled by children, teacher, parents before and after counselling and taking record of previous school performance. Result: 150 students 39 female and 111 male participated in the study.84.7% agreed that counselling sessions were helpful to them.72% students have shown good improvement in academic performance and 64% have shown increment of 6 to 10% marks. Conclusion: Counselling programmes create a positive impact on the academic performances, career choices, course selection, college and career planning. This study shows that use of excessive social media and poor concentration in studies are among the major causes of poor performances.


Introduction
Psychotherapy is the informed and intentional application of clinical methods and interpersonal stances derived from established psychological principles for the purpose of assisting people to modify their behaviour, cognitions, emotions and other personal characteristics in directions that the participants deem desirable. For achievement of meaningful and satisfying life individuals need two competencies the ability to form enduring relationships and capacity for productive activity .Pillars of these competencies are erected at home and school where students learn and grow intellectually, socially, emotionally and ethically thus the development of interpersonal and academic competencies, citizenship skills and moral character are considered to be primary functions of schooling. Academic success of students depends upon their school performances as well as in academic behavior .The study on poor school performances addresses current aspects of academic education, learning and behavioral problems like low self-esteem, anxiety etc and also focuses on main conditions involved in poor school performance.

subjects and Methods
The present study was prospective observational study conducted in Sushila Tiwari Government medical college, Haldwani. The study cohort consisted of 150 school going students between 13 to 17 years. The study had been done by school visit at Haldwani city during the period of January 2018 to April 2019.

Original Article
Panwar et al; Impact of Psychotherapy on School Performance in School Going Adolescent questionnaire filled by children, teacher, parents before and after counselling and the evaluation of causes was done with the help of a child psychologist. Questionnaire contain questions regarding academic difficulties and their causes, career choices, family type, living conditions, parents and teachers remarks of the improvement after psychotherapy and counselling. During psychotherapy sessions students were given proper guidance and motivation on how to deal with psychological problems which could badly impact their studies and behaviour and to develop certain problemsolving skills which to an extent help them deal with particular issues surrounding their lives and also helps them to cope with different situations they tend to face in their school life.

Results
[ Table 1] showing gender distribution of the study groups. In this study as shown in table 1, a total 150 students were chosen,111 (74%) of which were males and 39 (26%) of which were females. [ Table 2] shows distribution of causes of poor school performance.
In this study as shown in [ Table 2], Excessive use of social media and poor concentration in studies were major causes of poor school performance among students.
[ Table 3] shows distribution and improvement in academic score grades.
In this study as shown in Table 3, Overall improvement in academic performance of students after psychotherapy and counselling was 72% with p value of <0.001 which was statistically significant.
[ Table 4] shows increment in marks after counselling.
In this study as shown in [Table 4], 64% students shows increment in marks of 6 to 10 %.    [ Table 5] shows students assessment of counselling sessions.

Panwar et al; Impact of Psychotherapy on School Performance in School Going Adolescent
In this study as shown in [Table 5], 84.7% students found counselling sessions helpful.

Discussion
Education is one of the most important aspects of human resource development every child should have the opportunity to achieve his/her academic potential. In recent years complaints of poor school performances and difficult learning in children have increased in doctor clinics. These complaints should be valued and appropriately assessed for their causes and making timely interventions. The purpose of this study was to understand the causes for poor school performance amongst students and explore the impact of psychotherapy in improvement of school performance. In this study we have compared the pre and post counselling results of academic performance of students. Our study had shown that 84% students found counselling sessions to be helpful with 72% students showing an improvement in marks of which 64% students showed an increment of 6-10% marks post counselling with the p value of <0.001 which is statistically significant. It was observed that students who attended more number of counselling sessions showed better response than those who attended less number of sessions. The findings were consistent with those mentioned by Renuka Devi M.R., Devaki P.R., et al study on the "Effect of Counselling on the Academic Performance of College Students" which revealed that 93% students found counselling sessions useful, 43% students showed increment in marks by 15-25% and 13% students showed 10-15% increment of marks. The study also found that the more than 50% (43+13%) of students had shown good improvement after the counselling and number of counselling sessions correlated positively with the academic performance, Nweze

Conclusion
Through psychotherapy and counselling awareness was created among students regarding educational and career options and were given psychological and social guidance. With this study we sought to inculcate discipline among students and an improvement in academic performance was noticed .Student were benefitted in areas of learning, improved concentration and decreased usage of mobile.