In north Indian psychiatry, clinical attentions to women's symptoms often involve scrutiny of emotions related to marriage and its breakdown. In pharmaceutically oriented practice, relations are used to evaluate biologies, and drugs produce the truth about relations at the same time that they produce the truth about bodies. In the process, clinical practice often involves unmaking relations, generating loss, in certain instances, as a dire result. In this, a particular kind of clinical knowing emerges, engaging broad cultural and historical connections between love and madness more than definitions of right and wrong unions. In asking how disciplinary and relational modes of biomedicine converge, I argue that in north Indian psychiatry's attentions to women, rather than enforcing normative configurations of "the family," biomedicine grapples with the gendered fallout of kinship.