Thresia Chiramel Mankidiyan was born in Puthenchira on 26 April 1876 as the third of five children of Thoma and Thanda and was baptized on 3 May 1876 at the church of Saint Mary, named in honor of Teresa of Ávila. Her paternal uncle Antony Chiramel Mankidiyan was her godfather and his wife Anna was her godmother. The family lost wealth after providing dowries for her grandfather's daughters. She had two sisters and two brothers in exact order: Porinchu, Mariamkutty, Ouseph and Ittianam – she was born between Mariamkutty and Ouseph.
In 1884 her mother tried to dissuade her from severe fasts and night vigils. Her mother died on 2 March 1888. Thresia dedicated herself to contemplation and privately vowed to remain chaste in 1886. She attempted to leave home for penance in 1891 but returned. From 1904 she desired to be called **"Mariam"** after a vision of the Blessed Virgin Mary. From 1902 to 1905 she underwent several exorcisms and her spiritual director, Joseph Vithayathil, guided her until her death.
In 1903 she requested Archbishop John Menachery to build a retreat, which was turned down. She formed a group of three friends for apostolic work. After attempts with Carmelites and Franciscan Clarists, she **founded the Congregation of the Holy Family on 14 May 1914**, where she was the first superior.