Marriage
Rewriting Marriage Contracts
Fresh Options for Ambivalent CouplesThe choice for ambivalent couples is no longer binary: separate or stay together. Instead, therapists can help them craft formal yet flexible agreements... Read more
The New Premarital Counseling
A Good Match for Therapists?Premarital counseling is growing in popularity, and research indicates it has numerous benefits. So why aren't more therapists offering it? Read more
Death and a Lifelong Love
Bracing for a Future without MarilynA psychotherapy icon grapples with the imminent death of his wife as she moves from palliative care to hospice care. Read more
Love Scrabble
An Evening with My Wife's BoyfriendPlaying a traditional boardgame in a nontraditional romantic arrangement. Read more
A Script for Male Dementia Caregivers
Helping a Husband Be More Than a 'Pillar of Strength'Many spousal dementia caregivers struggle emotionally watching their life partners slowly decline. But I also knew that male caregivers, especially spouses... Read more
Creating the Good Divorce
Tools of the TradeThe fundamental goal of a good divorce is simple yet challenging: children must experience their parents as a working partnership that reliably nurtures and... Read more
Suddenly Strangers
Iraq War Vets, PTSD, and the Challenge of RelationshipWith tens of thousands of Iraq War vets with PTSD returning home, therapists increasingly face the challenge of helping them with their troubled marriages. Read more
Therapy Card Decks
A Session in the Palm of Your Hand?Are therapy card decks a clinical tool, a branding exercise, or something else entirely? Read more
It's Still Unfair!
Struggling to Establish Equitable RelationshipsHealthy, equal relationships require compromise, negotiation, and generosity. But when couples don’t have models for mastering these skills, they often... Read more
Getting at the Heart of Affairs
How to Help Clients Examine Ethical DilemmasA seasoned therapist discusses the ethics around consulting with couples impacted by infidelity. Read more
VIDEO: Esther Perel on Speaking About Sex
Getting Comfortable in Couples TherapyMany traditional approaches to couples therapy are built on the assumption that if you help a couple clear up the emotional issues in their relationship, sex... Read more
The Last Joke
The Pathos of a May-December MarriageA shared sense of humor can help couples make heavy issues feel lighter. But what happens when there’s no one there to get the joke? Read more
The Gay Man in the Straight Marriage
Exploring the Uncharted Territory of a "Mixed-Orientation Marriage"Rob rushed into his first session with me, gym bag on one shoulder, briefcase on the other, 10 minutes late and out of breath. He set his bags down, gently put... Read more
Should I Keep One Partner’s Secret in Couples Therapy?
Five Clinicians Give Their TakeMark and his wife, Nicole, have been in couples therapy for almost six months. But Mark recently requested an individual session, where he revealed he recently... Read more
Resisting Matrimania
A Conversation with Bella DePauloAuthor and researcher Bella DePaulo says it’s time to start seeing the growing population of single adults as something more than just people unable to find... Read more
My Client is Moving Overseas to Marry a Man She's Never Met
Five Clinicians Give Their Take on This Tricky Clinical ScenarioDiane has just announced she intends to move overseas to marry a man she recently met online. This raises an alarm for her therapist, but he's unsure about... Read more
Is Porn Incompatible with a Loving Relationship?
Talking Frankly About Secrecy, Shame, and New Levels of IntimacyDespite the undeniable harm that porn can do, we therapists need to bear in mind a fundamental fact: the overwhelming majority of people exposed to it don't... Read more
What's In a Kiss?
Helping Couples Decode the Language of Their SexualityOver the years, I've worked with many couples who complain bitterly that the other kisses or touches, fondles, caresses, strokes the "wrong" way. These couples... Read more
The Silver Lining in Failure
Not Every Teachable Moment Has to Be a Successful OneThe problem with a failure is that one doesn't really understand why one failed. If one did, it wouldn't have been a failure. But I'm not giving up on my... Read more
Coping and Learning After a Client's Suicide
A Therapist Reflects on What He Might Have Done DifferentlyI've been in full-time private practice for almost 30 years. In that time, three patients in my practice killed themselves. Each suicide has left me... Read more
After an Affair, How Much Should Be Shared?
How to Have an Honest Discussion Without Accusations and DefensivenessHow much to share and when to share are issues that confront every couple trying to recover from the discovery of infidelity. I actively structure the timing... Read more
VIDEO: Julie Gottman on Why There's a Right Way for Couples to Argue
Breaking Down the Four Points of the "Conflict Blueprint"Are you working with partners who can't seem to escape cycles of criticism, contempt, defensiveness, and stonewalling? According to renowned couples therapist... Read more
The Mystery of Eroticism
Rethinking Conventional WisdomIt’s long been the conventional wisdom among couples therapists that if couples fix the emotional issues in their relationship, their sexual lives will... Read more
If you’re going to help a couple get closer and really learn to work harmoniously with one another, whether in bed or anywhere else, the key is helping... Read more
A sex-starved marriage isn’t about the number of times per week or per month people are actually having sex. It’s one in which one spouse is longing for... Read more
Transforming Sexual Narratives
From Dysfunction to DiscoveryTherapists too often ignore the importance of the longstanding, often unconscious stories that partners carry with them into their sexual relationship. Helping... Read more
The Secret to Helping Agitated Couples Reel in Emotional Arousal
How Oxytocin Stimulates Trust and Connection, and Helps Relationships HealWhen clients are emotionally worked up, caught in fight-flight-freeze mode, all their hard-earned skills in empathic listening and responsible (and responsive... Read more
Pornography on the Rise: A Growing Mental Health Problem
Wendy Maltz on the Need to Address Porn Addiction as a Public Health ThreatNearly 40 million Americans visit Internet porn sites at least once a month. Not surprisingly, concerns about the effect of porn on individuals and... Read more
Reflections on the Divorce Revolution
Assessing Our ImpactAre you a therapist that's "marriage friendly?" It's the inclination towards helping clients in good relationships stay together. Read more
The Intentional Divorce
Helping Couples Let Go with DignityThe therapist's job is to help client couples close one door and open another. Read more