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Couples who are considering marriage may seek premarital counseling for these and other issues.

Chronic relationship conflict or stress can contribute to mental health conditions, like depression or anxiety, for one or both partners.

Some therapists will not engage in relationship counseling if violence has occurred, unless and until both partners show tremendous growth in the areas of boundaries and safety.

Rachel and Paul, in their 30s, enter counseling because they have been fighting often.

First, he encourages the partners to speak directly to one another, and helps them choose language that is honest and tender.