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Relationship therapy (also called couples therapy) helps you understand repeating patterns that lead to conflict, distance or mistrust. Therapy can support both practical communication skills and deeper emotional understanding.

What happens in relationship therapy?

You will typically start by clarifying goals and the relationship context. Sessions may include structured conversations, communication exercises, exploring emotional needs, and agreements about changes you want to make. Some therapists see partners together; others combine joint and individual sessions.

What can relationship therapy help with?

  • Communication problems and repeated arguments
  • Trust issues including after infidelity
  • Intimacy challenges and emotional distance
  • Life transitions affecting the relationship (parenthood, illness, relocation)

Safety and suitability

Relationship therapy may not be appropriate where there is ongoing abuse, coercive control or significant safety risk. In those situations, specialist support and safety planning are essential.

Choosing a therapist

Look for appropriate counselling/psychotherapy training and experience in couples work. Ask about approach (e.g. EFT, systemic, Gottman-informed) and how sessions are structured.

History of Relationship Therapy

Relationship therapy developed from family and systemic therapy traditions and has evolved through research on communication, attachment and relationship dynamics. In the UK it is delivered by counsellors and psychotherapists with couples-work training.

Typical conditions that use Relationship Therapy

Showing 53 conditions where Relationship Therapy is commonly used.

Condition Evidence Notes

Attachment issues

strong

Core use for attachment issues.

Co-parenting challenges

strong

Core use for co-parenting challenges.

Difficulty reaching orgasm

strong

Core use for orgasm difficulties.

Erectile dysfunction

strong

Core use for erectile dysfunction.

Family conflict

strong

Core use for family conflict.

Intimacy concerns

strong

Core use for intimacy concerns.

Intimacy difficulties

strong

Core use for intimacy difficulties.

Jealousy

strong

Core use for jealousy.

Low libido

strong

Core use for low libido.

Painful sex (dyspareunia)

strong

Core use for dyspareunia.

Premature ejaculation

strong

Core use for premature ejaculation.

Relationship conflict

strong

Core use for relationship conflict.

Relationship stress (men)

strong

Core use for relationship stress in men.

Separation / divorce support

strong

Core use for separation/divorce support.

Sexual difficulties

strong

Core use for sexual difficulties.

Sexual performance anxiety (supportive)

strong

Core use for sexual performance anxiety.

Sexual wellbeing concerns (supportive)

strong

Core use for sexual wellbeing concerns.

Trust issues

strong

Core use for trust issues.

Vaginismus

strong

Core use for vaginismus.

Anger issues

strong

Relationship therapy for anger issues.

Body image concerns

strong

Relationship therapy for body image in intimacy.

Boundary issues

strong

Core use for boundary issues.

Domestic abuse recovery support (sensitive)

strong

Relationship therapy in domestic abuse recovery.

Fatherhood adjustment

strong

Relationship therapy for fatherhood adjustment.

Libido concerns (supportive)

strong

Relationship therapy for libido concerns.

Low mood in men

strong

Relationship therapy for men's relationship issues.

Parenting stress

strong

Relationship therapy for parenting stress.

People pleasing

strong

Relationship therapy for people pleasing.

Postnatal emotional support

strong

Relationship therapy for postnatal relationship adjustment.

Work-life balance

strong

Relationship therapy for work-life balance.

Bipolar disorder (support alongside medical care)

moderate

Relationship therapy in bipolar management.

Cancer emotional support (men)

moderate

Relationship therapy in cancer support.

Caregiver stress

moderate

Relationship therapy for carer dynamics.

Chronic illness adjustment

moderate

Relationship therapy for chronic illness adjustment.

Complex PTSD

moderate

Relationship therapy for PTSD relational impact.

Eating disorder recovery support (alongside specialist care)

moderate

Relationship therapy in eating disorder recovery.

Friendship difficulties

moderate

Relationship therapy for friendship difficulties.

Guilt

moderate

Relationship therapy for guilt in relationships.

Life transitions / adjustment issues

moderate

Relationship therapy for life transitions.

Loneliness

moderate

Relationship therapy for loneliness.

Long-term condition coping

moderate

Relationship therapy for chronic illness relationship impact.

Menopause symptoms

moderate

Relationship therapy for menopausal relationship impact.

Multiple sclerosis support (adjunct)

moderate

Relationship therapy for MS relationship impact.

Parkinson’s support (adjunct)

moderate

Relationship therapy for Parkinson's relationship impact.

Performance anxiety

moderate

Relationship therapy for performance anxiety in relationships.

Perimenopause symptoms

moderate

Relationship therapy for perimenopause relationship impact.

Shame

moderate

Relationship therapy for shame in relationships.

Social isolation

moderate

Relationship therapy for social isolation.

Stress

moderate

Relational stress support.

Stroke recovery support (adjunct)

moderate

Relationship therapy for post-stroke relationship adjustment.

Anxiety

moderate

Attachment-related anxiety.

Lipolymphoedema support

limited

Relationship therapy for lipolymphoedema impact.

Lymphoedema (lymphedema)

limited

Relationship therapy for lymphoedema impact.

Frequently asked questions

Do we attend together or separately?

Both options are used. Your therapist will agree a plan that suits your aims.

Will the therapist take sides?

No. The stance is neutral and focused on patterns and communication.

Is this suitable for crisis?

It is not a crisis service. For risk or safeguarding concerns, contact appropriate services.