With most couples I start with what brings them to therapy and also make sure they have clear agreements around issues like non-violence and fidelity. Communication is usually a focus and this entails refining both how you speak and how you listen. I often also help couples develop a functional strategy for conflict resolution and make sure that is working in the 5 primary areas where couples have conflict: division of labor, parenting, sex, finances and self care. Helping couples create even more mutually delightful experiences regularly is also often useful and for many couples this includes discussing their sexual and romantic lives.
Couples therapy is usually more difficult if it involves working through betrayals of trust or addiction issues.
I am comfortable working with adults interested in creating honest non-traditional lifestyles and agreements.
I’ve also worked with many families to reduce conflict and improve mutual understanding and respect.