Relationship difficulties

Relationship difficulties and couples therapy

Relationship difficulties do not necessarily mean that a relationship is broken. Patterns of conflict, disconnection or communication problems can repeat even when both partners are trying to solve them.

Therapy offers a structured space to understand what is happening, reduce harmful patterns and consider possible changes. It is not there to decide who is right or to guarantee that the relationship continues.

Sessions available in English and Spanish

Common reasons for seeking support

What difficulties can couples therapy address?

Recurring arguments

Conversations that escalate quickly, end in blame or silence and return without a clear resolution.

Communication and listening

Difficulty expressing needs, feeling heard or understanding what the other person is trying to communicate.

Emotional distance

Disconnection, loss of everyday care, loneliness within the relationship or less meaningful time together.

Trust, jealousy or infidelity

Damage to trust, insecurity or the need to consider whether a workable repair is possible.

Intimacy and different needs

Differences in emotional or sexual needs, difficulty discussing them and the emotional impact on both partners.

Living together and life changes

Parenting, responsibilities, wider family, illness, grief, work, having children or entering a new life stage.

Uncertainty about the relationship

A need to understand what is happening and make decisions about continuing, changing the relationship or separating.

Understand the pattern

How can couples therapy help?

The work looks beyond the content of the latest argument and considers the whole sequence: what triggers it, how each partner interprets it, how they try to protect themselves and how that response affects the other person.

Using a cognitive behavioural foundation, the couple can agree specific goals, practise different ways of communicating and review changes outside sessions. The process is adapted to their needs, context and decisions.

Communicate without escalation

Express needs, listen actively, ask for clarification and recognise when a pause is needed.

Regulate intense emotions

Notice rising activation and respond without attacking, withdrawing indefinitely or treating disagreement as a threat.

Review agreements and boundaries

Make expectations explicit around home life, time, care, intimacy, family, money or responsibilities.

Rebuild caring behaviour

Develop everyday actions that support connection and recognition when both partners want to continue working on the relationship.

Make clearer decisions

Explore options and consequences without imposing the idea that preserving the relationship is the only valid goal.

A clear framework

Joint work and individual support

Couples therapy requires both partners to agree to take part. Early sessions clarify the reasons for seeking help, shared aims and the conditions needed for the space to be useful.

If only one partner wishes to attend, individual therapy can explore the impact of the relationship, boundaries or personal decisions. This is not couples therapy, but may still be appropriate support.

Sessions are available in person in Córdoba or online, in English or Spanish, when the format allows privacy and safe participation.

Conflict is not the same as abuse

When safety must come first

Disagreements occur in relationships, but fear, threats, aggression, surveillance, isolation, sexual or financial coercion and coercive control are not simply communication problems.

If one partner cannot speak freely or fears consequences for what they say, conventional couples therapy may not be appropriate. Individual safety assessment and specialist support should take priority, without confrontation that could increase risk.

Consider fit before committing

The first session and shared goals

A first session provides space to understand the situation, clarify what each partner hopes for and consider whether couples therapy is the right format. You do not need a perfect explanation or a final decision before attending.

If the situation requires different specialist care, individual support, legal mediation or safeguarding resources, this will be discussed honestly and an appropriate referral recommended.

Frequently asked questions

Frequently asked questions about couples therapy

These answers provide general guidance. Whether the format is suitable needs to be considered with each couple.

01Is couples therapy only about preventing separation?

No. It may help improve a relationship, but can also support understanding and careful decisions, including a respectful separation. A particular outcome is not imposed.

02Does the psychologist decide who is right?

No. Therapy explores patterns, needs, interpretations and behaviour without turning the session into a trial or assigning a winner and a guilty party.

03Can therapy address infidelity?

It can address the impact, trust and decisions that follow when both partners participate voluntarily. There are no guarantees about the outcome of the relationship.

04Can we attend if we argue a lot?

Yes, provided a safe space can be maintained and both partners participate without fear or coercion. Where abuse or control is present, safety and the most appropriate specialist support come first.

05What if only one partner wants to attend?

Individual work can address the impact of the relationship, boundaries or personal decisions, although this would not be couples therapy.

06Can couples therapy take place online?

Yes, when both partners have privacy, a suitable connection and safe conditions. Sessions can also take place in person in Córdoba.

Sources and further reading

Sources and further reading

References used to prepare this information.

  1. NICE. Depression in adults: behavioural couples therapy
  2. NHS. Maintaining healthy relationships and mental wellbeing
  3. NICE. Domestic violence and abuse: multi-agency working
  4. Spanish Ministry of Equality. 016 service: phone, chat, email and WhatsApp

Content prepared by

Juan Blesa Robles

General Health Psychologist · COPAO · AN13132

Content prepared by Juan Blesa Robles, General Health Psychologist. This guide provides general information and does not replace an individual assessment or healthcare when needed.

View my professional background

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