The Most Common Issues That Bring LA Couples To Therapy

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Couples & Relationship Therapy in Los Angeles

The most common issues that bring LA couples to therapy often revolve around work stress, trust issues, or difficulties communicating through problems. In a hustling and bustling metropolis, tons of couples discover that extended work days and overloaded schedules render actual time together hard to come by. You might be pressured by cash, family, or keeping up with the Joneses. These things can cause more fights or make you feel like you and your partner are drifting apart. When minor conflicts pile up, they can damage your connection. Understanding what brings couples to therapy can help you identify warning signs early. The main body will tell you more about each issue and how therapy can help you and your partner discover a way forward.

Key Takeaways

  • Tackling hard relationship problems early can help you avoid escalation and keep your relationship healthier.
  • Transparent communication is key to repairing any miscommunication and creating mutual respect.
  • Making intimacy — emotional and physical — a priority facilitates a stronger bond between you.
  • Tackling your finances as a team and being honest about what you make reduces stress and builds trust.
  • Therapy equips you and your partner with actionable tools and advice to handle tough problems.
  • A growth mindset and tracking progress as a couple help you stick with long-term relationship success.

Core Issues For LA Couples

LA couples grapple with many of the same core relationship challenges experienced around the globe. Lifestyle, cultural, and economic factors can make some issues feel more acute or difficult to resolve. The fast pace of urban living, mixed cultures, and changing priorities all add pressure to relationships. It’s really important to tackle core issues early because unresolved problems tend to get bigger as time goes on. Avoiding them only leads to emotional distance or fallout in the relationship. Therapy provides couples with a protected environment to discover practical tools and new patterns for collaborating. Here’s a table of key problems, effects, and some remedies.

Relationship Challenge

Impact on Relationship

Potential Solutions

Communication

Misunderstandings, emotional distance

Active listening, clear expression, check-ins, and conflict resolution

Intimacy

Disconnection, unmet needs

Shared experiences, physical affection, exploring desires, and addressing barriers

Finances

Distrust, anxiety, conflict

Financial transparency, joint budget, understanding habits, and stress management

Infidelity

Broken trust, emotional pain

Acknowledgement, exploring causes, rebuilding trust, and open dialogue

Conflict

Recurring arguments, resentment

Identify triggers, healthy resolution, cooling off, solution focus

1. Communication

Issues with communication are the number one reason couples get therapy. Perhaps you feel dismissed, or your significant other misinterprets your motive. Active listening, which means really hearing one another, can help you feel seen and valued. State what you need and how you feel in straightforward, direct language. Weekly check-ins provide each of you a safe place to discuss little things before they turn into big issues. Conflict resolution skills, such as taking a breath before reacting or employing “I” statements, make difficult conversations less intimidating. Too many couples get caught up in believing that one person has to be right. Learning to accept that different views can coexist as valid changes everything.

2. Intimacy

Being intimate goes beyond the physical. Emotional connection arises from witnessing magical moments with your partner or expressing vulnerability about a fear or aspiration. When you both express affection, be it through touch, words, or deeds, it fosters confidence and intimacy. Discuss your desires in the bedroom, as needs tend to change with stress, health, or any lifestyle adjustments. Wounds from the past or mental health battles erect walls. To be able to discuss these barriers, sometimes with the assistance of a therapist, is a significant step toward healing together.

3. Finances

Money is a common friction. Clarity on your spending or saving habits alleviates anxiety and fosters trust. Collaborate on a budget that aligns with your mutual objectives. Differences in spending seem minor at first, but tend to grow. Saving for a house versus splurging on travel, for instance, can create tension. Tackling stress from job loss or debt early prevents it from infecting your bond.

4. Infidelity

Infidelity triggers deep wounds and can often rattle trust. Both partners need room to discuss how the infidelity feels. Sometimes cheating is actually the symptom of core issues, such as unmet needs and emotional distance, and not just a failure of fidelity. Therapy can help you both unpack what happened, establish boundaries, and determine if and how trust can be restored. An open conversation about what each of you needs going forward is what counts.

5. Conflict

Every couple deals with conflict, but what counts is how you manage it. Identify what most often sparks arguments, perhaps it’s household duties, quality time, or major decisions. Discover strategies for arguing fairly, such as pausing when things get hot or emphasizing solving, not blaming. Once in a while, big-deal differences emerge, like desire for kids versus desire for liberty. If core issues appear too large to span, therapy assists in determining if a compromise can be reached or if it’s best to separate.

The LA-Specific Stressors

There are a lot of LA-specific stressors that can test your relationship in unexpected ways. The lifestyle here moves fast, and the strain to keep up can manifest in subtle and not-so-subtle ways. Couples have this pressure to maintain a lifestyle or an image, both online and off. This can cause concern about whether you’re good enough, and it intimidates or alienates a lot of people. Throw in the high cost of living, including rent, food, and daily costs, and money stress is a way of life for many. Not only are you dealing with tight budgets, but the insane traffic and crowded sidewalks can grind down your patience and steal time from one another.

LA career demands are another big strain. They’re used to putting in long hours or even multiple jobs just to get by. For others, it’s the expectation to achieve a certain position at their job or make a particular income. This results in less time together, more fighting over priorities, and even burnout. A lot of couples find themselves in between a rock and a hard place — between work and home. When your work demands so much from you, it’s difficult to muster the energy for your significant other or kids when you get home at night.

Social media plays a major role in life here in LA. It is very focused on how you look and what you have. Viewing other people’s lives can cause you to compare your own, even when you don’t intend to. You know, friends, colleagues, and even strangers sharing trips, new houses, or ideal date nights. It can make you feel like you or your relationship doesn’t compare. It is simple to succumb to the victim trap that everyone else has it better, and this damages both faith and esteem.

LA’s blend of cultures and lifestyles is vast and rich. This can be a blessing, but it can be tough. You and your spouse might have different concepts of family, work, or play. You might experience being tugged between your own culture and the broader city. These holes can occasionally result in stress, crossed signals, or even arguments about what is “normal.” For most of us, bridging the gap entails listening, discussing, and occasionally compromising.

Couples & Relationship Therapy in Los Angeles

Navigating Communication Breakdowns

Communication is the number one reason couples come to therapy. When it breaks down, you may observe increased miscommunications, more silence, or recurring arguments. Sometimes, you or your partner might sidestep tough conversations, or one of you might go silent to escape confrontation. These moments can leave you both isolated or stalled, and over time, they can erode trust and intimacy.

Knowing when a breakdown is coming before things get out of hand is crucial. For instance, if you tend to leave conversations feeling misunderstood or if you both exit discussions feeling riled, those are telltale signs. Negative cycles, such as criticism, defensiveness, contempt, or stonewalling, can rear their ugly heads. If you spot these signs, it helps to stop and observe what recurs instead of powering through or dismissing the issue. Recognizing the problem is the beginning of genuine transformation.

What really matters is how you recover from communication breakdowns. One easy step is to practice active listening. Look at your partner, give them your full attention, make eye contact, and repeat back what you heard to check you got the message. I statements allow you to express your feelings without casting blame, such as “I feel hurt when plans change at the last minute.” Easy shifts like this can reduce the heat in hard conversations. Reserving 20 minutes a day just to discuss how your day treated you or stress outside the relationship can assist. These conversations keep you in sync and prevent larger issues from festering.

If communication issues keep resurfacing, it’s time to get a qualified therapist involved. A therapist can help you both identify patterns, provide tools for transparent conversations, and assist you in developing new ways to communicate. It is just easier to shatter old habits when you have a neutral expert in the room.

Developing a shared lingo or code can assist. For instance, you could agree upon a word or gesture that signifies “let’s take a pause” when things get hot, or develop easy check-in questions to deploy when you feel disconnected. Small, shared rituals can lubricate conversations and make you both more comfortable opening up.

Rebuilding After Betrayal

Betrayal in a relationship, such as an affair, is painful and feels like something has been stolen. It rarely repairs itself with time. You’ll notice that old wounds can lurk below the surface, sabotaging efforts to reconstruct trust. For many couples, the fear of being let down again is great. Rebuilding after an affair is neither fast nor simple. It’s a long, slow process that demands openness and hard work from both parties.

One important component is creating an environment in which both partners feel comfortable opening up. When you both can talk and be listened to, you begin to mend. It’s about transparency. You’ve got to be willing to be vulnerable, even when it feels dangerous. Vulnerability isn’t just saying sorry. It’s about being transparent about your anxieties, aspirations, and desires.

To get past this, you both need to make an effort to be responsible and demonstrate that you want to change. Here’s how both partners can create accountability:

  • Own the betrayal completely and respond truthfully to inquiries.
  • Share feelings about the betrayal without blame or shame.
  • Set clear, agreed-upon boundaries moving forward.
  • Check in with each other on both emotional and practical progress.
  • Seek outside help, like joint or solo therapy, if needed.
  • Participate in recovery steps, such as a 12-step group if appropriate.

Forgiveness is not a magic bullet. It begins with the wounded partner feeling secure enough to take baby steps in releasing anger. If there is emotional withdrawal, then forgiveness is even harder to achieve. Each of us had to just show up and do the work and create room for healing. You may both need to discuss what changes need to occur. This involves establishing clear boundaries for what is and isn’t okay going forward.

Sometimes you and your partner have profound differences that can’t be resolved. If one of you isn’t willing to change or participate in therapy, the healing process can stall. Reconstruction requires both parties to be committed to the effort.

The Therapy Mindset

The therapy mindset is about viewing therapy as a long-term investment in your relationship. Rather than seeking a short-term solution, you approach therapy as training in durable skill-building. This mindset implies you’re receptive to fresh perspectives and willing to develop, both as a pair and as unique members of the species. Most individuals entering therapy with this mindset view their relationship challenges not as evidence that they suck but as opportunities to gain insight and become closer.

Therapists will typically have you do these new ways of talking and listening at home, or try out exercises in between sessions. This could involve doing written assignments, self-reflection, or simply noticing how you and your partner communicate during a fight. The idea is to bring what you learn in the therapy room into real life. Every skill you develop, like sharing tough emotions or listening without getting defensive, can serve your relationship well beyond therapy. For instance, you might employ an easy rule to alternate who talks during an argument or scribble down your emotions prior to a difficult discussion.

A therapy mindset means you’re receptive to input and fresh perspectives. You may hear stuff about yourself that’s tough to swallow, but you do your best not to be defensive. Instead, you view these instances as opportunities to introspect and develop. This openness, paired with some curiosity, assists you in navigating challenging subjects without withdrawing or turning your back on your mate.

Evidence-based methods are a huge component of this mindset. Research-supported approaches help couples work through common issues. For instance, some couples employ structured communication tools or learn to identify repeating dynamics in their relationship that cause arguments. You can anticipate your therapist to lean on a massive amount of research on what actually helps couples the most, so the effort you put in is anchored in evidence-based techniques.

Patience and persistence remain the name of the game. True change requires time. Certain things change fast, but more ingrained habits typically require weeks or months to transform. It’s the therapy mindset that you persevere, continue to practice, and believe that the investment will be worth it.

Measuring Real Progress

Measuring real progress in your relationship is more than just keeping score on whether problems disappear. Relationship problems aren’t simple. What seems like progress one week can seem like regression the next. A lot of couples arrive at therapy post-crisis, but it’s difficult to recognize the larger patterns when in the heat of discord. Psychotherapists frequently concentrate on what’s wrong in the present moment, not always on where things functioned or might head. It can be simple to forget the good you’ve enjoyed or the hope you can generate.

  1. These objectives need to be yours and your partner’s.
  2. For instance, you may wish to communicate without yelling, be more present together, or come to an agreement about finances.
  3. Put these goals down on paper.
  4. Rank them so that you have an idea of which ones are most important.
  5. For example, (1) Talk about problems without blame, (2) Share chores equally, (3) Plan a weekly time together. This allows you to identify where you are actually making progress and where you may need additional assistance.

Take feedback from your therapy sessions to measure your progress. Your therapist should assist you in noticing patterns, but remember their perspective is framed by what you bring—typically your initial narratives, perhaps tinged by intense emotion. A few of my clients assume that if a therapist demonstrates empathy, they are agreeing with them and blaming their partner. This can impede real progress. Truthful reports from both sides and your shrink complete the circle.

Recognize genuine achievement. Relationship repair is hardly ever fast. A lot of clients tell me it takes days, and sometimes never, to feel better. If you find yourself talking without a fight or you stop yourself before a cutting remark, that’s progress. Even baby steps keep you moving in the right direction and strengthen your hope.

Keep revisiting your goals. What you require in the early days of therapy could shift as you develop. Relationship needs change, particularly if you handle more significant stress, such as trauma or persistent health concerns. For instance, vets with PTSD will frequently cite relationship issues as a chief complaint. Your goals should change as your relationship does, so check in frequently and revise your list.

Conclusion

LA’s big city life can stress out any couple. Work, money, and social stress all pile up quickly. A lot of couples come into therapy with trust wounds or stuck talks. Some feel adrift from hectic schedules or want to mend ancient wounds. Gradually, therapy helps you identify the real issue and discover new ways to communicate with one another. Step by step, you establish confidence with tiny, truthful movements. You begin to view growth not as a great leap but as a steady evolution you both forge. If you want to break the cycle, contact a local therapist. Your next step can be transformative, regardless of your current position.

Frequently Asked Questions

1. What Are The Most Common Issues That Bring LA Couples To Therapy?

Or you could have trust issues or work-life balance struggles. A lot of LA couples are dealing with stress from hectic schedules and expensive lifestyles.

2. How Do LA-Specific Stressors Impact Your Relationship?

Los Angeles comes with its own distinct set of stressors, like traffic jams, fierce career competition, and elevated costs. These factors can create tension and reduce quality time with your partner.

3. Why Is Communication So Difficult For Couples In LA?

Whirlwind schedules and omnipresent diversions can make it tough to really connect. You may struggle to express emotions or hear your significant other, resulting in miscommunication.

4. Can Therapy Help After Betrayal In A Relationship?

Yes. Therapy offers a secure environment to restore trust and discuss why the betrayal occurred. Together, you and your partner can discover healthier methods to progress together.

5. What Mindset Should You Bring To Couples Therapy?

Come with an open mind and a willingness to change. If you’re going to therapy, being honest, patient, and growth-oriented will help you maximize your time.

6. How Do You Know If Therapy Is Working For Your Relationship?

You’ll see improved communication, enhanced trust, and more empathy between you and your partner. Improvement frequently looks like incremental and positive change.

7. Is Couples Therapy Only For Couples In Crisis?

No. Therapy can assist any couple to strengthen their bond, enhance communication, and manage tension before things get out of control. It’s the ultimate action for a stronger relationship.

Start Feeling Supported With Group Therapy In Los Angeles

At Blue Sky Psychiatry, we know that healing often happens faster when you’re not doing it alone. Group therapy gives people a place to share experiences, practice new skills, and gain support from others who understand what they’re going through. Led by Dr. Mindy Werner-Crohn and Shira Crohn, PA-C, our groups bring together evidence-based guidance with a warm, collaborative atmosphere that helps you feel safe, seen, and understood.

Group therapy can be especially helpful if you’re working through anxiety, depression, relationship stress, life transitions, or patterns that feel hard to change on your own. Each group is structured with clear goals and guided conversation, so you walk away with practical tools and steady encouragement. You get the benefit of professional insight along with the connection and perspective that only a group can provide.

If you’re curious about how group therapy might fit into your journey, we’re here to help you explore the best option for your needs. Our Los Angeles office offers both in-person and secure online group sessions so you can join in whatever way feels most comfortable. Reach out to Blue Sky Psychiatry to schedule a consultation and learn how group therapy can strengthen your resilience and support your growth.

Disclaimer

The information in this article is for educational purposes only and is not a substitute for professional medical, psychological, or mental health advice. Relationship therapy and counseling vary depending on individual circumstances. Always consult a licensed therapist, counselor, or qualified mental health professional for guidance regarding your relationship or emotional well-being. Results from therapy may vary; no guarantees are implied.

Picture of Mindy Werner-Crohn, M.D.
Mindy Werner-Crohn, M.D.

Dr. Mindy Werner-Crohn is a Harvard and UCSF Medical School graduate, board-certified psychiatrist with over 30 years of experience, including adult residency at UCSF’s Langley-Porter Institute and a child and adolescent fellowship through Napa State Hospital and Oakland Children’s Hospital.

Picture of Shira Crohn, PA-C.
Shira Crohn, PA-C.

Shira Crohn is a board-certified Physician Assistant specializing in psychiatric care, trained at the New York Institute of Technology, who provides thoughtful, individualized medication management for conditions including depression, anxiety, PTSD, ADHD, OCD, bipolar disorder, and insomnia.

Picture of Joel Crohn, Ph.D.
Joel Crohn, Ph.D.

Joel Crohn, Ph.D., is a licensed clinical psychologist (PSY5735), trained at UC Berkeley and the Wright Institute, who specializes in couples and family therapy and brings over 30 years of experience in cross-cultural issues, research, and teaching, including prior faculty work at UCLA School of Medicine.