I always find it interesting how often and how much therapy is focused on relationship issues because I never feel that I would want to involve a third (or fourth etc) party in those in my own life. My Ts actually pointed out that I rarely talk about relationships in therapy but I just did not have those kinds of challenges during that time and I usually really prefer to resolve them with the actual people involved or if not possible, I just end those relationships. I only brought up those things when I talked about my past, in connection with more practical current problems. I think I would also be one of those who would most likely refuse to go to couples counseling.
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