The Couples Therapist Couch
The Couples Therapist Couch
Shane Birkel
238: The 3 Situations When Couples Therapy Won’t Work with Shane Birkel
32 minutes Posted Apr 14, 2025 at 10:39 pm.
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This episode is brought to you by Alma. Visit HelloAlma.com/ATPP to learn more

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In this solo episode, Shane explores the 3 situations when couples therapy won’t work: addiction, serious mental health issues, and acting-out behaviors. Hear why couples therapy is not always helpful, the different types of addiction, why you might be a client’s last chance, the one case where you truly can’t do couples therapy, and the difference in abuse in adults and children.