When we face problems in other aspects of our lives we can usually talk to family and friends to sort things out. We get advice from them, and a sense of perspective. But if the problem is within a marriage, then things are more complicated.
Many couples see the discussion of the inner workings of their relationship as an intrusion or a mark of disloyalty to their partner. So typically those who come to see me will not have discussed the areas of discord until a real head of steam has built up and they are approaching a crisis point.
The issues that emerge are often based around communication, children, sex and money. If they are not dealt with they can be incredibly damaging.