Psychoanalyst here. My advice is to resign yourselves to paying out of pocket. It’s fraud to give insurance a diagnosis for couples therapy. Also, you and your spouse/partner and family are worth the investment. What other more important needs do you have in order to be in that loving, trusting, happy bubble with him or her and your family? Try to do one session consults with three therapists and pick the one you both like and feel you can talk to most easily. Understand that most often the roots of your conflicts and unhappiness are not conscious; they are imbedded in your earlier experiences and within the constraints of the limits and delimits of your own narcissism and personality conflicts. That’s the work, excavating and healing these impediments to emotional intimacy and learning anew. Sounds daunting. Well yes, it’s a lot of hard work for you and your therapist. When there are children, I sometimes imagine them sitting with us hanging on every word as if their lives depended on it. In fact, their lives do.

Psychoanalyst here. My advice is to resign yourselves to paying out of pocket. It’s fraud to give insurance a diagnosis for couples therapy. Also, you and your spouse/partner and family are worth the investment. What other more important needs do you have in order to be in that loving, trusting, happy bubble with him or her and your family? Try to do one session consults with three therapists and pick the one you both like and feel you can talk to most easily. Understand that most often the roots of your conflicts and unhappiness are not conscious; they are imbedded in your earlier experiences and within the constraints of the limits and delimits of your own narcissism and personality conflicts. That’s the work, excavating and healing these impediments to emotional intimacy and learning anew. Sounds daunting. Well yes, it’s a lot of hard work for you and your therapist. When there are children, I sometimes imagine them sitting with us hanging on every word as if their lives depended on it. In fact, their lives do.

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