I find that most couples come in because there are specific issues causing problems in their relationship. Inevitably, those concrete issues - money, sex, or whatever comes up - are more than they appear on the surface. Inevitably, they also represent something important about how the two of you are engaging with each other. By understanding what patterns and old pains each of you brought into the relationship, and understanding the new (and sometimes old) patterns you're acting out together, you and your partner can get back to engaging with each other, and not with the baggage that's getting activated again and again in your relationship.