Long-term relationships ebb and flow—couples experience times that are joyful and intimate, and times where one or both individuals may be angry, estranged, or perceive things differently, causing dysfunction in the relationship. My work with couples includes looking at the patterns that each of you bring from your family of origin (where you learned how to be in relationships and how to manage conflict) and how those patterns manifest in your current relationship. I help couples come to a mutual understanding of how these patterns trigger them into the dysfunctional behaviors that brought them to therapy, and how to recognize and intervene each time they happen.