Any couples therapy approach with a Native American population has to take in account and address the high rates of substance abuse and the high correlation between substance abuse and intimate partner conflict on most reservations. (gottman.com)
Premarital fears, parenting together, major life transitions (new parents, empty nest, job loss, etc.), healing from infidelity, managing conflict and improving communication, feeling disconnected from your partner (drkimberlytherapy.com)
Many of these couples were in acute distress and identified intimate partner conflict as a precipitating factor in their suicidal ideation or attempt. (gottman.com)