Couples Counseling Psychiatrists in Silver Spring, MD

Photo of Dr. Zivago Bunting - Oak Tree Psychiatry, LLC, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, -BC, HSLM
Oak Tree Psychiatry, LLC
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, -BC, HSLM
1 Endorsed
Online Only
Dr. Zivago Bunting is a Nationally Board Certified Psychiatric Mental Health Nurse Practitioner. He earned his doctorate degree at the University of Maryland School of Nursing; licensed in MD, VA and District of Columbia. He evaluates research to foster high-quality, evidence-based patient-centered mental health care. Dr. Bunting's humble beginning, combined with twenty-two years of medical and mental health clinical experience, fosters his non-judgment listening skills. His role as your mental health provider is considered a privilege and an honor. Therefore, a partnership in your mental health journey is not taken lightly.
Dr. Zivago Bunting is a Nationally Board Certified Psychiatric Mental Health Nurse Practitioner. He earned his doctorate degree at the University of Maryland School of Nursing; licensed in MD, VA and District of Columbia. He evaluates research to foster high-quality, evidence-based patient-centered mental health care. Dr. Bunting's humble beginning, combined with twenty-two years of medical and mental health clinical experience, fosters his non-judgment listening skills. His role as your mental health provider is considered a privilege and an honor. Therefore, a partnership in your mental health journey is not taken lightly.
(240) 201-2059 View (240) 201-2059
Photo of Akosua Joyce Oppong - Blessing Medical Consultant, Psychiatric Nurse Practitioner, DNP, , FNP-C, PMHNP
Blessing Medical Consultant
Psychiatric Nurse Practitioner, DNP, , FNP-C, PMHNP
Silver Spring, MD 20901
I work with clients who may be struggling with depression, postpartum depression, PTSD, addictions, or relationship of any kind.
We are a leading mental health provider dedicated to empowering individuals and families on their path to lasting well-being and transformative healing. With a compassionate and personalized approach, our experienced team of professionals is committed to delivering exceptional care and support tailored to your unique needs.
I work with clients who may be struggling with depression, postpartum depression, PTSD, addictions, or relationship of any kind.
We are a leading mental health provider dedicated to empowering individuals and families on their path to lasting well-being and transformative healing. With a compassionate and personalized approach, our experienced team of professionals is committed to delivering exceptional care and support tailored to your unique needs.
(301) 234-7399 View (301) 234-7399
Photo of Sylvie S Mirindi, Psychiatric Nurse Practitioner, DNP, MSN, PMHNP-, BC, CDCES
Sylvie S Mirindi
Psychiatric Nurse Practitioner, DNP, MSN, PMHNP-, BC, CDCES
2 Endorsed
Silver Spring, MD 20906
Our goal: To offer relief from distress, offer tools to manage symptoms, and build resilience to thrive in work, school, and relationships to achieve lasting mental health outcomes.
20 Yrs+ of experience, I provide personalized, evidence-based psychiatric care, including diagnostic evaluations and medication management. With expertise in mental health psychiatry, treating anxiety, depression, ADHD, and bipolar disorder, and more, I partner with clients to create tailored treatment plans that foster healing, balance, and mental wellness.
Our goal: To offer relief from distress, offer tools to manage symptoms, and build resilience to thrive in work, school, and relationships to achieve lasting mental health outcomes.
20 Yrs+ of experience, I provide personalized, evidence-based psychiatric care, including diagnostic evaluations and medication management. With expertise in mental health psychiatry, treating anxiety, depression, ADHD, and bipolar disorder, and more, I partner with clients to create tailored treatment plans that foster healing, balance, and mental wellness.
(301) 901-0698 View (301) 901-0698
Photo of Eden M Taye - Dr Eden Healthcare Services, Psychiatric Nurse Practitioner, DNP
Dr Eden Healthcare Services
Psychiatric Nurse Practitioner, DNP
1 Endorsed
Silver Spring, MD 20910
Finding the right support shouldn't feel like another burden. Whether you're dealing with the weight of depression, constant anxiety, or the challenges of ADHD and behavioral struggles, we are here to help. We understand that mental health affects every part of your life—from sleep (insomnia) and nutrition to your ability to stay present. Our practice offers a holistic path to wellness, specializing in specialized addiction recovery and opioid use disorder treatment. By blending talk therapy with psychiatric medication management, we treat the whole person, not just the diagnosis.
Finding the right support shouldn't feel like another burden. Whether you're dealing with the weight of depression, constant anxiety, or the challenges of ADHD and behavioral struggles, we are here to help. We understand that mental health affects every part of your life—from sleep (insomnia) and nutrition to your ability to stay present. Our practice offers a holistic path to wellness, specializing in specialized addiction recovery and opioid use disorder treatment. By blending talk therapy with psychiatric medication management, we treat the whole person, not just the diagnosis.
(240) 774-2319 View (240) 774-2319
Photo of Kadine Foreman-Westly - Haley Healthcare Services, Psychiatric Nurse Practitioner, DNP, PMHNP, BC
Haley Healthcare Services
Psychiatric Nurse Practitioner, DNP, PMHNP, BC
Online Only
As a Psychiatric Mental Health Nurse Practitioner, I am committed to providing compassionate, patient-centered care in a safe and respectful environment. I believe trust is built through listening, understanding, and treating every client with dignity. I work collaboratively with individuals to develop personalized treatment plans that support emotional wellness, recovery, and stability. My goal is to empower clients with the tools, education, and support they need to improve their mental health and overall quality of life.
As a Psychiatric Mental Health Nurse Practitioner, I am committed to providing compassionate, patient-centered care in a safe and respectful environment. I believe trust is built through listening, understanding, and treating every client with dignity. I work collaboratively with individuals to develop personalized treatment plans that support emotional wellness, recovery, and stability. My goal is to empower clients with the tools, education, and support they need to improve their mental health and overall quality of life.
(301) 477-9859 View (301) 477-9859
Photo of Kristi Muncie, Psychiatric Nurse Practitioner, PMHNP
Kristi Muncie
Psychiatric Nurse Practitioner, PMHNP
Online Only
Kristi Muncie MSN, APRN, FNP-C, PMHNP-BC ​ Board Certified Psychiatric Nurse Practitioner Licensed in Oregon, Maryland. Kristi Muncie is board-certified as a family nurse practitioner by the American Academy of Nurse Practitioners and also board-certified as a psychiatric mental health nurse practitioner by the American Nurses Credentialing Center. Kristi is compassionate, empathic and kind. She has dedicated decades of her life to helping others. She obtained her bachelor's degree from Eastern Kentucky University and then obtained both her master's degree and post-master's degree from the University of Cincinnati.
Kristi Muncie MSN, APRN, FNP-C, PMHNP-BC ​ Board Certified Psychiatric Nurse Practitioner Licensed in Oregon, Maryland. Kristi Muncie is board-certified as a family nurse practitioner by the American Academy of Nurse Practitioners and also board-certified as a psychiatric mental health nurse practitioner by the American Nurses Credentialing Center. Kristi is compassionate, empathic and kind. She has dedicated decades of her life to helping others. She obtained her bachelor's degree from Eastern Kentucky University and then obtained both her master's degree and post-master's degree from the University of Cincinnati.
(301) 450-5357 View (301) 450-5357
Photo of Esther Adeolu Ojo, Psychiatric Nurse Practitioner, PMHNP
Esther Adeolu Ojo
Psychiatric Nurse Practitioner, PMHNP
Online Only
Multiple same week openings available. You’re not just looking for a prescription—you’re looking for someone who truly gets what you’re going through. Medicaid and Commercial patients. Whether you're battling Substance use, Psychosis, Bipolar disorder, Depression, Anxiety, OCD, PTSD, or ADHD you deserve care that treats you as a whole person—not just your symptoms As a Psychiatric Mental Health Nurse Practitioner with 14 years of experience, I work with adults and children who are ready for compassionate, evidence-based support. My integrative, holistic approach considers your mental health, physical health, and lifestyle.
Multiple same week openings available. You’re not just looking for a prescription—you’re looking for someone who truly gets what you’re going through. Medicaid and Commercial patients. Whether you're battling Substance use, Psychosis, Bipolar disorder, Depression, Anxiety, OCD, PTSD, or ADHD you deserve care that treats you as a whole person—not just your symptoms As a Psychiatric Mental Health Nurse Practitioner with 14 years of experience, I work with adults and children who are ready for compassionate, evidence-based support. My integrative, holistic approach considers your mental health, physical health, and lifestyle.
(443) 726-1745 View (443) 726-1745
Photo of Jude Rajind Alexander - CareMind Health, Psychiatrist, PMHNP, LCSW, LCPC, PA-C
CareMind Health
Psychiatrist, PMHNP, LCSW, LCPC, PA-C
1 Endorsed
Online Only
CareMind Health is redefining the service of psychiatry and transforming behavioral health care. As a patient-centered organization, we are focused on supporting people with their mental health. We create access to convenient, high quality services delivered by compassionate and skilled clinicians. Our goal is to provide our clients with an exceptional experience that improves overall wellbeing, and restores the foundations of healthy living.
CareMind Health is redefining the service of psychiatry and transforming behavioral health care. As a patient-centered organization, we are focused on supporting people with their mental health. We create access to convenient, high quality services delivered by compassionate and skilled clinicians. Our goal is to provide our clients with an exceptional experience that improves overall wellbeing, and restores the foundations of healthy living.
(301) 825-5004 View (301) 825-5004
Photo of Tsige Alemu Woldemicheal - Brighter Health LLC, Psychiatric Nurse Practitioner, PMHNP
Brighter Health LLC
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Silver Spring, MD 20910
Tsige is a board-certified psychiatric mental health nurse practitioner (PMHNP) licensed in Maryland and DC. She has over 16 years of experience in the healthcare field and has worked in various settings. Tsige is passionate about providing quality, compassionate, and comprehensive mental health services to adolescents and adults. She believes in a holistic approach to mental health care that integrates the biological, psychological, and social aspects of an individual's well-being.
Tsige is a board-certified psychiatric mental health nurse practitioner (PMHNP) licensed in Maryland and DC. She has over 16 years of experience in the healthcare field and has worked in various settings. Tsige is passionate about providing quality, compassionate, and comprehensive mental health services to adolescents and adults. She believes in a holistic approach to mental health care that integrates the biological, psychological, and social aspects of an individual's well-being.
(240) 981-5277 View (240) 981-5277
Photo of Dr. Melvis Ngalla-Oluka, Psychiatric Nurse Practitioner, DNP, PMHNP, BC
Dr. Melvis Ngalla-Oluka
Psychiatric Nurse Practitioner, DNP, PMHNP, BC
Online Only
I am a compassionate mental health provider committed to delivering personalized, evidence-based care that empowers individuals to thrive. I earned my Doctor of Nursing Practice from the University of Nevada, Reno, a Master of Science in Nursing from the University of Delaware, and a Bachelor of Science in Nursing from Towson University.
I am a compassionate mental health provider committed to delivering personalized, evidence-based care that empowers individuals to thrive. I earned my Doctor of Nursing Practice from the University of Nevada, Reno, a Master of Science in Nursing from the University of Delaware, and a Bachelor of Science in Nursing from Towson University.
(301) 450-6578 View (301) 450-6578
Photo of Swaminathan Thangaraj, Psychiatrist, MD
Swaminathan Thangaraj
Psychiatrist, MD
Online Only
Dr. Swaminathan Thangaraj is board certified in both adult psychiatry and child and adolescent psychiatry. He received his medical degree from Lake Erie College of Osteopathic Medicine, then completed general psychiatry residency at Drexel College of Medicine, followed by child and adolescent psychiatry fellowship at Johns Hopkins Hospital. Before joining the outpatient psychiatry team at CareMind Health/Mindoula Clinical Services, Dr. Thangaraj worked as a child and adolescent psychiatrist at Sheppard-Pratt Hospital in Baltimore, Maryland, and McLean Hospital in Boston, Massachusetts.
Dr. Swaminathan Thangaraj is board certified in both adult psychiatry and child and adolescent psychiatry. He received his medical degree from Lake Erie College of Osteopathic Medicine, then completed general psychiatry residency at Drexel College of Medicine, followed by child and adolescent psychiatry fellowship at Johns Hopkins Hospital. Before joining the outpatient psychiatry team at CareMind Health/Mindoula Clinical Services, Dr. Thangaraj worked as a child and adolescent psychiatrist at Sheppard-Pratt Hospital in Baltimore, Maryland, and McLean Hospital in Boston, Massachusetts.
(301) 679-7790 View (301) 679-7790
Photo of Wanda Caesar - Holistic Medical Services, Psychiatric Nurse Practitioner, MSN, , PMHNP, CRNP
Holistic Medical Services
Psychiatric Nurse Practitioner, MSN, , PMHNP, CRNP
Silver Spring, MD 20906
Self-Esteem Issues Oppositional Defiance ADHD Anxiety Depression Adjustment Issues Obsessive-Compulsive Disorder Trauma Post-Traumatic Stress Disorder Mood Dysregulation Disorder Family conflicts and relationships, including divorce and issues that affect blended families Coping Skills Bipolar Disorder Schizophrenia Cigarette Smoking Cessation, Psychotherapy
Wanda Caesar, a dedicated Board-Certified Nurse Practitioner, epitomizes the essence of compassionate care and unwavering commitment to mental health advocacy. With a fervent desire to enhance the lives of those grappling with mental health disorders, she has become a beacon of hope and healing in her field. Wanda’s professional journey commenced with the solid foundation laid during her Bachelor of Science in Nursing (BSN) studies at Howard University. Here, she not only honed her nursing skills but also cultivated a deep-seated empathy for patients and a passion for delivering exceptional care.
Self-Esteem Issues Oppositional Defiance ADHD Anxiety Depression Adjustment Issues Obsessive-Compulsive Disorder Trauma Post-Traumatic Stress Disorder Mood Dysregulation Disorder Family conflicts and relationships, including divorce and issues that affect blended families Coping Skills Bipolar Disorder Schizophrenia Cigarette Smoking Cessation, Psychotherapy
Wanda Caesar, a dedicated Board-Certified Nurse Practitioner, epitomizes the essence of compassionate care and unwavering commitment to mental health advocacy. With a fervent desire to enhance the lives of those grappling with mental health disorders, she has become a beacon of hope and healing in her field. Wanda’s professional journey commenced with the solid foundation laid during her Bachelor of Science in Nursing (BSN) studies at Howard University. Here, she not only honed her nursing skills but also cultivated a deep-seated empathy for patients and a passion for delivering exceptional care.
(443) 785-5204 View (443) 785-5204
Photo of Esther Adeolu Ojo, Psychiatric Nurse Practitioner, PMHNP
Esther Adeolu Ojo
Psychiatric Nurse Practitioner, PMHNP
Online Only
Multiple same week openings available. You’re not just looking for a prescription—you’re looking for someone who truly gets what you’re going through. Medicaid and Commercial patients, whether you're battling Depression, Anxiety, Bipolar disorder, OCD, PTSD, ADHD you deserve care that treats you as a whole person—not just your symptoms As a Psychiatric Mental Health Nurse Practitioner with 14 years of experience, I work with adults and children who are ready for compassionate, evidence-based support. My integrative, holistic approach considers your mental health, physical health, and lifestyle.
Multiple same week openings available. You’re not just looking for a prescription—you’re looking for someone who truly gets what you’re going through. Medicaid and Commercial patients, whether you're battling Depression, Anxiety, Bipolar disorder, OCD, PTSD, ADHD you deserve care that treats you as a whole person—not just your symptoms As a Psychiatric Mental Health Nurse Practitioner with 14 years of experience, I work with adults and children who are ready for compassionate, evidence-based support. My integrative, holistic approach considers your mental health, physical health, and lifestyle.
(443) 870-4131 View (443) 870-4131
Photo of Cynthia Glover-Singleton, Psychiatric Nurse Practitioner, CRNP, PMH, MSN, RN
Cynthia Glover-Singleton
Psychiatric Nurse Practitioner, CRNP, PMH, MSN, RN
1 Endorsed
Online Only
It enables me to build and maintain trust, fostering strong relationships with my clients.
Now accepting Maryland Medicaid patients with appointments available within 1 days. I’m Cynthia Singleton, a Board-Certified Psychiatric Nurse Practitioner providing compassionate, accessible care for anxiety, depression, ADHD, bipolar disorder, and schizophrenia. With 12+ years in emergency nursing, I offer a supportive, judgment-free space where you can feel heard and get the care you need quickly. My approach combines medication management with evidence-based strategies tailored to your needs.
It enables me to build and maintain trust, fostering strong relationships with my clients.
Now accepting Maryland Medicaid patients with appointments available within 1 days. I’m Cynthia Singleton, a Board-Certified Psychiatric Nurse Practitioner providing compassionate, accessible care for anxiety, depression, ADHD, bipolar disorder, and schizophrenia. With 12+ years in emergency nursing, I offer a supportive, judgment-free space where you can feel heard and get the care you need quickly. My approach combines medication management with evidence-based strategies tailored to your needs.
(301) 281-6393 View (301) 281-6393
Photo of Kofo Abiru-Adebambo - Kolossal Healthcare Services LLC, Psychiatric Nurse Practitioner, CRNP, PMH-BC
Kolossal Healthcare Services LLC
Psychiatric Nurse Practitioner, CRNP, PMH-BC
Online Only
I am a compassionate and dedicated Psychiatric Nurse Practitioner (PMHNP-BC) with a deep passion for mental health wellness and a commitment to helping individuals achieve optimal well-being. I specialize in Anxiety disorders, Depression, Adjustment disorders Eating disorders, Mood disorders, Attention Deficit Hyperactivity Disorder (ADHD) in teens and adults.
I am a compassionate and dedicated Psychiatric Nurse Practitioner (PMHNP-BC) with a deep passion for mental health wellness and a commitment to helping individuals achieve optimal well-being. I specialize in Anxiety disorders, Depression, Adjustment disorders Eating disorders, Mood disorders, Attention Deficit Hyperactivity Disorder (ADHD) in teens and adults.
(443) 251-3050 View (443) 251-3050
Photo of Esther Adeolu Ojo, Psychiatric Nurse Practitioner, PMHNP
Esther Adeolu Ojo
Psychiatric Nurse Practitioner, PMHNP
Online Only
Multiple openings available. You’re not just looking for a prescription—you’re looking for someone who truly gets what you’re going through. Commercial, Medicare and Medicaid patients, whether you're battling Bipolar disorder, Depression, Anxiety, OCD, PTSD or ADHD you deserve care that treats you as a whole person, not just your symptoms As a Psychiatric Mental Health Nurse Practitioner with 14 years of experience, I work with adults and children who are ready for compassionate, evidence-based support. My integrative, holistic approach considers your mental health, physical health, and lifestyle.
Multiple openings available. You’re not just looking for a prescription—you’re looking for someone who truly gets what you’re going through. Commercial, Medicare and Medicaid patients, whether you're battling Bipolar disorder, Depression, Anxiety, OCD, PTSD or ADHD you deserve care that treats you as a whole person, not just your symptoms As a Psychiatric Mental Health Nurse Practitioner with 14 years of experience, I work with adults and children who are ready for compassionate, evidence-based support. My integrative, holistic approach considers your mental health, physical health, and lifestyle.
(443) 332-7044 View (443) 332-7044
Photo of Faustina Shore, Psychiatric Nurse, RN, MSN, PMHCNS
Faustina Shore
Psychiatric Nurse, RN, MSN, PMHCNS
1 Endorsed
Silver Spring, MD 20901
I am a board-certified nurse psychotherapist (RN MSN) with many years of clinical experience. My nursing background gives me a deep respect for the body-mind connection. I have expertise in helping those with acute and chronic illness as well as clients who have depression, anxiety, and difficulty coping with their current circumstances. I welcome and can provide support for, the elderly those who are grieving or have a terminal illness. Compassionate listening, gentle presence with appropriate guidance is my strength as I provide companionship along the way.
I am a board-certified nurse psychotherapist (RN MSN) with many years of clinical experience. My nursing background gives me a deep respect for the body-mind connection. I have expertise in helping those with acute and chronic illness as well as clients who have depression, anxiety, and difficulty coping with their current circumstances. I welcome and can provide support for, the elderly those who are grieving or have a terminal illness. Compassionate listening, gentle presence with appropriate guidance is my strength as I provide companionship along the way.
(240) 301-8325 View (240) 301-8325
Photo of Makesa Toure - Maksam Health & Wellness Center , Psychiatric Nurse Practitioner, APRN, CRNP, PMH-BC
Maksam Health & Wellness Center
Psychiatric Nurse Practitioner, APRN, CRNP, PMH-BC
2 Endorsed
Serves Area
They value trust, respect, and collaborative therapeutic relationships, preferring evidence-based treatments to achieve mental health goals
Maksam Health & Wellness Center offers holistic, evidence-based behavioral health services. We provide personalized care, diverse psychotherapies, medication management, and substance abuse counseling for mental health and addiction recovery. Both virtual and in-person services are available, with all major insurance plans and cash payments accepted.
They value trust, respect, and collaborative therapeutic relationships, preferring evidence-based treatments to achieve mental health goals
Maksam Health & Wellness Center offers holistic, evidence-based behavioral health services. We provide personalized care, diverse psychotherapies, medication management, and substance abuse counseling for mental health and addiction recovery. Both virtual and in-person services are available, with all major insurance plans and cash payments accepted.
(302) 600-2039 View (302) 600-2039
Photo of Olubunmi Salami - Mindset Wellness Center, Psychiatric Nurse Practitioner, DNP, PMNP-BC
Mindset Wellness Center
Psychiatric Nurse Practitioner, DNP, PMNP-BC
Serves Area
As a psychiatric mental health nurse practitioner, I offer personalized care for conditions like anxiety, depression, ADHD and other mental health need. My approach integrates compassionate medication management with empathetic support, aiming to reduce mental health stigma and bridge the gap between mental and physical wellness. I work closely with you to understand your unique needs and create a tailored plan that respects your values. My goal is to empower you and ensure you feel supported throughout your journey to mental wellness.
As a psychiatric mental health nurse practitioner, I offer personalized care for conditions like anxiety, depression, ADHD and other mental health need. My approach integrates compassionate medication management with empathetic support, aiming to reduce mental health stigma and bridge the gap between mental and physical wellness. I work closely with you to understand your unique needs and create a tailored plan that respects your values. My goal is to empower you and ensure you feel supported throughout your journey to mental wellness.
(240) 255-4198 View (240) 255-4198
Photo of Dhruv Patel, Psychiatric Nurse Practitioner, CRNP
Dhruv Patel
Psychiatric Nurse Practitioner, CRNP
1 Endorsed
Serves Area
Dhruv is a board-certified Psychiatric Mental Health Nurse Practitioner who is deeply committed to building meaningful, trusting relationships with his patients.
Dhruv’s approach to care is personalized and collaborative, tailoring treatment plans to meet the individual needs of each patient. Whether through medication management, therapy, or lifestyle adjustments, he partners with his patients to support their emotional well-being and long-term growth.
Dhruv is a board-certified Psychiatric Mental Health Nurse Practitioner who is deeply committed to building meaningful, trusting relationships with his patients.
Dhruv’s approach to care is personalized and collaborative, tailoring treatment plans to meet the individual needs of each patient. Whether through medication management, therapy, or lifestyle adjustments, he partners with his patients to support their emotional well-being and long-term growth.
(301) 328-1605 View (301) 328-1605

See more therapy options for Silver Spring

FAQ - Couples Counseling Psychiatrists
Do psychiatrists see couples?
Yes, psychiatrists are medical doctors who can provide psychotherapy, such as couples counseling, in addition to prescribing medication. While most psychiatry does happen on an individual basis, some psychiatrists specialize in couples. Seeing a psychiatrist may be especially helpful when relationship challenges are connected to diagnosed mental health conditions (like depression, anxiety, trauma, or ADHD) that may benefit from the medical evaluation or medication management provided by a psychiatrist.

Should couples see a therapist or a psychiatrist?
A psychiatrist may be a good fit for couples facing relationship challenges when one or both partners have a diagnosed or suspected mental health condition, are already taking psychiatric medication, or may benefit from a medical evaluation. Psychiatrists can integrate medical care and psychiatric evaluation with relationship counseling, while therapists can not prescribe medication and focus solely on psychotherapy.

What are the differences between a couples psychiatrist and an individual psychiatrist?
All psychiatrists receive the same medical training, so there is no separate training or licensure for couples psychiatrists. However, some psychiatrists choose to offer couples counseling as part of their practice. In couples psychiatry sessions, the focus is on relationship and communication challenges, while also considering each partner’s mental health and any medications they are on. In individual psychiatry, care centers on one person’s symptoms and treatment plan, which allows for more individualized evaluation and medication management. This makes individual psychiatry more appropriate when relationship concerns are not the primary issue and one or both partners are seeking treatment for their own mental health conditions.