While couples therapy can benefit many couples, it is not always appropriate for every situation. Couples therapy may not be effective in cases where one or both partners are unwilling to participate in therapy or are not committed to making changes in the relationship. Additionally, in ongoing emotional, physical, or sexual abuse in the relationship, couples therapy may not be appropriate or safe, and individual therapy or other forms of support may be necessary. Couples therapy may also not be appropriate if one or both partners have a severe mental health condition that requires specialized treatment or medication management. In these cases, it may be necessary for one or both partners to receive individual treatment before or in conjunction with couples therapy. Ultimately, deciding whether couples therapy is appropriate for a specific couple will depend on their unique situation, and a qualified therapist can help determine the most effective course of treatment.