# 238: The 3 Situations When Couples Therapy Won't Work with Shane Birkel

An episode of [The Couples Therapist Couch](https://invisiblenetwork.ai/podcast/1281853816), 14 Apr 2025, 32 min.

Audio: https://traffic.libsyn.com/secure/couplestherapistcouch/238_The_3_Situations_When_Couples_Therapy_Wont_Work_with_Shane_Birkel.mp3?dest-id=540575

This episode is brought to you by Alma. Visit HelloAlma.com/ATPP to learn more Get the Couples Therapy 101 course: https://www.couplestherapistcouch.com/ Join the Couples Therapist Inner Circle: https://www.couplestherapistcouch.com/inner-circle-new Join The Couples Therapist Couch Facebook Group: https://www.facebook.com/groups/295562197518469/ In this solo episode, Shane explores the 3 situations when couples therapy won't work: addiction, serious mental health issues, and acting-out behaviors. Hear why couples therapy is not always helpful, the different types of addiction, why you might be a client's last chance, the one case where you truly can't do couples therapy, and the difference in abuse in adults and children.

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