Clinical Research Directory

Inclusion Criteria: * Participants will be couples consisting of a Veteran referred from a mental health care clinic at VA San Diego Healthcare System and their spouse or romantic partner who is willing to participate * Couples must: * both speak, read, and write English * be married, living together, or in a relationship for at least 12 months * endorse clinically significant relationship distress by one or both partner's reports (i.e., \< 104.5 on the Couples Satisfaction Index-32) * have internet access sufficient to complete the online program and attend telehealth visits * be willing to have telehealth coach sessions audio-recorded Exclusion Criteria: * Couples will be excluded if either partner reports * an active substance use disorder within the past three months (i.e., 2+ on the TAPS screening tool for a single substance followed by positive diagnosis in clinical interview) * a diagnosis of a psychotic or bipolar disorder with current uncontrolled symptoms (by self-report) * a diagnosis of severe cognitive impairment or intellectual disability (by self-report) * severe physical or sexual relationship aggression during the past 12 months (i.e., 10+ on the Hurt-Insult-Threaten-Scream \[HITS\] screening tool followed by clinical interview) * current suicidal ideation or behavior determined to be high-risk according to current VA clinical assessment protocols (i.e., "yes" on any high-risk items on the Columbia Suicide Severity Rating Scale) * suicide-related hospitalizations within the past 12 months (by self-report)