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I Help Polyamorous Couples With Relationship Problems Gwen Butler On 5/15/21 at 5:00 AM EDT I remember my first experience working with a couple who came to me with a desire to open up their relationship. In 2016, a couple in their 50s who had been together for 10 years were facing some health issues that impeded their ability to experience sexual pleasure together. During this honest discussion of their needs with me, their therapist, they were able to articulate their frustrations and explore options that did not threaten the integrity of their intimate connection. In the end they chose to open their monogamous relationship up into a consensual polyamorous arrangement; they agreed to maintain their intimate connection as the primary couple, while allowing secondary relations with others.

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