Contributors to Relationship Issues

Our specially trained relationship and sex therapists treat a variety of sex and intimacy-related issues. Some issues that contribute to sex and intimacy disorders include adjustment disorders, bereavement, divorce and codependency.

Adjustment Disorders

A person with adjustment disorder often experiences feelings of depression and/or anxiety. As a result, that person may act out behaviorally against the “rules and regulations” of family, work or society. In some people, an adjustment disorder manifests in such behaviors as skipping school, unexpected fighting, recklessness or legal problems. Other people may withdraw socially and isolate themselves. Still others may not experience behavioral disturbances but will begin to suffer from physical illness.

If someone is already suffering from a medical illness, that condition may worsen. People struggling with adjustment disorders often do poorly in school or at work. Very commonly they have difficulty in their close, personal relationships.

There are six major adjustment disorders:

  • Adjustment disorder with depressed mood
  • Adjustment disorder with anxiety
  • Adjustment disorder with mixed anxiety and depressed mood
  • Adjustment disorder with disturbance of conduct
  • Adjustment disorder with mixed disturbance of emotions and conduct
  • Adjustment disorder unspecified

Adjustment disorders can occur at any age. People are particularly vulnerable during transitional periods such as adolescence, mid-life and late life.

The conditions associated with adjustment disorder typically develop within three months of the beginning of the stressful period. An adjustment disorder usually lasts no longer than three to six months. The condition may persist, however, if an individual is suffering from chronic stress such as that caused by an illness, a difficult relationship or worsening financial problems.

Therapy can be very helpful to lessen or alleviate ongoing symptoms of adjustment disorder before they become disabling. Group therapy can be useful for individuals who are enduring similar stress. In some situations the use of prescription medications can help ease the depression or the anxiety associated with adjustment disorder.


Death often awakens feelings within people about other losses in their life. People experience a range of emotions around bereavement that can cause significant life-hindering issues. Bereavement is a healing process that cannot be hurried and affects each individual differently.

Bereavement can contribute to or compound substance abuse or behavioral addictions. After the loss of a loved one — regardless of the closeness of the relationship — it is natural to experience a range of emotions such as anger, guilt, regret, sadness and loss. Sometimes individuals aren’t provided the opportunity to experience these feelings, which can lead to self-medicating issues with substances or compulsive behaviors.

Part of addiction and mental health treatment addresses these issues and allows individuals to work through unaddressed emotions surrounding their loss. They explore their relationship and the challenges they’ve experienced surrounding the death of a loved one and also gain insight into how their relationship with the deceased or their grief may affect their current relationships.


Though divorce is a common reality in today’s culture, it doesn’t mean that it is less painful or emotionally damaging to the individuals affected by it. Whether one has been divorced, is contemplating divorce, or healing from the divorce of their own parents, divorce and the issues surrounding it often run deep and can be complicated by complex trauma and unaddressed emotional pain.

Individuals affected by divorce may experience feelings and issues like anger, guilt, shame, grief and low self-esteem. Sometimes these feelings are compounded by substance abuse and other unhealthy coping mechanisms. Treatment must address all of these challenges and help an individual learn healthy ways to process these feelings in a safe, accepting space.

The Ranch addiction and mental health treatment center has specially trained family and couples therapists who help clients address the emotions and psychological wounds of divorce, gain insight into how divorce has affected them, or navigate potential of a future divorce.


On the path to recovery, some people uncover relationship issues such as having trouble recognizing what they want or feel, setting boundaries, trying to control others or changing themselves or their beliefs to meet others’ expectations. These are all indications of codependency, which is why codependency treatment programs are a crucial component of recovery.

At The Ranch mental health and drug rehab, we integrate codependency treatment into our program and provide onsite Codependents Anonymous meetings. Our unique therapeutic community, where clients live in a house with a small number of other clients, presents an opportunity to explore dysfunctional relationship patterns as well as to practice new healthy communication skills and managing personal boundaries. Clients learn to support each other in building more aware, loving, and empowered relationships with themselves and each other.

What Causes Codependency?

Codependency develops within the context of childhood and adult relationships; therefore, a focus on family-of-origin and unhealthy attachment patterns is key to treating codependency. Codependent relationships begin when family members take on addictive or codependent family roles rather than communicating their feelings, wants or needs.

When people start to find help for codependency and overcome codependent family roles, they realize how much of their life has been stolen, and it often leads to anger at the injustice of codependency. It can mean not having childhoods, missing planned events and not being allowed to talk since everything is “secret.” These issues are explored and addressed in treatment within a safe, accepting space.

At The Ranch addiction and mental health treatment center, our specially trained therapists help clients address the full spectrum of sex, love and relationship issues that get in the way of recovery. They learn to accept their authentic selves and discover the joy in honest, fulfilling, respectful relationships.

Find hope and healing. Begin your recovery journey today. Call: 888-844-5865.


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