Stephen J. Betchen illuminates unmet expectations as one of the leading causes of relationship problems, offering an integrative, systemic, and conflict-oriented treatment model that will help both therapists and couples develop happier and more realistic relationships. This clinical guide helps therapists provide couples with the ability to recognize the origin of their expectations and when their expectations might be realistically or unrealistically too high or low. It defines and demonstrates the complexity of what met or unmet expectations are, identifying common symptoms as anger, incessant bickering, anxiety, disappointment, disillusionment, and sadness. Chapters outline how to determine the origin and impact of unmet expectations before discussing how and why we choose our partners that do or do not meet our needs. Addressing sociocultural factors in depth, Betchen provides tools to assess and treat both sexual and non-sexual symptoms and includes a chapter on how to manage the issue of when a therapist doesn’t meet the expectations of their clients. The book is invaluable for therapists who work with couples as well as trainees and supervisors in couple, family, and sex therapy graduate and post-graduate programs.