Maintaining healthy relationships and positive marriages can be challenging even under the best circumstances.

Add to the mix living abroad in Thailand or culturally mixed marriages, and it becomes even more complicated.

People may seek couples counseling for a variety reasons. This may include infidelity, sexual problems, parenting-style differences, and a multitude of other reasons.

Some research has found that people often stay in unhappy relationships and marriages for up to six years before seeking counseling. However, there it is not necessary to wait so long.

Better outcomes are found with people seek couples counseling earlier rather than later. Successful couples counseling largely depends upon the goals and expectations of those involves.

It may mean improving effective communication between couples or learning how to support one another better.