Final answer:
The addition of children and the diversity of relationships in today's society add complexity to couples counseling.
Step-by-step explanation:
A further layer of complexity in couples counseling can be added by the presence of children in a marriage. The addition of children can create additional financial and emotional stress, which can strain the relationship between couples. Research has shown that marriages enter their most stressful phase upon the birth of the first child. Couples with twins or triplets may be particularly susceptible to divorce.
Another factor that adds complexity to couples counseling is the diversity of relationships and families in today's society. This includes LGBTQ couples, who may face unique challenges and require specialized support. Relationship counselors need to be knowledgeable and inclusive in order to effectively work alongside different generations and types of families.