Uncovering the Truth About Your Codependence: A Review of Facing Codependence by Pia Mellody

The words “codependency” and “codependent” are becoming more commonly used to describe a person who has an intense drive toward people-pleasing, often to their own detriment.  Increasing numbers of therapists are advertising themselves as experts on codependence, and individuals are self-identifying with the team more readily.  But what does this term mean? 

Pia Mellody, the author of Facing Codependence, defines codependence as a series of symptoms that indicate an intense focus on controlling relationships and a lack of awareness of the self, both of which have likely been perpetuated by abusive situations in the past.  These symptoms include difficulties with, “experiencing appropriate levels of self-esteem, setting functional boundaries, owning and expressing their own reality, taking care of their adult needs and wants, and experiencing and expressing their reality moderately.”

While codependence is a common topic in addiction recovery circles, I believe that many people, including addicts, recovering partners, and those without an addiction history may struggle with some forms of codependency perpetuated by their experiences in family-of-origin or even in our culture as a whole.

In Betrayed Partners

Codependence has been used synonymously with “co-addiction,” proposed to be the illness partners of addicts experienced as an addiction to their addicted partner.  Fortunately, there has been a movement away from this labeling, as it can inadvertently blame the betrayed partner for the addict’s behavior.  Yet for many individuals whose behaviors led them to be labeled as “co-addicts,” more subtle forms of codependence were likely at play.  Codependence symptoms such as low self-esteem, difficulty moderating emotions, and trouble maintaining appropriate boundaries can all show up in traumatized partners.

While not all betrayed partners are also codependents, the symptoms associated with codependence can exacerbate the experience of pain and trauma of being betrayed.  The origins of codependence symptoms originate in family-of-origin trauma and painful experiences in childhood.  It may be helpful for partners to explore the symptoms of codependence and discern whether or not they occur and/or have roots in family-of-origin trauma.

In Addicts

Addicts are likely to have codependence as a factor that led them to addiction in the first place.  Often addicts have a history of abuse or trauma, which leads to maladaptive coping through addiction.  In order to deal with the pain of the past trauma, addicts turn to their drug of choice, masking the intolerable reality of the abuse they experienced.  In sex addiction, for example, sexual connection is used to manage this emotional state, which inhibits true intimacy and creates an unhealthy dependence on sexual experiences to feel “okay.” 

Symptoms of codependence that are relevant to addicts include difficulty setting boundaries, inability to meet needs and wants in healthy ways, and difficulty owning and expressing their own reality.  These can show up in deception and denial.  Boundarylessness leads to justification of their actions.  Sometimes self-esteem issues can show up as arrogance or grandiosity instead of low self-esteem, which fuels addictive behavior through entitlement and minimization.

What about you?

Do you struggle with codependency?  Whether you are an addict or betrayed partner, it may be beneficial to review common symptoms of codependency in a codependency assessment or through reading Pia Mellody’s book Facing Codependence. 

Facing Codependence

Pia Mellody’s extensive research in treating codependency, as well as her own experience recovering from it, has equipped her well to share information about codependence and the first steps toward healing.  Facing Codependence includes practical information about the disease and wraps up with where to start in recovery.  It incorporates awareness of how codependence correlates with addictive behaviors, and how recovery programs can help.  She normalizes the experience of codependency through many examples, both personal and clinical.

Often one of the hardest tasks for codependents is facing up to their past.  One element that they find challenging is labeling parents’ or others’ behaviors as “good” or “bad.”  However, Mellody’s facilitates this exploration through encouraging the label of “functional” and “dysfunctional” behaviors instead.  She also addresses misgivings people have about calling their parents to account for their mistakes because they need to defend or minimize their own mistakes with their children.  Instead, Mellody tells codependents that the best gift they can give their children is working their own personal recovery, and that without acknowledging their own hurt, they will be unable to create lasting change in their families.

“In a functional family the members know that EVERYBODY is imperfect.”

— Pia Mellody

While this book doesn’t get into a full recovery program, it does offer some beginning steps and points toward an additional resource Mellody has put out, a companion workbook called Breaking Free.

Why I Recommend This Book

More comprehensive review of symptoms of codependence

As listed earlier, the symptoms of codependence include difficulty with appropriate levels of self-esteem, setting boundaries, owning your own reality, meeting wants and needs appropriately, and expressing reality moderately.  Mellody gives deeper descriptions of these symptoms with in-depth explorations of their consequences and origins.  She also explores experiences that hint at these symptoms, such as high intensity of emotion or complete lack of emotion, as signs of codependence.

Understanding these symptoms can be incredibly normalizing for you, as you explore how they developed and know that you are not alone in facing them.

Includes less-than-nurturing experiences

To further normalize your experience, Mellody broadens the definition of abuse to include any “less-than-nurturing” behavior your family or others may have displayed.  This helps those who haven’t had any serious or extreme abuse understand the presence of their codependence symptoms.  Mellody includes not only signs of overt abuse, but also neglect or other covert abuse behaviors that may have been at play.

For many people, taking a critical look at their family-of-origin and harm they may have experienced is nearly impossible, as they prefer to believe they had a “normal” or “good” childhood.  This is where the language of functional and dysfunctional behaviors comes in handy, rather than labeling them as “good vs. bad” behaviors. 

“...looking at our histories, identifying the specific incidents about which we had our original overwhelming feelings, and finding a way to own and release those feelings can bring freedom from the sabotaging cycle that makes our lives so unmanageable and painful.”

— Pia Mellody

Prepares you to explore your own history

In advance of outlining various types and examples of abuse, Mellody warns the reader about defense mechanisms that arise to protect against facing up to the reality of what happened to us.  Exploring these defense mechanisms first encourages more openness to understanding where your story fits within these categories. 

She names and defines such defenses as denial, minimization, repression, and dissociation and expresses how they protect you from facing the realities of your past.  This prepares you to delve into your own history with awareness of how you might protect yourself against looking at the truth.

Encourages exploration of your story

Mellody describes five different categories of abuse: physical, sexual, emotional, intellectual, and spiritual abuse.  In these chapters, she gives a variety of examples and invites you to consider your own experience in comparison.  She emphasizes the need to explore this history, not as a way to dump all the blame onto your past, but to allow parents or caregivers to be accountable for their actions, as well as encouraging your own accountability for present-day behaviors.

Mellody identifies how these less-than-nurturing experiences have influenced your feelings of shame, motivated by what she calls the “shame core.”  Shame can be helpful in that it reminds us of our imperfections and fallibility.  But when caregivers act in shameful or abusive ways toward children and don’t take accountability for those actions, they can pass along that shame as “carried shame” into children, leading to repetition of abusive patterns.

An interesting claim Mellody asserts is that all abuse is spiritual abuse because of the impact it has on relationship with God, or a Higher Power.  For those who are Christian, this can be an eye-opening experience of why it has been difficult to trust God or believe certain truths about Him.  Also, for those in recovery, it can explain why surrendering to a Higher Power feels impossible.

First steps to recovery

In the last chapter of the book, Mellody lays out some basic, practical tools to get started in your recovery journey.  These early steps include such actions as getting involved in a 12 Step group, finding a sponsor, working the 12 Steps, and finding a counselor with an understanding of codependence.  While this isn’t a comprehensive recovery plan, she does point to the companion workbook Breaking Free to provide a more in-depth approach.

Getting involved in a supportive recovery community and using resources to work through the 12 Steps can help you put action steps into practice that will actually change your experience.  This will allow you to begin to set healthy boundaries, which are essential to recovery from codependency.  Your work in these groups will also encourage and help you to look for ways to re-parent yourself so that you can change the ingrained patterns of thought and behavior from the trauma.

Pia Mellody’s Facing Codependence is a great starting point that I would recommend to identify and begin to explore your own codependence, as well as point you in the direction of some tools and resources to continue on your journey of healing.

Taking it Slow: The Secret to Healthy Couples Communication

Think of the most recent argument you had with your spouse or significant other.  What was it about?  How did it start?  What details can you remember about it?  Can you recall exactly what you said?  Exactly what your partner said?  Were you aware of any emotions (other than anger) you were feeling in the moment?  What about their emotions?

Often, memories of fights with our significant others can feel foggy.  One reason why is that emotions are usually running high.  One or the both of you might feel flooded, meaning you’re experiencing intense emotions that overwhelm you and make you unable to listen to your partner.  Or perhaps the environment creates a distraction if you’re trying not to let your children hear you argue or you’re in a public place.  It is common to end a conversation wondering what even started the fight in the first place.

When these arguments seem to happen on repeat, but without a clear picture of why, you might feel stuck in those ruts.  One of the reasons I see couples repeating this cycle of unresolved arguments and building resentments is simply this: it all goes too fast. If you choose to slow the pace of your conversation down, you’ll find it much easier to hear one another and have a better outlook on the issue you’re discussing.

The Why Behind Slowing Things Down

Let’s consider the questions asked earlier: in order to know the answer to any one of them, you’d be required to slow down the discussion and ask questions of yourself or your partner.  It’s hard to self-reflect when you’re racing through a conversation, let alone to ask questions and actually listen rather than try to persuade your partner of your side. 

Slowing down affords you the opportunity to actually hear what your partner is saying.  Not only that, it also gives you an opportunity to be heard by them, to get across what you’re trying to communicate. 

Ways to Slow Down

First, notice signs that a conversation is speeding up and about to spiral out of control. You might recognize an increase in emotional intensity, raised voices, criticism, defensiveness, or other felt tension in the conversation.

Build in a signal that you’d like to slow down.  You might use a short phrase or question like, “I’m feeling tense/flooded, can we slow down?”  You could also ask for a pause and focus on taking a few deep breaths during that time.  If your partner feels comfortable, you may reach out a hand to hold theirs.  Having a conversation about these signals before you’re in an argument may help you decide on the best choice for the two of you. 

Sometimes, it is challenging to direct the conversation to slow down when you’ve already begun the spiral into flooding.  If that’s the case, ask if you can take a short, 20-minute break where you do a self-soothing or distracting activity.  Then, return to the conversation with a focus on some of the strategies outlined below.

Repeat word-for-word what you hear your partner saying to you.  Practice this reflective listening strategy to be sure that you understand what your partner is saying and ensuring they feel heard by you.  This also gives them the chance to correct if what you heard is different from what they intended to communicate.  Repeating your spouse’s words back to them forces you to slow down because you’re essentially going through the same statements twice.  It’s okay if you can’t remember all the details: you can always ask your partner to repeat statements if you missed them.

One challenge that arises in this step is the tendency to formulate a response in your head while your partner is still talking.  You will need to set aside that tendency in order to be fully present and listening to your partner, knowing that you will have an opportunity to share your perspective later in the conversations.

Ask about what emotions your partner is feeling.  Often all you see in the midst of an argument is anger, but when you are able to identify other emotions that might be influencing the conversation, this can help you understand your partner better.  As discussed above, repeat these words back to your partner when you hear them.

Tell your partner what makes sense about what they’re feeling or experiencing.  Can you relate to the emotions your partner is feeling?  If you were seeing things through their perspective, would it make sense for them to respond in the way they are?  Find a part of their experience that you can connect with and empathize by offering validation of their perspective.

Validating your partner’s perspective is not the same as agreeing with everything your partner says.  You can disagree with your partner’s perception of how you’re feeling or what you’re trying to communicate, and at the same time validate that if those things were true, they would cause your partner to feel hurt, sad, angry, etc.  If your partner’s perception isn’t accurate or if you have a different perspective, you’ll have time to communicate that when you respond later on.  For now, try to put yourself in their shoes and connect with how they would feel if their perception were accurate.

Ask any questions you might have.  In order to make sure you’ve fully caught their perspective on this issue, ask any clarifying questions you might have.  Be wary of asking questions that are meant to communicate your anger or emotion, such as “how could you be so selfish?” or “do you really think that was a good idea?”  Instead, ask open-ended questions that can’t be answered with just yes or no, like, “how did you feel about that?” or “what makes this so important to you?”

Ask if they feel heard and understood by your reflection.  Slowing down to ask this step ensures that your partner has a chance to correct or edit any details that you didn’t quite catch.  It also allows them to self-reflect and identify if there’s more to the story that they need to share in order to truly feel understood. 

Repeat the process in the other direction.  Once you’ve been able to fully summarize your partner’s perspective to his or her satisfaction, then you can reverse roles and share your own perspective.  This is not the moment to tear down their perspective, but to share your own experience so that they can understand you.  Using a talking formula can provide structure to help you communicate effectively and clearly.

Sharing your perspective can be tricky if your partner isn’t aware of this process or interested in listening in the same way you have.  However, if you begin by slowing down before responding, it is likely that your partner may be more open to listening to your side.

End by asking how you can support one another with whatever the issue is at hand. Likely, if you’ve been able to fully understand your partner’s perspective and have had a chance to share your own, you’ll be able to use a problem-solving mindset to identify possible solutions or compromises you can make on the issue that caused the argument.  Some of these might require more discussion to figure out what works best for the two of you, but even identifying a need for more discussion is a good action step.

Questions to Ask Yourself When You Get Triggered

To anyone observing you from the outside, it would look like any other Wednesday night.  You’re sitting at home, watching TV and occasionally checking your phone.  But internally, you’re a mess.  You can barely focus on the distraction of the television.  Your hand shakes as you check your phone once more, seeing no text or call from your husband, despite it being over an hour later than he said he would arrive home.  Your heart is pounding and adrenaline is rushing through your veins.  Your mind feels like it’s on a constant loop: “He’s acting out again.  He’s lying to me.  Who is he seeing behind my back this time?”

Finally, the sound of the garage door seems to echo through the house as you hear your husband pull in.  He’s barely opened the door to the house when you explode.  Anger, fear, and hurt mingle and spill out as you raise your voice in accusation, sure that he’s been with his affair partner again.  You threaten to leave him, question why he couldn’t contact you, and finally end in tears as you storm off to the guest bedroom to spend the night.

What it means to be triggered or “activated”

Does this scenario sound familiar to you?  Maybe you haven’t experienced reactions this extreme before, but you’ve felt strong emotion rise up in you that seems to come out of nowhere, and you can’t figure out how to cope with it.  In common language, you’ve likely experienced a trigger.

Now, I know that the word “triggered” can be, well…triggering. In some ways, it’s become a political term laced with additional meanings such that many don’t like using that word.  It can also be associated with an addiction: being “triggered” to act out.  In that respect, I’d like to borrow from Vicki Tidwell Palmer in how she approaches this experience: replacing the word “triggered” with “activated.”

How do I know I’m activated?

When you’re feeling activated, you’re usually having a strong emotional reaction that seems disproportionate in relationship to what has caused it.  It can come with intense feelings of anger.  You experience physical symptoms of anxiety or stress.  Your fight or flight response kicks in as your adrenaline levels rise.  You may even have flashbacks to previous memories, a hallmark symptom of trauma.

Questions to ask yourself

When you notice this shift in your experience and symptoms of trauma arising, here are a few questions you can ask yourself to help make sense of what’s happening and create a plan for your self-care in the here-and-now and in future situations.  It might be helpful to pull out a pen and paper or a journal and write out your answers to these questions.

What is going on in my body?

Trauma is held in the body.  When you are feeling activated in response to a reminder of past trauma, you’re likely to feel that in your body.

Bring awareness to your body and notice what sensations you’re feeling.  Do you feel warmth or cold?  If so, where?  Any tightness or tension?  Any pain?  Is that sensation located in one part of your body, or spread throughout?  Do you notice any change in your posture or stance?

What emotion am I feeling?

Emotions are felt physically, which is why identifying your physical sensations first will help you connect what you’re feeling physically to what you’re feeling emotionally.  Pull out a feelings chart or other resource to help you put words to what emotion or emotions you’re experiencing. 

As mentioned earlier, anger is a common immediate emotional reaction.  While anger can be a primary emotion, often it serves as a secondary emotion covering over feelings of hurt, anger, anxiety, stress, or loneliness.  If you notice anger, ask yourself: is there another emotion driving this anger?  Even asking this question can be challenging.  Anger covers those other emotions because they are vulnerable, and anger is a way to power up and protect yourself rather than accessing the pain associated with the primary emotion.

What happened?

Now it’s time to review what actually happened.  In some cases, you aren’t aware of what specific event led to feeling activated.  If this is true, you’ll need to trace back to the first moment you felt this way and review what was going on at the time.  If you are aware of a certain interaction or event that precipitated the activation, start there.

Write out the events leading up to becoming activated as if you’re describing a scene from a movie.  What did you observe with your five senses: sight, sound, smell, touch, taste?  Who was involved?  What were the exact words said (as much as you can approximate)?

How did I interpret what happened?

Have you ever seen an image of Rubin’s vase?  Depending on your perspective, you’ll see a different picture.  If you’re looking at the white portion of the image, you’ll see a vase.  If you focus on the black side, you’ll see two faces in profile.

The same is true of events that cause this activating response.  Your thoughts and interpretations about the events are going to be influenced by your perspective and unique experience.  I appreciate phrasing this question as “what did I make up about this?” As coined by Pia Mellody, this question helps identify that what you observed and what you think about it aren’t the same thing.

Has a boundary been crossed?

Anger in response to activation can be an indicator that a boundary line has been crossed.  That boundary line might be crossed by the other person, or it can be crossed by you.

Let me explain what I mean.  It’s easy to see when a boundary line is crossed by someone else.  You’ve made an agreement or said no, but it isn’t respected.  If that’s the case, identify where the boundary line has been crossed and communicate that boundary directly.  Clarify what you will do in response if that boundary line is crossed again to take care of yourself.  In some cases, you may not need to say this directly at all – you may simply need to change how you respond in the future.

On the other hand, you might be crossing a boundary line on your own.  Each individuals’ thoughts, emotions, actions, and beliefs are his or her own responsibility.  If I am trying to take responsibility for controlling or changing someone else’s thoughts, emotions, actions and beliefs, then I am crossing a boundary line.  Or vice versa: if I am blaming someone else for how I am thinking, feeling, or behaving, that’s a boundary violation. I’m shifting the blame to them as opposed to taking responsibility for my own reaction.  In this case, the next step is to redirect your attention to something you can control: in this case, your own thoughts, emotions, actions, and beliefs.

What do I need?

Reflect on what you wish would have happened in this situation instead.  Connect to the previous traumatic experiences you’ve had where you’ve felt similarly (even as far back as childhood) and identify what needs you had then that weren’t met.  Do you need a stronger boundary?  Do you need to practice self-care?  Do you need to make a request or another individual involved for clarification or support?

Once you’ve figured out these needs, identify how you can meet that need through what you can control.  You aren’t able to force another person to do what you want them to do, but you can request help or support from a spouse or friends.  You can change your own behavior to meet needs in healthy ways.

How can I practice self-care in response to feeling activated?

Usually the experience of getting activated is enough to send you into a tailspin.  At this point, you might need to do some damage control self-care to calm your emotions and enter back into your window of tolerance.

Note that, when I’m talking self-care, I’m not referring to the type of “self-care” as ladies night with wine and binge-eating chocolate.  I mean actually taking care of your needs in a healthy way, even if it challenges you to do something you don’t feel like doing.  For example, if you realize part of what led to you being activated was being hungry and having low blood sugar, self-care involves eating something nourishing and nutritious to help balance that out.  When I’ve been sitting around all day, I know I’m more likely to be irritable.  Taking action to go outside for a walk or complete a productive task is self-care in this situation, as it shifts my mood.

An Example

Let’s take the scenario at the top of this article and apply these questions to see what we learn.

• What is going on in your body?  You feel heat in your cheeks and adrenaline coursing through your veins.  Your stomach and chest feel tight.  Your muscles feel tense.

• What emotion are you feeling?  Anger, fear, hurt

• What happened?  My husband communicated he would arrive home at 6pm but he did not arrive back until 7:30pm.  When he came in the door, he apologized for his lateness and explained that the flight had been delayed and he was unable to contact me to tell me.

• How did I interpret what happened? At about 6:20, I started to panic.  The story I made up was that he stopped by the strip club or one of his former affair partners’ homes on the way back from the airport and that was why he was late.

• Has a boundary been crossed?  We earlier agreed that if there were any change in travel plans, he would communicate those to me.  He could have sent a text or email to let me know it was delayed.  At the same time, I am in control of my own thoughts and emotions, and my reaction in our argument crossed a boundary line.

• What do I need? From him, I need commitment to clear communication about his travel plans.  From myself, I need grounding in the present and regulation of my emotions so I can see what’s true.

• How can I practice self-care in response to feeling activated?  I can ask directly for my spouse to re-commit to the boundary that we originally set.  I can call a friend and process my emotions with her.  I can spend time journaling or praying to practice emotional self-care.

What To Do If Your Spouse Has Depression

You’ve been noticing some changes in your partner.  She has a hard time getting out of bed in the morning.  He’s lost interest in the friends and outings he used to love.  She bursts into tears at the slightest provocation.  He talks about feeling overwhelmed, hopeless, and tired.

When your loved one is going through a season of depression, it can be difficult to know how to respond, especially if you’ve never experienced depression yourself.  When depression is not addressed in relationships, it can create emotional and relational problems that lead to divorce.  Depression affects communication between spouses, creates isolation from friends, and can lead to feelings of depression in the healthy spouse.  Conflict can escalate as your partner experiences irritability and shifts in mood.

How can you actively respond to your spouse’s depression in a way that doesn’t drive you apart, but that draws you closer together?

First, learn about depression.

Understanding the way depression works is the first step to supporting your spouse.  Read books and articles to learn more about depression symptoms.  Identify which symptoms are common for your spouse, and get to know the types of negative thoughts that characterize depression.  Learn about differences in severity and what to do if your spouse struggles with thoughts of suicide.  If you’ve just had children, learn about the symptoms of post-partum depression.  Identify if the depression is related to a situation like a death in the family, or if it’s a more chronic problem.

Reduce the stigma.

You might find that your spouse denies struggling with depression or feels ashamed at having to admit they need help. People with depression can dislike putting that fact about them on display.  They can feel stereotyped and marginalized as others minimize their concerns, saying words like, “It’s no big deal, you’ll cheer up soon.”  Encourage your spouse that what they’re experiencing is normal for depression, they don’t need to feel shame, and help is available.

Build your marital friendship.

John Gottman shares that a top prevention strategy for post-partum depression is building and maintaining friendship in your marriage.  You can foster this friendship in many ways.  Spend time asking each other questions to learn about one another’s worlds.  Go for a walk or exercise together, as exercise offers health benefits for depression and can be a great activity for connection.  Choose a sitcom on Netflix to watch and laugh together.

Talk about how you’re feeling.

Processing and understanding emotions in one another can be a great way to build intimacy and cope with feelings of depression.  Check in every day to find out how each of you are feeling, using a structure like Gottman’s stress reducing conversation.  Seek to understand your spouse, not to fix them. Take time to name the different emotions you experienced today.  Discuss a high and low moment from the day, identify things for which you are grateful, and affirm what you achieved throughout the day.

Create a game plan with your spouse for bad days.

In the ups and downs of depression, there will be days that are worse than others.  On bad days, it can be helpful to have a plan of activities to do to care for your spouse.  Pay attention to the triggers.  Explore ideas on what helps your spouse to feel better on bad days and encourage him or her to do them.  Offer a massage.  Practice gratitude together.  Encourage your spouse to take care of him or herself without pushing.

Be patient.

It can be easy to become angry with a spouse whose actions affect you.  If they have difficulty at work due to their depression, aren’t motivated to do fun things together, or have a hard time caring for children, it can feel like you’re taking on more responsibility.  In this case, share how you feel (gently) and seek to find a compromise or solution.  Be aware that talking about their struggles with depression or making suggestions on what to do might be met with defensiveness, so be mindful of taking a gentle approach. 

Respect and support their work in therapy.

Ultimately, if your spouse is struggling with depression, he or she needs to seek professional help. One way to support this process is to drive them to sessions with their therapist or psychiatrist.  When your spouse is in therapy, expect them to set boundaries and make changes in their life that may affect you, including cutting back on some responsibilities. If their therapist requests you come in for sessions or begin couples therapy, do so.  Request to come in for a session to learn about how you can support your spouse’s work with the therapist.

Prioritize your own self-care, friendships, and therapy.

As depression impacts your partner, you may tend to isolate from others as a couple.  It may be more difficult to have fun together.  It is important for you to cultivate your own relationships with friends and family to help.  Identify safe family members or same-sex friends who can be a support.  Be wary of depending too much on friends of the opposite sex, as that could lead to infidelity.  If needed, pursue your own therapy to learn about how to cope with the emotions and stress you’re experiencing.

Most importantly, if your spouse talks about thoughts of suicide or a plan to harm themselves, seek immediate medical help.  Drive your partner to the nearest ER facility or call 911.

It is important not to minimize this last point: if your spouse is talking about suicide, take action.  If you are unsure about the symptoms of suicidal ideation, call the suicide prevention lifeline (1-800-273-8255) and ask about warning signs.

As the spouse of someone struggling with depression, you have the power to make an impact in their healing.  My hope is that as you learn to care better for both yourself and your spouse, you’ll be able to experience greater intimacy as you fight back against depression together.