— non-monogamy
Navigating non-monogamy in therapy: challenges, wounds, and real-life applications
Non-monogamy brings its own set of emotional dynamics to the therapy room — including past wounds that get triggered in ways that can surprise even the most willing participants.
Marisol G. Westberg, Ph.D., LMFT
Sex therapist & educator
— case example
When an open relationship agreement breaks down
This couple had been together for seven years. When they got together, the agreement was clear: they would play with others, sometimes together, sometimes separately. That arrangement worked for a while. Then things began to shift.
She started becoming increasingly restrictive — about what he could do, and what they could do together. He experienced this as a unilateral change to an agreement they had both made. She experienced it as a necessary response to repeated injury. By the time they came to me, there was significant contempt on both sides.
— what was underneath
“They were all running around in the backyard together, and then he took the other woman into the bedroom and locked her out.”
She came into this relationship already carrying wounds from being cheated on repeatedly in her previous marriage — old beliefs about not being chosen, not being enough. When moments like this happened, they didn’t just sting in the present. They reopened everything. In her wounded place, she reached for control — rules about what he could and couldn’t do — not because she was being unreasonable, but because that was the only way she could make the environment feel safe enough to stay in it.
01
The first session — finding what I could actually do
They came in expecting to resolve everything in one session. He was resistant from the first two minutes — eye rolls, dismissiveness, a low-grade contempt directed at both his wife and at me. She was visibly defeated. I could tell immediately that this was going to be a difficult room to work in.
My question to myself was: what can I actually accomplish here? Not what I would ideally do — but what is possible given who is in this room and where they both are right now?
His position was that she had simply changed her mind about their agreement — that her restrictions were a choice, not a response to injury. I offered some psychoeducation around wounding: when someone has been hurt the way she had been hurt, they don’t restrict because they want to. They restrict because their nervous system is trying to create enough safety to survive. Flexibility requires a baseline of safety. She didn’t have that. He heard it, reluctantly, as a nod. I hoped it planted something.
02
The second session — finding a way in
He returned for a second session still resistant — still skeptical of me, still harsh. I felt it. It throws you off. But you keep going.
The shift came when I tried something different. I said to him: what if her trauma was treated as a third presence in this relationship — something separate from her, something outside of both of them, that they shared the responsibility of dealing with together? Not her problem. Not something she was doing to him. A thing they both needed to face as a unit.
That landed. This is what we call externalization in therapy — separating the problem from the person so that the couple can stand side by side facing it, rather than facing each other across it. When the contempt shifts from the partner to the problem, the room changes.
Once that reframe took hold, both of them knew what came next. She knew: awareness, validation, communication. He understood — perhaps for the first time — that every re-injury was going to set the healing back, and that he had a role in preventing that. He wanted to book the next session immediately. Sometimes you just have to find a way in. That was the way in.
— what this case illustrates
Open relationships present with a wide variety of surface issues — agreements, rules, jealousy, logistics. Almost always, underneath those surface issues is something older: a wound that preceded this relationship, being re-activated by what’s happening inside it.
The rules and restrictions she imposed weren’t the problem. They were a symptom of someone trying to create safety in an environment that had stopped feeling safe. Treating them as the problem — which is how he experienced them — meant misidentifying what actually needed to heal.
There was also a clinical thread I noticed but set aside deliberately: his need for novelty and excitement had a quality that warranted exploration — never feeling satisfied regardless of how much was on offer. That’s worth returning to. But in a room where he wasn’t yet ready to acknowledge that his partner was wounded, there was no path to that conversation. Sometimes the most important clinical decision is knowing what not to say yet.
Non-monogamy — an increasingly discussed topic in both personal and therapeutic contexts — presents unique challenges and opportunities for those involved. As more individuals and couples explore open relationships, polyamory, and other forms of consensual non-monogamy, therapists are finding themselves at the forefront of helping clients navigate these complex dynamics.
Non-monogamy involves romantic or sexual relationships with more than one person, with the knowledge and consent of everyone involved. This could include polyamory, open relationships, swinging, and other arrangements where exclusivity is not a requirement. While this concept is liberating for many, it also challenges traditional relationship norms and often brings underlying issues to the surface.
01
The role of expectations and ideals
Traditional monogamous relationships are often laden with expectations and ideals that can be difficult to achieve. These expectations can lead to feelings of inadequacy and shame when they are not met. Non-monogamy allows individuals and couples to redefine their relationship terms — but it is essential to recognize that non-monogamous relationships are not free from challenges.
Expectations still exist in non-monogamous arrangements. When they are not aligned, they can cause significant emotional strain. Redefining the terms does not eliminate the need to negotiate them clearly.
02
Addressing past wounds
A critical aspect of successfully navigating non-monogamy in therapy is addressing past wounds. Many individuals enter non-monogamous relationships with unresolved issues related to rejection, abandonment, or feeling undesirable. These wounds can be triggered in non-monogamous contexts, where the potential for rejection or comparison is heightened.
Therapists must work with clients to identify and heal these wounds before they can fully engage in non-monogamous relationships. Someone with a history of feeling unworthy may struggle with their partner’s involvement with others, even if they intellectually support the concept. Healing these wounds is crucial for the emotional well-being of all parties involved.
03
The pressure to conform
In certain social environments, there may be a perceived pressure to engage in non-monogamous relationships — particularly if it is seen as a more “evolved” or “progressive” way of relating. Therapists should be cautious not to push clients toward non-monogamy if it is not truly what they want or are emotionally prepared to handle.
It is perfectly okay for someone to prefer monogamy. It is equally okay to choose non-monogamy, but only after careful consideration and genuine emotional readiness — not because of social pressure or a partner’s wishes.
04
The importance of emotional preparation
Successful non-monogamous relationships require a high level of emotional maturity and preparation. This includes being honest about fears, insecurities, and the potential challenges that may arise. A partner may fear being replaced or not being “good enough” — which can lead to jealousy and resentment if not addressed openly.
Therapists can help clients explore these fears and develop strategies for managing them — setting clear boundaries, practicing open communication, and building the emotional resilience that non-monogamous arrangements genuinely require.
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