How do i know if my relationships need to be improved?

Do you Matter?: Anytime a patient asks me this question, it usually suggest that they already either feel mistreated, or feel as if they give much more than they receive in the relationship. So i ask the simple question, & it usually helps them come to their own conclusion. In the relationship, do you matter? Do you feel appreciated? Fulfilled? Can you communicate openly with you loved one about any & everything.