what form form of therapy would benefit this couple? Julia (formerly John) and her wife, Allison, have been married 11 years. They were high school sweethearts and best friends who married right after college. They own a successful business. They have a nice home, two children, and what friends and family considered the perfect marriage. During most of their marriage, John and Allison had a great sex life, seemingly very satisfying for both partners, but for the past six months, they have been having sex less and less. Allison had convinced herself that it was all her fault, that she had put too much energy into her children and her work, and she had "let herself go." At that time John assured her that was not the case. But three months ago, John came out as a transgender female and now wants to be called Julia. She says she is still in love with Allison and is still sexually attracted to her. However, Allison says she is not a lesbian. Julia is frustrated and hurt. Allison is confused and scared. The couple has always been committed and devoted to each other and to their family; however, their relationship has become.