Relationship and marital difficulties often cause or worsen anxiety, low mood, sleep disturbance, and chronic stress — and in some cases, an underlying mental health condition contributes to relationship conflict itself. A psychiatrist can assess whether relationship distress has developed into a diagnosable condition such as an anxiety disorder or depression, distinct from what a marriage counsellor alone would address. Common reasons patients consult a psychiatrist for relationship issues include persistent conflict with a spouse or partner, anxiety or panic linked to relationship uncertainty, difficulty coping after separation or divorce, and stress affecting sleep, appetite, or concentration.