Understanding the frequently used skills, interventions, and assessments related to helping couples who experience the consequences of a variety of pertinent contemporary issues is an important knowledge for emerging systemic therapists. This chapter provides theoretical conceptualization, concise skill-based descriptions, relevant assessment measures, and examples so readers have a comprehensive understanding on how to clinically assist couples. The contemporary issues that are reviewed include infertility, adult attachment, premarital issues and warning signs, marital distress, crisis and disaster, substance abuse, financial stress, infidelity, intimate partner violence, divorce conflict, online addiction, and sex addiction and compulsivity. The chapter concludes by reviewing relevant assessment measures related to the contemporary couple issues described within the chapter.