Couples therapy has faced challenges with the traditional one-hour-per-week format as it often led to restarting conversations and not addressing ongoing issues. This new high impact therapy model requires spending longer hours with partners to tackle problems effectively. The inefficacy of the previous system has been acknowledged due to the repetitive cycle of bringing in new complaints each week. While the effectiveness of the new approach remains to be seen, it highlights the shortcomings of the previous system. The speaker suggests that many couples therapists may lack the ability to comprehend system dynamics and long-term impacts, possibly attributing this to a higher representation of Democrats in the field. It is implied that individuals drawn to couples therapy might not fully grasp how to make it work efficiently, focusing more on monetary gains rather than impactful solutions.