"My husband doesn't love me!  The only time he says he loves me is when he wants something."  I have heard those words more than once, and I usually prod a bit deeper, asking questions like, "Is he faithful to you?  Does he support you and the family?  Does he share in the responsibilities of the house?  Take care of the kids?  Bathe and change the baby?  Carry out the trash?  Ever give you a compliment?  Take you out for dinner?"