This article offers an overview of selected literature on spirituality and mindfulness in couple therapy. It describes a simple and innovative Meditative Dialogue practice that is used in session to help couples develop compassion and empathy for themselves and each other as they work to strengthen and heal their relationships from the inside out. An illustration is offered to demonstrate the use of Meditative Dialogue in therapy with a gay male couple. The practice of engaging in Meditative Dialogue together has helped them move to a place of deep and connected healing, developing an increased flexibility and resilience in their marriage.