Romantic relationships are a cornerstone feature of normative development in adults, both younger and older alike. The health of these relationships has strong associations with several well-being outcomes and, in contrast, dysfunctional patterns in these relationships have significant adverse implications for both individuals, their dependents (e.g. children) as well as the broader society. National surveys between 2016 and 2019 found that 46% of women across five Caribbean countries had experienced at least one form of intimate partner violence, and the lifetime prevalence rates ranged from 39–48% across these countries. Global statistical trends have indicated that this problem has become even worse since the COVID-19 pandemic. This chapter will provide an in-depth discourse regarding romantic partnerships among Caribbean peoples, with distinct reference to a sample (N = 42) of Jamaicans in a romantic relationship with a partner for at least 7 months. The chapter will explore this in the context of widely known conflict management styles in couple relationships, and discuss associations between these styles and possible predisposing and perpetuating factors such as attachment styles and difficulties regulating negative emotions. The chapter will pull on preliminary data from ongoing research in the Caribbean, which will provide a preliminary evidence-base for several of the theoretical associations discussed and will engage the reader in a discussion about implications and suggested directions for allied health professionals (e.g. psychologists, counsellors and social workers) as well as broader policy considerations and future research pathways.