Couple therapy models for pathological gambling are limited. Congruence Couple Therapy is an integrative, humanistic, systems model that addresses intrapsychic, interpersonal, intergenerational, and universal-spiritual disconnections of pathological gamblers and their spouses to shift towards congruence. Specifically, CCT's theoretical foundations, main constructs, and treatment interventions are illustrated in a progression of six clinical phases. Promise of CCT's systemic conceptualization and interventions for pathological gambling and future directions in its continuing evolution are discussed.