A. I have had several couples in my practice come to see me who have been in long distance relationships. Perhaps they met on a vacation and then continued to communicate and visit each other over an extended period. At a certain point one of them (usually the one with the lower paying job) gives up his/her job and moves to the city where the other one lives to be with them, and has to start all over again without a support system of family, friends or work. All of a sudden that one person becomes their whole life, the center of their universe.
Perhaps with more advanced planning, some of these issues could be avoided. Also, it might be a good idea if the couple could even engage in counseling before they make the decision to move in together. Counseling is available by Skype. That may make it possible to avoid some of the issues which might arise.