Social media use (SMU) among millennials (i.e., persons born between 1981 and 1996) is considered a hallmark behavior, with nearly 79% of individuals in this age bracket reportedly using social media multiple times a day. Despite the potential benefits of social media access, this communication method impedes forming deep connections, posing detrimental consequences to enduring romantic relationships among millennials. In recent years, SMU among millennials has skyrocketed, potentially contributing to the increased relational ruptures during this time, such as increased conflict and infidelity rates. With social media providing an outlet for individuals to text, share thoughts, photos, and intimate messages—all with the possibility of evading being caught, the millennial culture is shifting the dynamics of romantic relationships. As a result, therapists are seeing an increased number of couples from the millennial culture with heightened relational dysfunction due to social media and the digital world. Now more than ever, clinicians must be equipped with the necessary skills and competencies to assist millennial romantic relationships impacted by SMU. An in-depth literature review will provide a landscape to examine the role of social media, online dating, partner selection, and issues surrounding infidelity over the last decade. This article will conclude with a case study and recommendations for best practices to help facilitate healing among millennial relationships affected by negative SMU.