I'll give you a question, please answer with step-by-step reasoning process. The couple explained they were having trouble communicating, it seemed every conversation took great what?\nOptions:\n- thinking\n- effort\n- laugh\n- force\n- medium

User
Every conversation took great effort because the couple was finding it hard to express their feelings and thoughts with each other. Inability to communicate effectively causes confusion and misunderstandings.
The answer: effort.
Assistant