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Emotionally Focused Couples Therapy (EFT)

EFT is a short-term treatment approach whose goal is the reconnection between partners.  EFT, developed by Drs. Susan Johnson and Les Greenburg, is based on John Bowlby’s Attachment research over 50 years ago.  Bowlby found that humans and higher primate animals appeared to have an innate need to feel attached to and comforted by a significant other. Adult attachment relationships are believed to have the same survival function as the mother-child bond, since ideally these attachments can provide the same love, comfort, support, and protection throughout the lifespan.  However, due to our relationship histories, and the negative interaction cycles we get into with our partners, many of us have difficulties with trust and expressing emotion to those who mean the most to us.

When couples argue about such issues as jealousy, sex, or money, the origins of these arguments are usually some form of protest from one partner about not feeling connected, not trusting, or not feeling safe or secure with the other partner.  When those we are attached to are not available, or are not responding to our needs to feel close or supported, we feel distressed.  We may become anxious or fearful, numb or distant.  These behaviors can become habitual or rigid modes of reacting to our partners.  Furthermore, these toxic behavior patterns seem to take on a life of their own as they cycle into repetitive couples’s interactions that cause pain, injury, and despair.  We focus on these patterns and work on changing these negative interaction cycles in a non-judgmental environment.

In a relatively short time, couples begin to recognize and eventually express their needs for love, support, protection, and comfort that are often hidden or disguised by the harsh and angry words used in repetitive self-defeating pattens of conflicts or arguments with each other.  Partners begin to “listen with the heart” one of the cornerstones of EFT - which mean listening not for the literal meaning of a partner’s words, but for the feelings that lie beneath.  In return, the other partner is better able to respond from their heart in kind.  This the emotional focus of Emotionally Focused Couples Therapy.

We view the building of “a safe haven” in your relationship as our primary task, and we will try to focus on your primary needs - to feel close, secure, and responded to - which probably underlie most of your couples conflicts.  Once this safe haven and feelings of connection are reestablished, you will be better able to manage conflict and the painful or difficult feelings that will inevitably arise from time to time in a close relationship.  Furthermore, without so much defensive ness, each of you will be able to send clearer messages and will be better able to hear the other’s perspective.  You will be better able to collaborate, problem-solve, and compromise - in short- you’ll be more of a team - which is the secret of a long-lived successful marriage!

Research on the Success of EFT

EFT appears to move couples from distress to recovery in 70-75% of cases, and created improvements in 90% of couples coming in for therapy.  EFT has been used with many different types of couples in private practice, university training center, and hospital clinics.  These distressed couples include partners suffering from disorders such as depression, post-traumatic stress and chronic illness.  To view further references, recent articles describing EFT therapy and books on EFT, please refer to the EFT website:  






An EFT Roadmap for Couples

Reprinted by permission from the ICEEFT Newsletter: The EFT Community News, 9th ISSUE, Spring 2011

Pat LaDouceur, Ph.D., L.M.F.T. Berkeley, California
Veronica Kallos-Lilly, Ph.D., R.Psych.

Sometimes the couples we see wonder, “where they are” in the therapy process. I (Pat) wanted to create something related to Hold Me Tight that would help them see their gains, understand the rough spots, and know what to look forward to. The following is a suggested approach.

Stage 1 – Understand Your Strengths and the Patterns that Keep You Stuck

Step 1: Set goals for counselling; understand some of the ways your relationship history affects your relationship now.

Step 2: Discover and describe the negative patterns of interaction you get stuck in. You and your therapist will track your interactions with your partner and identify where and how your communication breaks down.

Step 3: Emotions are stirred up in your relationship, especially when you get stuck in these negative cycles of interaction. Emotions also drive the cycle. You may first be aware of anger, frustration, anxiety, numbness or even withdrawal. Notice inside what other feelings are beneath these initial feelings, such as hurt, sadness or fear. Begin to share these “underneath” feelings with your partner. It is OK if it feels “bumpy” – it helps diffuse the cycle sometimes, but not always.

Step 4: Describe your cycle and recognize what the triggers are. Understand how the things that you do to protect yourself and your relationship affect and may even threaten your partner. Notice how you co-create the cycle: “we’re doing that thing again...the more I go after you, the more you withdraw because you’re feeling hurt...” Slow down your conversations so that you can tap into the feelings that are beneath the surface. Catch your own thoughts (e.g., “She doesn’t care” or “I don’t matter”) before acting on them. You might notice that you can hold back your knee jerk reactions to avoid the cycle. You might not know yet how to pull each other close and you might be afraid the “old way” will come back. However, when you discover that this negative cycle is the source of unhappiness in your relationship, you realize that your partner is not the enemy. You can then work together to gain control over this negative cycle and that already feels infinitely better.

Stage 2 – Create a New, Intimate Relationship Bond; Change Your Communication Patterns

Step 5: Both of you are now able to talk about your feelings that get triggered by the negative cycle; including things you might not have been able to say before. With less friction and more compassion between you, there is safety to explore your experience more deeply. We all have doubts about ourselves at times and may also have fears about depending on others. You may struggle with personal fears or insecurities in this relationship. You may have had life experiences that make it difficult to trust others to be there for you. With the help of your therapist, you can take turns and begin to share these “raw spots” with your partner. As you take these risks, your partner begins to truly see and understand where you are coming from, which creates empathy.

Step 6: This step involves staying engaged and listening to your partner’s disclosures. Your partner may share feelings that take you by surprise. You may feel disoriented or even hurt that you have not heard your partner share so personally like this before. It is OK to experience a mixture of emotions. Start by trying to understand at an emotional level what your partner is saying, without needing to change his/her experience or take responsibility for it yourself. Stay open to the possibility of experiencing and understanding your partner in a new way. Allow yourself to be moved by your partner’s new disclosures.

Step 7: Explore what helps you feel deeply connected, what is most important for you in this relationship. In this stage of therapy your therapist helps you find ways to ask for your needs in the relationship in a way that is both caring and direct. You can lean into and reach for your partner and he or she is able to reach back in a loving way. You have found a new way to relate when one of you feels stressed, hurt, or insecure. The bond between you shifts, becoming closer and more intimate. You can check out your perceptions and talk about feelings. You can listen with an open heart, be curious about one another and offer reassurance when needed. Both of you have a felt sense of “being there” for each other.

Stage 3 – Use New Communication Patterns to Solve Problems and Maintain Intimacy

Step 8: Revisit old problems or decisions that have been put on hold (e.g., parenting, finances, sex, family issues, health concerns, etc.) while staying emotionally connected. They don’t seem as loaded now that you feel heard, valued, close and secure. Focus on staying accessible, responsive, and engaged while talking about practical issues. Together, you can face any of life’s challenges more easily.

Step 9: Congratulations! You have reshaped your relationship. Or perhaps this is the first time in your relationship that you have felt a profound bond with one another. You have worked hard to get here, so it’s important to celebrate it and put safeguards in place to protect it. Create rituals together that privilege your relationship. Find ways of keeping this new way of relating strong


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