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Showing posts with label EFT couple therapy. Show all posts
Showing posts with label EFT couple therapy. Show all posts

Monday, October 14, 2024

Infidelity in Conflict Avoidant Couples

I'm focusing on an important topic for many relationships: Conflict avoidant couples and infidelity.

See my prior articles:



Infidelity in Conflict Avoidant Couples

As a brief recap:  
Conflict avoidant couples are couples who tend to avoid difficult conversations and conflicts. They often experience unexpressed anger, frustration and resentment which builds up over time and leads to big confrontations or to infidelity.

What Are Some of the Signs of a Conflict Avoidant Couple?
The following are some of the signs a conflict avoidant couple might experience:
  • Unexpressed anger, frustration and resentment that builds up over time
  • Refusing to participate in a difficult conversation
  • Withdrawing from a conflict (not just taking a break, but avoiding the conflict altogether)
  • A relationship based on assumptions and expectations instead of communication
  • Apologizing or agreeing with a partner (when you don't agree) just to avoid an argument
  • Feeling anxious at the thought of discussing something difficult with your partner
  • Hiding certain things from your partner, possibly including cheating
  • Focusing only on the good aspects of the relationship and avoiding problems
Why Do People in Conflict Avoidant Couples Cheat?
Cheating is not part of every relationship where a couple is avoiding conflict, but cheating is often a problem in conflict avoidant couples.

While these couples often appear happy to outside observers, the couples are often aware they have unaddressed problems within their relationship, but they don't know how to handle their problems. As a result, these issues remain unresolved.

Generally, people cheat in conflict avoidant relationships when certain circumstances come together, including: 
  • Mounting anger, resentment, frustration and stress in the relationship
  • An inability and/or reluctance to address these problems
  • An opportunity presents itself for cheating
In many cases the person who cheats has an unconscious wish to be discovered so they can get their partner's attention.

While it can be very hurtful for a couple to cope with infidelity, after the initial shock and hurt, it's important to understand how these problems developed in the relationship--whether the couple stays together or not.

Clinical Vignette
The following clinical vignettes are composites. All identifying information has been removed to protect confidentiality.

Jean and Bob
Jean and Bob, who were both in their mid-30s, were married for five years. 

During that time, Jean suspected Bob was secretly communicating with other women online because whenever she walked into the same room when Bob was on his cellphone, he would abruptly stop texting. This made her suspicious. 

Since she knew his password, Jean looked on his phone and she discovered he was sexting with another woman. 

Infidelity in Conflict Avoidant Couples

Jean was very hurt and angry by this discovery. When she confronted Bob, he apologized over and over again. He told her that, although he knew there was no excuse for sexting with another woman, he felt dissatisfied with their relationship for a while and sexting with another woman made him made him feel desirable. 

After they began couples therapy, Bob realized he had unconsciously hoped Jean would discover his texts so he could get her attention. He said he didn't know how to communicate his dissatisfaction to her and he regretted putting their relationship at risk. 

Over time they gradually worked through the hurt and anger. They learned how to rebuild trust in their relationship and communicate with each other about difficult topics. 

By the time they completed couples therapy, they felt much more comfortable having difficult conversations and, overall, they were both more satisfied with their relationship.

Mark and Tom
Mark and Tom, who were in their 40s, were married for three years. They had an agreement to as a consensually nonmonogamous couple, that they would be open and honest with each other about who they wanted to get involved with before they got involved. 

One day Tom discovered Mark was cheating when a friend told him that he saw Mark kissing a man at a local gay bar. This was a man Mark had not told Tom about, which went against their agreement. 

Infidelity in Conflict Avoidant Couples

When Tom confronted Mark, he was shocked when Mark broke down and admitted that he had many secret affairs throughout their relationship because he felt angry, frustrated and resentful about unaddressed problems in their relationship. 

After they began couples therapy, Tom felt too hurt by the extent of Mark's infidelity to forgive him, but they remained in therapy to end their relationship with as little animosity as possible. 

By the end of therapy they were able to part by honoring what was good about their relationship and acknowledging they could no longer be together.

Ann and Jane
Ann and Jane, who were in their early 40s, met at a local New York City LGBTQ meeting.  
Several months after they met, they moved in together. 

Their friends and families thought they were "the perfect couple" because Ann and Jane only talked about the positive aspects of their relationship. However, they both knew they were avoiding talking to each other about Ann's overspending and debt. 

As the years went by, they were spending less and less time together except when they both happened to be home.  They were basically coexisting in the same apartment.

One day Jane found Ann's credit card bill on the kitchen table and she discovered charges she didn't recognize. Initially, she avoided confronting Ann because she was in denial and she hoped the problem would somehow go away on its own. 

Infidelity in Conflict Avoidant Couples

But months later Jane discovered texts from other women who were thanking Ann for expensive gift cards. At that point, Jane knew she couldn't avoid a difficult conversation any longer so she confronted Ann, who admitted she was having secret affairs outside their relationship. 

During couples therapy, they learned that they had been avoiding conflicts with each other and the result was they were both feeling angry, frustrated and resentful. They also learned that their avoidance resulting in emotional estrangement between them.

In addition, Ann realized she "accidentally" left her credit card bill on the kitchen table in an unconscious attempt to get Jane's attention. 

Over time, they worked through the anger, hurt and pain related to Ann's affairs. They also learned how to communicate directly with one another, work through their problems and deal with Ann's debt. 

Ann also joined Debtor's Anonymous (D.A.) and she sought help to consolidate her debt.

Conclusion
Infidelity can occur in any type of relationship whether the relationship is monogamous or consensually nonmonogamous. 

Cheating can occur regardless of age, sex, sexual orientation, or other factors as illustrated in the three vignettes in this article. Although the couples were different each vignette, they were all conflict avoidant.

In some instances the partner who is cheating has an unconscious wish for their partner to know about the infidelity as a way to bring to light problems they're unable to communicate about due to the conflict avoidant nature of their relationship. 

Although it's difficult, most couples decide they are emotionally invested in their relationship and they don't want to end it. In many cases, they're able to work through their problems in couples therapy.

After the infidelity is discovered, many couples can learn to work through their issues and regain trust in couples therapy. However, some individuals, who have been hurt by their partner's cheating, feel the emotional pain is too much to bear, they can't trust their partner, and they end the relationship.

A skilled couples therapist has no agenda of her own. Depending upon the couple's goals in therapy, a couples therapist can work with a couple to either strengthen the relationship and rebuild trust or to end it with as little animosity as possible. 

Many couples, who decide to split, also use couples therapy to learn how to talk to their children about the split and they also learn to co-parent together (see my articles: How to Talk to Your Children About Divorce and Co-parenting After Divorce).

Getting Help in Couples Therapy
If you and your partner have been avoiding conflicts in your relationship by "sweeping problems under the rug", you could benefit from seeking help in couples therapy.

Getting Help in Couples Therapy

Seeking help in therapy sooner rather than later usually offers you a better chance of working through problems.

A skilled couples therapist can help you to discover and work through the negative cycle in your relationship that causes you both to avoid conflict. 

You can also learn how to work through infidelity, if that's what you both choose to do, and learn to improve communication.

If you have tried unsuccessfully to resolve relationship problems, seek help in couples therapy so you can have a more fulfilling relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.





















Thursday, February 9, 2023

What is Emotionally Focused Therapy For Couples (EFT)?

This article was updated on September 16, 2026.

Developed by Dr. Sue Johnson in the 1980s, Emotionally Focused Therapy (EFT) is an empirically validated framework designed to repair relational distress by restructuring core attachment bonds.  
 
Today, this internationally recognized approach is utilized across specialized clinics, hospitals, and private practices globally—supported by training bodies like the International Centre for Excellence in Emotionally Focused Therapy (ICEEFT) and local networks such as the New York Center for Emotionally Focused Therapy (NYCEFT).  
 
As a licensed mental health professional in New York City, I use EFT to help couples move from chronic conflict cycles into deep, secure emotional safety.
 
A comforting close-up photo of a couple gently holding hands on soft fabric, serving as a visual metaphor for secure attachment and relational healing through Emotionally Focused Therapy (EFT
What is Emotionally Focused Therapy For Couples (EFT)?

What Are the Stages in Emotionally Focused Couple Therapy (EFT)?
There are three stages of EFT Couple Therapy:
  • Stage 1: De-Escalation:  As part of the first stage of EFT Couple Therapy, the EFT couple therapist begins by assessing the couple's interaction style, which cause conflicts.  She also helps the couple to identify the negative cycle/attachment emotions, and frames the problem based on the cycle, attachment needs and fears.
  • Stage 2: Restructuring the Bond and Changing Interaction Patterns:  During the second stage of EFT Couple Therapy, the EFT therapist assists each person in the relationship to voice his or her attachment needs and deep emotions.  The EFT therapist coaches each person on how to express acceptance and compassion for the other partner's attachment needs and deep emotions.  Each member of the couple is also coached in how to express his or her own attachment needs and emotions and how to discuss the issues that are causing conflicts.
  • Stage 3: Consolidation:  The EFT couple therapist coaches the couple on how to use new communication styles to talk about their problems and come up with new solutions.  The couple also learns to use the skills they learned in EFT couple therapy so they create and use new interaction patterns after they leave EFT couple therapy.
Conclusion
EFT Couples Therapy is a well-researched method that helps couples to improve their relationship.  It has been studied extensively and shown to be effective.

EFT Couples Therapy was developed by Sue Johnson, and it is based on attachment theory, Rogerian therapy, and a theory of adult bonding.

Although the stages are presented in a linear way in this article, in reality, just like any other form of therapy, the process isn't always linear.

Since the couple is coached to identify and change the negative cycle in their relationship, they learn to stop blaming each other.  Instead, they learn that there are "no bad guys"--just a negative cycle that they can learn to change.

Getting Help For Your Relationship in EFT Couple Therapy
If you and your spouse or partner are stuck in a negative cycle, you can get help from an EFT couples therapist.

Your EFT couples therapist can help you to restructure the bond in your relationship so you change the negative cycle, express your emotional needs and gain acceptance and compassion for your partner's and your own emotional needs.

About Me
I am a licensed New York City psychotherapist, EFT couple therapist, AEDP, EMDR, IFS therapist, Hypnotherapist, Somatic Experiencing and Certified Sex Therapist.

I have helped many individual adults and couples over the years.

I offer a free 15 minute phone call before setting up an appointment.

I see clients in my office in Greenwich Village, New York 10011 and online.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

Contact Information:
Telephone: (917) 742-2624 during regular business hours

Sunday, March 22, 2020

Resilience: Accepting Your Negative Emotions During a Crisis

During times of crisis, it's common for people to experience negative emotions (see my article: Overcoming Your Fear of Negative Emotions, Allowing Yoursel fto Feel Your Feelings So You Can Heal and Developing a More Resilient Self in Therapy).

Resilience: Accepting Your Negative Emotions Duirng a Crisis
These negative emotions include:
  • Anxiety
  • Fear
  • Panic 
  • Sadness
  • Depression
  • Grief
  • Self doubt  
  • Anger
  • A sense of foreboding about the future
  • Confusion
  • And other negative emotions
Although it's not pleasant to experience these emotions, acknowledging and accepting these emotions is an important step to working through them and getting to the other side to develop a more resilient self (see my article: Changing Maladaptive Coping Strategies That No Longer Work For You: Avoidance).

When you resist feeling your negative emotions, these emotions intensify and become stronger.  They also have a way of surfacing in other ways that you might be unaware of, including:
  • Headaches
  • Muscle aches
  • Back problems
  • Gastrointestinal problems
  • Insomnia
  • Diabetes
  • Obesity
  • Heart problems
  • Asthma
  • Premature aging
  • Other stress-related health problems

How to Cope With Negative Emotions
  • Rather than trying to avoid feeling your negative emotions, acknowledge them.  
  • Recognize that your emotions aren't facts and that they might be fleeting, especially if you don't try to ignore them.
  • Recognize that everyone has negative emotions at some point.  Don't judge yourself for your emotions.  
  • Rather than struggling against your negative emotions, accept your emotions as being an experience that you're having at the moment.
  • Write down your emotions in a journal so that these emotions don't overwhelm you (see my article: Journal Writing Can Help to Relieve Stress and Anxiety).
  • If you find you can't manage your negative emotions on your own, seek help from a licensed psychotherapist who can help you to work through your feelings (see my article: Therapy Can Help You to Stop Avoiding Negative Emotions).

Resilience: Accepting Your Negative Emotions During an Emotional Crisis
The following vignette illustrates the benefit of accepting and acknowledging negative emotions:

Tom
After his wife, Carol, told him that she was unhappy in their marriage and she might want a divorce, Tom tried to persuade Carol to try to work through their issues.  He tried to reason with her that they had invested 10 years into their marriage and their divorce would be devastating for their two young children.

Although he knew they had been having problems, especially when he had to work long hours at his job and Carol felt unsupported at home, Tom assumed that he and Carol would eventually work things out.  But she expressed doubt about working out their issues.

Initially, he was shocked.  He felt like he was living through a nightmare and he would wake up at any moment from this bad dream.

After a week, he felt an overwhelming sense of anxiety and sadness.  So, he tried to distract himself by getting more involved in his work.  He spent even more time in his office than usual, which only annoyed Carol even more.

But late at night, he had problems falling asleep.  In the morning, he was exhausted and he developed digestive problems.  He also developed headaches that were so debilitating that he had to stay home from work, which left him a lot of time to think about his marital problems.

When Tom could no longer tolerate his health problems, he saw his medical doctor, who ruled out any physical problems.  He suggested that Tom seek help in therapy to deal with the stress and anxiety related to his problems with Carol.

At first, Tom told his medical doctor that he didn't want to "dwell" on his problems--he wanted to distract himself from them.

But his medical doctor, who was knowledgeable about the mind-body connection, told Tom that he was having all of these physical symptoms precisely because he was trying to avoid feeling them, and the only way for Tom to get a handle on his emotions was to work through them in therapy, "Your mind and your body are connected.  When you try to suppress feeling your emotions, they're going to come out in some other way--including getting you physically sick."

So, somewhat reluctantly, Tom sought help in therapy.  Even though it was painful to talk about his anxiety and sadness about his marriage, he realized that he also felt better after his therapy sessions.

Tom felt a positive connection with his therapist.  He also felt emotionally supported by her so that he no longer felt alone and that he had to carry these feelings by himself.  She suggested that he keep a journal to write down his feelings between therapy sessions, which he found helpful.

Shotly after he began therapy, Tom realized that he worked long hours on his job to avoid Carol and how inadequate he felt as a husband and a father. He also realized that he no longer wanted to distract himself with work.  He preferred to deal with his emotions as they came up and talk to his therapist about them in their sessions.

So, Tom stopped volunteering to do extra projects at work and spent more time at home.  Since he was home more, he spent more time with his children and helping Carol around the house, which she appreciated.  This resulted in their getting along better, and Tom realized that he could be a good husband and father.

Tom realized that Carol was no longer talking to him about the possibility of getting a divorce, so he asked her if she would like to go out for dinner at her favorite restaurant.  To his surprise, she accepted his invitation and they had a good time--something they had not experienced together in several years.

Soon after that, Carol suggested that she take the children to her mother's house for the weekend so she and Tom could spend quiet time together.  It was the first time in a long time that they were sexually intimate and enjoyed being together.

Throughout this period, Tom continued to go to his individual therapy sessions, and he was starting to feel hopeful again.  Whenever anxiety, sadness or self doubt surfaced for him, he followed his therapist's recommendation to acknowledge his feelings, accept them and to recognize that they were just feelings and "feelings aren't facts."

Tom also continued to write in his journal between therapy sessions and felt a sense of relief each time that he poured his feelings out in writing.

At his therapist's suggestion, he spoke to Carol about attending couples therapy to work through issues that still remained, including Carol's concern that Tom's workaholism would become a problem again.  To his surprise, Carol agreed to give it a try.

Tom's therapist recommended an Emotionally Focused Couples therapist to work through their issues, and within a few weeks, they were making progress (see my article: What is Emotionally Focused Therapy For Couples?).

Although Tom regretted that he had wasted so much time trying to avoid his negative emotions, he was also relieved that he had learned to accept them.  He felt himself becoming more resilient to deal with his marital problems as well as other problems that came up in his family.

Attending Emotionally Focused Therapy for Couples (EFT) gave Tom and Carol the necessary tools to work through their problems and, over time, it strengthened their relationship.

During his individual therapy sessions, Tom began to feel much more hopeful that his marriage with Carol would work out.

Resilience: Accepting Your Negative Emotions Duirng a Crisis

Tom's increased sense of hopefulness and resilience created an upward spiral for him as an individual as well as in his relationship with Carol.

Conclusion
Even though this article focused on relationship issues, the strategies recommended in this article can apply to any situation where you feel inundated by negative emotions and you're tempted to try to avoid them (see my article: Resilience: Bouncing Back From Life's Ups and Downs).

Getting Help in Therapy
We all need help sometimes.

If you're negative emotions are overwhelming you, you could benefit from seeking help from a licensed therapist, who can help you to develop the necessary tools to deal with your emotions and become more resilient to cope with your problems.

Rather than suffering on your own, seek help from a licensed mental health professional in your area.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, and Somatic Experiencing therapist.

I work with individual adults and couples (EFT couples therapy).

During the current health crisis, phone sessions or online therapy sessions are available for clients in New York State.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.














Wednesday, September 25, 2019

Why Do Core Emotional Issues Get Triggered in Romantic Relationships?

When you're involved in a serious romantic relationship, you are at your most emotionally vulnerable.  So, it's no surprise that core emotional issues often get triggeredwhen you're in love.

See my article: Relationships: Fear of Being Emotionally Vulnerable


Core Emotional Issues Get Triggered in Relationships

Of course, there are usually many positive emotions that come up too when you feel loved and cared about and when you feel the same way for someone else.  But many people discover that several months into the relationship (and sometimes even before that) they begin feeling vulnerable as they realize just how important their partner is to them and how hurtful it would be if it didn't work out.

This emotional vulnerability is usually felt even more acutely when either one or both people have experienced emotional trauma from the past, including family of origin issues, prior breakups or earlier losses.  These old wounds tend to get triggered in the current relationship--even though the relationship might be going very well.  And, if it isn't going well, the current problems can trigger old emotional wounds even more.

Many people find the periods of time in a relationship when it's unclear if the relationship will go to the next level the most anxiety provoking.  These transitional times can include going from casual dating to a monogamous dating, from monogamous dating to being in a committed relationship and the period from a committed relationship to living together or getting married.

If one of both people are ambivalent about the next step, it can be unnerving as each person weighs the risk of remaining emotionally open to the other.  It helps a lot if the couple can talk about it openly.  But if they can't or if their talks are unproductive, they could benefit from couples therapy.

Clinical Vignette:  Why Do Core Emotional Issues Get Triggered in Romantic Relationships?
The following fictional clinical vignette illustrates how core issues are triggered as a romantic relationship transitions from casual dating to a more committed relationship:

Ann and Ted
After they met at a party, Ann and Ted, who were both in their mid-30s, began dating casually about once a week.  During the initial few weeks, they enjoyed each other's company, especially since they had so many common interests.

Two months into the relationship, Ann realized how much she cared for Ted, and she wondered if he was seeing other women.  She wasn't sure how to bring this up. On the one hand, she didn't want Ted to think she was being too demanding of his attention but, on the other hand, she was becoming increasingly worried that as she began to really like him, he might become interested in someone else.

When her worries became greater than her fear of appearing demanding, she broached the topic with Ted over dinner.  Initially, she felt anxious and she feared taking the emotional risk of making herself vulnerable when he might not feel the same way.  But she knew she needed to address this issue, so she told Ted she thought they needed to have a talk about their relationship (see my article: Dating: Is It Time to Have the Talk?).

Upon hearing Ann's words, Ted's expression shifted and Ann could see that he looked worried, "Is everything okay between us, Ann?"  In response, Ann took the risk and told Ted that she really liked him and she would prefer it if they could date each other exclusively rather than dating other people.

When she heard Ted laugh, Ann was confused until he said, "Oh...You looked so serious--I was worried that you were going to say that you didn't want to see me anymore. I'm not dating anyone else and I feel the same way that you do."

During the next few weeks, after they talked about how much they both cared for one another, their relationship deepened, and they spent more time together than before.  With the deepening of their relationship, they enjoyed each other's company even more and made vacation plans for the summer.

However, soon after that, Ann became worried again because she realized she had fallen in love with Ted, and she worried that if their relationship didn't work out, she would be devastated.  She thought about her last long term relationship where she and her fiancé had plans to get married, but their relationship fell apart just a few months before the wedding after he got "cold feet" and ended the relationship.

Even before that engagement, Ann tended to be skeptical about relationships.  Her parents divorced when she was only six months old.  Since her father disappeared from her life after the divorce, Ann never had a relationship with him.  Her mother, who never remarried or even dated after she and Ann's father were divorced, had very negative views of men.  She would constantly warn Ann not to trust men, and she even tried to discourage Ann from dating.

Although Ann rebelled against her mother's negative views about men and began dating in high school, she never felt completely free of her mother's views.  Even though she liked boys and she wanted to be in a relationship, she feared that her mother might be right.

When her fiancé left her, Ann couldn't help feeling that this was a sign that her mother might be right that she shouldn't trust men.  It took Ann a couple of years to overcome the pain of that loss. She was very hesitant to get involved again, but she didn't want to resign herself of a life of being alone.  So, when she met Ted, she decided to give dating another chance.

But as her feelings for Ted grew, her fear also continued to grow.  Aside from this, she wanted to have children, and she feared that if she waited too long, she might have problems getting pregnant.

There were days when she almost wanted to end the relationship rather than face the possibility that at some point in the future he might leave her.  On a rational level, she knew that there were no signs of this but, on an emotional level, her fear became overwhelming.

They were now dating exclusively for six months, and Ann knew that Ted wouldn't initiate a conversation about where they were in their relationship.  He seemed to be content with the way things were going between them.  So, she knew she would have to do it, but she was even more fearful than she had been the first time they talked.

One night when they were out to dinner, Ted noticed that Ann was much quieter than usual, and she was just pushing the food around her plate, so he asked her, "Is something wrong, Ann?"

Ann's initial inclination was to try to smile and say that there was nothing wrong, but she couldn't do it.  She was barely holding back tears.  She knew that Ted was aware of how devastated she felt when her engagement ended suddenly because they talked about their history of relationships soon after they started dating.  But she wasn't sure if he knew about the lasting effect it had on her and how it was affecting their relationship.

With much effort, Ann told Ted about her fears of getting hurt in their relationship and how it was becoming increasingly difficult for her to cope with those fears.  While she was telling him about this, she could barely look at him because she felt so ashamed.  She was sure that he would think she was being ridiculous and that her fears would push him away.

But, to her surprise, Ted listened and he was very understanding.  Although he had never experienced the kinds of losses that Ann experienced, he was deeply moved by her fears and sadness.  He gave her the time and space she needed to express her feelings without being judgmental.  Then, he assured her that his feelings for her had deepened over time and he had no intention of leaving her.

Ann was momentarily relieved to hear this, but her fears continued to mount.  She was afraid that her fears would bring about the end of the relationship, so she suggested that they go to couples therapy.

At the recommendation of a friend, who attended Emotionally Focused Therapy (EFT) for couples, Ann and Ted began couples therapy.  With the help of their EFT couples therapist, they developed a better understanding of their attachment styles and how these attachment styles affected their relationship (see my article: What is Emotionally Focused Therapy (EFT) For Couples?).

After the EFT couples therapist recommended that Ann attend her own individual therapy to deal with the loss of her father, which was getting triggered in her current relationship, Ann started individual therapy.  In her individual therapy, Ann was able to separate out her family of origin experiences and losses (including the negative views about men that her mother attempted to impart on Ann) and her current experiences with Ted.

Both Ted and Ann discovered in EFT that they had different communication and attachment styles, and they learned how to communicate better (see my article: How Your Attachment Style Affects Your Relationship).

Most importantly, they learned how to be emotionally vulnerable with each other in order to ask for what they needed from one another and to enhance their relationship (see my article: EFT Couple Therapy: Learning to Ask For What You Need From Your Partner).

At the same time, Ann got more comfortable with trusting that, even though she knew there were no guarantees, things would work out between them, especially once she was no longer triggered.

Conclusion
Core issues, including emotional insecurities, old emotional wounds, and negative beliefs about oneself, often get triggered in romantic relationships because people are most vulnerable when they open themselves to loving another person.

When there is a history of loss and emotional trauma, it's not unusual for these issues to enter into the relationship and cause one or both people to become fearful of getting hurt.

Emotionally Focused Therapy for couples, which has been well researched, is an effective couples therapy to work out these and other relationship issues.

When one or both people have previous trauma that is affecting the current relationship, it's often beneficial to also seek help in individual therapy.

Getting Help in Therapy
Fear due to previous losses and trauma often have a significant negative impact on romantic relationships.

Being able to separate out the trauma from the past from the current relationship is difficult to do when someone is being triggered.  It takes the expertise of a trained trauma therapist or EFT couple therapist to begin to help people to uncouple these issues.

Understanding that you and your partner might have different attachment styles and how these attachment styles affect your relationship is an important component of EFT couples therapy.

If you're having problems in your relationship, rather than allowing your relationship to deteriorate, you owe it to yourself and your partner to get help so you can have a more fulfilling, loving relationship.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

I am trained in Emotionally Focused Therapy for couples and I have found it to be an effective modality for helping couples to overcome their problems.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.























Thursday, January 31, 2019

Learning to Become More Emotionally Responsive to Your Partner in EFT Couple Therapy

Couples often feel frustrated by recurring negative cycles in their relationship.  Even couples who really love each other and want to be there for each other get stuck in these negative cycles (see my article:  What is Emotionally Focused Couple Therapy (EFT)?)

Learning to Become More Emotionally Responsive to Your Partner in EFT Couple Therapy

Emotionally Focused Therapy for couples provides couples with an opportunity to identify their negative cycles and, with the help of an EFT-trained couple therapist, learn how to restructure their interactions with each other (see my articles:  EFT Couple Therapy: Working Together to Overcome the Negative Pattern in Your Relationship).

Emotional responsiveness is an essential part of a loving relationship.  But a common problem in many relationships is that each individual in the relationship has a different concept of what being emotionally responsive means, and this is one of the problems that can perpetuate a negative cycle.

Fictional Vignette: Learning to Become Emotionally Responsive to Your Partner in EFT Couple Therapy:
The following fictional vignette is typical of the dynamic that often occurs in couples when there are problems with emotional responsiveness.  Even though this vignette is presented with the woman and man having particular dynamics, these dynamics can occur with either a man or a woman.  In addition, these dynamics also occur in same-sex relationships.

Sam and Nina
Several months into their relationship, Sam asked Nina to move in with him.  Although she loved Sam and she knew he loved her, Nina told him that she was hesitant to take the relationship to the next level because she felt he wasn't as emotionally responsive to her as she would like him to be.

At first, Sam was surprised to hear Nina say this and he asked her to give him examples of when this occurred.  Nina gave Sam several examples of when she needed his emotional support and, instead of being emotionally present with her, Sam overlooked how upset she was and gave her suggestions on how to "fix" the problem.

Sam listened carefully as Nina spoke, but he couldn't understand why Nina thought he wasn't being emotionally supportive by recommending ways to "fix" her problem.

Nina tried to explain to Sam that she wasn't looking for him to "fix" her problems, which included longstanding complex problems with her parents.  Instead, she just wanted him to listen and be emotionally present with her as she talked to him about these problems.

No matter how Nina tried to explain what she felt she needed from Sam emotionally, he remained confused.  By the end of their discussion, Nina felt frustrated that Sam didn't understand, and Sam felt irritated that Nina couldn't see that if she used some of his suggestions, she wouldn't have these problems anymore, "Isn't it better to have a solution?"

When Nina told Sam that she thought this problem between them was significant enough for them to go to couple therapy, he told her that he thought she was making things unnecessarily complicated between them and he didn't see why they needed to go to couple therapy.

But as the weeks passed and they were both feeling emotionally distant from each other, and Nina expressed doubts about the relationship, Sam told Nina, reluctantly, that he would agree to go to couple therapy to try to work things out between them.

Since Nina's friend told her that she and her spouse had a very good experience in Emotionally Focused Therapy for couples (EFT), Nina sought an EFT couple therapist.

Initially, Sam was sure that the EFT couple therapist would take Nina's side and blame him for their problems, especially since the therapist was a woman.  But he was surprised that the therapist was evenhanded with each of them and she understood and was able to reflect back Sam's and Nina's individual points of view about their problems together with empathy.

Nina and Sam were both pleased that the EFT couple therapist was able to help them to identify the negative cycle where they got stuck as a couple.

Specifically, the therapist assessed that when Nina told Sam that she wasn't getting what she needed from him, Sam felt criticized and blamed, which caused him to withdraw from Nina.  And when Sam withdrew from Nina, she became angry and frustrated and she would become more strident in her efforts to try to get Sam to understand (see my article: What Happens During Stage One of Emotionally Focused Couple Therapy (EFT)?.

Nina's reaction, in turn, caused Sam to withdraw even further, and the negative cycle went on and on (see my articles: How EFT Couple Therapy Helps "Pursuers" to Become Aware of Primary Emotions to Improve Their Relationship and How EFT Couple Therapy Helps "Distancers" to Become Aware of Primary Emotions to Improve Their Relationship).

Both Nina and Sam agreed that this was their negative cycle.  Sam asked the therapist, "It's great that we know what our negative cycle is, but how do we fix it?"  Hearing him say this, Nina rolled her eyes in anger and frustration and turned to the therapist, "You see?  This is what I have to deal with.  Right away, he wants to know how to 'fix' it" instead of trying to get a deeper understanding of it."

When Sam saw Nina roll her eyes, he folded his arms defensively and slumped in his chair.  It took several more sessions for Nina to stop criticizing Sam and for Sam to understand that therapy, including couple therapy, is a process.  She told them that she felt confident that they would eventually both learn to be more emotionally responsive to one another.

When Nina got to the point where she understood in couple therapy that Sam genuinely wanted to be emotionally responsive to her and improve their relationship and, at the same time, his earlier family experiences were an obstacle for him, Nina became much more open and compassionate towards Sam.

When Sam experienced Nina as more open and compassionate towards him, Sam was more willing to see how Nina's family background had a negative impact on her in their relationship.  He also became much more patient with the couple therapy process.

They both came to understand that an intellectual understanding of their relationship dynamic was not enough and to achieve the changes that they each wanted, the shift would have to occur on an emotional level.

With the help of their EFT couple therapist, Sam and Nina began to restructure their dynamics in their couple therapy sessions by allowing themselves to be emotionally vulnerable with each other to say what they each needed (see my article: What Happens During Stage One of Emotionally Focused Couple Therapy (EFT)?).

At first, when they learned to do this in their couple therapy sessions, they thought they were done with therapy.  But, as their EFT couple therapist told them, they discovered that, at that point, it was difficult to do this on their own without the help of their therapist.  They needed a lot more practice in their sessions to begin to have success on their own.

Like most dynamics in therapy, Nina and Sam found out that their individual progress in couple therapy was often two steps forward and one step back.  But over time, they each became more comfortable being emotionally responsive to each other when they were on their own.

Sam learned how to listen to Nina in an emotionally present and responsive way.  Most of the time, he was no longer focused on "fixing" things between them.  And Nina learned to stop criticizing and blaming Sam when he occasionally slipped up and reverted back to trying to "fix" the problem.

They both learned that, even though they were bound to make mistakes with each other, as everyone does, the most important thing was that they knew how to turn towards each other (rather than away) to emotionally repair their interactions with one another.

Conclusion
In every couple, each person brings a family history that impacts how s/he relates in an adult romantic relationship.

Having compassion and empathy for one another and being willing to change a negative cycle is key to a successful relationship (see my article: EFT Couple Counseling: New Bonds of Love Can Replace a Negative Cycle in Your Relationship).

Learning to Become More Emotionally Responsive to Your Partner in EFT Couple Therapy

How each person in a relationship defines and thinks about being emotionally responsive might be different.

Emotionally Focused Therapy (EFT) for couples is a well-researched, powerful tool to help couples to learn to recognize their negative cycle and change it with the help of the EFT couple therapist.

The EFT couple therapist helps the couple to learn new ways of interacting in their sessions so that, eventually, they can interact in a more emotionally responsive way with each other when they're on their own--instead of remaining stuck in a negative cycle.

Getting Help in Emotionally Focused Therapy (EFT) Couple Therapy
Rather than struggling on your own, you and your partner could benefit from Emotionally Focused Therapy so that you can have a more loving and emotionally satisfying relationship.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and Emotionally Focused therapist for couples.

I have worked with individuals and couples for over 20 years.

I work with heterosexual, lesbian, gay, transgender and queer couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.















Saturday, October 6, 2018

With Experiential Therapy, There Are No Blank-Slate Therapists - Part 2

In my prior article, I began a discussion about how experiential psychotherapy is different from conventional psychotherapy.  I discussed that some therapists in conventional therapy still work with their clients from a stance of neutrality with little to no self disclosure.  This is in contrast to experiential therapy where the psychotherapist is a dynamic, empathic, emotionally accessible, and a collaborative presence in the therapy session with the client (see my article: Why Experiential Psychotherapy is More Effective Than Conventional Talk Therapy).

With Experiential Therapy, There Are No Blank-Slate Therapists

Fictional Clinical Vignette: With Experiential Therapy, There Are No Blank-Slate Therapists
The following fictional clinical vignette, which is representative of the issues being discussed in this article, illustrates the difference between experiential psychotherapy and conventional psychotherapy where the therapist takes a neutral stance with the client:

Alan
Attending therapy twice a week, Alan endured long silences in his therapy sessions with his conventional talk therapy psychotherapist.

Alan dreaded these silences because it reminded him of the times when he was a young child and he and his parents sat in stony silence at the dinner table.  During those days, when he attempted to talk at the dinner table about things that went on at school, his father would reprimand him, "Be quiet and eat your food" (see my article: Growing Up Feeling Invisible and Emotionally Invalidated).

Afterwards, his mother would oversee his nightly ritual of washing up and putting on his pajamas before he went to bed.  He often wished that his mother would read him a bedtime story, which is what his friend, Tom's mom would do when Tom went to bed.  But having asked his mother for a  bedtime story in the past, Alan knew that his mother would reject his request and just tell him to go to sleep.

As he lay on the couch in his therapist's office for his second session of the week, he stared at the ceiling as he became increasingly uncomfortable.  From behind him, Alan could hear his therapist shift slightly in his chair, but that was the only sound that Alan heard.  He knew from his prior sessions that his therapist could go nearly an entire session without saying anything if Alan didn't know what to say.  Alan dreaded those long silences and he hoped this wouldn't be one of those sessions.

Clearing his throat to speak, Alan said in a low voice, "I'm not sure what else to talk about.  We have discussed so many times before how I feel like I'm an unlovable person and how lonely that is for me.  I don't know what else to say about it" (see my article: Overcoming the Emotional Pain of Feeling Unlovable).

From behind him, Alan heard his therapist writing, but his therapist didn't respond to Alan's remark.  Alan thought about how he had been coming to therapy with Dr. Walsh for three years, and he felt he wasn't making any progress.  In the past, when he mentioned this to Dr. Walsh, he told Alan that it would take many years of therapy for Alan to see progress (see my article: Common Myths About Psychotherapy: Therapy Takes a Long Time).

Alan, who was about to turn 35, didn't feel like he could endure his emotional pain without relief for several more years.  Whenever he told his therapist this in the past and asked his therapist what he thought was getting in the way of his progress, his therapist turned the question back on Alan and asked Alan what he thought.  But Alan didn't know what he thought, and this was frustrating to him.

After enduring another session where they were mostly silent, Alan left feeling worse than before the session.  As he walked to meet his friend, Ed, for coffee, Alan thought about how he knew nothing about Dr. Walsh even though he had been attending twice-a-week sessions with him for three years.

At one point in an earlier session, he asked Dr. Walsh if he had ever experienced feeling as insecure in his life as Alan was feeling, but Alan didn't get an answer.  Dr. Walsh, once again, turned the question back on Alan and wanted to explore the question rather than answer it.  This left Alan feeling like he had done something wrong by asking the question, and he felt ashamed.

On the rare occasions when Alan looked back to see Dr. Walsh, he saw a very serious, authoritarian look at Dr. Walsh's face similar to the look that his father used to give him.  During those times, Alan wondered if Dr. Walsh even liked him or thought about him when they weren't in session.

In the coffee shop, Alan shared his frustration with Ed about his therapy sessions, "I just feel like I'm getting nowhere in my therapy, and I worry sometimes that my therapist might not even like me.  He's kind of distant and impersonal in the sessions so it's hard to tell."

Ed looked surprised.  He said his therapist was completely different--she was emotionally engaged, supportive and dynamic in their therapy sessions.  He told Alan that she was active in helping him to get to the underlying emotions (also called primary emotions) that were at the core of his problems, and this helped him to start making changes.

In addition, Ed explained, she occasionally shared stories that let Ed know that she understood his problems.  There were also times, he said, when they laughed in session, and Ed felt how this helped to release tension and open him up to the therapeutic process (see my article: Humor Can Be Effective in Therapy).

Alan was shocked to hear that Ed's experience in psychotherapy was so different from his own, and he asked Ed, "What type of therapy are you doing?"

Ed responded, "My therapist is an experiential therapist who does all kinds of therapy, including AEDP, EMDR, Somatic Experiencing and clinical hypnosis.  Maybe you should have a consultation with an experiential therapist." Alan thought about it for a minute and then asked Ed to get a referral from his therapist to another experiential therapist.

By the following week, Alan was sitting in an experiential therapist's office having a consultation.  He noticed the big difference in how he felt with this therapist immediately.  Not only was she warm and emotionally accessible, she sat facing him (rather than behind him) and he could see that she was emotionally attuned to what he said (see my article: The Therapist's Empathic Attunement Can Be Emotionally Reparative For the Client).

Rather than coming across as a blank screen, Ed realized, this therapist allowed Ed to see that she was intensely engaged in their session.  She also shared with Ed how she experienced him in the session which felt heartfelt and genuine.

In addition, she explained how experiential therapy was different from conventional talk therapy (see my article: What's the Difference Between "Top Down" and "Bottom Up" Approaches to Therapy?).

During his next session with Dr. Walsh, Alan revealed that he had gone for a consultation with another psychotherapist who did experiential therapy.  Hoping that Dr. Walsh would respond, Alan waited in vain.  After several minutes had passed, Alan told Dr. Walsh that he felt the other therapist was more attuned to him, but Dr. Walsh said nothing, which brought back more memories of his silent childhood dinners with his parents.

Alan knew from his prior therapy that there was a termination phase before ending therapy, so he told Dr. Walsh that he would like to have a few more sessions to end therapy and then he wanted to move on to work with an experiential therapist.

During the next three sessions, things remained basically the same in Alan's sessions with Dr. Walsh. He encouraged Alan to talk about what he felt he had gained from their therapy together, and Alan told him that he felt he had gained some insight into his problems.  But what Alan didn't tell him was that, even though he had gained intellectual insight, he felt nothing had changed or shifted in his life. He felt his problems remained the same (see my article: Healing From the Inside Out: Why Understanding Your Problems Isn't Enough).

At the end of the last session with Dr. Walsh, Alan wasn't sure what to do, so he offered to shake Dr. Walsh's hand as he was about to leave.  He noticed how reluctant Dr. Walsh was to extend his hand, which hurt Alan's feelings.  But Dr. Walsh did, reluctantly, extend his hand, shook Alan's hand and told him that he could return to therapy with him in the future.  His words sounded pro forma to Alan, as if Dr. Walsh had said these words many times before.  Then, it was over, and Alan walked out feeling empty.

During the initial stage of experiential therapy, Alan was surprised that his new therapist was so dynamic.  She was so engaged in their conversation that, for the first time in his experience with psychotherapy, Alan didn't feel alone with his problems, which was such a relief to him.  He felt like his new therapist actually cared about him and his well-being.

Not only that.  When he was ready, she helped him to access the underlying emotions involved with his feeling like an unlovable person.  They talked about his relationship with his parents, but the difference, compared to his prior therapy, was that she explained the importance of the mind-body connection and she helped him to connect to his emotions in his body about those experiences (see my article: Experiential Psychotherapy: Learning to Sense Emotions in the Body).

After a while, Alan began to understand that "talking about" his problems only provided him with intellectual insight.  But since experiential therapy used the mind-body connection, in addition to insight, he also had a deep sense of something shifting for him at a core level.  Even more important, he felt a sense of hope that he could change.

Over time, he realized that for him to make the kind of changes that he wanted, he had to make those changes based on his primary emotions, which his new therapist was helping him to access.

Gradually, Alan began to sense a shift in how he felt based on his shifting emotions and the positive regard he felt from his therapist (see my article: What is the Corrective Emotional Experience in Therapy?).

Conclusion
As illustrated in the clinical vignette above, rather than taking a neutral, impersonal stance, the experiential therapist is attuned to the client and emotionally engaged.

Along with her clinical training and expertise, the experiential therapist uses her own emotional experience to attune to the client and help the client to access the primary emotions that lead to change.

The experiential psychotherapist is aware of the brain's neuroplasticity, the brain's ability to change based on learning and experience.

There are many problems with the neutral stance in conventional psychotherapy, including the triggering of earlier emotional experiences of emotional neglect.  This, of course, isn't the intention of the neutral stance, but if often occurs.

In addition, experiential therapy, which uses the mind-body connection, tends to be faster than conventional talk therapy (see my article: Experiential Psychotherapy and the Mind-Body Connection: The Body Offers a Window Into the Unconscious Mind).

Getting Help in Experiential Therapy
If you have been struggling with unresolved problems, you could benefit from working with an experiential therapist.

Experiential therapy tends to be more effective and work faster than conventional therapy.

Rather than struggling on your own, you could begin to get a sense of emotional relief as you work towards freeing yourself from problems that keep you stuck.

About Me
I am a licensed NYC experiential therapist, who works with individual adults and couples.

I work in an dynamic, interactive and collaborate way using cutting edge modalities, including EMDR therapy (Eye Movement Desensitization and Reprocessing), clinical hypnosis, AEDP (Accelerated Experiential Dynamic Psychotherapy), Somatic Experiencing, contemporary psychodynamic psychotherapy, and Emotionally Focused Therapy for Couples (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.