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

Tuesday, May 26, 2026

How to Develop Emotional Depth in Your Relationship

As a psychotherapist who works with individual adults and couples, a common complaint I hear from clients is that they feel their relationship lacks emotional depth.  This leaves both partners feeling lonely.

Developing Emotional Depth in Your Relationship

How to Develop Emotional Depth in Your Relationship
Emotional depth can be learned and developed over time. While some people are naturally wired with higher neurological sensitivity, emotional depth is a capacity that can develop when you consciously choose to unlearn emotional detachment and practice expanding your inner world.

What is Emotional Depth?
Emotional depth includes: 
  • The capacity to be profoundly affected by life experiences
  • The ability to hold space for nuance
  • The ability to sit with emotional discomfort without trying to avoid it
Why Do Some People Lack Emotional Depth?
A lack of emotional depth is usually a learned survival mechanism which involves suppressing depth due to:
  • Childhood Conditioning: Being raised by emotionally distant role models or being taught that emotional vulnerability is a "weakness"
  • Protective DetachmentNumbing emotions or using constant busyness, humor and escapism to avoid processing painful emotions
  • Fear of Complexity: Choosing superficial interactions because stepping into deeper emotional waters feels unpredictable or overwhelming
How to Develop Emotional Depth
If you want to develop emotional depth, you can retrain yourself through deliberate habits including:

Shifting From Fact-Sharing to Emotional Labeling
Many couples mistake daily logistics ("How was your day?" or "Did you pay that bill?") for meaningful communication, but depth requires moving down into your internal emotional experience:
  • Expanding Your Emotional Vocabulary: Stop describing your state as just "fine", "good" or "bad". Use tools like the Wheel of Emotion to identify the precise layers of what you are experiencing (e.g., distinguishing anger from underlying grief or rejection).  Learning to name emotions builds a bridge between your logical brain and your inner world.
  • Practicing Staying With Discomfort: When difficult emotions arise, your instinct might be to distract yourself, self-medicate or find a quick fix solution. Instead of trying to move away from difficult emotions, pause, take a deep breath and observe the physical sensations in your body. Whether your emotions are pleasant or unpleasant, you will probably discover that emotions are often like waves--they rise, peak and then subside (see my article: The Life Cycle of Emotions).
  • Increasing Emotional Vulnerability Incrementally: Share minor internal fears, insecurities or meaningful childhood memories. This takes time to develop. So, recognize that you don't have to share your heaviest secrets overnight. Start by trying to be a little more emotionally open with your partner.
Practicing Active Attunement
Attunement means leaning in and emotionally connecting with your partner when your they reach out. This ensures that they feel safe, seen and validated:
  • Listening to Understand--Not to Fix: When your partner vents, suppress the urge you might feel to offer immediate solutions. Focus entirely on their emotional experience.
Developing Emotional Depth in Your Relationship
  • Asking Open-Ended Discovery Questions: Replace generic questions with deep, curiosity-driven questions ("What is a major dream you are currently feeling scared about?" or "What did your childhood teach you about handling your anger?").
Establishing Rituals of Connection
Rituals of connection anchor a relationship, ensuring that building depth is a priority even during stressful and hectic times in life:
  • Daily Emotional Communication: Set aside 15-20 minutes every evening where you turn off all electronics to check in with each other's internal worlds.
Developing Emotional Depth in Your Relationship
  • Non-Sexual Physical Affection: Prioritize long hugs, holding hands or cuddling on the couch. Regular non-sexual touch releases oxytocin, which naturally lowers defenses and deepens your emotional bond.
  • Share Novel Experiences: Step out of your comfort zones together by learning a new skill, volunteering or exploring an unfamiliar place. Facing the slight vulnerability of a new environment together forces you to rely on each other and connect with each other.
Leaning Into Constructive Conflict
Contrary to what most people think, couples who rarely or never fight often lack emotional depth because they are actively avoiding uncomfortable truths. Working through disagreements with care is a powerful way to accelerate emotional intimacy:
  • Share the "Anger Iceberg": Anger is often a secondary emotion. Look beneath the irritation to discover the primary emotion, a more vulnerable emotion driving the anger--such as hurt, fear or loneliness.  Instead of focusing on your anger, communicate the deeper emotions underneath the anger (see my article: Anger as a Secondary Emotion).
Developing Emotional Depth in Your Relationship
  • Use "I" Statements: Frame disagreements around your personal feelings rather than pointing fingers at your partner.  Say, "I feel disconnected from you when we don't spend time together" instead of "You always ignore me."
Get Help in Couples Therapy
If you and your partner are having difficulty trying to develop emotional depth in your relationship, you could benefit from working with a licensed mental health professional who is an experienced couples therapist. 

Get Help in Couples Therapy

Emotionally Focused Therapy (EFT) For Couples is especially helpful in bringing couples together and helping them to build the necessary skills over time so they can experience emotional vulnerability and depth (see my article: What is Emotionally Focuse Therapy (EFT)?).

Rather than struggling on your own, seek help in EFT couples therapy so you can have a more fulfilling relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

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

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,

Also See My Articles:














Monday, May 25, 2026

Cinema Therapy: How Can Watching Movies Improve Your Relationship?

In my prior article, Cinema Therapy: How Can Watching Movies Improve Your Mental Health?, I began a discussion about how cinema therapy (also known as movie therapy) is used in psychotherapy to improve mental health.


Watching Movies Can Improve Your Relationship

In the current article, I'm focusing specifically on cinema therapy for relationships and couples therapy.

How Can Cinema Therapy Be Used in Couples Therapy?
One way cinema therapy can be used in couples therapy is to help the couple deepen their emotional connection.

Watching Movies Can Improve Your Relationship

Cinema therapy is one potential tool in couples therapy. 

Cinema therapy uses movies, TV programs or videos to help couples to explore their relationship dynamics in a safe, structured way. While watching a movie, couples can project their feelings onto the characters which can make it easier to discuss difficult truths:
  • Metaphor As a Bridge: Couples identify with characters' struggles.
  • Emotional Distance: It can feel safer to look at a movie character's strengthens and challenges than it does to look at yourself or your partner.
  • Shared Vocabulary: Scenes provide a reference point for discussion for the individuals in the relationship and in their couples therapy.
  • Empathy Building: Partners see perspectives visually illustrated on screen. 
How to Watch Movies As a Couple to Improve Your Relationship
  • Choice of Films: The couples therapist chooses films with complex characters which are relevant to your issues.  The therapist might also choose films that will help to generate discussions between you and deepen your connection.
Couples Therapy Can Include Cinema Therapy
  • Watch Actively: Notice your reaction to the characters, their dilemmas and their choices. Notice what triggers discomfort in you and what resonates with you.
  • Discuss Openly: After you and your partner watch the film, have an open discussion with them about the characters including:
    • What character did you empathize with the most and why?
    • Which character flaws, if any, reminded you of your own?
    • Which character strengths reminded you of your own and your partner's?
    • How do the characters in the movie deal with conflict compared to how you and your partner deal with conflict?
    • Do you see any of your communication blind spots in this movie? Which ones? 
    • What did the characters need from each other? Did they get what they needed? How does this compare to how you and your partner meet each other's needs?
    • Which unexpressed fear or desire did the movie bring out in you?
    • If you could change one choice a character made, what would it be? How would you change it?
    • What thoughts and feelings did the movie bring up about how you and your partner can support each other better?
    • Did the character's actions or choices change how you view your relationship or a certain life situation?
    • What is one lesson from the movie that you can apply to your relationship and life?
An Example of a Movie For Cinema Therapy For Couples (No Spoilers):
The movie, 45 Years, is a powerful tool for cinema therapy for couples because it helps couples to confront the illusion that keeping secrets protects a relationship.

The movie illustrates how unexpressed insecurities and buried secrets from the past can quietly fester over time. It also illustrates how sudden realizations can create emotional distance between the couple.

The movie also shows the necessity of maintaining emotional connection rather than just settling for a comfortable routine.

Get Help in Couples Therapy
Cinema therapy is one possible component in couples therapy.

If you and your partner have been struggling, seek help from a licensed mental health therapist who is a couples therapist so you can have a more fulfilling relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

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

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.

Also See My Articles:














 

Tuesday, March 3, 2026

Relationships: How Toxic Shame Makes Communication Challenging

Toxic shame can make communication very challenging in a relationship, so I'm exploring this issue and providing tips on how you can deal with this toxic shame.

What is Toxic Shame?
Before we delve into communication issues, let's start by defining toxic shame.

Toxic Shame in Relationships

Toxic shame is different from healthy shame.

Whereas healthy shame is usually a passing, situational emotion, toxic shame is a chronic, deep-seated belief of being unworthy, unlovable, flawed or bad (see my article: What is the Difference Between Healthy Shame and Toxic Shame?).
  • Internalization: Toxic shame is an internalized experience--usually internalized during childhood. It affects your identity ("I am bad" or "I am unlovable" or "I am stupid"). Healthy shame isn't about your identity--it's about your behavior ("I did something bad" or "I said something wrong").
  • Duration: Toxic shame is chronic and pervasive and healthy shame is temporary and dissipates after a while.
  • Purpose: While healthy shame motivates positive change, moral development and repairing relationships, toxic shame causes "emotional paralysis", defensiveness, self sabotage and social withdrawal.
  • Origin: Toxic shame usually develops in childhood due to abuse, emotional neglect, severe criticism or other types of trauma. Toxic shame creates a belief that love must be "earned" (e.g., good grades in school and in other performative ways).
How Does Toxic Shame Create Communication Problems?
Toxic shame creates deep insecurity which makes it challenging to communicate.

Here are the main communication issues related to toxic shame:
  • Defensiveness: Toxic shame makes individuals highly sensitive to perceived criticism. This can create a situation where even neutral comments can be heard as personal insults, which leads to defensiveness.
Toxic Shame in Relationships
  • Distorted Perception: Toxic shame acts like a filter. This can make it difficult for individuals to accept love or believe they are worthy, which causes them to misunderstand or ignore their partner's positive expressions of affection.
  • Emotional Withdrawing and Stonewalling: Toxic shame causes individuals to protect themselves from vulnerability by shutting down, withdrawing emotionally and/or physically, which can cause the other partner to feel lonely and abandoned (see my article: Are You a Stonewaller?).
  • Anger and Aggression: Toxic shame can manifest as anger or aggression where one partner responds to vulnerability or conflict by lashing out, blaming or engaging in contemptuous behavior to deflect from feelings of inadequacy.
Toxic Shame and Perfectionism
  • Perfectionism and Masking: An intense feeling of being "found out" as being inadequate can lead to hiding true feelings, maintaining a "perfect" facade and avoiding honest and open conversations about fears and insecurities.
How to Communicate With a Partner Who Has Toxic Shame
Julie Menanno, LMFT, an Emotionally Focused Therapist for couples discusses communication problems in her book, Secure Love.

As Ms. Menanno indicates, communicating with a partner who has toxic shame requires a "safe space" (see my article: Creating a Safe Haven For Each Other).

Here are some suggestions that can be helpful if you have a partner who experiences toxic shame:
  • Validate Before Solving: Listen to your partner's emotional experience first without immediately jumping into a problem solving mode. Recognize that your partner might be acting out of toxic shame and pressure, so try not to take their words personally (see my article: What is Validation and Why Is It Such a Powerful Relationship Skill?).
  • Use "I" Statements: Use "I" statements to express your feelings to avoid putting your partner on the defensive. An example would be: "I feel lonely when we don't talk for a few days" instead of "You always ignore me".
Teamwork in a Relationship
  • Work Together on the Problem as a Team: Instead of attacking your partner, attack the problem together. Instead of saying "You did this wrong", say "I know this is a tough situation for both of us." Approach the problem in the spirit of teamwork to deal with it.
  • Provide Reassurance: Since toxic shame can make your partner feel unworthy, remind your partner of your love and commitment.  
  • Create Safe Openings: If your partner shuts down, create a safe opening by saying, "I notice you're distant. I care about you and I want to understand."
  • Avoid "Why" Questions: Why questions like "Why did you do that?" can sound accusatory and trigger defensive reactions.
  • Prioritize Your Own Safety: If your partner is causing you harm, it's important to prioritize your own safety. Don't isolate. Talk to trusted loved ones and get support.
Getting Help in EFT Couples Therapy
If you and your partner have been unable to resolve problems between you, you could benefit from working with a licensed mental health professional who is an EFT couples therapist (see my article: What is Emotionally Focused Therapy For Couples?.)

Getting Help in EFT Couples Therapy

Rather than struggling on your own, seek professional help so you can have a more fulfilling relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Emotionally Focused Therapist (EFT) for Couples, Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience helping 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.





















 




Tuesday, February 17, 2026

Getting Your Emotional Needs Met in Your Relationship

In Julie Mennano's book, Secure Love, she discusses how couples attempt to get their attachment needs met based on their attachment styles.

Getting Your Attachment Needs Met

How Are Attachment Styles Formed?
Attachment styles are formed primarily during infancy and early childhood. 

Attachment styles develop based on the responsiveness, consistency and emotional availability of the child's caretakers.

These early interactions form an internal working model or "blueprint" for how individuals perceive, expect and act in relationships, including adult romantic relationships (see my article: How Early Attachment Bonds Affect Adult Relationships).

What Are Attachment Needs?
Attachment needs are basic human needs for safety, security and connection.

As adults, these attachment needs are primarily met in romantic relationships--although they can also be met through other relationships like close friendships.

Core attachment needs include:
  • Safety and security: A predictable, reliable environment
  • Soothing (regulation): Comfort and support
  • Validation and attunement: Feeling seen, heard, understood and worthy to their partner
  • Connection and belonging: A need for closeness and acceptance which reduces loneliness
  • Structure and boundaries: Clear rules and limits that provide a structure for safety
Within the attachment styles, there are three insecure attachment styles and one secure attachment styles.

About 50% of people have a secure attachment style and 50% have an insecure attachment style.

The insecure attachment styles include:
  • Anxious attachment
  • Avoidant attachment
  • Disorganized attachment
Although couples can be any combination, most couples with insecure attachment are usually made up of one person with an anxious attachment style and one person with an avoidant attachment style.

Anxious Attachment Style
People with an anxious attachment style try to get their attachment needs met through protest behavior and other similar behaviors which are driven by a deep fear of abandonment.

Anxious Attachment Style

Although their desire is to get their partner's attention and re-establish connection, their efforts often have the opposite effect on their partner.

Common behaviors include:
  • Protest behavior: Engaging in actions which are meant to get their partner's attention and try to re-establish connection including threatening to leave, sending many texts, leaving many phone messages, trying to make their partner jealous.
  • Hypervigilance: Monitoring their partner's behavior in a state of hypervigilance for lack of attention or signs of emotional withdrawal which they interpret as threats to the relationship.
  • Overcompensation and clinging: Becoming clingy as a way to ensure their partner stays. This often results in their neglecting their own needs in the process (see my article:What is Self Abandonment?).
  • Emotional volatility and conflict: Using intense emotional outbursts, lashing out and or criticism to force engagement.
  • Guilt-tripping: Using passive aggressive tactics to get affection from their partner.
Avoidant Attachment Style
People with an avoidant attachment style try to get their attachment needs met by creating physical and emotional distance to avoid feeling overwhelmed. 

Avoidant Attachment Style

Their challenge is they often find it difficult to articulate their need for space without seeming distant or rejecting of their partner.  

Common behaviors include:
  • Preferring "parallel" connection: They might feel more comfortable being in the same room with their partner while they watch TV silently or doing separate activities rather than engaging in direct emotional connection.
  • Enforcing boundaries: They require significant personal space to regulate themselves emotionally, pulling away when they feel smothered or during conflict as a way to regain a sense of safety.
Disorganized Attachment Style
People with disorganized attachment style try to get their attachment needs met through a  tumultuous "push-pull" dynamic where they shift from demands for closeness to sudden fearful withdrawal.

Their challenge is they desire closeness but they also fear it, which leads to chaotic and unpredictable behavior in their partner's eyes. At times, they might preemptively reject their partner to avoid feeling abandoned (see my article: An Emotional Dilemma: Wanting and Dreading Love).

Common behaviors include:
  • Push/anxious behavior: When they fear they will be abandoned, they can become clingy, demanding or highly dependent as a way to get reassurance from their partner.
  • Pull/avoidant behavior: When they feel emotionally vulnerable, they can become abruptly cold, distant or erratic to regain their sense of safety and independence.
  • Conflicting communication: They might give mixed messages, wanting affection but acting cold and rejecting.
  • Self-sabotage: When they believe they might get hurt by their partner, they might unconsciously create conflict or break up with a partner to feel like they are in control of the rejection (see my article: Overcoming Self Sabotaging Behavior).
  • Problems regulating emotions: They can struggle to express their needs. They often react to past unresolved trauma rather than what is happening in the present which makes it difficult for them to communicate their needs and for their partner to understand their needs (see my article: Emotional Regulation).
Problems For Couples With Anxious and Avoidant Attachment
Couples with insecure attachment often struggle with intense emotional instability, poor communication and trust issues.

Anxious and Insecure Attachment

Common problems for couples with an anxious and an avoidant attachment can be intense codependency as opposed to interdependency (see my article: What is the Difference Between Codependency and Interdependency?).

The anxious partner's demands for closeness can trigger the avoidant partner's need to withdraw which, in turn, reinforces the anxious partner's anxiety so they get caught in a negative cycle (see my article: Breaking the Negative Cycle in Your Relationship).

What is Emotionally Focused Therapy For Couples?
Emotionally Focused Therapy (EFT) helps each individual to understand their own attachment style and how they create a negative cycle together (see my article: What is Emotionally Focused Therapy for Couples?).

EFT also helps couples to learn that neither of them is the "enemy". Instead, the "enemy" is the negative cycle which they must learn to break together as a team.

Getting Help in Emotionally Focused Couples Therapy
If you and your partner are stuck in a negative cycle, you could benefit from working with a licensed mental health professional who is an EFT couples therapist.

Getting Help in EFT Couples Therapy

Rather than struggling on your own, seek help from an experienced EFT couples therapist so you can have a more fulfilling relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work (IFS and Ego States Therapy), EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experiencing helping 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.










Friday, December 19, 2025

Relationships: What Are the 4 Cs of the Attachment Behavioral System (ABS)?

If you're looking for an excellent book to understand your relationship, check out Secure Love: Creating a Relationship That Lasts a Lifetime by Julie Menanno.

Relationships and the 4 Cs of ABS

I really like this book and recommend it to couples I work with because it has excellent information about couples dynamics, it's written in an accessible way and Ms. Menanno's theoretical orientation for couples therapy is the same as mine--Emotion Focused Therapy (EFT).

In fact, she and I were taught by the same two senior trainers, Sue Johnson, who developed EFT, and George Faller, a long-time EFT trainer and couples therapist.

Understanding Your Relationship Through the Lens of the Attachment Behavioral System
Ms. Menanno provides valuable information about attachment theory as well as practical information about how to understand attachment styles (see my articles about attachment styles below).

Relationships and the 4 Cs of ABS

What Are the 4 Cs of the Attachment Behavioral System (ABS)?
According to Ms. Menanno most couples' problems can be sorted out into four categories and knowing which areas you and your partner are struggling with can help you to know where to focus your attention:
  • Comfort
  • Connection
  • Cooperation 
  • Conflict
Let's take a look at each of these components of the ABS:
  • Comfort: This category focuses on how well you and your partner provide each other with comfort when one of you seeks comfort or emotional support. She distinguishes comfort from advice giving or trying to "fix" the problem. It also focuses on how well you can manage your emotions while you're comforting your partner.
    • Example: Your partner comes home from a visit to her mother's house and she tells you she feels down because her mother criticized her throughout the visit. This has been an ongoing pattern since your partner was a young child. Your partner tells you she needs your emotional support. Do you 1) attune to your partner's feelings and engage in active listening while empathizing with your partner's experience or 2) do you give your partner advice about how to handle the criticism the next time she visits her mother? If your partner has clearly stated she needs your emotional support. the correct answer is 1).
  • Connection: Connection refers to the emotional and physical/sexual connection you and your partner experience with each other. Connection involves emotional vulnerability. Emotional connection also involves having fun together
    • Example: When you talk to your partner about your day, do you 1) talk about the details of your day without expressing how you feel about what happened or 2) do you express your emotional vulnerability by discussing how you were emotionally impacted by what happened? For you and your partner to feel connected with each other, you need to express your emotional vulnerability or you will just be providing the mundane details of your day and you won't be connecting with your partner in a meaningful way. So, 2) is the better way to go.

Relationships and the 4 Cs of ABS
    • Example: You and your partner divide up the housework and sharing in managing finances. You also divide up the mental load by sharing in remembering and buying gifts for family members' birthdays and anniversaries. Even though you're better at managing interpersonal relationships, you and your partner have made a decision that he will manage the relationship with your mother-in-law because she responds better to him than she does to you.
  • Conflict: How well do you and your partner handle disagreements when you're not doing well with the other categories (comfort, connection and cooperation)? Are you both able to manage your emotions or do you get stuck in the "Blame Game" where you're hurling accusations at each other? Are you able to maintain respect for each other during an argument or do you get stuck in the same negative cycle over and over again?
    • Example: You and your partner tend to argue about money. You're a saver and he tends to be a spender. Even though you both maintain your own bank accounts with a third account for shared expenses, you keep telling your partner you could both be saving more for retirement if he would curb his spending. When you tell him that, he feels like you're trying to control him. You argue until you're both exhausted. Then, you each retreat and, after a few hours, you're speaking to each other again. Nothing gets repaired. Instead, resentment builds as these unresovled arguments continue to pile up without resolutions. 
Conclusion
Looking through the relational lense of the 4 Cs (comfort, connection, cooperation and conflict) is one way to look at your relationship to understand the positive aspects of your relationship as well as the areas that need attention.

Relationships and the 4 Cs of ABS

When you look at the 4 Cs in your relationship, you and your partner can appreciate the positive aspects and work on repairing the aspects that need improvement.

Getting Help in EFT Couples Therapy
If you recognize problem areas that you and your partner have been unable to resolve on your own, you could benefit from working with a couples therapist who uses Emotion Focused Therapy (EFT) to help couples (see my article: How EFT Couples Therapy Can Help You to Improve Your Relationship).

Getting Help in EFT Couples Therapy

Rather than struggling on your own, seek help from a EFT licensed mental health professional who can help you and your partner to work through the relationship issues so you can have a more fulfilling relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience helping individual adults and couples to lead more fulfilling lives.

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, May 7, 2025

Helpful Tips on How to Make the Most Out of Your Couples Therapy

Couples therapy can be a transformative experience (see my article: What is EFT Couples Therapy?).

A skilled couples therapist can help you and your partner to overcome challenges in your relationship.

How to Make the Most Out of Couples Therapy

To get the most out of couples therapy, it's important to understand that it's common to feel a certain amount of anxiety and ambivalence, especially if you don't know what to expect (see my article: It's Not Unusual to Feel Anxious and Ambivalent at the Start of Therapy).

To help reduce your anxiety, it's helpful to know how to approach couples therapy so you can get the most out of it. 

What Do Couples Talk About in Couples Therapy?
Couples can talk about a variety of issues (see my article: What Do Couples Talk About in Couples Therapy?).

Here are just a few of the issues that couples talk about in couples therapy:
  • Moving in together or getting married
  • Infertility issues
  • Grief and loss related to miscarriages
  • Grief and loss due to the loss of a child
  • Parenting issues
  • Different perspectives about managing money
  • Retirement issues
  • Taking care of aging parents
  • Other major issues 

What Are the Do's and Don'ts in Couples Therapy

Do's in Couples Therapy:
  • Approach Couples Therapy With Curiosity and Openness: It's important to state your feelings openly and honestly to your partner and to the couples therapist in session.
  • Talk About What You Want: Being able to tell your couples therapist and your partner what you want to get out of couples therapy will help to define your goals. You might even be surprised that your partner might have different goals and these differences might need to be negotiated.
How to Make the Most Out of Couples Therapy
  • Set Realistic Goals: Once you and your partner have agreed to what you want to get out of therapy, set realistic goals for the couples therapy. When you have goals, the couples therapy has direction and you can assess your progress. However, it's also important to know that progress in therapy isn't linear. This means that setbacks (where you take two steps forward and one step back) are a normal part of the process, so don't get discouraged (See my article: Progress in Therapy Isn't Learner).
  • Practice the Skills You Learn in Couples Therapy Between Sessions: Use the skills you learn in couples therapy between sessions so you can continue to hone your skills in your daily life with your partner.  If you run into obstacles, talk about it at your next couples therapy session so you can continue to develop these skills.  There might also be some topics that you and your partner will only discuss in couples therapy sessions until you both develop the necessary skills to talk about these issues between sessions.
Don'ts in Couples Therapy:
  • Don't Wait Too Long to Start Couples Therapy: Many couples wait until they're ready to end the relationship to get help. Getting into couples therapy becomes their "last ditch effort". By then, it's often too late. The sooner you get help the better.
  • Don't Focus on "Fixing" Your Partner: Focus on what you want to change about yourself in the relationship instead of having the attitude that you're there to "fix" your partner.
How to Make the Most Out of Couples Therapy
  • Avoid Trying to "Fix" Your Partner: You and your partner need to approach your problems like a team, as previously mentioned. Instead, focus on the areas where you can grow.  Couples usually have negative patterns that each partner contributes to in their dynamic. So, part of the work in couples therapy is for you and your partner to learn work together as a team to change the negative patterns.
  • Avoid Contacting the Therapist Privately Without Your Partner's Knowledge: Most couples therapists do individual sessions to get family and relationship history. However, other than those individual sessions, avoid speaking, texting or emailing the therapist without your partner's knowledge because this can undermine the therapy.  The couple is the client in couples therapy--not the individuals in relationship. Contacting the therapist privately without the other partner's knowledge often occurs when one person is trying to get the couples therapist to align with them against the partner, which a skilled couples therapist will not do.
  • Avoid Keeping Secrets From Your partner and Your Therapist: Most couples therapists will not keep an individual's secrets in couples therapy. Keeping secrets from the therapist or your partner will become an obstacle to progress in therapy. For instance, if you're having a secret affair, most couples therapist will not work with you and your partner because the affair would be undermining your relationship.
Conclusion
Couples therapy can be beneficial for couples who are experiencing problems in their relationship.

You and your partner can learn to come together as a team in couples therapy to overcome the obstacles in your relationship.

If you and your partner decide that it would be best to end the relationship, a couples therapist can help you both to end the relationship as amicably as possible and come to an agreement about how to talk to your children about the end of the relationship and how to co-parent if these issues are applicable.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist (see my article: What is Sex Therapy?).

I have over 20 years of experience working 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.