What Is Emotionally Focused Couples Therapy?
Key takeaways
- Emotionally focused therapy (EFT) focuses on emotions and emotional connections.
- EFT frames emotions as more than just a part of relationship challenges, considering them agents of change.
- EFT has several stages, each with multiple steps.
EFT is a therapy approach with theoretical underpinnings in attachment theory and contemporary family psychology. It focuses on the idea that people seek out positive emotions and avoid negative ones. It can be used for individual therapy, family therapy, or couples therapy. With couples, it helps them learn how to move away from negative emotional responses and toward having a more flexible mindset. Emotionally focused couples therapy is structured according to three stages: de-escalation, restructuring, and consolidation. It can help couples identify and change chronic emotional patterns and work toward creating a stronger bond.
How does emotionally focused therapy help couples connect?
EFT is an approach to treatment that focuses on emotions and the emotional connections in relationships and how they impact connections between partners or as part of the family process. The general idea behind EFT is that people tend to seek out positive emotional experiences and avoid negative ones, which can impact their relationships and other areas of life.
By focusing on strengthening the attachment bond, EFT can help couples develop more safety, trust, and connection in the relationship, as well as an improved sense of self. It categorizes emotions as more than just a part of relationship problems, targeting them as agents of change.
What is involved in EFT?
EFT therapists work with couples to help them move away from negative emotions or harmful ways of reacting toward a more positive, flexible mindset. The process focuses on three stages, and each stage has multiple steps:
De-escalation
In the de-escalation stage, couples work to develop a sense of safety with their therapist. Together, they identify negative patterns in the relationship that both partners contribute to.
Steps in this stage include:
- Alliance and assessment
- Identifying negative cycles and attachment issues
- Connecting to underlying attachment emotions
- Reframing the problem
Restructuring
In the restructuring stage, couples begin to dig a little deeper and start to examine and interpret their emotional distress in different ways.
Steps include:
- Identifying implicit needs, fears, and models of the self
- Promoting acceptance by the other person
- Structuring reach and responses, expressing attachment needs, and creating bonding interactions
Consolidation
The consolidation stage focuses on reinforcing new ways of thinking and feeling to help couples learn to use their new skills in real-life situations. The goal is to help couples get more comfortable with these skills and be able to use them to address future problems.
- Facilitating new solutions
- Consolidating new cycles, positions, and stories of secure attachment
How it works
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Who can benefit from EFT?
EFT can help couples in various ways. It can help partners develop the skills to understand and process their emotions more effectively, thereby building healthier behaviors. An increase in empathy and communication can improve relationship satisfaction, helping partners better manage conflict, understand one another’s needs, and recognize behavioral patterns.
However, EFT is not a one-size-fits-all approach to treatment. Not everyone is able to connect with their emotions, while others may be overwhelmed by them, making it difficult to see the other person’s perspective. This type of therapy can be challenging for people with mental health conditions like personality disorders or autism, but accommodations can be made.
How can identifying emotional patterns help relationships?
Some emotional patterns can cause ongoing challenges in relationships, including breakdowns in communication, power struggles, emotional distancing, and more. Identifying negative interaction patterns can help couples take the necessary steps to reverse them and work toward building a deeper bond.
Couples who are interested in EFT can seek support from a local therapist or consider working with an online therapy platform like Regain. Extensive research has found that online therapy is an effective alternative to in-person treatment. It can be more convenient and flexible for couples with busy schedules or who are just looking for an alternative to traditional treatment.
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Takeaway
EFT is an approach to therapy in clinical psychology that involves focusing on emotions and emotional connections. In relationships, EFT can help couples build deeper connections, which can help them work through marital distress and have a significant impact on individual mental health.
What are the 9 steps of emotionally focused couples therapy?
Originally developed by Sue Johnson and Leslie Greenberg in 1985, EFT offers a way for couples to strengthen emotional bonds while also experiencing individual growth. The nine steps of emotionally focused couples therapy listed in The Clinical Handbook of Emotion-Focused Therapy include:
- Identify the problems in the relationship.
- Identify negative patterns in the relationship.
- Acknowledge negative emotions related to past trauma and attachment issues.
- Reframe problems, patterns, and emotions.
- Express your attachment needs to the other partner.
- Listen and accept your partner’s needs and feelings.
- The therapist helps by providing support and encouragement.
- Apply new communication skills to old problems, and find new solutions.
- Work on developing new patterns to foster lasting change and a secure attachment bond.
EFT work is categorized into three stages. The first stage is De-escalation. The second stage is Restructuring Interactions, and the third stage is Consolidation and Integration.
What is the success rate of emotionally focused couples therapy?
Experts say emotionally focused couples therapy is over 70% effective. It’s considered the most effective therapeutic approach for reducing relationship distress and constant fighting. EFT therapists are trained and certified by the International Centre for Excellence in Emotionally Focused Therapy (ICEEFT).
What are the 6 principles of emotion-focused therapy?
The six principles of EFT include:
- Awareness of emotions
- Emotional expression
- Emotional regulation
- Reflecting on the meaning and origin of emotions
- Transforming emotions
- Creating new emotional experiences
How long do most couples do couples therapy?
Most couples attend couples therapy for a few months, but it can last several years. The length of treatment might depend on a number of factors, including the level of emotional distress and how quickly the couple makes progress.
How many couples actually stay together after couples therapy?
By some estimates, approximately 70% of couples stay together following couples therapy. EFT is considered one of the most effective methods of relationship therapy.
What are the weaknesses of emotion focused therapy?
There could be some weaknesses or drawbacks to EFT. For example, it might take longer to see progress with EFT compared to other forms of couples counseling. Moreover, it might not be suitable for people who are uncomfortable talking about their feelings.
What are the contraindications for Emotionally Focused Therapy?
EFT is not recommended for people in abusive relationships or those with severe mental illness. In these cases, individual therapy may be recommended.
What is the most successful form of couples therapy?
EFT is widely considered the most effective type of couples therapy. EFT works by helping distressed couples identify, understand, and express their emotions.
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