Emotionally Focused Therapy for Couples

By Jessy Weston, AMFT

Emotionally Focused Therapy (EFT) is a leading approach in couples therapy, developed by Dr. Sue Johnson in the 1980s. Grounded in attachment theory, EFT emphasizes the importance of emotional bonding in maintaining healthy, lasting relationships. Let’s explore the key highlights of EFT and why it’s so effective in couples therapy.

1. Focus on Emotional Bonding

EFT centers on the belief that secure emotional bonds are essential to relationship health. It helps couples understand and address their attachment needs—the desire for closeness, security, and connection. By focusing on these core needs, EFT aims to rebuild and strengthen the emotional bond between partners.

2. Identifying Negative Interaction Patterns

EFT helps couples identify and understand the negative interaction patterns that fuel conflict and disconnection. These cycles often involve blame, defensiveness, or withdrawal, which can erode trust. By recognizing these patterns, couples can start to break the cycle and create healthier ways of interacting.

3. Deepening Emotional Communication

Beyond surface-level discussions, EFT encourages couples to explore and express their deeper emotions and vulnerabilities. Therapists create a safe space for this emotional communication, fostering empathy and understanding between partners. This deeper connection enhances emotional intimacy and strengthens the relationship.

4. Repairing and Strengthening Relationships

EFT is particularly powerful in repairing relationships damaged by conflict or emotional wounds. By addressing the root causes of distress and fostering emotional responsiveness, EFT helps couples heal and build a more secure, resilient bond.

5. Proven Effectiveness

EFT is one of the most researched and validated forms of couples therapy, with studies showing its effectiveness in improving relationship satisfaction and emotional connection. The positive effects of EFT often endure over time, making it a reliable approach for lasting relationship improvement.

Emotionally Focused Therapy provides couples with a profound approach to healing and strengthening their relationship. By focusing on emotional bonding, breaking negative cycles, and deepening emotional communication, EFT offers a powerful path to lasting change. Whether you’re facing challenges in your relationship or seeking to enhance your connection, EFT can help you build a more fulfilling and resilient partnership.

Wedding Woes

By Nicole Marino, AMFT

The past few years, I have had significant experience discussing wedding planning with clients, both with individuals and couples. This topic more recently resonates with me personally as I just went through the wedding planning process myself. I know how stressful and overwhelming it can be. It is easy to lose sight of the importance of the whole process when you get sucked into the pressure of the wedding industry. Of course, everyone wants their wedding to be “perfect” and magical, but I think that can get in the way of just enjoying the process and getting excited about marrying your best friend. I have outlined some helpful tips that I tried to keep in mind myself. I deeply acknowledge that no one is perfect, and it is easy to get lost in the stress (trust me I get it), but sometimes it is helpful to have a reminder from someone who has gone through it.

Try to stay as present as possible

  • I know this one seems like a given but the process goes by so quickly and it is such a fun time! It is important to enjoy the celebrations and the prep because before you know it, it’ll all be over. Try to take it one step at a time and don’t get ahead of yourself. It will all get done in the end.

Create lists

  • Stay organized and know what needs to get done and when. Not everyone decides to have a planner for various reasons, so this is so beneficial to stay on top of everything. By doing this, it can help with the first tip of staying present. Focus on one month at a time and check off those tasks as they come up. It helps to see things get crossed off the list knowing that you’re making progress.

Block out the noise

  • Family and friends can often have many opinions and things to say, but ultimately it is not their wedding. If something is not on your radar as stressful, don’t take on someone else’s concerns. Focus on what you’re doing and what your vision is. Of course, most people are coming from a loving place and just want to help but at a certain point it can become too much and you might need to implement some healthy boundaries.

Take time for yourself and for your partner

  • Make sure you are still taking time for balance and focusing on your own self-care (taking breaks, going on walks, meditating, getting fresh air, etc.). Also making sure you are still having quality time with your partner to go on a date and maybe not talk about the wedding! Trust me, I know that can be tough especially as it gets closer, but let your mind have a break from all the logistics and just focus on being together and having fun!

Ask for help if needed

  • Yes, I know I said to block out the noise, but it is also okay to delegate and ask for help when you feel like you are at your max capacity. Family and friends are happy to help so make it clear to them what would be HELPFUL and what would just add to your stress.

Create a budget and stick to it

  • Financial stress can be a huge part of wedding planning especially if you are the one managing the payments. It is helpful before starting, to look at your finances and create a budget that makes sense to you. Look at the things you wish to have, get some quotes, and maybe make some adjustments. Even if you are not able to do everything you had envisioned, I guarantee it will not take away from the beautiful day. Ultimately, you don’t want to put yourself in a bad financial position post wedding.

Remind yourself of the reason for the wedding

  • The whole purpose for this prep and planning is to get married! Don’t forget that. Amid stress and chaos, take time to cherish the love you have for your partner and stay connected to the goal. Try to check in with each other and see how you both are feeling, and if either of you need anything. Especially as the wedding gets closer, tensions can arise, and it is crucial that you are acting as a team and on the same page. Don’t let the stress cloud the love that brought this wedding to be!

This process is both the longest and shortest span of time. It is quite the whirlwind when you are in it, and then once it’s over, you forget all about the small things that were mentally weighing you down. You are left with all the beautiful memories and moments from the weekend/day with your loved ones and spouse, that sometimes the stress seems silly. That is not to say the stress is not very real and all-consuming because it is. But once again, the purpose is to celebrate your love and something “going wrong” during the day or days leading up is not going to ruin that!

Tips and Tools for Dividing Up Household Tasks

By Nicole Marino, AMFT

Many couples often come to therapy to work on communication and conflict resolution skills. What we then discuss many times is conflict over household tasks and division of those tasks. I tend to find that the small things become the big things when left undiscussed and unresolved. This can lead to resentment and frustration if one partner feels that they are doing all of the work around the house. That is what we want to avoid. Here are some helpful tips and tools to lessen the constant conflict over keeping the home clean and tidy.

  1. Express your expectations - Partners should be on the same page and understand the needs and expectations that their partner has for them and for the state of the home.

  2. Compromise - There may be certain tasks or chores that are not you or your partner’s favorite to do (cleaning the bathrooms for example) so depending on how often you do these specific tasks, try to switch out with one another. If you clean the bathroom this week, then it is your partner’s turn next week. This way, you are still working as a team to get the task done. Also, keeping in mind that compromise may need to happen when it comes to expectations. Some things are not going to be perfect all of the time. You do want to be able to live in your home as well! Trying to figure out the middle point that feels good for both partners is important sometimes too.

  3. Create a list of household tasks - Work together to come up with all of the tasks and chores that get done both daily and weekly. Then, discuss how you want to divide up those tasks to you, your partner, and to both of you together.

  4. Discuss your daily schedules/routines - Depending on work schedules and daily routines, there may be certain tasks or chores that just naturally make more sense for one partner to do over the other, but make sure the amount/types of tasks still feels doable and fair for both.

  5. Identify strengths and weaknesses - Similar to the tip above, there may be certain tasks that one partner can do a lot easier than the other so it is important to discuss your strengths and weaknesses together and divide up the tasks accordingly. What is going to feel comfortable and easy for one partner, may feel challenging and uncomfortable for the other.

  6. Be compassionate and patient with each other - Some habits are hard to break so give it some time for you and your partner to improve on your cleaning routines and habits. If your partner has never put their towel away after showering, they are not going to magically wake up and remember to do this. It takes some time to break the habit to then create the new one. Give them gentle reminders to help, but avoid using blaming language or shaming them for forgetting.

  7. Act as a team - Remember that you are working together; not against each other! This is a huge one. You are working together to keep the home clean and tidy. The problem in not you or your partner. The problem is the dirty home and how the two of you can fix the problem together.

The Vulnerability Cycle Part 2

By Michaela Choy LMFT

By Michaela Choy LMFT

In my last post, I introduced the concept of the vulnerability cycle which you can read more about here. This cycle can be damaging in relationships and create stuckness. In this post I’d like to present some ways to move through this. These are some ideas I have found helpful in my life and practice. I imagine with some discussion with your partner(s) and therapist, you may uncover others.

  1. Name the cycle and map it out together. As a team, write out the cycle that continues to occur. Focus on what triggers the cycle, each person’s perception of the situation, and each person’s response. Having a map of the cycle can unite us against what’s feeling hard and remind us where and how we can get stuck. After you map this out, I encourage couples to name the cycle as it’s happening to build awareness. This can also slow down the cycle and give us a chance to create different choices. Identify these choice points and list out some different responses that help instead of hurt.

  2. “The story I’m telling myself…” We can often assume intent or make deep meaning out of situations. I encourage partners to intentionally articulate when they are making meaning or assumptions by starting with, “the story i’m telling myself is…” This can help in several ways. One, it allows our partners into our inner world. They can know our fears, vulnerabilities, and sensitivities. Without knowing these, they won’t be able to be loving and attentive to our needs. Two, it allows for clarification. We can check out assumptions and meaning making with others and they can help us see if that is in fact happening or if there is more to the story we don’t see. This phrase comes from Brené Brown’s work on shame and vulnerability.

  3. Share survival strategies with one another. I explain what a survival strategy is in my last post. If you need a refresher, click here. Sharing where these strategies come from, how they served us, and how we benefit from using these strategies can deepen compassion and understanding in couples. It can also depersonalize hurt that’s happening in cycles. Sometimes we are reacting to our partners. And sometimes we are reacting to something our partner is doing that feels familiar that has nothing to do with our partner. Share these and one day you may have a richer perspective in these moments.

    These are great starting points for unlocking cycles. I encourage you to explore other ways for moving through these moments. A therapist can be a helpful guide in navigating this if you need extra support.

    References: Restrepo, S. (Director). (2019). Brené Brown: The Call to Courage. [Video File]. Retrieved from https://www.netflix.com/title/81010166 Scheinkman, M., & DeKoven Fishbane, M. (2004). The vulnerability cycle: Working with impasses in couple therapy. Family Process, 43(3), 279-299.

Michaela Choy, LMFT

Michaela Choy is a Licensed Marriage and Family Therapist, specializing in therapy services for couples, families and individuals.

Michaela received a Bachelor of Science from the University of Illinois at Urbana-Champaign. She went on to pursue her Master’s Degree in Marriage and Family Therapy from the Family Institute at Northwestern University.

Michaela has experience working with couples and individuals seeking help with anxiety, conflict, communication, and intimacy. She is a trained facilitator of PREPARE/ENRICH, which is an effective assessment tool used in couple therapy.

Michaela’s therapeutic style is strengths-based, warm and collaborative. She focuses on developing relationships with clients built on understanding and trust in order to safely explore change. She believes it is an honor to work alongside clients in their journey and works to promote an environment that is both culturally sensitive and safe.

Michaela’s strongest interests in therapy include working with couples who seek to strengthen communication patterns, improve conflict resolution, and build connection and intimacy. Michaela works with individual clients around family or origin issues, dating, and life transitions.

Michaela is a Clinical member of the American Association for Marriage and Family Therapy (AAMFT), as well as a member of the Illinois Association of Marriage and Family Therapy (IAMFT) Chicago Chapter. 

Relationship Attachment: The Importance of Knowing Your Attachment Style

By Nicole Marino, AMFT

By Nicole Marino, AMFT

Before diving straight into the different attachment styles, it is important to first know what attachment and Attachment Theory even are. Attachment Theory was developed by a psychanalyst, John Bowlby who was studying infants’ behaviors when separated from their caregivers. Attachment Theory looks at how an infant is nurtured by a caregiver (loved, supported, neglected, abused, etc.) affects their attachment both in infancy towards a parent and later in adulthood in romantic relationships and friendships. With this said, attachment starts in childhood and continues in adulthood. Bowlby also studied the importance of infant’s independence from a caregiver to examine the difference attachment styles.

Looking specifically at attachment styles in adulthood is important for many reasons, especially when understanding how an individual shows up in a romantic relationship. The three main attachment styles are secure, anxious, and avoidant. Many people often do not understand why they show up a certain way in their romantic relationships or why they react to their partner when they are upset or feeling ignored, so knowing your attachment style can give a lot of insight for both you and your partner.

Secure Attachment Characteristics

• Feel confident that other people will be there for you when you need them

• Feel relaxed and joyful in relationships

• Rarely feel jealous or anxious that the relationship will end

• Independent and sure of self

• Want to care for a romantic partner and make sure their needs are being met (supportive)

• Easy to share feelings/needs

• Feel comfortable sharing private thoughts with partner

• Feel comfortable being close to romantic partners

• It is helpful turning to a romantic partner in times of need

Anxious Attachment Characteristics

• Overall feel anxiety in relationships

• Fear losing partner/relationship

• Worry partner will not want to stay with them (ex: if they make a small mistake)

• Worry that romantic partners won’t care about them as much as they care for their partner

• Worry partner doesn’t really love/care about them

• May be jealous, clingy/needy, self-criticizing, dependent, have a constant sense of under-appreciation or being misunderstood leading to anger

• May look for a partner that is critical, dominant, and inconsistent with affection

• Feel partner is better than them therefore able to meet their needs better than they can for themselves

Avoidant Attachment Characteristics

• Prefers not to show partner how they truly feel

• Find it difficult to let themselves be dependent on romantic partners

• Don’t feel comfortable being vulnerable with romantic partners (communication and sharing feelings)

• Prefer not to be too close to romantic partners (fearful)

• Both crave and avoid intimacy

• Don’t believe that intimacy and emotions are important (more important to be self-reliant)

• May be a loner

• Prefer spending time pursuing intellectual goals and avoid social interactions

• Attracted to people who don’t want to help meet needs

If this is of interest to you, there are many quizzes online to help figure out which attachment style fits you best. It is also important to understand how your attachment style may interact with your partner’s attachment style in different areas of life such as conflict, communication, stress, etc. For example, a securely attached partner may not fully understand why their anxiously attached partner is always seeking validation in the relationship so showing understanding towards a partner rather than annoyance or frustration can help make the relationship stronger and the anxiety decrease. It is also beneficial to understand how you might have shown up in past relationships as well. Attachment can really open your eyes to the ways you have shown up towards a partner and others, to gain more insight, empathy, and understanding in your relationship.

References

Fraley, C. R. (2018). A Brief Overview of Adult Attachment Theory and Research: R. Chris Fraley. A Brief Overview of Adult Attachment Theory and Research. http://labs.psychology.illinois.edu/~rcfraley/attachment.htm.


Transition to Parenthood Series

By Sasha Taskier, AMFT

By Sasha Taskier, AMFT

Part IV: Sex after baby.

Most of us have heard the age-old narrative that your sex life disappears after you have children. You are exhausted and sleep feels substantially more important than sex; perhaps your focus and intimacy is on the baby – not on each other; or, perhaps your body no longer feels desire or arousal the way it once did. No matter the reasons (and there are countless more), for some, it is a terrifying prospect that your once beloved sex life may be one of the casualties in the transition to parenthood.

There is good news: Your sex life does not have to disappear when you become a parent. It does, however, have to change and evolve for your new life and the new (very significant) constraints of having a baby. The key is to approach this change with care, curiosity and flexibility for yourself and your partner.

Let’s visit some of the significant constraints that new parents face in rebuilding their sexual relationship and therapeutic strategies you can use to address them:

1. Sleep Deprivation; This is perhaps the biggest reason that parents name when they discuss the difficulty in reigniting their sexual relationship, post baby. Especially if your child hasn’t begun to sleep in longer stretches, the idea of trading in precious sleep for sex is hard to imagine.

It’s also important to note that sleep deprivation and exhaustion can impact your hormone levels, increase anxiety and irritability, and has been associated with greater conflict between partners. It’s hard to imagine wanting to have sex or any type of physical intimacy when your sole focus is trying to maintain enough energy for a baby whose needs are continuous.

Strategy: Take turns with the night time feedings and early wake ups (if you can) so each of you can get some longer stretches. Offer support if you know your partner is especially tired. If you are breastfeeding, your partner can sit with you during a middle of the night feeding - even if he can’t “do” anything, his presence is important and signifies that you are a team. You may be sleep deprived, but you are exhausted together, and can see the experience as a bonding one. Sex might not be on the table at this point (it is likely you will want to wait until you have more energy) but building the foundation of your new co-parenting role can be incredibly intimate, and knowing you are a united front will ultimately translate into an easier transition towards physical intimacy when the time is right. (There is nothing that will put you in the mood less than fighting with your partner about who is more tired. So, try to stay on the same team and avoid the rabbit hole of sleep resentment.)

2. Hormonal impact; the hormonal impact on your postpartum body can be very significant. Many women report feeling like they’re on an emotional roller coaster in the first few weeks and months after giving birth. (Read more about the signs and impact of postpartum depression and anxiety here.)

Breastfeeding mothers are producing a hormone called prolactin, while necessary for lactation, it is also responsible for lowering libido. Breastfeeding mothers bodies often suppress ovulation and their lower estrogen levels impact cervical mucus. Vaginal dryness may be an issue – causing sexual intercourse to be less enjoyable and even painful. If that wasn’t enough, breastfeeding also lowers female testosterone, which contributes to overall decreased libido. Source

Strategy: Talk to your doctor or therapist about concerns if you notice signs of postpartum depression or anxiety in yourself or your partner. If you are ready to have sex but it feels unpleasant, you can use a water-based lubricant to help with vaginal dryness and consult with your doctor for other alternatives. Most of all, remember what your body went through; give it time, and communicate if you are in pain. Share with your partner what you know about the shift in your hormones and the potential impact that may have on your libido. This will help create an environment of openness and help him or her understand that your lack of arousal may not be about them at all (they will likely have their own beliefs and reasons for why this is happening.)

3. Mismatched needs & expectations; This bullet point could be the topic of an entire book. Childbirth in couples (both heterosexual and homosexual) is entirely one-sided for a period of time. The parent who gives birth will inherently bear the burden in a different way, and if she breastfeeds, that one sidedness can continue for months (or years) postpartum. All this to say, that especially in heterosexual couples, fathers may have a difficult time understanding the multitude of changes happening in his partner’s mind and body. These factors impact desire and arousal, and it may cause frustration and confusion between partners that there has been a significant change in the couples’ sex life and perceived desire for one another.

Strategy:  Talk about expectations with one another; so much of this chapter requires an open, honest dialogue about what is happening for each of you. Many partners may make assumptions about the reason for the changes in their sex lives; without asking your partner what they are feeling, both emotionally and physically, you may be completely missing the mark (and missing an opportunity to help.)

If this topic feels particularly fraught or scary, I’ve listed a number of resources at the bottom of the post that you and your partner can look to and, you can always schedule an appointment with a couples therapist or sex therapist to better understand and process the new sexual dynamics in your relationship.

4. Body insecurity, low self-esteem and not feeling sexy; Women – you just did something miraculous: you grew a human life inside of you for the better part of a year, and then went through a significant medical event in order to deliver the child. Your body went through a trauma and you may not be feeling your best, or look the way you did prior to your pregnancy.

In our current medical model, women have a 6 week postpartum check up (after a vaginal birth) in which, if everything is ok, they can be “cleared” to have sex with their partner. OBGYNs often hear their patients begging for more time, asking for a medical excuse to postpone this event, while many fathers are waiting anxiously for the green light.

Strategy: There is absolutely nothing wrong with not feeling ready at that point to jump back in the saddle; be gentle with your body and yourself. You may need more time to heal than a 6-week window. Take it slow and do what you need to do in order to feel your best. That can be anything from making sure you take a shower each morning, to putting on some makeup, to making sure you go for a walk outside and feel the fresh air, and drinking enough water each day. Self care looks different for each of us.

5. Overwhelmed by the new workload & lack of time; There are only so many hours in a day. Those hours are significantly decreased when you take on a newborn feeding schedule, or are chasing a baby around. Your free time feels virtually non-existent, and it can feel like there is a never-ending mountain of work (both domestic and professional) that builds. These stressors can act as a “brake” to halt sexual arousal and desire (Nagowski). If our minds are always thinking about what needs to get done or how stressed we are, we will likely have a much more difficult time transitioning to a sexy mindset.

Strategy:  If we know our sexual drive and desire is negatively correlated with stress levels, this can be an opportunity to our partners not to complain about the lack of sex, but to ask – “what do you need help with?”

Parents need to practice self-care in order to be able to think about accessing desire for their partner. Often, this means lightening the load for your partner so they can have time to get back to themselves, and momentarily step out of mommy or daddy mode. Give them some time to see their friends (and get out of the house), to exercise (increased blood flow increases libido), and make sure you both are hydrated and fed (you need energy to have sex.)

Another helpful strategy for some is to schedule sex. For the partners who would like to increase the frequency in their sex lives but struggle to find the time in their schedules, try planning ahead. Either create a sexy calendar invite for your partner to let them know you are thinking about them, or have a standing date/time that you can connect physically. This requires a regular check in to make sure expectations are clear and flexibility with changing schedules. (For example, sending a text mid-day for your weekday “sexy time” to ask if your partner is still interested and committed to the plan for the evening. This not only helps avoid disappointment if things change, but can also help to build anticipation as the day goes on.)

6. Relying on baby for intimacy; This is a common trap for many new parents, especially new moms. As mentioned above, there is an evolutionary “one sidedness” to childbirth that is much more pronounced in the first months and year of a child’s life. Mothers often find themselves with longer parental leave to bond with the baby, and may choose to breastfeed, which requires nearly constant touch and necessary attunement with a baby’s feeding schedule.

This bonding is incredibly special, and it can be all consuming. This connection can feel so intense and magical that it begins to replace your partner’s intimacy. This quote from Esther Perel, in her book, Mating in Captivity, describes this phenomenon beautifully:

“Children are indeed a source of nurturance for adults. Their unconditional love infuses our lives with a heightened sense of meaning. The problem arises when we turn to them for what we no longer get from each other: a sense that we’re special, that we matter, that we’re not alone. When we transfer these adult emotional needs onto our children, we are placing too big a burden on them” (Perel; Kerner & Raykeil, p. 50)

Strategy: Make time for your connection outside of baby. As a couple, you need to build your reservoirs of connection physically, but also emotionally and intellectually. Sometimes date night can be just for that – for connecting, talking, laughing, eating. You can even try a “no baby” rule on date night - talk about anything but the baby. Remember how and why you connected before you became parents. Another favorite tip about date night from Esther Perel!

(Side note about date night: It can be hard to feel sexy and in the mood after a full meal, late at night. Be clear about how you’re feeling and help to differentiate between date nights and sex. If you wait for sex only on date night, it may be a while, and it can heighten the pressure around the evening.)

This list of constraints and strategies is obviously not exhaustive, and quite honestly just scratches the surface of this topic. I focused mostly on parents who are transitioning to parenthood for the first time, with one child and many of the strategies are “mother-centric”. Below are additional resources that I’ve found incredibly helpful and normalizing for couples in this stage of their transition to parenthood.

Additional Resources:

  •      Love in the Time of Colic, Ian Kerner & Heidi Raykeil
  •      How not to Hate your Husband After Kids, Jancee Dunn
  •      And Baby Makes Three, John & Julie Gottman
  •      Becoming Us, Elly Taylor
  •      Come As You Are, Emily Nagowski

Back From the Honeymoon.....Now What?

By Karen Focht, LMFT

By Karen Focht, LMFT

There is so much time and energy that goes into planning a wedding.  Although this process can be stressful, it also comes with feelings of excitement and exhilaration.  After all of those countless hours of planning your big day comes and goes in a matter of moments! 

Through both my personal and professional experience over the years, I have seen the joyful heightened state of a couple experiencing their wedding and honeymoon, and then the quick jolt back into the reality of day to day life.  How do we keep that sweet honeymoon glow as we transition back to life as a now married couple?  Here are a few tips to consider.

1.     Tap into new interests:  Make a list with your partner to identify new interests to peruse together as a couple.  This could include a class on cooking, knife skills or improve, just to name a few.

2.     Get connected to other strong couples:  Creating a positive support network which includes other couples can strengthen your relationship’s foundation and offer additional support through challenging times that may come up in the future. 

3.    Explore your city:  Create time out of the ordinary with one another.  Visit a museum, check out a new hotspot, or spend time outdoors in your neighborhood

4.     Check In:  Carve out intentional time each week to sit down and connect around your relationship.  What are your strengths as a couple?  What are the challenges you face and how can you work together to improve upon these challenges?

5.     Seek additional support:  Therapy is not only important through the challenging times, but can also be tremendously helpful to continue to strengthen relationships while they flourish.