Why Emotionally Focused Therapy? A Reminder
This is how Sue Johnson, the developer of EFT, describes the counseling process for couples;
Emotionally Focused Couple and Family Therapy is a treatment methodology that shows the best outcomes of any intervention for troubled relationships. And these outcomes appear to last! You can look on the EFT website, www.iceeft.com, for a summary of the many research studies and articles showing the efficacy of this approach.
EFT does not teach communication skills or give advice. It basically sets out clearly how partners trigger each other, lose their emotional balance, and pull each other into an escalating dance of emotional disconnection. EFT therapists understand the dynamics of distress and, because we have learned how to work with emotional signals, we know how to help troubled couples change their emotions – the music of their dance. When the emotional music changes, they can move together in new ways.
EFT is also the only approach to couple and family therapy based on a clear and scientific understanding of adult love – why it matters so much, and what is needed to make it work and last. EFT understands that love is not just about sentiment and sex. It is an ancient, wired-in survival code designed to keep a few people you can really count on close so they are there when you are vulnerable and need support. This longing for connection is wired into our nervous system, and when partners can be attuned and emotionally responsive to each other in what we call “Hold Me Tight conversations,” they can deal with almost any personal differences and stressors. This scientific approach to love allows us to be on target and to help people actively shape their love relationships.
We want to let all our clients know that Don Sizemore & Associates is offering telehealth services in a very convenient format. We can do all our counseling and many of our OT therapeutics through this format (my wife, Carolyn is an Occupational Therapist and partner). We will be contacting those of you who are active clients to arrange this service. Both Carolyn and I will continue to see clients face to face on a limited case by case basis either in their homes (Carolyn) or at the office (Don). We follow the social distancing and infectious protocols for disinfecting physical surfaces. Please let us know if you have any questions and our prayers are with everyone.
Please do the things that promote immune system functioning: meditation, exercise, good nutrition, stress management, and loving one another. Our spirit, mind, and body need to be made ready to battle whatever comes.
Self Protection, Not Better Communication, Is the Problem
The primary struggles that most couples have who come for marriage counseling are caused by fear and self protection. Most couples think they are having a communication problem and if they could only learn how to better express themselves to each other their relationship would get better. On the surface this is hard to argue with except that research demonstrates that teaching better communication skills to married couples who are struggling rarely helps. What helps is marriage counseling that focuses on creating a better, closer emotional connection. The struggle that couples have is because they do not feel emotionally safe with one another, there is a fear factor that causes them to self protect. Marriage counselors who understand this dance of disconnection can help couples repair and restore it.
Most couples I see for marriage counseling do not think of being “afraid” of their partner yet during therapy they become aware of how often they self protect and how they self protect. When men lose safe emotional connection with their spouse they typically self protect by withdrawing, creating emotional distance. Women are most often pursuers when this connection is lost, pushing for a different and more engaged emotional response from their husband. When a couple is dancing out of emotional sync with one another, it triggers this self protective response and a couple loses safe emotional connection. Marriage counselors who understand this dance of disconnection can help couples repair and restore it. Once a couple is dancing in emotional sync with one another they are no longer missing the emotional cues their partner is sending for understanding, comfort and acceptance and there is no “fear”, no need to self protect, then a couple has to opportunity to draw closer to one another.
Considering Marriage Counseling or Divorce?
When you are considering who to see as a therapist, counselor, or marriage counselor it is one of the most important decisions you can make. There have been many instances where clients have experienced frustration and disappointment with previous counseling experiences. I am often amazed that they are willing to try counseling again. This is especially true with marriage counseling. Please make sure the counselor you choose has the experience, training, and track record that reassures you of a good counseling outcome.
If you are considering divorce and you decide to try marriage counseling before making a final decision there are a few things to keep in mind. First of all some statistics show that only about 10% of divorcing couples seek marriage counseling before ending their marriage. Couples are making one of the most life changing decisions that affects their children and entire families without consulting a professionally trained marital therapist or counselor. We don't hesitate to consult our car mechanic and even pay them hundreds, if not thousands of dollars to keep our car running. I recently had to replace a clutch in my Subaru for $1800 just before Christmas! Merry Christmas to me!
Please consult an experienced and trained marriage counselor or couples therapist before deciding on divorce. One caveat, beware if your counselor recommends divorce, it probably means they do not know what they are doing. Competent therapists and counselors know how to allow their clients to make their own decisions.
Gratitude, Christmas, and Happy New Year
I am so grateful for all of you who have allowed me to be a part of your lives. I cannot express what a privilege it is to be allowed in someone's place of struggle and to participate in seeing growth and change take place. And I thank you for helping support and nourish my counseling practice. It was and is such a blessing to be a small, but hopefully meaningful part of your lives. I hope you have a blessed Christmas (I know some of you may not celebrate Christmas, so Happy Holidays) and New Year.
Weekly Tuesday Nights @ 6:30-7:30 pm
Beginning June 19th, 2018
Office of Don Sizemore & Associates
698 Perimeter Dr. STE 101
Lexington, KY 40517
Meditation in its various forms is a practice that has demonstrated beneficial effects for our physical, mental, emotional and spiritual life. It has been practiced for centuries in every major religion and is a subject of neuroscience research and application. It is especially helpful for changing bad habits, ending unhealthy thinking, and enhancing our spiritual life. I encourage many of my clients to meditate as a religious practice or for well being. A group experience is supportive of our individual practice of meditation.
The session will include a twenty minute group meditation exercise and teaching on the practices and effects of meditation as well as a discussion of our experience with meditation. This group is open to anyone wishing to participate. It is offered as a free service.
Judge Tim Philpot, Dr. Bill Doherty, and myself (Don Sizemore, LCSW), have worked together for over two years to implement a process whereby couples are given an opportunity to be sure that divorce is their best decision. Three marriages which came to me for the two hour court ordered Discernment Consultations have been reconciled, three families reunited. Families number one and two continue in treatment, going through the therapeutic protocol established by Emotionally Focused Therapy or EFT. The third one that chose not to continue therapy is at greater risk for a return to divorce court, although as of this date they are still married and living together and report their relationship has improved. Three families were ready to divorce, standing before Judge Philpot waiting for his signature on the order. They have moved back in together, giving up their separate residences, and their children have one home.
A fourth couple postponed their divorce and attended 13 sessions, including 5 discernment counseling sessions and 8 marriage therapy sessions of EFT with an unsuccessful outcome. This couple has stopped therapy, lives separated but have not proceeded with divorce. One spouse continues to hold out hope but the other is in a position of stonewalling, unable or unwilling to stop self protecting. I do not think this relationship will survive.
The fifth couple, who is chronologically the first couple referred from the legal system by an attorney, not the court, was seen for 32 sessions of EFT. This is not an unsurprising number of sessions when there is a past history of childhood trauma that complicates developing secure attachment. Their therapy concluded over a year ago; they are still married and report their marital relationship is stable.
Do couples really want to divorce? Or more positive, do couples want to stay married? In my experience as a marriage therapist no one that I have seen is happy about their marriage failing from which I conclude no one really wants to divorce, especially those with children. This has not been more evidenced than with the 20 couples I have seen for the court ordered session. None of them were celebrating a failed marriage and the one common denominator was pain either expressed or repressed but still obvious on their faces.
Some might say that the pain on their faces is due to being forced to endure the Discernment Consultation session that has no chance of making a difference in their resolve to divorce and having to pay money to do it. There were two instances that come to mind where one spouse stonewalled their way through the session, not allowing one emotion to seep through, just a cold wall of protection. What impressed me about the other cases was that their certainty of being done with the relationship was based on their experience of emotional deprivation or rejection over an extended period of time. They were emotionally spent, had given up hope that their partner might change, and would not allow themselves to risk the pain of being disappointed again. It was never because they could not tolerate their partner and just wanted out; those kind of cases would likely not find their way to me and any abuse based relationships are ruled out for referral.
The judge, Tim Philpot, who was ordering discernment sessions was applying scientific advancements in the field of marriage and family therapy developed by Dr. Bill Doherty and colleagues from the University of Minnesota, to make a better assessment of the state of a marriage. Is this marriage irretrievably broken? Is reconciliation possible? Is there ambivalence about proceeding with final separation and divorce? Professional therapists who are properly trained now understand how couples gain and maintain a stable emotional connection, how they lose it, and how to repair it. The legal system has not kept up with scientific and therapeutic advancements and divorce is treated as an inevitable outcome when it gets to a lawyer and then to a judge. If this project has demonstrated anything it is that there is another way forward and simply processing a divorce decree because there are no other options is simply not true.
In most cases the couples I interviewed had not received couples counseling and if they had, it was ineffective. There are only a few research documented marital therapies that have efficacy and one of them is EFT with a 73% success rate. The others that I am aware of are Imago Therapy and the approach developed out of the John Gottman Institute. None of the couples had received counseling based on these approaches and the results were predictable. Many marriages that are in distress can be helped but too easily find their way onto the divorce track where the legal system offers no side track to slow the train down. This is tragic. It is as if we have accepted the inevitability of divorce. And worse, somehow divorce has become a right rather than an option of last resort. But what I have noticed in my sessions with desperate relationships (not just court ordered couples) is that more often than not if they can be shown a way, the couple will follow it to save their relationship.
Another benefit of connecting couples with the therapeutic community of counselors, is that in two other of my cases one of the spouses has continued to seek treatment. They wanted help making the transition through divorce for themselves and their children, how to best interact with their ex-spouse, and hopefully glean how not make the same mistakes again in their next relationship. It is well documented, and common sense, that patterns of behavior continue to repeat unless challenged by a thorough self examination such as that available with a trained therapist or wise mentor.
This experience has been an eye opening one. It is obvious we can affect in a positive direction seemingly hopeless and terminal relationships. Asking the question “Are you sure this divorce is best for you?” is not oppressive, it is compassionate and the just thing to do. To become numb and accept the inevitability of fractured marriages and families is to lose hope for ourselves.
I often see men in my practice who are struggling with porn addiction, that is they compulsively view pornography. This has serious impact on their marital relationship and sexual performance. As with any repeated behavior our brain develops specific neural pathways that become ingrained and are thus compulsive. We experience this as thoughts and feelings that compel us to repeat the behavior. We are “driven” by our brain to do the deed, viewing porn, drinking, smoking pot, gambling, eating, worrying, and other compulsive behaviors that control aspects of our existence.
Recently I saw a young professional, married man who struggles with compulsive porn viewing. He is an educated person who is a dedicated follower of Jesus, who we can call Matt. Anyone would recognized him as a committed believer. He has a good and supportive relationship with his wife who is engaged with him in battling his compulsion to view porn. She, who we can refer to as Sue, also is a committed believer in Jesus. Sue is emotionally mature, meaning she can manage negative emotions so that her thinking brain (the prefrontal context) does not go offline when strong emotions occur. She is able to hold an objective awareness of her experience. This is a critical skill that we all need and can develop.
One of the most helpful therapeutic interventions with compulsive thoughts and feelings is meditation. There are several forms of meditation but they all have one thing in common, they help develop objective awareness of our internal experience. I prefer Centering Prayer meditation because it has a basis in Christian Scripture and Tradition as contemplative prayer. I introduced this practice to Matt who quickly grasped its significance. The significant and powerful benefit of contemplative prayer is that it develops the skill of our “inner witness or observer”.
Matt was able to experience his compulsive, obsessive thoughts and feelings to view porn as something “other” than himself. Simply put, our essence is not our thoughts and feelings, we are not our thoughts and feelings, we could say we are spirit. That is, there is a part of us that can observe our inner, subjective experience. When Paul says in Romans 8:16 that God’s spirit testifies (agrees with) our spirit that we are His children, this personal spirit is, I believe, our “inner witness or observer”.
Matt, almost immediately experienced a new found freedom from his compulsive behavior. He quickly realized that he did not have to respond to the thought and feeling to view porn. He had freedom of choice to do something different once he knew that his identity is not determined by what he thinks and feels. This new found freedom is not like a vending machine, put in a dollar and get a candy bar, it takes consistent, persistent, practice but for Matt he has found a way forward, he does not feel trapped or enslaved to compulsive porn viewing.
Not everyone grasps as quickly the potential of meditation as Matt did, nor does everyone have a Sue in their life, or a strong faith. All of these things matter in overcoming such difficult challenges, but developing our inner witness, our spirit, recognizing and understanding that we are not defined and bound by what we think, or what we do, or what we feel, is powerful and freeing.
In my last blog I mentioned Dr Jeffrey Schwartz and recommended you look at one of his you tube videos. I hope you checked that out and if you did you probably were made aware of his book “You Are Not Your Brain”. I highly recommended getting and reading this book, especially if you want to make any changes in your habits, whether it is eating too much, drinking too much, struggling with obsessive or negative thinking, etc. He presents a clear but challenging process to changing the way your brain functions and thus your life. As I have mentioned in recent blogs, we have a mind, a self, a consciousness, an awareness that is somehow “independent” of our brain and able to change the way our brain functions.
I am reminded of the Christian scripture Galatians 5:1: “It is for freedom that Christ has set you free, do not let yourself be burdened again by a yoke of slavery.” Habits and behaviors can be a form of slavery; mine certainly feel like that and to know that I have the choice and the means to change them is very encouraging. We are not just our thoughts or our habits or our performance, we are “something” else.
I am also reminded of another Christian scripture, Romans 7:14-25 where Paul describes the struggle that we all have, this awareness of struggling with the sin nature and doing what is good. Hopefully you are not getting hung up on religious language and are able to see the bigger picture that is at play here. Paul is saying he is not able to help himself, that he is battling forces that are greater than him but he is in relationship with a force, Christ, the Spirit of God, who can set him free.
Dr. Schwartz’s contention that we are not our brain is a similar statement to Paul’s. He calls it our true self that is free of compulsions and habits that bind us in negative patterns of behavior that have been ingrained in neural pathways. I know people, including myself who have been miraculously almost instantaneously set free from negative and destructive habits, but that is the exception. It certainly has been so in my life and everyone else I am familiar with has had to work at gaining such freedom. However you understand this “something” else that we have in us, it is there and available to all of us.
Christians understand this as incarnational reality, that God lives in us, that we are indwelt by the presence of God. This is who we truly are, our true self, and the work of Dr. Shwartz, and others, are providing means to help us realize it.
Common Misconceptions of Couple Therapy
Maintaining a positive, supportive relationship with one’s partner in the face of expected and unusual life stress is one of the biggest challenges many couples face. Not uncommonly, instead of pulling together to face life’s difficulties, partners become disengaged or even hostile. The person you expect to always have your back begins to feel like the enemy. And sometimes it feels like the harder you try to fix the problem, the worse things get. The good news is that a well-trained couples therapist can help most relationships that have hit a rough patch. According to recent studies, 90% of couples who see a well-trained Emotionally Focused Couples Therapist experience improvement and 70% report full repair of their relationship. But here’s the bad news: many couples that could benefit from this therapy are reluctant to get help. Unfounded beliefs and misconceptions get in the way. Here is the truth about six common misconceptions: 1. The therapist will take sides. With some therapists, this in fact may happen. But an Emotionally Focused Couples (EFT) Therapist is trained to recognize how both partners contribute to their dance of anger or disconnection. Successful therapy invariably requires each partner to understand his or her role in the couple’s distress. 2. The therapist will tell us we should break up. Again, there are probably some therapists who would make this judgment, but the role of an EFT Therapist is to help couples understand how their relationship has gone wrong and to guide them – for as long as they are willing to try – in how to repair it. The decision of whether to stay in a relationship always belongs to the couple. 3. We are too far gone; the situation is hopeless. Many couples worry that their problems have gone on so long, there is no hope of improving their relationship. But even long-standing problems can be resolved with EFT therapy. The intensity of anger also does not necessarily indicate that a relationship can’t be improved. The only clear sign that EFT therapy won’t help is if one or both partners have become so disengaged they are no longer willing to try. 4. Talking about our problems will make things worse. Many couples have experienced that their own attempts to talk about their problems have made things worse, so this concern is understandable. They may even have had previous experiences in therapy where talking did make things worse. However, an EFT Therapist is trained to create a safe space where problems can be discussed productively. In many cases, the therapist will be able to help partners see each other’s struggles in new ways that open the door to healing and reconciliation. 5. Couples therapy is a waste of time and does not work. Many therapists who see couples aren’t trained in an effective model of couples therapy, and there is probably a significant risk that these therapists will not be helpful. However, EFT has years of research demonstrating its effectiveness in helping couples improve their relationships, and follow-up studies show these improvements are long lasting. EFT is one of a handful of couples therapies designated as empirically supported by the American Psychological Association. A therapist trained in EFT is guided by a roadmap that has one of the strongest track records in helping distressed couples. 6. We (or he or she) need individual therapy first. A growing body of evidence suggests that successful couples therapy can actually reduce an individual’s symptoms of depression, anxiety, posttraumatic stress, and other psychological disorders. At the very least, a stronger, more supportive relationship will reduce the suffering both partners experience when one partner is struggling with a psychological disorder. Couples therapy may not be the only treatment needed when a partner has significant psychological symptoms, but when the relationship has suffered, it is often the best place to start. By Ruth Jampol Ph.D.|July 6th, 2015