What to Expect in Your First EFT Couples Therapy Session

 

One of the first questions I ask my new couples therapy clients once they arrive at my office is - “What feelings do you notice coming up as you sit down for this session?” I get many answers, from dread and nervousness to anticipation and excitement.

It makes sense! I’m totally new, and they are in my office opening up about the most important relationship in their lives. If you find yourself unsure of what to expect, this post will give you an idea of what to expect when starting couples therapy.

What Happens in the First Couples Therapy Session

Typically, clients have already had a phone call with their couples therapist to determine fit and schedule an appointment, and they have filled out the paperwork online. So the first session isn’t their first encounter with the therapist, but it is the first opportunity for them to talk to their couples therapist about their relationship history, how things are currently going, and what they hope to work on.

I meet the clients in the waiting room and invite them into my office. Before we get into anything, I will review our practice policies and paperwork on topics like confidentiality, payment, cancellation policy, outside communication, etc. This is also the time when I will answer any questions my clients might have about the couples therapy process. This can be a bit of an odd way to start a session, but it’s only necessary the first time.

The first couples therapy session is all about getting to know one another and starting to understand and map out the negative interaction pattern that comes alive between the couple. I practice couples therapy using Emotionally Focused Therapy (EFT). In EFT, we call this the cycle or the dance, and we spend much of the first session focused on understanding the ins and outs of the couple's unique cycle.

I want each client to connect with their emotional experience of conflict in their relationship. When there is conflict, who turns up the emotional heat? Who turns it down? We explore the pattern that is co-created between partners in the relationship. The first session is typically spent talking directly to your couples therapist vs hashing it out with one another or speaking to each other about your concerns. 

Towards the end of the, I will spend time with the couple exploring their hopes and goals for couples therapy. I’ll ask questions like:

“What do you want out of this process?”

“How do you hope to feel?”

“What will tell you that your couples therapy experience was a success?”

As we wrap up, we schedule individual therapy sessions for each client to meet with the therapist to discuss family history and talk more one-on-one before rejoining to meet as a couple for the duration of our work.

Couples therapy can be a game changer. If you’re interested in improving your relationship, please reach out to one of our couples therapists for a free phone consultation.

Article by Austin Couples Therapist, Cat van der Westhuizen, LPC, LMFT

Cat provides in-person therapy at our office in North Austin

 

9 Cognitive Distortions That Influence Negative Thinking

 

Do you recall a time when you were driving, a song came on, and as a result, you felt a certain emotion or had a specific memory? Then what happened? Did you feel sad and cry, or maybe you got mad and got upset? Then what did you do? Did you text your ex because the song made you think of them or honk at a car around you because you were mad?

Sometimes, do you feel like these experiences are out of your control? Our thoughts impact our emotions, which influence our behavior. This concept is the foundation of a type of therapy called Cognitive Behavioral Therapy, also known as CBT.

The premise of CBT is about how what we feel, what we think, and how we act impact one another.

Let’s take another example - you go on Instagram, see someone posted a picture on vacation with their new girlfriend, and you then think, “I will die alone.”

This is an example of what we call a cognitive distortion - a thought pattern or belief that is exaggerated, irrational, or inaccurate. Sometimes we create cognitive distortions from thoughts, emotions, and behaviors.

CBT therapy helps you process your thoughts, feelings, and behaviors in order to be more present. One way to do this is by working with cognitive distortions.

Examples of cognitive distortions:

  1. Black and white thinking - you have an all-or-nothing mentality

    Example: “I didn’t do the dishes. I am lazy, and I am a failure.”

  2. Catastrophizing - you go to the extreme, worst-case scenario 

    Example: “I will not pass the exam, and it will be a bad experience.”

  3. Discounting - you feel unworthy and discount an experience, justifying the unworthiness

    Example: “I only passed because I got lucky.”

  4. Emotional reasoning - you rationalize your feeling

    Example: “I feel sad, so something must be wrong with my career.”

  5. Labeling  - you label yourself as something negative 

    Example: “I am broken.”

  6. Should statements - you guilt or shame yourself for what you think you are supposed to do

    Example: “I should fold the laundry right now, even though I am exhausted.” 

  7. Blaming - you blame someone or something else

    Example: “It is my mom's fault for being like this.” 

  8. Overgeneralizing  - you generalize an experience

    Example: “I had bad luck last time I tried this. I will never get it right.”

  9. Mind reading - assuming what someone else is thinking

    Example: “I know he doesn’t like me.”

Cognitive distortions can impact how we feel about ourselves, go about our day, and impact our overall well-being. With CBT strategies, we can become more aware and train ourselves to be aware of these thoughts, beliefs, and behaviors to improve our quality of life.

Here are a few CBT strategies:

Cognitive Restructuring

This strategy is about identifying and reframing cognitive distortions with a better outlook.

For example, you recognize when tell yourself that you are lazy because you should have been more productive (an example of a should statement and an overgeneralization). You can use the strategy of cognitive restructuring to reframe and consciously remember all the times you have been productive, then instead tell yourself that maybe you need rest right now.

Mindfulness

Mindfulness is one of the best ways to be present. Mindfulness practices include breathing, meditation, journaling, and moving your body. The key is to purposefully engage in and focus on an experience without any evaluation or judgement. With a mindfulness practice, you become more aware of your thoughts, befriend them, and are able to just be with them.  You can bring the subconscious to consciousness. You can respond versus react to your thoughts. By tuning into yourself, you can intentionally replace your cognitive distortions with cognitive restructuring.

Other CBT strategies include exposure therapy, self-compassion, behavioral activation, and skill training.

Realizing that some of these cognitive distortions are ones you use at times? Reach out to Sarah for support in recognizing and working with cognitive distortions in individual CBT therapy.

Article by Sarah Imparato, MA, LMFT Associate

Offering Couples Therapy & Individual Therapy in Austin, Texas

 

Avoidant Attachment Style in Relationships

 

In my previous post, I wrote about attachment theory, attachment styles, and specifically, anxious attachment style. In this post, we’ll explore another type of attachment style — avoidant attachment style.

Avoidant Attachment Style

People with an avoidant attachment style are generally more distant or dismissive of closeness and intimate relationships. Oftentimes, these individuals did not receive the closeness they were perhaps craving as a child. Their need to express emotions and connectedness was met with disapproval. Those with an avoidant attachment style perhaps had more closed-off, emotionally unavailable, or stern parents. With this, as adults, those with an avoidant attachment style can be very independent and self-sufficient and appear confident. These individuals may fear too much closeness and come off as dismissive.

Avoidant Attachment Style Triggers

Those with avoidant attachment styles can display the image of being overall happy and “fine.” At the same time, on the inside, they struggle to connect with their partner or to feel safe expressing themselves deeply. They might appear to have high self-esteem and a fun-loving personality. They are easy to be around, and it often seems like they have it all together, but they struggle to actually get close to others. For those with avoidant attachment style, a relationship can start to feel scary when the bond starts to feel too “deep.” It may feel like a closed door when it comes to emotional closeness and intimacy with this attachment style. To a partner, this may seem hot and cold and be confusing.

Ways to Manage an Avoidant Attachment Style 

For those with avoidant attachment style, a first step to managing this style is actually to create space and distance. This is a good time to self-reflect and recalibrate the nervous system. Once you regulate your nervous system, you can start asking yourself questions like — “What do I feel? What sensations are arising emotionally and physically? What will make me feel safe to open up?”

Then ask yourself — “What do I need, and what should I do?”  How can you feel safe to share with your partner and lean into the conversation? What will make you feel close?   Gaining insight into your internal compass and taking baby steps towards softening towards another person is a strong step forward that can lead you from avoidant to secure attachment.

For the partner of an individual with avoidant attachment style, it can be so hard to give the avoidant partner space, especially if the partner leans towards an anxious attachment style themselves. The partner may need to take a beat and get curious about their own attachment triggers to give room for their partner to manage theirs. You can also approach your partner by asking how you can support them and how the two of you can connect in the moment. 

In addition to self-reflection and nervous system regulation, individual therapy, marriage counseling, couples therapy, and mindfulness practices can help you manage your avoidant attachment style.

Article by Sarah Imparato, MA, LMFT Associate

Offering Austin Couples Therapy & Individual Therapy in Austin, Texas