What is Emotionally Focused Therapy?

  • Emotionally-focused therapy (EFT) is deeply rooted in Attachment theory. Attachment theory suggests that humans are biologically wired from birth to seek out an emotional bond (or an “attachment”) with a caregiver for survival. John Bowlby found that this bond significantly impacts a person’s development, social and emotional health, and their relationships throughout their life. It impacts how we see ourselves (loveable or unlovable) and the way we perceive the world (safe or dangerous).

    Don’t worry though, EFT is not all about your childhood. It uses these attachment theory and more recent research to be informed and present with what is going on in your relationship right now.

    In recent years, adult love relationships have been compared to the infant-parent relationship that Bowlby studied. Humans go from seeking comfort, connection, and responsiveness from a parent to seeking those same things from a significant other when they are older. There’s a bit more to it, but at the root of it all, attachment theory teaches us we need close emotional bonds to thrive. Happy, successful relationships are the ones where our partner is in close emotional proximity to us. This means we feel safe and secure with them, knowing they will respond with connection and comfort when we need them—just like babies need from a caregiver.

    EFT focuses on the behavioral and emotional cycle that plays out in your relationship. This cycle shows us how you are both trying to get your needs for emotional connection met and how you’re trying to protect yourself from more hurt.

    I mentioned in the first paragraph that Bowlby learned that our childhood attachments impact us throughout our lives… They can, and they may be impacting what is going on in your relationship right now, but they don’t have to. We now know that the effects of negative and even traumatizing childhood attachments can be mitigated through future, safe relationships. The way we view ourselves, others, and the world can be transformed with one safe, responsive person in our life. I want to help you find that safety and build that healing bond with your spouse.

  • A fascinating early study that supports attachment theory (the idea that emotional bonds are innate and impact our functioning) is Harlow’s monkey mother experiment. When given the choice between a cold, hard, wire “mother” that was holding milk or a soft, cloth mother without any food, young monkeys who had been separated from their mothers would almost always cling to the comforting cloth mother. Many of them would even try and reach the food while still clinging to the cloth mother with their legs. In a different phase of the study, monkeys who were scared by a loud toy behaved differently depending on whether or not a cloth mother was in the room. Those with a cloth mother would go up to the toy and try to attack it, and those without a “mother” in the room would hide in the corner in fear.

    Humans too have an innate need for comfort and connection. We learn from infancy that having people who care deeply for us is what keeps us physically alive and emotionally happy. And when we have safe, comforting, loving presences in our lives, we can explore the world more confidently. EFT is based on the assumption that the need for and impact of an emotional bond on our health and wellbeing extend across the lifespan.

    Most of us have probably heard about the impact that high cortisol and chronic stress have on our physical health. Studies have found that those with secure attachments (feelings of safety that come from close relationships with significant others) not only had less perceived stress in response to a threat, but their baseline levels and recovery from stress were more desirable as well. This shows us the incredible effect that our relationships have on our ability to regulate stress. For many, their relationship is the source of a great deal of stress. EFT not only reduces that source of stress but it also fosters a connection so deep, comforting, and secure that it buffers from other stressors we are experiencing.

    EFT is being increasingly used for individual issues as well including depression, substance abuse, and even chronic pain, diabetes, and cardiovascular disease. EFT, attachment, and health have been studied closely. What we learn is that close relationships and feelings of safety in our body increase quality of life and have major impacts on both mental and physical health.

  • EFT efficiently moves clients forward by focusing on the process over the content of your experience. Content is what is being said (“I’m angry that you never do the dishes”) and process is what is going on underneath that clients often aren’t even aware of (“I’m scared you don’t love me and I’m trying to get your attention here in the only way that I know how”). Focusing on the content of the session would include listening to long stories with lots of details, focusing on specific behaviors and events, and deciding on compromises to longstanding arguments. This does not lead to enduring change and increased love.

    EFT is intensely focused on the process—the way that you two influence and respond to each other. It focuses on the underlying emotions, desires, and motives behind what we see playing out in your arguments. It will lead to greater awareness of yourself and your partner and a deeper bond. After increasing this awareness, empathy, and understanding, we can begin to practice responding and being there for each other in different ways than you have been. Changing your underlying couple pattern will allow you to lovingly and effectively work through things on your own without a therapist in the near future.


Not interested in the science? That’s ok, you don’t have to understand it for it to work. Understanding it is my job. Here’s all you really need to know going into it….

  • It works.

    EFT is thoroughly studied and highly respected. If you complete the difficult emotional work it requires, you’ve just created a whole new relationship. 70% of research participants experienced a complete reduction of symptoms (Johnson, S. M. (2008). Hold Me Tight: Seven Conversations for a Lifetime of Love. New York: Little, Brown and Company.). This is significant, especially considering most couples who come to me have a hard time imagining anything getting better. There is also an extremely low relapse rate with EFT compared to other models of couples therapy. Most couples had maintained all of their progress three full years after “graduating” from EFT.

  • It's focused.

    Staying focused on what will actually lead to lasting change is one of my most important roles as an EFT therapist. Without the roadmap that EFT offers, it is easy for therapists to get pulled into the content of the conflict, trying to resolve this argument and that one while entirely missing the root cause. We won’t just rehash old arguments or try to figure out who was really to blame in each of them. We won’t look for compromises in each unique argument you’re having. And we won’t learn conflict resolution techniques that may or may not work for you. There’s something that is the same in all of your relationship distress and we’re going to find it, shine some light on it, and then change it. EFT is all about the “dance” or the patterns that you are both engaging in. We will learn your specific dance inside and out and then target the root of all of your pain—disconnection.

  • It will feel repetitive.

    Because EFT is so focused, it will feel repetitive. In order to create lasting change, I can’t just give you a different worksheet about fighting fair or appreciation each week. We have to map the cycle you’re stuck in, discover your most vulnerable emotions and desires, and then practice sharing those with each other and responding in new ways that help you feel loved and safe with each other. Whether you realize it or not, you’ve been repeating the same pattern for however long you’ve been struggling. Understanding your pattern, emotions, and desires inside and out, creating safety, and then repeating the desired, loving interactions over and over and over is the only way to rewrite the negative patterns you’re stuck in.

  • It's hard work.

    Vulnerability is hard. It can be hard to even know what we’re feeling, especially if you’ve never practiced noticing feelings and sharing them. And there is always a risk of getting hurt when we open up to someone. Thinking about sharing intimate things with the person you feel angry with, hurt by, distant from, AND the person who you want to love you more than anyone else in this world might be terrifying for you. We will begin with creating a sense of safety, both with me and your partner, but it will also require taking some risks. If you’re not sure if it’s worth it or if this is even necessary, we can always have a conversation about it. I really believe whatever you’re feeling about this makes perfect sense based on your current situation and past experiences.

“Love is a constant process of tuning in, connecting, missing and misreading cues, disconnecting, repairing, and finding deeper connection.”

— Sue Johnson (Founder of EFT)

What if I’m not sure about the “emotionally focused” part?

It is possible that emotionally-detached, logical communication skills is what you want. However, I would argue that EFT offers what humans need. As explained above, EFT is thoroughly researched and has even been used and researched alongside treatments for physical ailments such as pain, diabetes, and cardiovascular disease. Close relationships are necessary for mental and physical health, and emotional connection is crucial for close relationships. EFT takes us far beyond reducing conflict. It brings couples together in a deep, intimate way that you can enjoy for the rest of your lives together.

Maybe you don’t want emotionally focused therapy because you think emotions are the single greatest reason for your marital problems. Well, they absolutely are. Emotions are fueling every second of your relationship struggles AND we can’t get rid of our emotions. We can shove them down, try to ignore them, or consciously disconnect from them, but they still control us from the inside out. Being disconnected from those emotions keeps us from true intimacy and likely influences our partners emotions to be stronger and louder. So if emotions are a huge part of the problem and we can’t get rid of them, what is there left to do but work with them?

If expressing emotion or even knowing what you’re feeling in the first place is difficult or uncomfortable for you, you are in the right place. EFT is for anyone who is willing to do the emotional work, even if it feels very foreign at first. I’ll be there with you all along the way.

While this model has the potential to benefit anyone regardless of how “emotional” you consider yourself, it also will not be as effective if you aren’t willing to do the emotional work it requires. You’re going to have to get inside of your own head, heart, and body and talk about what you find. There is not one right way to experience or communicate our emotions and desires. We are all so different, and EFT is adaptable to all types of people. If your spouse is ready to jump in but you’re skeptical or nervous about it, you can always try a few sessions and see what it’s like. You are never locked in to a certain number of sessions.

Lastly, if the word emotional makes you think “flowery“ in the worst way, you may be happy to hear that it could be more accurately described as “real, deep, and direct.” This model is “emotionally-focused” which means we are going to get straight to the point. We are going to dig deep and uncover the exact emotional and behavioral cycle that is causing every single one of your fights or negative interactions. We are going to figure out who you each are, and we’ll uncover what you each fear and desire at your core. We’ll learn why doing things that make no sense (like hurting someone you love) actually make sense when you see the big picture. Then, with greater understanding for ourselves and our partner we’ll work toward living and communicating more in line with what you really feel and want. I want you to find more directness and authenticity in your relationship. I want your partner to feel loved and safe enough with you to say “I’m feeling hurt and disconnected from you right now” so that you two can reconnect quickly instead of them getting angry and listing all the things you’ve ever done imperfectly to the point that you don’t even know what they’re upset about anymore. That’s exhausting, frustrating, and doesn’t get you two anywhere. Working with your emotions in therapy may still feel exhausting, especially if this is new for you. But it will get easier with practice and will lead to something so beautiful and comforting.