6 Steps to Developing Leadership in Couples Therapy

If I could recommend just one skill for you to develop to become a successful couples therapist, it would be leadership. Leadership is the number one skill that gets your work off to a strong start and allows you to manage almost anything in your office.

However, you can’t be a strong leader if you don’t know where you are going, and you are just reacting to your clients. There are so many things that can go haywire with two clients in the room and so much damage that can be done if things go badly.

Couples therapy requires a different level of leadership than individual therapy so I thought I’d share with you the 6 primary characteristics that the Developmental Model recommends for your leadership right from the beginning. Knowing these enables you to start from a strong position, quickly choose a direction, and then create momentum.

  1. Diagnose the developmental stage of the relationship. When a couple presents with pain and disappointment, you don’t want to get caught in their content. Instead you want to have a roadmap that enables you to hone in on where they are stuck. Are you able to see where their development is arrested? How far off course are they from what you might expect based on their ages and the time they’ve been together?
  2. Tailor your interventions to the specific impasse.  Once you identify where the couple is stuck, you’ll be better equipped to choose appropriate interventions for working with the couple and each individual. For example, with symbiotic conflict-avoidant couples you’ll want to increase their tolerance for intensity, while hostile-fighting couples require you to de-escalate intensity.
  3. Harness the developmental energy in each partner and in the system.  It’s normal to move towards positive growth-promoting experiences. However, when couples have been together very long, they start to retrigger painful moments of hurt and disappointment. They begin to regress. You’ll want to stay steady and select interventions that support progression rather than regression. In this phase, it’s important to offer experiences between the two individuals that will facilitate the unfolding of normal growth-promoting energy. Here, you need to highlight each partner’s strengths and identify the areas where they are open to being pushed to grow. As therapists, we need to discern how we can take them to those places – especially when one partner is threatened by the other partner’s growth.
  4. Help partners stop retriggering and retraumatizing each other. In order to repair ruptures within their relationship, couples need specific skills. Defusing hostility under stress is not easy. You’ll want to lead them through specific exercises to  help them repair and tolerate the anxiety of differentiation.
  5. Identify internal conflicts that are interfering with the couple’s development. Recognize that change is stressful. Most partners have two polarities.  Another way to say this is, “What is each partner’s dilemma?” They may want to change and be afraid to change. For example, a wife might say that she wants more open communication with her spouse but she is very afraid and reactive when her partner expresses desires that are uncomfortable for her. Effective work takes uncovering the resistance to stretching and growing. Your job is to uncover these internal conflicts and stimulate motivation for change.
  6. Facilitate learning-specific developmental capacities.
    Each partner will lack certain internal capacities that enable them to hold firm and be compassionate under stress. When you become skilled at seeing what is missing, you can set targeted goals and lead them along a path of progress.

When working with couples, it is so easy to see pathology. Partners are often at their worst in front of you. However, step back and ask yourself, “What is their developmental hurdle?

Can I be optimistic instead of pessimistic about their future?” Then set a tone from the very beginning that focuses on growth and success. Your style, your beliefs, and what you pay attention to will determine the direction of the therapy.

If you’re curious about how to do any of these 6 steps in more depth, they’re all skills I teach in my Developmental Model of Couples Therapy online training program.

You’ll learn how to diagnose couples stages and tailor your interventions to the appropriate stage. You learn skills to stop partners from traumatizing each other, and then learn to tease out motivation from each partner so you get out of the middle, and they are responsible for creating change.

This model works with all types of partners and issues from passive-aggression to narcissism, infidelity, and conflict-avoidant partners.

Right now, I only open my online training program twice a year.

So if you’re not yet on the waiting list, enter your name and email below and you will get early notification of when we open.

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I look forward to helping you find ease and confidence in your work with couples.

For now, I’m wondering if you think it is useful to apply this framework in your practice – with either a new couple, or one you’ve been working with for a while. Please leave a comment below and share your insights.

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Steve
Steve

1. I agree not getting focused on content is useful in any therapeutic encounter. Not sure that the therapist’s expectations are as important as the clients’, though. I prefer to focus on the clients’ expectations and associated frustration, as in ‘Mind the Gap’.
3. Agree that differences in growth rate can negatively impact team work; finding the positives and a common dance may be useful.
4. Agree that squaring the circle, as it were, between difference and same, apart and together is important and may go back to early established patterns and/or incompleted childhood developmental stages (viz. awareness of self and other, control and survival).
6. For me, this is about the fear of learning, a learnt response to childhood curiosity and enquiry which has been met by threats to survival. Removing the fear of learning is, for me, a great antidote to formal schooling and fear of life. “Life is just living and learning, learning and living”, to paraphrase John Wayne. If we ain’t learning, we ain’t living!
Thanks for the stimulation today. Helps me maintain plasticity!

Susan Gorman
Susan Gorman

Hello, Ellen,

Thank you for your amazing tips which can help therapists personally and professionally. Your words are all very thought provoking and useful. We appreciate you!

Janis
Janis

Hi Steve,
thanks for your comment to Ellen’s wonderful teaching. I especially like and agree with your numbers 4 and 6.We often need to go back to early established patterns to interrupt the now dysfunctional life of them, so to speak. Our patterns helped us at one point but now are not helpful and oftentimes hurtful to our relationships. We need to recognize this, allow ourselves to accept the need to grow through this and be our best selves at this time.

Tammy
Tammy

I’ve been in Ellyn and Pete’s training for 3 years and it has been life changing. I would definitely recommend it.

Ed Walsh
Ed Walsh

This is very helpful; provides ground rules to enhance many things I’m already doing. Thank you.

Lori Kegan
Lori Kegan

Oh my goodness. So true. I’ve heard other therapists say that they believe there is a very low success rate with couples work. Of course!—because they’ve never been trained by expert couples therapists like Ellyn & her husband Pete. Everything I’ve learned from them at their Couples Institute WORKS! And most of it works the FIRST TIME! This has opened up a whole new world for me. Why did I wait so long? Very affordable. Sign up for the most exciting couples training ever & you’ll wonder too, what took you so long?!

Dr. Ellyn Bader

Dr. Ellyn Bader is Co-Founder & Director of The Couples Institute and creator of The Developmental Model of Couples Therapy. Ellyn is widely recognized as an expert in couples therapy, and since 2006 she has led innovative online training programs for therapists. Professionals from around the world connect with her through internet, conference calls and blog discussions to study couples therapy. Ellyn’s first book, "In Quest of the Mythical Mate," won the Clark Vincent Award by the California Association of Marriage & Family Therapists for its outstanding contribution to the field of marital therapy and is now in its 18th printing. She has been featured on over 50 radio and television programs including "The Today Show" and "CBS Early Morning News," and she has been quoted in many publications including "The New York Times," "The Oprah Magazine" and "Cosmopolitan."

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