The Couples Conference 2019

This year’s Couples Conference explored 5 major models of couples therapy. These included PACT, Gottman, EFT, Relational Life and the Developmental Model. I had the honor of opening the conference, and I would like to share with you the poem I wrote to highlight five different approaches to couples therapy that have advanced our field. […]
Helping couples realize it takes two to manage long-standing pain

Anxiety, anger, and jealousy are emotions I see often in many of the couples I have worked with over the years, and I’m sure it’s no different in your practice. Untangling the roots of these feelings and helping couples adopt strategies to deal with them becomes a central challenge for you. Recently my therapists’ online […]
Working with The Brilliant Skeptic or Paranoid Adaptation

A while ago I was thinking about specific challenges that can come up in our work with couples – ones that may require us to go “off script” and take a more nuanced approach to therapy. In particular, I’ve been thinking about cases where at least one partner is entrenched in one personality adaptation. So […]
6 Personality Adaptations and 3 Doors: a model for knowing where to connect with your clients

What can we do when partners show resistance to our interventions? This is a question that came up recently in my online training group, when a therapist presented a case with several thorny challenges. Her questions led me to remember a set of concepts I learned early in my career. These ideas came originally from […]
How to prevent teen dating violence

by Dr. Alazne Aizpitarte Psychologist & Family and Couple Therapist. Researcher in Teen Dating Violence. When we hear of “intimate partner violence,” what suddenly comes to mind are beatings, bruises, or rapes. But it is not this type of severe physical or sexual behavior which characterizes the majority of cases of violence in teen couples, […]
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 […]
A Closer Look at Early Differentiation

What is real developmental progress? How do we recognize and support it? Many couples in therapy are starting to move from the symbiotic stage into early differentiation. It’s not the kind of progress that comes with fanfare and celebration. In fact, the couples might not even recognize their progress. So it’s especially helpful for you […]
A Developmental Model for Healthy Couples

Throughout my experience as a couples therapist, I’ve observed that couples relationships typically progress through 5 normal and predictable stages. In healthy relationships, a couple’s development closely parallels the stages of early childhood development originally conceptualized by Drs. Margaret Mahler and Fred Pine. In what ways are these developmental processes similar? And how does understanding […]
Quotable Moments From Recent Conferences

This spring I presented keynotes and workshops at The Couples Conference in Oakland and at a UCLA conference called Relationships and the Health-Promoting Power of Connection Across the Lifespan. Both events featured faculty that trained, enlightened and entertained participants. I’m still reviewing in my mind some of the great things I heard there. And I […]
Searching for Intimacy and Aliveness

Here is the transcript I promised you in my most recent blog post, “Moving Couples Through Defense and Ambivalence Toward Intimacy.” In that blog post I said that when I hear clients “intellectualizing” a desire for intimacy, it’s an indicator that they’re in the “Adult-ego state,” and probably covering vulnerability and fear. This transcript demonstrates […]