How Understanding Attachment Can Drastically Improve Your Relationship: A Review of Hold Me Tight by Dr. Sue Johnson

There are many theories and countless books about what makes relationships and marriages work.  Self-care and relationship sections at bookstores are filled with plenty of resources to offer marriage advice, not all of which is reliable or helpful.  But when all these tools coincide with increasing divorce rates, we are left wondering: how can couples make it through some of the worst moments of their relationship?

If you’ve been in a relationship with high levels of conflict, negative spirals you can’t seem to escape, and a sense of growing distance between you and your partner, the discouragement can feel overwhelming.  What’s the solution to these seemingly endless loops in which couples find themselves that propel them to consider divorce?

“To achieve a lasting loving bond, we have to be able to tune in to our deepest needs and longings and translate them into clear signals that help our lovers respond to us.”

— Dr. Sue Johnson

Hold Me Tight

In her book Hold Me Tight, Dr. Sue Johnson uses the lenses of attachment theory and neuroscience to explore how some couples overcome the destructive patterns in their relationship to forge a stronger connection.  She pulls together research from various studies on relationships that highlight the themes of attachment.  She then translates these concepts into seven practical conversations that help you explore the application of these concepts to your relationship.  They focus on how to turn challenging patterns of argument and conflict into opportunities to create connection and empathy.

This book is written for the everyday couple.  She explains clinical terms in a way that makes sense to someone who has never heard them before, and she uses frequent examples of couples going through challenges to illustrate the points she is making.  Counselors can also benefit from reading this book, however, as I know I was able to glean some practical tips and language that can help me guide my clients in their relationships. 

What I Appreciated

“Emotional Safety” and Other Terminology

Dr. Johnson’s use of terms like “emotional safety” take the heady, intellectual concepts of attachment and translate them into clear, relatable language.  Emotional safety is what we long for in relationships: the ability to know that our partner is Accessible (Are you there? Can I get to you?), Responsive (Can I depend on you to be there for me emotionally?) and Engaged (Am I valuable to you?  Will you maintain closeness with me?).  She teaches how to use what she coins A.R.E. conversations (based on accessibility, responsiveness, and engagement) to get at the heart of what is happening within connection and disconnection.

In fact, much of her language is descriptive and easy to remember.  For example, she uses “Demon Dialogues” to identify common patterns in faulty communication.  She introduces “Hold Me Tight” conversations, in which partners talk about their needs for emotional safety and connection that exist behind a conflict, inviting empathy and compassion.

Providing a Contrast to Cultural Messages

Frequently, Dr. Johnson contrasts our culture’s emphasis on independence and self-sufficiency with the reality of what makes couples work: mutual support, emotional bonding, and healthy meeting of emotional needs.  Often our culture decries weakness or dependency on anyone, encouraging us to stand on our own.  Even language surrounding codependency can swing toward this extreme of isolation through independence.  Her work in this book is meant to shift the narrative around healthy emotional support and depending on our spouses to meet emotional needs, particularly as larger social connections have been decreasing.

Conversations about Arguments and Hope

In the seven conversation topics Dr. Johnson proposes, she includes addressing arguments and conflict head-on, as they often carry the charge of longing for emotional connection behind them.  However, she doesn’t stop there.  The later conversations dig into such topics as improving daily moments of connection, creating rituals that reinforce your love, and improving your sexual relationship.  The earlier conversations around conflict and emotional needs lay the groundwork to make these later conversations go more smoothly.

“A desperate need for an emotional response that ends in blaming and a desperate fear of rejection and loss that ends in withdrawal – this was the scaffolding underneath these endless conflicts.”

— Dr. Sue Johnson

Pauses for Self-Reflection

As attachment and emotional safety are likely new concepts for you in your relationship, it makes sense that you might not know where to start in understanding your emotional needs.  Dr. Johnson leads you through personal reflection and helps you identify what she’s talking about, like your own personal raw spots based on past relationships with family or significant others.  The use of examples throughout can also help you self-reflect, as you identify what you relate to in their stories.

“Play and Practice”

In every chapter, there is at least one, if not several, practical application sections labeled “Play and Practice.”  These take the concepts Dr. Johnson talked about in the chapter and help you have a productive conversation with your partner about how they apply to your specific relationship.  These include such tools as fill-in-the-blank sentences that help you communicate with your partner about your reactions and emotional needs.  In particular, one section I appreciated near the end encouraged couples to write a summary story of the progress they’ve made in their relationship that serves as a narrative base to come back to when things start to get difficult or slip back into old patterns.

Addressing Trauma

She also included a chapter specifically targeting the challenging symptoms and disconnection that arises when trauma exists in your relationship.  I found this chapter especially helpful when thinking about addicts and betrayed partners who need to know that using these principles is still possible within their recovery from trauma.

She reminds the reader that we cannot stay isolated and disconnected in our trauma.  Instead, we need to let others, including our partners, into those dark places.  This can help make sense of the often confusing symptoms of PTSD that arise and create chaos within the relationship.

“If we cannot successfully connect with others, our struggles to cope with trauma become less effective, and our main resource, our love relationship, often begins to sink under its weight.”

— Dr. Sue Johnson

How to Use This Book

If you are in a relationship where you find yourself arguing often, unable to get on the same page, feeling unsupported, or simply not understanding each other, this book might be a good place to start.  It is helpful if you don’t think you’re ready for couples counseling yet, but could use some support and growth within communication and connection.  Perhaps you and your significant other could read the book together and work through the Play and Practice sections to learn more about one another.  I believe this book can also be beneficial if you read it separately from your spouse, but the best outcome is more likely to come if you read it together.

If you are a couple in crisis, on the brink of divorce, or unable to have the type of in-depth conversation the book requires due to a buildup of past pain or a tendency to get lost in the “Demon Dialogues,” your first priority might be instead to seek out couples counseling.  If the principles of this book interest you, I’d recommend looking for a therapist who has training in Emotionally Focused Couples Therapy (EFT), the model Dr. Johnson created based on her body of work.  You could also read this book as part of your therapy or on the side, but the best option is likely meeting with a quality couples therapist.

“We will never create a really strong, secure connection if we do not allow our lovers to know us fully or if our lovers are unwilling to know us.”

— Dr. Sue Johnson

Six Strategies to Regain Control Over How You Use Social Media

It’s Saturday night, and you’re home alone again watching Netflix.  Cuddled up in your blanket, you open Instagram on your phone.  Before you know it, you’re scrolling through your feed, checking out all the latest engagements and baby announcements of your friends.  You see a group of former high school classmates taking a beach vacation together, a group of friends posting a picture out at the bar, and your ex posting a photo with his new girlfriend.  Suddenly you’re swimming in a sea of depression, self-loathing, and comparison.

Whether you’re a mom of young children bogged down by the demands of a Pinterest perfect lifestyle or you’re obsessed with the number of views of your Instagram story or TikTok video, use of social media has infiltrated our culture to such a degree that our lives feel defined by our status updates.

A study completed at University of Pittsburg a few years ago indicated that heavy use of social media was correlated with depression.  Connections were also found between time spent using social media and the severity of depression symptoms, number of social networking platforms used and levels of depression, and a decline in happiness with use of Facebook.

A major factor in the link between social media and depression is what University of Houston researchers termed “social comparison”.  This refers to the tendency we have to flip through our feeds and compare our lives to those of our “friends.”  People present their best, most polished selves on social media, and we spend time comparing those highlights to our worst moments.  We can feel jealous of what others have and give in to the mistaken belief that being perfect is what will make us happy.  Even comparing ourselves as better than someone else can have a negative impact on our moods.

Bullying plays a significant role in negative moods associated with social media.  Research shows that negative experiences are common on Facebook – in fact, as many as 1 in 4 adolescents reported being bullied through text or social media.  These negative experiences can not only contribute to depression in the short-term, but they can cause long-term traumatic effects.

What are some ways you can regain control over the impact social media has on your mental health?

Remove the apps from your phone.

Sometimes when I’m bored, I suddenly find myself mindlessly scrolling through Instagram.  Has this ever happened to you? The easy accessibility of apps on our phone makes the choice to look at social media almost unconscious. Deleting certain apps makes that decision more of a conscious choice.  Adding the extra step of typing the website into the browser before you can look at it is a deterrent from mindlessly scrolling social media.

Turn off your devices or charge them in a separate room an hour before bedtime.

In addiction treatment, “HALT” is an acronym used to describe situations in which addicts are more likely to be triggered: when they’re hungry, angry, lonely, or tired.  These emotions can come up late at night, particularly feelingtired and lonely.  In other words, nighttime is the perfect setup for you to be sucked into a social-media-fueled depression.  If you place your devices in a separate room and make a point not to use them before bed, this takes the temptation away.

Take a social media break.

When social media feels like it’s consuming your life, consider taking an intentional break. Choose not to look at any of your social media apps for a day, a week, or a month.  Enforcing this break might involve deleting apps from your phone or using an app like RescueTime to limit your ability to access social media.

Limit checking social media to certain times of the day.

It’s easy to click over to TikTok, Instagram, or Facebook many times a day without thinking, and we can feel the wasted time slipping through our fingers.  Instead, choose two or three specific times during the day that you know you’ll have time and plan to look at your social media accounts then.  Sticking to this plan allows you to look forward to your scheduled time to check.

Figure out your purpose for social media.

Have you ever stopped to think why social media is so important to you?  Is it to maintain friends?  To feel connected to people who are far away?  To receive support or encouragement from others?  Or even just to distract you when you’re feeling bored?  Ask yourself why you are using it.  Studies have shown that those who use social media for positive interactions, social support, and social connectedness have positive outcomes for depression and anxiety.  How can you use social media as a means through which you can decrease loneliness?  Remind yourself of what purpose it serves for you every time you log in.

Take an active role.

Use your Facebook or Twitter accounts as a tool to post honestly about your life, to give encouragement to your loved ones, or to connect with your friends.  Studies show that “surveillance use,” or seeking to use social media to observe others’ lives rather than express your own (or what I think of as mindless scrolling) increases depression.  Use these accounts to share your authentic self and embrace your imperfections, combating the mistaken belief that perfection is the goal for happiness.

This article was originally posted on November 30th, 2017 under the title “Six Simple Ways to Cut Through the Social Media Funk.”

The Role of Self-Deception in Addicts and Betrayed Partners

One of the most important steps toward recovery in sex and love addiction is getting honest about your addiction.  In the 12 Steps, Step 1 and Step 4 both involve admitting you have a problem and taking a fearless moral inventory of your behaviors.

Deception in relationships with others is one of the most obvious indicators of addiction, including hiding behaviors from your spouse or partner, secretly using at work, or doing whatever you can to mask the problem from your family or friends.

The outward deception characteristic of addiction is often fueled by an inner self-deception.  The addictive behaviors often do not fit with what you want to believe about yourself, and so you justify them, explain them away, or just live in complete denial of their impact.

Self-deception not only happens for the addict, but it can also be present in betrayed partners reeling from the discovery of addiction.  Sometimes self-deception happens before discovering the addiction, as partners can sense intuitively that something is wrong but ignored warning signs.  Other times self-deception happens after discovery as partners seek to make sense of the fact that their loved one and primary adult attachment figure is also a source of great pain in their lives.

Types of Self-Deception

One common type of self-deception is shame-based hiding.  You don’t like what you’re doing to yourself or to others, so you’d rather hide than think about what that says about you.  This might be accompanied by shame-based core beliefs , such as “there’s something wrong with me” or “I’m not good enough.”

Another way to self-deceive is through being a “chameleon,” conforming to the expectations of others.  Essentially, you become whatever you need to be, depending on the person or situation you are in.  You may imitate other people to get what you want or manage the image others have of you.  Unfortunately, with time, this self-deception can lead you to lose a sense of your personal identity.

Creating confusion through chaos and distraction arises as another strategy of self-deception, particularly present in addiction.  An addict using this strategy can mask their addictive behavior, protecting their outlet for escape or relief from painful emotions.  This chaos takes on a life of its own with time as it alienates others and interferes with the structure needed in an addict’s life to work an effective recovery. 

All of these strategies are connected to denial of the presence or power of the addiction. Self-deception strategies can be fueled by denial or provide their own form of justification.

Why self-deceive?

A way to protect yourself from reality.

The truth, especially when addiction is involved, can be incredibly painful.  We don’t enjoy feeling pain.  Lying to yourself can create a buffer between you and the challenging reality such that you limit your experience of pain.  For a betrayed partner, this can be a way of coping with the seismic shift in reality that occurs once you discover the addiction. 

A way to support outward deception and image management.

Lying to yourself can make it easier to lie to other people and get away with it.  When you believe the lies yourself, you seem more convincing.  You may want to maintain the image others have of you, so you begin to lie to protect that image.  Shame about who you truly are propels you to present something different out of belief that others wouldn't like the real you, a feeling of not being good enough, or a host of other negative core beliefs about yourself.

A way to guard you from cognitive dissonance.

When your actions and your values don’t line up, this creates a threat to your identity.  We often cope with this type of cognitive dissonance by altering the way we think about our behaviors through self-deception.  We begin to justify, minimize, and rationalize what we do as a way to feel better about ourselves.  You may begin with some awareness that this is self-deception, but with time, the lies you tell yourself and others begin to feel true. 

Access to attachment and survival needs.

As humans, we have deeply rooted needs for love, acceptance, closeness, and intimacy that have been ingrained in us from our birth.  In particular, when our attachment needs as children were damaged through abuse, neglect, or lack of attunement from our parents, these needs grow even stronger and can take priority over values of honesty or integrity.  Fear of abandonment, loneliness, isolation, and rejection can feel crippling, so self-deception functions as a way to avoid that pain. 

A response to fear.

When we feel fear, our brains go into survival mode, kicking up our fight-or-flight response.  Perhaps in the past, honesty meant you would receive abuse in your family-of-origin.  Fear of separation or divorce can be terrifying for either the addict or the betrayed partner.  At the same time, fear of intimacy can lead to further hiding, as honesty is an invitation to closeness.  If intimacy and vulnerability were unsafe for you due to experiences of abuse or neglect, self-deception is a way to avoid that fear.

Why do we need to stop self-deceiving?

Self-deception leads to neurological changes in the brain.  When lying becomes a practice, our brains become conditioned to lie, such that we may find ourselves lying even when it is unnecessary.  Once this practice becomes rooted in neurochemistry, it becomes much more complicated to change, so catching self-deception as early as possible is important.

Self-deception also creates disconnection and separation in your relationship as you become unwilling to talk about your desires and needs.  Image management can come into play when you disagree with something and don’t believe that it is okay to disagree.  When there isn’t space to have conversations about what you need, both partners become unhappy, and this affects desire and attraction toward one another.

When self-deception has been common practice throughout a marriage or relationship, it creates broken trust and lack of respect.  Selfishness and power dynamics begin to take over and create a toxic dance that leaves both partners feeling dissatisfied and hurt.

The Way to End Self-Deception

Gain more self-awareness.

Start to do your own self-reflection through therapy and recovery work.  This can be a challenging process, as you will be asked to look more directly at the same and pain from which your self-deception has allowed you to hide.  It is important to maintain self-compassion during this stage, remembering that self-deception developed out of a protective instinct that served you in some way, but now is interfering with your life.

Practice honesty in small things.

When self-deception becomes ingrained, it can feel like second nature to lie about things that aren’t important.  Take steps to practice honesty about those small things.  Communicate smaller needs and work your way up to naming larger ones.  Take responsibility when you slip into a lie and go back to correct it.  Recognize your boundaries: you don’t have to use image management in an attempt to control others.

Create space for connection with others.

Offering connection to your partner or others directly addresses your attachment needs.  This can feel incredibly vulnerable, so couples counseling may be helpful in guiding you toward this practice.  You can regulate challenging emotions through physical connection with your spouse, like eye contact and touch that feels safe to you.  Practicing your ability to offer and receive empathy can also allow for a greater sense of connection.

Move toward greater authenticity.

As you grow in knowledge and understanding of yourself, you will be better equipped to express that knowledge and self-acceptance in relationships with others.  Self-reflection can help you learn new ways of dealing with painful emotions, including inviting others in to support you and offer empathy.

The ACT Matrix: A Map to Awareness and Empowerment for Change

Imagine you wake up in the morning full of energy, looking forward to what you have planned for the day.  As you step into the kitchen to make your coffee, you think of the big presentation you have coming up for work.  Suddenly, you start feeling afraid and nervous as you imagine everything that could go wrong.  Thoughts of insecurity begin to flood your mind: “I can’t do this.  I don’t know enough to give this presentation.  This is going to be a disaster.”

The energy you felt getting out of bed is draining fast.  After pouring yourself a cup of coffee, instead of tackling your emails or the tasks you had planned to complete in the morning, you end up sitting on the couch and scrolling through Instagram.  Maybe you give up on the coffee altogether and go back to bed.  Or you pick a fight with your spouse when they walk into the kitchen to let out some of the stress and anxiety you’re feeling.

Later in the day, you think back and wonder, “How in the world did that happen?  My morning was going great, and then everything fell apart so quickly.  Why does this happen to me?”

Oftentimes, we find ourselves in frustrating patterns of behavior that make us unhappy, but we’re not quite sure how to change them.  Often these concerns lead people to seek out counseling.  They know there’s something wrong, but they just aren’t sure how to fix it.

Luckily, there is a tool for making sense of these thoughts, behaviors, and feelings: the ACT matrix.  It is a guide to seeing your behavior within the framework of what inner and outer experiences move you toward or away from what really matters to you.

The ACT Matrix

The ACT Matrix was developed out of Acceptance and Commitment Therapy (ACT), which emphasizes the balance between acceptance of your current reality (supported by mindfulness and self-soothing strategies) and commitment to change what is within your control (supported by behavior change strategies and skill-building).  The goal of this framework is to move toward change with compassion and self-understanding, integrating nonjudgmental awareness and making peace with challenging emotions and experiences.

The ACT matrix tool was developed as a way to visually represent this framework.  It was created by Kevin Polk, Jerold Hambright, and Mark Webster for use with trauma and addictions.

Credit: Dr. Kevin Polk

The matrix helps you see the function of your behaviors, or how and why they work (or don’t work) for you.  Understanding these foundations can help you take a more holistic, compassionate, and long-lasting approach to change.

The Horizontal Axis: Moving Toward vs. Away

Looking at the diagram above, you’ll notice a horizontal line with the labels “toward” and “away.”  This axis represents how we move in each of these two directions.  We have hard-wired biological responses that move us toward things that feel important to us and away from potential threats or what we do not want.  Consider the instincts of animals in the wild: they move toward things that provide something they need (food, shelter, other animals of their kind) and away from threats (predators, wildfires, humans). 

The Vertical Axis: Inner vs. Outer Experience

As humans, however, we don’t live our lives purely on instinct.  We can observe and respond to stimuli that are outside of ourselves, but we also have a vibrant inner world that influences and shapes our responses.  We can use reason, control impulses, make decisions, and weigh options.

The vertical axis on the diagram represents this shift between our inner and outer worlds.  Our outer experiences are things we do that other people could observe, including behaviors or actions.  Our inner experiences are what happens inside our mind and body: thoughts, feelings, sensations, decisions, etc.

In every moment of our lives, we exist somewhere on this vertical line.  Either we are more connected to our internal world, absorbed by the thoughts and feelings associated with it.  Or we are more connected to the outer experience, what we’re doing or what’s happening around us.

The Matrix as a Road Map

Consider that each of these axes are a continuum.  Rather than living in all-or-nothing, this matrix provides a road map to identify what can move you closer to one side or the other.  There are a range of possibilities to explore along each of these lines.

Creating Your Matrix Map

Now, let’s consider how you can reflect on your personal values to fill out this road map and identify what patterns are keeping you stuck.  We do this through a series of four questions that guide you to identify how you are moving toward or away from your goals, and how your internal experience as well as your behavior play a role in that dynamic.  Let’s start with the bottom right quadrant.

Quadrant 1 (bottom right - moving toward, inner experience)

What matters to me?  What is important to me?  What values do I hold?

Write a list in this quadrant of what is most important to you.  Aim for about 4-5 people, things, concepts, values that are most significant.  Reflect on what they mean for you.  For example, if one of your values is “happiness,” consider what your ideal picture of happiness would look like.

Quadrant 2 (bottom left – moving away, inner experience)

What thoughts, feelings, urges, or other internal experiences get in the way of living into those values?  What limits me from being able to have what is important to me?

Reflect on the internal experience that gets in the way of the full expression of those values.  Perhaps your lack of confidence prevents you from being able to date and pursue marriage, which is valuable to you.  Maybe you feel bouts of intense sadness and grief over the loss of a loved one, which is preventing you from living out your goal to achieve at work or pursue friendships.

Quadrant 3 (top left – moving away, outer experience)

When I have the thoughts and feelings in quadrant 2, what do I do?  How do I respond in observable behaviors?

Now it’s time to see how these thoughts and feelings influence your behaviors and how you respond.  These may include attempts at coping with the troubling internal experience, for better or for worse.  What you’re looking for here is anything that moves you away from what is important to you.  For example, you may find yourself overeating every time you feel lonely.  Or you drink more when you’re dealing with a storm of insecure thoughts. Perhaps you withdraw and isolate from others when you’re feeling lonely or rejected.

Quadrant 4 (top right – moving toward, outer experience)

What can I do to move me toward what is important to me?

The ultimate goal of this guide map is to help you brainstorm and define ways to increase movement toward the things that are important to you.  By reflecting on the first three quadrants, you may be able to clarify for yourself what behaviors support your values and goals.  You might identify initiating a date with your spouse as an action that moves you toward intimacy in your marriage.  Or you might include exercise or getting more sleep if one of your values involves health and fitness.

Feedback Loops

Often where we get stuck is in the interplay between quadrants two and three.  Look at the behaviors you listed in quadrant 3.  When you engage in those behaviors, how do they impact your thoughts, feelings, urges, and inner experience?  Typically, they either reinforce the internal experience that’s already happening, or they create another inner dynamic that moves you away from what you value.

When we have an inner experience that is challenging, distressing, or painful, we respond to that experience with behaviors that reinforce it and send us back into the pain.  No wonder we find ourselves stuck in those loops!  But there’s good news: once you’re aware that this feedback loop is happening, you can change the way you interact with it, often by using the behaviors involved in quadrant 4.

Compassion

One strength of the ACT matrix approach is looking at these behaviors with a nonjudgmental lens.  When you see where they fit on this road map, you can identify how they function. All behaviors have a function and work to serve that function, even if they seem confusing or counterintuitive.  Another way to explain this is that everything you do works for you in some way – otherwise, you wouldn’t be doing it.  What you need to ask yourself is what function that behavior is serving in your life.

For example, if you find yourself endlessly scrolling through social media, perhaps that behavior is serving a numbing function.  Maybe it is a way to feel connected when you’re isolated from loved ones.  Or perhaps it’s a springboard for creative ideas.  Each of these potential functions (and sometimes a combination of several) drives and motivates this behavior. 

Seek to offer kindness to yourself and explore where you are on the continuum without judgment, exploring where you might want to go and what steps you can take to get there.

Agency

Some versions of this matrix include a circle at the center that overlaps all quadrants.  This circle represents you as the observer, becoming aware of the system of thoughts, emotions, and behaviors that influence you.  Awareness of the system can lead you to reflect on what’s in charge of the systems in place: for example, who is in charge of choosing what’s important to you (quadrant 1)?  Who is having these thoughts and emotional responses (quadrant 2)? Who is acting on these behaviors in response to the thoughts and feelings (quadrant 3)? The answer to all these questions is you.

This demonstrates how much agency you have over these areas of your life, empowering you to change.  If you are the one in charge, then you are the one capable of creating change in your life.  You can become aware of the feedback loops in your life and explore alternative options.  You can learn new skills to move you toward what is important to you.  Even small changes like intentional mindful breathing can shift your experience between your inner and outer world, demonstrating the control you have over your moment-by-moment experience.

Spend a day observing your movement on this ACT matrix: how your thoughts and actions influence how connected you are to your inner or outer experience, or how much you are moving toward what feels important or moving away from it. Become more conscious of the behaviors that move you toward what matters to you and to reduce the intensity of the feedback loops you experience.

If you find yourself noticing these patterns but still feeling stuck or unable to change, that’s where a good therapist can help you work through those stuck points. 

Additional ACT Matrix Resources

• Kevin Polk, one of the creators of the ACT Matrix, has trainings to understand this concept further through his ACT Matrix Academy.

• Mark Webster, another contributor to the matrix, has a three-part YouTube series demonstrating how it works.

• Jacob Martinez, an ACT matrix trainer, has resources at his ACT Naturally website.

EMDR’s Resourcing Tool: A Support in Challenging Situations

All of us have difficult conversations or tough people that we need to face at some time in our lives.  It could be a confrontative conversation with a boss, a tense conversation with a spouse or family member, or walking into a stressful or anxiety-inducing situation.  For an addict in recovery, you might notice triggers that propel you into a desire to act out in your addiction.  For those with trauma, re-engaging with a person, place, or circumstance that is associated with your trauma may lead to fear and anxiety as it brings the memory flooding back.

How can you walk into these challenging moments with a greater sense of confidence and courage?

EMDR, or eye movement desensitization and reprocessing, is a commonly used treatment for PTSD and complex trauma.  Part of the process of EMDR involves bringing awareness to past traumatic memories, which can feel scary or uncomfortable.  Because of this, before the processing of memories begins, you’ll be prompted to create what are called resources.

These resources associated with EMDR are not only effective for preparing you to face uncomfortable, scary, or painful memories.  They can also help you prepare for everyday moments of distress in the present and future.

What are resources?

Resources are places, people, feeling states, animals, objects, etc. that you hold in your imagination to create an internal emotional shift.  For example, a commonly used resource is peaceful place visualization, in which you imagine a place that feels calm and peaceful for you.  Other resources can include supportive figures in your life, such as a nurturing caregiver.  You may also find resources in character qualities or traits you display or have observed in others.  By connecting to these resources in an imaginal capacity, you can connect to the emotional and physical experience of them. 

In EMDR, we couple the imaginal connection to these resources with bilateral stimulation (BLS).  These could be the back-and-forth eye movements associated with EMDR but could also involve tapping alternate sides of the body.  In her book Tapping In, Laurel Parnell teaches strategies to “tap in” these resources using BLS, and much of the resourcing work in this article comes from her work.

Resources are important in EMDR because they can increase your confidence when facing memories, as you know you have your resources as support available to you internally.  In everyday life, resources can help you transition out of a traumatic memory or painful situation.  They can be accessed in your imagination in the present when you notice yourself beginning to spiral into negative self-talk, distressing emotions, or self-destructive behaviors.  They can prepare you for future situations in which difficult emotions or experiences might arise.

How to Find Your Resources

Now that you have an idea of what resources are and when you might need to use them, let’s explore using your imagination to create some of the resources. 

Peaceful, Calm Place

Bring to mind a place that feels peaceful or calm to you.  It can be real or imaginary – a beach, a river, a forest, a room in a secluded cabin – whatever works for you.  Notice what you see, hear, smell, taste, and feel in that place.  Connect to any emotions that arise or sensations you feel in this imagined place.  You’re trying here to connect to the emotional experience: the right-brain, felt sense of the place.  What’s most important isn’t getting the imagery perfect but connecting to the emotional experience of peace or calm that the place evokes.

If you notice your mind going toward the negative and/or your emotions head in that direction, remember that this is your personalized place.  You can control the weather, who is there, whatever you need.  Alter your imagined place until it truly feels peaceful to you.  If that is too challenging based on triggering factors related to that place, consider switching to a different place.

It might be helpful to journal through this or other resources to further solidify the connection to this visualization.  You can read through this journal later to re-connect to the sensations.

Supportive Figures

These three types of supportive figures (nurturing, protective, and wise) are based on Dr. Laurel Parnell’s resourcing work in her attachment-focused EMDR approach.

Nurturing figure

Imagine a person, animal, or symbol that carries a nurturing quality.  It can be fictional or real.  You don’t have to imagine that figure nurturing you: instead, be able to observe a nurturing quality to it.  Pay attention to the sensory experience of observing that nurturing and notice how it feels in your body and the positive emotions it stirs up for you.

Protective figure

Like the nurturing figure, imagine a real or imaginary person, animal, or symbol that carries a protective quality.  You can pull ideas from movies or books.  Remember, you don’t have to imagine that figure protecting you, but instead be able to observe a protective quality in it.  Pay attention to the sensory experience of observing or receiving that protection and notice how it feels in your body and what positive emotions come up for you.

Wise figure

Finally, the wise figure is the last imaginal, supportive figure.  Here, imagine a person, animal, or symbol that you consider to be wise.  Pull the image to mind with as much detail as you can.  When you have a sense of that wise figure, observe the emotions and sensations associated with receiving or observing wisdom.

Supportive figures as a team

Once you’ve identified one or several figures in these categories, you can imagine them together with you as a team.  As you become aware of the presence of each figure, observe how to feels to have all of them on your team, backing you up. 

Character qualities

When you consider the challenge of accessing memories and/or facing difficult moments in the present or future, what resources or qualities might you need to be able to face them?  For example, if you’re considering facing a feared situation, perhaps you’d need courage.  If you’re trying to remain sober, you may need willingness and resolve.  If you are having a challenging conversation with your boss, you might need steadfastness and confidence.

Whatever the character qualities you identify, look back through your life and identify times when you have expressed or embodied that characteristic.  If you can’t think of a time when you’ve displayed that characteristic, consider someone you know or a scene you’ve observed (real or fictional) when you’ve seen that character quality on display.  As you bring attention to that image or scene, observe how you feel and what sensations come up for you, again with a focus on the positive.

Now, imagine yourself in the situation you’re fearing, carrying that character quality with you.  How would you feel?  What would change in your body language?  How might it affect what you say or do?

Container

You may find that when distressing feelings, imagery, or sensations come up, they tend to overwhelm and take over.  This can be true when processing memories, but it can also be true when thinking about entering into feared situations.

In this visualization, imagine a container of some sort, like a steamer trunk, plastic organization box, a chest with a lock, a drawer, etc.  Bring awareness to the physical characteristics of the container by identifying sensory imagery that goes along with it.  You’ll be using your imagination to place negative internal experiences into this box, so feel free to add a lock, chains, or other items that help to make the container feel like it can securely remain closed.

Then, when you’re experiencing negative emotions, fears, memories, or sensations, imagine yourself placing that material into the container to be addressed later.

How to Tap In Your Resources

With any of the above resources, simply visualizing them can bring a sense of greater peace, support, or strength.  To ramp up the power of that experience, however, you can take advantage of the brain’s natural system of strengthening through adding bilateral stimulation in the form of taps.

When you have the picture, emotion, and sensation of the positive resource in your mind’s eye, slowly alternate tapping each knee or the outside of your thigh 6-8 times slowly.  Notice if the feelings evoked by the resource increase in their positive charge.  If so, take a pause, and then do another set of 6-8 taps.  Continue this rhythm until the feeling gets as strong as it can.

You can also try tapping using the “butterfly hug”, in which you cross your arms over your chest and alternate tapping each shoulder slowly for 6-8 taps.  For a demonstration of what this looks like, watch this video.

For more support on this practice of tapping in resources, look into the book mentioned above, Tapping In by Laurel Parnell.  In this book, she gives more detailed instructions and more ideas for resources you could tap into for these difficult moments.

How to Rebuild Trust in the Aftermath of Betrayal

If you’ve faced betrayal in your marriage or long-term relationship, you know the devastation that broken trust creates.  Trust can be broken through affairs or infidelity, either sexual or emotional.  Sex and love addiction is a major factor that comes up in destroying trust in relationships.  Other addictions, secrecy around financial decisions, or secrecy around work can create similar experiences of broken trust.  But a common factor in all these cases is deception.   

Trust requires safety, and if your perception of reality is influenced by the lies or insincerity of another person, it becomes unsafe.  You might ask yourself questions like, “How will I ever know if my spouse is telling the truth?” or “How could I have fallen for their lies?” 

Shame also comes up for the betrayed partner.  You might be wondering if it’s your fault, blaming yourself for not being able to see the warning signs of the deception.  You might feel embarrassed and like a fool.  You might also be struggling with loneliness, as issues such as sex and love addiction can be difficult to share about with friends, or you can be protecting your spouse’s privacy.  Regardless, this shame is based on a distorted view of reality put forward by the partner who deceived. 

What should I expect in rebuilding trust?

Rebuilding trust is an incredibly slow process, and it requires patience and time to heal.  Usually, I notice impatience in couples who come into my office feeling stuck.  The partner who committed the betrayal is recovering more quickly than the betrayed partner.  They might be feeling relief due to the fact that they are no longer carrying the burden of the secret addiction, and they can finally get the help they need.

Meanwhile, the betrayed spouse is wrestling with the new information he or she has received.  They are trying to integrate this new truth into the months or years of deception that have taken place, rewriting the narrative of their lives.  They are trying to re-evaluate and re-integrate their whole world with this information.  At the same time, they are faced with making decisions about the future of the relationship.

How do we rebuild trust?

Have you ever built a sandcastle?  Some professional sandcastles can be beautiful, with turrets and sculpted carvings.

Think of your marriage like a sandcastle.  When the betrayal was discovered, it’s as if a giant tidal wave came and destroyed it.  Rebuilding trust involves moving sand back to rebuild that castle.  Some days it involves moving just one grain at a time, and other days you’ll move shovelfuls.  Sometimes, if the foundation is shaky or the wind from outside blows in a certain way, parts of the castle may crumble or topple and need to be built up again.

You likely won’t be building the same exact castle over again.  You’ll change parts of it to make it new and better.  Having learned from your previous experience, you’ll likely make a stronger foundation and more beautiful or intricate carvings.  You’ll consider how you will approach the marriage after the betrayal, which involves moving into a new phase that will be decidedly different from the pain that now colors the first part of your marriage.  

Rebuilding trust requires that both spouses have an active role in this process.  It is impossible for just one of you to be doing all the work.

THE DECEIVER’S ROLE

For the individual who has betrayed their spouse, the simplest way to rebuild trust is to continually match your words up with your actions.  The first step involves honesty.  You will need to be more truthful about your thoughts, emotions, and behaviors than you ever have before.  Allow your spouse access to private accounts and information.  Some spouses need this level of transparency and others don’t, but your willingness to offer it regardless of whether it’s needed or not rebuilds trust. 

Particularly in the case of sex and love addiction, formal disclosure of acting out behaviors is a major step in rebuilding trust.  In order to establish a foundation of trust before you move forward in the relationship, you will need to have a formal disclosure of all your behaviors with your spouse.  This is a major step of honesty that will lay the foundation for the other rebuilding actions to stick.

Each time you are honest about your behaviors in the future, you will move some sand back into that sand castle.  Every time you carry out an action you said you would, you build more trust.  When you are honest about difficult, negative emotions and responses, that builds trust even stronger, as it allows your spouse to see you take ownership of your feelings and actions. 

THE BETRAYED PARTNER’S ROLE

While it may seem that the action of change rests in the hands of the deceiver, the betrayed partner actually has a significant role in the trust-rebuilding process.  In order for trust to be built, the partner be willing to take the risk to trust.  You will (understandably) be self-protective and you won’t be ready to fully trust for quite some time.  In fact, if you were ready to trust immediately after discovering the betrayal, I would caution you against it!  But the long-term goal is to help you find ways of offering trust as the two of you heal.

When you first find out about the deception and broken trust, you ought to spend some time building up your network of support individuals and self-care so you can practice kindness toward yourself as you heal. Establish safety for yourself that isn’t dependent on your spouse’s behaviors, as they will certainly not be able to meet all your expectations at first.  Create boundaries as a way of seeing if your spouse is willing to change and adapt.

Once you’ve decided to move forward, take small risks to trust.  Acknowledge or praise your spouse when you see their actions and words lining up.  Choose to focus on the progress more frequently than the past betrayal, as it can be easy to lose sight of positive changes.  However, if the deception is still going on or if you haven’t seen actions on the spouse’s part to substantiate their commitment to rebuild trust, tread cautiously.

As mentioned earlier, rebuilding trust requires that both spouses take an active role.  But even if you do, you might feel like you keep hitting roadblocks that set you back.  When you are stuck and need a way to move forward, seek out couples counseling.  In counseling, you’re able to further discuss those areas of conflict in a way that creates change.  You’ll set goals together and consider how you’ll approach this new season of your marriage. 

This article was originally posted under the title of “How Do We Come Back From This? Rebuilding Trust in a Broken Relationship” on November 29, 2018.

The Types of Thoughts that Keep You Stuck and How to Combat Them

So much of our day-to-day life is impacted by our thoughts, whether we’re aware of them or not.  Our interpretation of events as filtered through our thoughts influences how we experience the world around us.  What we believe about ourselves can affect our confidence, for better or for worse.  How we perceive others can lead to connection or conflict.

Cognitive behavioral therapy, or CBT, is one of the most common treatment methods in mental health counseling.  One of the central principles to the CBT approach is a recognition of the power of thoughts, or cognitions, to impact our emotional well-being and our behaviors and choices. 

When a situation occurs, your response to that situation typically involves three things: thoughts, emotions, and behaviors.  You might more easily identify your emotional response or how you react behaviorally. What CBT points out is how emotions and behaviors are influenced by your thoughts, or interpretation, of the event.

Since the thoughts you have in response to a situation are the catalyst to emotional distress and destructive behaviors, targeting these thoughts can be a game-changer in improving your overall mental well-being.

Three Types of Thoughts

There are three layers of thoughts that influence emotions and behavior as identified in the cognitive-behavioral model: automatic thoughts, intermediate beliefs, and core beliefs.

Automatic Thoughts

Automatic thoughts are situation-specific thoughts that pop into your head.  They’re referred to as “automatic” because they largely arise from subconscious awareness – you aren’t choosing actively to have those thoughts.  They might be positive, negative, or neutral in tone.

For example, let’s imagine you received critical feedback on a project you completed for work.  A positive automatic thought in response to this might be, “That was a tough project, but I know I have the skills to implement the changes they suggested next time.”  On the other hand, a negative automatic thought might be, “I can’t believe I missed those details.  I worked so hard on this project. Why do I always mess things up?” 

You probably aren’t aware of many of your automatic thoughts because they happen so frequently and quickly.  While some of these thoughts are distorted or influenced by your core beliefs or intermediate beliefs (defined below), you aren’t likely to question these thoughts naturally.  However, you can learn to become more aware of them and implement strategies to evaluate the accuracy of these thoughts.

Intermediate Beliefs

Intermediate beliefs exist as a mediator between automatic thoughts and core beliefs.  These are personal perceptions of how things work that influence how you interpret the current situation.  They can be rules, assumptions, “shoulds,” or attitudes that apply to a variety of situations with a broader reach. 

Let’s take a look at the automatic thoughts from above (“I can’t believe I missed those details; why do I always mess things up?”) to illustrate examples of the types of intermediate beliefs.  Perhaps your reaction is intensified by a rule, such as, “I should be perfect.”  Or maybe you have the assumption, “Weak people make mistakes.”  A conditional, “if…then…” belief might sound like, “if I succeed at work, then I will be okay.”

These beliefs not always explicitly stated, but can be held internally. They form as our brains try to make sense of what we observe in the environment around us from a young age.  We learn these beliefs from what we observe in our families-of-origin, our experiences, our relationships, and elsewhere.  These beliefs serve a purpose: they protect us from the deeper core beliefs that are often more painful and scary.

Core Beliefs/Schemas

Core beliefs are rigid, deeply rooted beliefs about yourself, others, or the world.  They are heavily based in past experiences, often beginning in childhood, and they can be reinforced by trauma.  Schemas are a series of interconnected core beliefs that form a mental framework to organize information. These core beliefs and schemas aren’t activated in every moment of life, but once they become activated, they have a strong influence on your emotional well-being. 

Some examples of core beliefs that might be at play in the work situation are, “I’m a failure.”  “I’m not good enough.”  “I don’t have what it takes.” “I’m weak.”

Core beliefs are a filter through which you see the world.  You observe and remember evidence that serves to confirm these beliefs, and you ignore evidence that doesn’t fit.  You may even find yourself creating situations for yourself that reinforce these beliefs as a self-fulfilling prophecy.  Or you may re-write positive information that doesn’t fit in with your schema or core belief to fit the negative belief (ie. “They gave me a compliment BUT they must have just felt bad for me because I’m so ugly.”)

How to Respond to These Beliefs

When you recognize these distressing beliefs, you can begin to change your pattern of thinking.  Remind yourself that these beliefs are not absolute truth, as much as they may feel that way while you’re having them.  You can pause and question the thoughts, reminding yourself of reality.

First, trace your automatic thought through the intermediate beliefs that influence it and the core beliefs it stirs up in you.  When you notice an automatic thought, reflect on what assumptions, conditions, or rules might be at play.  Use those to identify what core belief might be at work.  To facilitate this process, you can ask yourself questions like, “so what?” or “what does that mean about me, others, or the world?”

Once you’ve identified your three types of thoughts, here are a few strategies specific to each type of thought that may help you change those patterns.

Automatic thoughts

• Look for cognitive distortions and call them out. Cognitive distortions are common irrational belief patterns, such as all-or-nothing thinking, overgeneralization, jumping to conclusions, and emotional reasoning.  These happen so automatically that we often don’t realize they’re distorted until we slow down enough to recognize which distortion is at play.

• Normalize the subconscious, immediate reactions. Rather than getting caught up in anger at yourself for your negative automatic thoughts, identify their origins.  Connecting an automatic thought to a core belief or intermediate belief can help you make sense of why you would think that way and practice more kindness toward yourself.

Intermediate Beliefs

• Ask yourself, “where did I learn this from?” Look for examples where this rule, assumption, or condition was communicated to you or modeled for you, either directly or indirectly.  Identify if there were expectations in your family-of-origin or a traumatic event that may have solidified this belief.

• Check the validity of your beliefs. Just because you have a thought doesn’t mean that it is true.  Put your thoughts on trial by exploring the evidence for and evidence against their truthfulness. Consider what you might say to a friend in a similar situation: would you hold them to the same standard?  Why or why not?

Core Beliefs

• Act “as if” you believed the opposite. Consider what would change in your life if you believed the opposite of your negative core belief.  If your core belief is “I am a failure,” what would change in your life if you believed you were a success?  How would you respond differently?  Begin to experiment with some of those actions and observe what happens. You may find that changing the behavior with a mindset toward altering the core belief can lead you to new perspective.

• Seek out disconfirming evidence. Make a list of all the evidence you can find that your core belief isn’t true.  Instead of filtering positive information to make it fit your negative schema, try the opposite: see if there are alternative explanations for negative experiences.  Reframe your thoughts to fit that more accurate perspective.

Understanding the Role of Stages of Change in Addiction Recovery

It can be confusing to watch an addict make choices that seem self-destructive, continuing in patterns of behavior despite major consequences, unwilling to stop and make a significant change in their lives.

It’s even more bewildering to be in the midst of addiction yourself, facing fluctuating layers of willingness to change within yourself.  Some days you might feel ready to tackle whatever’s necessary to experience freedom from the addiction.  But a few hours later, you might find yourself justifying your behavior and explaining to yourself why it isn’t really that bad.  What gives?

The Transtheoretical (Stages of Change) Model

In 1970s and 1980s, James Prochaska and Carlo DiClemente developed the transtheoretical model to explore the mechanisms of change in problematic behavior patterns, including addictions.  Their model seeks to understand resistance to behavior change in many areas, ranging from eating habits to addictions.

The transtheoretical model has formed the foundation of a new approach to targeting addiction.  Often addicts are aware of a need to change and have begun to confront themselves, which can create shame surrounding their behaviors that backfires. Toxic shame creates lack of motivation and hopelessness.  Motivational interviewing, on the other hand, is a type of therapy that focuses on these mechanisms of change to help an addict in recovery understand how to take steps to move forward.

This shift in strategy involves a more personalized approach in treating addiction.  It helps you understand the effects of the addiction on your personal life and identify what needs to change from that perspective within the context of a vision for the future, rather than just making changes out of shame or a belief that you “should” change.

The Six Stages of Change

The transtheoretical model covers five main stages of change: precontemplation, contemplation, preparation, action, and maintenance.  When discussing addiction, we can add a sixth category, relapse, as an optional stage that often characterizes these attempts to change.  These stages are not necessarily linear, meaning you might jump forward and backward in the progression, but the path to recovery involves working through each to get to a place of long-lasting change.

Precontemplation

In this stage, you do not consider your behavior to be a major problem.  Instead, you are more focused on the benefits that come from engaging in the behavior.  Denial is running the show, characterized by shifting blame for problems onto others.

You are likely resistant to any confrontation or advice about changing your behavior in this stage.  Individuals in court-ordered therapy or rehab recommended by a family member or spouse often begin here.  Usually, an experience of consequences to behavior is what propels someone into the next stage.

Examples of Precontemplation Thoughts:

• “It’s not that big of a deal.  I’m not hurting anyone.  I deserve this.”

• “If my spouse/family member/friend just were more open and let me do my own thing, everything would be fine.”

• You may not notice any thoughts about the behavior at all.

Questions to Ask Yourself in Precontemplation:

• What problems am I experiencing in life?  How might my substance use/problematic behavior be contributing to these problems?

• What are the pros and cons of my behaviors?

• If I’m not experiencing consequences currently, what are possible consequences I could face in the future?

• What long-term negative outcomes could come from this behavior?

Contemplation

In the contemplation stage, you likely have begun to think about changing the behavior.  Usually, this is precipitated by some negative experience, such as consequences (like a DUI or STD diagnosis) or cognitive dissonance about differences between your values and your behaviors.  Ambivalence is a hallmark of this stage: you’re feeling strong desires both toward staying in the problematic pattern and changing the behavior.

Learning, gathering information, and understanding the addictive process are important in contemplation.  To move into the next stage, you need to increase your knowledge about addiction and recovery, even if you aren’t willing to make any major changes yet.  The shift into the next stage occurs when you begin to solidify your vision for the future.

Examples of Contemplation Thoughts:

• “I can see that this is a problem, I’m just not sure I want to change.”

• “Why stop something that feels this good?”

• “I’ll change someday, but I’m not ready to right now.”

Questions to Ask Yourself in Contemplation:

• What personal values am I violating by continuing in this behavior?

• How are the consequences I’m facing now affecting me and my future?

• What am I learning about addiction and recovery that fits with my experience?

• What are the costs and benefits of my behavior?

Preparation

The preparation stage involves planning an approach to change.  You are getting ready to implement the strategies you learned about in the contemplation stage, even though you might still not be ready to act on that plan.  Ambivalence is still present, but you are more willing to consider the work required to make a lasting change.

In preparation, you create a specific, structured plan for how you could change.  Even if you still have misgivings, you are beginning to rehearse in your mind the actions it would take to leave behind your pattern of behavior.  In recovery language, this is where you begin to “trust the process” and learn more about steps involved in recovery.

You might test the waters by attending a 12 Step meeting or support group, purchasing recovery-related books and resources, sharing your desire to change with others, seeking accountability, getting into individual or group therapy, or attending an inpatient or intensive treatment center.

Examples of Preparation Thoughts:

• “I can see that it’s possible to change, and I’m beginning to want it, but I’m not sure yet how I’m going to do it.”

• “I need a plan of action if I’m going to make any lasting change.”

Questions to Ask Yourself in Preparation:

• What kind of change would I like to make?  What are the steps to get there?

• What resources or social supports might I need to help me in this change?

• What are the triggers that influence me to use my substance/engage in my behavior?  How might I need to change behavior to limit these?

Action

Real change begins to happen in the action stage, as you put plans created during preparation into action.  This change may be drastic, or it can involve smaller, incremental changes.  While the first three stages are more internal and often don’t affect external behavior, others can see the change in this stage.

The action stage can be a stressful experience, so preparation must be done beforehand to address triggers with new, healthy coping mechanisms.  There is a distinct shift away from using addiction as a method to cope with stress or pain, instead choosing alternate ways of coping.   

Examples of Action Thoughts:

• “I have a plan, and I’m choosing to move forward even when I don’t feel like it.”

• “I am learning new ways to handle my stress.”

Questions to Ask Yourself in Action:

• What is my relapse prevention plan?

• What are alternate ways I can deal with stress?

• What’s working from my plan, and what do I need to adapt or change in my approach?

• What skills do I need to strengthen to maintain sobriety/change?

Maintenance

The maintenance stage is a continuation of the progress achieved in the action stage: regularly implementing your plans over time to create long-term change.  It requires reflecting back on the two previous stages (preparation and action) to clarify what’s working and what isn’t.  Without maintenance, the likelihood of relapse increases significantly.

Stress can arise in this stage, highlighting the importance of the stress management components of the action stage.  Other challenges come when you’ve had a period of abstinence or moderation of behaviors, as this can put your guard down and lead you to reduce supportive behaviors.  You may begin minimizing the consequences, as the high of the early parts of the action stage has worn off.  Maintaining the behaviors committed to in the action stage is essential for staying sober and committed to recovery without relapse.

Examples of Maintenance Thoughts:

• “One day at a time.”

• “My recovery process works if I work it.”

• “I need to keep moving forward in my plan, even if sometimes I don’t feel like it.”

Questions to Ask Yourself in Maintenance:

• What routine behaviors do I need to keep in place to avoid relapse?

• Where could I be opening myself up to the possibility of relapse, and how can I close those doors?

• How can I stay connected to the original vision for the future that motivated me to change this behavior?

Relapse

Slips and relapses do occur in addiction recovery.  Instead of fearing the possibility of relapse and descending into a spiral of shame if it happens, instead recognize relapse as part of the process of recovery.  At the same time, know that this stage is optional – it does not need to be part of the process if action is maintained through commitment to the maintenance stage.

When relapse occurs, it can propel you back into the precontemplation or contemplation stage of your process of change.  To leverage relapse to benefit your recovery process, use the experience to solidify your understanding of what recovery means and your commitment to the process of change you’d like to make.

Examples of Relapse Thoughts:

• “Yes, I did the behavior I’ve been abstaining from, but was it really that bad?”

• “Acting out felt good, and I’m not sure I want to stop again.”

• “I don’t think this is a problem to do this, as long as I don’t do that.”

• “I can’t believe I did that.”

• “I’m back in my addiction, and I feel hopeless about getting out.”

Questions to Ask Yourself in Relapse:

• What do I need to review from the work in the contemplation, preparation, or action stages to remind myself of my vision for the future?

• What recovery-related behaviors do I need to recommit to?

• What wasn’t working about my approach that set me up for a relapse?

• What can I learn for the future as I continue to explore the impact of this behavior on my life?

Sources and More Information on the Transtheoretical Model:

• The Stages of Change Model of Overcoming Addiction - Verywell Mind

• The Stages of Change - Smart Recovery

• Brief Interventions and Brief Therapies for Substance Abuse - SAMHSA

How Enduring Vulnerabilities Are Affecting Your Marriage

Have you ever had an intense emotional reaction to something your spouse says or does, even though the situation doesn’t warrant it?  If you haven’t noticed this in yourself, is this something you’ve seen happen in your partner while you’re in a disagreement?

What about when you get into an argument with your spouse, but later on, neither of you are able to remember how the argument began or what made you so angry in the first place?  Often it can feel like it began over something silly that escalated out of control within minutes.

When your reaction to a situation in the present is intensified by experiences from the past, these signal that there may be an enduring vulnerability at play.

What are enduring vulnerabilities?

The term “enduring vulnerability” was coined by Thomas Bradbury and Benjamin Karney at UCLA.  It references past experiences in relationships, your family-or-origin, or other traumas that have created a subconscious reaction within you to similar experiences in the present.

For example, a child who was frequently bullied about his or her weight may continue to feel heightened sensitivity around body image and weight into adult years.  When their spouse suggests an exercise program to do together, the spouse with the enduring vulnerability around body image may have a strong emotional reaction of anger, fear, and shame. 

Often these vulnerabilities stem from attachment wounds.  Attachment wounds occur when a primary caregiver in your childhood was not a safe or secure base for you.  You project those attachment wounds on your partner because they are now the closest attachment figure in your life.

Enduring vulnerabilities are unique to all people and are often the source of these unexpected emotional reactions.   In order to understand how they impact you, you must practice self-reflection and awareness of the current situation in order to put them into context.

How do enduring vulnerabilities impact couples?

Major arguments that happen in relationships are often fueled by these enduring vulnerabilities.  Something your spouse says or does reminds you of someone else or a past trauma, and you react as if you are right back in that trauma.

Sometimes, enduring vulnerabilities are worsened by actual harm done in your marriage.  When your partner makes a critical or contemptuous comment to you, it can intensify an enduring vulnerability that already exists.  If you have experienced betrayal in your marriage relationship, new vulnerabilities may form as your primary adult attachment figure now feels unsafe.

How can couples use enduring vulnerabilities to grow closer?

There is an upside to these enduring vulnerabilities, however.  John Gottman, in his research on couples, recognized that arguments provide an opportunity for couples to grow in intimacy as they get to know one another’s enduring vulnerabilities.  Understanding one another’s stories will allow you to increase your empathy in responding and caring for one another in your marriage.

Recognize them.

When you find yourself reacting strongly to an interaction with your spouse, take some time to self-reflect.  What was the most challenging part of the conversation for you?  Why do you think it was the most challenging? Ask yourself what the interaction reminded you of. What situations in the past may have set you up to feel the way you did?

Pay attention to the physical sensations that arose in your body, the emotions you were feeling, and the thoughts that were running through your mind.  Let your mind float back to similar experiences in your life. These memories may be the key to uncovering why you responded so strongly to your partner’s actions or words.

Talk about them with your partner.

After some time has passed post-argument and tensions have lowered, share what you felt particularly sensitive to about that argument and how it relates to what you now know about your enduring vulnerabilities.  Be sure to talk about your own experience using the talking formula rather than offering criticism or contempt about your spouse.

If your spouse is sharing their enduring vulnerabilities with you, listen to them.  Ask open-ended questions to understand more of their story.  Offer validation and empathy to show that you understand how what happened in the present must have been difficult for them, based on what they experienced in the past.

Conversations about enduring vulnerabilities can help you know one another more deeply and connect on a more significant level.  They create a stronger sense of intimacy as you begin to know one another’s stories and experience empathy and understanding.

Create a plan for situations like these in the future.

As a couple, you can decide how you want to approach these enduring vulnerabilities when they inevitably arise in your relationship again.  

It is important for the spouse who has the enduring vulnerability to take responsibility for their personal emotions, rather than blaming their reaction on their partner.  It may require them to do their own work in counseling or elsewhere to identify when enduring vulnerabilities arise and options for changing their automatic reaction to them.  This is especially important when that enduring vulnerability is impacted by a more serious mental health concern such as depression, PTSD, addiction, or others.

At the same time, the spouse who is not affected by that vulnerability can choose to adapt their approach in these conversations to lovingly support their spouse and avoid known triggers related to that vulnerability.  For example, if one of your spouse’s enduring vulnerabilities comes from being called “stupid” frequently by a verbally abusive parent, you might intentionally avoid using that word to describe them or choose to affirm their competence in challenging situations.

In order to avoid codependency and attempts at mind-reading, have a conversation with your spouse about what would be supportive to them when they are experiencing an enduring vulnerability.  Allow your spouse to make requests of what they would prefer, and consider if you are willing to offer support in that way.

Have patience with the process.

Understanding your own and your spouse’s enduring vulnerabilities is not an overnight process.  It takes time to fully understand how your unique stories and past experiences play into your interactions with one another, and often there will be some trial-and-error before you find the best ways to support one another.  Give yourself grace in this period of learning.

Know also that frequently couples have enduring vulnerabilities that intensify one another when they occur.  For example, he feels hurt when she walks away from the conversation out of fear of abandonment, but she feels scared when he comes after her due to her past history of abuse.  Recognizing and talking about these together can help you have more empathy for one another and grow into different approaches that work for your unique marriage.

Rediscover Your Self-Worth After Betrayal Trauma: Empower Your Future

When you’ve recognized the impact of your partner’s sex and love addiction on your sense of self-worth, it can be a challenge to identify how to break out of that trap.  You may feel stuck or powerless to change.  Your emotional landscape or confusing thoughts may make it difficult for the truth about your inherent worth and value to sink in.

We built the foundation of understanding the impact of betrayal trauma on self-worth by evaluating symptoms in Part 1 and reviewing reminders of what is true in Part 2.  Understanding the truth about addiction and trauma may be reassuring intellectually. But understanding might not change the way you feel, which is a major component of insecurity around your self-worth.  Today, we’ll explore how these insights can influence your behaviors such that your feelings of confidence begin to grow.

Acting “as if” as a pathway out of low self-worth

If you believed that your worth was inherent and not based on what others think of you, how might that change the way you interact with others?  If you believed that it was impossible to be “enough” for the addiction, how might that influence the way you relate to your spouse?  How might that create space for more self-care and boundaries?  As you answer these questions, begin to experiment with taking different actions that fit those changes in beliefs. 

Here are a few examples of potential applications if you acted “as if” these statements were true:

Attend a 12 Step meeting or support group.

If you believe that you are worth spending time with, it makes sense for you to reach out for social support.  Finding a safe place to talk about your doubts and hear others’ stories helps you know that you are not alone.  Outside help will both validate you and challenge you when needed. 

Begin personal counseling.

When you come to realize that the only person you can control is yourself and that you are worth caring for, you will be more likely to seek out professional help on how to do that.  You have a right to receive support and care in the process of moving through the trauma. Seeking out specialized counseling is a way to honor that right.

Release the burden of perfectionism.

If you’ve coped with feelings of failure or insecurity in the past by trying to keep your life together and be perfect, you might find the same patterns surfacing in your betrayal trauma recovery. Remember that your worth is not defined by how much you accomplish, by your status, or by your achievements.  Know that your worth is inherent and allows yourself to take a rest or ask for help.

Put your own needs first by practicing self-care.

Practice kindness toward yourself by recognizing the impact of the trauma of discovery and honoring your needs as a result.  Treat yourself how you would treat a friend if they were going through something similar.  Recognize your needs that aren’t being met and seek out healthy ways to meet them.

For many, self-care can be challenging because it contradicts beliefs that encourage you to put others before yourself.  However, in this case, re-centering on meeting your personal needs is necessary so that you can come into a place of serving and loving your family, spouse, and others more holistically in the future.  You can’t serve others from an empty shell of yourself.  You have to put on your own oxygen mask before you can help others.

Review your “bill of rights” and set healthy, supportive boundaries that affirm your worth.

In the fog that comes after discovery, you might be unclear about how to achieve a sense of safety and stability.  If you’re doubting your worth, you might not be aware of what you have the right to ask for to create a sense of safety in your marriage.  Resources like the “bill of rights” on Vicki Tidwell Palmer’s website, as well as her book Moving Beyond Betrayal, can help you identify what you have the right to ask for and begin to help you on the process of setting boundaries that honor your personal worth and value. 

Part of this process is recognizing legitimate rights related to your body. Acknowledging your right to say “no” to physical or sexual intimacy at any point and particularly in the early stages of recovery can honor your sexual self.

Explore your options.

Talk to your spouse about couples counseling or treatment, intensive opportunities, or other steps of support.  Seek out resources for legal and financial support if you are considering separating and want to pursue financial independence.  Read books and attend seminars on trauma and addiction to learn more about what you might be experiencing.  Seek out safe people in your life who can provide support and a listening ear.

Recognize your own patterns of denial.

Did you have a sense that something was off long before you discovered your spouse’s addiction?  Were there odd occurrences that you explained away or minimized because the thought that your partner might be an addict was too much to bear?  In a relationship without addiction, it makes sense to give your spouse the benefit of the doubt.  But when you discover addiction, rediscovering your intuition requires you to shift that pattern.

To better prepare yourself for future deception that may or may not occur, it is important to examine how your denial manifested itself: how did you explain away inconsistencies in behavior and words?  How have you taken on more of the blame for yourself rather than allowing the addict to own it? By exploring these thought patterns in yourself, you’ll begin to learn to trust your gut again. 

Connect the dots between past trauma and present-day emotional reactions.

Each betrayed partner has a different emotional response to the pain of the trauma.  These responses typically relate to your history: wounds from your family-of-origin, painful experiences in romantic relationships, or even trauma or abuse. 

Consider how the particular patterns of self-doubt you’re feeling are connected to insecurities that stem from your past.  Take the time to unearth longstanding patterns of self-talk that might be contributing to your lowered self-worth.  In this process, you may also uncover some dysfunctional patterns in relating that stem from your past experiences and begin to shift the way you connect with others.

Grieve the hurts without being consumed by them.

You will likely experience grief in waves that hit you for a time after the discovery of your partner’s addiction.  This grief can feel overwhelming and can lead you to a place of self-pity and hopelessness.  It can trigger shame and guilt and lead you further into doubting your self-worth. 

When you feel waves of grief threatening to overwhelm you, use that as an opportunity to acknowledge the reality of the circumstances that have contributed to the pain and redirect your attention to self-care and empowerment to change.  Accept the reality of what is outside of your control and commit to finding ways you can make changes that fit in alignment with your values. 

Recognize that sometimes doubt about self-worth masks the legitimate grief of finding out about the betrayal and having to make decisions about the future.  Staying in a place of self-doubt or shame can be a self-protective response, keeping you from having to face the hard realities of what comes next.

List your strengths.

Make a list of strengths you have which can uniquely help you to make it through this process of recovery.  If you have trouble writing a list, ask those in your support network, your family, or your friends to name strengths they see in you.  Take a strengths-based personality assessment to uncover which qualities of your personality will help you to get through this season.  Identify resources or strengths that you are growing and fostering to remind yourself that you have power to change what is within your control.