FOWLER FAMILY THERAPY
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They insist they care about me, but it doesn't feel that way. We've read all the marriage books we can find, but my partner doesn't do the exercises. They must not care, right? If they did they would use "I" statements. They would speak my love language. They would...

Ever been stuck here? Or maybe your partner seems stuck there but things seem fine to you. This is what makes relationships so difficult. The good news is Emotionally Focused Couples Therapy or EFT has results like no other couples therapy approach. EFT has been studied extensively, and strong scientific evidence proves that it works. 70-75% of couples experience change, and 90% of couples are significantly improved. This is compared to other therapeutic models which have closer to 20% effectiveness. Follow-up studies conducted with those who participated in Emotionally Focused Therapy show that the positive effects of the treatment continue for years after the therapy ends. That means once couples successfully complete EFT they KEEP GETTING BETTER. 

A common rebuttal I hear around the effectiveness of marital counseling is when people are afraid they are too far gone. EFT even has research around couples with trauma and couples who get violent (in some circumstances) and still shows improvement. 

The next common rebuttal is when people have had marriage therapy before and had a bad experience. The unfortunate truth is many people provide marriage counseling that are not licensed clinicians and/or they do not have training in couples counseling. This is heartbreaking because when you entrust something as significant as your relationship to a professional you trust them to be equipped. At Fowler Family Therapy-this is our specialty. So if you haven't been through EFT-let's give it another try.

What is Emotionally Focused Couples Therapy?

In every relationship, when you and your partner get caught in cycles of hurt, criticism, retreat, or blame, it’s easy to feel disconnected, unsafe, or misunderstood. Emotionally Focused Couples Therapy (EFT) is a scientifically validated approach that helps couples break free from those cycles — not by teaching you better communication “skills” alone, but by helping you both feel, share, and respond to deeper emotional needs. Instead of pointing fingers, EFT brings both partners into a shared process of understanding, trust, and secure emotional bonding. Here’s how and why it works — and what makes it different (and often more durable) than more cognitively or skill‑based models.
What Is EFT & How It Works
  • EFT is grounded in the science of adult attachment: how we formed bonds of safety, care, and responsiveness in early life, and how those bonds influence how we seek connection, express fears, vulnerability, or anger in intimate relationships.
  • Rather than simply teaching communication techniques or trying to “fix behaviors,” EFT helps partners:
    1. Step back from the negative cycle of blame, defensiveness, stonewalling, or distancing.
    2. Understand the deeper emotions and unmet attachment needs underlying the more surface‑level reactions.
    3. Share those vulnerabilities in safe, emotionally attuned ways, so both feel heard and seen.
    4. Create new patterns of accessibility and responsiveness, leading to secure emotional bonds, increased trust, and a renewed sense of partnership.
Because EFT works on the emotional/attachment level, it tends to unify the couple against the cycle or the pattern rather than setting one partner up as the problem or the villain. The cycle becomes the shared “enemy,” not each other.

Research on EFT
There’s a robust body of research showing that EFT delivers meaningful, lasting benefits. Some of the key findings include:
  • A meta‑analysis of nine randomized controlled trials (RCTs) found large improvements in marital satisfaction for couples during EFT treatment; and these improvements were maintained at follow‑up. PubMed
  • In studies tracking couples 1–2 years after treatment, reductions in attachment avoidance (e.g. withdrawing, shutting down) strongly predicted sustained improvements in satisfaction. PubMed
  • EFT has been shown to help couples dealing with specific challenges — infertility, for example — improve not only their relationship satisfaction, but also overall quality of life. PubMed
  • In one RCT comparing EFT for depression vs “treatment as usual,” both relationship satisfaction and depressive symptoms improved more for couples in EFT. Especially for men in that study, relationship satisfaction improved significantly. PubMed
  • Effect sizes comparing EFT against other couples therapies or interventions tend to be medium to large. And follow‑ups (ranging from 4‑6 months up to 2 years) typically show that gains are largely sustained. PubMed+2PubMed+2
So, in sum, EFT tends to not only get good results while therapy is ongoing, but those results often hold up over time.

Is EFT actually better than self-help books and other approaches that teach me skills?
It’s not that behavioral‑ or cognitive‑behavioral‑based couples therapies are without merit — many do very well in helping couples learn communication, problem solving, managing conflict, reframing thoughts, etc. But research and clinical experience suggest limitations when those models are used more or less alone — especially for deeper relational distress:
  • Often the tools or skills (listening, assertiveness, thought‑challenging) are helpful in the moment or help reduce conflict, but may not address the underlying emotions, unmet attachment needs, or patterns of disconnection that continue to reignite conflict. Without creating a new secure pattern of emotional bonding, surface fixes can fade.
  • Some comparative studies have found that while cognitive or problem‑solving models may show good immediate or short‑term gains, those gains are less likely to grow after therapy ends, or may relapse under stress. EFT, by focusing on emotional experience and attachment bonds, often yields continued growth or deepening even after therapy finishes. (E.g. follow‑ups showing couples continuing to improve in intimacy, trust, emotional responsiveness after therapy ends.) UCD Research Repository+2PubMed+2
  • Meta‑analytic comparisons between Behavioral Couples Therapy (BCT) and EFT show that EFT tends to have larger effect sizes (i.e. greater impact) for marital satisfaction at post‑treatment and at follow‑up than many skills‑oriented behavioral models. For example, in a meta‑analysis of RCTs, EFCT (EFT for couples) had a post‑test effect size g ≈ 0.73 and six months later g ≈ 0.66, whereas BCT’s effect size dropped more (post‑test lower, follow‑up lower) in the same analysis. paulbuerkner.com
  • Also, adding cognitive components (e.g. reframing or communication training) to behavioral interventions doesn’t always extend their long‑term effectiveness unless those emotional/attachment elements are engaged. Some trials have shown that simply bolting on cognitive therapy into a behavioral model does not reliably improve long‑term outcomes beyond what the behavioral or communication training already achieves. Bohrium+2PubMed+2

What do people actually experience after EFT?
When partners commit to EFT, here are some of the outcomes people typically report:
  • Increased emotional safety: feel more vulnerable without fear of rejection or defensiveness.
  • More effective regulation of conflict: when triggers come, there is less blame, fewer attacks, more ability to return to calm.
  • Stronger sense of closeness, intimacy, “we‑ness”: the feeling of being on the same team, trusted, seen, understood.
  • Reduced symptoms of distress that often come tied to relationship conflict — e.g. anxiety, depression, feeling lonely, or emotionally numb.
  • More flexibility and less reactivity: instead of habitual criticism or withdrawal, partners begin responding more to each other’s emotional states.
  • Sustained relational satisfaction: many couples report that the improvements don’t just fade out once therapy ends; in many cases, they grow stronger as the new patterns take root.

Why Choose EFT With Us
  • We are extensively trained and dedicated in EFT, using it with fidelity. 
  • We believe that every partner has valid emotional needs, and no one is “to blame” for the cycle — the goal is to heal the cycle, not assign guilt.
  • We tailor the process for your story — your attachment history, your emotional patterns, your triggers — so that change is meaningful, not just behavior modification.

If you are feeling stuck in cycles of criticism, shut‑down, blame, or distance, EFT can offer a path forward—not just to survive, but to thrive together. Let’s bring you back into partnership, trust, and emotional closeness.
EFT, emotion focused therapy, couples, marriage, partners, counseling
 "To love at all is to be vulnerable. Love anything and your heart will be wrung and possibly broken. If you want to make sure of keeping your heart intact you must give it to no one, not even an animal. Wrap it carefully round with hobbies and little luxuries; avoid all entanglements. Lock it up safe in the casket or coffin of your selfishness. But in that casket, safe, dark, motionless, airless, it will change. It will not be broken; it will become unbreakable, impenetrable, irredeemable. To love is to be vulnerable."
― 
C.S. Lewis

Fowler Family Therapy

Established 2018
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  • Home
  • About
  • Meet the Clinicians
  • Therapies Offered
    • Individual Therapy
    • Couples Therapy
    • Family Therapy
    • Biblical Counseling
    • Parenting Support
    • Intensives
  • Fees and Insurance
  • Contact
  • Blog