Navigating the Storm: Understanding Trauma Responses in the Wake of Infidelity

Introduction:

In the intricate tapestry of human relationships, few challenges rival the seismic impact of infidelity. As a relationship expert, my journey into the heart of healing has unveiled the profound connection between trauma responses and the aftermath of betrayal. Let's embark on an exploration of how understanding trauma can guide us in treating infidelity and fostering resilient relationships.

The Landscape of Trauma Responses:

Infidelity, like an emotional earthquake, can trigger a spectrum of trauma responses. These responses, often rooted in attachment styles and past experiences, can manifest as shock, denial, anger, anxiety, or even dissociation. As a relationship expert, recognizing these responses is crucial for tailoring effective interventions.

1. The Shockwave of Betrayal: Infidelity rocks the very foundation of trust. Partners experiencing betrayal often describe an initial shock, akin to the ground shaking beneath them. Understanding this shockwave allows us to provide a supportive, stabilizing presence in the immediate aftermath.

2. Navigating the Depths of Denial: Denial is a common defense mechanism, a shield against the overwhelming reality of betrayal. Acknowledging and gently challenging denial, while respecting the individual's pace, opens the door for deeper exploration and healing.

3. Unveiling the Flames of Anguish: Anger can be an intense manifestation of pain, serving as a protective mechanism. As a relationship expert, guiding partners in channeling anger constructively and expressing their emotional needs is pivotal in the healing process.

Treating Infidelity through a Trauma-Informed Lens:

1. Creating a Safe Haven: Establishing a safe space is paramount. Infidelity survivors need assurance that their feelings are valid, and this acknowledgment forms the bedrock of the healing journey.

2. Unraveling the Roots: Delving into the roots of trauma responses is essential. Understanding attachment styles, past traumas, and individual coping mechanisms enables tailored therapeutic strategies.

3. Fostering Effective Communication: Infidelity often exposes communication fault lines. As a relationship expert, empowering partners with nonviolent communication tools can pave the way for honest, vulnerable conversations.

4. Rebuilding Trust Brick by Brick: Rebuilding trust is a meticulous process. Small, consistent actions that demonstrate commitment and accountability become the building blocks of a renewed foundation.

Conclusion:

As we navigate the complex aftermath of infidelity, the lens of trauma response offers clarity and guidance. Each relationship is unique, and treating infidelity requires a nuanced, individualized approach. By embracing the transformative power of understanding trauma responses, we, as relationship experts, can contribute to the profound healing and resilience of those traversing this challenging terrain.

Rebuilding Trust After Infidelity: A Guide Using the Gottman Approach and EFT

Infidelity can be one of the most challenging experiences a couple can face. Rebuilding trust in the aftermath of such a breach is a complex process that requires dedication, open communication, and professional guidance. In this blog post, we'll explore how the Gottman Method and Emotionally Focused Therapy (EFT) can be powerful tools in the journey towards healing and rebuilding trust.

Understanding the Impact of Infidelity

Before embarking on the path of rebuilding trust, it's crucial to acknowledge the profound impact of infidelity on both partners. The betrayed partner often experiences feelings of betrayal, loss, and intense emotional pain. The unfaithful partner may grapple with guilt, shame, and remorse. These emotions are valid and need to be addressed with empathy and understanding.

The Gottman Method: Building a Foundation of Trust

1. Open Communication: The Gottman Method emphasizes the importance of open and honest communication. Both partners must be willing to express their feelings, concerns, and needs without fear of judgment or defensiveness.

2. Rebuilding Intimacy: Intimacy is not solely about physical closeness, but also about emotional connection. The Gottman Method encourages partners to engage in activities that foster emotional intimacy, such as sharing dreams, fears, and aspirations.

3. Re-establishing Rituals of Connection: Partners should identify and revive rituals that were once meaningful in their relationship. This could be anything from a weekly date night to morning walks together.

4. Trust-Building Behaviors: The unfaithful partner must demonstrate consistent, trust-building behaviors. This includes transparency, accountability, and a willingness to answer questions about the affair.

Emotionally Focused Therapy (EFT): Healing Emotional Bonds

1. Creating a Secure Emotional Connection: EFT focuses on creating a safe and secure emotional bond between partners. Through guided conversations, couples learn to express their emotions and needs in a constructive manner.

2. Processing and Validating Emotions: Both partners need to acknowledge and validate each other's emotions. This helps create an environment where both individuals feel heard and understood.

3. Identifying Attachment Patterns: EFT helps couples recognize and understand their attachment patterns, which may contribute to relationship distress. By recognizing and addressing these patterns, couples can forge healthier connections.

4. Forgiveness and Letting Go: EFT assists couples in the process of forgiveness, which is essential for healing. Forgiveness doesn't mean condoning the infidelity, but rather, it signifies a willingness to move forward without holding onto resentment.

Combining Approaches for Maximum Impact

The power of combining the Gottman Method and EFT lies in their complementary nature. While the Gottman Method focuses on rebuilding trust through concrete actions and behaviors, EFT delves deep into the emotional landscape, facilitating healing from the inside out.

Remember, rebuilding trust after infidelity is a journey that requires time, patience, and professional guidance. Seeking the support of a trained therapist experienced in both the Gottman Method and EFT can provide the necessary tools and insights for a path towards healing, renewed intimacy, and a stronger, more resilient partnership.

Are You Arguing with Your Spouse?

Many couples believe that arguing with their spouse is a sign of a troubled relationship. However, the truth is that disagreements are a natural part of any healthy relationship. In fact, it's normal and even healthy for couples to have arguments from time to time. Here are some reasons why it's okay to argue with your spouse.

1. It allows for honest communication: Arguing with your spouse can provide an opportunity for honest communication. When couples argue, they are expressing their true feelings, thoughts, and concerns. This kind of communication is essential to building a strong and healthy relationship.

2. It helps to resolve conflicts: Disagreements can provide an opportunity to resolve conflicts. When couples argue, they are addressing issues that need to be resolved. By working through these conflicts together, couples can strengthen their relationship and create a deeper understanding of each other.

3. It shows that you care: Arguing with your spouse can also be a sign that you care about each other. When couples argue, they are expressing their passion, which is a sign of emotional investment in the relationship. It shows that you are willing to stand up for your beliefs and values, which can create a more meaningful relationship.

4. It leads to growth and learning: Arguing with your spouse can also lead to personal growth and learning. When couples argue, they are challenging each other's perspectives, which can lead to new insights and understanding. By working through conflicts and disagreements, couples can learn from each other and grow together.

5. It can bring you closer together: Finally, arguing with your spouse can actually bring you closer together. When couples argue, they are working through difficult issues together, which can create a stronger bond. By being willing to engage in difficult conversations, couples can create a deeper connection and a more intimate relationship.

Arguing with your spouse is a natural and healthy part of any relationship. It allows for honest communication, helps to resolve conflicts, shows that you care, leads to growth and learning, and can bring you closer together. The key is to approach arguments with respect, empathy, and a willingness to listen to each other's perspectives. By doing so, you can turn disagreements into opportunities for growth and strengthen your relationship in the process.

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Author: Crystin Nichols
Book Appointment: https://SouthTampaTherapyBOOKAPPT.as.me/CrystinNicholsMFTI

What is the difference between LMHC and MFT?

When it comes to seeking therapy, there are a variety of mental health professionals to choose from. Two common options are Licensed Mental Health Counselors (LMHCs) and Marriage and Family Therapists (MFTs). While both professions offer valuable support to individuals and families, there are some important differences to consider. In this blog post, we'll explore the difference between licensed mental health counselors and marriage and family therapists.

Elizabeth Mahaney, MA, LMHC, MFT, LPC, LCPC, CCTP, NCC, DCC, Ph.D has a MA in both mental health counseling and marriage and family therapy with specialized training in communication, trauma and many certifications. Here is why this is important:

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Licensed Mental Health Counselors (LMHCs)

LMHCs are mental health professionals who provide counseling services to individuals, couples, and families. They are trained to diagnose and treat a variety of mental health issues, including depression, anxiety, and trauma. LMHCs use evidence-based therapies such as cognitive-behavioral therapy (CBT) and psychodynamic therapy to help clients work through their challenges.

LMHCs typically hold a Master's degree in counseling or a related field and are licensed by their state's licensing board. In order to become licensed, LMHCs must complete a certain number of supervised clinical hours and pass a licensing exam.

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Marriage and Family Therapists (MFTs)

MFTs are mental health professionals who specialize in working with couples and families. They are trained to address the unique challenges that arise in family systems, such as communication breakdowns and relationship conflicts. MFTs use a variety of therapeutic approaches, such as Emotionally Focused Therapy (EFT), Gottman Approach, and Internal Family Systems, to help families and couples improve their relationships.

MFTs typically hold a Master's degree in Marriage and Family Therapy and are licensed by their state's licensing board. In order to become licensed, MFTs must complete a certain number of supervised clinical hours and pass a licensing exam.

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Differences between LMHCs and MFTs

While both LMHCs and MFTs provide counseling services, there are some key differences between the two professions. The main difference lies in their areas of specialization. LMHCs are trained to address a wide range of mental health issues, while MFTs focus specifically on relationship and family dynamics.

Another difference is the types of clients they see. While LMHCs work with individuals, couples, and families, MFTs primarily work with couples and families. MFTs use a systemic approach, meaning they view individuals within the context of their family and larger social systems.

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Which one is right for you?

The decision between seeing an LMHC or an MFT ultimately depends on your individual needs. If you are struggling with a specific mental health issue, an LMHC may be a better fit. If you are experiencing challenges within your relationships or family system, an MFT may be a better choice.

It's important to do your research and choose a therapist who is licensed and trained in the areas that are most relevant to your needs. Additionally, it's always a good idea to schedule an initial consultation with a therapist to get a sense of their approach and determine if they are a good fit for you.

Author: Crystin Nichols
Book Appointment: https://SouthTampaTherapyBOOKAPPT.as.me/CrystinNicholsMFTI

Book with Dr. Liz: https://southtampacounselor.com/bookappointment

An Integrative Approach to Working With Infidelity

The prevalence of infidelity within relationships is difficult to define due to the multiple different definitions of infidelity. Based on the research, anywhere from 15-70% of couples experience infidelity within their relationship; however, what they consider to be infidelity differs (Hertlein et al., 2005).

Infidelity can have a traumatic impact on individuals and relationships, and therefore requires a comprehensive approach to address the complex emotional and relational issues that arise. 

3-Stage Intervention Model: 

1. During the initial crisis phase, the therapist focuses on stabilizing the couple's emotional state and ensuring their safety. This may involve individual therapy sessions to help the betrayed partner process their emotions, as well as couples therapy sessions to address the immediate impact of the infidelity on the relationship.

2. The middle phase of the intervention entails exploring the underlying issues that contributed to the infidelity. A key component of this phase of treatment involves rebuilding trust in the relationship. This stage may involve identifying and addressing unmet needs within the relationship, developing new communication skills, and exploring patterns of behaviors that may have contributed to the infidelity.

3. The final recovery phase focuses on sustaining the progress made in the earlier stages and promoting continued growth and healing in the relationship. This may involve ongoing individual and couples therapy, as well as developing a plan for preventing future infidelity.

Infidelity is difficult to talk about. However, the research points towards the prevalence of infidelity in relationships and a need for a safe space for individuals and couples to open up about their experiences. An integrative approach to working with infidelity offers couples hope for working through any type of infidelity that may come up in a relationship. If you are interested in learning more about working with infidelity in couples therapy, or if you are in need of support, book an appointment today!

Book with: https://SouthTampaTherapyBOOKAPPT.as.me/JamieRuddenMFTI

References: 

Hertlein, Wetchler, & Piercy (2005). Infidelity, Journal of Couple & Relationship Therapy, 4:2-3, 5-16, DOI: 10.1300/J398v04n02_02

Can Gottman Couples Therapy Help Your Relationship Improve?

If you are facing relationship struggles, Gottman Couples Therapy can provide you and your partner with the support you need to work through your problems. This approach to couple’s therapy is based on over 40 years of research conducted by Dr. John Gottman and his wife Dr. Julie Gottman.

The main goal of Gottman Couples Therapy is to help couples strengthen their relationships by improving communication, enhancing love, and building trust. The therapy process focuses on evidence-based interventions that have been shown to be effective in strengthening relationships.

One of the key elements of this therapy is the concept of “The Four Horsemen of the Apocalypse” which refers to four negative communication patterns: criticism, contempt, defensiveness, and stonewalling. These patterns can be some of the most significant predictors of relationship breakdown. During the therapy sessions, the couples learn to recognize and avoid these patterns, which helps them to communicate more effectively.

Another essential component of Gottman Couples Therapy is the “Love Maps” exercise. This exercise involves creating a detailed understanding of each other’s inner worlds, including dreams, hopes, and fears. By building these Love Maps, couples can stay connected and understand each other better.

In addition, Gottman Couples Therapy helps couples to develop conflict management skills. During the therapy sessions, couples learn how to navigate argument and disagreements by expressing their own needs while also listening to their partner's feelings and concerns.

Gottman Couples Therapy also emphasizes the importance of reinforcing positive behavior. Couples are encouraged to express appreciation, admiration, and affection towards one another regularly. This allows the couple to build and maintain a strong foundation of love and positivity.

Overall, Gottman Couples Therapy is an evidence-based approach to counseling that can help couples work through various relationship challenges. By focusing on improved communication, increased trust, and building stronger emotional connections, couples can learn ways to enhance their relationship and increase their overall happiness.

What is the Gottman Method for Couples, Relationships, and Families?

What is the Gottman Approach to therapy and counseling? 

I’ll explain~

I absolutely love the Gottman’s therapeutic approach! There is so much that can be said about this method. If you have never heard about this couple’s approach in therapy, then let me give you a little bit of insight. The Gottman Method aims "to disarm conflicting verbal communication; increase intimacy, respect, and affection; remove barriers that create a feeling of stagnancy, and create a heightened sense of empathy and understanding within the context of the relationship." Interventions used in the Gottman Method are research-based and grounded in the Sound Relationship House theory, which specifies nine elements of a healthy relationship. Imagine a house with seven floors and two weight bearing walls.

Floor 1 - Build Love Maps.

Love maps are important because the whole relationship begins on the firm foundation of truly knowing one another. Each partner knows the ins and outs of their partner. In an ideal relationship, you and your partner know one another better than anyone else.

Floor 2 – Share Fondness and Admiration.

We all love to hear something nice about ourselves, right? This is a need, and it means the most when it comes from your loved one. Vocalizing your admiration for one another and being able to articulate the big and little reasons you love each other is huge!

Floor 3 – Turn Towards.

When you need attention, support, and comfort from your partner, you more than likely say or do something to elicit a response from your partner. This what is referred to as a “bid”. When your partner replies with what you need, this is them turning toward. Turning away from one another, or AGAINST each other is asking for trouble. Turning away disrupts the safe space you both need to express yourselves and needs.

Floor 4 – The Positive Perspective.

Your outlook on life and on your relationship is shaped so much by your perspectives and cognitions. When in a healthy relationship, couples see the best in each other and don’t jump to conclusions filled with judgement and criticism if one partner forgets to pick up their socks or give you a kiss goodbye. Truly believing you both are on the same team strengthens the relationship from inside out.

Floor 5 – Manage Conflict.

Conflict is going to happen! It’s inevitable but knowing what to do when it presents itself is key. You need to accept partner’s influence, communicate about the conflict, and be able to self-soothe.

Floor 6 – Make Life Dreams Come True.

Healthy relationships involve having a partner in life who encourages and helps you reach your goals. Making each other’s life dreams come true shows your partner that you want the best possible life for them and are willing to do what it takes to make that dream happen.

Floor 7 – Create Shared Meaning.

Congratulations, you have reached the top floor. This is where you build and understand an inner world as a COUPLE. The Gottman’s believe that developing your own culture of symbols and rituals is what expresses WHO you are as a TEAM. It continues to deepen your connection together. These are referred to as Rituals of Connection and they define you as a unit. The best part of this is that you create them together.

Weight Bearing Walls – Trust and Commitment. Without trust and commitment, the 7 floors can’t hold together, and it will fall apart.

In a healthy and supportive relationship, the partners are CHOOSING to have faith in one another and to be committed to each other. There is no force, and you are freely loving one another and pledging to help that love grow.

 

Author: Crystin Nichols, MFTI

Book With Me: https://southtampatherapybookappt.as.me/CrystinNicholsMFTI

Resources

1. About The Gottman Method. The Gottman Institute. 2021.

2. What is The Sound Relationship House? The Gottman Institute. 2022.

Betrayal and Relational Trauma: How We Get Stuck in Trauma Bonds

There is hope!

If you are feeling stuck in trauma bonds, it's important to understand that there is hope. You can heal from this experience and even come out stronger on the other side. But it will require time, patience, and a willingness to do the work.

A tsunami of strong feelings might follow the discovery of your spouse's infidelity. After the initial shock and perplexity, most betrayed spouses battle for some time to regain control over their tumultuous feelings driven by intrusive thoughts and reminders. Infidelity, according to Patrick Carnes, a pioneer in the treatment of sexual addiction, can be as traumatic as sexual assault

It's critical to understand how and why the event changes our brain and behavior while recovering from infidelity. Staying curious while discussing what betrayal trauma looks like for both partners, as well as how this shared suffering might lead to harmful patterns in their interactions with one another- these patterns sometimes known as trauma bonds.

What Does Trauma Look Like?

The symptoms of Post-Traumatic Stress Disorder (PTSD) are similar to those caused by betrayal. Trauma causes intrusive thoughts, avoidance, and hyperarousal in individuals with PTSD.

Intrusive thoughts are persistent, unwanted reminders of the traumatic experience, such as flashbacks (reliving the terrible event as if it were happening again) or nightmares about it.

Avoidance can take on a variety of forms, including trying to avoid thinking or talking about the traumatic experience, as well as avoiding places, activities, or people that may remind you of it.

Hyperarousal is characterized by a feeling of distress and anxiety, which can extend to other areas such as difficulty sleeping, being easily startled, sluggish brain function, trouble focusing, and irritability.

Symptoms are frequently changing and varied from person to person. These same symptoms, when combined with detrimental changes in thinking and mood, can result in:

• Negative thoughts about yourself and others.

• Feel hopeless and powerless when the future appears bleak.

• Forgetfulness.

• Detachment from career, family, and friends.

• Lack of interest in activities you once enjoyed.

• It's difficult to experience pleasant feelings..

• Feeling emotionally flat and numb.

So, What Are the Causes of These Changes?

Betrayal trauma can alter your physiology due to the neurobiological changes that are taking place in your limbic system. Your body enters a fight, flight, or freeze (and sometimes fawn or collapse) reaction as a result of these adjustments.

When our amygdala senses danger, the hypothalamus activates the sympathetic nervous system, which causes epinephrine, also known as adrenaline, to be released. Adrenaline makes our heart beat faster and our lungs breathe more effectively on a good workout or training day. When we're stressed, our body releases hormones such as adrenaline, which help us stay safe and alert. It increases blood flow to the brain and muscles, making our mind more attentive to the situation and boosting blood sugar levels for vitality. When we are emotionally or physically scared, this surge of adrenaline is meant to keep us safe and alive.

When the danger level rises to a certain point, the hippocampus instructs the adrenal glands to produce cortisol. The hippocampus is essential for thinking, learning, memory, and behavioral management. Our brain needs to focus on problem solving during extreme stress, such as betrayal and relational trauma. Because you're overwhelmed with stress, your hippocampus isn't functioning well. The end result is conflict or flight from the stress/threat rather than problem solving in order to resolve it.

All of the same things that I previously stated are going on in a freeze response, with one exception: our subconscious has deemed this stress to be too hazardous. The sympathetic nervous system is no longer solely in command. The dorsal vagus nerve is activated on the back side, and it drags us into a condition of self-protection. When we are in risk of physical or emotional harm, whether real or imagined, we may shut down. We may appear calm but, inside, we are emotionally numb and frozen.

Finally, collapse response is comparable to that of freeze; it's a condition of hypo excitation. The dorsal vagus nerve screams, "This is too much!" and goes quiet. We are no longer seeking for methods to survive (fight or flight) but rather for a way to fall apart physically and emotionally. We may be unable to speak or feel removed or disconnected from our bodies. Our blood pressure, temperature, and heart rate drop dramatically. We might even faint or become unconscious in severe situations.

The fluctuating cycles of cortisol levels are detrimental to your immune system and general health. Even after an affair's initial discovery or disclosure, your brain can be bombarded with reminders that flood it with adrenaline and cortisol. This is one of the reasons why it's so difficult for your brain to accept and process this traumatic event, and subsequently let down its guard. The symptoms of PTSD are caused by this higher level of anxiety and isolation.What Do We Do About It?

You may not be interested in the neuroscience aspect, but you can still be interested in when your brain is offline or online. The Hypo-aroused and Hyper-aroused brains are both "offline." We can reclaim our center by practicing observing what goes on inside us while we're "offline". What do we think about and how are we physiologically feeling, such as our heart rate and breath? Are we hot or cold, sweaty or clammy? Do we feel numbness or strong emotions? Meditation, exercise, yoga, and journaling can help us stay centered.

What is Trauma Bonding?

Every relationship reacts to trauma differently. Both partners are frequently on the fight, flight, fawn or freeze continuum, but they're rarely in the same place at the same time, contributing to the negative cycle that couples dealing with infidelity's trauma find themselves in.

After being a therapist for 20 years, I have seen distorted and adaptive bonds form between partners. Some people call these "trauma bonds". It is crucial to understand your trauma as well as your spouse's, and have a working understanding of what is going on in both of your brains.

Here are a few examples of traumatic bond cycles that aren't helpful:

• For more than 6-9 months after discovery, the victim is fixated on the event, what occurred, and why...

• Between wanting a divorce and wanting to work things out, there's an endless debate.

• You and your spouse are continuing to have abusive debates.

• Keeping your relationship a secret from others who might criticize you for attempting to work it out.

• Breaking commitments to yourself or each other and expecting things to get better.

• Feelings of closeness one minute, followed by painful memories and outbursts the next are typical..

It may be useful to take a step back and examine the cycle of events in which you two escalate when you talk about specifics and reminders. Consider whether the way we are discussing the facts of the affair is pushing us closer to forgiveness or making matters worse. Still, you both need to be curious about this cycle that you are co-creating as you work to reconcile. As a reminder, you are both responsible for the co-creation of a new relationship starting today.

If you find that you and your spouse are in an unhelpful cycle, please don't beat yourself up for it; notice it without any shame and be curious about how you can begin to work through the trauma of infidelity more productively.

I'll be sharing more about this topic in future Free Resources, so stay tuned. In the meantime, if you're looking for more resources on this topic, I recommend reading Not Just Friends by Dr. Shirley Glass (the best book that I have found to help couples recover and heal from infidelity and relational trauma) and The Betrayal Bond by Patrick Carnes.

If you are struggling with infidelity in your relationship, please reach out for help. This is not something that you have to go through alone. I offer individual and couples counseling services and have experience helping people heal from betrayal trauma. You can text me here to set up a consultation. 813-240-3237 or book online:

www.SouthTampaCounselor.com/BookAppointment

I hope this has been helpful. Please feel free to reach out. Until next time!

Why I Only Accept 50% of Insurance Clientele & 50% Self-Pay In My Private Practice (50/50/❤️ MODEL)

WHY I ONLY ACCEPT A FEW NEW INITIAL INTAKE INSURANCE APPOINTMENTS

USING MY MORAL COMPASS AND COMPASSION FOR HUMANITY, I’M CHOOSING TO CREATE A 50/50/❤️ MODEL:

50/50/ ❤️= 50% SELF PAY 50% INSURANCE ❤️SLIDING SCALE FEE

Sliding Scale Fees help advocate for affordable mental health care and create an opportunity for highly qualified INTERNS to co-counsel clients in need. I interview interns extensively, decide selectively, and supervise very closely and yet very trustingly. I will be an active participant in each session.

I initially started accepting insurance 15 years ago when I felt a strong need to support my community, who needed financial support, to get consistent help. Despite hearing horror stories from colleagues about insurance paperwork and clawbacks, I joined a few insurance panels. I loved every minute of being a therapist! I hated everything about the administrative process when it came to dealing with insurance companies. Don’t get me wrong, I love my insurance peeps! We have connected over the years and I will continue to support my clients who choose to use insurance as they should!

I too, have health insurance. I get it, we have health insurance for a reason, pay high monthly premiums, and should be able to use insurance when we need it!

Regardless, I will show-up powerfully for ALL of my clients.

I feel good about my choice to create a 50/50/ ❤️BALANCE in my Private Practice!

As a healthcare member and a private practice provider, I’ve had the unique experience of seeing both perspectives of the healthcare system in the US.

As my specialty has continuously evolved, I have realized that mainly accepting insurance no longer make sense for the advanced work that I do. Ultimately, my decision came down to acting with integrity and practicing what I preach to my clients.

Here are some key points to help you understand my decision to create this model for my Practice:

LACK OF PRIVACY & CONFIDENTIALITY

When insurance companies pay for your treatment, it also means that their employees (clinicians or not) will audit my treatment plans and read what we talked about in my session notes. These employees are paid to save the insurance company money by searching for fraud and determining whether you're overusing your insurance coverage. In turn, the insurance company may decline authorization of additional sessions because you're not progressing fast enough; our work in psychotherapy does not qualify as "a medical necessity": or because my treatment approach isn't recognized by the insurance company as an "evidence-based treatment" (that's code for short-term, as in 6-8 sessions).

Hell, some insurance providers don't reimburse for 60-minute sessions anymore!

This doesn’t seem right.

I recently got audited by an insurance company. This audit took me countless hours, staying up late at night, time away from my family, unnecessary stress and scrutiny to provide tedious paperwork and specific details to prove that my clients needed the services provided. This is just not okay in my book. I totally understand documentation for integrity but demanding extra proof during a pandemic when I am already submitting the necessary information and feel overwhelmed and overworked helped me create the awareness and opportunity for me to reflect on MY CHOICE to accept insurance.

At first, I reactively felt angry resulting in thoughts and hopes that the insurance company would fire me! However, when I pause and feel to respond intentionally, I honestly and truly feel honored to hold space and care for ALL of my clients and I would feel disappointed if I were unable to offer insurance as an option.

In conclusion, I believe that everyone has a right to confidentiality of your medical records. You also have the liberty to progress through treatment at a pace that's best for YOU - one that allows you sufficient time to process everything that you're experiencing. Things unfold differently for each person, especially when our world seems chaotic (Global Pandemic)! If the insurance company fires me, they rip the therapeutic relationship apart that my clients and I have securely built over the years. Emotional injuries and attachment issues can be easily re-traumatized within seconds.

DIAGNOSIS OF ILLNESS

Insurance companies operate on a medical model, which means they require a diagnosis to establish that you have "a medical necessity" to seek services in order to pay providers. To justify that you have a "medical necessity" I have to assign you a diagnosis to be reimbursed for our work together when there may not be one that really fits what you're going through. The vast majority of insurance companies don't consider relationship issues like couples or family therapy, developmental/attachment trauma, existential issues, life-transitions, personal development, or self-improvement as "medical necessities" because there are no diagnoses for these in the DSM-V.

And even if there are appropriate diagnoses, there are some diagnoses that insurance companies don't consider debilitating enough to pay for. So, if I know what diagnoses are and are not paid for, l'd have to label you with a more severe diagnosis they will pay for, but one that may not really reflect your situation. I am not ok with this either!

You're probably wondering, "What's the harm in that? A little truth-bending never hurt anyone." Well, that's just it - it can. It can come back to bite my clients in the ass... your medical record. While that might not be such a big deal right now, it may become one later on if you want to: get life insurance, work in the financial sector managing other's assets, regularly handle firearms, or seek employment in any sector in which your decision-making might be called into question due to your emotional state. Call me crazy, but I feel that people should get the help they need without fear, stigma, or reprisal for making their mental health and personal growth a priority.

FRAUD

If I engaged in the aforementioned truth- bending, I'd essentially be committing insurance fraud. There are providers out there that are willing to walk this fine line and take this risk. In my opinion, the penalties and professional consequences of insurance fraud are huge, and frankly, not worth it. I have a strong need for peace of mind that comes with integrity.

LOW RATES

In order to be "in- network" with an insurance company, I have to agree to accept a lower fee in exchange for the insurance company listing my practice in their directory of providers and sending me referrals. In the spirit of transparency, most of my clients find me through friends, family and through searching online. And each year, insurance companies continue to cut the rates they pay therapists for their work.

Here's an example with real numbers and real circumstances of how this happens: My fee is $170 per session. But I joined XYZ Insurance Co.'s network because I had a client in need of services. I chose to help and chose to agree to the insurance reimbursement rate of $60 per session. My client would also be responsible for a co-pay of $0-$40 per session depending on his plan, bringing the total to $60-$100 per session. That means I'm waiving at LEAST $70-$110 for each session. As a healthcare professional, I want to help! I have made these types of choices for the 20 years that I have been in private practice. I will keep choosing to advocate for my clients who have insurance because I also have insurance for myself and my family.

Would you be willing to forgo ~65% of your salary?:-/

I will also continue to set boundaries with ALL of my clients and companies that I choose to work with. If you no-show as a self pay or insurance client, I will treat you the same and ban you from being able to book an appointment until we have a meeting. I get it. I want to understand one another and use empathy. Life happens. I want to turn toward these curveballs

Additionally, insurance companies have been increasing their members' premiums, deductibles, and co-pays in the last few years claiming rising costs of care. You'd think that that would translate to higher reimbursement rates to care providers, but it doesn't...at least not in the mental health fields. In fact, insurance reimbursement rates have actually decreased over the same period of time. You're probably wondering, "How do the therapists and psychologists that take insurance afford to?

For such insurance-based practices, taking on more clients than is clinically prudent is the only way to make up the difference and keep their doors open. This then leads to another problem...

BURNOUT & EXHAUSTION

Here's the reality, many providers that accept insurance overbook their schedules in order to turn a modest profit after rent, utilities, malpractice, and other expenses.

Additionally, these providers often only offer a 30-50-minute session to maximize the number of clients in a day (10 vs 8) and the chances of insurance reimbursement (remember, most insurance companies don't pay for 60-minute sessions anymore). Also, if you use the 60 min codes, you are flagged for audits which take hours and hours to complete.

DELAYED (OR NON) PAYMENTS

Despite the insurance companies agreeing to a set reimbursement rate, these companies require therapists to jump through a bunch of hoops to get paid. It is common practice for most insurance companies to reject submitted paperwork to delay payments. When they're not seeing clients, these therapists are drowning in insurance paperwork and resubmitting billing claims in order to get paid, or spending hours on the phone contesting unpaid claims.

On average, it takes an additional 1.5 hours of UNPAID work outside of the session to get paid for sessions. And remember, the therapist is already making less by agreeing to take insurance. (In my previous example, it would cost $255 of my time ($170x1.5) to get paid my $60 reimbursement rate from XYZ Insurance Co.)

The alternative is to pay a medical billing company 8-10% of the claims' costs to do the aforementioned, but that increases expenses and cuts into that modest profit I mentioned before. But let's say that I or my medical billing admin ARE able to see the claim through the labyrinthine insurance payment process, the payment will finally arrive in my bank account anywhere between 3-6 months after the session took place IF everything goes smoothly.

RETROACTIVE CLAIM DENIALS (AKA CLAW BACKS)

Now imagine that, after all that trouble, that insurance company asked you to give the money back, even years later. Yep, this really happens and, unfortunately, it's a common practice among insurance companies. They'll audit your claims and paperwork for several years back. If they find any mistakes or inconsistencies in the therapist's paperwork they missed when they originally approved the therapist's claim, the insurance company will request that the therapist return the fees she was paid.

Pretend that your employer sent you a bill requesting that you repay the income you'd earned 3 years ago. Would that seem fair to you? I didn't think so. Claw backs can amount to thousands of dollars that can bankrupt a small business like a private practice. Many insurance- based clinicians live in fear of such retroactive audits.

Before reflecting and reassessing the insurance-based private practice I founded, I recently heard from a friend and colleague that a major insurance company requested thousands of dollars be returned by the end of the month. Talk about stressful!

All together that's a recipe for a tired, overworked, and stressed out therapist.

This may have been the problem if you've ever been to therapy that you felt didn't "work" with a provider from your insurance company. I should know. I started to experience the symptoms of burnout after two years of insurance-based practice. And that's when I realized, "Crap! I'm doing the things I tell my clients not to do!" Talk about incongruence!

So I changed my business model for the sake of the well-being of myself and my team to preserve the quality of care we want to provide every client. It breaks my heart to REDUCE ACCESS to care for people in need, but I realized early on that we can't help anyone if we're stressed/burned out or have to close our doors. I am choosing the 50/50/❤️ MODEL to advocate for mental health and well-being for all!

This makes sense to me!

WHAT ARE THE BENEFITS OF PRIVATE SELF-PAY AND/OR A 50/50/❤️MODEL FOR MENTAL HEALTH CARE?

No Labeling - You don't have to carry an unnecessary diagnosis on your medical record. Although, if you’d like to create awareness and assess for diagnostic criteria, I would invite this curiosity and self exploration.

Confidentiality & Privacy - You and your psychotherapist are the only people that will know you're in therapy. You get to choose who you disclose this information to. Session notes are private records so there won't be intimate details to “prove medical necessity/ diagnosis info”.

I am highly confidential and keep minimal notes. I naturally remember our sessions together because I truly care and our therapeutic relationship is genuinely important to me.

Self-Determination - You get to work with a psychotherapist that is free to use the best therapeutic approach to help YOU meet YOUR goals. You and your psychotherapist are the only people involved in the decision about the length of your care. You won't have to seek additional authorization to continue your work or return to psychotherapy, if you have new goals you'd like to explore.

Quality Care & Attention - You'll get a psychotherapist that's alert and engaged during your session, remembering the details of previous conversations. You'll have the help of a professional that's invested in your process of growth because they've taken the time to do the same for themselves. She will be able to use the healing methods that are most appropriate for you.

You might be thinking that this is just one therapist's rant against insurance companies. Don't take my word for it. Feel free to do your own research!

If you tried psychotherapy and were disappointed with the results or the treatment didn't seem to "fit" after working with a provider from your insurance company, I hope you have a better understanding of what might have been happening behind the scenes. We urge you to reconsider getting some support now that you do. There are great providers in the healing professions on both sides of the insurance divide that can help you.

I HOPE YOU HAVE A BETTER UNDERSTANDING ABOUT WHY I HAVE DECIDED TO CHOOSE THE 50/50/❤️ MODEL!

50/50/ ❤️= 50% SELF PAY 50% INSURANCE ❤️SLIDING SCALE FEE

Call or TEXT with any questions:

📱#813-240-3237 or ***Book Now: —> ❤️

Gottman Marriage Therapy in South Tampa, Florida with Counselor Elizabeth Mahaney

GOTTMAN MARRIAGE THERAPY

Elizabeth Mahaney, LMHC, MFT, NCC, Ph.D will help her clients:

1. Choose an intervention that is appropriate for the clients at the moment.

2. Recognize the Four Horseman when one member of a couple exhibits the behavior.

3. Stop the couple’s dyadic interaction when one member exhibits one of the four horseman. Describe the Four Horseman to the couple.

4. Explain the antidote to the relevant horseman clearly and accurately.

5. Coach the person with an alternative way to express him- or herself using an appropriate antidote.

6. Re-direct the couple to resume communication in a dyadic way. Continue to monitor for the four horsemen and intervene if they reemerge.

7. Identify when one or both partners are physiologically flooded (and not just upset) and stop the interaction between the couple.

8. Provide a brief explanation of flooding in clear, sensitive language.

9. Intervene by guiding one or both partners through a relaxation technique before continuing.

10. Explain the Dreams Within Conflict process and goals clearly.

11. Instruct couple on the Dreams Within Conflict intervention.

12. Assist one partner to ask the other partner questions about the dream or deeper meaning imbedded in their specific gridlocked issue.

13. Provide The Dream Catcher Questions handout and coach one partner to ask the other questions from the handout to increase understanding of their partner’s underlying dreams or deeper meaning embedded in the specific gridlocked issue; help the couple hold to the questions to go deeper vs. getting into their own point of view.

14. Introduce the concept of softened start-ups and explain why it helps (i.e., it is easier for their partner to hear and understand their point).

15. Explain research showing that the first three minutes of a discussion predicts whether that discussion will go well and whether their overall relationship will go well.

16. Explain importance of expressing needs in positive terms and instruct the partner to restate their point without criticism and then direct them to resume dyadic interaction.

17. Stop couple’s interaction when one or both partners are not accepting influence.

18. Explain the need for accepting influence (which may include reference to research). This includes finding a way to understand and honor some aspect of their partner’s position, with a focus on yielding and accepting influence rather than on persuading.

19. Stop couple and instruct in the concept of offering and accepting repairs and why it is useful.

20. Provide the Repair Checklist and explain the use.

21. Ask appropriate Gottman Oral History questions and stay on track with sensitivity to couple’s issues.

22. Conduct History interview with appropriate timing.

23. Conduct History interview with sensitivity to issues of co-morbidity.

The Grief of an Affair (Your partner cheated. Now what? Part 2)

The revelation of a partner’s affair (sexual or emotional) comes as a shock to the hurt partner, even when doubts exist. The loss of trust in a relationship is no different from a physical loss. The closeness of the relationship and the hurt partner’s perception of preventability were identified as predictors of the grieving process’s intensity and duration in a study on human grief by Bugen. The predictors wouldn’t be different in the case of trust loss as well.

The process of grief includes five emotional stages to recovery from loss, as per the Kubler-Ross model. This process is not linear, and the hurt partner can find themselves at any stage throughout varying timelines. The stages of trust loss, applying the grief model to the aftermath of an affair, would be as follows:

DENIAL

The hurt partner struggles to comprehend what happened and is often unaware of the Gottman-Rusbult-Glass betrayal cascade that the betraying partner experienced or is experiencing . The hurt partner tends to minimize the pain of the affair initially and goes through the phase of “something is amiss, and it will be set right.” There is a strong need to confirm with the partner by asking questions in several different ways as they feel that this cannot be happening.

ANGER

The hurt partner starts to piece together the incidents from the past, and the reality gradually emerges. There is apparent anger about the betrayal, hurt for being let down, and sadness about losing the relationship. The anger can be toward oneself for letting this happen, the partner who did this to them, and the liaison who shouldn’t have crossed the boundaries. But then, there is also the fear that the anger may push away the very person they still love. The fear of losing the partner results in suppressing anger, which may erupt abruptly at different points as the entirety of the situation sinks in. There may also be self-doubt about their role in the case, which is overwhelming, given the immense emotional stress already persisting.

BARGAINING

The feelings of confusion, pain, anger, and other emotions seem unbearable and threaten the loss of control. It is a helpless state intensified by powerful emotions and therefore comes a need to regain control. The hurt partner tries to reset the past by exploring different paths, such as “if only I had stopped her that day when I saw her messaging,” “what if the other person had misused the situation and my partner is not at fault,” etc. There is a struggle to heal the pain faster by providing logical explanations and intellectualizing feelings. The hurt partner may try premature closure to postpone experiencing painful emotions.

DEPRESSION 

Here one feels the full impact of losing a trusted relationship. The affair erases everything the hurt partner believed. While the first three stages are more cognitive and solution-oriented, this stage is emotional and experience-oriented. It might involve heaviness and isolation. The hurt partner experiences intense emotions of anger, sadness, and doubts that can feel like there is no more running away. Questions may arise like, “does my partner love me at all?” “I should have given more time and attention before,” “What do I do now?” etc. These questions address the concerns at a deeper level, releasing intense emotions. It is a difficult phase that can feel foggy. Though depression may feel like a comfort zone as the inner conflict lessens, dwelling here indefinitely is unhealthy and would need counseling assistance to move on.

ACCEPTANCE

Acceptance comes concerning what happened and what it means in the future. It is not a perfect resolution and permanent closure (with emotions and interpersonal realities) but a transformative stage following a significant change. The hurt partner may start to have thoughts like, “I am aware of what went wrong and can understand the reasons,” “I will be able to forgive and move on,” etc. At this point, the perspective is more on the present moment and future rather than the past. Hope is renewed about the restoration of the relationship. This stage feels different as the outlook towards several aspects of life changes.

POST-TRAUMATIC STRESS DISORDER (PTSD)

Shirley Glass noted that the hurt partner often suffers from a PTSD reaction following an affair’s discovery. According to Drs. John and Julie Gottman, if the below symptoms persist, then the chances are that the hurt partner is experiencing PTSD. 

1. Recurrent recollections and intrusive visualizations: “Deja vu” events, days, locations, etc., tend to trigger flashbacks of affair specifics. For example, recurring dates of when the hurt partner had found out about the affair trigger memories and related emotions that can induce flooding (stress) and panic attacks.

2. Oscillating moods, confusion, irritability, and outbursts: As the hurt partner struggles between feelings of betrayal and acceptance, there are periods of emotional numbing followed by explosions.

3. Intense emotions of anger, hurt, shame, grief, and frustration: There are ambivalent fears of anger, guilt, self-doubts, etc., that can overwhelm the hurt partner. Empathetic listening goes a long way in healing.

4. Hyper-vigilance and startling: Hurt partners can become startled and vigilant about mundane things like message notifications, phone rings, delay in replies, etc., and may seem to make impossible demands. Compassion and assurance will help.

5. Avoidance, detachment, and seclusion: The overwhelming feelings appear challenging, and isolation may seem like the only option. The betraying partner often misunderstands it as distancing and tends to stay away. It may enhance the feelings of rejection in the hurt partner when what is needed is emotional support.

6. Loss of focus and interest: The depression symptoms of demotivation, loss of interest, lack of energy, irregular sleep, no appetite, low feelings, etc., can persist.

7. Hopelessness about the future: As the world, they know, collapses, there may be hopelessness and helplessness about the relationship.

Although not all partners hurt by an affair will develop PTSD reactions, many will experience grief and depression. Hurt partners may become obsessed with the affair’s details, feel powerless with their emotions, and need therapeutic assistance at such times. It is important to note that these reactions are normal responses and can benefit from couple therapy.

FINAL THOUGHT

An affair shakes everything that the hurt partner believes in their understanding of themselves and the world. Gottman Method Couples Therapy can help a couple learn to atone, attune, and attach as they restore new purpose and meaning together.

Jinashree Rajendrakumar

References:

Bugen, L. A. (1977). Human grief: A model for prediction and intervention. American Journal of Orthopsychiatry, 47(2), 196–206. https://doi.org/10.1111/j.1939-0025.1977.tb00975.x

Glass, S. (2007). NOT “Just Friends”: Rebuilding Trust and Recovering Your Sanity After Infidelity. Simon & Schuster.

Gottman, J. (1995). Why Marriages Succeed or Fail: And How You Can Make Yours Last. Simon & Schuster.

Gottman, J. M. (2011). The science of trust: Emotional attunement for couples.

Gottman, J., & Gottman, J. (2017a). The Natural Principles of Love. Journal of Family Theory and Review, 9(1), 7–26. doi: 10.1111/JFTR.12182

Gottman, J., & Gottman, J. (2017b). Treating Affairs and Trauma. Unpublished manuscript,  Gottman Institute, Seattle, USA.

Gottman, J. M., & Levenson, R. W. (1986). Assessing the role of emotion in marriage. Behavioral Assessment.

Gottman, J. M., & Levenson, R. W. (1992). Marital processes predictive of later dissolution: behavior, physiology, and health. Journal of Personality and Social Psychology, 63(2), 221–233. doi: 10.1037/0022-3514.63.2.221

Gottman, J. M., & Levenson, R. W. (2002). A Two‐Factor Model for Predicting When a Couple Will Divorce: Exploratory Analyses Using 14‐Year Longitudinal Data*. Family Process, 41(1), 83–96. doi: 10.1111/J.1545-5300.2002.40102000083.X

Hall, C. (2011). Beyond Kubler-Ross: recent developments in our understanding of grief and bereavement. InPsych: The Bulletin of the Australian Psychological Society Ltd, 33(6), 8.

Holland, K. (2018, September 25). What You Should Know About the Stages of Grief. Retrieved from https://www.healthline.com/health/stages-of-grief

How Do Affairs Happen? (See the cascade of events that can lead to infidelity) PART 1

WHAT WENT WRONG?

It is hurtful and devastating when an affair shatters a relationship’s trusted stability. It leaves both partners to pick up the pieces before starting all over again, which is painful. One of the questions that plague partners recovering from an affair is “What went wrong?” Even when individuals and relationships are unique, is there a commonality across affairs?

Dr. John Gottman with Dr. Caryl Rusbult and Dr. Shirley Glass explained an affair as a cascade of steps that culminate in a transgression. It all starts with the bid for attention. If it sounds like a simplified excuse for an affair, it is not. When one can’t count on their partner to be available in their time of need, it leads to unfavorable comparisons, emotional distance, and eventual betrayal, if not the demise of love. Based on research, the steps that lead to betrayal (the Gottman-Rusbult-Glass Cascade) are as follows.

TURNING AWAY

Partners can make an emotional bid that is met with turning away or against instead of turning toward. Turning away would include ignoring or being preoccupied with something else while turning against would be a retort or a lash back. When “Would you like to plan for the weekend?” is met with silence or “Can’t you see that I am busy?” the bidding partner feels rejected and hurt. Over time repeated failed bids lead to reiterating the belief that “you are not there for me,” and trust associated with the partner starts to erode gradually. An anticipatory rejection starts to flood (stress) the bidding partner, making them feel vulnerable, insignificant, or unwanted.

NEGATIVITY AND AVOIDANCE

The bidding partner soon enters the negative absorbing state, which is the negative affect from past failed bids building up with every new failed bid. It gets easier to get into the negative state but challenging to exit, resulting in a persistent negative state of mind. Soon unheeded requests turn out to be stressful and pointless arguments. Therefore bidding partner suppresses feelings and needs, leading to avoidance of conflict and self-disclosure.

INVESTING LESS AND COMPARING MORE

When partners favorably evaluate the relationship compared to other alternatives, they are more likely to stay committed to the relationship, as Thibaut and Kelley suggest. Therefore, the unfavorable comparisons propel a relationship towards a lack of commitment and betrayal. The bidding partner starts negatively comparing the partner with a real or imaginary partner who would make them feel cherished. As approaching the partner with an emotional bid is found futile, bidding and investing in the partner reduces, while substituting begins.

FEELING LESS DEPENDENT AND MAKING FEWER SACRIFICES

As Rusbult notes, commitment is a gradual process of making a good comparison level for the relationship within alternatives. Similarly, the opposite process of un-commitment is a gradual process of damaging comparison levels with other options. Commitment leads people to make sacrifices while building interdependency. It also leads to disparaging alternatives in comparison to their partner. As reliability or dependability on the partner lessens, trust reduces. The partner opens up to others and engages in talks (or self-talks) that magnify the relationship’s negative qualities.

TRASHING VS. CHERISHING

As one maximizes the partner’s negative qualities, one also minimizes positive characteristics. The Four Horsemen of the Apocalypse (defensiveness, criticism, contempt, and stonewalling) become rampant. Dr. Gottman suggests that people committed to their relationship cherish their partner by reminiscing about the positives with gratitude, even when not together. An essential part of a relationship, cherishing and expressing gratitude, is replaced with trash-talking the partner (directly and in front of others).

RESENTMENT AND LONELINESS IN RELATIONSHIP

Gratitude for the partner becomes replaced with bitterness. Resentment seeps in with silent arguments such as feeling the partner is selfish and uncaring. There is loneliness enhanced with unfavorable comparisons like “my ex would have understood me better” or “my colleague is more there for me than my partner.” With loneliness, vulnerability to other relationships increases. The built-up resentment results in low sexual desire and impersonal sex. The refusal to have sex may result in the partner’s blaming, leading to further feelings of rejection, and the affair cascade intensifies.

IDEALIZING ALTERNATIVE RELATIONSHIPS

There is less dependency on a partner, less reliance on the relationship for meeting essential needs, less investment in the relationship while idealizing alternative relationships, and thinking fewer positive pro-relationship thoughts. Instead, anti-relationship thoughts take over like “maybe we will be better off without each other,” “it may be a relief to let go of the relationship than hold on,” etc. The window between the partners is replaced with a wall, as the window opens up to outsiders. Other harmless liaisons provide the safe house.

SECRETS AND CROSSING BOUNDARIES

Secrets begin with omission. The other patterns such as inconsistencies, lies, confidence violations follow. While in cherishing relationships, interactions with others that hurt the partner are avoided, in denigrating relationships, ties with others are sought to fill the prevailing emotional gaps. As the hiding increases with the partner, there is an active turning toward others, and at a vulnerable moment, boundaries are crossed, and actual betrayal unfolds.

As one partner goes through the cascade of betrayal, the other partner experiences the ground sinking beneath their feet. Trust is broken and, over time, may develop into Post Traumatic Stress Disorder.

Jinashree Rajendrakumar

References:

Gottman, J. (1995). Why Marriages Succeed or Fail: And How You Can Make Yours Last. Simon & Schuster.

Gottman, J. M. (2011). The science of trust: Emotional attunement for couples.

Gottman, J., & Gottman, J. (2017). The Natural Principles of Love. Journal of Family Theory and Review, 9(1), 7–26. doi: 10.1111/JFTR.12182

Gottman, J., & Gottman, J. (2017). Treating Affairs and Trauma. Unpublished manuscript,  Gottman Institute, Seattle, USA.

Gottman, J. M., & Levenson, R. W. (1986). Assessing the role of emotion in marriage. Behavioral Assessment.

Gottman, J. M., & Levenson, R. W. (1992). Marital processes predictive of later dissolution: behavior, physiology, and health. Journal of Personality and Social Psychology, 63(2), 221–233. doi: 10.1037/0022-3514.63.2.221

Gottman, J. M., & Levenson, R. W. (2002). A Two‐Factor Model for Predicting When a Couple Will Divorce: Exploratory Analyses Using 14‐Year Longitudinal Data*. Family Process, 41(1), 83–96. doi: 10.1111/J.1545-5300.2002.40102000083.X

Haan-Rietdijk, S. D., Gottman, J. M., Bergeman, C. S., & Hamaker, E. L. (2016). Get Over It! A Multilevel Threshold Autoregressive Model for State-Dependent Affect Regulation. Psychometrika, 81(1), 217–241. doi: 10.1007/S11336-014-9417-X

Hawkins, M. W., Carrere, S., & Gottman, J. M. (2002). Marital Sentiment Override: Does It Influence Couples’ Perceptions? Journal of Marriage and Family, 64(1), 193–201. doi: 10.1111/j.1741-3737.2002.00193.x

Ways to Rebuild Trust after an Affair

Low and High Cost Repair Behaviors

The most basic benefit of being in a relationship is the confidence you derive from having a teammate you can rely on to help with the vicissitudes of life. Below is a chart of life:

Life chart

If we have a companion, confidant, and lover along the way, these unexpected dips and turns are easier to manage because you are not going alone. You know and trust that they will have your back through the inevitable pitfalls of life. When you have this trust, a sense of security is created.

Affairs usually occur because one or both partners have gotten squirmy and have started to bail on being teammates in one form or another.

Since the affair has put the foundation of the relationship into question for the hurt partner – much like a rug being pulled out from underneath them – it is up to the unfaithful partner to demonstrate that they are worthy of trust.

Dr. Janis Spring, author of After the Affair: Healing the Pain and Rebuilding Trust When a Partner Has Been Unfaithful, states that to get to the rebuilding trust phase of a relationship, the hurt partner must first normalization his or her intense feelings and then make a decision to recommit with the unfaithful partner. After this occurs, ways to rebuild trust fall into two categories of behavior.

The first is what she calls low-cost behaviors, and the second is high-cost behaviors.

Below are examples of some low-cost behaviors for the unfaithful partner to begin to rebuild trust.

Remember, it’s your job to continue to demonstrate that you are worthy of trust.

• Leave little up to assumption. For example, give your partner the complete itinerary when you travel.

• Let your partner know if you run into the affair person.

• Check in throughout the day remind your partner you are thinking about them.

• Remind your partner that you love them, and why you picked him or her.

• Tell your partner that you find them attractive.

• Tell your partner how much you appreciate them.

• Leave little up to assumption in regards to your feelings and emotions. Fill your partner in on your emotional landscape, especially if you are not used to doing this.

• Ask what you need from your partner to make the relationship more satisfactory. Do this in a way that does not blame your partner, or justifies your behavior.

• Have patience — you can’t regain trust overnight.

Below are examples of low-cost behaviors for you, the hurt partner.

Remember it is important to positively acknowledge your partner’s efforts to restore your trust.

• Let your partner know specifically what low-cost behaviors you need from them to restore your trust; leave little up to assumption.

• Let your partner know that you appreciate their above efforts – specificity helps.

• Tell them that you are feeling more optimistic about your future together.

• Be open to feedback.

• Demonstrate that you are trying to address his or her dissatisfaction at home.

• If your partner is trying to be more emotionally open, be patient, and appreciate such efforts especially if your partner is new to it.

I highly recommend this book.

These low-cost behaviors are the building blocks for rebuilding trust. They are essential for sharing responsibility for what went wrong in the relationship. Dr. Springs states that low-cost behaviors are not enough.

High-cost behaviors are the bedrock of the trust-building phase that squarely falls on the shoulders of the unfaithful person.

She writes:

“It’s not enough for you to say, ‘Trust me, honey – I’m here to stay.’ You have to back your claim with dramatic gestures that are ‘expensive’ – in other words, that require real sacrifice and will probably make you feel uncomfortable and vulnerable.”

Examples of high-cost behaviors are:

• Allowing your partner to have your passwords, and bank account information if requested.

• Having a joint bank account, or dividing assets in half.

• Transferring jobs – away from the affair person.

• Moving to a different city.

• Going to drug and alcohol treatment, staying sober, or going to 12-step meetings.

• Going to individual therapy in order to gain more insight into why the affair occurred.

• Going to couple therapy to process the affair, as well as learn ways to prevent future infidelity by transforming the relationship.

• Cutting ties with old friends or social groups.

• Going on a romantic vacation.

The silver lining to such high-cost behaviors for you, the unfaithful person, is that they will make you a better person.

They will force you to be someone who is worthy of trust, someone who has examined his or her self and who now has nothing to hide. You will be a better example for your kids if you have them. Although difficult at first, you may find such integrity and transparency altogether more satisfying.

The good news is, if an affair has occurred and you both wish to remain in the relationship, you can take concrete steps to become teammates again.

You can’t schedule the restoration of trust and most likely it will never return to how it was, but eventually it can be better. With work, strongly committed couples can rebuild the trust and security that is the foundation for a happy relationship.