A Deep Dive into Colleen Hoover's "It Ends with Us": A Conversation on Domestic Violence

Colleen Hoover's It Ends with Us isn’t just another romance novel—it’s a deeply moving story that delves into the complexities of love, the painful realities of abuse, and the courage it takes to break free from a toxic relationship. At its heart, the book sheds light on the often-hidden issue of domestic violence, an experience that affects millions of people around the world.

The story centers around Lily Bloom, a young woman who seems to have everything going for her—a fulfilling career, a lovely home, and a blossoming relationship with Ryle Kincaid, a successful neurosurgeon. But as their relationship progresses, Lily is forced to confront the darker side of her seemingly perfect romance. She begins to see parallels between her relationship with Ryle and the abusive patterns she witnessed in her parents’ marriage. Through Lily’s journey, Hoover paints a vivid picture of the emotional and psychological struggles that victims of domestic violence face, pushing readers to grapple with the complexities of why someone might stay in or leave an abusive relationship.

One of the most impactful elements of It Ends with Us is its depiction of the cycle of abuse. Hoover doesn’t hold back in showing how abuse often starts subtly, growing more severe over time. Ryle is initially portrayed as a loving and caring partner, but as his anger issues surface, the relationship takes a darker turn. Hoover masterfully illustrates how abusers can swing between intense affection and episodes of violence, trapping victims in a confusing and painful cycle. Lily’s internal battle is one that will resonate with many who have experienced domestic violence. Despite Ryle's abusive behavior, she struggles with her love for him and the hope that he might change. Through Lily, Hoover sends an important message: leaving an abusive relationship is far more complicated than it might appear to outsiders. The emotional ties, the hope for change, and the fear of the unknown all contribute to a victim’s decision to stay.

The novel also explores how family history shapes our understanding of relationships. Lily’s view of love is heavily influenced by the abuse she witnessed between her parents. As a child, she saw her mother endure physical and emotional abuse from her father, an experience that leaves deep scars. Hoover delves into how these early experiences influence Lily’s adult relationships and her tolerance for unacceptable behavior. This exploration of intergenerational trauma underscores the importance of breaking the cycle of abuse, not just for oneself, but for future generations. Lily’s journey is ultimately one of empowerment, as she makes the difficult decision to end the cycle of violence in her life, even if it means letting go of her relationship with Ryle.

Empowerment is perhaps the most significant theme in It Ends with Us. Lily’s choice to leave Ryle is depicted as an act of immense strength and self-respect. Hoover emphasizes that walking away from an abusive relationship is not a sign of weakness, but of courage. Lily’s decision to prioritize her own well-being and that of her future child over her love for Ryle sends a powerful message: it is possible to break free from the cycle of abuse, and doing so is a vital step toward reclaiming one’s life. The book also highlights that healing is a process. Lily’s path to recovery isn’t straightforward; she experiences moments of doubt, guilt, and sadness. But throughout it all, she remains committed to creating a life free from violence. This honest portrayal of the aftermath of abuse is crucial in understanding the long-term impact of domestic violence and the resilience required to overcome it.

It Ends with Us has sparked meaningful conversations about domestic violence, especially within the context of romantic relationships. Hoover’s portrayal of Lily’s experience resonates with many readers who have faced similar situations or know someone who has. The book encourages empathy and understanding, urging readers to look beyond the surface and appreciate the complexities involved in abusive relationships.

If you or someone you know is experiencing domestic violence, please seek help.

By Hailey Oliver, MA, MHCI: https://SouthTampaTherapyBOOKAPPT.as.me/HaileyOliver

Self-Soothing and Emotion Regulation Worksheet

This is a Self-Soothing and Emotion Regulation Worksheet to help you practice soothing your central nervous system.

Name: ___________________________ Date: ___________________________

1. Grounding Techniques to Reduce Dissociation

Purpose: To help you reconnect with the present moment and reduce feelings of dissociation.

Instructions: When you start to feel disconnected or spaced out, try the following grounding exercises.

A. Sensory Awareness

• 5 Things You Can See:

• 4 Things You Can Touch:

• 3 Things You Can Hear:

• 2 Things You Can Smell:

• 1 Thing You Can Taste:

2. Breathing Exercises to Regulate Emotions

Purpose: To help you manage intense emotions and bring a sense of calm.

Instructions: Practice the following breathing techniques when you feel overwhelmed.

A. Deep Breathing

1. Find a comfortable position.

2. Inhale slowly through your nose for a count of 4.

3. Hold your breath for a count of 4.

4. Exhale slowly through your mouth for a count of 6.

5. Repeat 5-10 times or until you feel calmer.

B. Box Breathing

1. Inhale through your nose for a count of 4.

2. Hold your breath for a count of 4.

3. Exhale through your mouth for a count of 4.

4. Hold your breath for a count of 4.

5. Repeat 4-6 times or until you feel more regulated.

3. Self-Soothing Techniques to Feel Safe

Purpose: To help you create a sense of safety and comfort.

Instructions: Choose any of the following activities to practice when you need to self-soothe.

A. Physical Comfort

• Wrap yourself in a cozy blanket.

• Hold a soft stuffed animal or pillow.

• Take a warm bath or shower.

B. Soothing Sounds

• Listen to calming music or nature sounds.

• Hum or sing a favorite song softly.

C. Gentle Movement

• Practice gentle stretching or yoga.

• Go for a slow, mindful walk.

D. Comforting Smells

• Light a scented candle or use essential oils (lavender, chamomile).

• Smell a favorite lotion or perfume.

4. Positive Affirmations

Purpose: To help you counter negative thoughts and foster a sense of self-worth.

Instructions: Repeat these affirmations to yourself daily, or whenever you need reassurance.

1. I am safe and in control.

2. I am deserving of love and respect.

3. I am strong and capable.

4. My feelings are valid.

5. I am worthy of self-care and kindness.

5. Emergency Contact List

Purpose: To ensure you have support when you need it.

Instructions: Fill in the contact information for people and resources you can reach out to in times of need.

• Therapist: ___________________________________ Phone: ______________________

• Trusted Friend/Family Member: ___________________________ Phone: ______________

• Crisis Hotline: _________________________________ Phone: ______________________

• Emergency Services: ____________________________ Phone: ______________________

6. Reflection and Journaling

Purpose: To help you process your emotions and experiences.

Instructions: Use the space below to write about your thoughts, feelings, and any experiences you want to reflect on.

Daily Check-In

Purpose: To monitor your emotional state and practice self-care.

Instructions: Complete this check-in each day.

Date: ___________________________

How do I feel today?

• Emotion(s): ________________________

• Intensity (1-10): _____________________

What self-soothing technique will I use today?

What positive affirmation will I focus on today?

Remember:

You are taking important steps towards healing and self-care. Be gentle with yourself and use these techniques as tools to support your journey. Reach out for help whenever you need it.

Therapist Contact Information:
Name: _________________________
Phone: _________________________
Email: _________________________

Notes:

By Elizabeth Mahaney, LMHC, MFT, NCC, DCC, Ph.D

SOUTH TAMPA THERAPY, WELLNESS, MARRIAGE & FAMILY THERAPY

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How to Learn to Tolerate and Hold Space for Your Partner’s Distress

Helping clients learn to tolerate their partner's distress can be a crucial aspect of couples therapy. It promotes empathy, understanding, and ultimately strengthens the relationship. Here are some strategies you can employ:

1. Normalize Feelings: Begin by normalizing emotions. Explain that it's natural for partners to experience distress or strong emotions from time to time, and it doesn't necessarily indicate a problem in the relationship.

2. Educate About Triggers: Help clients identify common triggers for their partner's distress. Understanding what sets off their emotions can lead to greater empathy and better communication.

3. Practice Active Listening: Encourage active listening skills. This means giving full attention, avoiding interruptions, and validating the partner's feelings without immediately trying to solve the issue.

4. Empathy Building Exercises: Engage in empathy-building exercises. This could involve role-playing where each partner takes on the other's perspective to better understand their emotions.

5. Validate Emotions: Teach clients the importance of validating their partner's emotions, even if they don't understand them or agree with them. Simply acknowledging their feelings can go a long way.

6. Encourage Open Communication: Create a safe space for open and honest communication. Help clients express their feelings, concerns, and needs without fear of judgment or criticism.

7. Use "I" Statements: Teach clients to use "I" statements to express themselves. This encourages personal responsibility for feelings and avoids blaming the partner.

8. Avoid Defensiveness: Help clients recognize defensive behaviors and work towards replacing them with more constructive responses. Defensiveness can escalate conflict and hinder empathy.

9. Practice Mindfulness: Encourage mindfulness practices to help clients stay present and non-reactive in the face of their partner's distress. This can prevent knee-jerk reactions and allow for more thoughtful responses.

10. Set Boundaries: Help clients establish healthy boundaries to protect their own emotional well-being while still being present and supportive for their partner.

11. Highlight Strengths: Remind clients of their own and their partner's strengths. This can instill confidence in their ability to navigate difficult emotions together.

12. Explore Attachment Styles: Understanding attachment styles can shed light on why partners react to distress in certain ways. This insight can foster compassion and empathy.

13. Practice Patience: Encourage clients to practice patience with themselves and their partner. Tolerating distress is a skill that takes time and effort to develop.

14. Seek Professional Guidance: If the distress is chronic or particularly challenging, suggest seeking professional help from a therapist or counselor who specializes in couples therapy.

Remember to be patient and supportive throughout the process. Developing the ability to tolerate a partner's distress is a journey that requires time, effort, and practice.

How I Integrate Gottman Method Couples Therapy and Emotionally Focused Therapy

Integrating the Gottman Method Couples Therapy and Emotionally Focused Therapy allows for a flexible approach that can shift between relationship-building and attachment-oriented therapy based on the client's needs. In the late 1970s and early 1980s, Dr. John Gottman and Dr. Susan Johnson conducted pioneering research on creating happy and lasting relationships. Initially known primarily in academic circles, their work provided an empirical foundation to the often chaotic and unpredictable field of couples therapy.

Both Gottman and Johnson developed unique models of successful adult relationships, based on different perspectives and data sets. Gottman's research focused on longitudinal and observational studies of couples, examining both distressed relationships and satisfying ones. Johnson, on the other hand, drew from the theoretical framework of John Bowlby and her extensive experience in decoding and tracking couples therapy sessions, resulting in an empirical model of couples therapy.

The Gottmans emphasized relationship skill-building and an existential lens, while Johnson's approach was firmly grounded in Attachment Theory. There were also differences in their views on couples therapy and the role of the therapist. The Gottmans cautioned against therapists becoming indispensable to the couple and encouraged coaching couples to manage their own conflicts and intimacy. Johnson, however, saw the therapist as a "secure base" and aimed to create a secure container where anxiously or avoidantly attached partners could express vulnerable feelings and needs.

Despite their differences, the exciting development lies in the convergence of their approaches and the ability to seamlessly integrate both in couples therapy. This integration allows therapists to adapt their approach based on the couple's emotional system.

When working with couples, I begin with the Gottman Method, using the Sound Relationship House model. It provides a practical and understandable framework that couples can readily adopt. The structured assessment process of the Gottman Method is reassuring and transparent, allowing couples to share their story, be heard individually and together, and identify their relationship strengths and areas for growth. The process instills hope as strengths are highlighted, growth areas are connected with specific skills to be learned, and couples leave with a roadmap for their therapeutic journey.

However, the real work starts when addressing the emotional focus and the influence of attachment histories, styles, and internal working models in intimate relationships, as recognized by both Gottman and Johnson. While helping couples replace destructive patterns with healthier alternatives, I am attuned to their negative emotional cycles and unresolved hurts. With Gottman's language and relationship science in one hand and Johnson's emotion-focused and interpersonal tools in the other, I weave both approaches into the therapeutic process.

For example, when addressing criticism and contempt, I provide practical information to one spouse while simultaneously validating and exploring the attachment needs and emotions of the other partner. I employ Gottman's structured exercises, such as the Aftermath of a Regrettable Incident form, to help couples process arguments and improve their dialogue. Simultaneously, I examine the underlying dynamics of the conflict, considering attachment histories and their impact on individuals' ability to let go of anger or offer tenderness.

The integration of Gottman and Johnson becomes evident in working with bids, turning towards, and processing failed bids. I understand that not all hurts are equal and that certain emotional injuries can be traumatic, triggering deeply held beliefs about oneself, the partner, and relationships. Gottman's Sound Relationship House theory helps couples understand the connection between emotional bank accounts and the overall health of the relationship. Johnson's tools, on the other hand, aid in repairing depleted emotional accounts, acknowledging and healing attachment injuries, and restoring the bond between partners.

While I confess my initial affinity for the Gottman Method, finding comfort in its alignment with my therapeutic style, Johnson's approach challenges me to navigate the depths of primary emotions.

References:

Gottman, J.M. (2007). Marital Therapy: A research-based approach. Training manual for the Level I professional workshop for clinicians. Seattle, WA: The Gottman Institute.

Johnson, S. (2008). Hold Me Tight: Seven conversations for a lifetime of love. New York: Little Brown and Company.

Meunier, V. and Baker, W. (2012). Positive Couple Relationships: The evidence for long lasting relationship satisfaction and happiness. In Roffey, S. (Ed.) Positive Relationships: Evidence-based practice across the world. Sydney, Australia: Springer Publications.

Young, M.A. (2005). Creating a Confluence: An Interview With Susan Johnson and John Gottman. The Family Journal, 13(2), 219-225.

Elizabeth Mahaney, LMHC, MFT, Ph.D

Book an appointment with Dr. Liz: https://SouthTampaTherapyBOOKAPPT.as.me/initialintake

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

Narcissistic Abuse: Tips for Recognizing and Recovering

When I bring up the word “Abuse” with my clients I notice they are prone to discount their experience because they don’t’ see their situation as being “real abuse.” Abuse is a spectrum, and the word doesn’t do justice to describe the many forms of subtle and overt abusive behaviors and toxic relational dynamics. Narcissistic abuse is a very real form of abuse. The power and control dynamics might not include physical or sexual violence, although they can, but the psychological, emotional, interpersonal, and spiritual effects devastate individuals who find themselves trapped in the narcissistic abuse cycle. This post intends to do two things: 

1. Describe the Narcissistic Cycle of Abuse to help those suffering recognize they are not “crazy.” This is a definable pattern that many others are experiencing.

2. Provide some practical tools and tips to cope and eventually recover from said abuse.

The narcissistic abuse cycle can be defined as a “pattern of highs and lows in which the narcissist confuses their partner through manipulation and calculated behaviors aimed at making their partner question themselves” (Hammond, 2015). I want to make it clear that your partner does not have to have an official diagnosis of “narcissist” for your situation to be a valid case of narcissistic abuse. Media and pop culture usually only portray the most extreme examples of narcissism thus exacerbating the problem and preventing victims from getting help. 

The cycle involves three phases that work in tandem with each other. 

The first stage is Idealization. 

This is the stage where your partner makes you feel like the most special person in the world. The term “love bombing” comes to mind. You might feel as if you’ve never been loved or adored for like this before. The pursuer will become vigilant in giving attention to you and will shower their “target” with gifts, compliments, and promises. 

The idealization phase may include: 

• Love-bombing

• A lot of attention given to partner

• Grandiose gestures

• Elaborate gifts and dates

• Discussing marriage

• Lack of boundaries

• Attempts to isolate partner in the name of love

• Quickly moving into intimacy

• Creates a sense of ownership of partner and the relationship (Hammond, 2015).

The second phase is devaluation.

During this stage, you might start to notice your partner acting one way with you and one way in public which makes it hard to understand which person they really are. If you express concern, you might be labeled as “jealous” or “needy” or a “nag,” The disillusionment at this stage makes some cling harder to the memory of when things were ideal. You might have an intuitive feeling that something is wrong but because of the hot and cold nature of their affection for a time, it is easier to push that voice down. A huge red flag is that you begin to doubt yourself. You begin to see the real person for who they are, and you notice more incongruency in their behavior. This is where the abuse really starts to hurt and many start to exhibit anxiety, depression, obsessive thoughts, develop a trauma bond, amongst other symptoms. Visit this resource to learn more. This is where people get trapped because they are so beaten down and confused, it seems easier to just stay for fear of what might happen or what threats might be made.  

The devaluation phase might include:  

• Attempting to change their partner

• Increasing criticism and insults

• Gaslighting

• Physical threats

• Poor communication

• Increased violation of boundaries

• Triangulation

• More isolation or control over their partner

• Withholding physical, emotional, and sexual intimacy (Hammond, 2015).

Finally, the third phase is rejection. 

In this phase, the narcissistic partner rejects their partner and essentially places complete blame of the downfall of the relationship on their partner. In healthy relationships conflicts and disagreements are navigated with patience, grace, and the use of helpful problem solving skills. In narcissistic abuse relationships, there are no compromises. It is if the victimized partner doesn’t even exist, and they begin to lose any power or autonomy. Sometimes the cycle repeats itself over and over. Sometimes, once the phases are complete, the abuser become disinterested and finds another partner to begin another cycle with. 

The rejection phase may include: 

• Feelings of contempt and rage

• Betraying the relationship

• Invalidating their partner’s emotions and placing all the blame on them

• Playing the victim

• Physical, emotional, and verbal abuse

• Ending the relationship permanently or temporarily with attempts to continue this cycle of abuse (Hammond, 2015).

Now that I have described, briefly, common signs and symptoms of the narcissistic abuse, I will provide some tips for coping. At the end of the article, I have provided additional resources for you to begin your journey to safety and recovery. 

1. Label the Abuse

Once you recognize the abuse and have educated yourself about it labeling it is a vital step towards healing. Consider communicating what you are learning out loud to a trusted person.  

2. End the relationship if you haven’t already done that.

Get in touch with a trusted person, a professional, or your family to create a safety plan if necessary before you leave. 

3. Set Clear and Specific Boundaries

Setting clear boundaries requires discipline but it is vital to protect you from getting manipulated or tricked again. If you share children with your ex-partner and must make contact, make sure you have clear boundaries and a safety plan.  

4. Seek Support

The resources attached to this blog are a great way to find support during this hard time. Additionally, reaching out to a therapist will help you tell your side of the story, be validated, and learn how to grief. A therapist can support you in creating new patterns of living and implement new coping skills. 

5. Rediscover Yourself

In many cases, the abusive relationship has taken over your mind, emotions, physical health, and schedule. Once you are ready it is important you take the time to rediscover who you are, what you want, what you like, what you enjoy, what you need, and how you want to see yourself. This can seem daunting but there is not rush. Rediscovering ourselves is a life long process and we change throughout life. The key is that you recognize you have been deprived of your voice and allow yourself to rediscover it. 

There is no way I can describe all that narcissistic abuse is and how to recover in this short blog but my hope for you is that you feel validated and affirmed if you or someone you know is suffering or trapped in this cycle. There is hope, people can leave their partner, grief the loss, and heal. If you are unsure if you want to start therapy as a part of your healing, I offer free consultations and it would be a pleasure to hear your story and get to know you!

By Shaundra McGuire, MFTI Book With Shaundra: https://SouthTampaTherapyBOOKAPPT.as.me/ShaundraMcguireMFTI

Additional Resources: 

Stages of Narcissistic Abuse - Narcissist Abuse Support

https://narcissisticabusevictims.org/

You Are Not Alone - Educate Yourself - Find Support - Get Healed - Find Peace Again - Narcissist Abuse Support