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

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.

The Power of Listening in Communication

Why do we communicate? Communication is the key to understanding. Understanding helps to create a quality of connection sufficient to work together and collaborate, and to attend to our needs. 

“The most basic and powerful way to connect to another person is to listen. Just listen. Perhaps the most important thing we ever give each other is our attention….” -Rachel Naomi Remen. 

Listening can be a powerful tool to help get to a place of greater understanding. Listening depends on silence. The ability to let go, even temporarily, of your own thoughts, views, and agenda for the conversation, in order to be fully present and listen to the person in front of you. 

Listening can help build trust and good will between two people. 

There are three basic ways to listen: 

The first is silent, present listening. This entails letting go of your own thoughts and agenda, in order to be fully engaged with the person you are communicating with. Try to get curious about what the other person is communicating. Think of yourself as an eager student listening to an exciting lecture. Your role is to listen and gather as much information and understanding as possible. Try to come from a place of wanting to connect and understand through listening. 

The second way to practice active listening is to utilize one of two skills: paraphrasing or summarizing. Paraphrasing is to restate what the person just shared with you, exactly in their own words. There are no additional words, meanings, or questions attached to the paraphrase. 

Here is a simple example: 

Speaker: “I have been feeling sad and lonely this past week”. 

Listener: “You have been feeling sad and lonely this past week”

Summarizing is something you can utilize AFTER you have listened to the speaker share their full story. A summary is a more condensed version of what you just listened to, but it still includes all the main points that the speaker just shared. Think of a summary as what you would find online about a book or movie that you are wanting to understand the meaning of- it has the gist of the story and the main themes, without all the specific details. Utilizing the skill of summarizing allows the speaker to see that you were truly listening and trying to understand what they shared. It also allows the speaker a chance to correct or clarify anything that may have been misunderstood. A good summary shows that you are a good listener. 

The third way to practice intentional listening is to utilize a skill known as empathetic reflection. This is very similar to the paraphrase skill; in that it mirrors what the speaker just shared with you. However, the key difference in an empathetic reflection is that it must include both the feeling the speaker is experiencing, as well as the reason for that feeling. 

Here is a simple example: 

Speaker: “I’m feeling really anxious about tomorrow. I have my big annual review with my supervisor.” 

Empathetic reflection: “You feel anxious because you have your annual review with your supervisor tomorrow.” 

Notice how the sentence includes the feeling word: anxious; as well as the reason for that feeling: an upcoming annual review with a supervisor. Empathetic reflections are so helpful because it allows the speaker to see that you are not only actively listening to what they just shared, but that you are willing to understand how they feel even if it is uncomfortable for you. Think of empathy as feeling into or feeling with the other person. You do not have to share the person’s feelings in order to empathize with them. It’s best to utilize the same words that the speaker shared in your empathic reflection. Keep it simple and remember that if you are actively listening, you will hear clues as to how the speaker is feeling, and the reason for that feeling- which are the 2 pieces you need for your empathic reflection. 

People thrive and grow when they feel understood. Which is why active listening can be one of the most powerful healers for difficult conversations. Practice utilizing the 3 basic ways to listen and see how it can transform your conversations to create more understanding and connection. 

Written by: Jamie Rudden 

https://SouthTampaTherapyBOOKAPPT.as.me/JamieRuddenMFTI

“Words are Windows

(or They’re Walls)

I feel so sentenced by your words,

I feel so judged and sent away,

Before I go I’ve got to know

Is that what you mean to say?

Before I rise to my defense,

Before I speak in hurt or fear,

Before I build that wall of words,

Tell me, did I really hear?

Words are windows, or they’re walls,

They sentence us, or set us free.

When I speak and when I hear,

Let the love light shine through me.

There are things I need to say,

Things that mean so much to me,

If my words don’t make me clear,

Will you help me to be free?

If I seemed to put you down,

If you felt I didn’t care,

Try to listen through my words

To the feelings that we share.”

— Quote Source—Ruth Bebermeyer

Practice Empathy in Three Ways: Cognitively, Emotionally, and Somatically

You must first take off your own shoes to put yourself in someone else's shoes.

We stretch our hearts and minds beyond our own experiences, viewpoints, and feelings in order to imagine what it's like to be inside someone else's head. We employ imagination, creativity, and instinct to envision what life is like for them.

Listening with empathy is a fundamental component of coming from curiosity and care, as well as the foundation of discussion. Here are three strategies to start practicing incorporating more empathy into your daily life that integrate living purposefully and empathetically.

PRACTICE: Empathy

It's important to remember that practicing this doesn't have to be limited to situations in which you are the center of attention. Its easier to feel for others when you aren't being attacked. Remember that empathy isn't something you put into words; it's a quality of presence in your heart. Aim to comprehend the other person's situation and let the conversation unfold organically.

SILENT EMPATHIC PRESENCE: Practice listening completely, with the heartfelt intention to understand and "feel into" what the other person is saying. How is this issue for them?

PARAPHRASE: After listening, summarize the gist of what you've heard. What are the key features of what they've said? It's also possible that repeating just a few words will be enough.

EMPATHIC REFLECTION: After listening, check that you understand by reflecting what you hear is most important to them. This may include how they feel and/or what they need. What's at the heart of this individual's narrative? What can you do to assist them to feel understood? Remember to phrase your reflections as questions and double-check that you're correct.

There are other methods for conveying compassion. We may convey empathy by giving a kind word, with a loving touch, or by describing how we're feeling in response to what we've heard. By expressing interest with open-ended questions like "Tell me more," "What else?"

As an example, my daughter's friend a freshman who is usually cheerful and bubbly, began showing up early to practice. I struck up a conversation and realized how much she was struggling. This friend was saying, "I don't want to go to this school anymore," and was thinking about dropping out. I noticed the impulse to go into problem-solving mode, an old habit of mine. Having just finished another book on empathy, I paused and decided to try listening instead. "Tell me more. What's going on?"

She began to open up. She was being bullied. She felt sad, alone, and depressed. Every time I noticed the urge to fix or solve, I attended to feeling the weight of my body and my feet on the floor, and resisted the temptation to offer solutions. I focused my attention on what she was feeling and reflected what I was hearing. She began to cry, oscillating between speaking, sobbing, and awkwardly making eye contact as if to check whether all of this was okay. There were a lot of tears, tissues, and long moments in which I simply held her gaze.

She spoke more about her feelings of sadness, loneliness, and not feeling valued. "I've felt like this since first grade," she mentioned. "Was that the first time you felt so sad and alone?" I inquired. No, it started when she was three, when her dad left. They looked at each other, realizing they'd hit the root of her pain. Eventually they explored what she might need at school. They came up with some strategies to address the bullying. She decided to stay in school and to make a public art piece for the classroom about depression.

This is the power of which empathy may help us. With a listening spirit, we can absorb each statement made, each emotion felt. Healing and change are possible if we come from a place of curiosity and care rather than our usual mode of behavior.

PRINCIPLES

People are more likely to be willing to listen when they feel heard. To build understanding, reflect before you respond.

KEY POINTS

The desire to comprehend is frequently expressed through listening, which entails putting away our own ideas, emotions, opinions, and views temporarily.

We can listen in many ways:

• With complete, wholehearted presence

• To the content of what someone says

• To the feelings and needs beneath the content

Staying connected in conversation helps us build understanding and

collaborate:

DON'T LET THE CALL DROP: Seek to establish and maintain connection in conversation.

REFLECT BEFORE YOU RESPOND: Confirm that you're hearing each other accurately before moving on. This "completes a cycle' of communication.

At the heart of listening is empathy, which includes:

• Cognitive empathy: seeing things from another's perspective

• Affective empathy: feeling another's emotions

• Somatic empathy: sensing another's embodied experience

Q & A

Q: What if someone wants advice? Is that ever okay?

Of course. When someone asks for advice, you might try offering empathy

first. I'll often say, I'm happy to share some of my ideas, but first I just want

to take in what you've said. I'll follow that with an empathic reflection of

what I'm hearing and check if I've understood. This can help the other

person process their experience and clarify what matters. I then circle back

to inquire if they still want advice; sometimes it's no longer relevant.

If the tables are turned and you want to give someone advice, check

first. Let them know: "I have an idea that I think might be helpful. Are you

open to some advice?" This honors their autonomy, minimizes the chances

that your input will be disempowering, and guards against giving advice

as a way of soothing your own anxiety.

Q: I've been exploring these empathy tools with close friends and family

and my new approach creates a lot of awkwardness. What do you do

when others expect you to communicate in a certain way?

It can be confusing when our attempts to create more connection backfire.

Part of what you are experiencing is the relational dimension of communication habits. They occur in a dynamic, so when we shift it affects others.

It also may simply be the learning curve; it takes time to find an authentic

voice with these tools.

Let go of the form and focus on your genuine intention to connect.

What would help this person to feel heard? If someone is used to us

showing care by asking questions or agreeing and we respond by reflecting

their needs, that may throw them off. Try to tune in to what they want.

When all else fails, let people know that you're trying something new that

you hope will bring you closer. Ask them to humor you while you learn.

What Makes You Feel Loved In Your Relationship?

Love Languages

Do you know what makes you feel loved in a relationship? Many times, we may think we know what makes us feel loved yet when we ask for things out of our partner, our needs are still not being met. This could be because what you think is your love language, may not actually be what makes you feel loved. Knowing your love language and your partner's love language is important in a relationship. When you both know what makes the other person feel truly loved, then both of you can actively participate in those forms of love for one another. More times than not, the way one person is showing their love towards you is the exact way that they are wanting to be loved by you.

There are 5 main love languages: words of affirmation, acts of service, receiving gifts, quality time, and physical touch. Knowing what your partner needs to feel loved by you and taking the initiative to actively provide that for them can strengthen and deepen the connection between the two of you. I like to have my couples that I work with take a short quiz to discover how each language of love ranks for them individually. I ask them to take this quiz separately and to be completely honest with themselves while taking it. Once they both have done this, I ask them to bring their results into our session so we can go over the results.

The reason I like to go over the results with the couples is because each love language can look different to every person. For example, the love language "quality time" can look very different for each partner. So, if one person scores high in this area, then it is a good idea to define what quality time looks like for the person who scored high. This way there is no confusion and a mutual understanding moving forward. If this is something you may be interested in, either individually or as a couple, then I recommend taking this quiz https://5lovelanguages.com/quizzes/love-language. The results may surprise you!

Author: Crystin Nichols, MFTI

Book Appointment: https://SouthTampaTherapyBOOKAPPT.as.me/CrystinNicholsMFTI

Empowering Couples to Communicate Compassionately~ Using Non-Violent Communication (NVC)

The process of non-violent communication (NVC) was developed by Marshall B. Rosenberg and encourages us to connect with others in a more heartfelt and empathetic manner. NVC emphasizes the significance of language in our day-to-day encounters, calling for conscious responses, instead of reactions, based on perceptions, feelings, needs, and visions for what we DO want to see happen.

The Four Components of NVC

There are four basic components to NVC that include observations, feelings, needs, and requests. What actions are we seeing around us that have an impact on our well-being? How do we feel based on what we've seen or heard? What need, desire, or value sparked those feelings? All negative feelings are unmet needs. Finally, how may we make positive requests of others that will improve our lives? These elements all work together to create NVC's foundation.

Our Language Shapes Our Thinking

Sometimes our thoughts sabotage our needs. It is helpful to gather more data and not just react from our triggers or automatic thoughts. Our thoughts produce the way we feel. Negative thoughts point to an unmet need. If I don't know what I need and react from the story that I tell myself, a lot of bad habits can form from this bad habit. Instead, I can gather more data, not just from thoughts but I want to drop down and gather more data from my feelings, where my feelings live somatically in my body, and what needs I have. When I discover my needs, I am in a powerful position to get my needs met. If I do not know what I need in real time, I may react and sabotage my needs which disconnects us from ourselves and other people in our lives.

All attacks are unskilled ways of trying to get a need met. Attacks create disconnect and defensiveness. Using NVC helps us accept influence and stay connected even through some of the most difficult conversations.

NVC not only challenges us to change the way we talk to one another, it also challenges us to change the way we think and perceive the world around us. In other words, NVC is not just a process of communication where words are simply exchanged. We must reframe our thinking so that we are able to genuinely express ourselves and be empathetic to what others are observing, feeling, needing, and requesting. NVC is truly an amazing process that empowers us to connect with one another in a compassionate way.

How to Calm The Jackal and Put on Your Giraffe Ears

Marshall Rosenberg conceptualized our tendency toward aggression and dominance as a jackal, while our more compassionate side he imagined as a giraffe (since giraffes have the largest hearts of all land mammals). When we listen with Jackal ears, we hear complaints as criticisms and requests as demands. When faced with a demand, collaboration isn’t possible. You either submit or you rebel which disconnects us and neither feels good, nor works well in a long-term relationship.

Conversely, when we put on our Giraffe ears, we listen with more empathy and compassion. We are more likely to hear the feelings and the needs behind what someone is saying. We’re more likely to see those needs as being understandable and reasonable, and not in competition with our own needs. When we understand and empathize, compromise and collaboration become feasible.

Nonviolent Communication in Couples Therapy

With couples, NVC bridges the gap in understanding between each partner and helps counter the judgmental negative stories that may build up about the other person:

“They’re lazy.”

“They’re not putting in as much work as I am.”

“They don’t love and care about my feelings.”

These interpretations or evaluations discourage us from being vulnerable and trusting the other person, and they prevent us from making needed changes. When we choose to replace those judgmental stories with greater understanding, more connection is possible.

NVC may challenge our preconceived notions about others and the world, which can help us to appreciate one another and live more freely. When the guy who is cutting me off in traffic stops being a jerk and becomes a person going through something terrible in their own life, I am able to let go of my anger. When I recognize that my difficulties in keeping my home clean aren't "laziness" but rather a battle for motivation or a desire for "rest and recuperation," the self-compassion I gain not only lessens my suffering, but it also increases the likelihood that I will be able to satisfy that need AND keep my house clean.

Whether you’re looking for Couples Therapy or Individual Counseling, Nonviolent Communication (NVC) can help you create the life you want to live together as a team.

Defensiveness & Emotional Flooding: Understanding Our Nervous Systems

DEFENSIVENESS

At its core, defensiveness is a way to protect our ego and a fragile self-esteem. Our research team member Ellen Alley explains that our self-esteem is considered fragile when our failures, mistakes, and imperfections decrease our self-worth. In our work, the opposite of a fragile self-esteem is grounded confidence. With grounded confidence, we accept our imperfections and they don’t diminish our self-worth. It makes sense that defensive-ness occurs in areas of our lives where we have fragile self-esteem, or across several areas of our lives if the fragility is more general. Any perceived call-out of our weakness is experienced as an attack on our worth, so we fight hard to defend ourselves against it.

In order to try to limit our exposure to information that differs from how we think of ourselves, we get defensive and overjustify, make excuses, minimize, blame, discredit, discount, refute, and reinterpret. Defensiveness blocks us from hearing feedback and evaluating if we want to make meaningful changes in our thinking or behavior based on input from others.

In our Dare to Lead training, we work with participants to figure out what defensiveness looks like for them, what it feels like, and whether there are some situations that are more likely to trigger it than others. To increase self-awareness, we ask folks to think back to a time when they received difficult feedback and try to remember what their bodies were doing, what thoughts were coming up, and what emotions they were feeling. The vast majority of people struggle to remember the exact thoughts and feelings, which makes sense, given that many of us go into fight-or-flight mode in these situations.

However, for the most part, people can remember their physical responses: Folding their arms over their chest, shoving their hands into their pockets, getting tunnel vision, feeling their heart race, looking down, and getting dry mouth are just a few. It’s worth thinking about the physical cues that show up for you when experiencing defensiveness and devising a strategy that can help pull you back into the present moment.

When I get defensive, I often get tunnel vision and start planning what I’m going to say instead of listening. But I have found some ways to disarm my defensiveness. My strategy is to subtly open my palms, even if my hands are just hanging by my side or on my lap, and actually say, “I’m sorry. Can you say that again? I really want to understand.” It’s pretty effective. If I’m having a really hard time, I might say, “I’m sorry. I’m feeling overwhelmed. I’m going to get a glass of water. Can we sit down in ten minutes and start again?”

FLOODING

This seems like the perfect place to talk about the concept of flooding. The body can become overwhelmed when it senses danger, and for a lot of us, a difficult conversation, hard feedback, or an argument is enough to send our body into overdrive. We can feel overwhelmed, attacked, and confused. According to the Gottman Institute, flooding is “a sensation of feeling psychologically and physically overwhelmed during conflict, making it virtually impossible to have a productive, problem-solving discussion.”

In his book Why Marriages Succeed or Fail: And How You Can Make Yours Last, John Gottman explains, “We each have a sort of built-in meter that measures how much negativity accumulates during such interactions. When the level gets too high for you, the needle starts going haywire and flooding begins. Just how readily people become flooded is individual.” He also shares that flooding is affected by how much stress you have going on in your life. The more pressure we’re under, the more likely we are to be easily flooded.

One of the worst patterns that I brought to my marriage from my family was “Get back in here and fight with me!” Growing up, we didn’t take breaks during fights. No one ever said, “This is no longer productive and we should take a time-out before someone gets their feelings hurt.” Our strategy was get louder and meaner until you win or someone else is crying. When I first married Steve, in the middle of a heated argument he would say, “Let’s stop and take a break.” I was like, “What are you talking about?”

At some point, I realized that stopping scared me. Fighting together seemed less painful than hurting alone. Looking back, I just didn’t know how to do it. I had never been taught or seen it modeled. Gottman’s work helped me understand the mechanics behind “Okay, can we circle back in twenty minutes?” or “Okay, how much time do you need?” Knowing that we’re coming back to finish the discussion, and when, reassures me in some way.

This research also helped me realize that it wasn’t just Steve who was getting overwhelmed. I get overwhelmed too. The difference is our strategies. He shuts down; I lash out. Disastrous.

Now when I feel flooded, I’m as likely to say “Time-out” as he is. This is a good thing because, according to Gottman, chronic flooding sets us up to dread communicating. Gottman discusses this effect in the context of marriages and partnerships, but I’ve seen the same thing in organizations. I’ve interviewed many research participants who experience chronic flooding with their bosses, so much so that every time they’re called into the office, they’re already on the path to overwhelm.

There’s only so much our bodies and nervous systems can stand before they flip the survival switch and stop communicating and start protecting or attacking. Looking back, I’ve never once regretted calling a time-out at home or work. Not once. I’ve never experienced a little time and space being a bad thing, but I have plenty of regrets the other way around.

Excerpted from Atlas of the Heart by Brené Brown. Copyright © 2021 by Brené Brown.

Couples Counseling South Tampa: Couples Reveal What They Have Learned In Therapy

As a marriage and family therapist in Tampa, Florida, I have received feedback from several different clients. I combine some of the most powerful approaches utilizing Internal Family Systems, Compassionate Communication and Non-Violent Communication, The Gottman Method, Emotion Focused Therapy, Holistic Psychology, CBT, and DBT.

Here are the 10 best lessons couples learned from therapy.

1. Go to therapy sooner rather than later.

   It is best to go to a counselor before sh*t hits the fan. This way, you can start to develop conflict resolution and communication skills before resentment builds. Establishing a therapeutic relationship with a counselor early on can be beneficial when and if you find yourselves in a rut. Having an unbiased and supportive counselor can help you and your partner maintain a healthy relationship when and if you need support along your relationship journey.

2. You are on the same team.

   There is no winning and you don’t need to fight against each other. Therapy is a great tool and safe space to really work through things together. Meeting both of our needs, growing, and thriving together is the goal. We often ask ourselves, are you trying to listen to understand or are you trying to be right?

3. Play and have fun together.

   Unstructured quality time to just be living purely in the moment increases connection, creativity, and releases negativity. A couple that plays together stays together!

4. Unfinished business of childhood can show up in adulthood.

   Continuing to work on intrinsic positive change is a lifelong learning process. Insight and empathy can help partners understand conflict in a whole new light. When we create an awareness of patterns and habits we are able to create awareness regarding intentional choices in real time. If we are not aware, we keep reacting. Responding intentionally knowing what is happening is being awake to our inner experiences. Self-witnessing is a tremendous tool that can be used in so many facets of our lives. Practicing compassion for our partner's story, and becoming more empathetic to each other, we could actually help our partner heal from their painful childhood experiences.

5. It is not about changing the issue, it is about understanding.

   We have learned so much about communication and the ways to really listen to understand one another. Most people listen to try to change the other person’s perspective. When we get into trying to change the other person, defensiveness comes into the game. When defensiveness shows up, it creates disconnect. Communication either connects us and helps us get needs met or it disconnects us and sabotages our needs. We feel all sorts of negative feelings when our needs are not being met. However, we are in homeostasis when our needs are met and feel positive emotions. Our feelings are always signals to pay attention to which provide data about whether our needs are being met or not. When we know what we need, we are in a powerful position to get the needs met intentionally. When we do not know what we need, we will probably be in autopilot, reactionary-mode. Tune into your inner worlds so that you can understand yourself. When we understand, we can communicate honestly about what is happening internally.

6. Our thoughts are the root cause of anger.

   Anger masks more vulnerable feelings like hurt, disappointment, and sadness. It's helpful when both partners understand that the words or behavior hurts their partner, even when their partner tends to react with anger or stonewalling. Therapy can help couples connect — which includes learning how to get calmer and go slower rather than to lay out their arguments about who's "right".

7. Hear your partner out before letting emotions get in the way.

   Getting guidance from a therapist around how to listen to each other without being emotionally charged about the topic can help couples stay engaged in the conversation, to accept influence from one another, and compromise based on needs. This is huge! We can stay curious about what is actually happening in the moment. When our partners feel heard and understood, they are in a better position to hear us too. Listen to each other without reacting! This sounds so simple but bad habits can be hard to break and its beneficial to have a therapist as a sounding board to make neutral observations.

8. Conflict is normal, you will have different perspectives at times, and disagreements are inevitable in every relationship.

   There will be different stages throughout life and couples will never stop getting to know one another. The most important thing is that you listen, respect, and acknowledge each other's viewpoints. Many times, people listen to respond and not to understand — which is one of the biggest reasons why many relationships fail. Attending couples therapy, can help partners communicate feelings, emotions, and concerns more effectively. Counseling equips couples with valuable skills that will be instrumental throughout their lifetime and once they become parents.

9. Marriage therapy taught us how to communicate about our needs and desires without hurting the other person.

   When we are emotionally and intimately disconnected, it is challenging to help each other to feel heard and understood. The way we deal with conflict is directly correlated to intimacy. Change the way we fight, change the way we love. When we trust each other more and give each other the benefit of the doubt, we're less hurt when the other person isn't in the same place as us in the moment, We may still have issues and hurt feelings from time to time, but we're better equipped to handle those problems when they come up.

10. Psycho-education and therapy helped couples identify patterns.

    One partner was pretty direct and the other partner tended to be more thoughtful in the way he delivered information. One partner said the thing that stuck with her the most was that the therapist was able to reframe and articulate her partner's concerns in a way that he couldn't — which then helped her to understand him better. Therapy can help couples become aware of how reactions to difficult situations can be unhelpful. Attempting to respond in a way that is more productive for the relationship can feel very different. Psycho-education can be of tremendous value when co-morbidity plays a role in relationships. Trauma informed therapy can help partners empathize, respond to each others needs, and heal together. It is advantageous to the relationship when partners learn about mental health together.

To learn more about how therapy can help you, please text or call Dr. Mahaney directly 813-240-3237 or book an initial consultation: www.SouthTampaCounselor.com/BookAppointment

7 Rituals for Intentional Relationships

Most of us know that relationships take work, but our busy lives can make it difficult to stay connected. The demands of family life and career often leave couples with little time for themselves. The UCLA Family Resilience Project sought to find out what makes some relationships last while others fall apart, and the results are enlightening.

A romantic couple does not have to be dysfunctional to grow distant over time, as a result of the constant pressures, diversions, and dynamics of modern existence. Long working hours and the demands of parenting can push date night, sex, and romantic trips down the priority list.

Researchers at UCLA observed 30 dual-career couples with young children to understand the daily challenges for finding opportunities to build strong relationships and families. They discovered that these couples: 

1. Spend less than 10% of their time at home with each other and without their children around

2. Are career-focused with long working hours (partner one) and a have a double burden of work and childcare (partner two)

3. Prioritize children and household needs over the needs of their spouse or self

4. Become more like roommates, drifting apart emotionally and physically

5. Miss important opportunities to connect emotionally on a daily basis

We are clearly experiencing difficulties because of our high expectations in our professions and relationships, as well as little guidance on how to make love last. The deliberate couple has the potential to grow their emotional connection over time in order to bond over the years of their relationship.

LEARNING HOW TO STAY IN LOVE

When we are falling in love, we are more deliberate about going on dates, having intimate conversations to learn about each other, and making time for shared activities than married couples might be. It's simple to fall in love; it's much more difficult to maintain love, which necessitates intentionally producing moments of connection and intimacy. Perhaps a look at another realm of life will help us look for an analogous way of thriving.

The majority of successful business owners will tell you that money is not nearly as important as their time and effort. It turns out that how they choose to spend their time and energy contributes significantly to how much money they earn. In other words, the same is true for a person's love life. When we are at home, it's easy to allow autopilot bad habits to form.

I was on my phone recently while my partner was talking about something important. I was skimming all of the videos, articles, and quotations on my Instagram feed for ideas on how to be a better lover. It wasn't until my partner told me, "You aren't paying attention to me!" that I became aware of how mindlessly absorbed I was.

See the irony?

Couples must resist the temptation to go with the easy option of just allowing things to happen in their relationships. The tragic reality of love is that even if we do nothing to improve our romantic relationships, they will deteriorate over time regardless of whether or not we are doing anything harmful. Relationships need constant attention and upkeep.

According to the author of The Intentional Family, we need to focus on two connection killers to make our relationships better: how we spend our time and how we use technology.

1. Many couples are time-poor. Driving kids to soccer practice after a full day of work, only to come home and cook or do the laundry, leaves very little time for oneself and one’s significant other. A busy couple can first focus on improving the quality of their interactions by truly focusing on each other and the relationship during the time that is available.

2. Couples fail to intentionally disconnect with the outside world, missing the opportunity to truly connect with each other’s inner worlds. Our electronic devices are always sending us notifications that can interrupt and distract us from enjoying relationship time. The good news is that just making some minor changes in how devices are used can significantly improve the quality of a couple’s time together.

RITUALIZING DAILY CONNECTIONS

One of the most effective methods to intentionally enhance a connection is to make the everyday actions we already do, as well as create new customs that make each encounter with one another, even when we're crazy busy, more meaningful and connected. A romantic ritual is a recurring, planned, and, most importantly, intentionally meaningful to both partners.

START PRACTICING YOUR INTENTIONS TODAY

In Wired for Dating, Stan Tatkin, PsyD. states that “you can and should be your partner’s best antidepressant and anti-anxiety agent.” The following rituals of connection not only provide us with access to one another, but also relieve the stress we experience on a daily basis.

Sit down with your partner and choose two rituals from the list below that you'd want to try out. Talk about why these rituals will be meaningful to both of you before putting them into action. If any particular memories come to mind during this conversation, such as childhood memories, spend some time describing them in detail. Finally, work the specifics of when you will practice these.

EATING TOGETHER

At mealtime without kids, you may find yourself plopped down on the couch watching the latest Netflix series, or browsing social media while sitting at the dining table.

With kids, conflicting work, school, and extracurricular activity schedules make it tough to find the time to connect with your lover at mealtime, or to have the energy to cook healthy food.

When meals are eaten together in a space that facilitates conversation, couples often feel more connected and as a result, tend to have fewer petty fights.

Here are 4 tips for enhancing your mealtime:

1. Discuss who does what; such as who buys the food, who cooks the food, and who sets the table. One couple I worked with has one partner cook while the other partner sets the table before the kids join. Another couple takes turns cooking their favorite dishes.

2. Think about how you connect. During the cooking process, a few couples would play some light music, pour a glass of wine, and talk to each other before the kids joined for the meal. It’s helpful to consider the environment of where the couple or family eats as well. Does it have a TV playing? Are cell phones allowed? Intentionally think about potential distractions and interruptions and decide in advance which ones both partners are okay with.

3. Consider what the family as a whole might talk about at mealtime to further strengthen the bond. A billionaire’s father used to ask, “What have you failed at this week?” Other families discuss what they appreciate, or something they have accomplished. It’s also helpful to have clear rules around what shouldn’t be discussed, such as marital conflicts.

4. Is the start and end clear? What signals the start of the meal? Is it a specific start time or someone telling the family it’s time for dinner? When does the ritual end? Is this when everyone has finished eating? Does everyone help out with the dishes?

If you struggle to find time for a romantic or family dinner each night, think of opportunities during morning and weekend meals, such as a regular Sunday brunch. Maybe on certain nights you can go out to eat, creating a ritual such as Taco Tuesdays.

WAKING AND SLEEPING TOGETHER

Couples with mismatched sleeping styles, as in the case of an early bird paired with a night owl, can experience instability in the relationship. This can lead to more conflict, less time for shared activities, less sex, and less connecting conversation. 

Tatkin believes that it’s healthy for partners, even those with different sleep styles, to discover ways to begin and end their days together with rituals. Here are some ways to stay in sync:

The Morning:

• Get up early and share a cup of coffee, or return to bed for a 15-minute discussion before going back to sleep.

• Before beginning the day, snuggle for a few moments.

• Tell each other one thing you like about the other person.

• Have breakfast together

The Evening:

• Focus your attention on softening your gaze for a few minutes before falling asleep by looking into each other's eyes.

• Make some soothing tea and chat while relaxing in bed.

• Read to one another every day.

• Express your gratitude to your spouse.

LEAVING FOR THE DAY AND REUNITING AT NIGHT:

It all comes down to where the connection is, and how couples part and reunite.

When you or your partner leave for the day, do you embrace each other? Do you kiss? When you reunite, do you hug and tell your partner you missed them?

This study of 30 couples found that the men who returned home later in the day received no acknowledgment from their distracted family members. Being greeted in a loving way is a fantastic start to an evening at home. Here are some ideas:

Leaving:

• A six-second kiss. Dr. Gottman who has observed thousands of couples for 40 years calls this kiss a “kiss with potential.”

• A genuinely comprehensive embrace that embraces both individuals (not a one-arm hug)

• Asking your partner what are they most excited about today? Or what are they worried about today? Dr. Gottman calls this building a map of your partner’s daily life.

Reuniting:

• Tatkin suggests a “Welcome Home routine.” Greet your partner and give them a long hug and kiss.

• Hugging to relax: Dr. Schnarch, a renowned Couples Therapist, encourages partners to hold each other until they relax. This physical connection can help reduce stress and reconnect the couple. My partner and I often embrace for at least 30 seconds when the last partner gets home.

TALKING DAILY

Falling in love necessitates a lot of one-on-one conversation about the good and unpleasant aspects of each partner's day as well as what is significant to each individual.

According to Dr. Doughty, the author of The Intentional Family, “Few dating couples would get married if they had as little focused conversation as most married couples do.”

Dr. Gottman’s research highlights that after couple’s therapy, the couples who have a daily stress-reducing conversation are less likely to relapse than couples who don’t talk daily.

Intentionally talking with each other one-on-one, even for just 15 minutes, can be good enough for busy couples. Focus on discussing how your daily events made you feel, rather than just talking about the facts of the events that occurred.

One of the best ways to do this is to tie the talking ritual to enjoying a beverage together. Dr. Doughty has coffee with his wife every night after dinner at the dining table. My partner and I have apple cider vinegar and talk while we sit up in bed.

It is far easier to preserve a connection when two partners are able to speak with each other every day. Having a conversation on a daily basis deepens affection for one's partner, boosts emotional and sexual intimacy, and prevents squabbles over little things that often occur in couples who don't have much connection on a daily basis.

EXERCISING TOGETHER

Actively maintaining health together is a great way to stay connected.

• Start or end the day with a walk around the neighborhood

• Go to a gym class together

• Head to and leave the gym together

• Play on a sports team together

Remember, if couples do nothing to actively improve their relationship, even without doing anything that is destructive, the relationship will get worse over time. That’s why it is vital to intentionally cultivate daily rituals that help partners reconnect.

Relationships thrive when couples realize that the seemingly insignificant moments, such as a loving hug and kiss when one partner comes home, are often the most significant of all. By being intentional, couples can transform dull, mindless routines into a source of connection and fun.

1. Campos, B., Graesch, A. P., Repetti, R., Bradbury, T., & Ochs, E. (2009). Opportunity for interaction? A naturalistic observation study of dual-earner families after work and school. Journal of Family Psychology, 23(6), 798-807. https://doi.org/10.1037/a0015824

2. Larson, J.H., Crane, D. R., & Smith, C. W. (1991) Morning and night couples: The effect of wake and sleep patterns on marital adjustment. Journal of Marital and Family Therapy, 17(1), 53-65. https://doi.org/10.1111/j.1752-0606.1991.tb00864.x

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: —> ❤️

Clear Communication!

You are not allowed to complain about not getting something that you never asked for.

Read that again^.

Do you find yourself getting upset at your partner for things you never communicated to them?

Take this scenario for example: you get home and make your partner a delicious dinner. You put so much time and thought into it—they’re bound to help you with the dishes, right? But they don’t do the dishes, and now you’re upset with them. They notice and ask you what’s wrong, but you respond with a sour, “Nothing.” They should know that you expected them to clean up after dinner.

Is this starting to sound a bit “off”? Your partner can’t read your mind.

You must ask for what you want in order to receive it.

There’s many ways to ask for what you want, and some work better than others. Learn more about putting your feelings into words without contempt or criticism. Book an appointment to deepen your connection, build trust and commitment, and communicate more openly with tools and exercises designed to bring you and your partner closer together.

The next time you get angry about your partner not doing something, ask yourself, “Did I verbally ask them to do this?”

Communicating your needs with your partner can clear up misunderstandings and help avoid hurt feelings.

You’ve probably done this before.

You come home from a long day at work, and nothing sounds better to you than a nice back scratch. You snuggle up to your partner so that their hands are placed perfectly on your back. You roll your shoulders in a motion that universally signals, “scratch my back.” But they don’t get the hint.

Slightly frustrated, but not yet defeated, you position yourself behind them and start scratching their back. As soon as you’re finished, they turn to you and say, “Gee, thanks, honey. That was sure sweet of you.”

And then, nothing. They don’t return the favor.

Wait. What?

You feel hurt and resentful. They broke the #1 rule every logical person should know! If someone scratches your back, you must scratch theirs!

Back scratching isn’t the only area where you see this kind of nonverbal agreement that one would think shouldn’t have to be spoken and everyone should just know.

For example:

• If you buy your partner flowers and chocolate, they’ll want to have sex with you, right?

• If you spend the evening making a delicious dinner for your partner, they’re bound to help you with the dishes, right?

Is this starting to sound a bit ridiculous? Your spouse can’t read your mind.

You have to ask for what you need

Why is it so hard to ask for what you want? Like, with spoken and specific words—not just unspoken signals or secret codes?

One evening, I was babysitting my sister’s adorable two-year-old girl. It was time for her to go to bed, and I was helping her to put on her jammies.

“I want the purple ones.”

“No problem! Purple jammies it is!”

“Read stories.”

“Alright, let’s read a book!”

After we read of few of her favorites, which she had no hesitation pointing out to me, I placed her in her crib to go to sleep. She immediately grabbed my arm and said, “Ang-uh-winn sing song?” in her adorable voice.

As I started singing her a lullaby, she said, “Scratch my back?” I started scratching her back while singing her a song, and it wasn’t too long before she fell asleep.

That little girl, at two years old, let me know exactly what she wanted from me in order to go to sleep peacefully. She set me up for success by expressing her needs in a clear and positive way so that I could fulfill them.

But what happens when we get older?

Sadly, the older my niece gets, people won’t be so kind or willing when she asks them what she wants. She might ask someone to scratch her back and they’ll tell her, “No.”

In fact, people might start telling her that asking for what she wants is selfish or rude. There may come a time when she thinks to herself, “It’s best if I just keep quiet.”

There was a time in your life when this happened to you, too. You asked for something you wanted and got rejected. You learned how bad it can hurt when someone willfully dismisses your request, especially if it’s important to you. You learned that it can be scary to ask for what you want, and that makes you vulnerable to let someone in on your hopes and desires.

No wonder it’s hard to ask for what you want! The second a request leaves your mouth, it’s up to the other person to decide whether or not to grant that request. It’s out of your control. And who likes to feel out of control?

Instead, you keep your mouth shut. If your partner doesn’t pick up on your subtle clues, at least you don’t have to admit that it was something you wanted in the first place. Instead, you’re just secretly angry at them while they wonder what they did wrong.  

Though it softens the blow of the rejection when you don’t speak up about what you need, it also doesn’t leave you any less resentful over not getting what you want. Plus, it practically guarantees that you WON’T get what you want.

What would be a better alternative to secret cues, signals, and non-verbal agreements that leave us disappointed and set our partners up for failure?

Simple. Learn to ask for what you want!

Use your words, and use them well

Nate and I have a motto in our marriage that came from Terry Real’s book, “The New Rules of Marriage.”

“You have no right to complain about not getting what you never asked for.”

You are not allowed to complain about not getting something that you never asked for.  The next time you get angry about your partner not doing something, I want you to ask yourself, “Did I verbally ask them to do this?”

Now, there are many ways to ask for something that you want, and let’s just say that some ways work better than others. Let’s use an example such as doing the dishes by yourself while your partner watches TV.

“I’m always cooking your dinner and you never help me with the dishes. You always just sit there in front of the TV while I do it? Why don’t you help me for a change?”

Woof. Using words like “always” or “never” is a surefire way of putting your spouse on the defense. This example of asking isn’t really asking at all. It’s criticizing your partner, and heavily so. This puts all the attention on how they’re the bad guy, instead of choosing to be vulnerable and respectfully expressing what you really want.

I can see this turning into a never-ending argument of, “Oh yeah? Well, you always do this, and you never do that,” going back and forth until the dishes get moldy and you forget about them entirely.

“Maybe, you know, you could help me with the dishes, if you want.”

Or, “If you have time, if it’s convenient for you, maybe you could try and help me with the dishes?”

Or even more classic, “Do you want to help me with the dishes, or would you rather just watch TV?”

These are all different ways of saying the same thing. In this situation, you are not expressing what you want. Instead, you are implying with your request that it is actually your partner who wants it, that it’s actually their idea. It takes the pressure off of you, and it puts the blame on them for not fulfilling a promise they never made.

This reminds me of a time we were helping with a social gathering at a neighbor’s house. Nate was in charge of putting out the snacks. He had left them in their original plastic container and just set them on the table.

The host of the party came to the snack table, turned to Nate, and in that passive-aggressive sing-song voice we all know said, “Do you want to put these treats on a separate platter?”

Nate replied, “No, I think they are fine in the plastic.”

She looked at him like he had just slapped her in the face.  He quickly realized his error and said, “I mean, yeah, of course, I want to put them on a separate platter. There’s nothing more in this world that I want than to have these treats on a platter!”

It was awkward.

The answer to the question she asked him was, indeed, “No.”

No, he didn’t want to put them on a separate platter. He didn’t see the need to do so.

But, that wasn’t the question she was really asking, was it?

Can you see how it would have been so much easier if she had just said, “Hey, I’d love it if you put these on a separate platter so that it looks nicer for the guests.” Nate would have known exactly what she wanted and would have happily fulfilled her request.

“Can you please help me with the dishes?”

This example is better than the first two, and it’s a good place to start. Saying “please” is wonderful, respectful, and it makes it much easier for your spouse to want to help.

However, the request falls a little, well, flat. It doesn’t get across how much it would mean to you to receive that help you are asking for.

I can see getting a response like, “Sure honey, just let me finish this game first” or “How about we just do them in the morning?”

There’s still too much room for failure with this example. You’ll need to communicate why you need the help, or how it’s important to you to receive help from your partner.

“Honey, I’d love some help with the dishes. I worked hard on making dinner tonight and I’d appreciate it if you helped clean up. Can we do the dishes together? It would really make me feel loved.”

This hits the nail on the head. First, you make your desire known—you’d really love some help with the dishes.

Second, you tell them why you’d like to help with the dishes, because you worked really hard on dinner!

You give your partner clear expectations on when you’d like it done right now.

And lastly, you tell them what it would do for you if they granted your request. It would help you feel loved.

How to set your partner (and you) up for success

Can you see why this would make it much easier for your spouse to say yes to your request? You’re giving them everything they need to give you what you need. You’re setting them up for success!

Mastering the skill of asking for what you want effectively, efficiently, and respectfully is one of the greatest gifts you can give to your partner.

Nonviolent Communication Skills in Intimate Relationships

“NVC requires us to be continually conscious of the beauty within ourselves and other people. ”

– Marshall B. Rosenberg, PhD.

The connection between Nonviolent Communication and Intimate Relationships is strong and vital — and perhaps not obvious to those unfamiliar with NVC.

For those of us with NVC skills who are also in intimate relationships, we can’t imagine being in a relationship without NVC!

Intimate relationships are some of the most meaningful connections with the people who are most important to us.

This is why when disconnection happens it can be more painful than in other types of relationships.

In intimate relationships the stakes are higher, in part because our emotional investment is greater.

For all these reasons and more, learning NVC skills to prevent and resolve misunderstandings and conflicts in intimate relationships can help us deepen and enjoy those relationships more fully!

The Importance of Communication in Intimate Relationships

An intimate relationship without communication is like a bird without wings, or a tree without leaves. Communication is one of the primary mediums for connection, and without connection how intimate can a relationship be?

The importance of communication in intimate relationships — now, today —can be summed up by the proverb: “dig your well before you’re thirsty.”

What does this mean?

In this metaphor, thirst is the need for connection, for mutual understanding, for the trust and good will that take us to mutually satisfying ways of living. The well would be access to NVC tools and the practice to become skillful with them.

Your NVC skills can take you to mutual understanding and deeper connection — consistently!

However — there is a big difference between having a tool and being skillful with it.

Can you understand why it might serve NOT to wait until you’re in a full-blown conflict to decide that you want to develop your communication skills?

Communication helps us each know where we’re at, what we’re each feeling, what’s important to us, and what we would like.

There’s another apt proverb here: “An ounce of prevention equals a pound of cure.”

The importance of communication in intimate relationships goes way beyond resolving conflicts.

As you develop your skills you begin to prevent misunderstandings and conflicts. And this allows you to conserve mental and emotional energy, and prevent angst and suffering.

Beyond misunderstandings and conflicts, the importance of communication in intimate relationship is that it contributes to an ongoing deepening of your most important connections.

Common Communication Problems in Relationships

There are many common communication problems in relationships.

Fortunately, NVC has principles, insights, and tools that address every one of them!

One of the most common communication problems in relationships is when we listen to respond rather than to understand.

When you are present, and listening to understand, you will still have a chance to respond later! But first, help the other person experience being understood. This is not the same as agreement; simply understanding.

When the other person feels understood they are much more open to hearing you out! And the dynamic of hearing each other deeply as each person reveals vulnerably, allows the conversation to deepen to a place of authentic connection in which conflicts often resolve themselves.

Sometimes you might be in a conversation that is going just fine, and a little while into it you and the other person find yourselves in a very uncomfortable place — a disagreement, a disconnection, or even a full-blown conflict — and you’re wondering, how did we get here?

This is actually quite a common experience, and is related to the previous communication problem. Sometimes there is even a slight miscommunication — for example one person says red and the other hears blue — and nobody notices.

These situations easily lead to misunderstandings which can lead to conflicts.

A true-life example: a woman said to her male partner, “I don’t want to be so wifey.”

What she meant: “I don’t want to be the only one doing the housework.”

What he heard: “I don’t want to be married to you anymore.”

This couple ended up divorcing — true story — and is an example of a small miscommunication that can spiral out of control quickly if we don’t catch it. So slowing down, listening to understand, and asking clarifying questions can save us all a lot of heartbreak! (In the example of the couple above, their large group of friends also went through a form of heartbreak.)

Another common communication problem in relationships is rushing to a solution in a way that skips the connection. Often the person who does this has positive intentions of wanting to resolve an issue or fix a problem.

However, when we skip the connection the other person rarely feels included in the solution. Furthermore, we have little guarantee that the solution will meet their needs because we haven’t taken the time to find out what they are! NVC encourages us to connect first — get clear on each person’s observations, feelings, needs, and requests — and then, once the needs are clear and there is mutual understanding, together arrive at a strategy that meets all or most of the needs.

Connection before solution!

Nonviolent Communication is also known as life-connected, life-serving communication. As such, it has its opposite: life-disconnected, life-alienating communication, which is defined as the type of thinking and language which takes us away from the quality of connection for which we are seeking.

Most of the common communication problems in relationships can be identified in this life-disconnected thinking and language. These include:

Diagnosing others: This includes judgments, name-calling, and criticism. Diagnoses also include assuming we know what another person is thinking, feeling, or needing. (“You’re obviously very angry about that!”) And they include any static language that would explain why someone is acting the way they are (the problem with you is you are [an egomaniac; an Aries; a troubled soul; a rebel, etc.]).

Denying responsibility: This includes any language that implies that we lack choice. I had to. I had no choice. You made me. I can’t. This does not mean that we always like the options of which we’re aware. Sometimes we dislike every option, and yet, within that we still have choice. And sometimes we’re not aware of other possibilities because we are in a “crisis of imagination.” Rather than owning our choices we act as if we are powerless. I have no choice, it’s (the law, company policy, superiors’ orders). Accusatory blame would fit in this category.

Placing demands on others: In NVC we take responsibility for what we are wanting by expressing clear requests. In a request, the other person’s needs matter too, and so no is an option. In a demand, ‘no’ is not an option. In a demand, by definition, the other person’s needs do not matter equally to the person issuing the demand. The reason this hurts relationships is that, if I am on the receiving end of demands it communicates that my needs don’t matter. This, in turn, leads to resentment and disconnection. Over time, it is quite likely that the needs of the person placing the demands cease to matter to the person on the receiving end.

Life-alienated motivations: The key insight here can be summarized by a phrase often emphasized by Dr. Marshall Rosenberg, creator of NVC: The energy with which we do anything for each other is just as important as the action itself. Life-alienated motivations include fear, guilt, shame, duty/obligation, to obtain an extrinsic reward, to avoid punishment, or acting out of “shoulds” or have-tos.” When we do something for each other out of these motivations, it creates disconnection, resentment, and serves to break down trust. We want to do things for each other when we are connected to how it serves life, how it also contributes to our needs.

Using Compassionate Communication in Relationships

The key to using Compassionate Communication in relationships consists of remembering three things: Purpose, Intention, and Attention.

It’s extremely helpful to remember that the purpose of Compassionate Communication (another name for NVC) is to create a high quality of connection out of which people naturally and spontaneously enjoy contributing to one another’s well-being. This is how we find win-win or mutually satisfying outcomes: out of the connection.

The purpose is not to get others to do what you want, or to get your way, or to get a particular thing to happen!

So when you enter a conversation or are in an interaction, remember that the purpose is first to connect.

And so it helps if this is our intention.

When connecting with another, check your intention. What do I want here? Is my intention to be right? Am I willing to let go of being right and my preferred outcome in order to connect first? Do I trust that once we connect we can together find a mutually agreeable outcome?

And one of the outcomes of developing in NVC is skillful deployment of your attention.

Using Compassionate Communication in relationships means being able to put our attention on feelings and needs, rather than on who’s right and who’s wrong. It means putting our attention on our own, and the other person’s, humanity in order to connect and find a way of being with each other that is mutually fulfilling.

This is how using Compassionate Communication in relationships teaches us to use purpose, intention, and attention to create deeper and more satisfying relationships.

Using NVC to Improve Communication in a Relationship

Using compassionate communication in relationships is simple, though it is not necessarily easy.

The reason is that it helps us become aware of and re-configure old, unconscious patterns that get in the way of the quality of connection we’re looking for. Sometimes discovering these old patterns is painful, and shifting them can take time.

The good news is that as you get better at it, it becomes more fluid and takes less time.

How do we do it?

First, a clarification. We can think about communication in intimate relationships as consisting of a spectrum:

In this simple diagram, we can see that informal NVC could be indistinguishable from a normal conversation. That’s because connection is happening — which after all is the purpose of NVC.

At the other end of the spectrum we see “formal” NVC, which has certain key differentiations and follows a particular structure and syntax. Formal NVC keeps our communication extra clear, and helps us keep the key differentiations clear in our mind.

The dance of connection refers to the steps we take to move toward connection. A simple mnemonic device is ABABAB, referring to person “A” and person “B.”

Here’s how “the dance of connection” works:

1) Person A speaks with honesty from the heart.

2) Person B reflects back their understanding of what Person A said.

3) Person A confirms they were heard accurately.

4) Person B speaks with honesty from the heart.

5) Person A reflects back their understanding of what Person B said.

6) Person B confirms they were heard accurately.

7) Return to the top, to #1. This process is continued until the two people feel connected and they trust that they are understood by the other. Then they can proceed to brainstorm or propose strategies and/or solutions.

Though somewhat of an oversimplification, this illustrates the process we undergo to allow a conversation to wind deeper and deeper, until there is a high quality of connection out of which people co-create mutually satisfying outcomes.

Dr. Marshall Rosenberg on Nonviolent Communication Skills in Relationships

There is so much we can learn from Dr. Marshall Rosenberg on Nonviolent Communication Skills in relationships.

He knew that intimate relationships are some of the most important relationships — and sometimes some of the most challenging ones.

Dr. Rosenberg explained that if you meet your needs at the expense of another, your needs will also not be met. Anytime you create a win-lose, you also lose — because we are all interconnected, interrelated, and interdependent.

When we coerce others or place demands on them, the quality of the connection suffers.

When we can let go of being right and put our attention on making life more wonderful, then we can create a high quality of connection out of which it’s easy to explore outcomes, solutions, and ways of living that are mutually satisfying.

Content by PuddleDancer Press. Use of content okay with attribution. Please visitwww.nonviolentcommunication.comto learn more about Nonviolent Communication.

The Miracle Question!

The Miracle Question – an old standby for many different types of therapy! This question can be used in individual therapy as well as couples therapy, and it can be applied to a wide range of situations, issues, or problems.

The general idea of this technique is to both help the client (or couple) explicate their needs or desires and help the therapist better understand what his or her client(s) is hoping to achieve in therapy. It is especially helpful for those who have never really taken the time to clarify what they want out of their relationship, either for themselves or for their partners.

This question can generally be worded as such (Howes, 2010):

“Suppose tonight, while you slept, a miracle occurred. When you awake tomorrow, what would be some of the things you would notice that would tell you life had suddenly gotten better?”

Even if one or both clients give describe a scenario that is absolutely impossible to achieve, their answer can still be useful for understanding their goals. In the scenario of an impossible ideal future state, the therapist can dig deeper into the couple’s “miracle” by asking, “How would that make a difference?” (Howes, 2010).

This question helps the couple believe in a more positive future for themselves, a future in which their problems are solved. This exercise can result in greater motivation to work at improving their relationship, enhanced confidence in the efficacy of couples therapy, and even instantaneous (but incremental) improvement in interactions between the two people.

Solution Focused Therapy (aka Brief Therapy) emerged in the 1980's as a branch of the systems therapies. A married therapist couple from Milwaukee, Steve de Shazer and Insoo Kim Berg, are credited with the name and basic practice of SFT. The theory focuses not on the past, but on what the client wants to achieve today. By making conscious all the ways the client is creating their ideal future and encouraging forward progress, clinicians point clients toward their goals rather than the problems that drove them to therapy. 

The Miracle Question fits perfectly with this model. Imagining an ideal future and connecting it to the present immediately actualizes the work. Clients are challenged to look past their obstacles and hopelessness and focus on the possibilities.

It's cool because it's a relatively simple intervention that can have a powerful impact. Just take a look at the question (response #2). You're probably crafting your response already. It's creative, bold, healing, a bit mysterious and definitely has a cool name. The Top Ten designation is well deserved. 

Don't just listen to me, hear it from an expert. Linda Metcalf, Ph.D. is founder of the Solution Focused Institute of Fort Worth, Texas and author of ten books including The Miracle Question: Answer It and Change Your Life. Beyond writing and therapy, she speaks internationally to schools, agencies and universities. She was kind enough to share her wisdom with us today. 

1. When would a clinician use the Miracle Question?

The Miracle Question is a goal setting question that is useful when a client simply does not know what a preferred future would look like. It can be used with individuals to set the course for therapy, with couples, to clarify what each person needs from each other and with families, who too often see one person as the culprit. By using the Miracle Question and asking each person what a better life would look like, it is apparent, perhaps for the first time, what others need from each other.

2. What does it look like?

"Suppose tonight, while you slept, a miracle occurred. When you awake tomorrow, what would be some of the things you would notice that would tell you life had suddenly gotten better?"

The therapist stays with the question even if the client describes an "impossible" solution, such as a deceased person being alive, and acknowledges that wish and then asks "how would that make a difference in your life?"  Then as the client describes that he/she might feel as if they have their companion back again, the therapist asks "how would that make a difference?"  With that, the client may say, "I would have someone to confide in and support me."  From there, the therapist would ask the client to think of others in the client's life who could begin to be a confidant in a very small manner.

3. How does it help the client?

It catapults the client from a problem saturated context into a visionary context where he/she has a moment of freedom, to step out of the problem story and into a story where they are more problem free. But, more importantly, it helps the therapist to know exactly what the client wants from therapy...and this is what makes Solution Focused Therapy so efficient and brief.

4. In your opinion, what makes the Miracle Question a cool intervention?

It helps the therapist see where the client wants to go. Too often, therapists assume that a client needs to grieve, leave their spouse, quit their job, after the client describes why he/she has come to therapy. The Miracle Question helps the client and therapist to address exactly what the client wants, not what the therapist thinks is best.

Top Rated Marriage Counselor In Tampa

I am honored to be among the top 3 rated marriage counselors in Tampa!

Thank you so very much for this recognition. I love what I do!

Feeling Honored and Passionate About Helping Couples & Families! ~Liz

Turning Toward vs Turning Away vs Turning Against

Turning Towards Instead of Away

Let’s say your eccentric uncle Kevin gives you $10,000 on your wedding day. The only catch is that you have to invest it for six years with one of two firms that Kevin suggests. Firm A is well respected on Wall Street for both its ethics and its returns, and most clients are very happy even with sometimes modest gains. Firm B guarantees they’ll squander your money and blame you for it. Which one would you choose?

Or let’s say that on your wedding day, you get a diagnosis of a rare blood disease that usually kills its victims within six years. Your wacky aunt Cathy had that same disease and she knows of the only two doctors in the world that work with it. One doctor is actively doing research, testing new treatments, and curing patients with great success. The other is a drunk. Which doctor would you choose?

Or let’s say that on your wedding day, the universe starts a giant egg timer set for six years. When the egg timer goes off, you’ll either be divorced or you won’t. You’ve heard the rumor that 50% of marriages end in divorce, but Kevin and Cathy know some tips that can increase your odds of making it. More importantly, they know of a single strategy that would virtually guarantee that you would divorce before the timer went off. Would you want to know it?

Of course you would. You would invest with Firm A. You would choose the sober doctor. And you will do whatever it takes to ensure that you protected yourself from divorce. As it turns out, your aunt and uncle are onto something: there really is a secret.

As part of his research, Dr. Gottman conducted a study with newlyweds and then followed up with them six years later. Many of the couples had remained together. Many had divorced. The couples that stayed married were much better at one thing — the third level of the Sound Relationship House, Turn Towards Instead of Away. At the six-year follow up, couples that had stayed married turned towards one another 86% of the time. Couples that had divorced averaged only 33% of the time. The secret is turning towards.

I think this is a pretty incredible piece of data. It suggests that there is something you can today that will dramatically change the course of your relationship. More importantly, it suggests that there is something that you can not do that will lead to its demise. So, how do you turn towards instead of away? In order to understand turning, you have to first understand bids.

A bid is any attempt from one partner to another for attention, affirmation, affection, or any other positive connection. Bids show up in simple ways, a smile or wink, and more complex ways, like a request for advice or help. In general, women make more bids than men, but in the healthiest relationships, both partners are comfortable making all kinds of bids.

Bids can get tricky, however, and admittedly I sometimes miss more bids than I don’t. Indeed many men struggle in this regard, so it’s important to pay attention. Bids usually have a secondary layer – the true meaning behind the words. Call it the the difference between text and subtext. A few examples to get your brain going:

How do I look?Can I have your attention?

Let’s put the kids to bed.Can I have your help?

I talked to my sister today.Will you chat with me?

Did I tell you the one about…?Will you enjoy me?

Want to cuddle?Can I have your affection?

Want to play Cribbage?Will you play with me?

I had a terrible lunch meeting today.Will you help me destress?

To “miss” a bid is to “turn away.” Turning away can be devastating. It’s even more devastating than “turning against” or rejecting the bid. Rejecting a bid at least provides the opportunity for continued engagement and repair. Missing the bid results in diminished bids, or worse, making bids for attention, enjoyment, and affection somewhere else.

It is important that you learn to recognize bids and that you commit to making them to one another. Make the word “bids” part of your conversation and perhaps name your bids toward one another. It’s okay to say, “I’m making a bid for attention now” as you get to know each other in this early phase of your relationship. You can also practice discerning subtext together. Pick a show that is new to you both and watch it on mute. See if you can interpret the bids that the characters are making based only on non-verbals. Once you start to get intentional about your bids, you can concentrate on “turning towards.”

Turning towards starts with paying attention. Your work on bids will come in handy here. Simply recognizing that a bid has been made opens the door to response. If you’ve really been paying attention, you’ll respond to both the text and the subtext. As bids get more complicated, so will the nature of turning toward. For now, start simple. Take an inventory of the bids and turning in your relationship and share your responses with one another.

• What do I know about how I make bids?

• Could or should I get better at making bids? How?

• How good am I at recognizing the difference between text and subtext?

• What keeps me from making bids?

• What is my impulse for turning?

• Do I turn away or against more often than I turn towards?

• When it comes to turning towards, am I closer to 33% or 86%?

• What does it feel like when my partner doesn’t turn towards me?

• How can I get better at turning towards?

As you continue moving through life together, you will undoubtedly have to risk heading into more vulnerable territory. This will be easier if you’ve committed to building a solid friendship based on Building Love Maps, Sharing Fondness and Admiration, and Turning Towards Instead of Away. Your eccentric uncle Kevin and wacky aunt Cathy would be proud.

Source: https://www.gottman.com/blog/turn-toward-instead-of-away/

What "Turning Against' Really Means 

In our post on Monday, we discussed Dr. Gottman’s findings on the deeply destructive nature of “turning against” your partner’s bids. “Turning against” or “away” describes the behaviors in your interactions between you and your partner that, upon accumulation, categorically spell disaster for your relationship. Today, we would like to part the storm clouds a bit by offering you findings from Dr. Gottman’s research about the true causes of much of the behavior we described on Monday – the real reasons for which your partner may “turn against” you, lash out unexpectedly, or say things that they don’t really mean. We share this information with you in hopes that it will help you to learn the ways in which you can manage conflict constructively. We would like, in short, to offer you help in coping with the most trying interactions in your relationship.  

The first step in building the skills that Dr. Gottman teaches in his marital therapy is understanding – answering the question that may come up when such interactions unexpectedly throw themselves into your life – when your partner snaps at you out of nowhere. Dr. Gottman has discovered that there is an enormous difference between what you think your partner is saying when they “turn against” your bids and what their behavior’s cause usually is! Here is what Dr. Gottman has found “turning against”  says and what it actually means.

“Turning Against” Says:

• Your need for attention makes me angry.

• I feel hostile towards you.

• I don’t respect you.

• I don’t value you or this relationship.

• I want to hurt you.

• I want to drive you away.

“Turning Against” Usually Means: In a direct quote from Dr. Gottman himself, “Unlike ‘turning away’ responses, ‘turning against’ has a bite to it. It’s hard to hear such responses without thinking, ‘That’s mean’ or ‘That was uncalled for.’ Still, I doubt that most people who turn against their loved ones really intend to cause as much harm to their relationships as they do in these exchanges. Rather, they may simply have developed a personal style of relating that’s characteristically crabby or irritable.” Dr. Gottman’s research has revealed that such prickliness is often “the result of many factors, such as having too many demands on your time, not having enough peace of mind, or the lack of a satisfying purpose or direction for your life. Often it’s a spillover of self-criticism that has its origins in the distant past. The problem may also be biologically based irritability that is chemically related to depression.”

Whatever the source may be of your partner’s choice to “turn against” your bids for attention, affection, or support, it still hurts. Sometimes, it hurts a LOT. The build up of ignored bids can end up causing long-term problems in relationships. When your partner habitually responds to you by “turning against” your bids for connection, you feel that you can’t ask them for support and the two of you may drift apart entirely, because it feels impossible to sustain your relationship. Again, we have to stress: You are not alone! Hopefully understanding that the underlying causes for your partner’s behavior are rarely as malicious as they may feel, that what they say and what they mean are usually oceans apart, can help you to take these sudden attacks less personally. 

Of course, these words offer sparse comfort on their own – to understand is only the first step in the journey towards moving away from dangerous patterns of interaction. But it is a necessary first step. We will take you through the next steps (applying this new knowledge) in the next few weeks on The Gottman Relationship Blog. For more details, make sure to find a copy of Dr. Gottman’s bestselling books in a bookstore near you: The Relationship Cure, Seven Principles of Making Marriage Work, and of course, his new book, What Makes Love Last!

Source: https://www.gottman.com/blog/what-turning-against-really-means/