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Our Calgary Psychologist Clinic has therapists that are experienced in exploring emotions and working with the emotionally focused therapy framework. Emotionally Focused Therapy (EFT) is a therapeutic approach that focuses on improving emotional connections and attachment patterns in relationships. It was developed by Dr. Sue Johnson in the 1980s and has been widely used to help distressed couples and individuals.
The main goal of EFT is to identify and address the underlying emotions and attachment needs that drive negative patterns and conflicts in relationships. The therapy is based on the understanding that humans have an innate need for emotional bonding and security. When these needs are not met or when negative interactions dominate a relationship, distress and disconnection can arise.
EFT is grounded in attachment theory, which emphasizes the significance of secure emotional bonds in human relationships. The therapy process involves creating a safe and supportive environment where individuals can explore and express their emotions openly. The therapist helps clients identify their unmet attachment needs, fears, and negative patterns that contribute to relationship distress.
Through EFT, clients learn to recognize and communicate their emotions effectively, leading to a deeper understanding and connection with their partner. The therapist helps couples restructure their interactions by fostering empathy, validation, and acceptance. By working through emotional barriers and fostering new patterns of communication, couples can develop a more secure and fulfilling bond.
EFT typically follows a structured approach with three main stages. The first stage involves assessment and understanding of the negative interactional cycle that perpetuates relationship distress. The therapist helps couples identify their emotions, needs, and attachment patterns. The second stage focuses on restructuring the emotional responses and fostering new interactions that promote safety and security. The final stage consolidates the new patterns and helps couples build a more secure and resilient relationship.
Emotionally Focused Therapy has been found to be effective in improving relationship satisfaction and reducing distress for couples dealing with a variety of issues, including infidelity, communication problems, and emotional disconnection. The therapy can also be adapted for individual counseling to address attachment-related issues.
Overall, Emotionally Focused Therapy offers a valuable framework for promoting emotional healing and creating secure attachments in relationships. By addressing underlying emotions and attachment needs, individuals and couples can experience greater emotional closeness, intimacy, and overall relationship satisfaction.
Dr. Raheleh Tarani
Clinical Psychologist
English, Farsi, Japanese (basic), Hindi, Turkish, Punjabi, Urdu
Research shows that 70% of couples who seek relationship therapy see major improvements with proven methods. Among modern psychology’s most researched and proven therapeutic approaches, Emotion Focused Therapy (EFT) stands out.
EFT helps people understand and change their emotional experiences to create lasting positive changes. This science-based approach combines attachment theory, neuroscience, and systematic interventions to handle various psychological challenges. The therapy targets emotional patterns that shape behavior and relationships by identifying and restructuring them.
The scientific foundations of EFT range from its neurobiological basis to clinical results. Current research evidence, practical applications, and measurable biological markers show how EFT techniques and interventions work effectively with different groups of people.
Developed in the 1980s, Emotion Focused Therapy came from research studies about how people change during psychotherapy [1]. Sue Johnson and Les Greenberg developed this approach. They studied couples therapy sessions to find what helped create positive changes [2].
The therapy’s foundations combine several theoretical frameworks:
Person-centered approaches
Cognitive-behavioral elements
Gestalt therapy principles
Systemic viewpoints
Johnson enhanced EFT by making attachment theory its main framework to understand adult love relationships [2]. This addition gave a scientific explanation of how emotional bonds form and change during therapy. A secure attachment works as both a safe haven and a secure base that gives comfort, support, and care [3].
Today’s EFT framework works through three distinct stages and nine steps [4]. The therapy builds on two main treatment principles: building a therapeutic relationship and helping clients do the therapeutic work [1]. Therapists help clients understand their emotional experiences to find their natural emotional responses [5]. This well-laid-out approach has become a proven treatment for depression, marital distress, trauma, and anxiety disorders [1].
Recent neuroscience research shows how Emotion Focused Therapy impacts specific brain regions and neural circuits. The amygdala, the brain’s emotion-processing center, shows increased activation and connectivity after EFT interventions [6].
The human brain processes emotions through interconnected regions, with the limbic system playing a crucial role. Research shows that EFT participants have higher amygdala activation and better amygdala-insula connectivity [7]. Studies also reveal that BD patients who receive emotion-focused interventions process emotions more effectively [6].
The brain’s emotional circuitry includes:
Amygdala for emotion regulation
Hippocampus for memory formation
Prefrontal cortex for executive function
Insula for emotional awareness
These regions work independently yet create an integrated network that supports attachment formation. Research confirms that social relationships help regulate emotions by reducing threat-related neural activity [8].
The brain shows remarkable plasticity in response to therapeutic interventions. Studies indicate that EFT participants have increased activation in emotion-regulating centers [6]. This higher neural activity reflects better emotion processing and greater tolerance of negative emotions. Patients who participated in emotion-focused therapy experienced a 72% reduction in depressive symptoms six months after treatment [7].
Research shows that Emotion Focused Therapy works for psychological conditions of all types. A detailed meta-analysis of 20 studies involving 332 couples revealed medium to large effect sizes for pretest-posttest (d = .93) and follow-up periods (d = .86) [9].
Several systematic reviews highlight how well EFT treats various conditions. The meta-analyzes show impressive outcomes for:
EFT outperforms alternative treatments in clinical trials consistently. The results show that 70% of couples no longer experience symptoms after completing EFT treatment [12]. The therapy produces better results than antidepressant trials [10].
EFT’s benefits last well beyond the treatment period. Patients maintain their therapeutic gains up to two years after treatment [12]. A key study found that while cognitive behavioral therapy showed immediate improvements, EFT patients experienced major symptom reductions at both 3-month and 6-month follow-ups [4]. These results prove EFT’s power to create lasting positive change.
The brain’s ability to process and adapt emotions drives change in emotion focused therapy. Research shows that emotions play a vital role in self-organization and help us process information that connects us to our environment [5].
Emotional awareness and regulation are the life-blood of therapeutic change. People who become more aware of their emotions can better connect with their needs and find ways to address them [5]. This process includes:
Primary adaptive emotions that organize action
Maladaptive emotions that need regulation
Emotional expression that adjusts behavior
Reflection that builds narrative understanding
People develop internal security when they feel present in someone else’s mind and heart [5]. The therapeutic alliance creates a safe and calming space where secure attachments can grow. Research shows that people without secure attachment bonds experience deep loneliness, which can lead to mental and physical health problems [13].
Systematic emotional processing changes behavioral patterns. Clients learn to watch their emotions without judgment and develop balanced emotional responses [14]. This approach helps them develop new ways to communicate and solve problems [15]. Studies reveal that these new interaction patterns reinforce themselves and create lasting behavioral changes [15].
Biological markers show clear evidence that emotion focused therapy works through measurable changes in the body. Research shows major improvements in many health indicators after EFT treatments.
Clinical studies show remarkable changes in cardiovascular markers after EFT sessions. Blood pressure measurements showed major decreases in both systolic (-6%) and diastolic (-8%) readings [4]. Heart rate variability, which shows how well someone regulates emotions, improved after treatment [4]. These bodily changes show better stress response mechanisms.
EFT’s effect on stress hormones stands out clearly. Research shows:
Cortisol reduction of 37% post-intervention [4]
Decreased cortisol levels (-43.24%) compared to control groups [16]
Hormone regulation remained stable during follow-up checks [4]
EFT treatments strongly affect how the autonomic nervous system works. Studies prove that manually stimulating acupuncture points creates several neurochemical changes [17]. These changes lead to:
Physiological Changes | Observable Effects |
|---|---|
Opioid release | Pain reduction |
Serotonin production | Anxiety decrease |
GABA regulation | Stress response inhibition |
These biological markers relate directly to psychological improvements. Patients who had lower cortisol levels also reported less anxiety (-40%) and depression (-35%) [4]. The results vary based on timing and regulatory goals [18].
Clinical guidelines recommend a well-laid-out approach to implement emotion focused therapy. The treatment protocol uses a stepped-care model with five sessions for subclinical cases and ten sessions for clinical cases [19].
Weekly sessions form the standard protocol. Therapists can arrange bi-weekly sessions if needed [3]. The model’s success depends on therapist’s adherence to guidelines. Research shows better outcomes when practitioners follow the model strictly [12].
These validated instruments track clinical outcomes:
Dyadic Adjustment Scale (DAS-32 and DAS-4) for relationship adjustment
Couple Satisfaction Inventory (CSI-16) for satisfaction levels
Experiences in Close Relationships (ECR) for attachment patterns [3]
Research shows exceptional results in a variety of populations:
Population | Success Rate |
|---|---|
Couples | 90% improvement [20] |
Clinical Cases | 70-75% symptom-free [20] |
Veterans | Most important PTSD reduction [21] |
Emotion focused therapy works well in different settings. About 42% of licensed psychotherapists use EFT techniques in their practice after completing treatment [22]. Major healthcare systems like the US Veterans Administration and Kaiser Permanente now recognize this therapy [22].
EFT clinical implementation blends multiple therapeutic approaches with unique interventions. The protocol brings together:
Cognitive behavioral techniques
Systematic desensitization methods
Acupressure-based interventions [4]
Therapeutic alliance develops through distinct phases rather than a linear path. Research shows that early session alliance development leads to better outcomes [23]. Successful implementation relies on:
Alliance Component | Clinical Focus |
|---|---|
Empathic Attunement | Affect regulation |
Therapeutic Presence | Environmental safety |
Congruent Response | Client internalization |
EFT implementation shows remarkable flexibility in clinical settings. Healthcare systems of all sizes have embraced this approach, with 42% of licensed psychotherapists now using EFT techniques [22]. The Veterans Administration considers it a “generally safe therapy.” This designation has led hospitals, mental health clinics, and private practices to adopt it widely [4].
Emotion Focused Therapy is a scientifically proven method that has revolutionized psychological treatment. It combines attachment theory, neuroscience, and systematic interventions. The results speak for themselves – 70-75% of clients become symptom-free after completing the treatment.
This therapy’s benefits go beyond mental health improvements. The results show up in biological markers like lower cortisol levels, better heart rate variability, and stronger neural connections. These physical changes match patients’ reports of reduced anxiety, depression, and relationship problems.
EFT works well in a variety of populations and consistently delivers positive results. Major healthcare systems now recognize its value. The therapy’s well-laid-out protocols and focus on therapeutic relationships create lasting positive changes for both individuals and couples.
Research strongly backs EFT’s effectiveness. Its documented effects on the brain and systematic approach to processing emotions make it the life-blood of modern psychotherapy. Without doubt, EFT’s evidence-based framework pushes psychology forward. It brings hope and healing through scientifically grounded emotional change.
Q1. Is Emotion-Focused Therapy (EFT) scientifically validated? Yes, EFT is an evidence-based approach supported by extensive research. Multiple studies, meta-analyzes, and systematic reviews demonstrate its effectiveness in treating various psychological conditions, with significant success rates across different populations.
Q2. What are the main goals of Emotion-Focused Therapy? The primary objectives of EFT are to develop a more secure sense of self, improve emotional regulation skills, and foster healthier relationships. It aims to help individuals understand and transform their emotional experiences to create lasting positive change.
Q3. How does EFT affect the brain? EFT influences specific brain regions and neural circuits. Research shows increased activation in emotion-processing centers like the amygdala, improved connectivity between brain regions, and enhanced emotion regulation capabilities following EFT interventions.
Q4. Are there any limitations or drawbacks to EFT? While EFT is generally effective, potential limitations include variable results among individuals, the risk of oversimplification, and the possibility of emotional distress during sessions. It’s important to note that EFT should not be considered a substitute for professional medical or psychiatric care when needed.
Q5. How long does it typically take to see results from EFT? The duration of EFT treatment can vary, but clinical guidelines often recommend 5-10 sessions depending on the severity of the case. Many couples and individuals report significant improvements within this timeframe, with some studies showing lasting positive effects up to two years post-treatment.
[1] – https://focus.psychiatryonline.org/doi/full/10.1176/foc.8.1.foc32
[2] – https://en.wikipedia.org/wiki/Emotionally_focused_therapy
[3] – https://pmc.ncbi.nlm.nih.gov/articles/PMC9587591/
[4] – https://pmc.ncbi.nlm.nih.gov/articles/PMC6381429/
[5] – https://psychiatryonline.org/doi/10.1176/foc.8.1.foc32
[6] – https://www.technologynetworks.com/neuroscience/news/emotion-focused-therapy-targets-the-amygdala-372223
[7] – https://neurosciencenews.com/bipolar-emotion-therapy-amygdala-23035/
[8] – https://pmc.ncbi.nlm.nih.gov/articles/PMC3835900/
[9] – https://psycnet.apa.org/record/2023-02978-001
[10] – https://pubmed.ncbi.nlm.nih.gov/27843054/
[11] – https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2023.1195286/full
[12] – https://psycnet.apa.org/doiLanding?doi=10.1037%2Fcfp0000233
[13] – https://www.sciencedirect.com/science/article/abs/pii/S2352250X16300471
[14] – https://thetherapyroomflorida.com/a-guide-to-emotionally-focused-therapy-for-individuals/
[15] – https://www.verywellmind.com/emotionally-focused-therapy-for-distressed-couples-2303813
[16] – https://psycnet.apa.org/doiLanding?doi=10.1037/tra0000563
[17] – https://www.ptsduk.org/eft-tapping-for-ptsd/
[18] – https://www.sciencedirect.com/science/article/pii/S2352289523000322
[19] – https://pmc.ncbi.nlm.nih.gov/articles/PMC6316206/
[20] – https://www.psychologytoday.com/us/blog/mindful-relationships/202101/the-most-effective-couples-therapy-by-far
[21] – https://iceeft.com/eft-research-3/
[22] – https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2022.951451/full
[23] – https://onlinelibrary.wiley.com/doi/10.1111/famp.12892
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Our Calgary Psychologist Clinic works with the best Psychologists and Counsellors to meet your needs. Our therapists are proficient in a range of theoretical frameworks and each have their unique strengths. We all believe in building therapeutic relationships based on respect and trust and put the well being of our clients first and foremost. We are here to help you succeed in achieving your therapeutic goals so that, when you are ready, can move beyond therapy and face your life’s challenges with more optimism and clarity. Whether you are facing depression, anxiety, grief, trauma, family issues, anger or something else, we will do our absolute best to help you!
Our Calgary Psychologists and therapists offer counselling and formal psychological assessment services for individuals, couples, and families. We tailor these services to meet the unique needs of each client. Our goal is to support our clients in achieving their personal and relational goals.
We help families improve communication and solve problems. We also offer assessments for learning disabilities and ADHD. Our support extends to various mental health issues. Our support covers many mental health issues.
Our therapists dedicate themselves to providing a safe and supportive environment for clients of all ages and backgrounds. They help clients explore their thoughts, feelings, and experiences. The team is committed to creating a space where clients can feel comfortable and understood. They strive to help clients on their journey towards healing and growth.
We are here to help with individual therapy, couples counseling, or support for your child, teen or family. We offer counseling services in person and virtually. This makes it convenient and flexible for our clients to access our services. Whatever challenges you may be facing, we are committed to guiding you towards healing, growth, and greater well-being.
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In our Calgary counselling clinic, we help with many mental health problems. Our therapists can assist with a range of issues. These include grief, trauma, anxiety, depression, parenting challenges, PTSD, eating disorders, postpartum depression, fears and phobias, ADHD, self-esteem issues, relationship difficulties, OCD and many more.
No matter what you’re dealing with, our therapists are here to provide evidence-based therapy that fits your needs. We want to help you overcome challenges, build resilience, and find more happiness and fulfillment in your life.
Finding a Psychologist or Counsellor that can help you clear your mind and find more inner peace doesn't have to be difficult. Because the therapeutic relationship is so important, we offer a Free Consult. Text or Call Today and get yours!
Our psychologists and therapists draw from a variety of counselling frameworks and theories when working with clients. Learn more about the many different frameworks and theories our psychologists, therapists, and counsellors use.
Yes! We have several psychologists and therapists that offer Calgary Couples Counselling, Marriage counselling and relationship counselling. Check our Couples Counselling service page to see what therapists specialize in providing Couples Counselling in Calgary and Alberta.
Yes! We provide direct billing where we can, it depends on your insurance company and the credentials of the therapist. Sunlife is one of the insurers that do not allow us to do direct billing. For Provisional psychologists we usually can only direct bill for AB Blue Cross and Greenshield. For Assessment work like psychoeducational assessments, we do not provide direct billing. We charge the assessment at the start of the process and when finished, we provide a letter outlining the services rendered that you can submit to your insurer for reimbursement.
Yes! We have several therapists that speak multiple languages. Meet our team of psychologists and therapists to see what languages are available.
Our psychologists, counsellors and therapists will, at minimum, have a Master degree in a related field. Many are registered psychologists or provisional registered psychologists who are with licensed with the College of Alberta Psychologists and some are Canadian Certified Counsellors who are registered with the Canadian Counselling and Psychotherapy Association See our therapists’ bios for detailed information about their credentials.
Our therapists are skilled in a variety of therapeutic frameworks. The most common framework is CBT, but all of our therapists are experienced in at least several frameworks and most are eclectic in the interventions they use, opting to use what works for the client instead of a adhering strictly to a single framework. Each therapist has the types of therapy they use listed on their profile page, and we also have a frameworks section that will list the therapists that use those frameworks on them.
Beyond frameworks, we offer Child, Youth, Couples/Marriage, and Individual counselling for men, women, seniors, and lgbtq identified individuals.
Yes! We have an office located across from Mount Royal University in Southwest Calgary, close to where Crowchild Trail Meets Glenmore Trail, and one office located in Brentwood NW Calgary close to University of Calgary.
Unfortunately, we do not offer sliding scale fees. Our fees can be accessed on our pricing page.
Yes! We offer online video or phone counselling in Calgary and throughout Alberta and beyond. While some clients are not interested in video counselling, we do have excellent therapists who work exclusively online and all of our therapists who offer in-person sessions also offer online video counselling.
We recommend taking advantage of the free consultation option first – you’ll get a chance to meet your therapist and ensure that the relationship is going to be a good fit and that you both believe you’ll be able to benefit from the relationship ahead of spending any money.
If you’re certain you just want to go ahead and book a session, simply send us a text message with your first name, last name, and email address, or provide it through the contact form. We will get you setup in the booking system, send you the intake forms to complete, and when done, get you booked!
Same day turn-around is generally very rare – we are not a crisis treatment center so if you can’t wait a little bit, it’s best to try contacting the Distress Centre.
That said, it does happen that we can get clients in with a therapist right away if there is an opening or a cancellation – the biggest hold up is getting the intake forms completed.
Yes! We offer assessments for both Adults and Children, and we offer Psycho Educational Assessments, ADHD Assessments, and Cognitive Assessments / IQ Tests. See the pricing page for further details. All our assessments are conducted by a College of Alberta Registered Psychologist who specializes in assessment work.
We frequently get asked questions about how long it will take to see improvements. This is a really difficult question to answer and depends more on the client, the issues they are dealing with, and where they are at in their life than the therapist. Our main goal is to help educate our clients and provide them with the tools so that they can improve their lives and move beyond therapy.
Online video counselling *can* be every bit as effective as in-person counselling, but it really depends on the situation. For young children, online counselling is likely not going to be effective because it’s much more difficult to engage them. For people dealing with very difficult mental health issues, or who already believe that online counselling is not effective, it likely won’t be as effective as in-person. However, for many clients who are dealing with anxiety, depression, trauma, online counselling can be extremely effective and can be much more convenient for our busy schedules.
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