How to create lasting change in your relationship

by Nathan Chua

There was a time in my practice as a counselor that I thought working on a relationship only required learning skills of communication that anyone can practice.  Well, nothing has changed until this very day except for the realization that the skills have to come with a motivation that creates lasting rather than fleeting change.  In my continuing search for what truly works for my clients, I have always been watchful of signs that tell me if what I do works or otherwise.  From my over-a-decade’s experience dealing with couples, I have gone through multiple approaches that I thought were the holy grail of couples therapy.  They all seemed to make sense.  One of the approaches involved highly emotionally charged sessions that got into the deepest feelings that have thus far remained unseen by the couple.  The other approaches involved learning skills on how to communicate better and keep couples from spiraling into their usual patterns of unending arguments.

It turns out that I would find both of these approaches to make sense but also knew that there were areas that needed to be addressed.  It was only until I found a way to marry these two approaches that I sensed an end to my search.  Well, at least until a time comes when a better approach is discovered.  While digging into deeper emotions was important, constantly employing this approach can prove rather exhausting for the couple as well as the counselor.  Realistically, people don’t get into heavy conversations about their deeper emotions on a day-to-day basis.  

On the other hand, with the skills training approach, couples can be very imprecise with their ways of handling conflicts.  It is hard to always be accurately following rules of engagement.  Moreover, this technique coming from an expert can mean that couples are motivated more by complying with what the therapist is telling them to do or following rules outside of context sometimes, and end up fighting about these rules.  

I found an approach that blends these two rather seamlessly.  Something that has to do with exposing the deeper emotions that are difficult to show, and at the same time developing skills that can be practiced not just because that is what the couple learns from therapy but rather because they feel empathy towards each other. 

It is about guiding the couple rather than following an imprimatur from the therapist.  It is allowing them to discover what they can adapt as their own, because let’s face it, not every interaction that a couple does ends up in a wreck.  They would have had at least a few conversations that worked in the past without any instructions from therapy.  The rule only requires that couples be more observant of these successful instances in the past that don’t get noticed, repeated, and turned into habits of course.  

So rather than teaching couples about what to say or do, it is more a process of discovery or trial and error.  In addition to this, couples learn how to make disclosures that create empathy rather than defensiveness.  It is part of our nature as social beings to have a sense of empathy towards another if only the words or gestures exchanged create room for safety and bonding.  It is one thing to say that your partner is insensitive to your needs and another to say that you feel hurt when your partner behaves in a certain way in a given situation.  Disclosing your vulnerable feelings over attacking your partner will usually influence your partner to feel empathic and act accordingly. 

Lasting change usually happens when the motivations for change are not just about what couples learned from their therapist in the counseling room, or what they read in some self-help articles or books, lasting change comes from caring.  That’s the part that happens when couples learn to feel safe enough to share their deeper, softer feelings.  A metaphor that I often use for couples is that of a child who rants and throws a fit in order to get its way.  Parents would then panic and address the fit rather than what it is that was causing the fit in the first place.  A child, though, that learns to speak about its fears rather than its frustrations, would more likely have that fear addressed by a compassionate attentive parent.  A pouting child would normally get a defensive reaction, while a fearful child would probably get attention.  The former would usually end up being, at best, disciplined, and at worst coerced by the adult parents into behaving properly, while the latter would likely end up with getting assurance and affirmation.  In summary, lasting change comes not just from learning skills, but more so from caring for the other.  The other half of it is becoming more aware of what approaches you do with your partner that evoke caring and which ones lead you back to square one. 

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Do you have irreconcilable differences with your partner?

by Nathan Chua

Couples often wonder how the person they loved has turned into someone they can’t stand at all. Why can’t he be responsible enough to take care of our finances? Why is she so disorganized and impulsive? He seems to care more about his family than he cares about me. I’m bored in this relationship. My partner doesn’t care about what I feel. She is too quiet and aloof. I don’t feel any closeness anymore.

Of course, there are legitimate reasons for you to consider leaving your partner such as violence and infidelity. But most couples often say that their issues mostly revolve around their differences. Thus comes the term, irreconcilable differences. What I enumerated in the first paragraph can be summed up in this term that we often hear couples declare as their reason for separating. Now don’t get me wrong. I don’t mean that these cannot be legitimate reasons to call it quits. I am in no position to tell you that you should stick to your relationship just because your problems simply fall into this category. And if your partner refuses to seek the help that your relationship could benefit from, then you may have a legitimate reason to find a more meaningful life either without a partner or with someone else.

Herein lies the beauty of Integrative Behavioral Couples Therapy or IBCT. One of the details that I look for in couples as I work with them, are the reasons why they fell in love with each other in the first place! Let’s take the complaints that couples bring to the therapy room that I enumerated in the first paragraph.

Contextual Thinking vs. Essential Thinking:

Complaint #1: He’s not responsible enough. He is disorganized and impulsive.

You may have liked the idea that your partner now was, during your dating days, the helpless person who appreciated it everytime you would come to his rescue. Somehow you found a role that was satisfying in this relationship. It could also mean that your partner’s impulsiveness in certain contexts, can be an endearing quality! Why, he would buy me an expensive gift out of nowhere!

Complaint #2: She seems to care more about her family than us.

I think this is one of those issues that couples complain about quite often. Given our culture of being in a context where family is a Filipino’s greatest resource in hard times, is it any wonder that your partner finds it difficult to split loyalties in the context of your relationship?

Complaint #3: I’m bored in this relationship. My partner doesn’t care about what I feel. She is too quiet and aloof. I don’t feel any closeness anymore.

Maybe when you were looking for a partner, there was an attraction to this person’s aloofness. It made this person mysterious and interesting. She is also quite the opposite of the noisy, agitating people you grew up with as a child. Finally, I can have the peaceful and quiet relationship that I was looking for. At the same time, your aloof partner may have liked the idea that you gave him the emotional element in his life. So goes the saying that opposites attract.

IBCT encourages couples to see that their partner will never be everything to them. No couple is one hundred percent compatible. In fact, the chances of you ending up with someone who is incompatible with you is 100 percent! Let’s face it, your partner who goes at a snail’s pace will go at a snail’s pace in situations when this quality can be disadvantageous to facing life’s inevitable problems as you go through it no longer as individuals but as a couple.

So if you are wondering what I mean by contextual vs. essential thinking, your partner and you behave differently in different contexts! Your partner is not essentially a bad person. (Believe me, I have yet to encounter a client who I felt had inherently harmful intentions!) If you come to therapy with the same intention of saving your relationship, it is more likely that you and your partner are doing your best to show that you care and you want your partner to be happy. Your partner is not essentially defective. They just learned to behave in certain ways in certain situations that at times covers other situations that do call for a different behavior!

That’s what IBCT makes you aware of as aspects of your relationship that are better off accepted and may take a long while or even forever to change. If we can learn to notice and accept these so-called irreconcilable differences, chances are, your partner will notice that. And having the minds that we have, I always go back to what Carl Rogers had said many years ago. Let me paraphrase it to apply not just to yourself but also for your partner and your relationship.

The Quote from Carl Rogers:

“The curious paradox is that when I accept myself, just as I am, then I can change.”

Paraphrase:

“The curious paradox is that when my partner accepts me, just as I am, then I can change.”

ACT Matrix for Anger

Interviewed by Jacob Martinez, ACT Matrix Expert and Professional Counselor from Wisconsin!

Successful But Unsatisfied

by Nathan Chua

Do you sometimes get that gnawing sense that you seem to have all the trappings of a happy and successful life, but feel an empty void inside nonetheless?  Have you felt that life has hit a ceiling and you’d never get to a point where you have reached your full potential?  Does it seem like you have made very logical decisions in your life and have come to a point where there is nothing more you can do?  Have you gotten congratulatory messages from people that were important to you, but somehow feel like you have done this not out of your own wishes, but only to earn the respect and regard of those around you?

This is the last of a series of articles about Relational Frame Theory or RFT.  The phenomenon described above is called reaching an adaptive peak in RFT terms.  Some of us may have had this experience in our personal journeys through large chunks of our time.  Here are some examples of how this might manifest in your life:

  • You’ve gained a lifestyle level that feels comfortable but nonetheless leaves you unfulfilled.
  • You’ve been living with an abusive partner who has nonetheless given you the comforts that you want for yourself and your kids.
  • You’ve performed well in your work but also had to ingest chemical enhancers for many years.

If you find yourself in these situations, then maybe you are reaching high points in your life with the accolades that you receive, but still feel like you have not gone toward who or what you want to be.

Here is a direct quote from the book, “Mastering the Clinical Conversation,” by Hayes, Villatte, and Villatte, containing questions you might want to ask yourself and see if they can motivate you to move in a different direction:

  • “As you’ve focused more on that goal, do you have a sense you’ve put your life on hold? Like life itself can start after this goal is achieved?” ​
  • “It seems that it has had some payoff—some benefit. The question is, is that payoff worth all this energy invested in it?” ​
  • “If you back up and look broadly, is this the kind of life you wanted to live? Are there any things you deeply care about that you have pushed to the side or put on the shelf?”

If you have heard some stories about people getting to a level of success in their lives and they suddenly surprise you about a sudden move to another career, this is what you might have witnessed.  If you are like me, we can sometimes get caught up in achieving goals and forget what qualities we want to live.  

Here is a question I would like to ask you and see if this strikes a chord with you:  How old is this thought that you need to pursue these outward signs of success?  Maybe you came from a difficult past as a child.  Your family could barely make enough to pay the monthly mortgage or rent.  Have you gone away from some of your deeply held dreams in the pursuit of acknowledgement and material security?  If your answer is yes, then you might have hit an adaptive peak or a ceiling in your life.  It is understandable because these successes do pay off in the short term.  

Your next step would be to examine yourself and see what it is that makes you tick.  When do you have a sense that life is moving in the right direction?  If you sense that being a creative artist or a dutiful teacher is what you want to be, take small steps in that direction.  Find something creative or helpful to kids that you can do within your current setup.  Experiment if this works for you and see where it takes you, because you’ll never know what life awaits you on the other side.  

Listen to this article on Spotify!  Click here!

Meet Our Second One Life Only Consultant for Couples and Family Counseling!

Dr. Blake Evans, One Life Only Consultant for Couples and Family Counseling

During a workshop with Dr. Steven Hayes, I badgered him about what approach to use for couples therapy that is consistent with functional contextual principles.  One of them he mentioned was new to me and I haven’t tried before.  The approach is called Integrative Behavioral Couples Therapy (IBCT)!  With the kind heart of Dr. Andrew Christensen, one of the co-developers of IBCT, I was allowed to attend one of his workshops online.  He eventually referred me to Dr. Blake Evans, one of his certified IBCT therapists, to help me with developing my skills in IBCT.

It has been a rich experience consulting with Dr. Evans and I find so much joy working with him.

Here’s a short bio of Dr. Evans, our One Life Only Consultant for Couples and Family Therapy:

Dr. Blake Evans is a Staff Psychologist at a satellite clinic of the St. Cloud VA HealthCare System in Alexandria, Minnesota.  He obtained his doctoral degree in clinical psychology at Oklahoma State University in Stillwater, Oklahoma, internship at the Battle Creek VA Medical Center in Battle Creek, Michigan, and post-doctoral fellowship at the Minneapolis VA Medical Center in Minneapolis, Minnesota. 

He holds a collateral position as a national trainer/consultant for the VA Family Services Division OMHS-SP for Integrated Behavioral Couple Therapy (IBCT) and was previously a trainer/consultant for Behavioral Family Therapy (BFT). 

His primary professional interests lie in the assessment and treatment of relationship difficulties as well as a variety of conditions including trauma-related disorders, affective and anxiety disorders, and personality disorders.  Dr. Evans’ interests also include training, consultation, and program design/improvement. 

His theoretical orientation is cognitive-behavioral, with an emphasis on contemporary behavioral approaches, including Integrated Behavioral Couple Therapy (IBCT), Dialectical Behavior Therapy (DBT), and Motivational Interviewing (MI).

Thank you Blake!  I have had so much enlightenment in our discussions.  I count it a privilege to have you part of this One Life Only team!

Nathan

Interview with Dr. Andrew Christensen

Interview with Dr. Andrew Christensen, Co-developer of Integrative and Behavioral Couples Therapy

I had a wonderful time with Dr. Andrew Christensen in this interview! Listen to him talk about his background, Integrative Behavioral Couples Therapy, Infidelity, Sexual Concerns, and how to ask your partner to join in couples therapy.

Listen to this interview in our Spotify channel:
https://open.spotify.com/episode/0bQZ5ie5OkmUlViT4obJzi?si=toUwJ9yuTYaXZV6HzctmPQ

Here are some useful links for you to find the ebook version of Dr. Christensen’s books as well as a self-help website you can use to improve your relationship as a couple:

Reconcilable Differences E-book:
https://www.amazon.com/dp/B00GY6S62I/ref=cm_sw_r_apan_GH7J3JRNF0AY6AE425JC

Reconcilable Differences Audiobook:
https://www.amazon.com/dp/B084H368ZZ/ref=cm_sw_r_apan_GPN806S3W3QDJNPHM69T

Integrative Behavioral Couples Therapy E-book:
https://www.amazon.com/dp/B08CLTFHXR/ref=cm_sw_r_apan_460Y3CXDVMF3Q5SVKZ0G

Integrative Behavioral Couples Therapy Audiobook:
https://www.amazon.com/dp/B08VF8LWDZ/ref=cm_sw_r_apan_3Q2NZRJF9JGHXQB34T2E