What happens in couples therapy...

What happens in couples therapy

Well, that’s a big question. And I love it, because it means you’re curious enough to actually consider it might help.

Let me tell you what I think actually happens, when it’s done well.

First, there’s some organizing. We’re just getting on the same page, the three of us. You, your partner, and me. What is actually going on here? What is the emotional system you two have created together? Because here’s the thing most people don’t realize when they walk in the door. The conflict you’re having? It’s never just one person’s fault. Both of you are creating this loop together, this negative cycle that keeps spinning. And until someone names it clearly, you’re both just stuck in it, blaming each other for the spin.

Then there’s another type of session where we slow everything way down and we go looking at what is actually happening right now. Not what you think is happening. Not your story about your partner. What is actually happening inside you, and inside them, in real time. Three scientists together, just trying to understand the data.

And then the third kind of session, the one that people don’t expect, the one that can feel like you’re going under water, is when we actually go through it. Not over it, not under it, not around it. Through it. You know that kids’ book, “We’re Going on a Bear Hunt”? Oh no, we can’t go over it, we can’t go under it, we can’t go around it. We have to go through it. That’s emotionally focused couples therapy right there.

Because what’s really happening underneath most fights is this. Both of you are actually scared. Scared the other person isn’t there for you. Scared you’re not enough for them. Those are the two sides of wounding in love that I see over and over again. One person asking, “Are you there for me? Where did you go?” And the other person asking, “Am I enough? Am I a disappointment to you?”

And when those two fears are bumping into each other in the dark, without anyone to hold a light, you get a cycle. You get distance, withdrawal, criticism, pursuit. You get the same fight on repeat with different furniture.

What couples therapy does, when it’s done well, is it brings you both down into the real pain underneath all of that noise. Not to drown you in it. But because that’s actually where the connection lives. That’s the fertile ground. And most people spend their whole lives doing everything they can to stay away from that place, which is why it usually takes a third party to help you get there.

My job is basically to be the person in the boat with you. You look at that river and you think, we are better off going over it, around it, under it. I look like an Irish Shrek, I’ll be honest with you. But I have done this thousands of times and I know how to get you both to the other side without letting you drown.

That’s what happens in couples therapy, when it really works.

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About Figs O’Sullivan, LMFT
Figs is a licensed marriage and family therapist with 16+ years of experience working with couples. He’s the co-founder of Empathi, host of the “Come Here to Me” podcast, and author of an upcoming book on relationships and the systems that shape how we love.

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Fiachra "Figs" O’Sullivan is a renowned couples therapist and the founder of Empathi.com. He believes the principles of secure attachment and sound money are the two essential protocols for building a future filled with hope. A husband and dad, he lives in Hawaii, where he’s an outrigger canoe paddler, getting humbled daily by the wind and waves. He’s also incessantly funny, to the point that he should probably see someone about that.

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Frequently Asked Questions

How long does couples therapy take to work?+
Look, I wish I could give you a neat timeline, but real repair doesn't work on a corporate schedule. What I can tell you is this: most couples start feeling some relief within the first few sessions once we map out their Waltz of Pain (that negative cycle you're both stuck in). But deep change? The kind that rewires your nervous system and stops you from being those same two hurt kids fighting? That takes longer. Think months, not weeks. Your relationship didn't break overnight, and it won't heal overnight. But here's what's beautiful: once you start doing the actual work of emotional repair, every fight becomes an opportunity to get closer instead of further apart.
What if my partner doesn't want to go to couples therapy?+
This is heartbreaking and incredibly common. Usually, the reluctant partner is terrified they'll be blamed for everything or forced to change who they are. Here's what I tell the pursuing partner: you can't drag someone into vulnerability. But you can start changing your own moves in the dance. When you stop doing the same protest behaviors (the criticism, the pursuing, the emotional flooding), it creates space for your partner to show up differently. Sometimes individual therapy first helps you understand your own childhood strategy before trying to repair the system together. The goal isn't to manipulate them into therapy. It's to break your half of the cycle.
Do I need couples therapy or can we figure this out ourselves?+
I love that you're asking this question because it shows you're not treating therapy as a commodity. Here's the truth: some couples can absolutely do repair work on their own, especially if they understand what they're actually fighting about (hint: it's never what you think it's about). But if you're stuck in the same fights, if one of you is shutting down while the other is pursuing, if you feel like roommates instead of lovers, then you probably need someone to help you see the pattern you can't see from inside it. Think of me as a translator between two people speaking different emotional languages. If you want to start somewhere, try Figlet, our AI relationship coach for some immediate guidance on breaking those cycles.