Therapy Modalities Glossary

Emotionally Focused Therapy (EFT)

Emotionally Focused Therapy (EFT)

Grounded in attachment science, this therapy helps people navigate emotions, repair relational rifts, and create healthier ways of connecting with others.

Introduction

The basics

What is Emotionally Focused Therapy (EFT)?

Emotionally Focused Therapy (EFT) is a compassionate, evidence-based therapy that helps clients get in touch with their deepest emotions to promote growth and healing. Instead of pushing feelings away or trying to control them, EFT helps people lean into their emotions, understand them, and reshape how they respond.

EFT is especially effective in couples therapy, where it helps partners break out of painful cycles of conflict and create safer, stronger, and more loving bonds, drawing on the principles of attachment theory.

Goal

What is the goal of Emotionally Focused Therapy (EFT)?

At its core, Emotionally Focused Therapy (EFT) aims to help people connect more deeply with their emotions in healthy, empowering ways. For couples, this often means building a secure emotional bond and finding greater joy in their relationship. For individuals, however, the focus shifts toward cultivating emotional resilience, internal security, and authenticity.

In individual settings (often called Emotionally Focused Individual Therapy, or EFIT), EFT works to:

  • Develop a secure, positive connection with self, strengthening self-compassion and inner safety.
  • Help clients identify, experience, and integrate emotional experiences, transforming emotional avoidances or defenses into adaptive emotional processes.
  • Promote emotional regulation and balance by guiding clients through vulnerable emotional states toward more stable, flexible responses.
  • Address attachment-based wounds and emotional patterns rooted in earlier relationships, helping clients reshape how they relate to themselves and others.

Through this work, EFT for individuals aims to foster a kinder and more truthful relationship with the self, allowing deeper emotional insight, adaptive growth, and more grounded functioning, even in the face of challenges.

Uses

What conditions does Emotionally Focused Therapy (EFT) treat?

Emotionally Focused Therapy (EFT) can be a powerful tool for a wide range of challenges. It’s particularly effective for:

  • Couples navigating conflict or disconnection
  • Individuals who feel overwhelmed by emotions or cut off from them
  • People working through trauma or attachment wounds
  • Those experiencing depression or anxiety
  • Families seeking to strengthen communication and repair strained relationships
  • General relationship challenges (family, friends, coworkers)
  • Parent-child relationship conflicts
  • Attachment issues and disorders
  • Trauma and post-traumatic-stress disorder (PTSD)
  • Childhood trauma
  • Personal growth and self-esteem
  • Trauma and post-traumatic-stress disorder (PTSD)
  • Family therapy
  • Emotional regulation
  • Chronic illness
  • Grief and loss

Subtypes

What are the subtypes of Emotionally Focused Therapy (EFT)?

While Emotionally Focused Therapy (EFT) isn’t broken down into strict “subtypes,” it has been adapted for various settings and populations. For individual work, these adaptations center on helping people heal internal emotional processes and attachment wounds.

Adaptations include:

  • Emotionally Focused Individual Therapy (EFIT / EFT-I): tailoring EFT’s emotional workflow for solo clients to address emotional regulation, self-attachment, and trauma. (thecouplesclinic.com, overview articles)
  • EFT for Families: applying EFT’s emotional processes to improve family communication, relational understanding, and conflict repair.
  • Group EFT: using EFT-informed exercises in groups to build emotional awareness, peer empathy, and relational repair within a therapeutic group context.
  • EFT for Specific Issues: such as grief, chronic illness, or individual trauma—applying the EFT framework to target these domains.

Each adaptation keeps the core intent of EFT: to help clients access and transform emotional experiences in a way that fosters healing and secure attachment (either with self or with others).

Effectiveness

Origins

Who developed Emotionally Focused Therapy (EFT) and when?

Emotionally Focused Therapy (EFT) was created in the 1980s by Dr. Sue Johnson and Dr. Les Greenberg. Inspired by attachment theory and humanistic psychology, they designed the approach to honor the deep human need for safe, loving connection. Johnson expanded EFT into a groundbreaking method for couples, while Greenberg developed applications for individuals.

Over time, their collaboration diverged:

  • Johnson remained focused on attachment-based relational work (primarily couples and families), integrating systems theory and experiential techniques.
  • Greenberg shifted toward emotion-focused therapy for individuals, emphasizing intrapsychic emotional processing, experiential work, and transforming maladaptive emotional patterns.

Thus, while EFT’s roots lie in couples therapy, the framework has evolved to support individual emotional healing as well, with Greenberg’s work contributing the foundational principles for individual-level emotional change.

Evidence Base

Is Emotionally Focused Therapy (EFT) evidence based?

Yes, Emotionally Focused Therapy (EFT) is evidence-based. In fact, it’s one of the most well-researched forms of therapy. Countless clinical trials have shown its effectiveness, especially for couples.

Research highlights remarkable outcomes: about 70–75% of couples move from distress to recovery, and around 90% report meaningful improvements in their relationship. The evidence is clear that EFT works to strengthen bonds and improve emotional wellbeing.

How it works

Techniques Used

How does Emotionally Focused Therapy (EFT) work?

Emotionally Focused Therapy (EFT) follows a clear and supportive path that helps people uncover their deeper, more vulnerable emotions and use them as a guide to healing. With the therapist’s guidance, clients begin to notice patterns in how they react, understand the needs underneath those reactions, and create new experiences that foster lasting change.

EFT usually unfolds in three stages:

  • Stage 1: De-escalation In couples therapy, this stage focuses on identifying and pausing negative cycles (like the classic pursue/withdraw pattern) so partners can begin to see the cycle as the problem, not each other. In individual therapy, it means noticing self-critical loops or emotional avoidance and learning to approach emotions with gentleness instead of blame.
  • Stage 2: Restructuring This is where deeper healing takes place. Couples learn to share vulnerable feelings and respond to each other with empathy, creating closeness and trust. Individuals explore emotions they may have pushed away, which are often tied to past hurt or trauma, and start to relate to those feelings with compassion.
  • Stage 3: Consolidation Finally, the new patterns are strengthened and integrated. Couples solidify their secure bond and practice maintaining it through life’s challenges. Individuals learn to carry their newfound emotional awareness into daily life, weaving resilience, self-compassion, and connection into their relationships and personal story.

Whether in couples or individual therapy, EFT helps people move from feeling stuck and disconnected to feeling secure, confident, and balanced.

What to expect in a session

What can I expect from a Emotionally Focused Therapy (EFT) session?

An Emotionally Focused Therapy (EFT) session is designed to feel safe, supportive, and collaborative. You can expect:

  • A warm, welcoming space where emotional safety is the priority
  • Gentle exploration of emotional experiences and recurring patterns
  • Guidance in uncovering and expressing deeper feelings
  • Support in shifting away from negative cycles of conflict or self-criticism
  • Practice in sharing emotions and needs in a way that fosters closeness
  • Steps toward building stronger, more secure emotional connections

Treatment length & structure

How long does Emotionally Focused Therapy (EFT) typically take? Is there any set structure?

EFT usually follows a structured process with clear stages.

  • For couples, therapy often ranges from 8–20 sessions, though more complex situations may need additional time.
  • Individual EFT can take several months to a year, depending on personal goals and experiences.

The process moves at a pace that allows for real, lasting change, giving emotions and relationships the space they need to heal and grow.

Getting care

Finding a therapist

How do I find a therapist who uses Emotionally Focused Therapy (EFT)?

Alma’s directory has many therapists who specialize in Emotionally Focused Therapy (EFT), including:

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This article was written and medically validated by Drs. Jill Krahwinkel-Bower and Jamie Bower.

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