
What Kind of Therapy Works Best for Couples?
You love your partner, but somehow, you’re always arguing about the dishes. Or maybe it’s money. Or how much time they spend on their phone. The topic doesn’t even matter anymore – because every conversation seems to turn into a fight.
At some point, many couples hit a wall. They know something needs to change, but how? Maybe you’ve Googled “best couples therapy techniques” and found a confusing list of options: Gottman, Emotionally Focused Therapy (EFT), PACT… Each one claims to be effective, but how do you know which one is right for you?
We’re so glad you asked!
At Grazel Garcia Psychotherapy & Associates (GGPA), we specialize in Emotionally Focused Therapy (EFT) – a research-backed, attachment-based approach that helps couples rebuild trust and connection. But EFT isn’t the only approach out there, and it’s important to find the right fit for your relationship.
So we sat down with Grazel Garcia, founder of GGPA, to ask her what kind of couples therapy works best.
In this article, we’ll cover:
- What makes EFT different from other couples therapy methods;
- How to know which approach is right for your relationship;
- Why your emotions – not just your logical brain – are the key to lasting change; and,
- When individual therapy might be a better starting point.
By the end, you’ll have a clearer idea of what type of therapy fits your needs, and where to start.
Let’s dive in.
- The Many Options for Couples Therapy
- Why Emotionally Focused Therapy Stands Out
- EFT vs. Other Couples Therapy Approaches: Which One is Right for You?
- The Role of Emotions vs. Logic in Relationship Growth
- Choosing the Right Therapy: What to Ask Yourself
- When Individual Therapy Might Be a Better Choice
- Final Thoughts
The Many Options for Couples Therapy
Relationships are complex. No two couples experience conflict in the same way, and different couples struggle for different reasons, which is why there’s no universal solution for repairing connection. But what is universal is the fact that couples therapy – when approached with commitment – works. Research from the American Association for Marriage and Family Therapy (AAMFT) shows that over 90% of couples who seek therapy report an improvement in emotional well-being, and two-thirds say their relationship significantly improves as a result.
That being said therapy is not a one-size-fits-all. Some couples benefit from structured, skill-based interventions, while others need a deeper, emotionally focused process. It’s important to understand the differences between therapy modalities and how they align with what you and your partner need most so that you can get the most out of whatever therapeutic intervention you choose.

At GGPA, we specialize in Emotionally Focused Therapy for couples because of its deep focus on attachment and long-term relationship repair. However, there are other approaches that may be helpful depending on the specific challenges you’re facing.
“If you’re looking for both emotional and logical approaches in therapy, Emotionally Focused Therapy is the best for you. Other modalities focus on skills or cognitive restructuring, but EFT helps you get to the root of what’s happening emotionally.“
If you’re feeling unsure about where to start, don’t worry. We’ll break down the most common couples therapy approaches so you can determine what’s right for you.
Why Emotionally Focused Therapy Stands Out
If you’re looking for a therapy approach that goes beyond surface-level communication tools, EFT might be the best fit. Developed by Dr. Sue Johnson in the 1980s, EFT is a short-term, structured therapy that focuses on attachment theory, helping couples recognize the underlying emotional needs that drive conflict.
Many couples seeking therapy feel stuck in negative interaction cycles – patterns of behavior where one or both partners react in ways that create further disconnection. EFT is designed to identify, de-escalate, and reshape these patterns, so couples can begin to communicate and respond to each other in ways that foster emotional safety and connection.
“If our attachment in ourselves is insecure, then most of the attachments that we’re going to form with others will be insecure. EFT looks at what makes your attachment insecure and focuses on healing those attachment wounds.“
The Three Stages of EFT:
- Identifying the cycle – understanding and identifying behaviors and unspoken emotions that fuel a negative cycle which results in further disconnection.
- Restructuring emotional responses – Helping each partner express their deeper attachment needs and attachment fears in a way that invites closeness rather than conflict.
- Strengthening the bond – Replacing negative patterns with new, secure attachment responses that create lasting connection.

EFT is an intuitive approach – and it’s backed by research. Studies from the International Centre for Excellence in Emotionally Focused Therapy (ICEEFT) show that 70-75% of couples move from distress to recovery through EFT, and over 90% show significant improvements in relationship satisfaction. You can read more in Dr. Sue Johnson’s book Hold Me Tight.
At GGPA, we have seen firsthand how EFT helps couples build relationships that aren’t just functional but deeply fulfilling. If your conflicts tend to feel emotionally charged, repetitive, and frustrating, EFT can help you and your partner break the cycle and create lasting emotional security.
However, EFT isn’t the only approach available. Let’s take a look at how it compares to other common couples therapy modalities.
EFT vs. Other Couples Therapy Approaches: Which One is Right for You?
Gottman Method: A Science-Based, Skills-Driven Approach
When couples seek therapy, they often want clear, actionable strategies to improve communication and resolve conflict. That’s where the Gottman Method stands out. Unlike EFT, which prioritizes deep emotional connection and attachment security, the Gottman Method is highly structured, research-based, and focused on practical interventions that help couples improve their relationship dynamics.
Developed by Drs. John and Julie Gottman, this approach is rooted in decades of research on what makes relationships succeed or fail. In fact, John Gottman is often called “the guy who can predict divorce in 15 minutes” because his research, spanning over 40 years, has identified key behaviors that determine whether a couple will stay together or break apart.
Image courtesy of The Gottman Institute
How Does the Gottman Method Work?
The Gottman Method is built on the idea that successful relationships rely on friendship, positive interactions, and effective conflict management. Using scientific observation and structured exercises, this therapy helps couples:
- Identify negative communication patterns that lead to disconnection.
- Learn conflict resolution strategies to navigate disagreements in a healthier way.
- Build a stronger emotional connection through appreciation and shared meaning.
One of the core components of the Gottman Method is The Sound Relationship House Theory, which provides a framework for building a strong, healthy relationship.

The Sound Relationship House
- Build Love Maps – Understanding each other’s inner world (e.g., hopes, fears, and daily experiences).
- Share Fondness and Admiration – Expressing appreciation and respect.
- Turn Toward Instead of Away – Responding positively to bids for attention, affection, or connection.
- Maintain a Positive Perspective – Giving each other the benefit of the doubt rather than assuming the worst.
- Manage Conflict Effectively – Learning to approach conflict constructively rather than destructively.
- Make Life Dreams Come True – Supporting each other’s goals and aspirations.
- Create Shared Meaning – Developing a sense of purpose and shared values as a couple.
At the foundation of this “house” is trust and commitment – two elements that hold everything together.
Effectiveness of the Gottman Method
Studies show that couples who participate in Gottman therapy experience significant improvements in relationship satisfaction and emotional connection. A meta-analysis of 20 studies found that Gottman-based interventions improved relationship satisfaction and reduced distress in couples experiencing conflict (Journal of Marital and Family Therapy, 2020).
These findings highlight that the Gottman Method is a powerful tool for couples who want structured guidance on how to strengthen their relationship.

What to Expect in a Gottman Therapy Session
Couples engaging in Gottman Method therapy can expect a structured and goal-oriented experience.
1. The Assessment Phase
The process begins with a thorough assessment, including:
- A joint session where the therapist gathers relationship history and concerns.
- Individual sessions to understand each partner’s perspective.
- A questionnaire measuring relationship strengths and challenges.
2. Personalized Treatment Plan
Based on the assessment, the therapist creates a customized roadmap to address specific relationship challenges.
3. Skill-Building Exercises and Interventions
Therapists guide couples through evidence-based exercises designed to:
- Strengthen emotional connection.
- Improve communication and conflict resolution.
- Develop rituals of connection and shared meaning.
Unlike EFT, which is more emotion and attachment driven, Gottman therapy provides concrete tools that couples can use immediately to improve their relationship, without delving into your emotions in great detail. There are pros and cons to this approach, as with any therapeutic intervention.
Who Should Consider the Gottman Method?
The Gottman Method works well for couples who:
- Prefer a structured, head-based approach rather than deep emotional exploration.
- Want clear, actionable strategies to improve communication and reduce conflict.
- Are dealing with common relationship challenges like disagreements over money, parenting, or household responsibilities.
- Need specific exercises and guidance rather than open-ended emotional processing.
However, the Gottman Method may not be the best fit for couples experiencing severe emotional wounds, deep trauma, or attachment-related disconnection – areas where EFT may be more beneficial.
PACT (Psychobiological Approach to Couple Therapy): A Nervous System-based approach
Couples therapy could be about how partners experience safety, security, and connection at a deep, physiological level, not just how they communicate. That’s the core idea behind PACT (The Psychobiological Approach to Couple Therapy), a method that blends attachment theory, neuroscience, and nervous system regulation to help couples build a relationship that feels emotionally and physically secure.
Developed by Dr. Stan Tatkin, PACT focuses on how our brains and bodies react in relationships and how these unconscious responses shape our interactions. Instead of simply discussing emotions or learning communication skills, PACT helps partners understand and regulate their nervous system reactions, so they can respond, rather than react, in moments of stress or conflict.
If you’ve ever found yourself saying, “I don’t know why I reacted that way” after an argument, PACT might help you uncover the answer.
How Does PACT Work?
PACT is based on three core principles:
- Attachment Theory – How early life experiences shape our relationship behaviors.
- Neuroscience – How the brain processes emotional and relational triggers.
- Nervous System Regulation – How our physiological state affects how we connect or disconnect in relationships.
PACT therapists focus on nonverbal cues, body language, and emotional microexpressions, helping couples recognize the unconscious signals they send and receive in moments of stress. The goal is to create secure-functioning relationships, where both partners feel emotionally safe, valued, and deeply connected.
Unlike more structured approaches like the Gottman Method, PACT sessions are less structured and more interactive. The therapist observes real-time interactions between partners, guiding them toward more attuned, secure responses.

The Science Behind PACT’s Effectiveness
PACT is relatively new compared EFT and the Gottman Method, but there is some research to support its effectiveness. A 2017 study in the Journal of Marital and Family Therapy found that PACT interventions significantly improved emotional regulation and conflict resolution in distressed couples.
PACT helps couples move beyond intellectual problem-solving and into deep emotional attunement, making it a valuable approach for those struggling with emotional reactivity, miscommunication, and attachment wounds.
What to Expect in a PACT Therapy Session
PACT therapy is highly interactive and experiential, meaning couples don’t just sit and talk – they actively engage in real-time exercises to observe and shift their relational patterns.
1. Observing Real-Time Reactions
- The therapist watches microexpressions and body language to identify unconscious reactions.
- Partners are guided to notice and regulate their nervous system responses during stressful conversations.
2. Understanding Attachment Styles
- Partners explore how early childhood experiences shape relationship expectations and behaviors.
- The therapist helps them recognize attachment patterns (secure, anxious, avoidant, or disorganized) and how they influence interactions.
3. Rewiring Responses to Conflict
- Instead of escalating arguments, partners learn how to co-regulate – helping each other stay emotionally present and connected.
- PACT sessions often involve role-playing exercises, where couples practice new, healthier interaction patterns in the moment.
PACT sessions are longer than traditional therapy sessions (often 90 – 120 minutes) because they involve deep, focused work on real-time interactions rather than just discussing past conflicts.
Who Should Consider PACT?
PACT is particularly effective for couples who:
- Struggle with emotional regulation – If arguments escalate quickly or one partner shuts down, PACT helps regulate those responses.
- Have trouble staying present in conflict – If fights feel overwhelming and out of control, PACT helps partners slow down and stay connected.
- Want to build deeper emotional attunement – PACT teaches partners how to truly read each other’s emotional and physiological cues.
- Experience attachment-related conflicts – If early childhood experiences impact the relationship dynamic, PACT can help to shift those patterns.
PACT isn’t the best fit for couples who:
- Prefer structured, step-by-step interventions like those in the Gottman Method.
- Want to address deep-seated emotional issues and traumas like in EFT.
The Role of Emotions vs. Logic in Relationship Growth
Many couples assume that better communication is the key to fixing their relationship. And while communication matters, what truly transforms relationships isn’t just how you talk – it’s how you connect emotionally.
It’s easy to intellectualize relationship struggles – Googling solutions, watching TED Talks, or reading self-help books. These approaches can offer couples some help, but they don’t get to the heart of the problem. You can learn every conflict resolution strategy out there, but if your partner doesn’t feel emotionally safe with you, no amount of perfectly worded “I-statements” will fix that.
“We use emotions as a ground for connection versus logic, because nowadays, everyone can Google behavioral skills. But true change happens when we go deeper than that.“
That’s because relationship struggles aren’t always logical – they’re emotional. You might know, intellectually, that your partner loves you, yet still feel distant or disconnected. Or you might logically understand that they don’t mean to ignore you, but emotionally, it still stings. Trying to think your way out of an emotional problem is like trying to fix a broken heart with a spreadsheet – it just doesn’t work.
This is where EFT can be so beneficial. At GGPA, we use EFT to help couples move beyond logic and into emotional attunement – so they can truly feel seen, heard, and connected. Instead of just teaching conflict resolution techniques or how to read your partner’s physiological cues, EFT works at a deeper level, helping couples recognize and change the emotional patterns driving their conflicts.
The difference is remarkable: Instead of just avoiding fights, EFT helps couples repair after conflict and build emotional safety so those fights become less intense and less frequent. It’s about healing the root cause, not just managing the symptoms.
If your relationship feels distant despite your best efforts, it’s not because you’re doing something wrong – it’s because logic alone can’t fix what’s missing. EFT might be the missing piece.
Choosing the Right Therapy: What to Ask Yourself
If you’re unsure which therapy approach is best, ask yourself:
- Are we struggling with emotional disconnection and recurring patterns? → EFT is likely the best fit.
- Do we need practical tools for communication and conflict management? → Gottman might work well.
- Do I feel overwhelmed or out of control by my own emotions and reactions? → PACT may help you and your partner regulate your emotional responses.
When Individual Therapy Might Be a Better Choice
Couples therapy can be incredibly effective, but sometimes, the best first step isn’t working on the relationship – it’s working on yourself. When deep personal struggles, trauma, or emotional barriers make it difficult to engage in couples work, individual therapy can lay the groundwork for meaningful progress. Individual therapy can often be a powerful tool for strengthening a relationship by helping one or both partners develop emotional awareness, self-regulation, and personal insight.
“If you’re the type of person that has not trusted emotions to guide you to security, emotionally focused therapy is going to be a hard one to learn. Individual therapy can help prepare you for that process.“
You may want to start with individual therapy if:

You have unresolved trauma that impacts how you show up in the relationship. Past wounds – whether from childhood, past relationships, or other experiences – can shape how you respond to conflict, trust, and emotional intimacy. Individual therapy can help you process these experiences so they don’t continue to affect your current relationship.
You feel unsure about whether you want to stay in the relationship. If you’re questioning whether the relationship is right for you, jumping into couples therapy might feel premature. Individual therapy can help clarify your feelings so you can enter couples therapy with a clearer sense of direction.

One partner is emotionally unavailable. If one person struggles to engage emotionally – whether due to avoidant attachment, past trauma, or personal stress – couples therapy might not be effective right away. Individual therapy can help build emotional capacity before engaging in joint work.
Your relationship patterns seem to repeat across different relationships. If you notice similar struggles in past relationships, individual therapy can help uncover recurring patterns and develop healthier ways of relating to others.

If any of this resonates, Grazel Garcia Psychotherapy & Associates offers individual therapy options to help you work through these challenges before starting couples therapy. When you do eventually begin couples work, you’ll be in a much stronger place to create lasting change together.
Final Thoughts
If you’re struggling in your relationship, it’s hard to know where to turn. Taking the step to begin couples therapy can feel intimidating, but there is hope for those who are willing to commit to their partnership. Here are the top 7 takeaways from this article:
- Emotionally Focused Therapy (EFT) Helps Couples Break Negative Cycles
EFT is an attachment-based therapy designed to help couples understand and de-escalate negative interaction patterns. It focuses on emotional connection and attachment security rather than basic communication techniques, making it particularly effective for couples experiencing emotional disconnection. - Different Therapy Approaches Suit Different Couples
No single therapy approach works for every couple. While EFT focuses on attachment and emotions, the Gottman Method provides structured, skill-based strategies, and PACT emphasizes nervous system regulation and emotional attunement. Choosing the right therapy depends on what the couple struggles with most. - Emotions Play a More Significant Role in Relationship Growth Than Logic
Many couples try to “think” their way out of conflict, but true relationship transformation comes from emotional attunement rather than intellectual problem-solving. As Grazel puts it, “We use emotions as a ground for connection versus logic, because nowadays, everyone can Google behavioral skills. But true change happens when we go deeper than that.” - The Gottman Method Provides Concrete, Science-Based Tools for Relationship Success
The Gottman Method is highly structured and backed by decades of research. It helps couples build emotional connection through practical exercises like Love Maps and conflict management strategies. Studies show that Gottman-based interventions significantly improve relationship satisfaction. - PACT (Psychobiological Approach to Couple Therapy) Focuses on Nervous System Regulation
PACT helps couples understand their emotional triggers and nonverbal communication by focusing on attachment styles and nervous system regulation. It’s particularly helpful for couples who experience emotional reactivity, unresolved trauma, or difficulty staying present in conflict. - Not Every Couple is Ready for Couples Therapy – Individual Therapy Might Be the First Step
If past trauma, emotional unavailability, or uncertainty about the relationship is present, starting with individual therapy might be a better approach before beginning couples therapy. This allows each partner to work through personal challenges that could hinder relationship progress. - Therapy is Most Effective When Tailored to a Couple’s Unique Needs
Whether a couple chooses EFT, Gottman, PACT, or another approach, therapy is most successful when it aligns with their specific struggles and relationship goals. At Grazel Garcia Psychotherapy & Associates, couples can explore which therapy type best fits their needs with compassionate, gentle and careful guidance.
Ready to start couples therapy? Contact GGPA today and begin your journey to a more fulfilling partnership.
Grazel Garcia Psychotherapy & Associates is one of the leading individual and couples therapy practices in the wider Los Angeles area. Specializing in treating root causes through the lens of EFT, GGPA clients can expect a warm, culturally-attuned approach to therapy. Call 323-487-9003 and schedule your free consultation today!





