There are several concerns one needs to be aware when continuing individual therapy or pursing individual therapy during ongoing couple therapy. In some instances it is recommended when there is substance abuse/dependence, also known as process addictions, that are not managed, major depression with suicidal ideation, moderate to severe dissociation, as well as delusions and hallucinations. In these instances, both the individual and couple therapists would need to communicate with one another, with the client’s consent, of course, to ensure all parties are ‘on the same page’ and working towards ‘similar goals’.
There may; however, be serious implications and complications. If the individual therapist and the couple therapist are working towards opposite goals, such as when individual therapist believes it is in the client’s best interest to leave the marriage or the relationship, or has their own inaccurate perception of the relationship, even though they have not worked with the partner, and the couple therapist is working to deepen the relationship, we now have a conflict. This can be extremely confusing for the client and may lead to the client acting out by continuing an affair, medicating with substances or other process addictions as a way to cope, or not being fully engaged with the EFT process. With one therapist going at cross purposes, this may harken back to an earlier time, such as when the client’s parents were not united, or on the same page and the client fell through the cracks. It also makes doing the couple therapy very arduous and unproductive, causing the process to stall, if not fail.
I have known some couples who started with a particular couple therapist, and then that couple therapist became an individual therapist, because one of the partners didn’t feel comfortable and the therapist began to work solely with the remaining partner on the relationship, without the other partner present. This can go on for years, ten years in one case that I am aware of. The now, individual client, may believe that they are working on the relationship without the partner present, which is not really individual therapy, it is relationship therapy, without the partner, and is ineffective. The rare exception to this dynamic working, is when there is an EFT individual therapist who can help the individual client approach the process from an attachment framework. Otherwise, most individual therapists hear one side of the relationship, the one with the partner complaining about their non-present partner, and arrive at negative biased conclusions that drive the marriage apart, causing the relationship to stall or to end in separation or divorce.
Now, lets say that the withdrawing partner has left the therapy and the remaining partner then decides to work with the couple therapist, who has now become an individual therapist. It turns out, there may not be any legal implications here, but there may be some ethical contraindications, because the therapist has allowed a couple to go from the client as a relationship, to the client as an individual, which changes the therapeutic relationship between the client and the therapist. Again, this is where Emotionally Focused Therapy is different. When a couple comes to see me, or a certified EFT Therapist, their relationship is my client. If a partner decides therapy isn’t what they want, the therapy is terminated and referrals are made to individual therapists, if that is what is requested. Why? Because, should the couple decide to return to therapy with the original couples therapist at a later time, the couple is the client once again and no significant alliance that has developed between one of the partners and the therapist causing a rupture in the therapeutic alliance. As a couple therapist, it is not advisable to go from seeing a couple, to seeing one of the partners for an extended period of time.
What else can happen when a couple therapist goes from individual therapy to couple therapy with the same partner? The client, who is supposed to be doing ‘individual work’ is actually doing ‘couples therapy’ without the partner present. When the therapist hears how miserable their client is as they complain and vent about their partner in the individual therapy, the individual therapist becomes biased toward the client rather than the relationship and this can result in the therapist inadvertently persuading the client to leave the partner or block attachment to their partner. The biggest problem here, and there are many, is the therapist is getting a skewed view of the situation from the individual client who used to be seen as a couple and is not working from an attachment frame, which can negatively affect the couple therapy. This dynamic will also occur when one of the partners is seeing an individual therapist while seeing a couple therapist.
Also, and this is the big one, rather than helping the partner attach to their relationship parter through EFT therapy, the partner attaches, or is attached to the individual therapist and the partner and the relationship is left on the sidelines to continue on the path of disconnection. When you inadvertently choose between connecting with your individual therapist or your partner, this is a major warning sign. This is where Emotionally Focused Therapy is more effective, because by creating a safe, compassionate environment for both partners, the couple can work through their differences by understanding their negative cycle and work towards building their bridge of connection.
If an individual therapist is working with one of the partners of a couple who is in ongoing couple therapy, it is so important that all parties not collude with the individual client against the relationship or other partner by creating ‘secrets’ or biases. One way to ensure all parties are on this same page is for the couple to sign a ‘release of information form’ and to sign a ‘no secrets agreement’ in order for the therapists to communicate with the individual therapist to further the relationship and all be on the same page.
If however, access to the individual therapist by the couple therapist for one or both partners is not possible during ongoing couple therapy, then couple therapy may need to be terminated or delayed until all therapists are on the same page and or the individual client has worked to detached from their individual therapist in order to safely attaching to their partner, which is the primary goal of EFT.