Couples therapy can seem like a mystery until you’re sitting on the couch, wondering where to start. Whether you and your partner are facing communication struggles, trust issues, or recurring conflicts, research shows that therapy can be highly effective in helping couples build healthier, more fulfilling relationships. 

But does couples therapy work?  And how exactly does couples therapy work? Two of the most well-researched and successful approaches—The Gottman Method of Relationship Therapy and Emotionally Focused Therapy for Couples Therapy (EFT)—offer structured, evidence-based strategies to improve emotional connection, reduce conflict, and increase relationship satisfaction. 

Does Couples Therapy Work?

Let’s start with the most pressing question– does couples therapy work?  The short answer: Yes, when done with proven methods and commitment from both partners. 

Studies show that structured couples therapy approaches, such as Gottman-based interventions and EFT, have long-term positive outcomes. 

The effectiveness of therapy depends on factors like: 

  • The severity of the issues 
  • Willingness to engage in the process 
  • Therapist experience and training in evidence-based methods 

How does couples therapy work?  

Let’s explore two of the most successful couples therapy models. 

The Gottman Method of Relationship Therapy is based on four decades of research on what makes relationships work. The therapy focuses on strengthening friendship, managing conflict, and creating shared meaning. Research shows that Gottman-based therapy significantly reduces conflict and improves relationship satisfaction.

Some key principles include: 

  • The Sound Relationship House Theory is a model that helps couples build trust and emotional intimacy 
  • Managing Conflict Effectively involves learning to navigate disagreements in healthy, productive ways rather than letting them spiral. 
  • Reducing the “Four Horsemen,”  which are criticism, contempt, defensiveness, and stonewalling.  These four behaviors are the biggest predictors of relationship failure. Therapy helps replace these with healthier communication habits. 
  • Turning Toward Instead of Away is a process of using small moments of emotional connection (e.g., responding to a partner’s bid for attention) to increase relationship longevity. 

Emotionally Focused Therapy (EFT), developed by Dr. Sue Johnson, is rooted in attachment theory.  The goal of EFT is to help couples repair emotional injuries and create a secure, connected bond. 

Three Stages of EFT:

  1. De-escalation – Identifying negative cycles of conflict and understanding the underlying emotions driving disconnection. 
  2. Restructuring Interactions– Helping partners become more open and responsive to each other’s emotional needs. 
  3. Consolidation – Strengthening new patterns of connection and preventing old cycles from returning. 

What to Expect in Couples Therapy 

Regardless of the method used, couples therapy follows a structured process: 

  1. Therapy Intakes: The therapist evaluates your relationship patterns and sets collaborative goals with both partners. It is common for the therapist to meet with both partners together first, and then to meet with each partner individually before resuming joint sessions,
  2. Building Awareness: Couples learn about their conflict patterns and relationship or attachment needs. 
  3. Skill Development: Techniques like active listening, de-escalation strategies, and rebuilding trust are introduced. 
  4. Practice Between Sessions: Couples are encouraged to apply skills in daily life to strengthen their bond outside of therapy. 

The ultimate goals of couples therapy are stronger communication, deeper connection, and getting better at meeting each other’s emotional needs.  If you and your partner are feeling stuck, seeking therapy can be the best investment you make in your future together. You don’t have to wait until things fall apart, you can build a strong relationship now to prevent dissatisfaction later.  Our couples and relationship therapists at Dallas CBT practice couples therapy that works.  They use structured, research-backed couples therapy models and tailor it to your relationship needs.