Emotion Focused Individual Therapy (EFiT) emphasises the importance of processing and expressing emotions to achieve resolution.

Is suitable for:

  • Depression

  • Anxiety

  • Trauma

    (Use CBT as first-line treatment instead)

EFit:

Strengths of EFit:

  • Emotional regulation issues

  • Relationship stress

Is not suitable for:

  • Creates a safe environment where clients can explore and express emotions for you, leading to increased self-awareness, acceptance, and personal growth

  • Considers core, emotions such as anger, as pivotal frameworks that guide our perceptions and interactions in the world

  • Sees emotions as the primary motivational system

  • Argues that emotional change is central to lasting change

Goals of EFit:

  • Clients are helped to better identify, experience, express, accept, regulate, explore, make narrative sense of, transform, use, reflect on, and inflexibly manage their emotions.

  • To be able to tolerate previously avoided emotions

  • To access important information that emotions contain about their needs, goals and concerns

  • To be able to discriminate between healthy and maladaptive emotions

Stages of EFit:

  1. Engagement and assessment

    • Building a therapeutic alliance

    • Understanding the client’s emotional landscape

  2. Emotional awareness and expression

    • Encouraging clients to identify emotions and explore underlying feelings

    • Processing difficult emotions is aided by calming exercises, grounding techniques, and validation of the client’s emotional experience

  3. Regulation and transformation

    • Assisting in regulating intense emotions

    • Guiding the transformation of maladaptive emotional patterns

  4. Consolidation and integration

    • Integrating new emotional insight into daily life

  • Can lead to a deeper understanding and resolution of underlying issues

  • Can be adapted to various mental health issues, including interpersonal problems

  • Allows the tailored approach that aligns with individual needs and goals

  • Acknowledges the interplay between thoughts, emotions, behaviours, and physiological responses

  • Can lead to lasting change and improvement in well-being

Limitations of EFit:

  • Requires extensive training and expertise

  • Time consuming

  • Some clients may initially resist exploring emotions

  • The evidence base for EFiT is still developing

  • Relies heavily on the therapist’s ability to create a safe environment

In CBT change happens by working through automatic thoughts

In EFiT change happens by accessing processing and transforming emotions

EFiT is more experienced based on CBT