CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

EFT ASSESSMENT AND SESSION NOTES Date: _________________________

Names of clients ____________________________________________________________________________

Partner A Partner B

Names of important players (e.g. children) _______________________________________________________

__________________________________________________________________________________________

Duration of relationship ________________ Marital Status ______________ Referral Source _____________

Reasons for seeking therapy at this time:

Partner A Partner B

Stated goals for each partner:

Partner A Partner B

Level of commitment – Partner A Level of confidence – Partner A Level of distress – Partner A

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
Low High Low High Extremely Extremely
Unhappy Happy

Level of commitment – Partner B Level of confidence – Partner B Level of distress – Partner B

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
Low High Low High Extremely Extremely
Unhappy Happy

Quality of sexual connection/physical affection:

____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________

How do they repair, and how long before they repair:

____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 1
CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Partner A Partner B

As children, whom would they go to for comfort and what was the response (use specific examples):

Has there ever been anyone in their lives they could reach for to find comfort:

How their parents handled conflict:

Previous relationship history:

Loss or trauma:

Other pertinent info:

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 2
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Apparent negative cycle:

Attack – Defend _______
Pursue-Distance _______
Demand-Defend/Appease _______
Withdraw-Withdraw _______
Complex Traumatic _______

Positive cycles/strengths (describe):

__________________________________________________________________________________________
____________________________________________________________________________________________
________________________________________________________________________________________

Therapist sense of alliance with client (yes/no) Partner A Partner B

Very easy to engage client __________________ __________________
Moderately easy to engage client __________________ __________________
Difficult to engage client __________________ __________________
Very hard to engage client __________________ __________________

Accompanying problems
Depression __________________ __________________
Anxiety/PTSD __________________ __________________
Alcohol/drug use __________________ __________________
Other psychiatric conditions __________________ __________________
Physical problems __________________ __________________

How did they meet/what was the attraction:

____________________________________________________________________________________________
____________________________________________________________________________________________
______________________________________________________________________________________
Pivotal incidents:
____________________________________________________________________________________________
________________________________________________________________________________________

Contraindications for EFT:

__________________________________________________________________________________________
Other observations:
____________________________________________________________________________________________
________________________________________________________________________________________

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 3
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC
Date: Partner A: Partner B:
1. Action Tendencies – Behavioral Reactivity
Responses to Connection and
Disconnection in Relationship: What do
you do with those feelings of loneliness or
when you get angry? Help me understand
what it looks like for you when you are
upset with or hurt by your partner? How do
you pursue for emotional closeness? What
does that look like?

2. Perceptions/Thoughts of Self/Other: While

you are upset and/or hurting what is it you
are telling yourself about this relationship
and your partner/yourself?

3. Secondary Emotions that lead to Primary

Emotions: When you are walking away and
feeling like you want to give up on him/her
what is it that you are feeling? When you
are frustrated/annoyed/irritated with your
partner, is it possible that you might be
feeling a bit lonely-sad-scared as well
underneath it all?

4. Primary Emotions fueled by attachment

longings – List primary emotions for each
partner here: What is happening for you
behind that anger and frustration?

5. Attachment Needs/Longings not being met

in present relationships:

6. Describe the cycle as you would describe it

to the couple in session:

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 4
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 5
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 6
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 7
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 8
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 9
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 10
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 11
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 12
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 13
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 14
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 15
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 16
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 17
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 18
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 19
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 20
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 21
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 22
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 23
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 24
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 25
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 26
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 27
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 28
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 29
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 30
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 31
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 32
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 33
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 34
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 35
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:
Partner A: Partner B:
Action Tendencies – Action Tendencies –

Perceptions/Thoughts of Self/Other - Perceptions/Thoughts of Self/Other -

Secondary Emotions that lead to Primary Emotions - Secondary Emotions that lead to Primary Emotions -

Primary Emotions fueled by attachment longings – Primary Emotions fueled by attachment longings –

Attachment Needs/Longings not being met in present relationships - Attachment Needs/Longings not being met in present relationships -

Client images/words/phrases - Client images/words/phrases -

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 36
 CHILD AND FAMILY COUNSELING CENTER, PLLC KAREN NADON, MA, LPC

Step 1: Create an alliance and delineate conflict issues in core struggles. Step 6: Promote acceptance of the partner’s experience and create new
Step 2: Identify the negative interaction cycle. Interaction patterns.
Step 3: Access the unacknowledged emotions underlying interactional Step 7: Facilitate the expression of needs and wants; create emotional
positions. engagement.
Step 4: Reframe the problem in terms of underlying emotions and attachment Step 8: Facilitate the emergence of new solutions to old relationship patterns.
needs. Step 9: Consolidation of the new patterns.
Step 5: Promote identification with disowned needs and aspects of self,
integrating these into relationship interactions.
Date: Session #
Goals for this Session:

Partner A: Partner B:

710 Cooper Ave. Suite 120  Glenwood Springs, CO 81601Telephone: 970.945.9841. ext 5  Fax: 970.945.2828 37