The Leading Edge in Emotionally Focused Therapy

140. Stage 2 Series: Stage 2 Rehab-What to Do When Deep Work Falls Apart


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Welcome to the Leading Edge in Emotionally Focused Therapy, hosted by Drs. James Hawkins, Ph.D., LPC, and Ryan Rana, Ph.D., LMFT, LPC—Renowned ICEEFT Therapists, Supervisors, and Trainers. We're thrilled to have you with us. We believe this podcast, a valuable resource, will empower you to push the boundaries in your work, helping individuals and couples connect more deeply with themselves and each other.

Welcome back to The Leading Edge in Emotionally Focused Therapy. In this episode, Dr. James Hawkins and Dr. Ryan Rana discuss the concept of “Stage 2 Rehab” — the process of helping couples recover when deep emotional work becomes blocked, disorganized, or overwhelming.

Rather than seeing difficult sessions as failures, James and Ryan explore how moments of fear, confusion, and protective relapse often become opportunities for deeper attachment repair when therapists know how to slow down, reorganize the process, and help clients regain safety.

Why Stage 2 Work Can Collapse
  • Clients may not yet feel safe enough for depth
  • Fear often interrupts vulnerability
  • The caregiving system can become disoriented or blocked
  • Therapists sometimes move too fast for the nervous system
  • Stage 2 Rehab Strategies
    • Return to the last successful emotional step
    • Normalize fear and hesitation
    • Slow the process down
    • Regulate therapist energy and pacing
    • Help clients climb “back up the ladder.”
    • Reorganize emotional safety before pushing for more vulnerability
    • Highlighting Longing Beneath Pain

      Drawing from Gail Palmer’s work, James and Ryan discuss how helping clients contact longing—not just pain—can soften blocks and reopen emotional engagement.

      Resetting the Caregiving System

      The hosts explore how caregivers can become overwhelmed, defensive, solution-focused, or emotionally disorganized during deep moments — and how therapists can help restore accessibility and responsiveness.

      Therapist Takeaways
      • Don’t panic when the process breaks down
      • Fear is often the doorway, not the obstacle
      • Stay exploratory rather than perfectionistic
      • Repairing the process is often the work itself
      • We aim to equip therapists with practical tools and encouragement for addressing relational distress. We're also excited to be part of the team behind Success in Vulnerability (SV)—your premier online education platform. SV offers innovative instruction to enhance your therapeutic effectiveness through exclusive modules and in-depth clinical examples.

         

         Stay connected with us:

        • Facebook: Follow our page @pushtheleadingedge
        • Ryan: Follow @ryanranaprofessionaltraining on Facebook and visit his website
        • James: Follow @dochawklpc on Facebook and Instagram, or visit his website at dochawklpc.com
        • George Faller: Visit georgefaller.com
        • If you like the concepts discussed on this podcast you can explore our online training program, Success in Vulnerability (SV).

          Thank you for being part of our community. Let's push the leading edge together!

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