August 25, 2025

Helping Couples Overcome Complex PTSD Together and Create an Earned Secure Attachment using Developmental Couple Therapy For Complex Trauma

57 minutes

In this episode, Heather discusses her background and how she came to working with couples in therapy. She discussed how usually, when a partner in a couple has significant PTSD, it is recommended that each do individual therapy, but as she discussed, that doesn’t mean the couple doesn’t continue to struggle in their relationship. She shared how in her research with couples, where one person was a child sexual abuse survivor, the Emotionally Focused Couples Therapy approach was helpful, but it was difficult to complete Deescalation Stage, since there was a great deal of emotional dysregulation and difficulty with mentalizing. Heather discussed her conceptualization of Complex PTSD and how she began starting with cognitive-based interventions to help clients understand trauma, their reactions to trauma, and learn skills for emotional regulation and mentalizing, which is being able to reflect on one’s own perceptions of the other, what the other may be experiencing/thinking, and how one might be being perceived. She explained how helping improve these skills helps to couple to address the effects of the trauma together and then allowing for the couple to do the relationship work. She talked about refining her Developmental Couples Therapy for Complex Trauma approaches, trained other clinicians, writing a treatment manual and conducting research. Heather also shared that she had recently published a workbook for clients, “Healing Broken Bonds: A Couple's Workbook for Complex Trauma” which goes through Developmental Couples Therapy for Complex Trauma step-by-step from a client’s perspective. She describes how it’s being used not only alongside treatment, but independently by couples and individuals. It can be paired with episodes of her podcast Healing Broken Bonds that help walk people through the concepts.

Heather MacIntosh, Ph.D., CPsych is a clinical psychologist, Associate Professor, and Director of the Couple and Family Therapy Clinic at McGill University where she is the recipient of the H. Noel Fieldhouse Award for Distinguished Teaching. Heather is author of Developmental Couple Therapy for Complex Trauma a Manual for Therapists and Healing Broken Bonds: A Couple's Workbook for Complex Trauma. She is also the developer and host of Healing Broken Bonds, a podcast featuring couples dealing with the impacts of complex trauma in their relationships. Developmental Couple Therapy for Complex Trauma is an evidence based, psychoanalytically informed treatment approach, developed by Heather, for working with couples dealing with the impacts of complex trauma. Heather is the author of over 60 peer reviewed journal articles, book chapters, and treatment manuals. She is in demand as a speaker at international conferences and workshops as well as a resource for local and national media in the areas of trauma, couple and family relationships and issues, and queer and trans wellbeing. She leads an active funded research program having been principal researcher on over $500,000 in peer reviewed research grants and an active co-investigator on over $7,000,000 more with other internationally recognized colleagues. Heather’s research primarily examines the impact of early life trauma on the process and outcome of couple therapy. In addition, she studies the experiences of 2SLGBTQIA+ trauma survivors in therapy, in healing their sexual selves, adapting and integrating models of treatment to ensure accessibility and inclusion of Indigenous, racialized, queer, and trans, graduate student therapist trainees and clients. Heather lives and works on land of the Crawford Purchase Mohawk territory “purchased” for settlement by United Empire Loyalists at the end of the American Revolutionary War. MerryMac Farm is in Eastern Ontario, Canada, where she strives to live with the land in peace, and to bring healing through therapy offered in relation with her Icelandic horses, her retired RCMP Musical Ride Horse, three Ojibwe Spirit Ponies, and a cadre of other creatures who bring joy, hilarity, and love to life.

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