‘Getting the Love You Want’ – Book Review

05Jun

By Ruth Greenhalgh, Associate Couple Counsellor, Paisley Counselling

Harville Hendrix first published ‘Getting the Love You Want’ in 1988 following the failure of a previous relationship. He applied his own research and therapeutic principles within his second marriage and continues to stand by the theories presented in the book. Hendrix proposes a hopeful approach to marriage: rather than remaining trapped in ongoing problems and emotional difficulties, or ending the relationship and facing the painful consequences of dividing a shared life filled with children, property, and emotional wounds, he suggests that couples can work towards healing and growth together.

Harville Hendrix aims to help couples find a passionate friendship that can endure for life. The book is grounded in an understanding of childhood influences and the impact these experiences have on present-day relationships.

In the first section of the book, Hendrix outlines the concept of the “unconscious marriage” that many couples enter into at the beginning of a relationship. During this stage, there is an expectation that the wonderful feelings of early romance can be maintained indefinitely. Couples initially treat one another with kindness, patience, and admiration, all of which are typical during the exciting early phase of a relationship. Hendrix argues that this stage is largely unconscious and requires little effort or understanding from either partner.

The mystery of attraction is also explored. People often have different ideas about what brings two individuals together, and Hendrix discusses both biological and psychological explanations. He argues that each person is searching for very specific qualities in a partner, often on a deeply subconscious level connected to experiences with primary caregivers in childhood.

The author further proposes that people frequently enter marriage believing that their partner will provide what was missing in childhood or continue giving what was experienced positively from early caregivers. Childhood wounds, along with internalised ideas of what a “good” relationship should look like, can negatively influence how relationships develop. Individuals may also hold rigid expectations about the roles and characteristics their partner should embody.

However, Hendrix also recognises the healing power of relationships. He describes romantic love as a “soothing balm” and explains how relationships can provide emotional healing, particularly during the early phase when partners are less judgmental towards one another.

An important concluding idea in the first section is the power struggle that follows romantic love. Hendrix suggests that romantic love is often based on idealised perceptions of one another. For a period of time, partners behave as though they are the answer to each other’s unmet needs, and there is a genuine belief that this is possible.

In the second part of the book, Hendrix explains why this immature form of love cannot ultimately resolve deeper emotional issues. Instead, the power struggle that follows becomes a catalyst for significant change, either constructive or destructive. Conflict arises because partners stir up one another’s repressed feelings and behaviours, reopen childhood wounds, and project negative traits onto each other.

Despite this, Hendrix remains hopeful. He believes couples can move from a narcissistic form of love—focused primarily on personal needs and unresolved childhood pain—to a mature love in which both individuals develop a deeper understanding of themselves and each other. This transformation occurs through learning to ask better questions and engaging constructively during periods of conflict. Hendrix refers to this process as creating a “conscious marriage.”

According to the author, there is an unconscious drive within us towards healing, which involves integrating the instinctive parts of the brain with the cognitive and conscious mind. This integration helps couples overcome the power struggle and move forward together. To facilitate this process, Hendrix recommends “closing the exits,” creating a safe relational space, increasing self-awareness and understanding of one’s partner, and ensuring that anger can be expressed safely, often within a therapeutic setting.

Hendrix also introduces the “no-exit” strategy, which encourages couples to remain committed to working through difficulties together. Often, one partner may feel more motivated than the other to engage in the therapeutic process. Hendrix compares this dynamic to a dance between magnets, where space is gradually created for negotiation and relational movement. As a result, more emotional energy can be focused on repairing and strengthening the relationship.

One particularly powerful aspect of the second section is the emphasis on learning to truly hear and understand another person’s perspective. Hendrix illustrates this through a story about a couple in therapy. The husband firmly believed that his understanding of situations was always correct until he was asked to listen carefully to a familiar piece of music. Although he thought he knew the music completely, his partner noticed entirely different elements within it. Through repeated listening guided by the therapist, both partners began to recognise that reality can be experienced and interpreted from different perspectives.

The final section of *Getting the Love You Want* presents ten steps towards building a conscious marriage across sixteen practical exercises. These include creating a relationship vision, exploring childhood wounds, partner profiling, re-romanticising the relationship, self-integration, and container transactions. Together, these exercises aim to rebuild the relationship in a healthier and more positive way. Hendrix emphasises that every individual has unique needs shaped by life experiences, especially those formed during childhood. Understanding these needs is an essential first step, followed by learning how to meet one another’s needs more effectively.

In summary, Hendrix argues that couples must recognise how childhood experiences shape relationship patterns. He encourages partners to remain open to learning more about each other and to practice Imago dialogue techniques that involve structured listening, validation, and empathy. Creating a safe space for open discussion—often with the support of a counsellor—can help heal past wounds, strengthen emotional bonds, encourage vulnerability, and provide constructive methods for conflict resolution. Through nurturing the relationship and committing to growth together, intimacy and trust can deepen, offering hope for the future. Quality time and intentional effort can also help keep romance alive.

Bibliography

Hendrix, Harville (2005). *Getting the Love You Want*. Simon & Schuster UK Ltd.

Anxiety and Worry: How CBT Helps You Regain Control

26Feb

By Shaun Hotchkiss, CBT Psychotherapist

Anxiety is a normal and adaptive human response. It evolved to help us detect and respond to threat. When functioning well, it sharpens attention, increases alertness and motivates preparation.

However, for many people anxiety becomes persistent, excessive, and difficult to control. Rather than responding to immediate danger, the mind begins anticipating potential future threats. This process is commonly experienced as worry.

While worry can sometimes feel protective or productive, chronic worry often maintains anxiety rather than resolving it. Cognitive Behavioural Therapy (CBT) offers a structured, evidence-based approach to understanding this cycle and learning how to respond differently.

What Is Worry?

Worry is typically defined as a chain of repetitive, negatively focused thoughts about uncertain future events (Borkovec, Robinson, Pruzinsky, & DePree, 1983). It often takes the form of “what if…” thinking:

  • What if I make a mistake?
  • What if something goes wrong?
  • What if I can’t cope?
  • What if this means something serious?

Research suggests that worry is primarily verbal in nature (rather than image-based) and functions as a cognitive attempt to problem-solve potential threats (Borkovec & Inz, 1990). However, unlike effective problem-solving, worry tends to be circular, abstract and difficult to resolve.

In Generalised Anxiety Disorder (GAD), excessive and uncontrollable worry is the central feature (American Psychiatric Association, 2013). But problematic worry also plays a role in health anxiety, social anxiety, panic disorder and obsessive-compulsive difficulties.

A CBT Understanding of Worry

From a CBT perspective, worry is not random. It is maintained by identifiable cognitive and behavioural processes.

The cognitive model of Generalised Anxiety Disorder (Dugas et al., 1998; Wells, 1997) highlights several key maintaining factors:

  • Intolerance of uncertainty – difficulty accepting that outcomes cannot be fully predicted.
  • Positive beliefs about worry – e.g. “Worrying helps me prepare”.
  • Negative beliefs about worry – e.g. “My worrying is uncontrollable”.
  • Cognitive avoidance – using worry to avoid more distressing mental imagery.

Worry often provides short-term relief. When a person engages in worry, they may temporarily feel more prepared or more in control. This short-term reduction in distress reinforces the behaviour, increasing the likelihood that worry will be used again in the future.

This creates a maintenance cycle:

  1. Trigger (internal or external).
  2. “What if…” thought.
  3. Anxiety increases.
  4. Worry escalates.
  5. Temporary sense of control.
  6. Anxiety returns.

CBT aims to interrupt this cycle by modifying both the thinking patterns and behavioural responses that maintain worry.

How CBT Helps with Anxiety and Worry

CBT does not aim to eliminate anxiety altogether. Anxiety is a normal emotional response and plays an important protective role. Instead, CBT focuses on helping individuals develop a different relationship with their thoughts and uncertainty.

Interventions may include:

  • Psychoeducation about anxiety and threat systems.
  • Identifying worry triggers and patterns.
  • Differentiating between productive and unproductive worry.
  • Behavioural experiments to test feared predictions.
  • Reducing reassurance-seeking and avoidance.
  • Developing tolerance of uncertainty.
  • Scheduled “worry time”.

One particularly effective and accessible strategy is the use of a worry diary, often combined with scheduled worry time.

The Worry Diary: Postponing Rather Than Suppressing

Attempting to suppress worry is generally ineffective. Research on thought suppression demonstrates that trying not to think about something can paradoxically increase its frequency (Wegner, 1994).

CBT therefore adopts a different strategy: postponement rather than suppression.

The principle is simple:

You may not be able to control which thoughts arise —
but you can influence when and how you engage with them.

A worry diary helps operationalise this.

How a Worry Diary Works

1. Notice the Worry

When a worry thought appears, it is briefly recorded.

For example:
“What if I embarrass myself in tomorrow’s meeting?”

This step builds awareness without engaging in prolonged rumination.

2. Postpone to Scheduled Worry Time

The individual designates a specific daily period (often 20–30 minutes, not close to bedtime) as “worry time.”

When the thought arises outside this period, they tell themselves:

“I will think about this properly during my worry time.”

This is not avoidance — it is structured postponement.

3. Redirect Attention

The individual gently redirects attention to the present activity. This may need to be repeated multiple times.

Over time, the brain begins to learn that worry does not require immediate action.

Why Worry Postponement Is Effective

There are several mechanisms involved:

Reduced Urgency

The brain learns that worry is not an emergency requiring immediate cognitive engagement.

Breaking Reinforcement

Immediate engagement with worry is reinforcing. Delaying it weakens this cycle.

Increased Tolerance of Uncertainty

Postponement strengthens the ability to sit with unanswered questions.

Cognitive Restructuring

Individuals experience that thoughts can be observed and scheduled, rather than cause automatic behaviours.

Research suggests that structured worry postponement can significantly reduce worry frequency and intensity (Borkovec et al., 1983; Dugas & Robichaud, 2007).

Interestingly, many people report that by the time scheduled worry time arrives, the earlier concerns feel less urgent or less believable.

Taking Back Control from Automatic Thoughts

A common experience in anxiety is the sense that thoughts are intrusive and uncontrollable. This can lead to secondary anxiety — worrying about worrying.

CBT reframes this:

While we cannot fully control the automatic emergence of thoughts, we can influence our response to them.

This shift — from reaction to response — is central to regaining a sense of agency.

Over time, individuals often notice:

  • Fewer spontaneous worry episodes
  • Reduced intensity of anxiety
  • Greater psychological flexibility
  • Increased confidence in coping

The goal is not to eliminate uncertainty or silence the mind. It is to respond in ways that reduce the long-term maintenance of anxiety.

Conclusion

Anxiety often persuades us that constant mental rehearsal will prevent bad outcomes. In reality, excessive worry rarely produces certainty. Instead, it sustains physiological arousal and cognitive distress.

CBT offers structured, evidence-based strategies to:

  • Understand the function of worry
  • Break maintenance cycles
  • Strengthen tolerance of uncertainty
  • Develop intentional responses to intrusive thoughts

A worry diary may appear simple, but its power lies in restoring choice.

Not every thought requires immediate attention.
And learning that distinction can be transformative.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).

Borkovec, T. D., Robinson, E., Pruzinsky, T., & DePree, J. A. (1983). Preliminary exploration of worry: Some characteristics and processes. Behaviour Research and Therapy, 21(1), 9–16.

Borkovec, T. D., & Inz, J. (1990). The nature of worry in generalized anxiety disorder. Behaviour Research and Therapy, 28(2), 153–158.

Dugas, M. J., Gagnon, F., Ladouceur, R., & Freeston, M. H. (1998). Generalized anxiety disorder: A preliminary test of a conceptual model. Behaviour Research and Therapy, 36(2), 215–226.

Dugas, M. J., & Robichaud, M. (2007). Cognitive-behavioral treatment for generalized anxiety disorder: From science to practice. Routledge.

Wegner, D. M. (1994). Ironic processes of mental control. Psychological Review, 101(1), 34–52.

Wells, A. (1997). Cognitive therapy of anxiety disorders: A practice manual and conceptual guide. Wiley.

EXPOSURE IN CBT

31Jan

Why it can feel overwhelming —

and why you don’t have to face it alone

By Shaun Hotchkiss, CBT Psychotherapist

When people hear the word exposure in Cognitive Behavioural Therapy (CBT), it often brings up images of being pushed into frightening situations before they feel ready. For many, this alone is enough to create anxiety about therapy itself.

If that reaction sounds familiar, it’s important to know that this response is understandable, common, and expected. Exposure works directly with fear — and fear is something the human nervous system is designed to protect us from.

This blog aims to explain what exposure really is, why it can feel daunting, and why support matters — without asking you to do anything on your own.

Why exposure can feel so scary

Exposure involves gradually approaching situations, sensations, thoughts, or memories that have come to feel threatening. These are often things people have learned to avoid because avoidance brings short-term relief from distress.

UK CBT literature consistently explains anxiety as being maintained through this cycle of fear → avoidance → temporary relief → increased fear (NHS Talking Therapies, 2018; Warwick University, n.d.). From this perspective, avoidance is not a weakness — it is a survival strategy that once made sense.

When exposure is suggested, it can feel as though that sense of safety is being taken away. People commonly worry that:

  • anxiety will become overwhelming

  • distress will spiral out of control

  • they will be unable to cope

  • exposure means “forcing” themselves to suffer

NHS and IAPT materials highlight that these fears are a natural response to anticipating threat, not a sign that someone is unsuitable for CBT (TalkPlus, 2023).

What exposure in CBT is not

One reason exposure can feel frightening is that it is often misunderstood.

Exposure is not about being forced into feared situations.

It is not about “just pushing through”.

It is not about eliminating anxiety altogether.

Instead, UK CBT guidance describes exposure as a collaborative, planned, and supported process, usually carried out with a trained therapist (NICE, 2013; NHS Talking Therapies, 2018). The focus is on helping people feel safer engaging with life again, rather than on enduring distress for its own sake.

Letting go of the idea that anxiety must disappear

Many people begin therapy hoping to get rid of anxiety, panic, intrusive thoughts, or uncomfortable bodily sensations entirely. While understandable, this expectation can unintentionally make exposure feel like a test that can be failed.

NHS CBT resources emphasise that the goal of exposure is usually not the complete removal of feelings, but rather learning that these experiences are tolerable, temporary, and less dangerous than they feel (Plymouth Hospitals NHS Trust, 2020).

Over time, many people notice that when they stop avoiding feared situations, their confidence increases and their anxiety naturally reduces — but this happens because their relationship with fear changes, not because fear is eliminated altogether.

Why support makes such a difference

Exposure is most effective when it is carefully planned and paced, taking into account someone’s history, current stress levels, and personal values (NICE, 2013). UK guidance consistently highlights the importance of delivering exposure within a structured therapeutic framework rather than as a self-directed challenge (NHS Talking Therapies, 2018).

Working with a therapist allows people to:

  • make sense of their fear responses

  • agree on goals that feel meaningful and realistic

  • move at a pace that feels manageable

  • reflect on experiences safely and compassionately

This support can be especially important for people whose difficulties are linked to trauma, panic, OCD, social anxiety, or long-standing patterns of avoidance.

A hopeful but realistic message

Exposure is not about becoming fearless. It is about becoming less restricted by fear.

Many people who engage in CBT discover that while uncomfortable feelings may still arise, those feelings no longer dictate their choices. Life begins to expand again — not because fear disappears, but because confidence and trust in oneself grow.

If exposure feels daunting, that does not mean you are “not ready” or “not suitable” for CBT. It often means you are human — and that support could make the difference.

You do not have to face these steps alone.

References

NHS Talking Therapies (2018) The NHS Talking Therapies for Anxiety and Depression Manual. NHS England. Available at: https://www.england.nhs.uk/wp-content/uploads/2018/06/nhs-talking-therapies-manual-v7.1-updated.pdf (Accessed: [24.01.2026]).

NICE (2013) Social anxiety disorder: recognition, assessment and treatment (CG159). National Institute for Health and Care Excellence. Available at: https://www.nice.org.uk/guidance/cg159/chapter/recommendations (Accessed: [24.01.2026]).

Plymouth Hospitals NHS Trust (2020) Exposure and habituation. Available at: https://www.plymouthhospitals.nhs.uk/display-pil/pil-exposure-and-habituation-6611/ (Accessed:[ 24.01.2026]).

TalkPlus (2023) Graded exposure. NHS Talking Therapies. Available at: https://www.talkplus.org.uk/wp-content/uploads/2023/12/Graded-Exposure.pdf (Accessed: [24.01.2026]).

Warwick University (n.d.) Exposure and habituation. University of Warwick. Available at: https://warwick.ac.uk/services/dc/pgr/phd_wellbeing/exposure_and_habituation.pdf (Accessed: [24.01.2026]).