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Digital Seminar

Repairing Ruptures in Connection: Integrating Somatic Intervention into Couples Therapy; Repair and Healing Inside the Dyadic Relationship

Deborah J Fox, MSW
2 Hours
Audio and Video
Sep 09, 2022
Product Code:
Media Type:
Digital Seminar


Helping couples in relationship therapy to repair and heal ruptures requires that their nervous system be in a “settled-enough” state. When partners are angry, defensive, or emotionally shutdown, effective communication isn’t possible and therapeutic momentum is stalled.

Included in this presentation is how to use the natural workings of the autonomic nervous system to help couples engage more effectively with each other. The structure of a session and skilled, somatic interventions enable the therapeutic process to move forward. Body-based therapeutic strategies enable the therapist to help the couple to identify the true sources of distress, allow constructive solutions to emerge and repair the ruptures that have occurred.


Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

CE Information Coming Soon

Continuing education credit information is coming soon for this non-interactive self-study package.

CEs may be available for select professions, as listed in the target audience. Hours will be dependent on the actual recording time. Please check with your state licensing board or organization for specific requirements. 

There may be an additional fee for CE certificates. Please contact our Customer Service at 1-800-844-8260 for more details. 

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.



Deborah J Fox, MSW Related seminars and products

Deborah J Fox, MSW, is a Certified Imago Relationship therapist and Certified Sex Therapist in private practice in Washington, DC.  She offers individual, couples, and group psychotherapy, as well as clinical consultation. Deborah conducts seminars and consultation groups on couples therapy and sex therapy. She has presented on these subjects at the Washington School of Psychiatry, the Greater Washington Society of Clinical Social Workers, the Institute for Psychoanalysis and Psychotherapy, and the Integrative Sex Therapy Institute and at the 2018 international Imago Relationship Therapy conference. She has studied Somatic Experiencing and wrote the chapter, The Mind Body Connection: Sex, Couples and Somatic Therapy in Integrative Sex and Couples Therapy, by Tammy Nelson, Phd. She is passionate about taking couples therapy to a deeper emotional level and enabling greater intimacy and satisfaction. 


Speaker Disclosures:

Financial: Deborah Fox maintains a private practice. She receives a speaking honorarium, book royalties, and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Deborah Fox has no relevant non-financial relationships.


  1. Explain why structuring a couples therapy session is important in supporting nervous system regulation.
  2. Explain Stephen Porges’s concept of “neuroception” and how the therapist can use this as psychoeducation and in therapeutic intervention.
  3. Identify at least three early signs of nervous system activation that indicate one or both partners are feeling threatened.


  • How to structure a session with the nervous system in mind and why this is important in repairing ruptures
  • How to structure a session to facilitate meaningful and healing communication
  • Finding safe harbor in co-regulation
  • Learning the “language of the body” and strategies for regulation
  • Using somatic intervention strategies to access source(s) of rupture
  • Implicit memory and the impact of adverse experience and trauma

Target Audience

  • Social Workers
  • Psychologists
  • Counselors
  • Marriage and Family Therapists


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ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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