- Dec 2, 2024
Cultivating HEART in Relationships: A Trauma Therapist's Reflection
- Serena Yeager, MA, CHt, LMHC
- Secure Attachment, Articles by Serena Yeager, MA, LMHC
In my work with trauma survivors, particularly those in the GSRD (Gender, Sexual, and Relationship Diverse) community, I've found that healing extends beyond individual self-concept to include the relationships we form. Just as we practice self-neutrality before attempting self-love, our relationships benefit from intentional practices that build secure attachment.
I've been deeply influenced by Jessica Fern's work in her groundbreaking book "Polysecure," where she introduces the HEART framework for cultivating secure attachment. This approach resonates profoundly with my trauma-informed practice, as it creates the safety necessary for healing to flourish.
H: Here (Being Present)
I've observed that presence is the foundation upon which all healing relationships are built. When my clients practice being fully present with their partners, they create a sanctuary of attention that communicates profound value.
In session, I often share what I've witnessed: "When you put away distractions, make genuine eye contact, and truly listen to your partner, you're sending a powerful message: 'I see you. What you have to say matters to me. You are valid. You are worthy of my undivided attention.'"
The impact of this simple act is transformative. Those who receive this undivided attention report feeling truly seen, often for the first time. This creates a foundation of safety that allows for vulnerability and growth.
I recommend clients start small by agreeing on realistic periods of uninterrupted presence. For those with trauma histories who might find extended eye contact overwhelming, I suggest gentle modifications—sitting side by side while talking, or creating comfortable parameters around presence that honor their nervous system's needs.
E: Expressed Delight
In my practice, I've noticed that many trauma survivors struggle to receive positive feedback. They've often internalized messages that they're fundamentally unworthy of love or appreciation. This is why I find expressed delight so healing.
I encourage partners to communicate specific aspects they enjoy about each other that are unique to who they are—not what they do or accomplish, but who they are as people. This distinction is crucial for trauma survivors who may have learned their value lies only in performance or usefulness to others.
One client shared with me how transformative it was when their partner wrote them a letter detailing the specific qualities they cherished—their thoughtfulness, their way of seeing beauty in unexpected places, their resilience. "It was the first time," they told me, "that I believed someone could value me for simply being me."
I've found that expressed delight works best when it's specific, genuine, and delivered in a way that the recipient can receive. Some clients prefer written notes they can read repeatedly; others value verbal affirmations or nonverbal expressions through touch or gesture.
A: Attunement
Attachment bonds are fundamentally emotional bonds. For trauma survivors who have experienced emotional invalidation or neglect, attunement can be profoundly healing.
I teach clients that attunement means empathizing with their partner's emotional states and communicating that understanding. Sometimes the most powerful words a trauma survivor can hear are, "You make sense." This validation counteracts the gaslighting many have experienced.
In session, I model attunement by reflecting back clients' emotional experiences with genuine curiosity and compassion. I then guide them to practice with their partners, teaching them to postpone problem-solving in favor of emotional presence.
One couple I worked with created a ritual where they would check in each evening with "How did that land for you?" after sharing something important. This simple practice helped them build emotional intimacy by creating space for authentic emotional expression without judgment.
R: Rituals & Routines
For clients healing from trauma, unpredictability often triggers hypervigilance. This is why I find rituals and routines so essential for creating secure attachment.
I draw from Bill Doherty's work on intentional connection rituals—regular routines that anchor us in reassurance that we have dedicated time to connect with those most important to us. For trauma survivors, these predictable moments of connection provide safety and stability.
I've found that rituals of separation and reunion are particularly important. They reassure partners that they matter, they are a priority, they are missed, and their return brings joy. These moments of acknowledgment directly counteract abandonment wounds.
When working with clients, I help them identify existing rituals that already make them feel loved and valued, then build upon these intentionally. We discuss relationship milestones that could be more deeply celebrated and create meaningful ways to honor these passages.
One GSRD client created a beautiful anniversary ritual with their partners to celebrate their chosen family—an annual "family constellation" dinner where they reflected on how their bonds had grown and evolved over the year. This ritual provided a container for acknowledging both challenges and triumphs in their relationship journey.
T: Turning Towards after Conflict
Perhaps the most challenging aspect of secure attachment for trauma survivors is repairing after conflict. Many of my clients have learned to either flee from conflict or fight destructively, perpetuating cycles of harm.
Drawing from the Gottmans' research, I emphasize that conflict itself isn't the problem—it's how we repair afterward that determines relationship longevity. I teach clients to recognize bids for connection and turn toward them, especially after ruptures.
Repair attempts can take many forms. For some couples, well-timed self-deprecating humor works beautifully. For others, physical touch like a gentle hand squeeze helps ease tension. Taking responsibility for one's part in a disagreement can dramatically de-escalate negativity.
I've found that teaching clients to take time-outs when physiologically flooded is essential. Many trauma survivors experience intense emotional dysregulation during conflict, making resolution impossible until their nervous system settles. I help them develop personalized self-soothing strategies to use during these breaks.
One client created a powerful repair ritual with their partner after conflicts—they would sit together holding hands in silence for two minutes before either spoke. This simple practice helped them transition from adversaries back to allies, creating the safety needed for vulnerable communication.
Integration into Trauma Work
What I find most powerful about Fern's HEART framework is how seamlessly it integrates with trauma recovery. As clients develop greater self-neutrality and eventually self-compassion, these relationship practices reinforce their healing journey.
The secure attachment fostered through HEART creates a safe container for trauma processing. When clients feel securely held in their relationships, they can take greater risks in their healing work, knowing they have a secure base to return to.
I've witnessed remarkable transformation when clients commit to these practices. One couple who had experienced significant relationship trauma told me, "For the first time, we feel like we're creating something new together, not just reacting to our past wounds."
In my years of working with trauma survivors, particularly those in the GSRD community, I've found that healing happens in relationship. By intentionally cultivating these five elements of secure attachment—being Here, expressing Delight, practicing Attunement, establishing Rituals, and Turning towards after conflict—my clients create relationships that not only withstand the challenges of trauma recovery but actively contribute to their healing journey.
The path isn't always straightforward, but with patience, practice, and compassion, secure attachment becomes not just possible but a natural expression of the healing relationship.