Conflict avoidance rarely starts as a strategy. It sneaks up on couples who love each other, who work hard, who mean well. A few tense conversations go sideways, one partner shuts down, the other pushes harder, both feel bruised. After a handful of those, the household cuts down the number of “danger topics.” The list grows. So does the https://rowancqda940.iamarrows.com/emdr-therapy-for-chronic-illness-coping-with-ongoing-stress distance. By the time most couples land in my office, their fight is not about money or sex or in-laws. It is about the belief that the next honest conversation will make things worse.
Learning to lean in is not about forcing risky discussions or pushing past fear with sheer willpower. It is a patient retraining of nervous systems and habits. It asks for structure, timing, and a shared commitment to repair. And yes, it is couples therapy, but in many cases it is also trauma therapy, because avoidance often traces back to earlier learning: when speaking up meant punishment, when closeness equaled danger, when vulnerability brought shame. If patterns are anchored in trauma, tools like EMDR therapy or, in more severe cases, PTSD therapy can support the work a couple is trying to do together.
Why avoidance feels safe, and why it backfires
Avoidance gives immediate relief. You do not talk about the credit card debt, so your stomach stops churning. You go to bed early rather than risk another late-night stalemate about intimacy, and you actually sleep. The brain loves short-term relief. It marks it as a win and urges you to repeat it.
The backfire is subtle. Topics that feel dangerous accumulate. The mental list of “what we cannot discuss” becomes a private map of land mines. Partners start self-editing in advance, then editing their behavior. One accepts a work trip rather than arguing about childcare. One says yes to a family holiday they dread because no feels heavy. Anger does not disappear. It shifts into sarcasm, distance, and quiet scorekeeping. Over time, couples can sleep in the same bed, raise the same kids, and run separate emotional lives.
I often hear, “But we barely fight.” If that is paired with soluble problems that never get named, it is not a sign of harmony. It is a sign that the couple has lost its conflict muscles. Those muscles atrophy when not used. When a genuine crisis arrives, the pair does not have the strength or technique to lift it together.
The body keeps the score, and the couple feels it
A conflict avoider is not weak. They are responding to a nervous system that learned, sometimes early and harshly, that intensity equals harm. Their body does the calculus before they can think it through: heart rate spikes, throat closes, mind blanks. That is a survival response, not a character flaw.
This is where trauma therapy belongs in the conversation. I am careful not to label every communication difficulty as trauma. But when someone consistently floods, dissociates, or shuts down even in low-threat discussions, there is a decent chance their system is conditioned by earlier moments of powerlessness. Partners sometimes notice the clues: a faraway look, rigid posture, a shift in voice from full to flat within seconds. A typical dialogue can trigger a disproportionate alarm, which makes avoidance feel rational.
EMDR therapy, a structured form of trauma processing, can help recalibrate those alarms. In my practice, I do not run EMDR therapy inside heated couple dialogues. Instead, I coordinate with an individual therapist or offer a separate track where the avoidant partner can reprocess specific memories or body sensations that hijack the present. For people with full PTSD symptoms, PTSD therapy that integrates grounding, exposure, and cognitive work can stabilize the system so that couples therapy becomes possible. The sequence matters. When a nervous system spends every day barely keeping it together, a conversation about the budget is not what it seems. It feels like an attack.
How avoidance looks at home
Not every avoidant couple is quiet. Some look functional on the outside and even playful in public. Underneath, key subjects are no-go zones. Here are a few real-world patterns I see:
A couple agrees to “park” a heated topic to revisit later when calm. Later never comes. Weeks stretch. The partner who needed to be heard, often the pursuer, starts to give up asking.
One person installs a rule that serious talks only happen on weekends. Every weekend fills with chores or kids’ sports. They run out of Sundays.
Decisions get made by inertia. The car gets replaced without a joint plan. The lease renews because no one wants the moving conversation. Resentment grows with each unilateral choice.
Intimacy becomes scheduled but sterile. The connection that makes sex or closeness feel warm is missing because everyday tensions remain unspoken. One or both partners say yes physically while saying no emotionally. That mismatch is painful.

I worked with a pair in their early forties, married ten years, who told me they never fought. They had two children, full-time jobs, a tidy home, and permanent low-level exhaustion. Money, grandparents, and workload were off-limits. When we probed, they realized they had not had a fully honest conversation in at least 18 months. They were not hostile to each other. They were allergic to risk.
What leaning in actually looks like
Leaning in is not a single brave conversation. It is a discipline that couples develop, a way to approach hot material with structure and consent. The skills are teachable.
The first skill is signal detection. Learn to name when avoidance is happening in real time. A common phrase in my office is, “I notice I want to change the subject.” That sentence alone can shift a room.
The second is pacing. Leaning in does not mean sprinting at the hardest topic at 10 p.m. On an empty stomach. It means more frequent, shorter, higher-quality talks. Fifteen to twenty minutes, two to three times a week, beats one two-hour slugfest or one quarterly reckoning.
The third is containment. Strong feelings are welcome. Cruelty is not. Couples create a few guardrails: no threats to the relationship during problem-solving, no weaponizing private disclosures, no walking out without a return plan.
I like to share what I half-jokingly call the smallest unit of courage. It is the next honest sentence delivered at a tolerable intensity. Not the whole story, not a courtroom argument. Just the next sentence. Delivered while you both can still breathe.
Ground rules that make conflict possible
A therapist’s job is to scaffold conversations until couples can hold them without help. Scaffolding is not babying. It is precision. We create a stage on which risk can happen and safety can return. That usually includes agreements about timing, tone, and repair.
We set windows for talks. Not before work, not at bedtime. After food. With privacy. Phones away. If kids are around, a code word lets you pause and schedule the continuation.
We build a kill switch. If someone floods, they can call a timeout that lasts a fixed length, usually 20 to 40 minutes. The deal includes a firm return time and a plan for self-soothing. A timeout is not a disappearance. It is a deliberate cooling that respects both nervous systems.
We teach repair. Every tough exchange ends with a short debrief: one thing that went well, one thing we will try differently next time, one small appreciation. The appreciation is not to deny pain. It is to remind the room that you are on the same team.
A gentle framework to enter hard topics
When couples ask for a map, I give them one, but with the repeated caveat that flexibility wins. Here is a simple framework many pairs can learn within a few sessions.
- Start with context: say why this matters to you personally, in one to two sentences, no history lesson. Share data before interpretation: the credit card total, the number of nights one of you worked late, the exact words that stung. Keep editorializing out for this part. Own your part early: a specific, bite-size admission that lowers defensiveness. If your sentence begins with “but,” you are not owning. Ask for one change, not five: a clear, observable behavior the other person can try for one to two weeks. Schedule the follow up: put a 15-minute check-in on the calendar to review that specific change, not to revisit the entire relationship.
Couples who stick with this for a month often report less dread and more momentum. Dread hates specificity. Momentum loves it.
Micro-skills that reduce volatility
Under the framework sit a handful of moves that sound small and matter a lot. The first is name before frame. If you notice your voice rising or your partner pulling back, name that process aloud, then continue. It short-circuits the spiral where one talks faster and louder and the other goes quiet.
The second is short turns. Anything over about 90 seconds in one partner’s voice risks triggering the other. If you are a talker, watch the clock or the second hand on your watch. If you are a quieter partner, practice jumping in with a small reflection to keep yourself in the ring.
The third is value statements. Sprinkle in the why of your commitment while you hash out the what. A simple “I am raising this because I want this to work” or “Staying close to you matters more to me than being right” softens the edges without erasing the conflict.
The fourth is specificity beats sarcasm. “I would like you to tell me by Wednesday if your mother is staying with us two or three nights” works better than “It would be nice if you joined us here on planet Earth.”
Finally, rehearse outside game time. Scripts feel wooden at first. Couples who practice two or three minutes of a sample opener in the car or on a walk build fluency. The goal is not performance, it is readiness.
When avoidance is anchored in trauma
Some couples come in with a history that makes avoidance feel nonnegotiable. One partner grew up in a home where disagreement brought violence. Another endured sexual assault and now shuts down when touch and talk mix. Another lived with a parent whose rages lasted hours. In those cases, couples therapy does not ignore history. It mobilizes additional support.
Trauma therapy provides the one-on-one space to build regulation skills and to reprocess past events so that present conversations are not hijacked. EMDR therapy can desensitize a cue that throws someone into freeze. A client I worked with used EMDR therapy to target the sensation of a “thick throat” that arrived every time they tried to say no. After several sessions, they could feel that sensation, name it, and still speak. That shift unlocked their ability to stay present in couple sessions.
PTSD therapy, especially when symptoms include nightmares, intrusive memories, or hypervigilance, should often precede or run alongside couples work. If sleeping four hours a night and startling at any sudden noise, a partner is not avoiding because they do not care. They are surviving. Telemedicine has made coordination easier. I routinely sign releases to collaborate with individual therapists so that the couple’s goals and the trauma plan reinforce each other.
There are cases where medication plays a serious role. For severe depression that magnifies avoidance, standard treatments like SSRIs or SNRIs can help. Ketamine therapy, delivered in a controlled clinical setting, can rapidly reduce suicidal ideation and lift mood in some treatment-resistant cases. It is not a couples therapy tool, and it is not a first-line option. But when a partner is so shut down that they cannot engage and conventional treatments have failed, ketamine therapy may provide a window of relief that allows relational work to start. Care must be coordinated carefully, and both partners need education about what it can and cannot do. It will not teach skills or repair trust, but it can quiet a storm enough to let the learning happen.
Building a platform: rituals and agreements
Some couples need a basic platform for connection before tackling chronic topics. That includes low-conflict rituals and clear, small agreements that prove reliability. Ten minutes of daily check-in, no logistics allowed, is a good start. Two questions I often assign: “What was one moment you felt close to me recently?” and “Is there any small thing you need from me in the next 24 hours?” The 24-hour horizon matters. It keeps things in the doable zone and lowers the stakes.
Shared transitions help, too. Many homes have invisible handoffs that breed resentment. One partner returns from work, drops a bag, and gets ambushed by kid needs or bills. Try a 10-minute arrival buffer for the returning partner and a 10-minute exit buffer for the other to hand off the day. That small change can reduce the frequency of fights by a surprising margin, especially in dual-career households with young children.
On the agreement side, pick two recurring friction points and install simple defaults. If household chores spark conflict, use a visible board with no more than five core tasks per person and rotate one task each week. If weekend planning turns into a power struggle, set a Thursday night 15-minute plan that fixes two anchor events, one for each partner, before anything else. Predictability reduces avoidance because the next step is obvious.
Measuring progress without scorekeeping
Avoidance has a way of returning in disguise, so couples need concrete measures. The key is to measure process, not who is winning. I ask pairs to track:
- Frequency of short, planned talks per week Number of topics they can name and approach without a blowup Recovery time after a rupture Percentage of timeouts that follow the agreed structure Subjective dread before talks, rated 0 to 10
In the first six weeks, I want to see two to three planned talks per week, an increase in named topics from one or two to three or four, recovery time shrinking from hours to under 45 minutes, and dread decreasing by two to three points. These are realistic targets, not fantasies. If movement does not show up, we revisit the scaffolding or look for hidden factors like substance use, untreated anxiety, or external stressors that overwhelm the system.
Edge cases that change the plan
Culture shapes conflict. In some families, directness is taken as disrespect. In others, silence is seen as maturity. When partners come from mismatched cultures or faith traditions, we have to name those rules explicitly. Pushing a partner to be direct without honoring the meaning of deference will not work. It is often wiser to co-create a hybrid language that keeps core values intact while still making room for honest feedback.
Neurodiversity changes the sensory and processing landscape. A partner on the autism spectrum may find metaphor-laden, emotionally saturated dialogues overstimulating. They may thrive with written agendas, breaks that are scheduled rather than reactive, and clear outcomes. A partner with ADHD might mean every promise they make and still fail to execute without visual cues and micro-deadlines. Couples therapy should adjust tactics, not force-fit a model that ignores how brains differ.
Parenting adds noise and time pressure. If a toddler is melting down in the background, a talk about finances will fail. That does not mean avoidance is the only option. It means putting childcare coverage on the calendar as a precondition for hard talks. I have seen couples lower their conflict by half simply by protecting two 30-minute windows each week when they are not also parenting.
Finally, safety is nonnegotiable. If there is intimidation, stalking, physical violence, or coerced sex, the goal is not to lean in. The goal is to get safe and to involve appropriate services. Relationship therapy is not a shield for harm.
A case vignette: stepping toward each other
Sara and Miguel arrived tight-lipped and polite. They had been together 12 years, two kids in elementary school, both in demanding jobs. Their fights were rare and spectacular. In between, they lived in a polite ceasefire. Debt and intimacy were the two topics they could not touch.
We started with micro-structure. Two 20-minute talks per week, phones off, kitchen table, not after 9 p.m. A timeout protocol with a 30-minute return. Each talk began with data, then one feeling, then one ask. They were awkward at first. Miguel over-explained. Sara deflected with humor.

By week three, we added a body cue check. Each was to name one sensation as they started. Sara often said “chest pressure.” Miguel noticed a hot face. Naming them did not fix them, but it kept both anchored. They were invited to slow their pace when sensations spiked.

Debt came first. They shared numbers without blame. Miguel admitted he hid a balance because he was ashamed. Sara admitted she treated him like a teenager with money. They asked for one change apiece: Miguel to send a screenshot of balances every Friday for a month, Sara to stop checking the accounts without telling him. Small, specific, time-limited.
Intimacy came next. Sara had trauma history, including a boundary violation in college she had never processed. When we touched that, her body froze. We paused couples work on that topic and coordinated with her trauma therapist to begin EMDR therapy targeting a handful of cues that collapsed her into shutdown. While that unfolded, the couple agreed to a no-pressure physical closeness ritual: 10 minutes of cuddling without progression three times a week, with either allowed to opt out with one sentence and no explanation. It was not romantic at first. It was respectful.
By month three, fights felt less like cliffs. They used three timeouts, each returned on time. Debt conversations felt tense but doable. Intimacy had not blossomed, but it was no longer fused with panic. Sara reported that her chest pressure still came up, but it no longer dictated her choices. Miguel said the hot face faded in under five minutes. Their dread ratings dropped from 8 to 4. They were not fixed. They were building.
Common traps and how to steer out
Here are pitfalls I see often, with a way through each.
- Over-reliance on scripts: if talks feel like reading a manual, warmth dies. Keep the structure, vary the language. Inject small appreciations. Weaponizing the timeout: calling it to avoid accountability. Install a rule that the person who called the timeout opens the restart with a summary of where you left off. Expanding the scope mid-talk: adding subtopics until no one knows what you are solving. Name the creep, write extra topics down, schedule them. Repair that is all theory, no action: apologies without behavioral change teach distrust. Tie each repair to one observable shift and a check-in date. Ignoring physiology: trying to argue through a flooded body. Use breath pacing for two minutes together, or switch to writing for five minutes, then resume.
A couple that navigates these traps learns to trust the process, even when the content is raw.
What therapy can and cannot do
Couples therapy offers a container to practice difficult moves. It is not a magic portal to a conflict-free life. Good therapy produces fewer avoidant exits, faster repairs, clearer asks, and a growing sense of “we” even during conflict. It also reveals hard truths. Sometimes one partner does not want the same future. Sometimes substance use or untreated mood disorders make meaningful progress impossible until those are addressed. A seasoned therapist names those constraints plainly.
When trauma is part of the story, integrating trauma therapy is not an optional flourish. It is often the bridge that makes leaning in viable. EMDR therapy can turn a hair-trigger shutdown into a manageable wave. PTSD therapy can restore baseline calm. In rare and carefully selected cases, ketamine therapy can open a short window in which depressive collapse lifts enough for engagement. None of these replace the relational skills. They enable them.
The best outcomes I have seen share a handful of features. The couple keeps sessions regular for at least 12 to 16 weeks. They practice short talks more days than not. They adopt one or two rituals of connection that are not negotiations, just warmth. They measure process, not verdicts. They forgive imperfect weeks and start again.
Leaning in is not heroic. It is ordinary, practiced bravery. It is a series of next honest sentences, spoken at a pace that bodies can tolerate, inside a relationship that makes room for repair. When avoidance has been your shelter, stepping out into open air feels risky. With the right scaffolding and, when needed, the right trauma supports, most couples discover that the air is breathable and that the ground, though new, can hold them.
Canyon Passages
Name: Canyon PassagesClinician: Kelly Chisholm, MS, ACS, LPCC, NCC, CST, CCTP; Certified EMDR Therapist & Consultant
Address: 1800 Old Pecos Trail, Santa Fe, NM 87505
Address note: The official website also lists 1800 Calle Medico, Suite A1-45, Santa Fe, NM 87507; please confirm the exact suite/location before visiting.
Phone: (505) 303-0137
Website: https://www.canyonpassages.com/
Email: [email protected]
Hours:
Sunday: Closed
Monday: 9:00 AM – 5:00 PM
Tuesday: 9:00 AM – 5:00 PM
Wednesday: 9:00 AM – 5:00 PM
Thursday: 9:00 AM – 5:00 PM
Friday: 9:00 AM – 5:00 PM
Saturday: 9:00 AM – 5:00 PM
Open-location code / plus code: M355+GV Santa Fe, New Mexico, USA
Coordinates: 35.6587872, -105.9403342
Map/listing URL: https://www.google.com/maps/place/Canyon+Passages/@35.6587872,-105.9403342,703m/data=!3m2!1e3!4b1!4m6!3m5!1s0x87185147ef7e9491:0xb8037d6c82de503e!8m2!3d35.6587872!4d-105.9403342!16s%2Fg%2F11mrlk1njv
Embed iframe:
Socials:
Facebook: https://www.facebook.com/profile.php?id=61585098096660
Instagram: https://www.instagram.com/canyonpassages/
LinkedIn: https://www.linkedin.com/company/canyon-passages-therapy/
TikTok: https://www.tiktok.com/@canyonpassages
X: https://x.com/CanyonPassagesT
YouTube: https://www.youtube.com/@CanyonPassages
The practice is led by Kelly Chisholm and lists EMDR therapy, trauma therapy, PTSD therapy, couples therapy, ketamine therapy, psilocybin-assisted psychotherapy, shared-trauma therapy, and spiritual growth integration among its offerings.
The public listing places the practice at 1800 Old Pecos Trail in Santa Fe, while the official site also lists 1800 Calle Medico, Suite A1-45; clients should confirm the exact office location before visiting.
Canyon Passages serves Santa Fe clients in person and also notes service connections for Sedona, Pagosa Springs, and online clients seeking continuity of care.
The practice may be relevant for adults and couples seeking trauma-informed care, intensive-style therapy, and structured preparation or integration support where clinically appropriate.
Because ketamine- or psilocybin-assisted psychotherapy is specialized and regulated, prospective clients should ask directly about eligibility, clinical screening, legality, referral requirements, and fit before assuming the service is appropriate.
Public listing hours show appointments Monday through Saturday from 9:00 AM to 5:00 PM, with Sunday closed.
To contact Canyon Passages, call (505) 303-0137, email [email protected], or visit https://www.canyonpassages.com/.
The public map listing for Canyon Passages can help clients verify the Santa Fe location and coordinates before planning an in-person appointment.
Popular Questions About Canyon Passages
What is Canyon Passages?
Canyon Passages is a Santa Fe psychotherapy practice focused on EMDR therapy, trauma healing, couples work, and depth-oriented therapeutic support for individuals and couples.
Who is the clinician at Canyon Passages?
The official site lists Kelly Chisholm as the contact person and describes her credentials as MS, ACS, LPCC, NCC, CST, CCTP, and Certified EMDR Therapist & Consultant.
Where is Canyon Passages located?
The public listing address is 1800 Old Pecos Trail, Santa Fe, NM 87505. The official site also lists 1800 Calle Medico, Suite A1-45, Santa Fe, NM 87507, so clients should confirm the exact suite and arrival details before visiting.
Does Canyon Passages offer EMDR therapy?
Yes. EMDR therapy is listed as one of the core services on the official website, and the public listing also describes the practice as using EMDR.
What services are listed by Canyon Passages?
Listed services include EMDR therapy, ketamine therapy, psilocybin-assisted psychotherapy, couples therapy, trauma therapy, PTSD therapy, therapy for shared trauma, and spiritual growth and integration therapy.
Does Canyon Passages work with couples?
Yes. Couples therapy is listed on the official site, and the public listing describes retreats and intensives tailored to individuals and couples.
Are online sessions available?
Yes. The official site states that Canyon Passages offers in-person and online sessions, with a focus on Santa Fe, Sedona, Pagosa Springs, and online continuity of care.
What are Canyon Passages’ listed hours?
The public listing shows Monday through Saturday from 9:00 AM to 5:00 PM and Sunday closed. The listing also describes services as by appointment only, so clients should confirm availability directly.
Is Canyon Passages an emergency mental health provider?
No crisis or emergency service was verified for this dataset. Anyone in immediate danger or experiencing a mental health crisis should call 911, contact 988, or go to the nearest emergency room.
How can I contact Canyon Passages?
Call (505) 303-0137, email [email protected], visit https://www.canyonpassages.com/, or use the listed social profiles: https://www.facebook.com/profile.php?id=61585098096660, https://www.instagram.com/canyonpassages/, https://www.linkedin.com/company/canyon-passages-therapy/, https://www.tiktok.com/@canyonpassages, https://x.com/CanyonPassagesT, and https://www.youtube.com/@CanyonPassages.
Landmarks Near Santa Fe, NM
Canyon Passages is listed near the Old Pecos Trail and Calle Medico medical corridor in Santa Fe. Clients near these landmarks can call (505) 303-0137 or visit https://www.canyonpassages.com/ to confirm appointment availability, exact suite details, and whether in-person or online care is appropriate.
- 1800 Old Pecos Trail — The public listing address area for Canyon Passages; clients should confirm the exact suite before visiting.
- Calle Medico — The official site references this nearby medical-office address format, making it a practical navigation point for appointments.
- CHRISTUS St. Vincent Regional Medical Center — A major nearby healthcare landmark in Santa Fe’s medical corridor.
- Old Pecos Trail — A key local route connected with the public listing address and useful for clients navigating the area.
- St. Michael’s Drive — A major Santa Fe corridor near medical, office, and residential areas; clients can use it to orient around the practice location.
- Cerrillos Road — One of Santa Fe’s main commercial routes and a practical reference point for clients traveling across the city.
- Santa Fe Railyard District — A well-known arts, dining, and community destination within the broader Santa Fe service area.
- Santa Fe Plaza — A central historic landmark for residents and visitors orienting around Santa Fe.
- Meow Wolf Santa Fe — A widely recognized Santa Fe venue and practical landmark for clients familiar with the city’s south and midtown areas.
- Museum Hill — A notable cultural district in Santa Fe and a useful reference point east of the central city area.
- Canyon Road — A well-known Santa Fe arts district and landmark for clients orienting around the city.
- Santa Fe Community College — A major educational landmark in the southern part of Santa Fe; clients can contact Canyon Passages to ask about online or in-person appointment options.