ajsmithPHD

I am clinical psychologist and expert in social connection and loneliness. I am also a father, husband, Christian, Army veteran, and generally concerned citizen about our social world and community ties. I've published more than 40 peer-reviewed articles that focus on improving social functioning for individuals and communities. My mission in this life is to build a community that is deeply dedicated to re-connecting to our deepest meaning through friendships, family, and community belonging

Three Essential Areas to Consider Before Marriage

By Dr. Andrew Smith, Clinical Psychologist, Professor, and Pat Tillman Scholar Marriage is one of the most significant commitments we make in life. While love is often the focus in conversations about marriage (and should be!), there are also deeper aspects to consider when you’re contemplating a lifelong commitment. Whether you’re preparing yourself for a more enduring commitment or are already in a serious relationship and thinking about marriage, today I’m discussing three areas to evaluate as you prepare: Character, History of Relationships, and the balance between Friendship and Attraction. I’m writing this from the perspective of REWIRE, a philosophy and treatment approach designed to foster healthy, meaningful relationships. REWIRE helps individuals at all stages of life—from young adults to those in long-term partnerships—understand and develop the skills needed for deep connection and fulfillment. Whether you’re considering marriage or navigating relationships at any developmental stage, REWIRE offers tools to build relationships grounded in trust, respect, mutual growth, and joy. For those preparing for marriage, these foundational principles are key to creating a lasting, resilient partnership. This is the fourth essay in a four-part series on marriage. In Part 1, I lay out the mindset for marriage (link). In Part 2, I discussed the importance of narrative and healthy identity for a thriving marriage (link). Part 3 covered practical actions for improving marriage (link). today, its all about evaluating three core areas to prepare for a long and fulfilling marriage. 1. Character: The Core of Who They Are When preparing for marriage, character should be at the top of your list. Character—not just personality or chemistry—determines how someone will act when life gets difficult. It’s easy to be in love when things are going smoothly, but the real test of a marriage comes when the unexpected happens: job loss, illness, family challenges, or personal failures. What to look for in someone’s character: It’s crucial to understand how your potential partner will respond when life gets challenging. Will they stick with you through tough times, or will they turn away or look for an escape? Moments of stress often reveal a person’s true character. Someone who shifts blame or refuses to take responsibility when things go wrong can create deep fissures in a marriage. On the other hand, a partner who is willing to own their mistakes and work through problems constructively will foster a marriage based on mutual trust and growth. Another aspect of character is how your partner behaves when you’re not around. Can you trust them to act with integrity? Trust isn’t just about physical faithfulness—it’s about knowing your partner will act according to their values, even when no one is watching. Questions to consider: Ultimately, marriage is about more than just compatibility; it’s about trust. And trust is built on the foundation of solid character, especially in difficult times. 2. History of Relationships: A Window Into Patterns The second area to examine is your partner’s history of close relationships. Past relationships—whether romantic, familial, or friendships—can offer valuable insights into how someone navigates connection, intimacy, and conflict. Understanding these patterns is crucial because many of them can resurface in a marriage. Conflict Resolution: One of the most important lessons you can learn from a partner’s past relationships is how they handle conflict. Disagreements are inevitable, but the way your partner deals with them is an indicator of how they’ll handle conflict in marriage. Do they avoid conflict, or are they willing to engage and resolve issues? Do they shift blame, or do they take responsibility for their role in the problem? Do they try to see the issue from others’ perspectives? If your partner has shown a pattern of learning and growth in their past relationships—taking responsibility, working toward solutions, and learning from their mistakes Forgiveness and Grace: A key component of examining someone’s history of relationships is understanding their capacity for forgiveness and grace. Long-term friendships and family relationships are often a testament to how well someone can handle conflict, extend grace, and repair relationships after hurt. Do they hold onto grudges, or are they able to let go and forgive when it’s necessary? Someone who demonstrates a consistent ability to forgive and work through difficult situations with others is likely to bring that same mindset to a marriage, which can be essential for long-term success. Commitment to Family: Another key aspect to explore is how your partner relates to their family. Our families are often our first and most formative relationships, and how your partner views and maintains these ties can give you important insights. Are they committed to staying connected to their family? Do they honor those relationships, even when it’s challenging, or do they distance themselves at the first sign of trouble? However, it’s important to note that maintaining boundaries with family is equally critical. There are situations—such as messy, traumatic, or toxic family dynamics—where the healthiest option may be setting strong boundaries, not remaining enmeshed with family members. This doesn’t mean a lack of commitment to relationships, but rather a commitment to personal well-being and healthy connection. A good sign is whether your partner is able to balance these boundaries thoughtfully while maintaining a sense of care and respect for family members. What to look for in their history: It’s not about having a perfect relationship history but understanding how your partner has grown from past experiences. Questions to consider: 3. Friendship and Attraction: Balancing Connection and Chemistry The third essential area is the balance between friendship and attraction. Physical attraction is an important part of any romantic relationship—it’s got to be there. But a marriage cannot be sustained on attraction alone. When the honeymoon phase fades, it’s the friendship—the shared respect, trust, and companionship—that holds a couple together. In a strong marriage, friendship is often the anchor. Being able to enjoy each other’s company, laugh together, support one another’s dreams, and simply be each other’s best friend creates a depth of connection that attraction alone can’t provide. What to look for in

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Practical Actions and Skills to Change Your Marriage

(Marriage Part 3) By Dr. Andrew Smith, Clinical Psychologist, Professor, and Pat Tillman Scholar. To build your skills to improve your marriage, download our free guide and checkout the REWIRE app Today’s post focuses on practical skills and actions for improving your marriage. This is the third essay in a four-part series on marriage using the REWIRE approach. REWIRE is an evidence-supported, scientifically designed, and tested intervention that places relationship connection at the core of our meaning and mental health. I’m writing to those who want to improve their marriages, prepare wisely for marriage, those helping individuals and couples, and even people struggling to process the end of a failed marriage. Part 1 laid out a healthy marriage mindset, based on a balanced approach of growth and enjoyment (link).Part 2 explored how a redemption narrative and a healthy sense of self are fundamental to handling inevitable marital challenges (link). Today, in Part 3, we get practical. We’re answering the question: How do I start to move toward improvement? If you’ve embraced the arguments in Parts 1 and 2, this section will help you figure out how to begin implementing change. Skills for Intentional Actions that Drive Change Now that we’ve established the importance of mindset, narrative, and self-connection, the next step is to actively improve your marriage using a values-based approach. Committing to values-led behaviors is crucial for transforming your marriage into a source of healing and growth, rather than repeating stuck patterns driven by emotional reactions or habitual mental scripts. This is about aligning your actions with your aspirations for yourself and your marriage. The set of skills that underpin this alignment is transferable to all your relationships. We’re focusing on marriage in this series because marriage can be the starting point for these changes, which can then extend to other relationships and communities. Let me add a critical caveat: while it’s helpful to do this work in harmony with your spouse, transformation can happen even when only one person initiates the change. It only takes one courageous person to start living by values, rather than reacting emotionally or being driven by negative thoughts or scripts. Acting with Intention by Using Values as Your Compass When we are driven by emotions like frustration, anger, or disappointment, or when we get stuck in our heads, we risk acting in ways that are inconsistent with our values. This creates cycles of disconnection and conflict that repeat endlessly. REWIRE offers an alternative to this “stuckness” by teaching skills that help you ground your behaviors in your values—those deeper, guiding principles that shape who you aspire to be. This shift focuses on long-term goals of health and redemption in the marriage, rather than short-term emotional reactions or cyclical thinking. For example, if your values are compassion, respect, and honesty, pausing in a moment of frustration gives you an opportunity to choose a compassionate or honest behavior that fosters connection, rather than escalating conflict or withdrawing in frustration. Values are powerful because they remain steady, even when emotions fluctuate or thoughts lead you astray. The definition of these values doesn’t change, unlike our internal states, which can pull us off course. Being driven by emotions or negative scripts opposes living by values and aspirations, which use redemptive scripts and healthy states. The following three steps summarize the skills to ground your marriage in values-led actions: The goal is that, with practice, you’ll use these simple steps to engage in your marriage in healthier ways and break patterns that don’t align with your aspirations. These skills can be used in real-life situations, even when emotions are running high or negative thoughts are loud. Two Skills That Give You the Power to Choose Change Aligning your actions with your values requires two REWIRE skills: mindfulness and defusion. REWIRE Skill 1: MindfulnessMindfulness develops the ability to slow down and notice when emotions arise or when old, stuck scripts are playing in the background. By taking a deep breath and noticing what’s happening in your body, thoughts, and environment, you can ground yourself in the present moment. Some automatic, stuck scripts might sound like: Without mindfulness of that these common scripts are playing, we fall into repetitive patterns that prevent change. Acknowledging these patterns gives you the power to make new choices. REWIRE Skill 2: DefusionDefusion is the ability to look at and evaluate your thoughts, rather than looking from them. First, notice the thought (using mindfulness). Then, separate from it and observe it as it passes by. Defusion helps you detach from your thoughts and emotions, instead of acting as though they define you, and therefore must be “authentically” acted upon. For example, feeling hurt or angry doesn’t mean you’re a fragile or angry person. You are having hurt or angry thoughts, but they don’t dictate your identity. You have a choice other than a hurt or angry reaction that may actually align with your desired self and goals. When you separate from these thoughts, you can choose values-led actions. Committing to Actions That Promote Redemption and Growth By slowing down, noticing your reactions, and separating from them, you give yourself a choice. What you do with that choice is crucial: your next action or words could align with your values, not be ruled by your emotions or thoughts. Mindfulness allows you to notice when emotions arise, and defusion allows you to observe them without letting them define you. Together, these skills provide the space to act in line with your values, fostering redemption and growth. As you read this, I encourage you to identify 3-5 aspirational values that you can use to measure your behavior in your marriage. Scroll to the end of this post for a list of values to pick from. Remember, you won’t live out your values perfectly—and that’s okay. The key is to accept that you will struggle to align your behavior with your values. Your job is not to focus on how external forces (such as your spouse) inhibit your

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Your Story and Sense of Self Matter in Your Marriage

(Marriage Part 2) By Dr. Andrew Smith, Clinical Psychologist, Professor, and Pat Tillman Scholar. To build your skills to improve your marriage, download our free guide and checkout the REWIRE app Humans are natural storytellers. From one perspective, when we scale out to the history of the universe, our existence seems insignificant and fleeting. However, within our lives, our relationships, and the time we share with those we love, our lives are profoundly meaningful. We don’t just live and die; we create stories that shape our motivation, identity, and sense of purpose. Against the backdrop of a universe that scarcely notices our existence, we find meaning, perhaps because of our smallness. This ability to create meaning is one of humanity’s greatest strengths, and deep commitments, especially in marriage, are a vital source of that meaning. Jason Isbell, one of my favorite songwriters, expresses this beautifully (see his quote at the end of this post). Today’s post is the second in a four-part series on how REWIRE approaches marriage. REWIRE is an intervention I’ve been developing and refining over the past six years. Rooted in cognitive behavioral therapy, it places social relationships at the heart of a flourishing life. Evidence shows that REWIRE enhances quality of life, mental health, and well-being through deeper engagement in meaningful relationships. I’m writing for those who want to improve their marriages—whether you’re in a place of crisis, strength, or somewhere in between. I’m also writing for individuals considering marriage or preparing to commit to their partner. This content is also for therapists and counselors who work with couples or individuals. And if you’re someone grieving or processing the end of an important relationship, I hope this helps you too. In the first marriage essay, I laid out what a healthy marriage mindset looks like (rewirewellness.co/2024/10/09/a-healthy-marriage-mindset-enjoyment-growth/). Today, we’ll focus on how the stories we tell about ourselves and our marriages form the foundation for growth. The Story of Your Marriage Matters Marriage can be a cornerstone relationship, giving our lives meaning. When something is important, we naturally create stories around it. Marriage, whether we realize it or not, is built on an ever-evolving narrative—about the when, why, and how. Think about it: when meeting a new couple or getting to know someone, one of the first questions we often ask is, “How did you two meet?” We ask because marriage stories are deeply meaningful, ancient human expressions that ground our lives in connection and purpose. They show us whether our values align and guide us toward deeper bonds. Two types of narratives often emerge: redemption and contamination. A contamination narrative sounds like, “It’s bad and it will stay bad, so why try? This is hopeless” But a redemption narrative says, “It’s good, and though challenging, we can make it good again.” REWIRE encourages asking these fundamental questions about the stories we live by: Let me be clear: this isn’t about ignoring real pain or pretending everything is fine. Pain and disappointment in marriage are real, and REWIRE starts by acknowledging that. Starting from an honest position that accepts the challenges as they are is a critical foundation for this work. But alongside this validation and acceptance, REWIRE hedges on hope—the hope for redemption, which motivates us to put in the hard work of change, self-reflection, and growth. Building Your Sense of Self When marriages tip into the danger zone, I start seeing a few emotional patterns: co-dependence and complete emotional separation. The goal is to find a middle path where both partners can be independent but still deeply connected. Let’s begin with co-dependence. On this side, your emotional well-being is tightly linked to your spouse’s state. This can become problematic since, on any given day, your spouse may be struggling, offering an unhelpful perspective, or simply not in a position to provide the validation you’re seeking. When your sense of being “okay” or “good” depends solely on your spouse’s emotional state or approval, you relinquish too much power. This dynamic is unsustainable, as it puts undue pressure on both partners and limits individual growth. On the opposite end of the spectrum, total emotional separation leaves little room for mutual support. When we’re too distant, we fail to share in each other’s victories or be present during struggles. The knowledge your spouse has about who you are—the intimate insight they bring—becomes untapped potential for growth. This full separation often results from the pain of co-dependence, driving people to an extreme as they try to avoid being emotionally overwhelmed. What’s ideal is balance. In the middle ground, where true emotional health resides, couples are: Achieving this balance requires cultivating identity and self-worth beyond the marriage itself. While your spouse’s opinion is valuable, it shouldn’t be the sole determinant of your choices. It’s a superpower to consider your spouse’s insight while still making independent decisions that reflect the bigger picture of your life. This balance invites honest, authentic feedback from your partner, as they feel safe knowing you can handle their input constructively. Emotional balance also makes space for your spouse to move you emotionally—without overwhelming you. If you’re not emotionally fatigued or too dependent, you’ll be in a better place to support your spouse through their own struggles. Healthy emotional boundaries ensure that, even during their difficult times, you remain capable of offering the care and compassion that the journey of marriage demands. Some questions to reflect on: REWIRE starts with a redemption narrative and encourages the development of self-worth and identity. By doing so, you can align more deeply with your values and goals within the marriage. Cultivating this sense of self will help you navigate the challenges that inevitably arise, while maintaining a deeper connection with your partner. The skills in the Part 3 of this marriage series will lay out skills that can help improve you towards these goals for redemption and health, how to use mindfulness, defusion, and values on repeat to start to shift away from unhealthy patterns. “If we were vampires

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A Healthy Marriage Mindset = Enjoyment + Growth

(Marriage Part 1) By Dr. Andrew Smith, Clinical Psychologist, Professor, and Pat Tillman Scholar. To build your skills to improve your marriage, download our free guide and checkout the REWIRE app Among all the relationships we experience, marriage is truly unique. At times, it can be a source of deep pain, loneliness, and disappointment. At other times, marriage offers profound connection, security, and beauty. To add complexity, it can be both disappointing and beautiful at the same time. Beyond these emotional experiences, healthy marriages are rooted in a unique type of commitment, distinguishing them from other relationships. Marriage, at least in most of the Western world, is a voluntary, chosen commitment. This choice brings the potential for both unparalleled depth and vulnerability. Today, I’m starting a four part series on marriage, writing through the lens of REWIRE. REWIRE is a philosophy and treatment approach that I developed to empower people to strengthen their most central relationships. REWIRE is built on the foundation of cognitive behavioral therapy (CBT), and has been tested, published in peer-reviewed literature, and supported by evidence. It offers an alternative to pathology-focused approaches that center around mental health diagnoses, illness, and disorders. Instead, REWIRE views relationships as a universal mechanism of health that we all need help with improving, to some extent. In the REWIRE approach, we are all co-travelers—struggling through life together—with the shared goal of building deeper health and resilience by improving our relationships. My hope is that this message is helpful to people in a variety of situations: those struggling in marriage, those in healthy marriages striving to maintain or grow, those preparing for deeper commitments, mentors or counselors of married couples, and those suffering in the aftermath of a failed marriage. The Vision for a Healthy Marriage: Standing Shoulder-to-Shoulder with a Shared Vision My wife’s 24/7 access to me was overwhelming at first, and sometimes still is. In marriage, it’s impossible to hide or show only the bright, shiny parts of yourself. Your spouse sees it all—the good, the bad, and the ugly. They have an intimate knowledge of both your potential to be a positive, healing force in the world and your potential for destruction. No one else gets a fuller picture of who you truly are. Your spouse has the potential to be someone who deeply understands your flaws and accepts you, which gives you the security and courage to change, grow, and try really hard things in the world. The superpower of marriage is having a partner who can guide you, critique you, walk alongside you, and encourage you. And, in return, you have the opportunity to do the same for them—serving and enriching your own life with meaning that comes only from committing to and supporting someone else. In my own marriage, and in my work with individuals and couples over the years, a vision of a healthy marriage has emerged: two people standing side by side, looking outward together towards a shared joy, purpose, mission, and future. Occasionally, they turn back to each other to smile and enjoy the fruits of their commitment. This vision is sustained through a combination of trust, commitment, and a mutual willingness to invest deeply in each other’s growth. It thrives on healthy conflict, the resolution of inevitable friction, and shared enjoyment and presence. This investment looks like accepting, sharpening, guiding, critiquing, encouraging, cautioning, and motivating each other in an ongoing, lifelong conversation. A full commitment to marriage, in this sense, can be described as: The Ditches Along the Road: Self-Fulfillment vs. Duty This shoulder-to-shoulder vision stands in stark contrast to two common pitfalls I see when marriages struggle. Imagine a road with ditches on either side. In Ditch 1, people view marriage as a self-fulfillment factory. For them, inconvenience, struggle, and pain in marriage become intolerable because they obstruct personal happiness or fulfillment. In Ditch 2, marriage is reduced to a logistical partnership, driven by duty and obligation, where basic enjoyment and pleasure are neglected and wither away amidst the daily tasks of life. Ditch 1: Marriage as a Happiness and Self-Fulfillment Machine This state is both common and dangerous. The vision of marriage in Ditch 1 resembles two people standing toe-to-toe, looking for ways to extract self-fulfillment from each other. Because the need for happiness is so intense, they often turn away from each other to seek that fulfillment elsewhere. In marriages like this, the careful ‘lifelong conversation’ meant to sharpen, guide, and encourage each other tips over into criticism and rejection. It becomes easy to find faults in your spouse and identify ways they detract from your personal happiness. Over time, this can lead to bitterness and a fixation on each other’s flaws, especially if the goal is to extract happiness from the marriage. If the goal of this intense focus on each other doesn’t lead to turning back to stand shoulder-to-shoulder, the relationship can crumble under the weight of unrealistic expectations. While it’s necessary at times to focus inward for rest and healing, remaining insular can prevent the connection and healing we need from friendships, hobbies, work, caring for our neighbors, and community. It’s important to remember that marriage, while deeply fulfilling, will fail if we look to our spouse as our sole source of happiness, connection, and fulfillment. Marriage and nuclear family cannot live up to this expectation. Ditch 2: Marriage as Pure Duty and Obligation In contrast, Ditch 2 involves an unbalanced focus on duty and obligation. In this scenario, marriage becomes a mechanical partnership, where the focus is solely on serving logistics without the joy and presence that make marriage meaningful. Without balancing duty with enjoyment, couples grow distant, losing the deep connection they once shared. Both ditches lead to weak foundations for marriage. In Ditch 1, marriage as a self-fulfillment machine is tragic because it sets up an unrealistic goal of happiness extraction, which can ultimately destroy the relationship. In Ditch 2, marriage as pure duty is equally tragic because it strips away the

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How Your Values Shape Your Relationships (And Why It Matters)

By Dr. Andrew Smith, Clinical Psychologist, Professor, and Pat Tillman Scholar. To improve your skills in these areas, download our free guide and checkout the REWIRE app We are constantly hearing about values—largely through organizations and companies promoting their business or mission statements. But values aren’t just for companies and marketing. They aren’t just buzzwords or corporate jargon. They can serve you as an individual like a compass—guiding your actions and shaping the direction of your life. This is especially true in something as complex, dynamic, and ever-evolving as relationships. Feeling Stuck or Lost? Use Your Values as a Compass Let me ask you something: Have you ever found yourself feeling emotionally overwhelmed, like life is pulling you in a million directions? One moment you’re fine, and the next, everything feels chaotic. Or perhaps you get stuck in an emotion you don’t want to be stuck in. This is where your values come in. I’ve spent years researching how relationships play a pivotal role in our mental and emotional resilience. Reconnecting with values is an alternative to being guided and ruled by emotions and thoughts. When we are driven by emotions and thoughts, we fall into repetitive patterns that keep us stuck. Values, on the other hand, provide a benchmark for measuring behavior and choices, offering a clearer trajectory for growth and improvement. Values can steer you through difficult times, especially when challenges arise in relationships. The Role of Values in Relationships Core values can have a deep impact on relationships—perhaps more than we often realize. Values are principles that define who we aspire to be. Whether it’s honesty, kindness, perseverance, or loyalty, values are the foundation of how we interact with others. Here’s an example of how emotions and values differ fundamentally in a single interaction. Recently, my wife and I were discussing an important decision about one of our kids, and I felt like my voice wasn’t being heard. Before I knew it, I was raising my voice—something that doesn’t align with my values of gentleness and honesty. This is where the concept of a choice point comes into play: a critical moment where we can either let emotions drive our actions or use the moment to realign with our values. In my case, I had a choice: keep arguing or take a breath, acknowledge my frustration, and return to the values that matter most to me. Instead of falling into the familiar pattern of arguing about how we communicate, I could take responsibility for my emotions and move the conversation forward. Put another way, we could either get back to discussing the important decision we had to make as parents, or we could get stuck in an argument about how we were arguing. That small shift in perspective—recognizing that I could still act in accordance with my values, even in the heat of the moment—can begin to turn relationships in healthier directions. My choice was to apologize, acknowledge my frustration, and shift the conversation back to a place of mutual respect and understanding. Why Values Matter in High-Stakes Relationships This kind of situation isn’t unique. We all face moments in our closest relationships—whether with a spouse, child, friend, parent, or colleague—where emotions flare up. Values serve as a guide through these turbulent moments, helping us navigate emotional storms without losing our way. It’s easy to react impulsively when tensions run high. But when you take a step back and ask yourself, “Am I acting in line with the person I want to be?”—that’s where real transformation happens. Instead of reacting emotionally, you can choose a values-driven response. How many times do we need to react emotionally and feel sorry later before deciding there must be a different way? Turning Conflict into Connection In relationships, living by your values doesn’t just prevent arguments from escalating—it creates opportunities for deeper connection. In the example with my wife, I didn’t just stop a fight; I opened the door for us to communicate more honestly and empathetically. The same holds true for you. When you act in alignment with your values, you’re not only reducing distress, but you’re also fostering a stronger, more authentic connection with the people you care about. In fact, research consistently shows that values-based actions contribute to more fulfilling and resilient relationships. Next Steps: How to Use Values in Your Relationships Next time you’re in an emotionally charged situation, take a moment to pause and ask yourself: Takeaway: Relationships thrive when we act in accordance with our values, turning potential conflicts into opportunities for growth and connection. By living through our values, we create a compass that keeps us on course, even when life gets tough.

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Why ReWire Was Developed & Why It’s Good

By Dr. Andrew Smith, Clinical Psychologist, Professor, and Pat Tillman Scholar. To learn more about how REWIRE can improve your relationships, download our free guide and checkout the REWIRE app Over the past 15 years, I’ve been deeply immersed in studying and building psychological and community-level interventions, with a focus on three key areas: (1) social functioning and relationship health, (2) social cohesion and polarization in communities, and (3) how to live a more connected, joyful, and meaningful life. My work has led me to study how individuals—ranging from first responders and veterans to doctors, nurses, and ordinary folks—manage the chronic stress associated with their work. This has included an exploration of how stress and trauma reshape the ways we think about work, survival, and erode deeper connections with one anther. And how this further erodes meaning, beauty, joy, and presence to make life worth living. Over the last five years, this work has culminated in the development of an intervention I call RE-WIRE, designed to help individuals refocus their meaning and joy on values and relationships. I’ve successfully applied this approach to help hundreds of people, and my hope is to move it out of cloistered and low scalability academic research settings and into the public for broader good. Today, I’m writing about the context out of which I developed RE-WIRE was developed and what makes it such an effective approach. To provide a clear explanation, I’ll break it down into three parts: Part 1: The Fundamentals and Failures of Second-Wave CBT Second-wave CBT, which originated from the work of Aaron Beck in the 1970s and 1980s, quickly became the dominant model in psychotherapy. It revolutionized the field, and emerged in a time that tools and methods for better scientific rigor were available. Gold standards for treatment efficacy such as randomized controlled trials (RCTs) came into being and vogue, and provided opportunities to build rigorous evidence for the effectiveness of psychotherapy—much like pharmaceutical trials for psychiatric medications. In its simplest form, second-wave CBT is grounded in two core principles: Therapists are trained to help clients identify cognitive distortions, such as all-or-nothing thinking, and replace them with more objective, reality-based thoughts. While this approach has provided many positive outcomes, it falls short in several critical areas, especially in the context of trauma treatment, where studies show a high rate of symptom persistence even after therapy. Problem 1: Waning Effectiveness Data from meta-analyses show that the positive effects of second-wave CBT have diminished over time, with studies like the Johnsen & Friborg (2015) analysis revealing a regression to the mean in therapeutic outcomes since 1977. Similarly, research by Steenkamp and colleagues (2015; 2020) revealed that up to to two-thirds of patients still had diagnosable conditions after receiving second-wave CBT, suggesting only partial improvements. Problem 2: Accessibility and Scalability Second-wave CBT is complicated and deals with very abstract and high minded concepts like “cognition.” It requires highly trained professionals, often with 21-23 years of education and specialized training through doctoral and postdoctoral work, making it difficult for the general public to access. With limited numbers of trained therapists, it’s unrealistic to think this approach is truly scalable to meet the growing mental health needs of the broader population. Further, even if we had all the demand for rigorously trained therapists met, both the financial cost and time burden to participate in these interventions is not feasible for most people. In other words, these are interventions for wealthy people with the money and time to spend.   Problem 3: Lack of Authenticity Traditional CBT places too much emphasis on cognition as the sole change mechanism, creating an imbalance in the therapeutic relationship. The therapist becomes the “expert,” while the patient is viewed as a “novice” in understanding their own life. The therapist is the purveyeor of “objective reality.” This dynamic can be disempowering, leading to resistance or dropout in therapy. Problem 4: Passivity By focusing primarily on thought restructuring, second-wave CBT can lead clients into a cycle of “thinking about thinking,” which can be fruitful, but just as often generates more rumination. In today’s world, where overthinking is already rampant, this approach may not be the most effective way to propel people toward actionable improvements. Part 2: The Evolution of Third-Wave CBT Third-wave CBT departs from the traditional emphasis on cognitive restructuring and instead focuses on values-based actions and behavior change. Rather than viewing distorted thinking as the primary issue, third-wave approaches emphasize living in alignment with personal values and goals, with therapy acting as a guide to achieving that alignment. In this model, patients—not therapists—define the targets for change, with the focus on behaviors rather than thoughts. Cognition is acknowledged as important but not the central driver of change. Instead of passively examining thoughts, patients engage in concrete actions aligned with their values, evaluating the success of those actions against personal goals, rather than an external “objective reality” defined by the therapist. For example, rather than asking, “How did your distorted thinking lead to anger?” a third-wave therapist might ask, “Was your behavior aligned with your values during that conflict? What action could have been more in line with your values next time?” This shift makes therapy more accessible, authentic, and action-oriented, addressing many of the shortcomings of traditional CBT. Part 3: Why RE-WIRE is Different RE-WIRE takes the principles of third-wave CBT and applies them specifically to relationships, which, in my experience, are the core concern for nearly all therapy clients. Relationship issues are not only the most common reason people seek therapy, but they are also one of the most universally supported protective factors in mental and physical health, with strong social ties linked to better outcomes in areas like depression, anxiety, PTSD, and even chronic diseases. RE-WIRE was designed to fill the gap left by traditional therapies that often focus on individual pathology without explicitly addressing relationships. By focusing on key relationships—whether with a spouse, parent, child, or friend—RE-WIRE helps people reconnect to their values and act in

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Relationship Superpowers: Vulnerability Part 2

By Dr. Andrew Smith, Clinical Psychologist, Professor, and Pat Tillman Scholar. To improve your skills in this area, download our free guide and checkout the REWIRE app Unbeknownst to us, from the minute we enter relationships we are engaged in a pattern of interaction with another person. Give and take. In our patterns, we are unconsciously teaching others how we want to be treated and communicated to, and others teach us how they want to be treated and communicated to in return. Patterns of reinforcement (DO THAT!) and punishment (DON’T DO THAT!) occur in our closest relationships.  In relationships that begin to struggle, one of the underlying points of communication becomes self-protection. We want to protect ourselves in particular from inner pain that comes from the other person’s actions or words. In those patterns, we begin to prioritize self-protection, organized around avoiding deeper hurt on difficult topics or long-standing conflicts.  His drinking, her anger, disappointing sex, sexual rejection, his social anxiety, her lack of motivation and followthrough, religious incompatibility, her addiction, broken promises, cruelty…these things become areas that feel unchangeable and deeply painful. We start to lose our ability or willingness or courage to communicate about them. We slowly and imperceptibly replace engagement, conflict, and optimism with something else: indifference, anger, despondency, fear…they start to live close to the surface, underneath and waiting to emerge. This is not “acceptance.” It’s giving up, and it’s costly to our lives, health, and joy. In the patterns that we establish with others, across time what we are really doing is conducting hypothesis tests for how much we can “handle” in a relationship. Because we are ideally organized around values like love, persistence, and commitment, and because in most relationships we are learning about how we operate in them for the first time, we are testing how much we can “handle” on points of divergence, disagreement, or pain.  Over time, we learn the limits of our ability to love and accept and challenge others. When testing our ability to be self-sufficient, we push down and avoid pain that others cause.  PROBLEM: pure self-sufficiency is a dangerous goal. Perhaps more than anything else in this life we need two things. (1) We need others to know, understand, accept, and commit to telling us the truth about ourselves. (2) We need to provide the same to others: to know, understand, accept, and commit to telling close others the truth about themselves.  These are both critical foundations of a meaningful life, and without them we struggle (see previous blog post: https://wordpress.com/post/rewirerx.com/279). When we start to lose our willingness or ability to communicate– when we begin to prioritize self-protection over communication– we are actually abandoning the strongest driving force for change in relationships: empathy.  Empathy can only come from honesty. Learning to communicate with vulnerability in healthy and honest ways to someone about how they are hurting you, themselves, or how you have hurt them…this is a key foundation for healthy and life giving relationships.   Why is this difficult to do? Because it’s risky and painful to put something out there, to speak your truth, and to have it rejected, invalidated, or ignored. Here is why healthy vulnerability to disclose your inner pain about how someone is treating you or themselves or someone is such a key foundation. It is an expression of hope in the other person and the trajectory of your relationship- that the people in your life are made of the beautiful and resilient stuff that will be able to receive your vulnerable, honest, and painful communication and be moved by it towards compassion, empathy, and change.  It is an expression of valuation of the other person’s character– that you believe they have the goods inside to be able to respond to you (eventually) out of love. You are loving them with vulnerability and honesty, and you are asking them to consider the pain they are causing above and beyond their own self-interest.  And at its core, your willingness to be honest and vulnerable with the people in your life is fundamentally deep way to have peace with yourself– to align with your values and goals. To live up to your original role and stated goals for the relationships you are in. Regardless of whether the other person responds well.  Either now, or in the future with practice, change can happen. People may have a hard time changing, but what we can change is how we relate-to and communicate-with each other (even if personalities sometimes keep us stuck as individuals). By practicing this skill well, you can move relationships towards the beautiful vision of connection that you always hoped for. I’ve borne witness to healing in relationships in even the worst or most longstanding conflicts. I’ll tell you how it starts. Most often, one member of a relationship begins to ground themselves in honest vulnerability to break a pattern or cycle of disagreement or pain, quite often the other member of the relationship comes along (eventually). One person begins to step up and make a change towards breaking a pattern of self-protectionism. One person initiates risking a relationship by taking it to a ‘relationship worth having’ that is built on true honesty and acceptance and commitment. Essentially, most fundamentally, when you communicate vulnerable inner pain to someone, you are tending the garden of your relationship by giving the other person a chance to express healing empathy both internally and manifest in their response to you. You are teaching them and reinforcing a pattern that involves empathy instead of pain avoidance. And you are living up to your valued role as a participant in that relationship. As we run the tests on our limits for empathy and improvement in relationships, there is a last crucial component: involve the person with whom you are being vulnerable in the test that you are running. In this way, you can begin a dialogue about the results for how it feels to resolve conflicts with empathy (rather than blame or picking

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The Foundation for Healthy Give and Take in Relationships: Vulnerability Part 1

By Dr. Andrew Smith, Clinical Psychologist, Professor, and Pat Tillman Scholar. To improve your skills in these areas, download our free guide and checkout the REWIRE app I often hear this from patients, in one form or another:  Unreciprocated effort. Even the best of us experience this as a primal form of pain at some point. Even among those of us who are good at not keeping a tally or score of our effort, a gap or debt that emerges over time burns us out and creates distance in relationships.  Navigating Unreciprocated Effort For years, as a therapist, I struggled to respond to this common problem in helpful and productive ways. On one hand, I knew for my patients that this was a major problem and a gap preventing them from having and deepening life-giving connections. On the other hand, I have felt conflicted about sending patients back in to relationships only to experience the pain of unreciprocated effort. This is an honest and true reality in relationships, making relationships feel at the very least unrewarding and at worst painful and dangerous when our effort or gifts are spent lavishly and not reciprocated, or worse, when we are flat out ignored or rejected.  For this particular question and problem, I became really unsatisfied with my way of understanding and responding. I honestly did not know how to think about or resolve this issue with any kind of depth. “Get back out there. Serve others. Don’t expect anything in return, I guess. Good luck” came to feel superficial and potentially harmful. I turned to the psychological science literature and consulted with my colleagues to find answers.  Because the answer to this problem didn’t yet exist, I rolled up my sleeves and began research on give and take in relationships.  Here is an example that shows how I have learned to think about the issue of feeling isolated due to a  lack of reciprocated support and service. Let’s say, in a couples session: By digging into this problem, I found out that an answer or solution requires an understanding of the two aspects to having deep and fulfilling relationships: giving support and receiving support. Without participating in both giving AND receiving support in any relationship, an imbalance starts to grow, creating a chasm that becomes difficult to close. On one side stands the giver, who becomes isolated due to an inability, unawareness, or unwillingness to express need and give others the opportunity to support in return.  The Giving Side: Providing Support The side many of us are most comfortable with is the “giving” support side. In the example above, Jim is very comfortable with giving, but not naturally inclined towards receiving support. You may be surprised to know that this is exceedingly common. But look inside yourself- on which side of the equation do you fall? I would guess that you are much more comfortable with providing support than you do with receiving it.  Why do we give support, and why are we most comfortable with the “giving” or “serving” part of the equation? The first and most practical reason we seek opportunities to give support is this: giving support generally makes our lives meaningful and purposeful. It is fundamentally motivating to give gifts and support and receive positive feedback from the person receiving. We learn early on that it feels good and fills our lives with a sense of goodness when we do nice and helpful things for others, identifying ourselves as people who support and serve. The feeling of giving gifts, for example, is such a good one.  A natural example of our internal desire to give to others shows up in the prolific gifts that young children produce for their parents, friends, and family members. The amount of art, crafts, and inventions that my kids have produced and gifted to me is overwhelming. Giving support is a freely available, natural, homeopathic form of medicine for the one doing the giving. Biological Rewards from Giving Support We give support because it does beneficial things for our brains and bodies. This doesn’t reduce the general existential “feels” we get from giving and serving to pure biology, but rather explains the internal mechanisms that keep us going back to give again and again. Why does it feel good? Because it does things in our brains and bodies that are fundamentally, biologically rewarding.  Neuroscience literature shows us that giving support is a tangible form of preventative medicine. Much like exercise, arranging your life around giving your gifts and support to others reduces the frequency and intensity of your anxiety and threat responses on a day-to-day basis. It also reduces patterns of physiological reactivity that prevent or reduce your risk for chronic diseases that could end your life early (e.g., better blood pressure, lower risk for cardiovascular disease, lower risk for metabolic disease, more positive in cancer treatment contexts).1 Evidence shows that giving support (providing support to others) is even more beneficial than receiving support.2 In sum, giving support away to others is medicine for you in both literal (neurobiological, physiological) and metaphorical (meaning, purpose, thriving) terms. That’s why you do it! And keep doing it. It’s an absolutely critical part of the algorithm for a meaningful and healthy life.  The Receiving Side: Allowing and Cultivating Support from Others But now, let’s shift to understand the art of receiving support. Someone must be receiving support somewhere, or else, where would you have the chance to give? Let’s start this side by asking a question:  When someone who is close to you approaches you with a need, and you can meet it, what does that do for you?  Do you (A) hate it, turn away in disgust, see it as an imposition? Or (B) relish the chance to problem-solve, love, support and care for them? Enjoy the opportunity to apply your wisdom and skill set to help? Here are some examples of that. My experience as a therapist and human has taught me that

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The Art of Healthy Boundaries: Protecting Your Relationships, Time, and Sanity

By Dr. Andrew Smith, Clinical Psychologist, Professor, and Pat Tillman Scholar. To improve your skills in boundary setting, download our free guide and checkout the REWIRE app Boundaries are such a buzzword in our current culture. In my work as a therapist, this is one of the most recurring areas of focus. Boundaries are also exceedingly complex to develop and carry out in healthy ways, serving as a key skill area for being able to live out your values and move towards your goals. In my therapy practice, a lot of energy and attention is focused on the “why” and the “how to” in developing boundaries.  Boundaries protect your relationships, time, energy, and resources. They can be set in ways that are values-aligned.  Developing the skills to establish boundaries in healthy ways involves the articulation of your reasons or motives for the boundaries.  Without taking the time to articulate why boundaries are important, we run two risks. First, we run the risk of behaving in ways that violate our own values and hurt the people with whom boundaries are needed. For example, unless I boundary my time and depth of commitment in my friendships or work, my ability to live up to my roles in my household may be compromised. And vice versa, if I don’t develop healthy boundaries in my marriage and family, critical friendships, work, and personal health goals may be compromised.  Second, if we don’t learn to articulate and set boundaries in healthy and proactive ways, we run the risk of having our time and lives slip away, for waking up 30 years from now saying, “What the hell happened. I didn’t spend my time with the people I wanted to spend my time with or doing the things that brought me the most meaning and joy. I didn’t do the things that I wanted to do with my life.” What are boundaries, and why do we set them? Boundaries are defined as the limits that we set for ourselves and others in relationships. There are various types of boundaries, such as physical, emotional, mental, sexual, financial, or time-related. Setting limits or boundaries is critical for building trust, honesty, respect, and safety in relationships. We need to be able to set boundaries across the full spectrum of our relationships– within our closest relationships with our immediate family and closest friends, as well as in our more secondary (yet critically important) relationships in work, school, churches, hobbies, and communities.  Setting boundaries involves short term discomfort and cost. There is a cost to setting boundaries, to saying no or drawing new limits. You can expect some push back from people when you set them or attempt to redefine the limits of a relationship. In relationships, we teach people what they can expect from us, and renegotiating limits with a parent, child, co-worker, boss, or friend involves changing the expectations or pattern that you have established with that person.  When you change the algorithm or pattern for a relationship, unpleasant emotions for both you and the person receiving the boundaries (fear, anger, hurt, disappointment) can occur (see previous content on pattern breaking; https://rewirerx.com/2024/05/14/breaking-patterns-in-your-relationships/).  The main source of difficulty in learning to set boundaries occurs when people organize themselves around goals to avoid friction, discomfort, and conflict. In my work as a therapist, I see many self-ascribed “people pleasers.”  People pleasing is actually a boundary problem. On one hand, it’s lovely and important to think about and care for others’ needs. On the other hand, navigating the world to please others runs the risk of being deeply motivated by a goal to avoid friction, conflict, and negative evaluation from others. It ends up costing a lot in the end to be organized around goals to please and avoid conflict.  The friction and anxiety that accompanies boundary setting is no doubt uncomfortable. Instead of letting your anxiety and discomfort avoidance drive your choice not to set a boundary, you could start to re-organize around using your mindfulness or awareness of that discomfort to cue or signal that a choice point is in front of you. “Aha! I’m feeling overwhelmed by this request, and also anxious about saying no. This is an opportunity to practice setting a boundary.”  Believe it or not, stepping into this difficult emotional process of setting a boundary is part of deepening honesty and trust in a relationship. You are giving others the opportunity to understand you with compassion and empathy, whether they choose to or not. Setting a boundary is a way to express hope and trust that the person receiving it will understand the need for the boundary, at least eventually (even if their gut reaction is one of hurt and pain). In this way, you align with values and roles in the world around leading relationships and work environments towards healthy patterns.  Because you are finite in your time, energy, and resources, if you don’t set boundaries with the people in places like work, the people closest to you with whom you desire the most depth and time and connection are the ones who pay the price. Being a people-pleaser, and not being willing to disappoint others with boundary setting– this prevents the growth of the muscle of boundary setting, preventing you from developing the musculature you need to protect your life and goals. It will cost you and the people who matter most in your life dearly.  Boundaries play out no matter what– they are inevitable. As a child, our lives are contained and limited to parents and immediate family. As we age and develop, our social networks rapidly expand to friends, teachers, co-workers, community members– in fact, the average adult is embedded in networks comprised of >200 people!1  Pretty quickly, we all come into contact with the limits of our time, energy, financial and emotional bandwidth to maintain our relationships. And as your own family grows, whatever that looks like, each person in that family has a complex set of commitments to their

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Victim Mentality is a Trap for You and Your Relationships

By Dr. Andrew Smith, Clinical Psychologist, Professor, and Pat Tillman Scholar. To move away from victim mentality and towards an empowered way of living in relationships, download our free guide and checkout the REWIRE app In conflict, the classic stalemate occurs when one side waits for the other to take responsibility. From father to son, mother to daughter, girlfriend to boyfriend, husband to wife, brother to sister, nation state to nation state.  The experience of being wronged awakens something powerful in me for which I want, demand, and await justice. The bias in the human brain is clear: We keep closer track of the ways we are wronged by others than the ways that we inflict wrong on others. If we aren’t careful, we begin to build a strong portfolio of evidence that supports our position and condemns the people around us.  I want to suggest that a victim’s mentality in a relationship is an insidious problem. It justifies cruelty, “Since he hurt me again, I can hurt him and not bother to take responsibility.” Victim mentality provides a vehicle for withdrawal and self-protectionism which gives way to long-term consequences for two people in a relationship who cannot see the pain and wrong they are causing one another. And this fundamentally not only harm a single relationship, but it harms our relationships with ourselves because it violates most of the values and goals by which each of us define ourselves.  A clear disclaimer about this content. There is a nuance to the way that we think about ‘victim’ distinguished from a ‘victim’s mentality.’ There are serious cases of being a victim or victimhood in response to emotional, physical, and sexual abuse, trauma, or assault that occur. If you are a victim of this kind of abuse or assault, or you know someone who is perpetrating this kind of abuse or assault onto a vulnerable person (child, elder, intellectually disadvantaged person), please go to https://www.thehotline.org/, call 1.800.799.SAFE (7233), or text “START” to 88788. So, how does the victim’s mentality deliver a special kind of problem in relationships? I’ll use a simple example. My kids (6yo son and 9yo daughter) are playing outside, and they come ripping into the house in an argument that I can hear coming from outside. Through their frantic communication, I learn that they were building a fort, and my son’s ideas were not being listened to by my daughter. So, my son picked up a stick and hit my daughter in the leg, to which she responded with a stick of her own.   Who is the victim in this situation? My son was disrespected and overlooked, and that created emotional pain for him. He’s the younger brother, and ends up in this position often. My daughter was hurt with a stick, and that created emotional and physical pain for her, out of which she responded by inflicting pain back on him. Both are behaving as from a victim’s mentality, and their painful responses to inflict pain on the other person feel 100% justified. “She wasn’t listening to me, so I hurt her” and “He hurt me, so I hurt him.”  In this case, it’s easy for any parent to see that resolution requires communication that involves empathy, taking responsibility, and saying sorry. “I am sorry that I hit you,” to “I am sorry that I hit you back.” Perhaps, at our best, further evolving the communication to “I felt like you didn’t respect me or see me as important” to “I felt angry with you for hitting me.”  We teach kids about this kind of communication, seeing their part and taking responsibility, to lead with “I’m sorry” and follow with “here is how I was feeling.”  Where do we start to lose this clear vision for how conflict repair works? When do we, in our own minds and lives, forget that two wrongs don’t make a right? Acting out of a victim’s mentality is the way that we land in a place wherein we no longer engage in conflict in these kinds of healthy ways. As we develop, we grow from childish primitive, physical, simple reactions towards mature, nuanced, sophisticated communication. However, the feeling of needing justice for ways that we are wronged does not change much across time. Our ways of going about getting that justice get more sophisticated.  And when we act out of a victim’s mentality, we justify emotional forms of pain that we inflict on others. And we get stuck in a loop that repeats. __ The Logic and Path Towards a Victims Mentality.  Here are two options that you might see yourself in when you respond to feeling hurt or hurting someone else from a victim’s mentality: Although the nuances are subtle, Option 1 communicates a condemnation of the other person’s ability to change or of a future in which they will improve. It communicates that you expect to stay stuck, and eventually leads to shared despondency. Why try?  Option 2 communicates that the pain you caused was justified, and therefore, there’s nothing much to be sorry for. That even if you caused hurt, theoretically, it does not count. Your feelings of pain justified the pain that I caused you. And guess what? If you are the one delivering Option 1 or 2 (always, never, character implication language), you are also wounding your relationship with your own goals, values, and aspirational vision for your relationship.   You are fundamentally wounding your relationship with yourself. And here is the kicker– You’ll never know it because you feel so singularly justified in your actions…afterall, it’s the other person’s fault. If the weight of Option 1 is not making sense—or you don’t buy the idea that it is an important language— try this quick thought experiment. Say your 8-year-old is painting with watercolors at the kitchen table, and you ask them to clean up the mess before dinner. Big surprise—your kid doesn’t clean it up on your schedule or in the way that you want

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