Psychobiological Approach to Couples Therapy (PACT)

Connection. Attunement. Attachment. Safety.


PACT therapy is short for Psychobiological Approach to Couples Therapy. PACT uses cutting edge research on Attachment, Neuroscience, and Arousal Regulation Theory. Simply put, this means that PACT therapists recognize the importance of our early relationships in wiring our body and brain for connection and self preservation, and can help couples understand their wiring to stay regulated and connect deeply. 

PACT therapists believe that no matter your upbringing or relationship history, we can work together to create secure-functioning behaviors in your relationship. Secure couples work almost magically to soothe each other, communicate well verbally and non verbally, fight well and repair quickly, inspire and comfort each other, know deeply about each other and tend to each others’ wounds. Secure functioning relationships can also heal the brain and body of emotional injuries from the past.

PACT sessions may look different than other couple’s sessions. Key components to PACT sessions include:

  • Your therapist explicitly noticing shifts in facial expression, tone, and body movement, and bringing the couple’s attention to these as well, helping you to learn to attune to your partner, and respond with care.
  • Couples and therapist typically sit in rolling office chairs, allowing the therapist to further help the couple to notice how differences in distance/closeness, and looking toward/away can impact the ability to regulate in conflict, and deepen connection in peace.
  • Your therapist may re-create troubling situations to help you learn in real time how to change behaviors and actions to repair current and previous relationship injuries.
  • Sessions may be longer. Inquire about the possibility for 90 minute sessions or longer (Insurance will NOT cover extended visits, but this may be discussed as a possibility and a separate fee agreement can be made).

The following Mindful Spring's therapists provide PACT Therapy:

  • Amy Bishop, LMFT
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