Psychobiological Approach to Couple Therapy (PACT)

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PACT stands for Psychobiological Approach to Couple Therapy and it has been developed by Stan Tatkin, PsyD. Its goal is to integrate mind-body functioning and give couples the tools to create a safe, “secure-functioning” relationships. PACT has been developed thanks to exciting, cutting-edge research in three areas: Neuroscience, Attachment Theory & Human Arousal.

— Susan Stork, Sex Therapist in Baltimore, MD

A PACT couple session may differ somewhat from what clinicians and couples experience in other forms of couple therapy. A PACT therapist’s focus on moment-to-moment shifts in a client’s face, body, and voice, and each partner’s active involvement in paying close attention to these as a couple. A PACT therapist creates experiences similar to those troubling a relationship and helps the couple work through them in real time during the session. PACT sessions often exceed the 50-minute hour

— Tom Bolls, Licensed Professional Counselor in Austin, TX

The goal of PACT couples counseling is to create a secure functioning relationship where both parties are committed to operating as a "we/us" rather than two individuals at odds. Pact uses neuroscience and attachment theory of relationships. I will focus on moment-to-moment shifts in your face, body, and voice, and ask you to pay close attention to these as a couple. We will create experiences similar to those troubling your relationship and help you work through them in session.

— Robyn Trimborn, Licensed Professional Counselor in Austin, TX

Level I trained with Stan Tatkin at PACT Institute 2023

— Electra Byers, Psychotherapist in arvada, CO

I have extensive training in PACT (was trained in Level I + II) and am part of an ongoing case consultation group to further hone my skills and craft. PACT is very comprehensive and pays a lot of attention to attachment styles, emotional regulation, and brain science. Given that I've been trained in PACT, Gottman, and EFT, I methodically use the best parts of each modality based on what my couples are bringing and am struggling with.

— Christian Bumpous, Marriage & Family Therapist in Nashville, TN

PACT therapy, or Psychobiological Approach to Couples Therapy, is a form of relationship therapy that focuses on understanding and addressing the underlying attachment and neurobiological patterns in couples. We dig deep into your attachment styles and incorporate somatic and cutting edge neuroscience into couples work.

— Angela Tam, Counselor in , WA

PACT is the primary modality through which I conceptualize my work with couples. PACT blends contemporary neuroscience with attachment theory. With some understanding on how our caregivers taught was what romantic love looks like is emotional work but also incredibly empowering. Healing core attachment wounds enables you to participate in a healing relationship from the most core parts of the self. Also, the brain hacks provided by PACT are invaluable.

— Courageous Couples Counseling, Licensed Marriage & Family Therapist in Santa Rosa, CA

I am PACT level I trained and utilize this model in my work with couples.

— Fiona Cochran, Licensed Marriage & Family Therapist in ,

The PACT couples therapy approach pulls from attachment theory, developmental neuorscience and arousal regulation. The sessions tend to be longer in length resulting in less frequency over time meeting with the therapist. Sessions typically look different than most other couples therapy frameworks. The therapist looks for micro expressions from each partner and creates situations for the couple where they can learn to relate with each other differently in real time.

— Jennifer Moffat, Associate Marriage & Family Therapist in Roseville, CA

I am a PACT level 1 trained couples therapist. PACT is a psycho-biological approach to couples therapy that combines understanding neurology, attachment systems, and arousal to get to the process underlying communication difficulties.

— Karyn Wittmeyer, Licensed Clinical Mental Health Counselor in Kent, WA

I am a Level 1 trained PACT clinician (soon to be Level 2 in Fall 2023!) I work with couples in three major tenets of the PACT model: attachment/Family of Origin, regulation, and neuroscience.

— Diana Harden, Counselor in Baltimore, MD

I am a PACT level I certified therapist. Using PACT, I work with clients experientially to build secure relationships with their partner/s.

— Katie Ament, Mental Health Counselor

PACT was developed out of research in three areas: attachment theory, neuroscience, and the biology of human arousal. Neuroscience provides an understanding of how people act and react within relationships. The biology of human arousal explains the moment-to-moment ability to manage our energy, alertness and ability to engage with others. rPACT uses the science of how our brains work in relationship to help partners form closer, more creative, loving relationships with better communication.

— Jennifer Creson, Counselor in Seattle,

PACT (Psychobiological Approach to Couples Therapy) is a type of couples therapy that quickly gets to the heart of what's happening with conflict and tension in your relationship. PACT works by cutting out a lot of the confusing talking and arguing about who's right and how to fix a given problem. During sessions you will be facing each other and work on your attunement as a couple as the therapist works from the outside of the "couple bubble".

— Sarah Underbrink, Licensed Clinical Social Worker in Plano, TX