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The PACT (Psychobiological Approach to Couples Therapy) model is an interactive and engaging form of relationship therapy that offers a markedly different experience from traditional talk therapy. For example, instead of primarily looking at the therapist, partners are guided to look at and interact directly with each other. This fosters real-time awareness and helps you become more attuned to your partner’s reactions, emotional states, and nonverbal communication.
PACT draws on evidence-based developmental neuroscience, attachment theory, and arousal regulation. It is grounded in the understanding that our earliest relationships — particularly those with primary caregivers — form the blueprint for how we connect, communicate, and respond in adult relationships. The care and nurturing we receive from birth through childhood shape expectations of safety, closeness, conflict, and repair, and these patterns often re-emerge within current partnerships.
By exploring these underlying patterns together, partners gain insight into why they react the way they do during moments of stress or conflict. PACT helps couples recognize how each person’s nervous system, attachment history, and coping strategies interact in real time. Drawing on these three areas enables couples to develop new ways of responding to one another — with greater awareness, empathy, and regulation — so that when challenges arise, both partners can navigate them with increased care, stability, and mutual support.