PACT — the Psychobiological Approach to Couple Therapy — in Los Angeles.
PACT, developed by Stan Tatkin, treats the couple as a two-person psychobiological system. The work draws on attachment theory, neuroscience, and arousal regulation — and the sessions tend to feel different from other modalities (more in-the-moment, more body-aware, more experiential).
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PACT works at the level your nervous systems are running.
In PACT, the therapist is interested in micro-moments — the half-second flicker on your face when your partner mentions their mother, the body posture you take when you're trying to signal "I'm done with this conversation." Sessions often involve the therapist directing you to face each other and try a specific small interaction, then naming what just happened in your bodies and your attachment systems.
PACT also draws on attachment-style work — the categories most couples have heard of (secure, anxious, avoidant) — but applies them to the couple as a system rather than to each partner individually. The question isn't "what's your attachment style"; it's "what's the system between you doing right now."
What this method is especially good at.
- Couples whose problems show up before words can — body language, tone, micro-expressions.
- Couples with attachment-injury patterns — early-childhood relational templates that get re-enacted.
- Couples for whom traditional talk-therapy hasn't moved things — PACT's experiential focus often catches what conversation misses.
- Couples interested in the "why" beneath their pattern — the neuroscience and attachment lenses give a different vocabulary.
Often paired with this modality.
The first session is a fit conversation, not a commitment.
Reach out today.
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