Therapeutic presence (TP) is an essential factor in effective therapeutic and clinical relationships. Therapeutic presence is a way of being that optimises the doing and techniques of therapy and is backed by two decades of research on the art and science of presence. TP provides clients with a sense of safety, allowing them to be seen, heard, understood, and “feel felt,” while also strengthening the therapeutic alliance. TP invites therapists to work on their own balance of presence and compassion with self and clients, ensuring they remain centered and effective even in the face of difficult emotions. This type of relationship helps regulate clients’ emotions and supports their movement towards emotional health and neurophysiological integration. Practicing TP also sustains clinicians’ vitality, connection, and effectiveness.

Self-compassion (SC) is also a key resource for clinicians, allowing them to be with difficulties that keep them present and to support themselves as therapists. Research shows that SC is strongly associated with therapists’ emotional well-being, healthy habits, and more fulfilling relationships. 

Together, therapeutic presence and self-compassion are powerful resources for counsellors to maintain emotional balance in the midst of challenging clinical work, to enjoy their work and their clients more fully, and to prevent caregiver fatigue and burn-out.

In this lecture, we will explore an empirically validated model of TP and how to create safety using neurophysiological principles based on concepts such as co-regulation and neuroception of safety stemming from Polyvagal Theory (Geller & Porges, 2014). We will incorporate evidenced based practices from Dr. Geller’s books, ‘A Practical Guide for Cultivating Therapeutic Presence’ and ‘Therapeutic Presence: A Mindful Approach to Effective Therapeutic Relationships (co-authored with Leslie Greenberg), including mindfulness, self-compassion, and experiential practices. SC will be explored as a powerful tool for overcoming barriers such as self-doubt, navigating through difficult emotions, and addressing therapeutic ruptures. This talk will be didactic and experiential to give an introduction to practices and techniques for cultivating therapists’ presence and self-compassion.