A Practical Guide to Cultivating Therapeutic Presence

Therapeutic presence allows mental health practitioners to engage more deeply with their clients and build a healing therapeutic alliance. This book outlines easy-to-use exercises that clinicians can implement in sessions and in their daily lives to develop therapeutic presence.



Research has consistently demonstrated the role of the therapeutic alliance in effective psychotherapy. Yet, the emotional demands of therapy combined with everyday stressors and distractions can prevent therapists from being fully present with their clients, which makes it difficult to build and maintain a stable alliance. This book is a much-needed practical guide to cultivating therapeutic presence. The specific techniques described will help clinicians engage more deeply with their clients on multiple levels -- physical, emotional, cognitive, spiritual, and relational. It will also help clinicians and their clients deepen their relationship into a healing encounter.

Author Shari Geller first reviews the empirical foundations of therapeutic presence, including its neurophysiogical underpinnings. She then translates this knowledge into clinical skills and practices that therapists of all theoretical backgrounds can use to set a pre-session foundation for presence, cultivate that presence in session, and overcome barriers. To be optimally effective, therapists must also practice self-care and hone their presence skills outside of therapy. Thus, Geller provides exercises that allow therapists to cultivate presence in all aspects of their lives. The book culminates in a description of therapeutic relational presence, the deepest level of connection therapists and clients can achieve through ongoing presence with each other.