Our Specialties

Presence Therapy

‚ÄčExposure-Response Prevention & Prolonged  Exposure Therapy

Exposure is a powerful form of psychotherapy that can be utilized for effective treatment of OCD (Obsessive-Compulsive Disorder), and PTSD (Posttraumatic Stress Disorder).  In both diagnoses, the client undergoes exposure to the aversive object, event, or information.  With repeated experiencing of this stimulation, anxiety produced by the event or aversion dramatically decreases.  This is one of the most effective therapies there are for both diagnoses.  Your therapist will be able to assist with managing the discomfort of this experience as well, using mindfulness, and other soothing skills as you undergo this difficult, but rewarding process.

Attachment is probably the single most important factor in determining whether a person will be successful in relationships.  We are all hard-wired with specific attachment patterns that have emerged or are emerging from childhood and parental/primary caregiver relationships.  When these attachment patterns are disrupting our lives, the effects are profound!  Although these patterns are hard-wired and primitive, we can heal these attachment wounds using effective psychotherapeutic modalities.  DAR(e) therapy is designed for the client to use the therapist as an attachment figure, where dysfunctional patterns can be broken and secure attachments can be maintained.

Alexa Waldmann, and Angie Charter Smith with Stan Tatkin, PsyD, MFT.

These two professionals were lucky enough to learn PACT from the creator himself!  After a 2-year training program in Couples' therapy using neurobiology and attachment theory, they are Level II Certified!

Angie Charter with Diane Poole-Heller, creator of Dynamic Attachment Re-Patterning.  At Presence Therapy, we learn from the most up to date and scientifically based professionals and bring that expertise home.

Dynamic Attachment Re-Patterning

Psychobiological Approach to Couples' Therapy (PACT) 

DBT is a method created for individuals with emotional dysregulation problems. This method yields powerful results by utilizing skills training groups and individual therapy to replace dysfunctional behaviors with skillful behaviors.  The evidence for DBT is profound in yielding lasting results!  It is most often used to treat individuals diagnosed with Borderline Personality features, however, it is also proven useful in treating chemical dependency, chronic suicidal ideation, severe depression, self mutilation, anxiety disorders, including OCD, and eating disorders.  

Why Play Therapy?
Unlike adults, children under the age of 12 are developmentally unable to effectively identify or explore their feelings in therapy.  Play therapy provides an opportunity for children to express and process issues through their normative language of play, using toys as their words.  Because children feel more relaxed, receptive, safe and comfortable during play, they can express and explore their issues using either directive or child-centered (non-directive) play therapymethods.  All play therapy activities reach children at their own level which allows therapeutic themes to be explored, including aggression, grief/loss, nurturing, family relationships, trauma, etc.  Once a child has expressed and explored their issues in play, it is easier for them to identify and utilize lasting solutions in their everyday life.  Play therapy at Presence Therapy includes the use of sand tray, art, clay, music, therapeutic storytelling, puppets, and creative imagery.  

‚ÄčDialectical Behavior Therapy (DBT)

Play Therapy

Our Clinicians have extensive training in understanding how the brain functions in relationships. We use body language, prolonged eye contact, and education about when and how each partner is being triggered by the other. PACT teaches both partners how to soothe each other's brain during times of stress. The result is two brains that are chemically wired together and a securely functioning relationship.

A PACT session is unlike any couple's therapy you may have experienced before. If you've been to standard couple's therapy, you may have left your session feeling worse than when you started. PACT sessions are 2 hours long in order to ensure a positive result with each experience. Couples will face each other in rolling chairs, along with other postures as determined by the clinician while maintaining eye contact. Prolonged eye contact between partners allows defensive walls to come down, allowing the clinician to access core issues with less resistance.

Our clinicians are skilled in treating a variety of issues including:

Borderline Personality Disorder

Couples' Therapy

Eating Disorders



Post traumatic Stress Disorder

Obsessive-Compulsive Disorder

Family Therapy

Adolescent Counseling

Chemical Dependency