workshop Rhinebeck, NY

Presence Psychotherapy

Integrating Spirituality With Trauma Work (28 CEs)


Sep 22–27, 2024


Member: $760.00

Standard: $850.00

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This 5-day training for mental health professionals and pastoral clergy introduces the theory and practice of Presence Psychotherapy for trauma.

Presence Psychotherapy is an integrative trauma therapy that incorporates spirituality, internal inquiry, and relational attunement to facilitate healing. Developed by Michelle Lepak, LCSW, this model, rooted in evidence-based practice, helps clients orient to Four Dimensions of Presence to experience the essence of who they are beyond their trauma, to sense compassion and support in and around them, and experience oneness. Presence Psychotherapy helps clients utilize Presence Awareness to access and process the multiple layers and nuance of trauma rather than bypass trauma.

The model, published in the APA's Journal of Integrative Psychotherapy, introduces the concept of Four Dimensions of Presence to process trauma and experience well-being: Grounded Presence, Spacious Presence, Relational Presence, and Transcendent Presence.

This intensive 5-day training with Michelle includes didactic presentations, live demonstrations, and experiential practice to help participants gain tools and knowledge to:

  • Identify the qualities and therapeutic aspects of the Four Dimensions of Presence: Grounded Presence, Spacious Presence, Relational Presence, and Transcendent Presence
  • Recognize and utilize clients' personal connections to spirituality in trauma treatment to heal trauma
  • Explain how Presence Awareness can help heal attachment wounds, provide regulation during trauma processing, and reprocess negative beliefs and emotions resulting from trauma
  • Practice the skill of listening for and facilitating client's Presence awareness through client's narrative
  • Describe how to help clients regulate affect between sessions utilizing Four Dimensions of Presence techniques
  • Define implicit, explicit, procedural, semantic, emotional, and sensory trauma memory
  • Practice utilizing Four Dimensions of Presence to heal attachment wounds
  • Demonstrate how to utilize the Four Dimensions of Presence to heal negative trauma-induced beliefs
  • Facilitate Transcendent Presence awareness to processing trauma without creating spiritual bypass

For a full list of what you will learn, please see

Presence Psychotherapy offers a thorough trauma treatment protocol based on the acronym ORBITS, which stands for:

  • Orient to presence
  • Reside in presence
  • Body sense awareness
  • Inquire, invite, illuminate
  • Turn the view
  • Sit in presence

This training will describe how Presence Psychotherapy can easily integrate other therapeutic models. The training will also explain Presence Psychotherapy's Expanded concept of Compassionate Presence and will demonstrate how to include aspects of clients’ spirituality, such as nature, animals, spiritual beings, and totems in trauma work.

This training is for beginning, intermediate, and advanced mental health professionals who are licensed to provide treatment and to pastoral care clergy.

More Information

Enrollment is limited for this program; register early.

Workshop begins Sunday at 7:30 p.m.

Faculty asks that you read the following articles and view the following videos in preparation for the course:

  • Lepak, M. M., & Carson, G. D. (2022). Presence Psychotherapy: A Novel Integrative Trauma Treatment Model for Thorough Memory Reconsolidation. Journal of Psychotherapy Integration.
  • Lepak, M. (2022) Utilizing of Presence Awareness in Trauma Therapy. TraumaCare 2022, 2(4), 589-599;
  • Geller, S. M., & Greenberg, L. S. (2023). Therapeutic presence: A mindful approach to effective therapeutic relationships (2nd ed.). American Psychological Association.
  • Hardy K. Taylor Z, Psychotherapy Networker (2023, Mar 8) Healing the Invisible Wounds of Racial Trauma in Therapy [Video] Youtube.
  • Malet P, Bioy A, Santarpia A. (2022) Clinical Perspectives on the Notion of Presence. Front Psychol. Feb 25;13:783417. doi: 10.3389/fpsyg.2022.783417. PMID: 35282210; PMCID: PMC8913713.
  • Oxhandler HK, Pargament KI, Pearce MJ, Vieten C, Moffatt KM. (2021) Current Mental Health Clients' Attitudes Regarding Religion and Spirituality in Treatment: A National Survey. Religions.; 12(6):371.

Continuing Education

The faculty is independently offering Continuing Education Credits. For more information, please see

28 Continuing Education Hours are offered and approved for Psychologists, Social Workers, Mental Health Counselors, Marriage and Family Therapists, Chemical Dependency Counselors, Creative Arts Therapists, Educators, Nurses and Dentists.

Visit for the course objectives, schedule, and additional information including how to contact faculty.

Workshop Rhinebeck, NY

Sep 22–27, 2024

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Presence Psychotherapy

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  • Michelle Lepak

    Michelle Lepak

    Michelle Lepak, LCSW, developed the Presence Psychotherapy trauma treatment model.