
What is MCD Therapy?
Mindful Compassionate Dialogue Therapy (MCDT) is rooted in the transformative practices of mindfulness, somatic awareness, experiential exploration, and compassionate communication. It offers therapists and clients a shared map & framework to navigate the healing journey—both within the therapeutic setting and beyond.
This is a revolution in therapy!
Cultivate your own skill and capacity to ground in love, care, and power-with dynamics. From this consciousness and with the support of the MCD system, you will discover a path to thriving in relationships.
There is a map to thriving relationships. We want you to have it!

A clear path to healing and growth.
Mindfulness & Present-Moment Exploration: Through guided mindfulness and in-the-moment exploration, clients foster deeper self-awareness of internal beliefs and tender core needs, as well as underlying relational patterns. They can then explore, in the moment, new ways of engaging that foster the quality of connection desired. Clients are empowered with 12 specific and doable relationship competencies and with healing support for 9 aspects of foundational wellbeing.

What makes this approach unique?
The most innovative thing that we're offering couples therapy is client empowerment. MCD Therapists bring transparency to the process - we're empowering our clients to learn the map of their own psyche, their own relationship, their own skills, and especially their own resources. MCDT is built on:
12 Relationship Competencies for thriving relationships - skills that help couples navigate conflict, improve communication, and build stronger, more collaborative relationships based on loving presence and shared power: Appreciation, Empathy, Honest Expression, Self Empathy, Recognizing Reactivity, Managing Reactivity, Needs-based Negotiations, Live-serving Boundaries, Thriving and Resilience, Relationship Repair, Emotional Security, and Healthy Differentiation.
9 Foundations for personal wellbeing - key areas of physiological and psychological wellbeing: Attunement, Warmth, Security, Awareness of Self, Health, Regulation, Equanimity, Clarity, and Concentration. As these foundations grow stronger, individuals are better able to utilize the relationship skills when they need them the most.
Clear, actionable steps for navigating complex dynamics.

The Guiding Principle of MCDT
The Life-Serving Intention refers to a purpose or motivation that aligns with nurturing growth, well-being, connection, and the flourishing of life in ourselves and others. It’s an inner orientation where actions, words and thoughts are guided by values like compassion, nonviolence, care and wisdom.
When we hold a life-serving intention, we act in ways that promote healing rather than harm, build bridges instead of walls, and foster collaboration rather than division. This mindset can be especially significant in how we approach intimate relationships, resolve conflicts and make decisions.
A life-serving intention often involves pausing to ask: What is truly needed here? How can I contribute to creating something life-serving for myself and my partner?
Our Life-Serving Intention is expressed as love, care and power-with dynamics.
The MCD system of transformation and relating is only useful to the extent that we are occupying a deep trust that caring for the quality of connection opens the door to a thriving life. Our Life-Serving Intention brings us into resonance with the truth that at the depth of our being, we are intimately connected in the web of life and on a path of realizing that connection ever more fully. At our core, humans have the capacity for compassion, curiosity and collaboration. From the Life-Serving Intention, we serve and respond to life in whatever the present moment calls for with greater access to skill, compassion, wisdom and agency.
In other words, we can say that we are expressing from a consciousness of connection. This is what we are dedicated to tracking first and foremost: the quality of connection within ourselves, in relationship with others and with life.
Enacting the Life-Serving Intention arises from these foundational qualities of consciousness:
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Aspects of loving presence include:
Compassion: A heartfelt capacity and willingness to see and accompany the suffering of others with care.
Groundedness: A calm, centered state that allows you to hold space even in the face of strong emotions and experiences. Energy is felt as settled and rooted into the earth.
Non-attachment: Allowing others to be as they are without trying to impose expectations or agendas upon them. Non-attachment is characterized by equanimity in the face of both aversive and pleasant experiences. There is the capacity to accept what’s happening in the moment without offering agreement or disagreement.
Empathy: The ability to listen and attune to another's experience with warm curiosity. Empathy offers companionship and connection to the heart.
Curiosity and openness: This includes a willingness to explore, experiment, and discover. It requires mindfulness of conditioned reactions and the capacity to be with discomfort and the unknown.
Attunement: Attunement means turning attention toward the experience and behavior of another for the purpose of offering care. Attunement includes consistent responsiveness. Attunement is distinct from vigilance, which involves carefully observing others for the purpose of tracking a threat.
Warmth: Warmth could be described as a diffuse felt-sense of love. It is usually accompanied by a softening of muscles in the face and around the heart, a feeling of openness, an attitude of caring, physical warmth, and an embracing or allowing of experience. It is distinguished by a lack of judgment. Compassion and loving-kindness are warmth practices.
Radiance: An inner quality of love and joy that naturally inspires an emotionally and energetically supportive container. An ability to reflect the beauty and goodness in others back to them.
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Aspects of mindfulness in MCDT include:
As a form of consciousness: Mindfulness is an enhanced presence of mind directed by the intention of loving-kindness, a heightened attentiveness to objects of experience in the present moment, a special non-reactive quality of attention - a peaceful, buoyant, flexible, effective, capable, and upright state of mind.
Benefits: By being present here and now with acceptance, we create space for deeper understanding and connection. Both deeper awareness of ourselves and greater capacity to attune to those we are with.
Enhanced self-awareness: Mindfulness fosters greater self-awareness by encouraging individuals to observe their thoughts, feelings, and bodily sensations without judgment. This practice helps clients recognize patterns in their behavior, emotional triggers, and internal reactions, leading to a deeper understanding of themselves. As a result, clients can make more intentional choices and respond to situations with greater clarity and insight.
Greater attunement with others: Mindfulness enhances our ability to be fully present with others, allowing us to listen deeply and attune to their words, emotions, and nonverbal cues. This heightened awareness fosters empathy and understanding, helping clients better recognize the feelings, needs, and perspectives of those around them.
Pausing to reflect: Mindfulness invites us to pause before reacting, allowing time to reflect on our intentions and to ensure that our words and actions are aligned with our values and the needs of all present.
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Aspects of Respect for Interdependence include:
The relational truth: Human beings are not isolated; we are inherently relational. We are all connected, and our well-being is shaped by the relationships we have with others. Our behavior impacts those around us and embracing the truth of mutual dependency allows for deeper exploration of how we are serving life together.
Healing through connection: Many wounds occur in relationships, but relationships are also where healing takes place. Interdependence emphasizes the power of mutual support and shared vulnerability as pathways to healing. Recognizing this fosters deeper compassion for self and others.
Empowerment without isolation: Interdependence balances self-reliance with the wisdom of seeking and offering support. We need each other. We teach our clients that strength comes from leaning into the reciprocity of connection.
Alignment with life’s flow: As clients become more secure in their own sense of worth and lovability, the thinking mind and conditioned beliefs begin to have less of a hold. In this way, clients begin to have the capacity to listen to intuition, and move towards what is easeful and connecting. This is an example of being in the flow. Interdependence mirrors the natural world, where ecosystems thrive through cooperation and mutual exchange. Honoring this flow allows clients to attune more fully to themselves and others.
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The dimensions of holistic wellness include:
Mind (cognitive and emotional dimension): The mind represents our thoughts, beliefs, emotions, and cognitive processes. It includes how we perceive and interpret experiences, manage stress, and process emotions. In MCD Therapy, the therapist helps clients gain self awareness of thoughts, beliefs, and nourishment barriers. With this greater awareness, clients find the agency to become free of particular forms of conditioning and create new, more supportive ways of thinking and engaging with self and others.
Body (somatic dimension): The body is the vessel through which we experience life, holding physical sensations, memories, and emotional responses. Trauma or stress can often become "stored" in the body, manifesting as tension, pain, or dis-ease. MCD Therapy integrates body-awareness practices to support healing, recognizing that the body’s wisdom offers vital insights into emotional and psychological health. Additionally, we acknowledge that how individuals attend to their body's needs, and the extent to which they can meet those needs, also significantly impacts their overall experience and well-being.
Social connections (relational and community dimension): Human beings are inherently social, and our relationships significantly influence our sense of identity, security, and emotional health. The social dimension encompasses both our interpersonal relationships and our broader social networks, including family, friends, colleagues, and community. Positive social connections are essential for healing and growth, while toxic or unbalanced relationships can hinder personal development.
Spirit (spiritual dimension): The spiritual dimension relates to our sense of purpose, connection to something larger than ourselves, and our inner wisdom. This aspect of our being is not necessarily linked to religious beliefs, but rather to a broader sense of meaning and interconnectedness with life. For many, spirituality provides a source of comfort, resilience, and guidance through life's challenges.
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Aspects of nonviolence in MCDT include:
Respect for individuality: Nonviolence in relationships involves honoring each person’s unique experience, perspectives, and needs. By respecting individuality, we create space for each person to express their truth and feel valued for who they are without the imposition of external expectations or judgments.
Fostering emotional safety: Creating emotional safety is essential for vulnerable connection. Nonviolence nurtures a space where individuals can express their fears, anger, and insecurities without judgment or retaliation. This support helps build trust and intimacy in relationships.
Life-serving Boundaries and Healthy Differentiation: Nonviolence supports the establishment of boundaries and healthy differentiation. It emphasizes the importance of respecting each person’s needs and limits, allowing relationships to thrive with mutual respect and care for each person involved.
Power-with in relationships: In a “power with” consciousness, you maintain awareness and responsibility for your needs and values while being able to consider and hear the needs of others. You have a willingness to use your internal and external resources to honor all needs present. When you receive guidance and directives from someone in authority, you are able to discern your response in integrity with your needs/values and all the details relevant to that context. If something seems off, you are able to ask questions of the person in authority. You have clarity about the boundaries of this person’s authority. You remember that the needs of all living beings are equally important regardless of roles and responsibilities.
Power-with as therapist: We are transparent in what we're doing together, we are mindful of hidden agendas for clients and hidden agendas for self. As MCD Therapists we proceed with consent at decision points in therapy.
This is the heart of MCD Therapy: a path of transformation that honors our deep longing for meaningful connection and a life in harmony with our values.
The roots of MCDT
The system of MCD is founded on teachings and practices of mindfulness, Nonviolent Communication (NVC), and Hakomi. Originally developed by Elia Paz, MCD has been shared with the public through Wise Heart and has contributed to the growth and healing of countless participants.
Mindful Compassionate Dialogue Therapy (MCDT) was created by Ava Frank in collaboration with Elia Paz to provide therapists with a clear and practical framework for integrating MCD into their practice. MCDT therapists skillfully guide clients toward greater self-awareness, emotional healing, and empowered learning of the skills needed for thriving relationships.