Cozy cabin nestled in snow covered mountains at sunset with vibrant sky and birch trees offering a peaceful winter escape

THE REAL GIFTS SERIES — WEEK 2

December 03, 20253 min read

“Presence is the rarest gift we give — and the one remembered long after everything else is forgotten.” — Mary Coughlin

The Gift of Presence: Why Attention Is the New Luxury

There is a moment in every NICU journey — and every human life, honestly — when someone shows up with such clarity, such tenderness of attention, that time almost stops. The monitors keep beeping, the world keeps spinning, but inside that small relational space, something sacred happens.

Presence.

Not the kind you schedule. Not the kind you perform. But the kind that emerges when one human being makes the conscious choice to be here — fully, wholly, without distraction, without pretense.

In a world that is louder, faster, and more demanding than ever, presence has become the rarest gift of all.

Presence Regulates the Nervous System

The science is astonishingly clear: The human nervous system responds differently to genuine presence.

When someone is truly with us:

  • heart rates slow

  • cortisol levels lower

  • vagal tone strengthens

  • relational safety increases

  • trust deepens

  • the body softens

Presence is medicine. Presence is regulation. Presence is co-regulation.

This is why NICU parents remember moments more than instructions, connection more than protocols.

They remember:

  • the nurse who sat with them

  • the doctor who didn’t rush

  • the therapist who listened

  • the hand on their shoulder

  • the shared breath of hope

  • the silence that wasn’t empty but full

This is the power of presence.

Caring Science: Presence as Caritas

Jean Watson teaches that presence is not passive — it is a caritas practice. It is intentional, loving, conscious, sacred.

Presence says:

  • I see you.

  • I am with you.

  • You matter to me right now, exactly as you are.

  • I am not multitasking your humanity.

Presence creates a healing field — an energetic, relational space where the soul can exhale.

The B.U.F.F.E.R. Lens: Presence Is the First Language of Belonging

Presence is belonging in action. When we offer presence, we offer:

  • Belonging — you are not alone

  • Understanding — I’m attending to who you are

  • Forgiveness — I release expectations

  • Frameworks — clarity, steadiness, boundaries

  • Equanimity — grounded, calm attention

  • Respect — the deepest kind: reverence for your humanity

Presence is the foundation of every trauma-informed encounter.

Presence vs. Performance

There’s a difference — and the body knows it.

performance versus presence

If performance exhausts us, presence nourishes us.

Presence as a Gift

This season, before giving anything wrapped, consider giving what most people truly hunger for:

  • Listening without fixing

  • Sitting without rushing

  • Being without performing

  • Noticing without judging

  • Loving without conditions

These are gifts that last long after the decorations come down.

Micro-Practice for Week 2

“The 30-Second Drop-In”

Choose one person today.
Put your phone down.
Turn your body toward them.
Soften your face.
Take one breath.
Say: “I’m here.” And mean it. That’s the gift.

REFLECTION PROMPTS FOR WEEK 2

  1. Who in your life most needs your presence right now?

  2. What keeps you from offering presence — fear, busyness, habit, distraction?

  3. How do you know when someone is truly with you?

  4. What does presence feel like in your body?

  5. What would change in your relationships if presence became your default gift?

Closing

Presence is not the absence of noise. It is the presence of love.

Next week in the series, we explore the creative gift — the gift of offering something only you can give.

Hugs and hope, Mary

Mary Coughlin, BSN, MS, NNP, is a globally recognized leader in Trauma-Informed Developmental Care and the founder of Caring Essentials Collaborative. With over 35 years of clinical experience and a deep passion for nurturing the tiniest and most vulnerable among us, Mary’s work bridges the art and science of neonatal care. She is the creator of the Trauma-Informed Professional (TIP) Assessment-Based Certificate Program, a transformative initiative designed to empower clinicians with the knowledge, skills, and support to deliver exceptional, relationship-based care.

Mary is also an award-winning author, sought-after speaker, and compassionate educator who inspires healthcare professionals worldwide to transform their practice through empathy, connection, and evidence-based care. As the visionary behind the B.U.F.F.E.R. framework, Mary helps clinicians integrate love, trust, and respect into every interaction.

Through her blog, Mary invites readers to explore meaningful insights, practical tools, and heartfelt reflections that honor the delicate balance of science and soul in healthcare. Whether you’re a seasoned clinician, a passionate advocate, or simply curious about the profound impact of compassionate care, Mary’s words will leave you inspired and empowered.

Mary Coughlin

Mary Coughlin, BSN, MS, NNP, is a globally recognized leader in Trauma-Informed Developmental Care and the founder of Caring Essentials Collaborative. With over 35 years of clinical experience and a deep passion for nurturing the tiniest and most vulnerable among us, Mary’s work bridges the art and science of neonatal care. She is the creator of the Trauma-Informed Professional (TIP) Assessment-Based Certificate Program, a transformative initiative designed to empower clinicians with the knowledge, skills, and support to deliver exceptional, relationship-based care. Mary is also an award-winning author, sought-after speaker, and compassionate educator who inspires healthcare professionals worldwide to transform their practice through empathy, connection, and evidence-based care. As the visionary behind the B.U.F.F.E.R. framework, Mary helps clinicians integrate love, trust, and respect into every interaction. Through her blog, Mary invites readers to explore meaningful insights, practical tools, and heartfelt reflections that honor the delicate balance of science and soul in healthcare. Whether you’re a seasoned clinician, a passionate advocate, or simply curious about the profound impact of compassionate care, Mary’s words will leave you inspired and empowered.

LinkedIn logo icon
Instagram logo icon
Back to Blog