How Can Therapy Help With Adult Attachment Disorders?

Medically reviewed by April Justice, LICSW
Updated March 23, 2023by BetterHelp Editorial Team

Have you noticed patterns in the behaviors you experience in your platonic, familial, and romantic relationships? Perhaps you find yourself cutting ties and emotional bonds when connections get serious or crave more profound emotional intimacy and feel uncomfortable being alone. According to attachment theory, your relationship habits may be due to your innate attachment style. If you desire to change your relationship patterns, online therapy may be able to help. Research shows that online therapy effectively reduces symptoms of depression, OCD, interpersonal sensitivity, and anxiety in people with all attachment styles. A supportive online therapist may help you learn strategies to create healthier relationships and assist you with mental health challenges.

Attachment Therapy Can Help You Improve Your Relationships

What Is Attachment Theory?

Attachment theory posits that the relationships formed in childhood with primary caregivers, like parents, may impact how we interact with others throughout our lives. When attachment theory was first theorized in the 1960s, it was only applied to the behavior of young children, but in the 1980s attachment theory was expanded to include adult behavior as well.

Children who experience a maladaptive childhood characterized by either emotional abuse or neglect may cope with this experience by learning maladaptive survival skills such as emotionally distancing from relationships. Over time, the social, emotional, and mental skills these children develop may become destructive to their adult relationships.

Researchers have identified four categories of attachment styles: secure attachment, anxious attachment (sometimes called preoccupied attachment), avoidant attachment (sometimes called dismissive attachment), and disorganized attachment (sometimes called fearful-avoidant attachment). Based on an individual’s relationship patterns, researchers may be able to determine their individual unhealthy attachment styles.

By understanding your attachment style, you may be able to learn how to change unhealthy attachment patterns. In the past decade, researchers have come to agree that the most effective treatment programs for children with attachment disorders and adults experiencing insecure attachment is a specific type of psychotherapy called attachment therapy. If you are facing or witnessing abuse of any kind, the National Domestic Violence Hotline is available 24/7 for support. Call 1-800-799-SAFE (7233) or text “START” to 88788. You can also use the online cha

Common Signs Of An Insecure Attachment Style

Attachment theory posits that the attention and safety you experience during the first few years of life may influence your view of relationships throughout your life. For example, if you were frequently left alone as an infant, you may experience difficulty building trusting relationships as an adult.

People with unhealthy attachment patterns may be able to trace their experiences to their childhood memories with their primary caregiver. They may notice the following symptoms present in their daily lives: 

  • Difficulty dealing with conflict
  • Use of manipulation or hostility to control others
  • Impulsive behavior
  • Difficulty controlling or expressing emotions
  • Trouble receiving and giving love
  • Feelings of isolation
  • Difficulty showing remorse or empathy
  • A tendency to deny responsibility in conflicts
  • Argumentative and destructive behavior
  • Addictive behavior
  • A feeling of helplessness
  • Difficulty concentrating
  • Hypervigilance
  • Frequently angering others
  • Inconsolable crying
  • Anxiety
  • Difficulty maintaining trusting or stable relationships
  • Neglectful behavior

Note that these common symptoms may appear differently in adults and children. If you experience any or all of these common symptoms, attachment-based therapy may help you overcome them. 

Can Adults Be Diagnosed With An Attachment Disorder?

According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), therapists cannot diagnose an attachment disorder in adults. A formal diagnosis of two childhood attachment disorders can be made in children with attachment issues, including disinhibited social engagement disorder and reactive attachment disorder. Childhood attachment disorders like disinhibited social engagement disorder, a rare condition, may form in the early years of a child’s life when a child does not form a healthy or proper attachment with their caregivers or parents.

Although an attachment disorder in adults cannot be diagnosed through the Diagnostic and Statistical Manual, attachment theory focuses on how insecure attachment patterns and the impact of childhood attachment disorders can affect adults throughout their lives in areas such as emotional intimacy, connection with romantic partners, and adherence to cultural norms. Studies have found that adults struggling with adult attachment concerns can change their attachment style with the appropriate treatment, education in positive emotions and behavioral patterns, and support through emotionally challenging times.

Psychotherapy For Adult Attachment Issues

Attachment psychotherapy, or talk therapy, is a research-based treatment for adult attachment challenges. In attachment therapy, therapists may help clients consider their healthy attachments and learn strategies to modify their innate behaviors. 

Several different techniques can be utilized in attachment therapy. Each technique may work well for different individuals, but they all have one thing in common: their emphasis on the therapeutic relationship. As therapists and clients build a close relationship, the partnership becomes an example of the trust-based connections that the client can create. Once trust is established, the therapist and client may work together to uncover the genesis of maladaptive behaviors. 

Psychotherapy Techniques Used In Attachment Therapy

Common types of psychotherapy interventions for attachment challenges include the following:

  • Couples/family therapy
  • Experiential therapy
  • Gestalt therapy
  • Cognitive therapy
  • Behavioral therapy
  • Holistic therapy
  • Humanistic therapy

Couples/Family Therapy

During attachment-based therapy, therapists may use attachment theory to help clients recognize attachment patterns and build trusting relationships within the family.

Since mental health challenges can impact the partner, child, or family of the client, including your family in therapy may help you explore the ripple effects of your attachment challenges. Attachment-based family therapy may also be helpful if you have young children who may be at risk of absorbing your insecure attachment style. 

Attachment-based therapy can help you improve parenting techniques and family life, create a supportive relationship, and change negative attachment patterns that formed when you were a child. 


Experiential Therapy

Experiential therapy may use role-play, art, and other activities to deepen the client’s understanding of the underlying motivations that are provoking specific attachment-based challenges.

Gestalt Therapy

Gestalt therapy aims to help the client recognize their responsibility in everyday interactions by focusing on why their behaviors trigger specific events. Because many attachment problems may stem from a denial of personal liability, Gestalt therapy can be a helpful treatment modality for adults with insecure attachment styles.

Cognitive Therapy

In cognitive therapy, therapists may help the individual recognize faulty logic and unwanted behaviors so that they can work toward modifying their beliefs. As the client gains greater self-awareness, the therapist may help them acquire skills to overcome their disorder, test their beliefs, and learn new ways of understanding situations that have triggered maladaptive behaviors in the past.

Behavioral Therapy

Behavioral therapy focuses on identifying self-destructive behaviors and using specific techniques to control unwanted attachment-based behavior. Once the client can identify the actions that lead to maladaptive behaviors they adopted as a young child, they may be able to use specific techniques to overcome them. 

Holistic Therapy

Holistic therapy involves the use of multiple psychotherapy techniques at once. A therapist using the holistic method may create a custom therapeutic approach for each client to help them move past unhealthy attachment styles and behaviors. For instance, one or more psychotherapy techniques may be used to identify the problems at hand, and completely different methods may be used to create a plan for healing. In holistic therapy, the focus is on the result, not on the treatment modality.

Humanistic Therapy

In the humanistic approach, the therapist and the individual work together to discover the cause of maladaptive behaviors. Humanistic therapy drives the client to acquire more profound wisdom and self-awareness. Adult attachment challenges often develop in childhood. The humanistic approach may help clients reach back to those past events and discover new ways to change harmful attachment-based behaviors.

Attachment Therapy Can Help You Improve Your Relationships

Online Therapy With BetterHelp

Online therapy is an evidence-based treatment method for relationship struggles, including for those living with attachment challenges. Online therapy has been proven to help develop a strong, trusting therapeutic alliance between the therapist and client, which may help drive treatment outcomes. 

Online therapy makes it possible to connect with a therapist via messaging, which may cause some people with an insecure attachment to feel more trusting of their therapist.

Online therapy can be a viable option for those struggling with attachment and other mental health concerns. One study found that an online therapy intervention successfully reduced participants’ psychiatric symptoms, including a reduction in depression, anxiety, and loneliness, and an increase in self-esteem. Researchers also saw a “change in the attachment dimension,” including decreases in attachment anxiety and avoidance.

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Attachment disorders may develop in childhood, but they’re not necessarily life sentences. With the right tools, support, and coping mechanisms, you can move toward a more secure attachment style. Targeted treatment methods like online attachment therapy can help individuals unlearn their maladaptive attachment behaviors and build stronger, healthier relationships. Take your first step by reaching out to a professional for further guidance in this process.

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