Photo of Anne Brown, Psychiatric Nurse Practitioner in 97205, OR
Anne Brown
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Portland, OR 97205
We all must contend with suffering in one form or another, and it can be helpful to develop a relationship with a psychotherapist to explore the meaning to be found in it. I believe this can lead to deep transformation. We typically come to therapy due to getting caught in a whirlwind of some kind: sudden loss via death or romantic breakup, prolonged grief, or an awakening to our outdated patterns and fixed negative beliefs about ourselves. We can also use the therapy space to enrich our capacity for curiosity, enhance our imagination, and better find our footing.
We all must contend with suffering in one form or another, and it can be helpful to develop a relationship with a psychotherapist to explore the meaning to be found in it. I believe this can lead to deep transformation. We typically come to therapy due to getting caught in a whirlwind of some kind: sudden loss via death or romantic breakup, prolonged grief, or an awakening to our outdated patterns and fixed negative beliefs about ourselves. We can also use the therapy space to enrich our capacity for curiosity, enhance our imagination, and better find our footing.
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Is attachment-based therapy the same as attachment therapy?

Attachment-based therapy may be confused with what is called “attachment therapy” (sometimes called “holding therapy”), a discredited and dangerous approach to treating children with attachment disorders, autism, or other mental health concerns. Attachment therapy—not attachment-based therapy—may involve restraining a child, forcing eye contact, and other coercive or abusive techniques. None of these practices are used in attachment-based therapy and the two modalities are in no way related.

What should I expect from attachment-based therapy?

Attachment-based therapy is based on attachment theory, which posits that children’s early relationships with their caregivers strongly influence their ability to navigate the world later in life. Thus, adults who seek attachment-based therapy should expect to deeply explore their childhood, identifying the dynamics or experiences that disrupted their attachment and the steps necessary to overcome challenges that arose as a result. Parents and children should expect to explore the possible factors that disrupted the parent-child relationship and work toward restoring trust and connection.

How long does attachment-based therapy last?

Certain forms of attachment-based therapy, especially those designed for parents and children, last for a set number of sessions; for example, Attachment and Biobehavioral Catch-Up, a specific attachment-based approach for young children who have undergone early adversity, unfolds over 10 one-hour sessions. When attachment-based therapy is practiced on adults or combined with other modalities, it may not last a specific length of time; clients may wish to ask prospective therapists how long they expect treatment to take.

Does attachment-based therapy work?

Most of the research on attachment-based therapy focuses on children and adolescents. Some of this research shows a positive effect, especially for attachment-based family therapy (ABFT). Other studies, however, have found that attachment-based therapy is no more effective than other approaches to childhood depression, anxiety, or suicidality. Less is known about the therapy’s efficacy on adult populations.