Photo of Ashley E. Powell, Psychologist in 78228, TX
Ashley E. Powell
Psychologist, PhD, HSP, CGP
Verified Verified
2 Endorsed
San Antonio, TX 78228  (Online Only)
Waitlist for new clients
Universally, we all get stuck in life, and universally, we all have the power to learn and change. I believe the therapeutic relationship is foundational to meaningful wellness and growth. My approach to therapy involves creating safety through honoring an individual’s culture, values and experiences. This paves the way for healthier patterns of navigating one's emotions, responses and relationships. I am here to understand your experiences and support you in living a fulfilling life.
Universally, we all get stuck in life, and universally, we all have the power to learn and change. I believe the therapeutic relationship is foundational to meaningful wellness and growth. My approach to therapy involves creating safety through honoring an individual’s culture, values and experiences. This paves the way for healthier patterns of navigating one's emotions, responses and relationships. I am here to understand your experiences and support you in living a fulfilling life.
(210) 879-3540 View (210) 879-3540
Photo of Vanessa Bernal, Marriage & Family Therapist in 78228, TX
Vanessa Bernal
Marriage & Family Therapist, MA, LMFT-S, LPC-S
Verified Verified
San Antonio, TX 78228
Most of us, at one time or another, experience personal problems. Sometimes they affect one's overall performance, sometimes they don't. I am available for those times when situations in life cause personal problems and you need help to get you through them. You don't have to do it alone. I strive to provide a comfortable and trusting environment where you can relax and feel safe. I aim to make therapy a place where you like to go. I know that we are all very unique. I approach each client in a way that is specific to their needs. I am also accepting licensed interns needing supervision.
Most of us, at one time or another, experience personal problems. Sometimes they affect one's overall performance, sometimes they don't. I am available for those times when situations in life cause personal problems and you need help to get you through them. You don't have to do it alone. I strive to provide a comfortable and trusting environment where you can relax and feel safe. I aim to make therapy a place where you like to go. I know that we are all very unique. I approach each client in a way that is specific to their needs. I am also accepting licensed interns needing supervision.
(210) 774-6429 View (210) 774-6429
Photo of Sarah Picken, Clinical Social Work/Therapist in 78228, TX
Sarah Picken
Clinical Social Work/Therapist
Verified Verified
San Antonio, TX 78228  (Online Only)
Whether it is your first time in therapy or a you are a lifelong therapy fan, I strive to make everyone feel comfortable and accepted in my (virtual) office. In therapy sessions, I am flexible to client’s needs both in their goals and how they want to get there. I have some clients who prefer to be more structured and practice certain skills while I have other clients who prefer to make the session feel more like a free-flowing conversation. Some issues that I speciailze in are PTSD, Anxiety, Depression, veteran's issues, and life adjustment issues.
Whether it is your first time in therapy or a you are a lifelong therapy fan, I strive to make everyone feel comfortable and accepted in my (virtual) office. In therapy sessions, I am flexible to client’s needs both in their goals and how they want to get there. I have some clients who prefer to be more structured and practice certain skills while I have other clients who prefer to make the session feel more like a free-flowing conversation. Some issues that I speciailze in are PTSD, Anxiety, Depression, veteran's issues, and life adjustment issues.
(210) 791-6215 View (210) 791-6215
Attachment-based Therapists

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.