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Online Therapists

Photo of Allie Lehr, Marriage & Family Therapist in Steelville, MO
Allie Lehr
Marriage & Family Therapist, MA, LMFT
Verified Verified
Webster Groves, MO 63119
I draw on attachment-based and emotionally focused interventions to support my clients in gaining self-awareness and addressing the root causes of their concerns.
Are you struggling with a relationship or relationships in your life, or maybe even struggling with the relationship with yourself? Do you feel disconnected, scared, and unsure of where to begin? Relationships are hard AND they are what make us human. I am passionate about helping my clients, whether they are individuals, families, or romantic partners, improve communication, increase connection, and overcome painful experiences that are preventing them from having and maintaining healthy relationships.
I draw on attachment-based and emotionally focused interventions to support my clients in gaining self-awareness and addressing the root causes of their concerns.
Are you struggling with a relationship or relationships in your life, or maybe even struggling with the relationship with yourself? Do you feel disconnected, scared, and unsure of where to begin? Relationships are hard AND they are what make us human. I am passionate about helping my clients, whether they are individuals, families, or romantic partners, improve communication, increase connection, and overcome painful experiences that are preventing them from having and maintaining healthy relationships.
(803) 879-4781 View (803) 879-4781
Photo of Michelle Maguire, Clinical Social Work/Therapist in Steelville, MO
Michelle Maguire
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Charles, MO 63301
I will utilize attachment-based theories and techniques and other modalities such as cognitive behavioral therapy and mindfulness strategies.
My name is Michelle Maguire, I am a licensed clinical social worker in Missouri and Kansas. I believe trust, compassion and respect are essential for effective treatment. I will create a safe and non-judgmental space for healing and change. I studied at Kansas State University for my undergraduate degree in social work. I obtained my graduate degree in social work from the University of Missouri. I have been a practicing therapist since 2003. My clinical experience spans clients of all ages and backgrounds.
I will utilize attachment-based theories and techniques and other modalities such as cognitive behavioral therapy and mindfulness strategies.
My name is Michelle Maguire, I am a licensed clinical social worker in Missouri and Kansas. I believe trust, compassion and respect are essential for effective treatment. I will create a safe and non-judgmental space for healing and change. I studied at Kansas State University for my undergraduate degree in social work. I obtained my graduate degree in social work from the University of Missouri. I have been a practicing therapist since 2003. My clinical experience spans clients of all ages and backgrounds.
(636) 242-6123 View (636) 242-6123
Photo of Julia Lee, Licensed Professional Counselor in Steelville, MO
Julia Lee
Licensed Professional Counselor, MEd
Verified Verified
1 Endorsed
Columbia, MO 65201
Clinical approaches: Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Emotionally-Focused Therapy (EFT), Solution-Focused Therapy, Trauma-Focused Therapy, Internal Family Systems.
I am licensed in Missouri with 10 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, & motivation, self esteem, and confidence. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
Clinical approaches: Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Emotionally-Focused Therapy (EFT), Solution-Focused Therapy, Trauma-Focused Therapy, Internal Family Systems.
I am licensed in Missouri with 10 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, & motivation, self esteem, and confidence. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
(573) 763-4637 View (573) 763-4637
Photo of Karissa Curtis, Licensed Professional Counselor in Steelville, MO
Karissa Curtis
Licensed Professional Counselor, MA, LPC, CST
Verified Verified
1 Endorsed
Lake Saint Louis, MO 63367
Waitlist for new clients
I use an integrative therapeutic approach often including attachment-based therapies, parts work, Voice of the Heart, and the Enneagram.
I believe people's pain is holy and sacred ground and that every individual's story has value. I work with individuals and couples, and I'm passionate about understanding my clients' struggles and giving them hope for healing and redemption. In coming to counseling, my clients can be assured that I'll provide a safe, non-judgmental space for them to grow and find healing. Of particular interest to me is helping people who struggle with relationship difficulties, sexual intimacy issues, vaginismus, sexual shame, religious and sexual identity conflicts, spirituality, and conflict and boundary issues.
I use an integrative therapeutic approach often including attachment-based therapies, parts work, Voice of the Heart, and the Enneagram.
I believe people's pain is holy and sacred ground and that every individual's story has value. I work with individuals and couples, and I'm passionate about understanding my clients' struggles and giving them hope for healing and redemption. In coming to counseling, my clients can be assured that I'll provide a safe, non-judgmental space for them to grow and find healing. Of particular interest to me is helping people who struggle with relationship difficulties, sexual intimacy issues, vaginismus, sexual shame, religious and sexual identity conflicts, spirituality, and conflict and boundary issues.
(636) 306-3471 View (636) 306-3471
Photo of Kathleen Mossman, Pre-Licensed Professional in Steelville, MO
Kathleen Mossman
Pre-Licensed Professional, MAC, PLPC
Verified Verified
3 Endorsed
Cottleville, MO 63304
While struggle is common to the human experience, it can lead to healing and growth. Even in the most difficult of circumstances, it is possible to choose a life of purpose and joy. My desire is to collaborate with clients to find hope, healing and solutions for life’s challenges. I am particularly interested in trauma, women’s issues, relationship struggles including betrayal trauma, parenting challenges and life transitions.  I am passionate about meeting people where they are, learning their stories and supporting them as they build the life they desire. I will hold space for your pain and hope for your healing.
While struggle is common to the human experience, it can lead to healing and growth. Even in the most difficult of circumstances, it is possible to choose a life of purpose and joy. My desire is to collaborate with clients to find hope, healing and solutions for life’s challenges. I am particularly interested in trauma, women’s issues, relationship struggles including betrayal trauma, parenting challenges and life transitions.  I am passionate about meeting people where they are, learning their stories and supporting them as they build the life they desire. I will hold space for your pain and hope for your healing.
(636) 339-4972 View (636) 339-4972
Photo of Anna Segovia Schild, Clinical Social Work/Therapist in Steelville, MO
Anna Segovia Schild
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Charles, MO 63303
I believe people are more than their diagnosis. Yes, a diagnosis is a tool but it is not the big picture. I come from a place of curiosity and wonder, wanting to know my clients on a deeper level so that I can help them navigate this world. For example, PTSD is a big diagnosis that is thrown around; yet, it doesn't paint the full picture. It doesn't reflect someone's experiences, triggers, how this is impacting their relationships, family history, the strengths they possess etc. Adolescents are my passion however, I also enjoy and work closely with families and adults.
I believe people are more than their diagnosis. Yes, a diagnosis is a tool but it is not the big picture. I come from a place of curiosity and wonder, wanting to know my clients on a deeper level so that I can help them navigate this world. For example, PTSD is a big diagnosis that is thrown around; yet, it doesn't paint the full picture. It doesn't reflect someone's experiences, triggers, how this is impacting their relationships, family history, the strengths they possess etc. Adolescents are my passion however, I also enjoy and work closely with families and adults.
(636) 249-1795 View (636) 249-1795
Photo of Laila Merz, Psychologist in Steelville, MO
Laila Merz
Psychologist, PhD
Verified Verified
Ladue, MO 63124
I went into the field of psychology because I love helping people transform to the best version of themselves. We all need a safe place to understand ourselves and how we relate to others/self. I often say "We need to be Mindful of our Total-Well Being and that our minds and our bodies are an inter-connected systems. Where the mind goes, so does the man or woman in their actions and body states. We go to the physician for our physical health, so how much healthier would we be if we went to our psychologist for our mental health?" At heart, I am a holistic practitioner and love seeing my clients Thrive.
I went into the field of psychology because I love helping people transform to the best version of themselves. We all need a safe place to understand ourselves and how we relate to others/self. I often say "We need to be Mindful of our Total-Well Being and that our minds and our bodies are an inter-connected systems. Where the mind goes, so does the man or woman in their actions and body states. We go to the physician for our physical health, so how much healthier would we be if we went to our psychologist for our mental health?" At heart, I am a holistic practitioner and love seeing my clients Thrive.
(314) 485-4853 View (314) 485-4853
Photo of Kristen Ratican, Licensed Professional Counselor in Steelville, MO
Kristen Ratican
Licensed Professional Counselor, MA, LPC
Verified Verified
Webster Groves, MO 63119  (Online Only)
I approach treatment through an attachment-based, trauma-informed, psychodynamic lens and collaborative framework, recognizing that you are the expert of your life experience.
We are wired to repeat deeply learned patterns that, at a certain point, no longer serve us. Whether it’s in your personal relationships, or your relationship with yourself, at times you may find yourself feeling stuck in a repetitive loop, with outcomes that feel undesirable or out of your control. Together we can identify and explore these patterns in order to define your goals and work towards meaningful growth.
I approach treatment through an attachment-based, trauma-informed, psychodynamic lens and collaborative framework, recognizing that you are the expert of your life experience.
We are wired to repeat deeply learned patterns that, at a certain point, no longer serve us. Whether it’s in your personal relationships, or your relationship with yourself, at times you may find yourself feeling stuck in a repetitive loop, with outcomes that feel undesirable or out of your control. Together we can identify and explore these patterns in order to define your goals and work towards meaningful growth.
(314) 912-4041 View (314) 912-4041
Photo of Stephanie Malzahn, Marriage & Family Therapist in Steelville, MO
Stephanie Malzahn
Marriage & Family Therapist, MS, LMFT
Verified Verified
Clayton, MO 63124
I use a systems and developmental approach that integrates attachment-based, mindfulness and somatic practices.
Welcome! Do you feel misunderstood and undervalued? Are you looking for more meaningful connection? Anxiety, pain and relationship stress can show up in our bodies, our work ethic, our social interactions, sleep habits and so much more. What happens to us early in life influences our ability to cope with the stress and setbacks that life can throw at us. Whether it's a chronic health issue, recent or past trauma, grief, or an ongoing stressor, you don't have to experience it alone. I have an integrative and person-centered approach that uses the therapeutic relationship to build your sense of agency to get yourself unstuck.
I use a systems and developmental approach that integrates attachment-based, mindfulness and somatic practices.
Welcome! Do you feel misunderstood and undervalued? Are you looking for more meaningful connection? Anxiety, pain and relationship stress can show up in our bodies, our work ethic, our social interactions, sleep habits and so much more. What happens to us early in life influences our ability to cope with the stress and setbacks that life can throw at us. Whether it's a chronic health issue, recent or past trauma, grief, or an ongoing stressor, you don't have to experience it alone. I have an integrative and person-centered approach that uses the therapeutic relationship to build your sense of agency to get yourself unstuck.
(314) 886-5941 View (314) 886-5941
Photo of Sarah Yeo, Counselor in Steelville, MO
Sarah Yeo
Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63141
My main modalities are attachment-based approach; CBT and DBT methods; strength-based; client-centered; and interpersonal processing.
I am a trauma-informed therapist who works with adult clients in individual therapy. I have a special heart for working with individuals who struggle with boundary issues, codependency, self-esteem, and shame. I also work with survivors of emotional/narcissistic abuse; clients with adult ADHD; and those with relational/attachment trauma through abuse and neglect in their family of origin. I also have a passion for walking with individuals who are in their faith deconstruction journey or have experienced spiritual abuse. My clients are of all faith backgrounds but for those who are seeking it, I offer Christian counseling as well.
My main modalities are attachment-based approach; CBT and DBT methods; strength-based; client-centered; and interpersonal processing.
I am a trauma-informed therapist who works with adult clients in individual therapy. I have a special heart for working with individuals who struggle with boundary issues, codependency, self-esteem, and shame. I also work with survivors of emotional/narcissistic abuse; clients with adult ADHD; and those with relational/attachment trauma through abuse and neglect in their family of origin. I also have a passion for walking with individuals who are in their faith deconstruction journey or have experienced spiritual abuse. My clients are of all faith backgrounds but for those who are seeking it, I offer Christian counseling as well.
(724) 633-1309 View (724) 633-1309
Photo of Blooming Oasis Therapy Services, Licensed Professional Counselor in Steelville, MO
Blooming Oasis Therapy Services
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Affton, MO 63123  (Online Only)
LPC trained in EMDR, SIP and attachment-based therapy.
Are you struggling to feel accepted & comfortable in your own skin? Blooming Oasis is a private practice that focuses on individual, couples, and LGBTQ+. We are located in Affton and Saint Louis area as well as telehealth therapy. We help by actively listening to your story and fostering a calm environment by providing a healthy model for boundaries and relationships. We help clients navigate through change and life events. We will take a person-centered integrated approach to help you gain healthy, effective coping skills and balance in your daily life.
LPC trained in EMDR, SIP and attachment-based therapy.
Are you struggling to feel accepted & comfortable in your own skin? Blooming Oasis is a private practice that focuses on individual, couples, and LGBTQ+. We are located in Affton and Saint Louis area as well as telehealth therapy. We help by actively listening to your story and fostering a calm environment by providing a healthy model for boundaries and relationships. We help clients navigate through change and life events. We will take a person-centered integrated approach to help you gain healthy, effective coping skills and balance in your daily life.
(636) 259-4904 View (636) 259-4904
Photo of Angela Lovett, Licensed Professional Counselor in Steelville, MO
Angela Lovett
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
5 Endorsed
Kirkwood, MO 63122
Hi there, I am here to help you. I work with individuals, couples, and families with struggles ranging from current life issues, relationship struggles, and issues that have been a lifelong battle. Clients often come to me because they have hit the lowest point and have never felt more alone, even after trying therapy countless times before. Many clients have left counseling finding resolution and a drive to live their life to the fullest. My clients have expressed finding healing, feeling equipped to manage life, and having healthier relationships and connections with others that they previously thought weren't possible.
Hi there, I am here to help you. I work with individuals, couples, and families with struggles ranging from current life issues, relationship struggles, and issues that have been a lifelong battle. Clients often come to me because they have hit the lowest point and have never felt more alone, even after trying therapy countless times before. Many clients have left counseling finding resolution and a drive to live their life to the fullest. My clients have expressed finding healing, feeling equipped to manage life, and having healthier relationships and connections with others that they previously thought weren't possible.
(314) 207-0749 View (314) 207-0749
Photo of Amanda Umlah, Clinical Social Work/Therapist in Steelville, MO
Amanda Umlah
Clinical Social Work/Therapist, LCSW, CRAADC, SEP
Verified Verified
6 Endorsed
Ballwin, MO 63011
Sometimes you can feel like you are all alone in life. Like no one can understand the deep internal pain you are feeling and you don’t know what to do. You may feel hopeless, stuck, thinking life will never get better… ​ This is a common theme among many of the clients who walk through my door. There is a great need for a place where they can feel safe, secure, and validated. I believe I am able to provide this for my clients. A place where you can truly feel understood, a haven where you don’t have to feel so alone. My top priority is providing individualistic compassionate care.
Sometimes you can feel like you are all alone in life. Like no one can understand the deep internal pain you are feeling and you don’t know what to do. You may feel hopeless, stuck, thinking life will never get better… ​ This is a common theme among many of the clients who walk through my door. There is a great need for a place where they can feel safe, secure, and validated. I believe I am able to provide this for my clients. A place where you can truly feel understood, a haven where you don’t have to feel so alone. My top priority is providing individualistic compassionate care.
(314) 266-6952 View (314) 266-6952
Photo of Jillayna Adamson, Licensed Professional Counselor in Steelville, MO
Jillayna Adamson
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
Saint Louis, MO 63117
Whether you are struggling with a specific issue, feel stuck within the cycles of depression or anxiety, or are seeking greater fulfilment and authenticity in your life, therapy can empower you with tools, support and a confiding, trusting relationship. I truly believe that a therapeutic relationship created with the purpose of self-healing is a necessary and powerful framework from which a person can transform their lives. I believe in therapy, and I love what I do! I specialize in working with women and mothers, not limited to Depression, Anxiety, Postpartum Depression/Anxiety, the motherhood identity, parenting, relationships, sexuality, and life changes. I also specialize in working with teens that struggle with Depression, Anxiety and identity, including LGBTQIA and questioning/curious youth.
Whether you are struggling with a specific issue, feel stuck within the cycles of depression or anxiety, or are seeking greater fulfilment and authenticity in your life, therapy can empower you with tools, support and a confiding, trusting relationship. I truly believe that a therapeutic relationship created with the purpose of self-healing is a necessary and powerful framework from which a person can transform their lives. I believe in therapy, and I love what I do! I specialize in working with women and mothers, not limited to Depression, Anxiety, Postpartum Depression/Anxiety, the motherhood identity, parenting, relationships, sexuality, and life changes. I also specialize in working with teens that struggle with Depression, Anxiety and identity, including LGBTQIA and questioning/curious youth.
(314) 789-7507 View (314) 789-7507
Photo of Heidi M Allen, Clinical Social Work/Therapist in Steelville, MO
Heidi M Allen
Clinical Social Work/Therapist, MSW, LCSW, BCD
Verified Verified
1 Endorsed
Farmington, MO 63640
If I were to ask you to tell me what makes you awesome, what would you say? If you have a hard time answering that, I can help you build your self-esteem by healing your past wounds.I believe change happens when people are given the guidance they need to draw on their own strengths and realize their potential to live fulfilling, happy lives. I provide an environment of compassion and support to help you and/or your family overcome obstacles to move forward and thrive.
If I were to ask you to tell me what makes you awesome, what would you say? If you have a hard time answering that, I can help you build your self-esteem by healing your past wounds.I believe change happens when people are given the guidance they need to draw on their own strengths and realize their potential to live fulfilling, happy lives. I provide an environment of compassion and support to help you and/or your family overcome obstacles to move forward and thrive.
(573) 713-0110 View (573) 713-0110
Photo of Thomethia R Thrist, Licensed Professional Counselor in Steelville, MO
Thomethia R Thrist
Licensed Professional Counselor, MA, LPC
Verified Verified
Florissant, MO 63032
During individual and/or family sessions I will work with you to problem solve and increase positive thinking and behavior. You will learn to reframe thoughts and behaviors and gain valuable tools to help cope with life's challenges.
During individual and/or family sessions I will work with you to problem solve and increase positive thinking and behavior. You will learn to reframe thoughts and behaviors and gain valuable tools to help cope with life's challenges.
(314) 936-4462 View (314) 936-4462
Photo of Jessica Twehous, Pre-Licensed Professional in Steelville, MO
Jessica Twehous
Pre-Licensed Professional, M Ed, PLPC
Verified Verified
Jefferson City, MO 65109  (Online Only)
What if you could wake up tomorrow and finally feel better? What if you were living the life you truly desired? Therapy allows us to find real solutions to our greatest challenges. Perhaps your relationship or marriage is in a rut, your anxiety has left you paralyzed and fearful, or your depression has kept you in bed for weeks. Whatever your struggle is, I am here to offer a warm, helping hand so that we can help you get back to living your life. I seek to provide a safe space to work through your complex and unique challenges to foster lasting transformation. You weren't meant to merely survive, but to thrive.
What if you could wake up tomorrow and finally feel better? What if you were living the life you truly desired? Therapy allows us to find real solutions to our greatest challenges. Perhaps your relationship or marriage is in a rut, your anxiety has left you paralyzed and fearful, or your depression has kept you in bed for weeks. Whatever your struggle is, I am here to offer a warm, helping hand so that we can help you get back to living your life. I seek to provide a safe space to work through your complex and unique challenges to foster lasting transformation. You weren't meant to merely survive, but to thrive.
(573) 261-5982 View (573) 261-5982
Photo of Susanna Prins, Clinical Social Work/Therapist in Steelville, MO
Susanna Prins
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63130  (Online Only)
You’ve been through things that haunt you and pull you back into your past. Perhaps you’re worried if you face them they will overwhelm you. This paralyzes you or creates anxiety. Or maybe you push down your feelings and try to live the life you want but keep ending up with people who hurt you. You want to break out of the cycle, but you’re not sure where to start. You need hope for recovery from shame and trauma. You need someone to help you to the next part of your story - a warm space to be yourself and not feel judged. A place to ask big questions, to grieve what’s been lost and to hope for what’s next.
You’ve been through things that haunt you and pull you back into your past. Perhaps you’re worried if you face them they will overwhelm you. This paralyzes you or creates anxiety. Or maybe you push down your feelings and try to live the life you want but keep ending up with people who hurt you. You want to break out of the cycle, but you’re not sure where to start. You need hope for recovery from shame and trauma. You need someone to help you to the next part of your story - a warm space to be yourself and not feel judged. A place to ask big questions, to grieve what’s been lost and to hope for what’s next.
(314) 470-9401 View (314) 470-9401
Photo of Melissa Fasoldt, Pre-Licensed Professional in Steelville, MO
Melissa Fasoldt
Pre-Licensed Professional, MA, PLPC
Verified Verified
Saint Louis, MO 63105
Are you struggling with various relationships in your life? Do you feel guilty when you try to set boundaries that would be in your best interest? I believe boundaries are essential for our mental health. I help my clients understand their feelings while providing a safe and comforting environment.
Are you struggling with various relationships in your life? Do you feel guilty when you try to set boundaries that would be in your best interest? I believe boundaries are essential for our mental health. I help my clients understand their feelings while providing a safe and comforting environment.
(314) 451-7594 View (314) 451-7594
Photo of Annie Carrera, Pre-Licensed Professional in Steelville, MO
Annie Carrera
Pre-Licensed Professional, MA, PLPC
Verified Verified
Saint Louis, MO 63131
This is a common pattern in many couples’ relationships and maybe this describes you: prior to getting married, you had a dream. A dream that your relationship would be like the ones portrayed in romantic movies, a life of bliss because you found your perfect person. Then, at some point in your marriage, you asked this question: “How did we get here?” Instead of a foundation of joy and security, you and your spouse find yourselves stuck in conflict cycles that leave you feeling bitter, distant, and hopeless.
This is a common pattern in many couples’ relationships and maybe this describes you: prior to getting married, you had a dream. A dream that your relationship would be like the ones portrayed in romantic movies, a life of bliss because you found your perfect person. Then, at some point in your marriage, you asked this question: “How did we get here?” Instead of a foundation of joy and security, you and your spouse find yourselves stuck in conflict cycles that leave you feeling bitter, distant, and hopeless.
(314) 474-7228 View (314) 474-7228
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.