In Brief

As clinicians, we've all seen how attachment patterns show up in our therapy rooms – whether it's a client who can't seem to maintain stable relationships or one who keeps everyone at arm's length. While we know these patterns typically take root in childhood, an exciting body of research suggests they're more flexible than we once thought.
When we work with attachment theory in therapy, we're essentially helping our clients rewrite their relational blueprints. These patterns profoundly influence everything from emotional regulation to interpersonal dynamics, making them a crucial focus in therapeutic work.
So, can attachment styles change? And how can you help clients shift toward more secure attachment? Let's explore the evidence-based approaches we can use to help our clients move toward more secure attachment patterns.
The Science of Attachment: How Attachment Styles Develop
Early caregiver relationships echo through our clients' adult lives. Those first attachments literally shape the developing brain, creating neural pathways that influence how our clients process emotions and navigate relationships decades later. When caregivers consistently attune to a child's needs, we see the development of secure attachment – what many of us consider the gold standard for emotional health.
But let's talk about what we more commonly see in practice: those insecure attachment patterns – anxious, avoidant, or disorganized – that often bring clients to our offices. These patterns emerge from inconsistent, dismissive, or traumatic early experiences, creating deeply ingrained beliefs about self and others. The good news? Research on neuroplasticity and what we call "earned secure attachment" or developing a secure attachment style later in life, shows us that change is possible. The therapeutic relationship itself can serve as a secure base from which clients can begin to rewire these patterns.
Think of it as offering our clients a new template for relationships – one that can gradually override early programming through consistent, attuned therapeutic interactions. While we can't change our clients' history, we can help them write a different future.

Can Attachment Styles Change? The Flexibility of Attachment
Recent research shows that while attachment patterns generally remain stable, they are not permanent and can change over time with effort and support. Several factors influence how flexible attachment styles can be in adulthood:
- Therapeutic Interventions: Individual and couples therapy can significantly help in changing adult attachment patterns. Therapists assist clients in understanding and revising their internal working models, often formed during childhood. In individual therapy, the therapist offers a secure base for exploration and encouraging communication.In couples therapy, the couple learns ways to recognize and respond to each other's attachment needs, fostering a secure bond.
- Positive Relationships: Supportive and responsive relationships with partners, friends, or family members can provide experiences that challenge and reshape insecure attachment patterns. Understanding each other's attachment needs is key to maintaining healthy, satisfying relationships.
- Life Experiences: Major life events, like becoming a parent, experiencing a significant loss, or going through personal growth, can lead individuals to reevaluate and modify their attachment styles.
Longitudinal studies indicate that insecurity in anxious attachments can decrease with age, suggesting that attachment patterns are not unchangeable. However, targeted interventions, like therapy or relationship education programs, can lead to more rapid and significant changes in attachment styles.
It's important to recognize that changing attachment patterns requires effort, self-awareness, and a willingness to engage in new relational experiences. While the journey towards more secure attachment can be challenging, it is possible with the right support and resources.
As therapists, understanding how attachment styles can change allows us to help clients overcome limiting patterns and develop more secure, fulfilling relationships. Incorporating attachment-focused interventions into our practice can promote significant growth and healing for individuals and couples.

Recognizing Attachment Styles in Clients
As therapists, identifying our clients' attachment styles plays a key role in understanding their relational patterns and helping them build more secure connections. Each attachment style shows itself through specific behaviors, emotional responses, and relationship dynamics. Here's how to spot the signs of different attachment styles in adult clients:
Secure Attachment: Clients with this attachment style may confidently seek out healthy relationships with others and are reliable and loving partners themselves. They might:
- Feel comfortable with intimacy and independence
- Have a positive self-image and trust others to be accepting and responsive
- Communicate their needs and emotions well
Anxious Attachment: Clients with this attachment style often show a strong fear of abandonment and a constant need for reassurance. They might:
- Worry excessively about their relationships
- Seek constant validation and approval from others
- Struggle with emotional regulation and impulsivity
- Display clingy or controlling behaviors in relationships
Avoidant Attachment: Clients with this style tend to distance themselves emotionally and prioritize independence over intimacy. They might:
- Have difficulty trusting others and opening up emotionally
- Minimize the importance of relationships and avoid vulnerability
- Struggle with expressing their needs and feelings
- Dismiss or downplay how past experiences affect current relationships
Disorganized Attachment: Clients with this attachment style often display inconsistent and conflicting behaviors in relationships. They might:
- Oscillate between seeking closeness and pushing others away
- Struggle with emotional regulation and experience intense mood swings
- Have a history of traumatic or frightening experiences in childhood
- Exhibit both anxious and avoidant behaviors in relationships
Assessing attachment styles in therapy helps in understanding how these patterns influence our clients' presenting concerns. Insecure attachment styles can contribute to relationship difficulties, anxiety, depression, and other mental health challenges. Recognizing these patterns enables us to tailor our interventions and support our clients in developing more secure and fulfilling connections.

Techniques for Helping Clients Change Their Attachment Style
As therapists, we play an important role in guiding clients toward developing more secure attachment patterns. Our therapeutic relationship serves as a model for secure attachment, providing a safe, supportive, and consistent space for clients to explore their relational experiences. It should be noted that helping clients develop more secure attachment patterns takes a lot of time, but here are some key techniques for supporting clients in shifting their attachment styles:
- Building a Secure Therapeutic Relationship: Offer empathy, reliability, and validation to create a corrective emotional experience that challenges insecure attachment patterns.
- Mindfulness and Emotional Regulation: Teach mindfulness practices to enhance emotional awareness and presence in relationships, breaking reactive patterns stemming from attachment wounds.
- Attachment-Based Interventions: Use approaches like Emotionally Focused Therapy (EFT) or Attachment-Based Family Therapy (ABFT) to specifically target and alter attachment dynamics in relationships.
- Corrective Experiences: Encourage clients to create new, positive relational experiences both in therapy and their personal lives, gradually reshaping expectations and fostering secure attachment.
Applying these techniques with a strong grasp of attachment theory allows us to tailor our interventions to each client's unique needs. Attachment-based therapies, like EFT, are particularly effective for addressing insecure attachment behaviors by promoting emotional awareness and vulnerability. For clients with disorganized attachment, Dialectical Behavior Therapy (DBT) can help develop emotional regulation and distress tolerance skills.
Trauma-focused interventions, such as eye movement desensitization and reprocessing (EMDR) and trauma-focused CBT, are important for addressing attachment wounds rooted in traumatic experiences. These evidence-based practices help clients process and heal from past traumas that contribute to insecure attachment styles.
Ultimately, supporting clients in developing self-awareness, emotional intelligence, and resilience is key to long-term changes in attachment patterns. Recognizing one's attachment style is the first step in initiating change, and understanding its roots can be freeing, allowing for targeted interventions and personal growth. Building supportive relationships and engaging in positive relational experiences can also act as catalysts for developing secure attachments.

Overcoming Common Barriers to Changing Attachment Styles
While altering attachment styles is possible, clients often encounter challenges when trying to shift these deeply ingrained patterns. Here are some typical obstacles to changing attachment styles and how therapists can assist clients in navigating them:
- Deep-Seated Fears: Clients with insecure attachment styles frequently deal with fears of rejection, abandonment, or emotional vulnerability. These fears can hinder their ability to trust others and fully engage in therapy. Therapists can help by fostering a safe, supportive environment where clients feel validated and understood.
- Self-Relationship and Internal Criticism: A person's attachment style is not only reflected in their relationships with others but also in their relationship with themselves. Individuals with insecure attachment patterns may struggle with self-criticism, difficulty trusting their own emotions, or a tendency to dismiss their needs. Therapy helps clients develop self-compassion, challenge negative self-beliefs, and build a more secure internal dialogue, ultimately fostering a healthier sense of self and improving their ability to form secure attachments with others.
- Early Trauma and Neglect: Clients who have faced early trauma, neglect, or inconsistent caregiving may have deeply entrenched attachment wounds requiring intensive, long-term therapeutic work. Trauma-focused interventions, such as EMDR or trauma-focused CBT, can be particularly beneficial in addressing these experiences and their impact on attachment patterns.
- Reinforcement from Current Relationships: Clients' present relationships may inadvertently reinforce their insecure attachment styles, complicating the development of new relational patterns. Therapists can assist clients in identifying these dynamics and developing strategies for fostering healthier, more secure connections with others.
- Cultural Factors: Cultural norms and expectations about relationships and emotional expression can also affect attachment styles and make change more challenging. Therapists should remain sensitive to these factors and collaborate with clients to find culturally relevant solutions.
To assist clients in overcoming these barriers, therapists can:
- Offer information about attachment theory and how early experiences influence adult relationships
- Help clients gain self-awareness and insight into their attachment patterns
- Teach skills for emotional regulation and distress tolerance
- Encourage clients to practice new relational behaviors in therapy and their personal lives
- Support clients in processing past traumas and attachment wounds
- Work with clients to identify and challenge cultural or relational factors that reinforce insecure attachment
Changing attachment styles is a gradual process that requires patience, consistency, and a strong therapeutic bond. Celebrating small victories and progress can help clients stay motivated and committed to developing more secure attachment patterns.
Key Takeaways
Attachment styles, while relatively stable, can change. With the right therapeutic interventions, therapists can support clients to develop more secure ways of relating. As therapists, our role is to provide a safe, consistent, and empathetic space for clients to explore their attachment history and practice new ways of connecting. Key points for supporting clients in changing their attachment styles:
- Therapeutic Relationship: Build a secure, supportive bond that serves as a model for healthy attachment.
- Targeted Interventions: Apply attachment-based approaches, such as EFT or ABFT, to specifically address insecure attachment patterns.
- Integration of Therapies: Include elements from DBT, EFT, or trauma-focused therapies to tackle specific attachment-related challenges.
- Gradual Process: Understand attachment work as an ongoing journey that requires patience, understanding, and a step-by-step approach.
- Empathy and Validation: Create a non-judgmental, accepting space where clients feel understood and supported in their growth.
Therapists play a vital role in helping clients navigate the challenges of changing attachment styles. Our own self-awareness and ability to provide a secure base are important in this process. Encouraging clients to practice new relational behaviors both in therapy and their personal lives can lead to lasting, meaningful changes in attachment patterns.
The journey toward secure attachment involves collaboration between therapist and client. With the right support, techniques, and interventions, clients can develop more fulfilling, resilient relationships and improve their overall well-being. As therapists, we have the privilege of being a consistent, empathetic presence in our clients' lives as they work towards healthier attachments.
