Understanding Attachment Styles and Mental Health
Part 1 of a 4-Part Series exploring attachment styles and their impact on mental health
Why do we fall in love with certain people? Why do some relationships feel secure and stable while others feel like an emotional rollercoaster? The answers often lie in our attachment styles—the invisible blueprint that shapes the way we connect with others.

What are Attachement Styles and Why It Matters.
Attachment theory, first introduced by British psychologist John Bowlby and later expanded by Mary Ainsworth, describes how our earliest experiences with caregivers influence our relationships throughout life. When our fundamental need for safety and connection is met in infancy, we tend to develop a secure attachment, leading to healthy, trusting relationships. When these needs go unmet or are inconsistently met, we develop insecure attachment styles, which can lead to anxiety, avoidance, or fear of closeness.
"The Health of Your Relationships Shapes Your Well-Being"
Individuals with insecure attachment styles often struggle with emotional regulation, self-worth, and interpersonal relationships, which can increase vulnerability to mental health disorders like anxiety, depression, and PTSD. When emotional needs go unmet in childhood, people may seek external validation or self-soothe through unhealthy coping mechanisms, including substance use, compulsive behaviors, or codependency. Addiction can serve as a way to numb emotional pain or replace the security that was lacking in early relationships. Without addressing underlying attachment wounds, individuals may find themselves trapped in cycles of self-destructive behaviors and unstable relationships, reinforcing feelings of inadequacy and distress. Healing these patterns through therapy, self-awareness, and secure relationship-building is essential for breaking the connection between insecure attachment, mental health struggles, and addiction.
In this article, we will first explore the four primary attachment styles before diving into the lesser-known attachment patterns that can deeply impact our mental and emotional well-being. By the end, you may find yourself re-examining the ways in which you connect with others—and perhaps discovering new pathways to healing and growth.
The Four Primary Attachment Styles

Anxious-Preoccupied Attachment

Those with an anxious-preoccupied attachment style crave closeness but fear abandonment. They often seek reassurance from their partners, needing constant validation to feel secure. This attachment style typically develops when caregivers were inconsistent in their responses—sometimes nurturing, sometimes distant—leading to uncertainty and a heightened need for external affirmation. In relationships, anxious-preoccupied individuals may struggle with overanalyzing interactions, becoming overly clingy, or feeling deeply distressed when they perceive emotional distance from their partner. Their fear of being alone can lead them to tolerate unhealthy dynamics, sometimes staying in relationships that do not serve their well-being.
Characteristics:
- Craves closeness but fears rejection.
- Seeks constant reassurance and validation.
- Overanalyzes interactions, leading to emotional distress.
Mental Health Risks:
- Higher likelihood of anxiety, depression, and codependency.
- Tendency to stay in toxic relationships despite knowing they are harmful.
- Prone to substance abuse to cope with emotional pain.
Avoidant Attachment: Fear of Intimacy

People with an avoidant attachment style value independence to the point of emotional detachment. They often struggle with intimacy, finding it difficult to rely on others or express vulnerability. This attachment style develops when caregivers were emotionally unavailable, dismissive, or overly critical, leading the child to suppress their emotional needs. As adults, avoidantly attached individuals may avoid deep emotional connections, prioritize self-sufficiency, and become uncomfortable with displays of affection. In relationships, they may withdraw when a partner seeks closeness, creating distance and emotional barriers that make genuine connection difficult.
Characteristics:
- Highly independent, values self-sufficiency over closeness.
- Avoids emotional intimacy and struggles to express vulnerability.
- May withdraw from relationships when faced with emotional closeness.
Mental Health Risks:
- Increased risk of emotional isolation and suppressed feelings.
- Tendency to use work, hobbies, or substances to avoid deep emotional connections.
- Struggles with long-term relationship commitment.
Disorganized Attachment (Fearful-Avoidant)

Disorganized attachment is a mix of anxious and avoidant tendencies, often resulting from childhood trauma, neglect, or abuse. Individuals with this attachment style deeply crave intimacy but also fear it, leading to a push-pull dynamic in relationships. They may feel emotionally overwhelmed when getting too close to someone and then withdraw abruptly. Their relationships tend to be tumultuous, filled with cycles of intense connection followed by emotional distancing. Because their early caregivers were often a source of both comfort and fear, disorganized individuals struggle to trust others fully and may experience extreme emotional highs and lows in their partnerships.
Characteristics:
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- Craves intimacy but fears closeness, creating a push-pull cycle.
- Struggles with trust due to early childhood trauma or neglect.
- Experiences emotional highs and lows in relationships.
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Mental Health Risks:
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- Strong correlation with PTSD, BPD (Borderline Personality Disorder), and addiction.
- Tendency to self-sabotage relationships due to deep-seated trust issues.
- Engages in self-destructive behaviors as a coping mechanism.
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Secure Attachment

Secure attachment is the foundation of healthy relationships. People with this attachment style feel comfortable with intimacy and independence, allowing them to form strong emotional bonds while maintaining their own sense of self. They trust their partners, communicate openly, and can navigate conflicts without fear of abandonment or withdrawal. Securely attached individuals often had caregivers who were responsive to their needs, creating a deep sense of stability and self-worth. In relationships, they provide emotional support, set healthy boundaries, and foster deep connections built on trust.
Characteristics:
- Comfortable with intimacy and independence.
- Communicates openly and resolves conflicts constructively.
- Maintains a stable sense of self-worth.
Mental Health Benefits:
- Lower risk of anxiety and depression.
- Greater emotional resilience.
- Healthier relationships and better conflict resolution skills.
Understanding your attachment style is a pivotal step toward fostering healthier relationships and improving mental well-being. Recognizing these patterns allows for personal growth and the development of secure, fulfilling connections. If you identify with any of the insecure attachment styles discussed, professional support can provide the tools and guidance necessary for healing.
Continue Your Attachment Healing Journey
Healing doesn’t happen overnight, but it starts with knowledge and action. Explore more in our 4-part series:
Take the First Step Toward Healing
At Horizon Rehab Center, we specialize in helping individuals understand and transform their attachment patterns. Our experienced therapists offer personalized approaches to address your unique needs, guiding you toward healthier relationships and improved mental health. Contact us today for a free consultation and begin your journey to emotional well-being.