Attachment-Based Therapy FAQs | Online Counselling UK – The Selfcare Hour

About attachment-based therapy

What is attachment-based therapy?

Attachment-based therapy is a form of counselling rooted in attachment theory — the idea that our earliest relationships shape how we relate to ourselves and others throughout life.

It looks at the patterns formed in childhood and explores how they show up in your adult relationships, your sense of self-worth, and your emotional responses. Rather than focusing solely on managing symptoms, it works at the level of why those patterns developed in the first place.

How is attachment-based therapy different from other types of counselling?

Many therapies focus on managing thoughts or behaviours in the present. Attachment-based therapy goes deeper — it looks at the relational roots of those thoughts and behaviours, and how the therapeutic relationship itself becomes part of the healing.

It’s particularly effective for people who’ve tried CBT or other short-term approaches and felt something was missing — or those who find themselves repeating the same emotional or relationship patterns no matter how much they understand them intellectually.

What is anxious attachment — and do I have it?

Anxious attachment is a pattern of relating where closeness and connection feel both necessary and frightening. Common signs include: needing constant reassurance, worrying about being abandoned or rejected, overthinking after interactions, people-pleasing, and a low-level anxiety that runs through your relationships — romantic, professional, and otherwise.

Many people carry this pattern for years without realising it has a name, or that it can change. It can.

Starting therapy

Do I need a diagnosis or a serious mental health problem to start therapy?

Not at all. Many clients come to therapy not in crisis, but feeling stuck — in patterns, in relationships, in how they feel about themselves.

You don’t need a label or a breakdown to deserve support. If something in your life or your inner world isn’t working the way you’d like it to, that’s reason enough.

I’ve tried therapy before and it didn’t help. Why would this be different?

That’s one of the most honest questions someone can ask — and it deserves a real answer.

Previous therapy can feel unhelpful for several reasons: a mismatch in approach, lack of specialism, or simply not feeling truly understood. Attachment-based therapy works differently because it focuses on the relationship between therapist and client as part of the healing process itself — not just the content of what you discuss.

My Level 5 CPCAB specialism in attachment-based counselling is designed precisely for this kind of deeper, more complex work — and for clients who’ve been let down by support before.

How many therapy sessions will I need?

There’s no single answer — it depends on what you’re bringing and what you want from the work. Some clients benefit from a focused block of sessions (typically 12–20) to work on a specific issue. Others find longer-term, open-ended therapy more helpful for deeper relational patterns.

We’ll discuss this together from the start, and review regularly as we go. Nothing is fixed — you’re always in control of the pace.

Online sessions & practicalities

What can I expect from online therapy sessions?

Sessions at The Selfcare Hour take place via secure video call and run for 50 minutes, weekly. Research consistently shows online therapy to be as effective as in-person work — and many clients find it easier to open up from the comfort of their own space.

All you need is a private spot, a reliable internet connection, and the willingness to show up honestly.

Is therapy confidential?

Yes. Everything shared in sessions is held in strict confidence. The only exceptions are the standard ethical limits that all CPCAB-qualified counsellors work within — specifically, where there is a serious risk of harm to you or to another person.

These limits are explained clearly before we begin, so there are no surprises.

My qualifications & approach

What qualifications do I hold?

I hold a Level 4 CPCAB qualification in Psychotherapeutic Counselling and a Level 5 CPCAB qualification in Attachment-Based Counselling — a specialist postgraduate-level training that goes significantly beyond a standard counselling diploma.

The Level 5 specialism means I have advanced training in understanding and working with attachment patterns — making her particularly well-placed to support clients with anxious attachment, complex relationship difficulties, and deep-rooted people-pleasing in both personal and professional contexts.

Do you offer support for workplace anxiety and people-pleasing?

Yes. Anxious attachment doesn’t stay at home — it follows you into every meeting, every performance review, every interaction where you’re afraid of getting it wrong. Approval-seeking, difficulty asserting yourself, over-delivering to feel secure — these are all expressions of the same underlying patterns.

I work with professionals and leaders who are high-functioning on the outside but exhausted by the anxiety running underneath. This is available as one-to-one therapy and as corporate training packages for organisations.

How do I get started?

The first step is a free initial consultation — a no-pressure conversation to talk about what’s brought you here and whether working together feels like a good fit. There’s no commitment required.

You can book directly through the website or drop me a message if you’d prefer to ask a question first. Either way, you’ll hear back within one working day.

Still have questions?

There’s no such thing as a wrong question. Get in touch and I will get back to you personally.

Book a free consultation