Attachment Disorder affects emotional regulation and relationships, often from early trauma or neglect. This complex condition can lead to maladaptive attachment styles and not being able to form secure connections. Neurobiology is key, trauma changes the brain structures like the amygdala and prefrontal cortex and increases anxiety and emotional instability. Recovery from addiction requires secure attachments which can be achieved through evidence based therapies like Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) and Eye Movement Desensitisation and Reprocessing (EMDR). This article looks at these therapies and how we use them in our full recovery programmes here at Highlands Recovery.
What is Attachment Disorder?

Attachment Disorder is a range of conditions that come from disruptions in the early bonding process usually due to trauma or neglect. This can present as Reactive Attachment Disorder (RAD) and Disinhibited Social Engagement Disorder (DSED). People with Attachment Disorder struggle to form and maintain healthy relationships as their early experiences have created maladaptive attachment styles. These styles can lead to emotional dysregulation where people may experience extreme anxiety, depression or difficulty trusting others. It’s huge and affects not just personal relationships but professional and social interactions. If you want to get the right treatment and support you need to get this.
The Neurobiology of Attachment Disorders
You need to understand the neurobiology of Attachment Disorder to get the full impact of how it affects emotional regulation and relationships. Research shows that early trauma can change the brain structures for emotional processing especially the amygdala and prefrontal cortex. The amygdala is responsible for processing fear and emotional responses, the prefrontal cortex for decision making and impulse control. When these areas are damaged from early adverse experiences people can be anxious and have trouble with secure attachment.
Neuroimaging studies show that people with Attachment Disorder show altered activity in these areas when presented with social stimuli. For example the amygdala can become hyperactive to perceived threats and produce an exaggerated stress response. This state of high arousal can produce behaviours like withdrawal or aggression and complicate relationships. And the disruption of the neural pathways for emotional regulation can prevent an individual from processing emotions effectively and produce maladaptive coping mechanisms like substance abuse or self harm.
Now you see why people with Attachment Disorder have trouble with emotional connections and trust. Now you know why you need to target the therapy to both the psychological and physical.
Trauma and Its Role in Attachment Disorders

Trauma is a big part of Attachment Disorder especially in the early years when attachments are being formed. Adverse experiences like abuse, neglect or parental separation can really mess with the attachment process and create maladaptive attachment styles that stick into adulthood. For example, kids who get inconsistent caregiving can become anxious and clingy and fearful of abandonment. And kids who get neglected can become avoidant and emotionally distant from others.
Trauma’s impact on attachment isn’t just psychological, it also affects brain development and function. As I mentioned earlier, early trauma can alter the brain structures involved in emotional regulation. This can create a cycle of maladaptive behaviours where people repeat unhealthy relationship patterns that mirror their early experiences.
And trauma related symptoms like post-traumatic stress disorder (PTSD) can make it even harder for people with Attachment Disorder. Symptoms like flashbacks, hypervigilance and emotional numbing can prevent them from forming meaningful connections with others. This cycle of trauma and attachment is why we need to treat the whole person and not just the past or the present.
At Highlands Recovery we treat these issues with a multi-faceted approach that includes evidence based therapies like Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) and Eye Movement Desensitisation and Reprocessing (EMDR). These modalities help clients reprocess traumatic memories and develop healthier attachment patterns. By addressing the psychological impact of trauma and it’s neurobiological underpinnings clients can begin to heal from Attachment Disorder and form more secure relationships in the future.
It’s a big journey but worth it. By understanding Attachment Disorder you can navigate your recovery with support from the best.
The Importance of Secure Attachment in Recovery
Secure Attachment is key to recovery from Attachment Disorder and related conditions especially in addiction. When we have secure attachments we can manage stress better, regulate our emotions and navigate relationships. This is important for those in recovery from addiction as it reduces the risk of relapse and creates a safe space to heal.

Research shows people with secure attachments have healthier coping mechanisms and emotional responses. They are more likely to ask for help from others rather than resorting to maladaptive behaviours like substance use. By working on secure attachment in recovery clients can develop their emotional regulation skills which are often compromised by past trauma. This helps in the recovery journey and long term recovery.
At Highlands Recovery we work on attachment throughout the treatment. In individual and group therapy clients learn to trust and be intimate with others which helps overall treatment. It creates a space for clients to be vulnerable and scared.
Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) Explained
Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) is a therapy specifically designed to deal with the impact of trauma on attachment and emotional regulation. TF-CBT combines cognitive-behavioural techniques with trauma sensitive interventions making it ideal for individuals with Attachment Disorder caused by early trauma.
The methodology of TF-CBT involves several key components: psychoeducation, relaxation techniques, affective expression and regulation, cognitive processing, exposure and consolidation of gains. Clients are first educated about how trauma affects their thoughts and behaviours, this helps to demystify their experiences and reduce feelings of isolation. This foundation is key to clients having a sense of agency as they navigate their recovery.
As clients work through TF-CBT they learn relaxation techniques to manage anxiety and physiological responses to trauma triggers. They are encouraged to express their emotions in a safe space, to process feelings that have been suppressed from past experiences. Cognitive restructuring is another key part of TF-CBT; clients work on identifying and challenging negative thought patterns that underpin maladaptive behaviours associated with Attachment Disorder.
Exposure in TF-CBT helps clients confront and process traumatic memories in a controlled way. This gradual exposure reduces the hold these memories have over them and allows for healthier emotional responses going forward. By the end of the TF-CBT process clients develop healthier attachment patterns that contribute to their recovery from addiction.
The Four Phases of Recovery at Highlands Recovery
Highlands Recovery has a structured four phase programme to address Attachment Disorder in recovery from addiction. Each phase is designed to support clients every step of the way.
Phase 1: Stabilisation
The first phase is about stabilising the autonomic nervous system (ANS) which is often hyperaroused from trauma related stressors. Somatic massage, dietary changes, supportive social environments are used to calm the ANS. This phase is critical, without stabilisation clients may experience too much anxiety or cravings that can sabotage their recovery.
Phase 2: Trauma Reprocessing
Once stabilised the programme moves into trauma reprocessing. Here clients do therapies like EMDR and TF-CBT to “de-couple” maladaptive stimulus-response mechanisms associated with past traumas. This phase helps clients respond differently to triggers that previously elicited overwhelming emotional responses.
Phase 3: Integration
Integration is about getting clients back into their daily lives and applying the skills they learned in treatment. This phase addresses potential relapse triggers by providing ongoing support through virtual therapy sessions and regular well-being check-ins. It’s key to practise new coping mechanisms in real life.
Phase 4: Consolidation
The final phase is about self reliance and long term recovery. Clients are encouraged to keep in touch with their support networks and continue to self regulate practices learned at Highlands Recovery. This lifelong journey requires commitment but offers a life free from the effects of Attachment Disorder.
By understanding these phases and how they address Attachment Disorder in recovery from addiction you can see how structured therapy can change your life.
How Does Trauma Reprocessing Work in the Brain?

Trauma reprocessing therapies like Eye Movement Desensitisation and Reprocessing (EMDR) and Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) are key to addressing Attachment Disorder by targeting the maladaptive pathways created by early trauma. These therapies help clients rewire their brain’s response to trauma triggers, so they can regulate their emotions and attachment better.
At the heart of these therapies is the understanding that trauma creates negative associations and hyperarousal. For example, when a person with Attachment Disorder encounters a trigger – a place or person – their brain automatically goes into overdrive stress response, often linked to past trauma memories. This is mainly mediated by the amygdala, the fear and emotional response centre.
EMDR uses bilateral stimulation – usually through guided eye movements – to reprocess traumatic memories. This technique has clients recall distressing events while doing a calming activity, so they can integrate those memories into their story without triggering overwhelming anxiety. The goal is to reduce the emotional charge of those memories so clients can respond better in the future.
TF-CBT adds to this by including cognitive restructuring techniques to help clients identify and challenge their negative thoughts about their trauma. By changing those thought patterns, individuals can develop healthier beliefs about themselves and others. Research has shown both EMDR and TF-CBT can lead to big reductions in PTSD symptoms and overall emotional well-being, making them essential tools for treating Attachment Disorder.
Building Healthy Relationships Post-Recovery
Rebuilding relationships is the hardest part of recovering from Attachment Disorder. People struggle with trust issues, fear of intimacy or difficulty with emotions – things that stop them from forming secure attachments. But building these relationships is the key to long term recovery and emotional stability.
To navigate relationships clients can use several strategies. First and foremost self awareness is key. Knowing your own attachment style (anxious, avoidant or disorganised) can give you insight into how you relate to others. This awareness allows you to spot patterns in your behaviour and responses in relationships.
Communication is another key. Clients need to practise expressing their needs and feelings openly and be open to feedback from others. This two way communication is the foundation of secure attachments. Role plays in therapy sessions can help clients build confidence in these skills before they use them in real life.
And boundaries are crucial for healthy relationships. Clients need to learn to assert their own boundaries and respect others. This protects their emotional well being and mutual respect in relationships.
Support groups are a good resource during this stage. Connecting with others who have been through similar can give you a sense of community and understanding that supports the healing. Sharing in a safe space means you can be vulnerable without being judged.
The Role of Behavioural Medicine in Treating Attachment Disorders

Behavioural medicine is a big part of treating Attachment Disorders by combining various therapies that address both the psychological and physical aspects of recovery. This interdisciplinary approach looks at how our behavioural patterns are influenced by biological factors, environmental context and psychological state.
At Highlands Recovery behavioural medicine uses evidence based practices tailored to each individual. Using CBT, mindfulness and psychoeducation clients get comprehensive support for long term recovery from Attachment Disorder.
One of the key parts of behavioural medicine is the therapeutic relationship between the client and professional. This is built on trust, empathy and collaboration – things that are especially important for people recovering from trauma. A strong therapeutic relationship not only increases engagement in treatment but also allows for deeper exploration of underlying attachment issues.
Also behavioural medicine recognises the importance of addressing lifestyle factors that impact mental health outcomes. For example sleep hygiene, nutrition and physical activity are all part of a recovery program. By promoting overall well being through these lifestyle changes clients can increase their emotional regulation and resilience.
Behavioural medicine has been shown to be effective in treating Attachment Disorders through numerous studies that demonstrate lasting changes in behaviour and emotional health. By looking at the mind body connection this approach enables clients to take an active role in their recovery and gives them the tools for long term success.
Highlands Recovery offers private care for individuals who want to treat Attachment Disorder. Admission is subject to clinical assessment to ensure each client gets tailored support for their individual needs however not all conditions may be treatable within this model. Commitment to excellence means clients get full care for optimal recovery.
Conclusion
Highlands Recovery has the solution for people struggling with Attachment Disorder through its top class evidence based treatment programs. Using a four phase recovery model of stabilisation, trauma reprocessing, integration and consolidation clients get tailored support to address both the psychological and physical aspects of their condition. Advanced therapies like EMDR and TF-CBT help clients rewire maladaptive responses and develop secure attachments for long term recovery. Personalised care in a confidential setting, Highlands Recovery helps clients take back control of their lives from trauma and addiction.
FAQ
What is Attachment Disorder?
Attachment Disorder is a range of psychological conditions that come from disruptions in early bonding, often from trauma or neglect. It can affect emotional regulation and relationships, making it hard to form secure attachments and cope with stress.
How does EMDR work with trauma?
Eye Movement Desensitisation and Reprocessing (EMDR) helps clients process traumatic memories by using bilateral stimulation, such as guided eye movements. This processes the distressing experiences, reduces the emotional charge and allows for healthier responses to triggers of Attachment Disorder.
What does TF-CBT do?
Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) is a leading therapy approach that deals with the impact of trauma on attachment. It combines cognitive restructuring with trauma sensitive interventions, helps clients challenge negative beliefs and develop healthier attachment patterns necessary for recovery from addiction.
How does Highlands Recovery support clients after recovery?
Highlands Recovery offers a structured aftercare programme with ongoing virtual therapy sessions and regular well-being check-ins. This support helps clients navigate real life stressors and reinforces the skills learned in treatment, for a smoother transition back into their daily life.
What does behavioural medicine do with Attachment Disorder?
Behavioural medicine at Highlands Recovery looks at the psychological, biological and social aspects of Attachment Disorder. By using a holistic approach it helps clients see how their behaviours affect their emotional well being, for long term recovery.
References
Shapiro, F. (2014). Eye Movement Desensitization and Reprocessing (EMDR) therapy: Basic principles, protocols, and procedures. Guilford Press. https://www.guilford.com/books/Eye-Movement-Desensitization-and-Reprocessing-EMDR-Therapy/Francine-Shapiro/9781462532766
Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2017). Trauma-Focused Cognitive Behavioral Therapy for Children and Adolescents: An Empirical Update. Journal of Interpersonal Violence, 32(6), 897-917. https://journals.sagepub.com/doi/abs/10.1177/088626000015011007
Briere, J., & Scott, C. (2015). Principles of Trauma Therapy: A Guide to Symptoms, Evaluation, and Treatment. SAGE Publications. https://psycnet.apa.org/record/2014-25637-000
Cleveland Clinic. (n.d.). “Reactive Attachment Disorder (RAD).” Retrieved from https://my.clevelandclinic.org/health/diseases/17904-reactive-attachment-disorder
National Center for Biotechnology Information. (2014). “Reactive Attachment Disorder and Disinhibited Social Engagement Disorder.” National Institute of Health. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK207191/
Cleveland Clinic. (n.d.). “Amygdala: Function, Location & Role.” Retrieved from https://my.clevelandclinic.org/health/body/24894-amygdala
Wikipedia. (n.d.). “Secure Attachment.” Retrieved from https://en.wikipedia.org/wiki/Secure_attachment#:~:text=Secure%20attachment%20is%20classified%20by,depend%20on%20them%20to%20return
WebMD. (n.d.). “What Is Disinhibited Social Engagement Disorder?” Retrieved from https://www.webmd.com/children/what-is-disinhibited-social-engagement-disorder
PubMed Central. (2023). “Attachment-Based Interventions for Mental Health: A Review.” National Library of Medicine. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC9947683/