Working with Attachment Style in Psychotherapy

Dr. Gail Myhr, Associate professor of psychiatry

Integrating attachment strategies to strengthen alliance and outcomes

Excerpt:

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  • 2h of continuing education
  • 17 lessons that last from 5 to 15 minutes each
  • 1 certificate of achievement
  • 1 PowerPoint
  • 1 bibliography
  • 1 course evaluation
  • 7-day money back guarantee
  • Unlimited access
  • 97% of participants who completed the satisfaction survey declare they would recommend this course to a colleague

Overview

This training provides you with evidence-based frameworks and practical assessment protocols for integrating attachment theory into your clinical work across diverse patient presentations. You will gain structured interview techniques for eliciting attachment history and current relational patterns, learn to identify how your own attachment orientation influences session process and countertransference, and acquire specific intervention strategies tailored to dismissive, preoccupied, and disorganized attachment presentations.

Throughout this course, you will:

  • Apply systematic clinical interview questions to assess patients' attachment styles through childhood experiences, current relationship patterns, and responses to separation and reunion dynamics
  • Recognize attachment-based presentations in the consulting room, including deactivating strategies in dismissive patients, hyperactivating patterns in preoccupied patients, and the conflicted behaviors characteristic of disorganized attachment
  • Differentiate your role as secure base versus safe haven depending on whether patients require support for exploration and autonomy or need containment during attachment system activation
  • Implement goal-corrected empathic attunement that responds to attachment-related defenses without reinforcing maladaptive patterns, fostering earned security through the therapeutic relationship
  • Evaluate cultural variations in attachment distribution and expression to avoid misattributing culturally normative interdependence or independence as pathological attachment patterns

By integrating these assessment methods and attachment-informed interventions into your practice, you strengthen your capacity to anticipate how patients will engage with therapy, navigate alliance ruptures more effectively, and adapt your therapeutic stance to provide the specific relational experiences that support both symptom reduction and more secure internal working models. The framework extends beyond individual therapy to inform your understanding of intergenerational transmission patterns, parenting interventions, and the developmental origins of presenting psychopathology across the lifespan.

About the expert

Picture of Gail Myhr

Gail Myhr, MD, CM, MSc, FRCPC, is Associate Professor of Psychiatry at McGill University and staff psychiatrist at the McGill University Health Centre. A cognitive-behavioural therapist with extensive clinical experience, she is a Fellow of the Royal College of Physicians and Surgeons of Canada, a Diplomate of the Academy of Cognitive Therapy, and a Founding Member of the Canadian Association of Cognitive and Behavioural Therapies.

In 2021, Dr. Myhr was named Fellow of the Canadian Association of Cognitive and Behavioural Therapies, recognizing her distinguished contributions to CBT science, practice, training, and advocacy in Canada. Her clinical and research interests include patient suitability for short-term CBT, attachment-informed interventions in CBT, evidence-based CBT supervision, and CBT for psychosis, including Avatar Therapy.

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Learning objectives

  1. Learn the principles of attachment theory, as it applies across the life cycle
  2. Elicit information on history to establish the predominant attachment style of their patient
  3. Know their own attachment style and recognize how that might affect session process
  4. Use their knowledge of attachment to intervene in therapy to optimize outcomes

Learning material

A theoretical course illustrated with clinical examples. This course is composed of videos of 5 to 15 minutes each. The PowerPoint of the course to download.

Syllabus

  • PowerPoint
  • 1. Introduction
  • Foundations of Attachment Theory

  • 2. What Is Your Attachment Style
  • 3. What Is Attachment
  • 4. Principles of Attachment Theory
  • 5. Measuring Attachment in Infants and Children
  • 6. Attachment Measurement in Adults
  • 7. Attachment Over the Life Span
  • Clinical Application and Case WorkRecognizing your patient’s attachment style

  • 8. Recognizing your patient’s attachment style
  • 9. Attachment & Psychotherapy
  • 10. Working with Attachment
  • 11. Case Example- Dismissive Avoidant Patient
  • 12. Case Example- Preoccupied Patient
  • 13. Working with Disorganized Patient
  • 14. Therapy Outcome & Patient Attachment Style
  • 15. Therapist Attachment Style- Part 1
  • 16. Therapist Attachment Style- Part 2
  • 17. Conclusion
  • Bibliography


CE Credits

Download a certificate of successful completion.



Audience

This course is intended for mental health professionals.

Registration

  • 2h of continuing education
  • 17 lessons that last from 5 to 15 minutes each
  • 1 certificate of achievement
  • 1 PowerPoint
  • 1 bibliography
  • 1 course evaluation
  • 7-day money back guarantee
  • Unlimited access

Legal notice

The courses offered by ASADIS are accredited by different professional organisations. In addition, ASADIS is approved by the Canadian Psychological Association to offer continuing education for psychologists. ASADIS maintains responsibility for the program.

The CPA’s approval of an individual, group, or organization as a CE Sponsor or Provider is restricted to the activities described in the approved application or annual report form. The CPA’s approval does not extend to any other CE activity the Sponsor or Provider might offer. In granting its approval, the CPA assumes no legal or financial obligations to Sponsors, Providers, or to those individuals who might participate in a Sponsor or Provider’s CE activities or programs. Further, responsibility for the content, provision, and delivery of any CE activity approved by the CPA remains that of the CE Sponsor or Provider. The CPA disclaims all legal liability associated with the content, provision, and delivery of the approved CE activity.

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