Disorganized attachment is also known as fearful-avoidant. It is an insecure attachment style marked by a deep fear of close relationships.
A person with this style often feels torn about how to act in relationships. They may act anxious one moment and avoidant the next, using both strategies to manage their fear. The push and pull is exhausting.
This instability extends to their sense of identity. It becomes harder to sustain healthy, long-term relationships.

Key Takeaways
- Breakdown: Disorganized attachment means a child has no consistent way to seek comfort from a caregiver who also feels frightening.
- Fright Without Solution: The caregiver is both a source of comfort and of fear, so approach and avoidance both fail (Main & Hesse, 1990).
- Not Always Abuse: Disorganized attachment often follows maltreatment, but many cases involve a parent’s own unresolved trauma rather than direct abuse.
- Prevalence: About 15% of children in the general population show this pattern, rising to 48 to 90% where abuse or neglect is documented.
- Risk Marker: Leading researchers warn against treating disorganized attachment as proof of maltreatment or as a formal attachment disorder (Granqvist et al., 2017).
- Adult Signs: In adults it looks like push-pull: craving closeness while fearing both abandonment and intimacy, often with mood swings and trust difficulties.
- It Can Change: The pattern is relationship-specific and responds to targeted help: ABC and Child-Parent Psychotherapy for families, self-regulation and therapy for adults.
What Causes Disorganized Attachment?
Disorganized attachment usually develops when a child’s biology (like their genetics or temperament) mixes with growing up in an environment that feels scary or unpredictable.
Babies naturally want to be close to their caregivers when they’re upset or frightened. It’s their way of feeling safe.
But what happens when the very person they turn to is also the source of their fear?
This puts the baby in a tough spot. They want to get close to the caregiver to feel better, but they also want to avoid them to stay safe.
Psychologists Main and Hesse (1990) called this “fright without solution.” It is a real catch-22 for the child.
Kids who have experienced abuse, neglect, or really inconsistent care are more likely to develop this kind of attachment. These tough experiences shake their sense of safety and trust in the people who are supposed to protect them.
But here’s something important: disorganized attachment isn’t always caused by abuse or maltreatment.
Not every child who was abused ends up with a disorganized attachment style, and not every person with this style was abused as a kid.
Sometimes, even if a caregiver isn’t actively harmful, they might still not feel safe to the child.
For example, parents dealing with unresolved trauma or loss might unintentionally bring their own distress into the relationship. A child may struggle to feel secure.
One study found that babies born to mothers who had previously lost a child were more likely to develop disorganized attachment (Hughes et al., 2001). This was not because the mothers were abusive. Instead, their lingering trauma affected how they cared for their new baby.
Other difficult life situations, like neglect, parental substance abuse, domestic violence, or other major stresses, can also raise the risk of disorganized attachment.
There’s a name for this pattern.
Researchers call it frightened/frightening (FR) parental behavior, and developed a coding scheme called AMBIANCE (Lyons-Ruth, Bronfman, & Parsons, 1999) to rate it.
Madigan and colleagues (2006) pooled 12 studies of 851 families in which parents and infants were directly observed. Frightening or atypical caregiving showed a moderate link with infant disorganization (r = .34).
Adversity adds up too.
In families facing five or more socioeconomic risks, such as poverty or overcrowding, disorganized attachment was surprisingly common. Rates were about as high as in families already known to child-protection services for maltreatment (Cyr et al., 2010).
What Kinds of Caregiver Behaviors Might Feel Frightening to a Child?
- Threatening looks or gestures
- Mood swings or dissociative behaviors (like seeming like different people at once)
- Acting overly submissive or scared around the child
- Abuse (physical, sexual, emotional)
- Confusing or scary behavior that mirrors the child’s own disorganized attachment
- Mocking or humiliating the child
- Leaning on the child emotionally, asking them for reassurance
- Emotionally pulling away or disappearing for long periods
What Contributes to Disorganized Attachment?
- Unresolved Trauma in Parents: Many parents of disorganized infants have their own history of trauma or loss that they haven’t fully worked through. This can make them act in ways that feel scary or unpredictable to their child.
- Direct Maltreatment: Abuse and neglect are strong risk factors. Studies show very high rates of disorganized attachment in abused children.
- Parental Mental Health and Substance Use: Conditions like bipolar disorder or addiction can cause extreme and unpredictable behavior that contributes to disorganized attachment. A 2024 study (Kim & Goodman) also linked disorganized infant attachment to mothers at risk for depression.
- Multiple Stressors: Families facing lots of challenges, like poverty or mental health struggles, tend to have higher rates of disorganized attachment.
- Separation from a Caregiver: Children who spend long times without a consistent caregiver, such as in institutions or late adoption, often show more disorganized attachment.
- Caregiver Withdrawal: When parents emotionally pull away or avoid their child, it can lead to disorganized attachment.
- Temperament and Genetics: Some researchers think a baby’s natural temperament or genetics might play a role, but this is still debated.
Disorganized attachment shows up more often in kids facing lots of tough challenges.
In the general population, about 15% of babies have this attachment style. Poverty raises that risk.
The rate climbs to around 25 to 34% in families living in poverty. It can reach 48 to 90% where child abuse or neglect has been documented.
Disorganized Attachment Is a Risk Marker, Not a Diagnosis
As psychologist Pernilla Granqvist and colleagues explain in their 2017 consensus review, disorganized attachment is not proof that a child has been abused. Its authors are senior figures in the field.
They stressed that disorganized attachment is a modest risk marker, not proof of maltreatment. It should never be the sole evidence in child-protection or legal decisions.
The statement also warned that disorganized attachment and attachment disorder are separate concepts. People often confuse the two.
Despite this caution, large meta-analyses confirm the pattern still predicts real difficulties. Disorganized attachment remains the single strongest attachment-based predictor of later externalizing (conduct) problems in childhood (Fearon et al., 2010).
Signs of Disorganized Attachment in Children
Children with a disorganized attachment style often behave in ways that seem confusing or hard to explain.
You might see a child run toward their caregiver for comfort, but then suddenly stop, freeze, or look away.
Or they might reach out while leaning back or turning their head.
These behaviors aren’t random. They reflect a deeper problem in the child’s attachment system.
Securely attached infants organise their behaviour around a clear goal: maintaining proximity to the caregiver. Disorganised infants, in contrast, show a breakdown in this organisation.
Psychologists Mary Main and Judith Solomon described this as a “breakdown of organized strategies.”
In simpler terms, the child has no clear or consistent way to get comfort from their caregiver. Their source of safety is also their source of fear.
Main and Solomon studied this using the Strange Situation, a structured observation where children briefly separate from and reunite with their caregiver. They identified seven common signs of disorganized attachment:
- Contradictory behaviors shown one after the other: For example, a child might seek contact, then suddenly turn away or push the caregiver.
- Contradictory behaviors happening at the same time: A child might reach for a hug while keeping their head averted or body turned.
- Freezing or stilling: The child may stop moving completely, sometimes with a blank or dazed expression.
- Disorientation: The child seems confused, aimless, or unsure what to do, especially during reunions.
- Fearful or apprehensive responses: Some children flinch, shrink back, or look scared in the presence of their caregiver.
- Undirected or incomplete actions: The child might start to approach and then hesitate or stop halfway.
- Unusual postures or repetitive movements: This might look like sudden jerky movements, repetitive rocking, or odd body positions.
These behaviors can look strange. But they often reflect a painful inner conflict: the child is drawn to their caregiver for comfort, yet afraid of them at the same time.
Main and Hesse later called this a “fright without solution.” There is no safe path forward.
Children caught in this kind of conflict often have a hard time calming down when upset. They may stay distressed for long periods and respond unpredictably to efforts to soothe them.
How It Can Evolve in Older Children
As children with disorganized attachment grow, their behaviors often change.
In middle childhood and adolescence, many begin to develop more complex, but still unhealthy, ways of coping with their internal conflict.
One common pattern is the development of controlling behaviors, which fall into two main types (Lyons-Ruth & Jacobvitz, 2008):
- Controlling–punitive: The child takes on a dominant or aggressive role, trying to control the caregiver through anger, criticism, or bossiness (e.g., yelling at or hitting the parent).
- Controlling–caregiving: The child reverses roles and tries to care for or soothe the parent, often becoming overly concerned with the adult’s emotional state.
Other signs that may appear as the child gets older include:
- Emotional or physical withdrawal from caregivers
- Avoiding touch or comfort, such as stiffening or pushing away during hugs
- Choosing to engage with strangers over familiar caregivers
- Looking dazed or confused during reunions after separation
- Unpredictable responses, such as being clingy one moment and distant the next
All children show some degree of disorganized behavior when they are overly tired, sick, in pain, stressed, or neurologically compromised.
Thus, observing disorganized behavior some of the time is not enough to classify a child as disorganized. The behavior must be consistent and meet a certain threshold of intensity.
Treatment for Disorganized Attachment
Treatment for disorganised attachment centres on improving the quality and consistency of the caregiving relationship. This often means addressing frightening, frightened, or dissociative behaviours in the caregiver, which usually stem from their own unresolved trauma.
Evidence-based interventions exist. They have shown significant positive effects on reducing disorganization and promoting more secure attachment patterns (Bakermans-Kranenburg et al., 2005).
Disorganized attachment is not a fixed trait of the individual child. It tends to be relationship-specific: an infant may be disorganized with one parent but secure with another. It also shows only modest stability over time.
This underscores the importance of targeted interventions within the specific caregiver-child dyad.
Interventions are more effective when begun at or after 6 months, potentially coinciding with the formation of the infant’s selective attachment strategy.
Attachment and Biobehavioral Catch-Up (ABC)
- What it is: A short-term home-visiting program for infants and toddlers who have experienced inconsistent or harmful caregiving.
- How it works: Coaches help parents (1) learn to follow their child’s cues and respond promptly, (2) reduce confusing or frightening behaviors (e.g., intrusiveness, harsh tone), and (3) collaborate with toddlers on managing big emotions rather than taking over.
- Why it helps: ABC strengthens sensitive, predictable interactions and reduces behaviors that trigger fear or confusion. Multiple trials grounded in Main and Hesse’s research show it improves child attachment security (Dozier et al., 2017; Grube & Liming, 2018).
Child-Parent Psychotherapy (CPP)
- What it is: A year-long, relationship-based therapy for caregivers and their infants or young children, often used after traumatic or highly stressful family events (Lieberman, 2004).
- How it works: Through weekly sessions, a trained therapist guides the parent–child dyad to revisit and process distressing experiences together, models empathic attunement, and coaches the caregiver in protective, non-frightening responses.
- Why it helps: By directly addressing the parent’s own fears or trauma reactions and teaching consistent, nurturing responses, CPP strengthens the child’s sense of safety and reduces disorganized attachment patterns (Lieberman et al., 2006).
Disorganized Attachment Signs in Adults
Like disorganized children, disorganized adults feel conflicted in relationships. Their emotions vacillate between anxiety and avoidance.
Researchers often describe adult attachment on two dimensions. Anxiety is fear of rejection or abandonment. Avoidance is discomfort with closeness and dependence. Disorganized, or fearful-avoidant, attachment scores high on both at once.
Mikulincer, Shaver, and Pereg (2003) tie anxiety to hyperactivating strategies, such as protest and reassurance-seeking. They tie avoidance to deactivating strategies, such as withdrawal and self-reliance. Disorganized adults use both, often unpredictably.
Avoidant individuals seek distance and independence because their caregivers were unreliable, punitive, or unsupportive in childhood. Fearing further rejection, they disregard their own need for attachment and intimacy.
Paradoxically, this fear of abandonment can heighten the need for attachment. That leads to clingy, attention-seeking behavior.
Put simply, disorganized individuals fear both abandonment and intimacy. The result is contradictory “approach and avoid” behavior.
They cling to others to feel close and reassured. But when someone gets too close, they push them away and shut down.
Their behavior can feel chaotic. Fearing rejection and intimacy at once, they want closeness and distance simultaneously.
Stephen Hussey, co-host of the Love Life with Matthew Hussey podcast, says he sees some of himself in this pattern. He craves intimacy, yet fears being abandoned and fears being trapped in a relationship.
I’m very scared of someone becoming emotionally dependent on me for their needs … that’s the grand fear: this person will now depend on me for their happiness, and that’s a scary thought.
Stephen Hussey, Are Attachment Styles Sabotaging Your Love Life?
His account shows one fear, not two: a wish for closeness sitting beside a dread of being depended on, or of losing a partner altogether. It is one person’s account, not a clinical description.
The Role of Fear, Confusion, and Dissociation
Fear plays a central role in disorganized attachment. But it is not the only factor.
Main and Hesse proposed that many of these behaviors are linked to problems in attention and memory, especially under stress.
The system can jam under pressure. When a child faces frightening or inconsistent caregiving, the brain can struggle to process what is happening. This creates a looping or “jammed” attention system. The child cannot decide whether to approach, avoid, or disconnect altogether.
In some cases, this looping may lead to dissociation: a mental state where a person becomes disconnected from their thoughts, feelings, or surroundings.
For infants, this can look like freezing, zoning out, or suddenly stopping mid-action.
Older children and adults may experience it more consciously.
They can feel numb, out-of-body, or confused during emotionally charged moments.
Dissociation is not a side note. A 2024 systematic review is consistent with dissociation working as exactly this kind of mechanism. It links insecure and disorganized attachment to more severe psychological difficulty under stress (Puckett et al., 2024).
A smaller study shows the same link in daily life.
Marcusson-Clavertz and colleagues (2017) paged 45 adults with a childhood trauma history ten times a day for five days to sample their state of mind.
Higher scores on a self-report measure of unresolved attachment predicted more negative mood, more dissociative detachment, and less sense of control over one’s own thoughts. An interview-based classification did not predict the same outcomes.
Other signs and features of disorganized attachment in adults include:
- Having an unstable sense of self: e.g., extreme mood swings; multiple or conflicting identities.
- Difficulty trusting others: Adults with disorganized attachment may find it challenging to trust others, often feeling suspicious or wary of people’s intentions. They see people as both a source of fear and a source of comfort.
- Unstable relationships: They may have intense, unstable relationships marked by frequent breakups, conflict, and emotional volatility.
- Fear of intimacy: Despite craving closeness, they may fear intimacy and struggle with vulnerability, often pushing others away when relationships become too close.
- Inconsistent behavior: Their actions and reactions may seem contradictory or unpredictable, vacillating between seeking closeness and withdrawing from others.
- Difficulty regulating emotions: They may struggle with intense or overwhelming emotions, experience sudden mood swings, or have trouble calming down when upset.
- Sensitivity to perceived rejection: They may be hypervigilant to signs of rejection or abandonment, often overreacting to minor cues or misinterpreting others’ actions.
- Unresolved trauma: Many adults with disorganized attachment have a history of unresolved childhood trauma, abuse, or neglect that continues to impact their relationships and emotional well-being.
- Difficulty with boundaries: They may struggle to set and maintain healthy boundaries in relationships, either being overly rigid or overly porous.
- Persistent feelings of emptiness: Adults with disorganized attachment may experience chronic feelings of emptiness, loneliness, or disconnection, even when in relationships.
- Impulsivity or reckless behavior: They may engage in impulsive or self-destructive behaviors as a way of coping with emotional pain or seeking attention.
- Difficulty with self-reflection: They may have limited insight into their own thoughts, feelings, and behaviors, finding it challenging to reflect on their experiences and learn from them.
- Anger toward rejecting caregivers: This anger is aimed at attachment figures and sometimes transferred to other “innocent” people.
Triggers of Disorganized Attachment
Relationships are triggering for disorganized individuals. They are conflicted about what they want: they do not trust others, yet they desperately want to love and be loved.
They anticipate being hurt, disappointed, or rejected by people close to them. This makes them hyper-vigilant to any sign the other person might leave.
A trigger activates both anxious and avoidant behavior at once. This can confuse and upset the other person in the relationship.
The threat of abandonment feels real to them. So they may feel entitled to an extreme reaction.
Examples of emotional triggers for disorganized attachment include:
- Any sign of rejection, distance, or abandonment (e.g., not responding to messages or phone calls; not coming home on-time; spending a lot of time away from home; seeming distant and uninterested)
- Inconsistency and hot-cold behavior (e.g., texting a lot one week and then not texting at all the next)
- Avoidant behaviors (e.g., shutting down communication; walking away from conversation; giving the silent treatment)
- Intimacy-seeking behaviors (e.g., making plans for future commitment; romantic gestures; wanting emotional support; physical contact and intimacy; vulnerability)
- Feeling criticized (either real or imagined)
Individuals with “organized” insecure attachments (e.g., avoidant and anxious) have consistent, comprehensible triggers. Disorganized individuals have triggers that are incoherent and complicated because of their inner conflict.
Dealing with these triggers, and developing a more secure attachment, requires the disorganized person to address their inner conflict. Self-regulation strategies can help them manage their anxiety and avoidance.
Self-Regulation Strategies for Disorganized Attachment Triggers
Most people with disorganized attachment have experienced a traumatic event at some point in their life.
These experiences often lead to identity confusion, trouble regulating emotions, low self-esteem, substance misuse, and mental health problems. Together, these can set the stage for future trauma.
Learning to manage your emotions matters. It is essential for a better quality of life and more secure relationships.
Self-verification theory (Swann, 1983) describes one reason this is hard. People tend to seek out information that confirms even negative beliefs about themselves, because it makes the world feel more predictable.
It often means falling into relationships with people who treat you poorly, because that feels “normal” or “deserved.”
None of this is your fault. Your difficulties with attachment developed because your needs were not met early in life.
These thoughts, feelings, and behaviors are coping mechanisms. They exist to relieve distress, reduce anxiety, and restore a sense of control.
The good news: you can learn to manage these insecurities by taking responsibility for your own healing.
Support helps too.
Although you can do a lot of this work individually, therapy is recommended for people with a disorganized attachment style.
A therapist can help you to identify your unhelpful beliefs and behaviors, examine your triggers, navigate challenges, and offer comfort.
Here is some advice on how to self-regulate your triggers and feel more confident in your life and relationships:
- Acceptance and compassion: Treat yourself with the kindness you would offer a close friend.
- Self-awareness: Learn the pattern, then notice your thoughts, emotions, and behavior without judgment.
- Grounding: Breathing, muscle relaxation, and sensory techniques calm the fight-or-flight response.
- Inner child: Revisit your childhood with compassion, and remember it was not your fault.
- Self-worth: Your need for closeness is healthy; fear is what drives the swings.
- Boundaries: Clarify your values, then state your limits and what follows if they are crossed.
- Secure behaviors: Practice how a secure person would respond, starting small.
- Therapy: A therapist can help you examine triggers and unhelpful beliefs.
Practice Acceptance and Compassion
Your insecure attachment likely developed for reasons that were beyond your control. Therefore, treat yourself with compassion.
Notice when you’re being self-critical or overly harsh with yourself, and instead, practice self-kindness.
Be gentle and patient with yourself and treat yourself with the same kindness, understanding, and support that you would offer a close friend.
Accept where you are now. Then focus on finding ways to heal and move forward.
When you accept yourself as you are, with both your strengths and imperfections, you will cultivate the power and motivation to transform.
Develop Self-Awareness
Without knowing and understanding your triggers, beliefs, and behaviors, you cannot change them. That’s why it’s important to develop self-awareness.
Start by educating yourself on attachment theory and the disorganized attachment style. This gives you insight into how it develops and shows up in your life and relationships.
Also, observe your thoughts, emotions, and behaviors without judgment.
Over time, you will understand why you feel, think, and behave in certain ways. Two simple tools help: mindfulness and journaling.
Mindfulness builds present-moment awareness and non-judgmental acceptance of your thoughts and emotions. A journal helps you notice patterns, process emotions, and track your progress.
Use Grounding Techniques
When you experience an emotional trigger, an alarm goes off in your brain, activating your fight or flight response.
This means your rational brain is “shut down” and you are operating on auto-pilot, reacting in unconscious ways that you have little control over.

Practicing grounding techniques consistently can help you to manage your emotions, both in general and in the moments when you are feeling triggered.
Grounding techniques include:
- Breathing exercises
- Progressive muscle relaxation
- Meditation and yoga
- Engaging and connecting with nature mindfully
- Hot or cold sensory experiences (e.g., drinking hot tea or holding an ice cube in your hand)
Comfort Your Inner Child
One helpful technique for healing past wounds is to mentally revisit your childhood. Engage with your child-self with understanding, compassion, and support.
Because of your inconsistent, neglectful, and possibly even abusive caregiving experiences, you were not adequately acknowledged, cared for, or addressed during childhood.
By comforting your inner child, you can provide a sense of validation and acceptance to your child-self.
You can revisit and reimagine past experiences from a more compassionate and supportive perspective.
Tell your child-self that it was not their fault. Acknowledge that it’s okay to feel sad or angry about how you were treated.
Comforting your inner child can take away some of the power the past still holds over you. This lets you step into your adult self with more confidence.
Grow Your Self-Esteem and Self-Worth
The inner conflict you experience and the instability of your emotions can make it difficult to know who you are and what you want.
The back and forth between wanting others to love and support you and wanting them to leave you can be exhausting.
Your desire for closeness and comfort is healthy. Fear is the reason you feel anxious and avoidant.
Improving your self-esteem and self-worth, through therapy or self-reflective practices, helps you let go of this fear. It also helps you acknowledge your need to connect with others.
Developing self-love takes time and patience. But by promoting a more cohesive sense of self, you will foster a stronger foundation for healthier attachment patterns.
You will understand that your needs are valid, you are worthy of love, and you are safe to express your emotions without judgment.
Establish and Maintain Boundaries
Here is some advice on establishing boundaries:
- Identify what your values are/ what is important to you
- Put everyone else’s opinions and needs aside. What do YOU need from a relationship?
- Examine your relationships. What are the unhealthy aspects?
- Ask yourself, what does it mean to be a healthy, independent adult?
- Focus on your strengths and the things you do well
- Identify and utilize your protective factors (e.g., certain relationships, social support, work, school/ university, values, problem-solving skills, etc.)
- Now, think about establishing boundaries with significant others. Do you want a relationship with them? What do you want to share and not share with them? Where are your limits?
Once you have established your boundaries, you can communicate them to others when the time is appropriate. Let them know how you will respond if they do not respect your boundaries.
Saying no to others often means saying yes to yourself. When you have a healthy, trusting relationship with yourself, you are much more able to have healthy relationships with other people, too.
Try Out Secure Behaviors
Once you have established a practice of self-regulation strategies, you can try implementing some secure behaviors. This will show that you are capable of managing your own emotions.
Initially, your anxiety might be high and you might want to withdraw. That is normal. But if you start with small changes and keep practicing, the discomfort and anxiety will subside.
When you feel triggered it can be helpful to ask yourself: how would a secure person think and behave in this situation? For example:
- Talk to a loved one about how you are feeling in a calm and constructive way
- When you get a sense that someone is rejecting you, ask yourself what other explanations there might be for their behavior: are they actually trying to hurt and reject you?
- Put yourself in someone else’s shoes. How would you see your actions in someone else’s position?
- When your emotions are starting to feel overwhelming, practice grounding techniques, go for a walk, or do something else that you enjoy
- Express your needs and boundaries to someone without backtracking and without compromise
- Allow someone else to support you and listen to their advice without thinking they are not interested, do not care, or have some sort of ulterior motive
Can Attachment Security Be Earned?
Research suggests a hard start does not fix your attachment style for life. Researchers use the term earned security for adults who coherently describe a difficult or unsupportive childhood, yet are coded as securely attached. They are identified with the Adult Attachment Interview, a structured interview about early relationships.
The picture is more mixed than the label suggests. Roisman and colleagues (2014) found that earned-secure adults matched continuously secure adults on caregiving quality. But their depressive symptoms and other internalizing distress were comparable to, or higher than, those of insecure adults.
Movement toward secure attachment shows up reliably in behavior and relationships. Distress from a difficult history may linger.
Therapy Options for Adults
These range from therapies for young children and their caregivers to approaches adults can pursue for their own attachment patterns. Here are a few that show real promise for disorganized attachment:
- Child-Parent Psychotherapy (CPP): A relationship-based therapy in which a therapist helps a caregiver and child process distressing experiences and respond in protective, non-frightening ways. Children whose parents completed CPP showed better behavior years later, linked to more secure early attachment (Lieberman, 2004; Lieberman et al., 2006).
- Attachment and Biobehavioral Catch-up (ABC): A short-term home-visiting program that coaches parents to follow a child’s cues, avoid harsh or scary behavior, and help with big emotions. Trials show it improves child attachment security (Dozier et al., 2017; Grube & Liming, 2018).
- Transference-Focused Psychotherapy (TFP): A therapy in which you explore confusing or unstable feelings about relationships directly with a therapist. It builds mentalizing, the capacity to understand your own and others’ mental states, and so more secure attachment (Kernberg et al., 2008; Allen & Fonagy, 2006).
- Dialectical Behavior Therapy (DBT): Developed for borderline personality disorder, DBT works especially well with a long-term, trusting bond with the therapist. It helps people manage intense emotions and builds skills for healthier relationships (Linehan & Wilks, 2015).
- DBT plus Mentalization-Based Treatment (MBT): In a four-week inpatient pilot for borderline personality disorder, fearful attachment fell with the combination but not with DBT alone (Edel et al., 2017). It is a small, short pilot, so treat it as preliminary.
- General Psychotherapy: More broadly, therapy itself can help change attachment patterns. Just being in a safe, warm, and steady space where you feel heard can make a huge difference. Therapists try to stay aware of their own reactions too, since people with disorganized attachment may bring strong emotions into the room.
- Circle of Security (COS): COS uses videos and diagrams of a caregiver-child “circle” to help parents notice and meet their child’s needs for closeness and safety. It has been used to build calmer caregiving with disorganized parent-child pairs (Marvin et al., 2002).
Disorganized Attachment Style in Relationships
Attachment theory holds that early relationships and childhood experiences shape our social and emotional development for life.
Disorganized attachment is one of three insecure attachment styles. It brings unpredictability, emotional instability, and distrust into relationships.
This makes it a genuinely hard style to be in a relationship with.
Even so, a healthy relationship with a disorganized partner is possible. It takes real effort from both sides.
Both people need to understand the disorganized attachment style and how it shapes behavior. Knowing your own attachment style helps too.
Relationships with Disorganized Adults
The following are some of the traits and behaviors that come with being in a relationship with someone with a disorganized attachment style.
Keep in mind that this is an overview; not all disorganized individuals behave and think in the same ways.
In brief, the pattern shows up in five ways, covered in this order below:
- Trust issues: Fear of rejection and abandonment fuels suspicion of a partner’s intentions.
- Inconsistent communication: Fearing abandonment and intimacy at once, they swing between clingy and avoidant.
- Mood swings: Moods can flip from loving to hostile or withdrawn, with anger often rooted in early rejection.
- Anxious mode: Sensing rejection, they seek heavy reassurance and may overstep boundaries.
- Avoidant mode: They withdraw from conflict and closeness, and may quietly sabotage a good relationship.
Trust Issues
Growing up with caregivers who did not feel safe, or who acted unpredictably or abusively, increases a child’s chances of developing trust issues.
Later traumatic experiences can damage trust further.
As a result, disorganized individuals tend to be very suspicious of their partner’s intentions, watching for signs of deceit or broken trust. They might grow jealous and scrutinize your friendships and social media activity.
This behavior comes from a fear of rejection and abandonment. But it can still damage the relationship and cause both people hardship.
Difficulties with Communication and Inconsistent Behavior
One of the main traits of disorganized attachment is simultaneously fearing abandonment and fearing intimacy. Individuals with this attachment style oscillate between acting clingy and acting avoidant.
Disorganized individuals often lack a stable sense of identity, making it difficult to access their emotions. They may struggle to know what’s real and what’s not.
This inner conflict means disorganized individuals often do not know what they need or want because it can vary from moment to moment. Their behavior tends to be inconsistent and unpredictable.
Their communication can be chaotic and difficult to follow, and partners often do not know how to help.
Partners face a real bind. Offering support may cause the disorganized person to pull away, while giving them space may feel like abandonment.
An avoidant partner’s distant behavior often triggers anxious responses in a disorganized individual, such as demanding attention or excessive texting and calling.
An anxious partner’s clinginess, in turn, can trigger the disorganized individual’s need for avoidance, such as shutting down communication or ending the relationship.
Mood Swings and Difficulties Regulating Emotions
Disorganized attachment often comes with extreme mood swings and trouble managing emotions.
One moment they might be happy, excited, and loving. The next, they might turn hateful and somber.
They might also have “good” weeks or months followed by a stretch of poor mental health, such as depression, anxiety, or social withdrawal.
Anger is common too. It often stems from having been rejected by caregivers and learning to cope through anger.
That anger can transfer to other people, especially romantic partners, who face hostile outbursts.
Growing up, these individuals likely never learned healthy ways to manage emotions. Many also carry significant, still-unresolved trauma.
None of this excuses abusive behavior. But it does help explain where the anger and instability come from.
Anxious Behavior
An anxious attachment style is characterized by a strong fear of abandonment and rejection and being highly dependent on others for reassurance.
Fear can drive clinginess, jealousy, and preoccupation within relationships.
When disorganized individuals sense rejection and abandonment, it can trigger anxious behavior as a way to cope with their fear.
Subsequently, they often need significant reassurance and attention from their partner and will become distressed if their partner can not provide this.
They might overstep your boundaries and personal space in an attempt to get closer to you.
The disorganized attachment style is chaotic. When they display anxious behavior, it can generate guilt and shame, and they may suddenly become hostile, uncommunicative, or avoidant.
Avoidant Behavior
Avoidant attachment involves suppressing the need for closeness and reassurance while staying highly independent.
It usually follows emotional or physical rejection, which creates a fear of intimacy and a habit of using avoidance to cope.
Disorganized individuals also use avoidance to cope. But unlike avoidant individuals, they still want closeness. They fear relationships without avoiding them altogether.
They can also be very focused on their own needs, finding it hard to empathize with others.
Conflict is hard for them. When someone wants to talk about feelings, they may find it overwhelming and withdraw.
They might reject physical intimacy, like hugging or touching. They may also avoid sharing how they feel or disclosing personal information.
Sabotage is another common strategy. It often surfaces just when things are going well.
They might grow critical, dwell on the relationship’s flaws, or look for reasons to break up. Some do break up, have an affair, or treat their partner in ways that leave them feeling unloved.
This sabotage is usually subconscious. It tends to confirm a belief they already hold: that people cannot be trusted and everyone eventually leaves.
As clinical psychologist Ramani Durvasula explains, this sabotage can be a response to “a constant wait for the inevitable abandonment that is coming.”
a person with a disorganized attachment style may sort of preemptively end a relationship before the other person can end it
Ramani Durvasula, How Attachment Styles Shape Narcissistic Relationships
On her reading, what looks like self-sabotage is an attempt to control the timing of a loss the person already expects. It is not a wish to be alone.
Dating Someone with a Disorganized Attachment Style
As discussed above, being in a relationship with a disorganized individual can be challenging and confusing.
However, like everybody else, they also have positive and attractive traits so working through the difficulties can be rewarding and worthwhile for both.
This advice is for those close to a disorganized person.
However, for the relationship to work, it is important that both people involved work on their insecurities and behaviors and seek help if necessary.
Communicating with a Disorganized Partner
For any relationship to work, open and effective communication is key. That means, expressing needs and problems in a calm and constructive way and actively listening.
Active listening involves:
- Asking open-ended questions and listening to the response without interfering or shutting down
- Validating what they are saying by asking follow-up questions, nodding, and verbally agreeing with them
- Showing interest by holding eye contact, turning your body towards them, and uncrossing your arms
The aim of communication should be to find a solution, not to point fingers or cause the other person suffering.
Ask yourself whether you want the relationship to work, and if your answer is yes, focus your attention on solutions, not problems.
Setting Boundaries with a Disorganized Partner
An important element of looking after your health as well as the health of your relationship is to establish and maintain strong boundaries.
Disorganized people often lack strong boundaries. They may expect you to have none either.
Both of you should agree on behaviors you will not tolerate, and on the consequences of breaking a boundary.
For example, if someone shouts aggressively, the other person will walk away and not communicate until the violent behavior has stopped.
Showing Compassion and Patience to Your Partner
People with a disorganized attachment style are not usually malicious or difficult on purpose. They simply have not learned how to cope with their emotions or how to behave in a relationship.
This does not excuse working on their own insecurities. But a partner who shows compassion and patience genuinely helps.
They want to love and be loved. They just struggle to express their feelings and needs clearly.
Many have experienced significant trauma. Having someone consistently there for them often helps.
That does not even have to mean talking. Sometimes just being present, and letting them know you are on their side, is enough.
Acknowledge the good moments and tell your partner what you like about them. This helps soothe their anxiety.
But look after your own well-being too.
Critical Evaluation
The disorganized category is powerful, but researchers still debate its limits. Here are the main criticisms:
- A Mixed Category: Critics argue “disorganized” may lump together several different behaviors with different causes, not one single, consistent pattern.
- Correlational Evidence: Much of the evidence linking disorganized attachment to later problems comes from studies that cannot fully separate cause from confounding risk factors.
- Hard to Measure Reliably: Coding disorganized behavior needs intensive specialist training, and trained coders still agree less often than they do for the organized attachment styles.
- Risk of Misuse: Because the category points to frightening caregiving, it can be misapplied as proof of abuse, and it may not translate cleanly across cultures.
A Mixed Category
The label “disorganized” may not describe one single thing. It can include a frank collapse of strategy, a subtler approach-avoidance conflict, or oddness of movement linked to temperament. It can also include ordinary distress in an overtired or unwell child.
Critics point out that a single category spanning a maltreated infant’s frozen terror and a tired infant’s brief confusion may not be one thing. The underlying causes may simply differ too much. Grouping them under one label risks treating very different children as if they share a single problem.
The category may need splitting, not simplifying.
This matters for research and practice alike. A single Type D score can hide real differences between children who need very different kinds of help. Two children with the same label might need very different support.
Correlational, Confounded Evidence
Most evidence linking disorganized attachment to later problems is prospective-correlational. Studies follow children over time. But they cannot experimentally control for the poverty, maltreatment, or parental illness that so often produces disorganized attachment.
This matters. Disorganisation may be a marker of these risks, not their cause.
A meta-analysis by Groh and colleagues (2012) pooled 42 studies and found no reliable link between disorganized attachment and later anxiety or depression. Yet the same pattern reliably predicts externalizing, or conduct, problems (Fearon et al., 2010).
That contrast is telling. It suggests the outcomes disorganisation predicts are more specific, and more probabilistic, than a simple cause-and-effect story would imply.
In practice, a Type D label can follow a single reunion episode. Yet the real driver might be years of poverty or parental illness, not the child’s own risk.
Measurement and Coder Training
Coding disorganized behavior is not simple. It requires intensive, specialist training, because the diagnostic signs are often brief, subtle, and easy to miss.
Even trained coders agree less often on Type D than they do on the three organized categories: secure, avoidant, and resistant. Reliability, in short, is a real problem. It raises a genuine concern: how consistently can the same child be classified across different labs?
This is one reason disorganized attachment is rarely assessed outside research settings. The training and time it demands make it impractical for routine clinical use. Coder disagreement adds another layer of difficulty.
That is a real practical limitation.
In practice, this means disorganized attachment is mostly used as a research tool rather than a routine clinical measure. A trained coder, watching the same short reunion episode twice, might not always reach the same verdict.
Validity of Adult Self-Report Measures
The same concern applies to adults. Pollard, Bucci, and Berry (2023) reviewed 18 measures of adult disorganized attachment across 27 eligible studies, using recognized standards for judging measurement quality. They reported four main findings:
- No clear winner: Overall quality was too inconsistent to name a single best measure.
- Weak fearful scale: The fearful subscale of the Relationship Questionnaire, the family of tools behind the four-category model, scored worst. Its structure did not confirm a coherent “fearful” factor.
- Indeterminate disorganization scale: The structural validity of Paetzold and colleagues’ (2015) scale was rated indeterminate, because of how its original validation reported results.
- Promising tools: Four measures, including the Adult Attachment Interview, had genuinely promising psychometric properties.
This is not a case for abandoning the construct. But it is a caution. Some of the tools themselves, not just the studies using them, have yet to be shown to measure what they claim to.
Risk of Misuse and Cultural Validity
Because Type D points toward frightening caregiving, it is a sensitive category to use in practice. A group of leading attachment researchers has already warned that Type D should never be treated as proof of abuse (see Risk Marker, above).
Sensitivity cuts both ways here.
A related concern is cultural validity. The Strange Situation, like the disorganized category itself, was developed largely with Western families. Definitions of “frightening” vary by culture.
What looks “frightening” or “disoriented” in one culture’s child-rearing customs may be read differently in another. So the classification may not mean the same everywhere.
Used carelessly, in short, Type D can do harm rather than help. A worried teacher or a family court should treat it as one clue among many, not a verdict. It should never stand alone.
Can Therapy Backfire?
Therapy is often recommended for this attachment style, but it is not risk-free. Lawson and Farquharson (2025) interviewed eight clients and seven staff members who had experienced or witnessed negative effects of dialectical behavior therapy (DBT).
One theme was an unhealthy “blueprint for relationships.” Several participants described the therapeutic relationship teaching them to distrust their own judgment, or to stay silent and compliant to avoid conflict.
Others avoided new relationships and disengaged from services. This was particularly so where they felt the program had not addressed their trauma history.
This was a small qualitative study of people who reported negative experiences, so it cannot say how often DBT has this effect. Even so, a therapy that models silencing and avoidance is a real concern for people who already distrust others and fear closeness.
Is Disorganized the Same as Fearful-Avoidant?
Researchers do not fully agree on this, because the two labels start from different places.
| Feature | Fearful-avoidant | Disorganized |
|---|---|---|
| Source | Bartholomew and Horowitz (1991), adult research | Main and Solomon (1990), infant research |
| Built from | Crossing two dimensions: fear of rejection, and discomfort with closeness | Watching infants’ actual behavior break down, not combining two survey scores |
| Measured by | Self-report questionnaires | Trained coders rating observed behavior |
| Result | Four adult styles: secure, preoccupied, dismissive, and fearful | Type D, alongside the three organized categories |
Paetzold, Rholes, and Kohn (2015) argue that high scores on two dimensions are not the same claim as “disorganized.” The word implies an inner conflict between strategies, so they built a separate measure of disorganization to test the difference.
Rholes, Paetzold, and Kohn (2016) tested whether this distinction matters.
They surveyed 510 U.S. adults on childhood trauma, adult attachment anxiety and avoidance, and a separate disorganization scale. The survey also measured externalizing behavior, such as aggression, in a current or recent relationship.
Disorganized attachment carried the link from early trauma to externalizing behavior, even with the anxiety-avoidance combination in the model. So disorganization is partly distinct. It is not a re-labeling of “high anxiety plus high avoidance.”
A second study points the same way. Whittington (2024) merged two published measures of adult romantic disorganized attachment into one 15-item scale and tested it on 318 college students.
Disorganized attachment mediated the link between childhood maltreatment and adult difficulties with emotion regulation. It did so over and above attachment anxiety and avoidance alone.
Overlap with Borderline Personality Disorder
A separate clinical tradition connects this same instability (unstable identity, intense relationships, difficulty regulating emotion) to borderline personality disorder (BPD). It may do so instead of, or alongside, an attachment style.
Miljkovitch and colleagues (2018) tested the link directly. They compared adolescents diagnosed with BPD against adolescents with no diagnosis, looking at attachment classifications with both parents.
Disorganized attachment was far more common in the BPD group, and more likely with both parents at once.
The two frameworks overlap heavily, but they are not identical. A person can show this push-pull relational pattern without meeting the clinical criteria for BPD.
Contemporary Research
Recent work has both consolidated and tempered the disorganized construct. Six studies show how:
- Transmission gap: A synthesis of more than three decades of Adult Attachment Interview studies (Verhage et al., 2016) confirmed that a parent’s unresolved loss or trauma predicts infant disorganization. Observable frightening behavior explained only part of the link.
- Dissociation and psychosis: A 2024 systematic review by Puckett and colleagues found dissociation a plausible route from insecure attachment to adult psychosis. It concluded the pathway needs more direct testing.
- Clinical sample: Grady et al. (2025) studied 71 adults receiving mental health care for psychosis. Disorganized attachment and dissociation, in sequence, fully mediated the link from recurrent trauma to hallucinations and delusions.
- Cross-cultural replication: Li et al. (2023) surveyed 569 adults in China. The trauma-to-dissociation link replicated, and self-concept clarity moderated it. Reflective functioning, a buffer in U.S. samples, did not.
- Measurement abroad: Pahlavan et al. (2025) tested a Persian version of a nine-item adult disorganization scale in 202 Iranian students. It showed one clear factor, good internal consistency (α = .82), and expected links with anxiety, avoidance, and shutdown dissociation.
- Behavior in relationships: Gilbert and Blakey (2021) surveyed 149 UK adults. Higher disorganized-attachment scores went with more controlling, punitive behavior toward a romantic partner.
The unexplained part of Verhage et al.’s link, the “transmission gap,” still drives research into parental mentalizing.
Two cautions apply. A treatment sample like Grady et al.’s cannot show that most people with this style are at risk of psychosis. Li et al.’s result also reminds us that a finding from one culture does not always travel unchanged.
A single cross-sectional adult survey carries less weight than a meta-analysis of many child studies (Fearon et al., 2010). So treat the adult finding as suggestive, not settled.
Attachment Style Quiz
Discover your attachment style based on the ECR-RS, a validated measure of attachment anxiety and avoidance in close relationships.
This short 9-item questionnaire assesses two core dimensions of adult attachment: anxiety (the degree to which you worry about rejection and abandonment) and avoidance (the degree to which you are uncomfortable with closeness and dependence on others).
Your scores on these two dimensions determine which of four attachment styles best describes your pattern of relating to others: secure, anxious-preoccupied, dismissive-avoidant, or fearful-avoidant.
Based on: Fraley, R. C., Heffernan, M. E., Vicary, A. M., & Brumbaugh, C. C. (2011). The Experiences in Close Relationships—Relationship Structures questionnaire. Psychological Assessment, 23(3), 615–625.
Help us personalise your results
All fields are optional. Your answers are anonymous and used for research purposes only.
Choose how accurately each statement reflects you.
Question 1 of 5
It helps to turn to people close to me in times of need.
I usually discuss my problems and concerns with close others.
I talk things over with people close to me.
I find it easy to depend on people close to me.
I don\\\\\\\'t feel comfortable opening up to others.
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Choose how accurately each statement reflects you.
Question 1 of 4
I prefer not to show others how I feel deep down.
I often worry that close others don\\\\\\\'t really care for me.
I\\\\\\\'m afraid that close others may abandon me.
I worry that close others won\\\\\\\'t care about me as much as I care about them.
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Sources
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