Attachment wounds live in the body as relational patterns, not only as beliefs. Somatic depth work engages the pattern where it actually formed.
Key Takeaways

What to know before you start:
- Attachment patterns form pre-verbally, in the body, before conscious memory — which is why insight alone often reaches the concept but not the pattern.
- The transformation-oriented reframe: the blueprint your body built early is workable material — not a life sentence, not a diagnosis of who you are.
- The work engages attachment patterns in real time in the therapeutic relationship — the pattern's most reliable home is exactly where it can change.
- The work draws from Orgonomic and somatic therapy, Internal Family Systems, and depth psychology, matched to you at consultation.
- Sessions are available in person at our Mid-Wilshire office and by secure telehealth across California, beginning with a free consultation.
01 — What it isAttachment patterns live in the body, not only in beliefs
The reframe that shapes this work: what many clients call an attachment style is not a belief about relationships. It is a physiological pattern — a set of nervous-system responses that formed pre-verbally, before conscious memory, and that now runs automatically in adult relationships. Insight alone reaches the concept of the pattern. What talk therapy often does not reach is the pattern itself, which activates in the body faster than thought.
That distinction matters clinically. Many clients arrive at APG having read about attachment theory, understood their pattern intellectually — anxious, avoidant, disorganized — and still finding that the pattern runs when the actual relationship is on the line. Depth-oriented somatic work reaches the layer where the pattern lives, which is the body in relation to another body. Public resources from the American Psychological Association, the National Child Traumatic Stress Network, and the IFS Institute continue to document that body-based work and relational depth work together address attachment patterns in ways verbal insight alone often cannot.
At Angeles Psychology Group this work sits inside depth-oriented care. If you have already read the broader somatic frame, our Somatic Therapy pillar page steps back to the wider context, and sibling clusters like body-based trauma therapy and somatic therapy and IFS combined address adjacent territory.
Pre-verbal patterning. The nervous-system organization laid down in early attachment relationships, before language, that continues to shape adult relational patterns automatically. Somatic depth work engages the layer at which the pattern actually operates.
Not sure whether depth work fits what you are actually working on? A free 20-minute consultation is the simplest way to find out.
02 — How we deliver itDepth work that engages the pattern where it lives

Attachment work at APG is delivered inside the practice’s coordinated stack: Orgonomic and somatic therapy for the nervous-system residue of early relational patterns; Internal Family Systems for the protective parts organized around attachment strategies; depth psychology for the unconscious patterns underneath; and Emotion-Focused Therapy for the vulnerable feelings that surface as safety builds.
The clinical stance treats the therapeutic relationship itself as working material. The pattern’s most reliable home is a relationship — including this one — which is exactly why it becomes available for change in depth care. Practical delivery information is on our homepage, and further reading is in our Orgonomic therapy overview and intimacy therapy post.
Relational depth
The therapeutic relationship itself is working material — the pattern's home is where it can change.
Pre-verbal engagement
Depth work reaches patterns formed before language, which insight alone often cannot access.
In person or online
Delivered at our Mid-Wilshire office or by secure telehealth across California — same depth, both formats.
03 — Getting startedA first step for patterns that outlast understanding
Beginning is low-pressure and in your control. You book a free, 20-minute consultation, talk with a clinician about what brings you in, and together decide whether depth-oriented somatic care for attachment fits.
Angeles Psychology Group is a private-pay practice; superbills are provided for out-of-network reimbursement, and fees are explained transparently before you commit. Public resources from IFS Institute and American Psychological Association are useful if you are still weighing whether depth work fits what you are working on. On scope: Angeles Psychology Group provides psychotherapy and does not prescribe medication. If medication management is or becomes part of your care, we coordinate with your existing prescriber with your written consent, and can support a referral to a psychiatrist when clinically appropriate. If your situation is a mental-health emergency, please call or text 988 for the Suicide and Crisis Lifeline, or reach the Trevor Project at 1-866-488-7386 or the Trans Lifeline at 1-877-565-8860 — support that is available now.
What the consultation actually covers is practical. A clinician asks what brought you to this page — often it is having read attachment theory, understood your pattern conceptually, and still finding it runs in your closest relationships — and describes candidly which approaches from the practice’s stack seem most relevant. You are welcome to bring questions about clinician fit, prior therapy that helped conceptually but not experientially, current relationship context you want held, insurance and superbills, and what a typical arc of care looks like.
A typical first month runs weekly, 50 minutes per session. Early sessions are oriented toward the working relationship and getting a felt sense of how your specific attachment pattern shows up in the room. Deeper material tends to surface once safety is established rather than pushed for from the start. Many clients notice, in the first month, that patterns they had spent years understanding intellectually begin to become available for actual change in how they feel in relationship — a signal the work is reaching the pre-verbal layer where the pattern lives.
Practical notes on preparing for the consultation: there is no intake paperwork to complete before the call and no requirement to describe your situation in a particular way. You are welcome to bring notes if that helps you speak clearly under pressure, and equally welcome to arrive with none. If English is not your primary language, you can ask about language preferences during the call. If you have accessibility needs, mention them at booking so the practice can accommodate. If a specific clinician has been recommended to you by a therapist, prescriber, or friend, you can request them by name at booking; if not, the practice matches based on what you describe. Reviewer standing behind every page: David Zohar, MFT.
Frequently Asked Questions
Can attachment patterns actually change?
Yes. Attachment patterns formed in early relationship also change in relationship. Depth care engages the pattern where it lives — which is why change becomes possible in ways solo insight often cannot reach.
What if my attachment issues came from trauma?
That overlap is common. Attachment wounds and trauma often share territory in clinical work, and depth care engages both. See sibling pages on body-based trauma therapy for adjacent context.
Do I need to know my attachment style to start?
No. Naming the pattern is helpful for some clients and not required. The work engages what shows up in the room, not the label.
Is this couples therapy?
This page is about individual work on attachment patterns. Couples work is delivered separately; see our sibling page on LGBTQ+ couples therapy or ask during your consultation about couples options.
Can I work on this while in a current relationship?
Yes. Being in a current relationship often makes the pattern more available to work with, not less. Individual attachment work is often especially productive during an active relationship.
Can this be done by telehealth?
Yes. Secure, HIPAA-compliant telehealth across California delivers the same depth as in-person work for most of the work; some experiential elements benefit from being in the room and your clinician will be candid about which.
How do I get started?
Book a free, 20-minute consultation through our online scheduling. You talk with a clinician about what brings you in, with no commitment, and together decide what fits.
About this page
This page reflects the practice of Angeles Psychology Group, a depth-oriented, affirming psychology practice in Los Angeles founded by Dr. Neil Schierholz, PsyD (PSY25154). Angeles Psychology Group is a psychology practice and does not prescribe medication. Where medication is relevant, care is coordinated with a client's own psychiatrist or prescriber, who manages any medication. Clinical statements are framed as research suggests and cited to primary sources.
Reviewed by Dr. Neil Schierholz, PsyD. Last updated August 2026.