What Is Ambivalent Attachment? Understanding This Child And Adult Attachment Style

Medically reviewed by Majesty Purvis, LCMHC
Updated October 29th, 2025 by Regain Editorial Team

Key takeaways

  • Both children and adults with an anxious-ambivalent attachment style may experience a deep fear of abandonment.
  • To cope with this fear, individuals with this attachment style may seek excessive reassurance from their partners.
  • Therapy can offer a safe and supportive environment for individuals to address challenges arising from an ambivalent attachment style.

Ambivalent attachment, also called anxious attachment, preoccupied attachment, or anxious-ambivalent attachment, is a way of relating to other people that is often fueled by worry or a fear of being abandoned. As with other attachment patterns, this attachment style is thought to develop in early childhood and continue to impact a person throughout adolescence and adulthood. 

Anxious-ambivalent attachment is a form of insecure attachment, but that doesn't mean a person who has it can't form healthy relationships. By understanding attachment theory and engaging in self-improvement work, such as therapy, a person can become more securely attached. This is often referred to as “earned secure attachment.”

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What is attachment theory?

Attachment theory is a way of viewing relationship attachments that was developed by psychologist John Bowlby. Attachment theory lays out four attachment styles. The style a person has is thought to have originated in response to their relationship with their primary caregiver in infancy and early childhood. A person's attachment style is also thought to extend into adulthood, frequently impacting intimate relationships.

The four types of child and adult attachment

Below are the four types of attachment, and they all fall under the categories of either secure or insecure attachment styles:

  • Secure attachment style: There is only one secure attachment style, and it is the healthiest form of attachment. Secure children typically trust that their caretaker will return after they leave, and secure adults generally don't worry much about being abandoned.
  • Ambivalent attachment style: Both children and adults with the anxious-ambivalent attachment style, also called the anxious-preoccupied attachment style, are insecurely attached and tend to worry about being abandoned. They typically cope with this by seeking closeness and reassurance, sometimes excessively.
  • Avoidant attachment style: Those with an avoidant attachment style are also insecurely attached. Unlike those with an anxious attachment style, instead of clinging or seeking reassurance, those who are avoidant usually cope with their fear by avoiding closeness, acting distant, or refusing to feel or show emotions.
  • Disorganized attachment style: This attachment style, also called a mixed style or fearful-avoidant attachment, is another insecure style. People with this style may show signs of both ambivalent and avoidant styles — sometimes they cling, and other times they become distant.

How does ambivalent attachment affect a child?

The anxious-ambivalent child may experience a desperate need to feel close to their caregivers. In times of separation, they may remain distressed, and they may also struggle to be comforted when caregivers return.

Attachment theory in babies and children

Attachment theory argues that the nature of a person's relationship with the primary caregiver in infancy and early childhood influences their attachment process and style. Children with an ambivalent attachment are more likely to have had less time with a caregiver, received inconsistent attention from a caregiver, or had a caregiver who was particularly stressed and unable to effectively respond to the child's emotional needs.

What is anxious-ambivalent adult attachment?

Anxious-ambivalent attachment presents itself in adult relationships as a deep need for intimacy, especially in romantic relationships. This is usually coupled with a deep fear of abandonment

How anxious-ambivalent attachment impacts adults

Adults with an anxious-ambivalent attachment style may struggle with anxiety in relationships, particularly romantic relationships. Without regular reassurance, they may worry that the relationship is nearing its end or that their partner no longer loves them.

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Can ambivalent attachment cause anxiety?

People with ambivalent attachment may experience significant anxiety related to their relationships. They may find themselves worrying about being “ghosted” or otherwise abandoned, and they may seek frequent reassurance in an attempt to reduce these concerns.

Working through anxiety associated with ambivalent attachment

Therapy can help a person work through their childhood or adult attachment anxiety. Even if a person doesn't naturally have a secure attachment, they can become more securely attached over time. This concept is called earned secure attachment.

How does ambivalent attachment impact behavior?

Those who have an ambivalent attachment may continually seek reassurance from a romantic partner to ease their anxiety about abandonment. They may also become upset by minor disagreements or perceived criticisms because of the underlying worry about being left by their loved ones. People with this attachment style may try to require their partners to display a strong sense of commitment, which could strain the relationship at times.

Recognizing and addressing ambivalent attachment behavior

Therapy can provide a safe space in which a person may address ambivalent attachment. By talking through their worries and behaviors with a therapist, a person can learn to recognize when they are likely overreacting due to their attachment style and learn strategies to behave in a healthier way. 

Can insecure attachment affect mental health?

In addition to being associated with worry and anxiety, having an insecure attachment style, like ambivalent attachment, may negatively impact mental health in other ways. For example, some older research has found that insecure attachment styles may be linked to mental illnesses, including depression, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), eating disorders, and more.

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Maintaining good mental health despite ambivalent attachment

Although insecure attachment styles like ambivalent attachment have been linked to worse mental health outcomes, that doesn't mean a person with ambivalent attachment will automatically struggle with their mental health. Through therapy and work on developing strong, healthy relationship bonds, people with various forms of insecure attachment can develop a secure attachment style.

While many people enjoy attending therapy in person, services aren’t always readily available or convenient. Online relationship therapy can be an easy way for people to receive the professional mental health support they deserve, either individually or with their partners. Users can choose between video, audio, and online chat sessions and book appointments that suit their schedules.

Research suggests that online therapy produces the same results as in-person therapy. This applies to both individual online therapy for mental health concerns and couples therapy for relationship difficulties.

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Struggling with an ambivalent attachment style?

Takeaway

Ambivalent attachment typically develops during childhood due to an infant’s caregiver providing inconsistent emotional support. In adults, this type of insecure attachment is often associated with an intense fear of abandonment and a tendency to require frequent reassurance from one’s romantic partner. Therapy, whether in person or online, can be helpful for individuals who would like to foster a more secure attachment style.

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