Attachment Styles › How Attachment Styles Form
How Attachment Styles Form: What You Learned Before You Could Speak
By Dr. Prerna Kohli, PhD & M.Phil · Clinical Psychologist, Gurugram | Published July 2026 · Last reviewed July 2026
Attachment styles form in early childhood, primarily from how consistently caregivers responded when a child was distressed. Reliably responsive care tends to produce secure attachment; inconsistent care tends to produce anxious attachment; emotionally unavailable or dismissive care tends to produce avoidant attachment; and care that is frightening as well as comforting tends to produce the fearful-avoidant pattern. The child builds an "internal working model" — a template for what closeness is and whether needs are welcome — before they have language for any of it. That template runs quietly in adulthood. Understanding where yours came from is not about blaming your parents; it is about no longer being unconsciously governed by it.
This is the page people reach when they have recognised their pattern and want to know why they have it. I want to handle it carefully, because it is also the page where the conversation most easily curdles into blame — and blame, in my clinical experience, is where insight goes to die. Understanding your origins is genuinely useful. Prosecuting your parents with it is not.
- PhD & M.Phil in Clinical Psychology, Aligarh Muslim University — four-time gold medallist
- Awarded the 100 Women Achievers of India by the President of India (2016)
- In practice since 1994; specialises in relationships, parenting, and NRI mental health
- TEDx speaker and author
Sources: Ainsworth's Strange Situation research and Main & Solomon's later addition of the disorganised classification; disorganised-attachment rate in high-risk families from peer-reviewed research synthesis; stability estimate (Scientific Reports, 2025).
Your attachment style is the conclusion you reached about love before you had the words to question it. That is why it feels like truth rather than opinion — and why it takes deliberate work to revise. — Dr. Prerna Kohli, PhD & M.Phil, Clinical Psychologist
The Mechanism: Repeated Experience, Not Single Events
Attachment is not usually formed by one dramatic incident. It is formed by thousands of small, repeated moments in which a child, in distress, discovers what happens next. Do they get picked up? Comforted? Ignored? Told off for crying? Met by someone who is themselves frightening?
From these repetitions the child builds what Bowlby called an internal working model — a set of expectations about three things: whether other people can be relied upon, whether one's own needs are legitimate, and whether one is worth returning to. This model is built pre-verbally, which is precisely why it later feels like reality rather than belief. You do not experience yourself as holding an opinion that people leave. You simply feel it coming.
Mary Ainsworth's Strange Situation observations gave this empirical shape: watching how infants responded when a caregiver briefly left and returned, she found consistent patterns that mapped onto how responsive that caregiving had been. Three patterns emerged from her work; researchers later added the fourth, disorganised, for children whose responses did not fit any organised strategy.
The Four Pathways
Reliably responsive care → secure attachment
A caregiver who was consistently — not perfectly — available and attuned, who comforted distress and welcomed exploration. The child concludes: people can be relied on, my needs are acceptable, and I am worth returning to.
Inconsistent care → anxious attachment
Warmth that came and went unpredictably — a caregiver attuned some days, distracted or overwhelmed on others. Unable to predict availability, the child adapts by monitoring closely and amplifying their bids. The conclusion: love exists but might vanish, so I must watch for it.
Emotionally unavailable care → avoidant attachment
Reaching for comfort was repeatedly met with distance, discomfort, or discouragement — "don't make a fuss," "don't cry." The child stops reaching and becomes self-sufficient early. The conclusion: needs don't get met and may push people away, so I'll rely on myself.
Frightening or unpredictable care → fearful-avoidant attachment
The caregiver was both the source of comfort and a source of fear — through volatility, abuse, or their own unresolved trauma. The child's impulse to approach and impulse to flee collide with no resolution. The conclusion: closeness is both what I need and what hurts me.
What Else Shapes It
Caregiver responsiveness is the main driver, but it is not the only one. A child's own temperament influences how easily they are soothed and therefore how caregiving lands. The wider environment matters too — poverty, illness, migration, bereavement and conflict all reduce the emotional bandwidth available to caregivers. Multiple caregivers, as in an Indian joint family, can buffer considerably: a child with a distracted parent but an attentive grandmother has a distributed secure base. And later experiences continue to shape the pattern well past early childhood, which is why attachment is only moderately stable across life.
Why This Isn't About Blaming Parents
I want to be direct here, because a great deal of online attachment content is quietly a prosecution case, and I have watched people damage functioning family relationships on the strength of a blog post.
Three things are worth holding together. First, caregivers pass on what they received — a parent who was raised to suppress emotion cannot easily give a child what they were never given themselves. Second, circumstance shapes caregiving enormously: a mother managing poverty, illness, a difficult joint household or her own untreated depression is not making a free choice about responsiveness. Third, and most importantly, understanding an origin and assigning blame are different operations. The first frees you; the second keeps you attached to the injury.
The clinically useful stance, in my experience, is this: what happened to me was real, it shaped me, and the people who shaped me were themselves shaped. That allows you to take your own pattern seriously without turning your history into a courtroom.
A short composite, drawn from patterns I see often — not a real client, and not a record of any one person.
Someone might arrive furious with their mother, having concluded from months of reading that she had "caused" their anxious attachment. And in one narrow sense the mechanism was accurate — the mother's warmth had genuinely been unpredictable. What emerged over time, though, was the rest of the picture: she had been nineteen, newly married into a household where she had no standing, managing an infant while being managed herself, with nobody at all to turn to. She had not been withholding love strategically. She had been depleted. Recognising that changed nothing about the pattern her child had to work with — the vigilance was still there, still needing attention. But it changed what they were carrying alongside it, and it turned out the anger had been costing considerably more than the pattern.
What to Do With This Understanding
Origins are useful for exactly one thing: recognising the pattern while it is happening. When you know that your panic at an unanswered message is a very old vigilance rather than a live emergency, you gain a small gap between the trigger and your response — and that gap is where change lives. Everything else in this work is built on it. If you want the practical next steps, can you change your attachment style? sets out what the evidence says about earned security.
- Attachment forms through thousands of small repetitions, not single dramatic events.
- The child builds a pre-verbal "internal working model" — which is why it later feels like truth rather than belief.
- Four pathways: reliably responsive, inconsistent, emotionally unavailable, and frightening care.
- Temperament, circumstance, multiple caregivers and later experience all shape it too.
- Understanding origins is not blaming parents — and it's only useful insofar as it helps you catch the pattern in real time.
Want to understand where your pattern came from — and what to do about it? This is central to the work I do with individuals and couples. In-clinic in Gurugram and online across India and worldwide.
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Dr. Kohli holds a PhD & M.Phil in Clinical Psychology from Aligarh Muslim University, where she was a four-time gold medallist, and received the 100 Women Achievers of India award from the President of India (2016). She has practised since 1994, working with individuals, couples, and families in-clinic in Gurugram and online worldwide, with a particular speciality in relationships and NRI mental health. Read full profile →