You are smart enough to see it. The relationship that starts electric and ends in the same kind of distance. The job that feels exciting for a year and suffocating by two. The way you go quiet when you are angry instead of saying something. You have journaled about it. You have read about attachment styles. You can describe the pattern perfectly.
It keeps happening anyway.
That is not a failure of self-awareness. It is the difference between knowing something intellectually and experiencing it differently. You can understand exactly why you shut down in conflict and still shut down the next time it happens, because the pattern lives in your body and your reflexes, not in your understanding of yourself.
Why insight is not enough
There is a widespread assumption that understanding a pattern is the same as being able to change it. It seems logical: if you can see the problem clearly, you should be able to fix it. But this confuses two very different kinds of knowing.
The first kind is intellectual: "I know I shut down when I feel criticized." The second kind is experiential: actually catching yourself shutting down in the moment it is happening, feeling the pull to do it, and understanding viscerally what is driving that response. Most self-aware people have plenty of the first kind and very little of the second.
Understanding a pattern from inside the pattern is like trying to read the label from inside the jar. The perspective that produced the insight is the same perspective that maintains the problem.
Why the same person keeps showing up
What you experience as chemistry, the felt pull toward a specific kind of person, the sense that this one is different and more real, is the nervous system recognizing a relational pattern it already knows. The brain is a prediction machine. The relational patterns it learned earliest get encoded as the template for what significant connection feels like. Not as a belief. As a felt sense.
The person who grew up with an emotionally unpredictable attachment figure does not consciously seek unpredictability. They have a nervous system that is calibrated to the subtle behavioral signatures of exactly that kind of person. In a room full of people, that calibration produces a flicker of interest, a felt pull, a sense of electricity. The recognition does not feel like recognition. It feels like attraction.
In practice it looks like this. You meet two people at a party. One is kind, steady, and clearly interested in you. The other is charming and a little hard to read, warm one minute and distant the next. The steady one feels nice. The hard-to-read one feels like fate. Your nervous system is not picking the better person. It is picking the familiar one.
And even when you choose differently, the pattern reasserts itself. Your own behavior, generated by the same underlying structure, tends to produce in a new partner the very responses that confirm the familiar pattern. The person who preemptively withdraws will eventually, in most partners, produce real distance. You are not just selecting the pattern. You are co-creating it.
Say you brace for being left. So you text "are we okay?" after every small silence, or you leave his Saturday invitation on read for a day, just to stay ahead of it. A new partner, who was not going anywhere, starts to feel crowded, or shut out, and steps back. And there it is: the distance you were bracing for, built partly by the bracing.
Not sure yet? That's what the free call is for.
Request a free 15-min callWhat actually changes patterns
The shift happens when someone experiences the pattern in real time, in the therapy session itself, and sees it from a perspective they have never had before. This is usually quieter than people expect. It might be the moment you notice yourself starting to perform "being fine" with me the same way you perform it everywhere else. Or the moment you feel an urge to change the subject just as we are getting to something important, and instead of changing the subject, you notice the urge.
When the pattern shows up in the room and we can both see it happening, something shifts that all the self-reflection in the world cannot touch. You do not need more insight. You need a different experience of the moment where the pattern takes over.
Sessions are 60 minutes over secure video. Before we start, we have a free 15-minute call to see if this feels like the right fit.
Frequently asked questions
I already have insight into my patterns. Will this help?
How is this different from other therapy?
What does it cost?
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What Clients Say
“I came in thinking I knew what my issues were. I'd been over them a hundred times. But those were just the things I could already see. Aaron helped me notice what I couldn't, and that's where everything actually started to change.”
- M.J.
“I'd been in and out of therapy for years. Different therapists, different approaches, none of it really stuck. Aaron helped me understand more in a few months than all of them combined. And he talked to me like a normal person, not like all this weird therapy-speak.”
- S.A.
“A few years ago I suddenly developed prolonged panic attacks but couldn't begin to understand what had caused them. Having been in therapy in the past, and being a counseling intern student, I felt I had exhausted my resources trying to figure out “What is wrong with me?” I can honestly say Aaron provides a form of counseling that is difficult to find anywhere else regarding efficacy. Not only has his approach been effective, but he also has provided me a safe space to explore aspects about myself I may not otherwise have felt able to. I cannot recommend him enough as he has helped me feel more myself than ever before.”
- K.R.
Selected research on this approach
My work is psychodynamic and depth-oriented. These are some of the studies on the effectiveness of that kind of therapy. They describe research on the method in general, and are not claims about any individual outcome.
- Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2), 98-109. doi:10.1037/a0018378
- Steinert, C., Munder, T., Rabung, S., Hoyer, J., & Leichsenring, F. (2017). Psychodynamic therapy: as efficacious as other empirically supported treatments? A meta-analysis testing equivalence of outcomes. American Journal of Psychiatry, 174(10), 943-953. PMID 28541091
- Leichsenring, F., Abbass, A., Heim, N., Keefe, J. R., Kisely, S., Luyten, P., Rabung, S., & Steinert, C. (2023). The status of psychodynamic psychotherapy as an empirically supported treatment for common mental disorders: an umbrella review based on updated criteria. World Psychiatry, 22(2), 286-304. PMC10168167
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