--- title: "Relationship & attachment therapy · California telehealth" description: "Therapy for relationship patterns, attachment wounds, and couples across California. LGBTQ+ affirming telehealth with Joshua Acosta-Duque, LCSW." lang: en json-ld: | [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://withlovewellnesstherapy.com/#website", "name": "With Love Wellness Center", "url": "https://withlovewellnesstherapy.com", "inLanguage": [ "en", "es" ] }, { "@context": "https://schema.org", "@type": "MedicalClinic", "@id": "https://withlovewellnesstherapy.com/#clinic", "name": "With Love Wellness Center", "url": "https://withlovewellnesstherapy.com", "medicalSpecialty": "Psychiatric", "areaServed": { "@type": "State", "name": "California" }, "availableService": [ "Anxiety therapy", "EMDR & trauma therapy", "Relationship therapy", "Men's therapy", "Substance use & recovery", "Life transitions & grief" ], "telephone": "", "priceRange": "$$", "provider": { "@id": "https://withlovewellnesstherapy.com/#joshua" } }, { "@context": "https://schema.org", "@type": "Person", "@id": "https://withlovewellnesstherapy.com/#joshua", "name": "Joshua Acosta-Duque, LCSW", "honorificSuffix": "LCSW", "jobTitle": "Licensed Clinical Social Worker", "worksFor": { "@id": "https://withlovewellnesstherapy.com/#clinic" }, "url": "https://withlovewellnesstherapy.com/about", "knowsLanguage": [ "English", "Spanish" ], "hasCredential": { "@type": "EducationalOccupationalCredential", "credentialCategory": "license", "name": "CA LCSW #121584", "recognizedBy": { "@type": "Organization", "name": "California Board of Behavioral Sciences" } } }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://withlovewellnesstherapy.com" }, { "@type": "ListItem", "position": 2, "name": "Services", "item": "https://withlovewellnesstherapy.com/services" }, { "@type": "ListItem", "position": 3, "name": "Relationship & attachment patterns", "item": "https://withlovewellnesstherapy.com/services/relationship-therapy" } ] }, { "@context": "https://schema.org", "@type": "Service", "name": "Relationship & attachment patterns", "description": "Depth-oriented therapy for relationship patterns, attachment wounds, and couples across California. LGBTQ+ affirming.", "url": "https://withlovewellnesstherapy.com/services/relationship-therapy", "provider": { "@id": "https://withlovewellnesstherapy.com/#joshua" }, "areaServed": { "@type": "State", "name": "California" }, "serviceType": "Relationship & attachment patterns" }, { "@context": "https://schema.org", "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Do you see individuals or couples?", "acceptedAnswer": { "@type": "Answer", "text": "Both. Individual attachment work often changes relationships more than couples therapy alone does; sometimes we combine." } }, { "@type": "Question", "name": "Is this therapy LGBTQ+ affirming?", "acceptedAnswer": { "@type": "Answer", "text": "Yes — actively. Queer, trans, and non-monogamous relationships are welcome and treated on their own terms." } }, { "@type": "Question", "name": "What if my partner won't come?", "acceptedAnswer": { "@type": "Answer", "text": "That's common. We can still do meaningful relational work with just you." } } ] } ] --- [Skip to content](#main) [](/) [About](/about)[Approach](/approach) [Services](/services) [Who I work with](/who-i-work-with) [Insights](/insights)[Español](/es)[Contact](/contact) [Book a free call](/book) ![Two mature oak trees grown side by side in an open meadow with their canopies meeting overhead](/assets/nature-relationships-CsFBSftV.jpg) [All services](/services) 04 Depth work # Relationship & attachment patterns The patterns you keep landing in — those aren't bad luck. What this actually is ## The long version. The way you love, argue, withdraw, and reach for people wasn't invented in your last relationship. It's been in rehearsal since childhood. This work names the pattern, traces its roots, and gives you a real choice for the first time. Sound familiar? ## You might recognize — - You pick the same fight in different bodies - You go silent, or you go big — never in between - Codependency, over-functioning, or losing yourself inside relationships - Fear of being 'too much' or 'not enough' - Couples work when both partners are willing to look at their own material How we work ## The work itself. Psychodynamic and attachment-based work meets practical Gottman-informed communication skills. For couples: two people, one system — we don't take sides, we look at the pattern between you. [Book your free 15-min call](/contact) [See full approach ](/approach) FAQ ## Questions people actually ask. Do you see individuals or couples? Both. Individual attachment work often changes relationships more than couples therapy alone does; sometimes we combine. Is this therapy LGBTQ+ affirming? Yes — actively. Queer, trans, and non-monogamous relationships are welcome and treated on their own terms. What if my partner won't come? That's common. We can still do meaningful relational work with just you. Related services ## Where this work often overlaps . [ Specialization Men's issues For men who were taught to figure it out alone. Read more ](/services/mens-therapy)[ Primary focus Anxiety & chronic stress Primary focus. EMDR, DBT, and CBT for the version of you that looks fine and feels wrecked. Read more ](/services/anxiety-therapy)[ Depth work Life transitions For the seasons that rearrange who you thought you were. Read more ](/services/life-transitions-therapy) ## Ready to actually work on this? [Book your free 15-min call ](/contact) With Love Wellness Center Depth-oriented therapy across California. Sessions in English & Español. Telehealth-only practice. Begin [Book your free 15-min call](/contact) In a crisis or emergency, call or text [988](tel:988) or [911](tel:911). Services - [All services](/services) - [EMDR therapy](/services/emdr-therapy) - [Anxiety & chronic stress](/services/anxiety-therapy) - [Trauma & PTSD](/services/trauma-ptsd-therapy) - [Relationship & attachment patterns](/services/relationship-therapy) - [Depression](/services/depression-therapy) - [Substance use, recovery & codependency](/services/substance-use-therapy) - [Burnout & high-achiever therapy](/services/burnout-therapy) - [Life transitions](/services/life-transitions-therapy) - [Grief & loss](/services/grief-therapy) - [Men's issues](/services/mens-therapy) Who I work with - [Overview](/who-i-work-with) - [Latino/a/x adults](/who-i-work-with/latino-therapy) - [LGBTQ+ adults](/who-i-work-with/lgbtq-therapy) - [Veterans & first responders](/who-i-work-with/veterans-therapy) - [High achievers](/who-i-work-with/high-achievers) Serving California - [California online therapy](/california-online-therapy) - [Los Angeles](/california/los-angeles) - [Orange County](/california/orange-county) - [San Diego](/california/san-diego) - [San Francisco](/california/san-francisco) - [San Jose](/california/san-jose) - [Sacramento](/california/sacramento) Insights - [All insights](/insights) - [High-functioning anxiety](/insights/high-functioning-anxiety) - [When therapy didn't work](/insights/when-therapy-didnt-work) - [Are my problems bad enough?](/insights/are-my-problems-bad-enough) - [Perfectionism & anxiety](/insights/perfectionism-and-anxiety) - [Can't think your way out](/insights/why-you-cant-think-your-way-out) Practice - [About Joshua](/about) - [Approach](/approach) - [Rates & insurance](/rates) - [Reviews](/reviews) - [Contact](/contact) En Español - [Inicio](/es) - [Sobre mí](/es/sobre-mi) - [Terapia de ansiedad](/es/terapia-de-ansiedad) - [Terapia de trauma](/es/terapia-de-trauma) - [Contacto](/es/contacto) With Love Wellness Center · Telehealth across California · sessions in English & Español. Individual results vary; therapy outcomes are not guaranteed. This website is for informational purposes only and is not a substitute for clinical care. Website by [Automaus.ai](https://automaus.ai) © 2026 With Love Wellness Center · Joshua Acosta-Duque, LCSW · CA LCSW #121584