Key Takeaways Key Takeaways
  • Abandonment issues often stem from early childhood experiences such as trauma, loss, or emotional neglect, and can significantly impact how individuals relate to others in adulthood—especially in romantic relationships.

  • Common signs of abandonment issues include fear of rejection, emotional reactivity, relationship instability, and difficulty with trust or intimacy. These patterns can lead to challenges in maintaining secure, healthy connections.

  • Therapy can be a highly effective path to healing abandonment issues, and a mental health professional can help determine whether individual, couples, or group therapy—or a combination—is the best fit for each person’s journey.

What Causes Abandonment Issues and How They Impact Relationships

Abandonment issues can shape how we think, feel, and connect with others—often without us even realizing it. These deeply rooted fears usually trace back to early life experiences like loss, trauma, neglect, or emotional unavailability. And while they may begin in childhood, abandonment issues often resurface in adult relationships in painful, confusing ways.

Whether you’re struggling with your own fear of abandonment or wondering how to handle a partner with abandonment issues, understanding the roots of these fears is the first step toward healing.

As a therapist, I regularly work with individuals and couples dealing with these challenges. Whether you’re struggling with your own fear of abandonment or wondering how to handle a partner with abandonment issues, understanding the roots of these fears is the first step toward healing.

What Are Abandonment Issues?

Abandonment issues refer to chronic fears of being left, rejected, or emotionally abandoned by those closest to us. These fears aren’t just fleeting worries—they can be persistent, anxiety-inducing, and affect how someone behaves in relationships.

They often originate from early experiences such as:

  • Parental divorce or separation
  • Loss of a caregiver
  • Emotional neglect or inconsistency
  • Childhood trauma

These experiences may plant the belief: “People I love will eventually leave me.” And when that belief goes unaddressed, it can show up in adult life as anxiety, mistrust, or dysfunctional relationship patterns.

Common Signs of Abandonment Issues

When assessing someone for abandonment issues, I look for several behavioral and emotional patterns:

  • Fear of rejection or being “too much” in relationships
  • Hypervigilance—reading too deeply into texts, tone, or distance
  • Emotional outbursts or panic when a partner seems distant
  • Clingy or avoidant behavior in romantic relationships
  • Low self-worth and constant need for reassurance
  • Idealizing and devaluing partners in rapid succession
  • Avoiding closeness due to the fear of being hurt
  • Projecting fears onto others, assuming they’ll leave

While these patterns may resemble other attachment concerns, abandonment issues are typically centered on a persistent fear of being left and can deeply disrupt emotional security in relationships.

How Abandonment Issues Affect Relationships

When someone is struggling with abandonment issues, it can lead to unintentional behaviors that strain their relationships—especially romantic ones. They may constantly seek reassurance, misinterpret normal boundaries as rejection, or react strongly to minor disconnections.

This can look like:

  • Becoming emotionally dependent on a partner
  • Sabotaging relationships out of preemptive fear
  • Feeling threatened by time apart or other friendships
  • Needing constant affirmation to feel safe
  • Starting fights to “test” a partner’s love

Even if the relationship is healthy, abandonment issues can make it difficult to fully trust or feel secure, creating cycles of anxiety and conflict.

How to Handle a Partner with Abandonment Issues

If you’re wondering how to handle a partner with abandonment issues, it’s important to approach the situation with compassion and patience. You’re not responsible for fixing them—but you can be part of a supportive environment that promotes healing.

Here’s how:

  • Be consistent and reliable in your communication and actions
  • Offer gentle reassurance, especially when your partner feels triggered
  • Avoid abrupt changes or emotional withdrawal without explanation
  • Encourage therapy as a safe space for healing
  • Set clear, loving boundaries to prevent emotional burnout
  • Validate their emotions even if you don’t share the same fears

It’s possible to build a healthier relationship together, but it often requires mutual effort, vulnerability, and outside support.

How Therapy Can Help People Heal from Abandonment Issues

In my practice, I use several approaches to help people address and heal abandonment issues, including:

  • Cognitive Behavioral Therapy (CBT): To challenge negative thought patterns and reshape beliefs around rejection and worth
  • Emotion regulation techniques: Like deep breathing, mindfulness, and grounding exercises
  • Attachment work: To explore how early relationships shaped current dynamics
  • Narrative therapy: To rewrite painful stories around abandonment and identity
  • Gradual exposure: Safely confronting relationship fears in therapy
  • Group therapy: Offering peer support and validation
  • Psychoeducation: Teaching people about attachment and abandonment to normalize their experiences

A major milestone in healing is when people begin to develop self-compassion—letting go of shame and seeing themselves as worthy of love and connection.

Healing Childhood-Based Abandonment Issues

When abandonment issues stem from childhood trauma, deeper therapeutic work is often needed. Commonly-employed strategies include:

Can You Fully Heal from Abandonment Issues?

Yes, many people experience deep healing—even if abandonment fears never disappear completely. Healing doesn’t mean you’ll never feel triggered again; it means being able to recognize those triggers and respond with greater resilience, awareness, and emotional regulation.

Signs of progress include:

  • Feeling less anxious in relationships
  • Developing more stable, trusting bonds
  • Gaining control over emotional reactions
  • Building self-worth and inner security
  • Setting healthy boundaries with confidence
  • Engaging in relationships with openness instead of fear

What Works Best for Abandonment Issues: Individual Therapy, Couples Therapy, or Both?

When treating abandonment issues, the choice between individual therapy, couples therapy, or both depends on your situation:

  • Individual therapy is often ideal for processing trauma, developing coping skills, and building self-compassion
  • Couples therapy is often helpful when relationship dynamics trigger abandonment fears or miscommunication
  • A combined approach allows for personal healing and relational growth simultaneously

In individual therapy, the focus is on self-exploration, emotional regulation, and rewiring beliefs. In couples therapy, we work on communication, attachment dynamics, and co-regulation. Together, both approaches can help people build secure and fulfilling relationships.

Abandonment issues can create deep emotional pain, strain relationships, and leave individuals feeling trapped in cycles of anxiety and disconnection. But they do not have to define your future. With support, insight, and evidence-based tools, it’s entirely possible to heal from the fear of abandonment and create the stable, connected relationships you deserve.

Seeking professional help can make a profound difference. A licensed therapist can help you unpack the roots of your abandonment issues, develop healthier patterns, and regain emotional security. They’ll also work with you to determine which therapeutic path—individual therapy, couples counseling, or group therapy—is the most appropriate and most likely to be effective for your unique needs.

With support, insight, and evidence-based tools, it’s entirely possible to heal from the fear of abandonment and create the stable, connected relationships you deserve.

Healing is not always linear, but with the right support system in place, growth and transformation are absolutely within reach.

Authored By 

Kellen M. Smith, LSW, MSW

Kellen M. Smith, LSW, MSW, CADC, CODP, and CAIP, is a compassionate therapist at LifeStance Health in Illinois, specializing in supporting individuals through challenges with substance use disorders, mental health issues, religious trauma, and the aftermath of human trafficking. Kellen is dedicated to empowering her clients, providing them with tools to overcome life s stresses and emerge resilient. Serving adults and adolescents, she creates a safe, supportive environment for healing and personal growth. With expertise in Acceptance and Commitment Therapy ACT , Cognitive Behavioral Therapy CBT , and Dialectical Behavior Therapy DBT , Kellen tailors her therapeutic approach to meet the unique needs of each individual. She focuses on empowering clients to navigate issues related to anxiety, bipolar disorder, PTSD, and trauma, with particular attention to individuals who have endured religious trauma or complex life transitions. Her goal is to foster self-compassion and resilience, helping clients move forward.