If the cognitive-behavioral model is the ship I choose to sail in therapy, attachment theory is the undercurrent that strongly influences its direction. As a scientist-practitioner, I believe in the empirical support and practicality of cognitive behavioral therapies (CBT), including Cognitive Processing Therapy (CPT) for trauma and dialectical behavioral therapy (DBT) for personality disorders. However, the therapeutic relationship must be strong and sound in order to effectively implement any treatment modality. I have found this integrative approach to be especially advantageous when working with patients who are struggling with ambivalence about treatment and individuals who may be emotionally avoidant. As a clinical psychologist, I think it is extremely important to recognize the functionality of seemingly dysfunctional behaviors. Be it complete rejection of nutrition or physically injuring oneself (two apparently maladaptive behaviors from an evolutionary perspective), there are dramatic rewards in these acts for patients, and an understanding of this is crucial when conceptualizing a case. Of course, there are times and cases where strict CBT, DBT, or behavioral interventions will not do, so one must have the clinical flexibility and theoretical framework in which to operate from in times of crises and unexpected occurrences. Attachment theory serves this purpose well. Navigating through important developmental milestones via the therapeutic relationship as well as implementing empirically-supported/manualized treatments allows a more holistic and empathic process of therapy.