Attachment theory and research provides an important organising framework for understanding the nature of family relationships that promote the psychological development and well-being of all members of the family. The fundamental features of the parent relationship with the infant continue to be present in family relationships throughout the life span. These features provide psychological safety, intersubjective meanings regarding self and other, open and engaged emotional conversations, and the development of family stories that ultimately create coherent family narratives. This article utilises this knowledge of healthy family relationships and communication patterns in an attachment-based family therapy. A family case study is used to demonstrate how maladaptive relational patterns and stories based on shame and fear may be addressed and then, through engaging in therapeutic conversations, the family is able to develop stories of healing and transformation.