Family Counseling: Does My Family Need Therapy?

Often, healthy family dynamics can be essentialto the health of the individuals within the family unit, and structural family therapy and family counselingcan be an effective way to address and improve any dysfunctional patterns that may be present in the family. A family may work toward common goals and enjoy leisure time together, but being a part of a family may come with challenges for some. Individual concerns could meld together and cause family dysfunction. In these cases, families might wonder, “Do we need family counseling?” and consider mental health service interventions. In general, family therapy is a type of therapy centered around the relational dynamics of members of a family. Knowing when you might benefit from family counseling, the overall benefits of family counseling, and how to find a therapist for your family could be valuable.

What family can mean

Years ago, society considered a family to consist of a married couple and their children or all the descendants of an older adult or ancestor. Today, the standard definition of a family system, including the principles of Bowen Family Systems Therapy, is more inclusive and can come in several forms of families. A family may be seen as a basic social unit. This unit might include a single adult and their children, an unmarried couple and their children, a same-sex couple and their children, or any group of adults and the children in their care. It could also include distant relatives, adoptive parents, biological parents, foster parents, and many other caregivers and relatives. Some people may have a chosen family, a group of unrelated individuals with whom they feel safe. The way you were raised by your family of origin will have a considerable impact on your development.

Do we need family counseling? 

At times, a family lives together under the same roof. Families may also live apart but be closely related within the family environment. Separated parents may live apart but have custody of their child. In that case, the child may be considered a part of each parent's family. Family therapy for such a family may include both adults if they are using co-parenting or parallel parenting.

Signs you might benefit from therapy 

Families that have struggled to develop healthy behaviors and communication patterns may experience conflict in the face of adversity. Additionally, families who have previously had healthy dynamics may struggle if life stress or loss, such as divorce or the death of a family member, occurs. If you see any of the following concerns within your family, you may benefit from family counseling.

Children's behavioral problems

If a child is misbehaving, there might be dysfunction in the family. Unhealthy family dynamics or adverse childhood experiences may be the cause, or the family may feel stressed and unsure of how to care for their child. According to the American Association for Marriage and Family Therapy, the family dynamic “influences the individual and therefore may need to be a part of the treatment plan.” Addressing the child's behavior and finding a resolution with the help of a family therapist may prove rewarding. 

Child and teen behavioral concerns may include:

• Acting out at school
• Failing at school
• Skipping school
• Difficulty controlling emotions or other mental health challenges
• Trouble with making friends
• Bullying or being bullied
• Child or adolescent substance use 
• Symptoms of an eating disorder
• Signs of diagnosable behavioral conditions like oppositional defiant disorder

Adult relationship/marriage struggles 

When adult relationships are troubled, the entire family may experience difficulties. For example, studies have found that families going through divorce can be challenging for children of all ages to cope with and understand. 

Perhaps you face difficulty in resolving conflicts within your partnership. If you don't communicate with your partner, other members of the family may have communication issues. Intimacy concerns or financial problems within a marriage may cause concerns for everyone within the family unit. 

Couples therapy could allow you to renegotiate the relationship to decrease family conflict or marital problems while improving family functioning when these types of difficulties are present in a marriage. You might also consider family counseling with a marriage and family therapist.

Conflict between caregivers & children in the family

Families sometimes experience conflict, disagreement, or behavioral concerns. Who causes this discord may not be at the root of solving it. Instead, a therapist may help both the parent and child work together to come to a resolution and improve their family life.

Common parent-child dysfunctions include: 

• Favoritism toward one child
• Being overly strict or permissive
• Sheltering children 
• Expecting a child to take on adult responsibilities 
• Inconsistent discipline
• A lack of healthy communication 
• Not providing emotional support or nurturing
• Unrealistic expectations
• Disrespecting children or adolescents

Family counseling can help with many of these challenges.

Sibling rivalry

Sibling rivalry can be common in some families. However, it can also be a form of bullying or family conflict. When children compete against each other for parental attention or success, they may be causing each other emotional hurt. They may learn that competition and antisocial behavior is the only way to succeed.  

Common problems addressed in family counseling

When a family lives together, they may face life challenges such as:

• The death of a loved one or family pet
• Financial challenges such as low income, debt, or foreclosures
• Natural disasters such as floods, tornadoes, or hurricanes
• Criminal attacks such as a break-in in the family home, home invasion, or assault
• Social conflicts with friends, neighbors, or extended family

Does we need family counseling?

In cases like these, all members of the family may benefit from attending talk therapy, whether it comes in the form of functional family counseling, structural family counseling, strategic family counseling, or systemic family therapy.

How family counseling helps communication

Family counseling is typically administered by mental health professionals—typically a social worker or a therapist who has a specialty in marriage and family therapy. According to the American Association of Marriage and Family Therapy, family counseling typically lasts 12 sessions, though the duration will often depend on the family, the mental health professional, and the challenges being addressed. Families might feel apprehensive about their first family systems therapy session as they might not fully understand the mechanisms of family psychotherapy. During the first family counseling session, the therapist may explain the family counseling process and their approach to treatment. Often, the family attending therapy will consist of those impacted by the concern, often within the immediate family unit. 

Communication concerns, conflict resolution, & therapy

In later family counseling sessions, counselors, having gathered significant initial information, may focus on the most severe concerns in communication and family functioning. They could spend more time with the family members experiencing distressing symptoms or individuals in the best position to make changes for the better through new communication skills, perspectives, or coping skills. They might make suggestions for improving communication within the family, focus on defining family roles or unpacking emotional problems. A mental health provider often has experience coming up with new strategies for solving problems and addressing problematic patterns involved in family issues. They can help many families improve their overall well-being.

Licensed marriage and family therapists may also assign homework to complete between family counseling sessions to help resolve conflicts. The homework may be education on a new behavior to practice, a journal-writing topic, or a request to develop solutions to a problem. The next time you attend therapy, you may discuss the previous session’s homework and move forward from there.

How many sessions you or your other family members may be recommended will depend on a number of factors, such as the presence of any mental health problems (for example, substance use disorder), the strength of ingrained behavior patterns, and whether grief is a part of the family dynamic. 

Family therapists for conflict resolution and mental health support

You may choose to go to a family therapist who practices in your city or work within the community mental health system for some family counseling services. Additionally, you could ask your primary care doctor if they can make a referral. You can also search for therapists through the American Association of Marriage and Family Therapy’s Therapist Locator tool. Before you choose a family counselor, give them a summary of your concerns and any applicable mental health conditions and ask them if they are available for support. 

While some families may choose to participate in therapy together, other families may not have the cooperation of all family members. Or some individuals might experience family problems or challenging childhood events but hope to resolve them without another family member present. In these cases, individual therapy can be an option for working through troubled relationships. You can choose to attend individual counseling online or in person. Online child and family counseling or therapy can be attended on a smart device like a laptop or phone, and clients can choose between phone, video, or live chat sessions with their licensed therapist.

Why is family counseling important?

Family-based therapy focuses on strengthening the entire unit, which can have a ripple effect of positive change. Here's why it matters:

Improved family communication

Most people struggle to communicate effectively, often talking past each other instead of really listening. Family counseling creates a space where everyone gets a voice and learns to hear one another truly.

Stronger family relationships

When people work through challenges together, it creates opportunities for deeper connections. The process helps rebuild trust and encourages members to rely on each other in healthier ways.

Conflict resolution

Therapy isn't just about digging up old problems—it's about learning practical tools to handle conflicts constructively. These skills can help people manage disagreements more calmly in the future.

Support for mental health

When one person is struggling, it often affects everyone else in the family. Family counseling helps the whole family understand how to support each other and creates a more nurturing environment at home.

Understanding family roles and boundaries

Families function better when everyone knows their role and respects personal boundaries. Family counseling can help clear up confusion, making home life feel more stable and less chaotic.

Online therapy support

Online couples therapy or parent counseling can also be beneficial for discussing family concerns related to marriage or couple conflicts. A recent study suggests that couples who work with online marriage and family therapists find the format conducive to their feelings in a way that leaves them feeling less judged than in an in-person setting. Participants perceived that video-based therapy allowed them to focus more intently on the experiential therapeutic process and offered a more meaningful sense of control and comfort than traditional face-to-face therapy. 

Cost of online therapy

The cost of online therapy is typically similar to that of traditional in-person therapy. If covered under your family health insurance plan or an employee assistance program, you will pay the same as you would for other types of mental health care. However, if family therapy is not covered by your health insurance or employee assistance, online therapy may save you money, as sessions usually cost less due to lower overhead costs. This may make it a good fit for families who have to pay out of pocket. 

Platforms like BetterHelp charge $65 to $100 per week, billed monthly. Individual pay-per-session rates usually range from $65 to $200, depending on the therapist’s qualifications. On subscription platforms, most clients spend about $150 to $250 monthly, depending on session frequency.

For weekly sessions, costs may rise from $260 to $400 monthly. Specialized therapy for conditions like trauma or eating disorders may cost $150 to $300 per session. Premium features, like video calls, can increase rates up to $120 per session.