Overview

Relational therapy is a therapeutic approach primarily based on cultivating healthy relationships and relational patterns. It posits that healthy connections with others form the foundation of psychological well-being and that isolation and disconnection often lead to emotional distress1 and psychological complications. The inherent value of relationships is emphasized, and the therapeutic process aims to help clients build skills that contribute to this primary goal.

Relational therapy is often used in the treatment of mental health conditions.2 It can be effective for individuals experiencing isolation, loneliness, and the often-associated symptoms of depression and anxiety. By fostering an environment of empathy and acceptance, relational therapy encourages clients to engage in open communication, enhancing their understanding of their feelings as well as the perspectives of others. This understanding may lead to improved current relationships, increased self-esteem, and boosted overall mental well-being.

Relational therapy doesn't solely treat symptoms, but also focuses on the individual within their specific relational context. In this way, it is similar to other types of therapy that treat clients in a more holistic manner, as opposed to honing in on specific symptoms and concerns. These therapeutic approaches include cognitive behavioral therapy,3 relational therapy, and relational cultural therapy, a variant of relational therapy that also focuses on individuals’ roles within the larger culture and incorporates components of social justice and equity.

Within relational therapy practices, the therapist and client often form a collaborative relationship, exploring the client's relational experiences and patterns in depth. The goal may not merely be to resolve or manage symptoms but to promote growth, resilience, and an ability to relate healthily to the world around oneself. In this way, relational therapy provides a holistic approach to mental health with a focus on the inherent interconnectedness of humanity. 

How it works

The fundamental premise of relational therapy is that the quality of one’s relationships directly influences one’s mental well-being. In this form of therapy, the therapeutic relationship becomes vital for exploring and addressing concerns as the therapist and client collaborate in a safe, empathetic, and non-judgmental environment.

In a relational therapy session, therapists facilitate the exploration of the client's relational experiences to illuminate patterns that may contribute to current challenges. These challenges may include patterns of relating to others, views about oneself, and the interpretation of others' behavior.4 The therapist and client work together to foster new insights and create healthier relational patterns to enhance the client’s relational resilience, empower them in their relationships, and promote overall emotional health.

What to expect

In relational therapy, you may expect to work on self-discovery and introspection regarding the nature of relationships in your life. The therapist can provide a safe, non-judgmental space for individuals to explore their interpersonal relationships and the patterns that emerge within them. 

The goal of this modality is often to help individuals understand the dynamics of their relationships in the long term and how these relationships can impact emotions, thoughts, and behaviors. Moreover, relational therapy encourages a holistic view, acknowledging that relationships are deeply intertwined with individual well-being. This form of therapy fosters a deep sense of self-awareness and empathy toward oneself and others. 

Individuals can anticipate safe, non-judgmental sessions conducive to self-exploration. Expect to engage in deep conversations about current and past relationships and confront associated emotional discomfort or false perceptions. The goal may not be to assign blame but to gain understanding, foster empathy, and nurture healthier relationships.

Who it benefits

Relational therapy may be an effective therapeutic approach for various mental health conditions. It can be particularly beneficial for individuals living with self-esteem or self-worth challenges, such as people experiencing eating disorders. It focuses on developing social skills, empathy, and mindfulness of the importance of community and relationships. These techniques may help individuals build a stable sense of self concerning others. 

Relational therapy may also be used to support individuals living with depression or anxiety, as these conditions can often cause a sense of isolation and difficulty connecting with others. By fostering an understanding of how relationships influence perspectives, emotions, and actions, relational therapy may aid individuals in navigating their emotional landscape and improving their mental health. Relational therapy techniques may also be used to improve family dynamics and integrate the realities of family members who experience mental health challenges. 

This modality may also be a suitable match for individuals experiencing relationship challenges, including family conflicts or romantic relationship struggles. The therapeutic process emphasizes understanding and articulating emotions in a safe space, which can lead to healthier interaction patterns. It can also assist people experiencing the impacts of trauma or abuse, as it provides a platform for healing and understanding how these experiences affect a person's relationships. Through a relational lens, individuals can explore the role of relationships in their lives and appreciate their shared humanity with others.

For those experiencing abuse, contact the Domestic Violence Hotline at 1-800-799-SAFE (7233). Support is available 24/7.

Goals for therapy

The primary goal of relational therapy is often to encourage individuals to examine how relationships have contributed to their mental and emotional health. Relational therapy can also teach individuals to be more mindful of their interactions, while noticing patterns that may prevent them from achieving a healthy social life. 

Another goal of relational therapy is to promote individual self-awareness and self-worth. It encourages recognizing and understanding of one's emotions and thoughts, often influenced by societal standards and norms. By comprehending these influences and working toward internal validation rather than external approval, individuals may experience personal and relational growth. 

Relational therapy may also incorporate aspects of relational cultural therapy, aiming to address social inequality and recognize that relationships and mental health are often significantly affected by societal factors like race, gender, culture, and socioeconomic status. The modality may help clients explore how these elements have influenced their relationships and self-perception.

Ultimately, relational therapy strives to empower clients to develop a greater sense of self-worth, promote mutual empathy in their relationships, and encourage an appreciation for the vital role of community.

Research

Relational therapy has been studied extensively, and it has been found to have a significant positive effect on couples and families living with depression. In one study, researchers investigated how developing mindfulness toward relationships affected overall family dynamics. They found that developing individual mindfulness improved positive relational outcomes and reduced overall stress.

In another study, researchers assessed the efficacy of relational therapy in the treatment of trauma and its known effects on relationships. In this study, researchers demonstrated the unique value of individuals learning to trust and seek healthy relationships rather than “standing on their own two feet.” They concluded that relational therapy may be particularly well-suited to help individuals who have experienced trauma reframe their perspective on relationships and build healthy relational skills.

For those experiencing trauma, support is available. Please see our Get Help Now page for more resources.

Finding therapy

Finding an appropriate relational therapist can be a personal process. It often involves discovering the therapeutic approach that best nurtures your unique needs and fosters a beneficial therapeutic relationship. You may be able to find a therapist via an online search. You could also ask your primary care physician for a referral to a relational therapist in your area.  

Relational therapy often emerges as an integral part of a comprehensive mental health treatment plan. Through a combination of empathy, understanding, and professional guidance, relational therapy can offer a compassionate approach to addressing mental health concerns that may be related to one’s perception of relationships. 

Specific organizations may also offer guidance in finding a relational therapist. Individuals can find a relational life therapist for individual and couples therapy through an online search tool like that offered by the Relational Life Institute. When seeking a therapist, prospective clients may want to look at the therapist’s licensure, coursework, and experience. Consulting several providers before choosing can also be a way to find an effective match.

Associated terms

Updated on June 25, 2024.
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