When one family member is struggling, the effects ripple through the entire household. Family therapy provides a safe, structured space where loved ones can work through challenges, improve communication, and begin to heal together. It’s a form of talk therapy led by a licensed mental health professional that focuses on relationships, patterns of interaction, and the well-being of the family as a whole.
At Red Ribbon Recovery Indiana, family therapy is part of a comprehensive approach to treatment. Whether your family is navigating the stress of addiction, mental health concerns, grief, or conflict, therapy offers tools to rebuild trust and create healthier ways of connecting. With compassionate guidance and evidence-based techniques, families can learn new ways to support one another and grow stronger together.
What is family therapy?
Family therapy is a form of talk therapy that focuses on strengthening relationships and improving the way family members relate to one another. Sessions are guided by a licensed mental health professional, often a marriage and family therapist (LMFT), psychologist, or counselor with specialized training in working with families.
A “family” in therapy can include many different combinations of loved ones—parents and children, siblings, grandparents, aunts and uncles, or other caregivers and supportive figures. What matters most is bringing together the people who share important connections and who want to improve how they communicate and support one another.
Therapy can help with situations such as:
- Adjusting to major life changes, like divorce, relocation, or loss
- Coping with a medical or mental health diagnosis in the family
- Navigating the challenges that come with aging
- Resolving conflict between parents, siblings, or extended family members
- Supporting a loved one with a behavioral or substance use disorder
Every family is unique, so therapy is designed to meet you where you are and help you move toward a healthier, more connected way of living together.
Types of family therapy
Family therapy isn’t a single approach—there are several evidence-based models that may be used depending on your family’s needs. A therapist may draw from one method or combine techniques to create a plan that fits your situation. Common approaches include:
- Functional family therapy (FFT). Often used with children or adolescents who are experiencing behavioral challenges. FFT focuses on improving communication, strengthening parenting skills, and encouraging positive reinforcement at home.
- Marriage counseling / couples therapy. Designed for spouses or partners who want to address issues such as communication problems, parenting stress, finances, or the impact of a mental health condition. Licensed marriage and family therapists (LMFTs) are specially trained to work with couples.
- Strategic family therapy. A short-term approach that emphasizes making practical, positive changes in family structure and interactions. This model is frequently used when children or teens are struggling with behavior at home or school.
- Structural family therapy. Focuses on the boundaries, roles, and hierarchies within the family system. By guiding direct interactions, therapists help families recognize patterns and practice healthier ways of relating to one another.
- Systemic family therapy. Considers the larger context in which family members live—including cultural, social, and economic factors—and explores how these contexts shape family dynamics and individual well-being.
No matter which model is used, therapy provides space to practice new skills and gain insight into how family members affect and support one another. Psychoeducation may also be part of the process, giving families a clearer understanding of mental health conditions and practical tools to manage them together.

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What issues can family therapy help with?
Families seek family therapy for many different reasons. Some come because of ongoing conflict or breakdowns in communication, while others turn to therapy during times of transition or crisis. A skilled family therapist can guide discussions that may feel too difficult to have at home and help family members explore new ways of supporting one another.
Family therapy can be especially helpful when addressing:
- Strained relationships between parents, children, or siblings
- Coping with grief after the death of a loved one
- Stress and anger that disrupt daily life
- Adjusting to medical conditions or long-term illnesses in the household
- Divorce or separation
- Major life changes such as unemployment, relocation, or incarceration
- Trauma, including physical or emotional abuse
Family therapy can also play a role in managing mental health conditions and substance use disorders. When one person is struggling, family members often feel the impact in different ways. Therapy sessions create opportunities to better understand these conditions, reduce stigma, and develop healthier ways of coping together.
Children and adolescents can also benefit. Research shows family therapy can help with behavioral concerns such as oppositional defiant disorder (ODD), conduct disorder, or disruptive mood dysregulation disorder. Families with neurodivergent children—such as those living with ADHD or autism spectrum disorder—may also find that therapy improves communication, lowers stress, and strengthens connection.
By focusing on both relationships and individual challenges, family therapy supports the well being of everyone involved.
What are the benefits and risks of family therapy?
Research shows that family therapy can lead to measurable improvements in relationships, communication, and overall well being. Families who participate often report feeling more connected and better able to handle stress, transitions, or the challenges of supporting a loved one with a mental health condition. Benefits may include:
- Reduced conflict between family members
- Improved communication and problem-solving skills
- Stronger trust and connection within the household
- Support for families facing addiction, depression, or other mental health conditions
- Better functioning at school, work, and in daily life
Studies also show encouraging outcomes: nearly 90% of people report improved emotional health after completing family therapy, and close to two-thirds note better physical health as well. Parents of children in treatment often see improvements in behavior, confidence, and coping skills.
Like any form of therapy, family therapy does carry some challenges. Sessions may feel uncomfortable at times, especially when painful emotions or long-standing issues come up. Progress can be slowed if family members are reluctant to participate fully, or if old patterns are hard to break.
Family therapy tends to work best when those involved are:
- Open and honest with the family therapist
- Committed to attending sessions and practicing new skills
- Willing to work on both individual and shared goals
Even with occasional discomfort, the benefits of therapy usually outweigh the risks. With guidance from skilled mental health professionals, families can create lasting, positive changes that improve not only relationships but the overall health of the household.
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How does family therapy work?
Family therapy is an evidence-based approach that provides a safe, structured setting where family members can talk openly with a trained professional. Sessions are usually led by a licensed family therapist, psychologist, or counselor with specialized knowledge in working with families. These mental health professionals act as objective guides, helping you recognize patterns, address challenges, and practice new ways of interacting.
During family therapy, you can expect your therapist to:
- Invite each person to share their perspective and concerns
- Clarify emotions and behaviors so family members better understand one another
- Encourage respectful dialogue and active listening
- Explore how words, actions, and roles affect the family dynamic
- Suggest strategies for shifting unhelpful patterns and promoting positive changes
Because every family is unique, the structure of therapy varies. Some sessions may include the entire family, while others may focus on one or two members. In some cases, a combination of family therapy, individual counseling, or group sessions is recommended to create the right balance of support.
Therapy length also depends on the situation. Some families make progress in a few sessions, while others continue for several months or longer. What matters most is that family members stay engaged, open, and committed to the process. With consistent effort, family therapy can improve communication, reduce conflict, and strengthen the overall well being of the household.
How long does family therapy take to work?
The length of family therapy depends on your family’s goals, concerns, and level of participation. For some, short-term therapy—about 12 sessions on average—may be enough to address specific challenges like conflict, communication, or adjusting to a recent change. Other families benefit from longer-term therapy that continues for months or even years, especially when working through complex issues or mental health conditions.
Your family therapist will work with you to set goals and recommend a plan that makes sense for your circumstances. Some sessions may involve the entire family, while others may include just one or two family members at a time. Over the years, many families return to therapy more than once, using it as a tool to stay connected and continue building healthier patterns.
While progress may take time, consistency is key. Families who commit to the process often notice gradual but meaningful improvements in how they relate to one another, handle stress, and support each other’s well being.
What happens in a family counseling session?
Family counseling sessions are designed to create a safe, supportive space where family members can talk openly, listen to one another, and work on healthier ways of relating. Sessions are led by a licensed family therapist who guides the conversation so it stays respectful and productive.
A typical session may involve:
- Exploring concerns. Each family member has the opportunity to share what feels most challenging or important to them.
- Clarifying emotions and behaviors. The therapist helps family members better understand the impact of their words, actions, and roles within the family.
- Learning new skills. Families practice communication strategies such as active listening, setting boundaries, or expressing emotions without judgment.
- Problem-solving together. The therapist may suggest strategies for changing unhelpful patterns and encourage the family to try new approaches during and between sessions.
Depending on the situation, sessions may include the entire family or focus on smaller groups, such as parents and children or siblings. Some therapists also recommend combining family therapy with individual or group sessions to give each person the space they need while still strengthening the family unit as a whole.
No two families are alike, so the process is flexible. What remains consistent is the goal: helping family members feel heard, building stronger connections, and creating positive changes that improve overall well being.
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When individual therapy helps
At times, healing from mental health or substance abuse requires attention outside of family sessions. A parent may need space to process grief, guilt, or long-standing stress, while a teenager might feel safer sharing private thoughts without others present. Individual therapy offers that outlet. These one-on-one sessions provide a chance to explore emotions more deeply, build coping strategies, and clarify personal goals. The insight gained can make it easier for family members to return to joint sessions with greater self-awareness and a clearer perspective.
When group therapy helps
Group therapy creates opportunities to connect with people outside your household who are facing similar challenges, whether related to addiction, anxiety, grief, or other life stressors. Unlike family therapy, which focuses on improving dynamics within one home, group sessions emphasize shared experience and peer support. Hearing from others can reduce feelings of isolation, spark new ways of thinking, and provide encouragement from people who truly understand what you’re going through. Guided by a trained therapist, group therapy can be a powerful addition to both individual and family counseling.
What the research says about family therapy
A 2022 study published in Family Process found that family therapy can be a powerful tool for rebuilding relationships after major disruptions. Researchers noted that when the entire family system is involved, therapy not only reduces conflict but also supports better outcomes for individuals returning home from treatment. The study emphasized how this approach strengthens trust, improves communication, and helps families maintain healthier connections over time.
Is speaking to a family therapist right for your family?
There’s no single type of family that benefits from therapy—it’s for anyone who wants to strengthen their relationships. Parents and teens working to rebuild trust, adult children processing past pain, or relatives supporting a loved one in recovery may all find value in sessions.
A 2023 study in Research on Child and Adolescent Psychopathology found that children as young as 6 to 8 reported conflict at home as a regular part of life. Even at this age, kids rated conflict levels in the middle range of intensity, showing how strongly family dynamics affect them early on.
If your home feels heavy, that alone is a reason to reach out.
Checklist for when family therapy may help:
- A loved one is struggling with a mental health condition
- There’s ongoing tension or conflict between family members
- Your household is experiencing a major life transition
- A child, teen, or young adult is showing signs of distress
- Past therapy hasn’t provided enough relief
- You want to feel more stable and connected at home
Rehab might feel like a big step, but remember why you're here—you’re looking for a way forward. We can help.
Start family therapy at Red Ribbon Recovery Indiana today
Reaching out for support can feel like a big step, but it’s often the one that brings the greatest relief. At Red Ribbon Recovery Indiana, our therapists use evidence-based practices and provide a safe, welcoming space where change can begin.
Even if your family has experienced years of distance or conflict, healing is still possible. Families who believed it was “too late” have discovered new ways to reconnect—sometimes starting with just one person making the first call.
You don’t have to solve everything today. What matters is taking the next step. Call us at (609) 699-0498 or contact us online to learn more about family therapy in Indiana and begin the process of rebuilding stronger relationships.
We are here to help you or a loved one find addiction treatment near you.
Admitting you have a substance abuse problem and asking for help is not always easy. If you or a loved one are struggling with drug addiction, alcohol addiction or another substance use disorder, help is available. Call SAMHSA’s National Helpline at (317) 707-9848 to learn about resources in your area or reach out to our team for personalized treatment.
Frequently Asked Questions About Detox
What if my family doesn’t want to attend family therapy with me?
It’s not unusual for one person to take the first step before others feel ready. Even if only one family member attends at the beginning, therapy can still be valuable. Over time, progress made in these early sessions often encourages other family members to join once they see that the process feels safe and constructive.
Do you offer services for specific age groups, like adolescents or older adults?
Yes. Family therapy is flexible enough to support all ages, from young children to aging parents. A family therapist may tailor sessions to address school challenges for adolescents, relationship stress for couples, or communication issues between generations. In some cases, specialized approaches such as functional family therapy may be recommended to address behavioral concerns within the family unit.
What if we’ve already tried therapy and it didn’t help?
Many families come to us after difficult experiences with therapy in the past. A poor fit with a provider doesn’t mean therapy can’t work for you. Our approach emphasizes creating a safe, personalized environment where family members feel respected and heard. With consistent guidance and practical strategies, families often discover new opportunities for healing even after setbacks.
What types of issues can family therapy help with, and how does treatment typically work?
Family therapy can support a wide range of concerns, including mental health conditions, substance use, marital strain, financial difficulties, or life transitions. Sessions provide a structured space where family members learn healthier ways to communicate, resolve conflict, and support one another. Each plan is individualized, often blending several therapy types to meet the needs of the family unit and promote lasting change.
Reviews
Sources
- Psychotherapy: Practice, Research, Training, and Policy. (2021). Psychotherapies: Practice, Research, Training, and Policy
- Morelli, N. M., Hong, K., Garcia, J., Elzie, X., Alvarez, A., & Villodas, M. T. (2023). Everyday conflict in families at risk for violence exposure: Examining unique, bidirectional associations with children’s anxious- and withdrawn-depressed symptoms
- Negash, S., Chung, K., & Oh, S. (2022). Families post‐release: Barriers and pathways to family therapy
- Substance Abuse and Mental Health Services Administration. (2020). Violence Prevention in Behavioral Health Settings: A Supplemental Resource to Intensive Community-Based Treatment (TIP 62 Supplemental)
- Substance Abuse and Mental Health Services Administration. (2013). Family therapy can help: For people in recovery from mental illness or addiction
- Family-Based Treatments for Adolescent Substance Use. (2016). Family-based Treatments for Adolescent Substance Use
- American Association for Marriage and Family Therapy. (2022). About Marriage and Family Therapists
- American Psychological Association. (2022). Couple and Family Psychology
- DC Department of Human Services. (2022). Functional Family Therapy (FFT)
- Centre for Addiction and Mental Health. (2022). Family Therapy
- Varghese, M., Kirpekar, V., & Loganathan, S. (2020). Family interventions: Basic principles and techniques
- O’Farrell, T. J., & Fals-Stewart, W. (2000). Behavioral couples therapy for alcoholism and drug abuse
- Substance Abuse and Mental Health Services Administration. (2004). Substance Use Disorder Treatment and Family Therapy (TIP Series No. 39)
About the content

Written by: Carli Simmonds. Carli Simmonds holds a Master of Arts in Community Health Psychology from Northeastern University. From a young age, she witnessed the challenges her community faced with substance abuse, addiction, and mental health challenges, inspiring her dedication to the field.

Medical reviewed by: Jodi Tarantino, LICSW. Jodi Tarantino is an experienced, licensed Independent Clinical Social Worker (LICSW) and Program Director with over 20 years of experience in Behavioral Healthcare. Also reviewed by the RRR Editorial team.
Red Ribbon Recovery is committed to delivering transparent, up-to-date, and medically accurate information. All content is carefully written and reviewed by experienced professionals to ensure clarity and reliability. During the editorial and medical review process, our team fact-checks information using reputable sources. Our goal is to create content that is informative, easy to understand and helpful to our visitors.
