Posted On Jun 03, 2022,

Family counseling, or family therapy, aims to address psychological, behavioral, and emotional issues that cause family problems. Family members will work with a therapist or counselor to develop and maintain a healthy relationship.

What is family counseling?

Family counseling, or family therapy, is a method to develop and maintain healthy and functional family relationships.

The goal is to identify and address problems in the family. These issues could be emotional, psychological, or behavioral.

Many approaches to family therapy stem from family systems theory. This suggests that families work in systems rather than groups of people who function independently of each other.

According to family systems theory, changes in one family member will influenceTrusted Source changes in other parts of the family.

What is the difference between family therapy and family counseling?

The terms “family therapy” and “family counseling” are often interchangeable. Both usually involve talking to help individuals and families work through conflicts, barriers, or mental health issues.

However, a therapist may have different credentials than a counselor. Usually, a counselor requires only a bachelor’s degree and may provide general support to a client. A therapist requires a master’s degree and a license to practice.

Counselors typically work with people who have substance use disorders, for example. In most cases, a clinician doing family counseling will be a therapist.

Asking is the best way to know what kind of services a family mental health professional provides and what qualifications they have. During a meet and greet, families can ask about the specific counseling or psychological approach they take.

Therapists and counselors should also provide information about their education and license to practice.

Benefits of family counseling

Benefits of counseling vary from family to family, but they can include:

developing healthy boundaries
improving communication
defining someone’s role within the family
improving family dynamics and relationships
providing strength and coping tools for family members
addressing dysfunctional interactions
improving the family’s problem-solving abilities

Research from 2019 suggests that family therapy effectively addresses issues with children, including:

conduct disorders
substance addictions
offending behavior
depression

Family therapy can help reduceTrusted Source the risk of some mental health conditions in adolescents.

According to a 2020 studyTrusted Source, families might find therapy useful to address the following:

difficulty communicating or expressing emotions
conflicts between siblings
inconsistent parenting
marital problems
developing a functional and healthy relationship following a divorce
adapting to a major change
dealing with a chronic illness or death in the family

Is family therapy effective?

There is evidence that family therapy is an effective form of counseling.

A 2018 literature reviewTrusted Source notes that family counseling and other family-based approaches, such as parent training and programs, are effective in a variety of situations, including:

sleep, feeding, and attachment problems in infancy
recovery from child abuse and child neglect
behavioral conditions
disordered eating

Additionally, researchTrusted Source indicates that family therapy is effective for adolescents with mental health conditions, regardless of gender. The authors note that the adolescents in this study reported fewer internal and external problems after therapy.

Also, parents reported that they learned more effective parenting methods and felt the family was closer. However, the study notes that female parents were more likely to find family counseling helpful than male parents.

Types of family counseling

Some family counselors offer home visits or online sessions. These could provide families with more comfort than office-based meetings. However, other families may prefer counseling outside of the home environment.

There are several types of family counseling:

Functional family therapy

This typically focuses on families with a child or an adolescent with complex emotional or behavioral problems.

The child and their parents or caregivers may attend 8–30 weekly sessions together. The sessions will help families learn strategies to deal with the child’s behavior and improve family functioning.

Multisystemic therapy

This aims to address any behavioral and emotional problems of children and adolescents.

Multisystemic therapy also focuses on broader issues with the child’s behavior. For example, it could aim to improveTrusted Source their interaction with social systems, such as schools or neighborhoods.

Transgenerational therapy

This involves a therapist examining interactions across generations, such as between parents or caregivers and children. The aim is to understand how past responses to challenges influence the family’s current interactions or problems.

Transgenerational therapy is useful when issues and behavior patterns persist across generations. Also, it may help predict how problems might develop in the future, since past behavior is a good predictor of future behavior.

Brief strategic family therapy

This therapy aims to change the patterns of interaction between family members.

It is a time-limited intervention that targets family problems leading to problematic symptoms showing in youths. Most brief strategic family therapies will last 12–16 sessions.

ResearchTrusted Source reports that this form of therapy has long-term benefits. The researchers found that brief strategic family therapy was more effective than treatment as usual, such as group therapy and parent training groups, at reducing arrests and incarceration in the short and long term.

Structural therapy

Structural therapy manages problems that arise due to the family structure. It aims to achieveTrusted Source a functioning and balanced family hierarchy, with appropriate boundaries between members.

The key difference with structural therapies is the focus on structure rather than specific behaviors that cause problems.

What happens during family therapy?

During a family therapy session, therapists may talk with the family as a group, as individuals, or as a combination of the two.

A typical therapy session is around 50 minutes once per week. People may find it difficult to discuss concerns initially, and it is important that the family finds a therapist it feels comfortable with. Families may try several therapists before finding one that meets their needs.

The American Association for Marriage and Family Therapy (AAMFT) states that family therapists provide the following services:

diagnosis and treatment of mental health and emotional conditions
treatment planning
psychotherapy for individuals, couples, and children
couple, group, and family therapy

The number of family counseling sessions depends on various factors, such as why a family is seeking help and whether family members participate during therapy.

How to know whether a therapist or counselor is right for your family?

Finding the right counselor is important for family therapy to work. Personal comfort matters in the choice of a therapist.

There are some general tips people can follow when searching for a family therapist. These may help find a therapist who might be a good fit for the family:

Ask friends or extended family for a referral.
Speak with a family doctor.
Inquire at a place of worship.

A therapist may also agree to an initial phone call or introductory session, during which the family can decide whether this is the right counselor for them.

In addition to personal feelings, the family should consider:

the therapist’s treatment style and approach
how often the therapist recommends attending therapy and for how long
whether insurance covers services and whether low cost options are available

Since participation is an important part of family therapy, one might want to reconsider a counselor who makes any family member significantly uncomfortable.

Insurance and cost

Some family therapists participate in insurance plans, while some are private pay.

It is important for people to check the services an insurer will cover. Before attending sessions, a person should also check that therapists accept particular insurance plans.

For example, Medicare covers family counseling sessions that focus on mental health treatment.

Some therapists might also participate in employee assistance plans. It is worth checking with an employer whether these schemes are available.

Prices will depend on the type of therapy, the counselor’s qualifications, location, and therapy duration.

Original Article : https://www.medicalnewstoday.com/articles/family-counseling#summary

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