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More Therapists Nearby

Photo of Erika Falit-Baiamonte, Clinical Social Work/Therapist in Issaquah, WA
Erika Falit-Baiamonte
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Bellevue, WA 98004
I have over 20 years of experience providing therapy and support to those who struggle with depression, anxiety, interpersonal and family conflicts, job related stress, behavioral issues in children, parenting concerns and the impact of trauma, illness and life transitions. I am particularly interested in supporting families in their relationships with one another and I believe in encouraging choices that are nurturing to all family members.
I have over 20 years of experience providing therapy and support to those who struggle with depression, anxiety, interpersonal and family conflicts, job related stress, behavioral issues in children, parenting concerns and the impact of trauma, illness and life transitions. I am particularly interested in supporting families in their relationships with one another and I believe in encouraging choices that are nurturing to all family members.
(206) 922-8274 View (206) 922-8274
Photo of Melissa Wohlhueter, Counselor in Issaquah, WA
Melissa Wohlhueter
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Bellevue, WA 98004
I also work with couples to help restore and support any issues involving; communication, addiction, parenting, separation, family planning, and divorce.
"The best way out is always through" - Robert Frost. I believe in individualized, client centered care, designed to fit your life and empower you to live your best life. I have over 18 years of experience with a variety of modalities and clinical techniques. I am passionate about providing counseling that best suits the needs of the client. I have experience with diverse populations and persons from every walk of life.
I also work with couples to help restore and support any issues involving; communication, addiction, parenting, separation, family planning, and divorce.
"The best way out is always through" - Robert Frost. I believe in individualized, client centered care, designed to fit your life and empower you to live your best life. I have over 18 years of experience with a variety of modalities and clinical techniques. I am passionate about providing counseling that best suits the needs of the client. I have experience with diverse populations and persons from every walk of life.
(425) 243-5681 View (425) 243-5681
Photo of Janiece Anjali Pllc, Mental Health Counselor in Issaquah, WA
Janiece Anjali Pllc
Mental Health Counselor, MEd, MA, LMHC, LPC
Verified Verified
1 Endorsed
Redmond, WA 98052
Waitlist for new clients
Seeking counseling is a responsible way to take care of what matters most. As Toni Morrison told us, "It's good when you've got a woman who is a friend of your mind." I welcome diverse clients navigating many situations and specialize in recovery and post-traumatic growth from narcissistic abuse, misuse, and relational or social trauma. I also focus on loss, grief, anxiety, depression, adjustments to changes, life stages, and the promises and pitfalls of pursuing an authentic creative life.
Seeking counseling is a responsible way to take care of what matters most. As Toni Morrison told us, "It's good when you've got a woman who is a friend of your mind." I welcome diverse clients navigating many situations and specialize in recovery and post-traumatic growth from narcissistic abuse, misuse, and relational or social trauma. I also focus on loss, grief, anxiety, depression, adjustments to changes, life stages, and the promises and pitfalls of pursuing an authentic creative life.
(425) 615-7529 View (425) 615-7529
Photo of Skip Shewell Counseling, Mental Health Counselor in Issaquah, WA
Skip Shewell Counseling
Mental Health Counselor, LPC, LMHC
Verified Verified
Bellevue, WA 98008
I identify as a queer trans male therapist and part of the LGBTQ community. I have been practicing as licensed therapists for over 15 years and have extensive experience and training in counseling individuals, couples, and families in a wide variety settings in the United States such as primary health care clinics, tribal health care, community mental health treatment centers, and major healthcare facilities.
I identify as a queer trans male therapist and part of the LGBTQ community. I have been practicing as licensed therapists for over 15 years and have extensive experience and training in counseling individuals, couples, and families in a wide variety settings in the United States such as primary health care clinics, tribal health care, community mental health treatment centers, and major healthcare facilities.
(425) 307-4168 View (425) 307-4168
Photo of L. Rebecca Propst, Psychologist in Issaquah, WA
L. Rebecca Propst
Psychologist, PhD
Verified Verified
Sammamish, WA 98074  (Online Only)
Life can hurt. Set-backs, emotional pain, social awkwardness, fear of anger, shame or rejection can block that which we desire most-loving nurturing relationships, affirmation from others, and self-valuing. I have been helping individuals and couples better achieve those desires for 40+ years. I bring a long history of a variety of skills to a mutually created process.
Life can hurt. Set-backs, emotional pain, social awkwardness, fear of anger, shame or rejection can block that which we desire most-loving nurturing relationships, affirmation from others, and self-valuing. I have been helping individuals and couples better achieve those desires for 40+ years. I bring a long history of a variety of skills to a mutually created process.
(503) 542-9730 View (503) 542-9730
Photo of No Stress No Stigma, Private Practice , Marriage & Family Therapist in Issaquah, WA
No Stress No Stigma, Private Practice
Marriage & Family Therapist, MA, LMFT, BC-TMHP
Verified Verified
1 Endorsed
Redmond, WA 98052
No matter what you are going through, know that I am here to listen, support you and help you figure it all out! Welcome to the newest generation of self care and mental health- this is easy, accessible, no-stress, stigma free help for whatever you are going through. Feel free to wear your sweatpants, sit on the couch and have a session on your phone or lap top. Prefer in person? No problem, come visit my office in a charming 1900's Craftsman home near the Junction in West Seattle! Check out www.nostressnostigma.com for details!
No matter what you are going through, know that I am here to listen, support you and help you figure it all out! Welcome to the newest generation of self care and mental health- this is easy, accessible, no-stress, stigma free help for whatever you are going through. Feel free to wear your sweatpants, sit on the couch and have a session on your phone or lap top. Prefer in person? No problem, come visit my office in a charming 1900's Craftsman home near the Junction in West Seattle! Check out www.nostressnostigma.com for details!
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Photo of Ismael E Gerena, Counselor in Issaquah, WA
Ismael E Gerena
Counselor, ThD, MA, LMHC, CCHT
Verified Verified
12 Endorsed
Seattle, WA 98118
I work with individuals and with non-traditional relationships including polyamory, ethical non-monogamy and I have over 20 years of experience serving the QUILTBAG (queer or questioning, undecided, intersex, lesbian, trans, bisexual, asexual or allied, gay or gender diverse). I don't name issues and disorders because labels are important to the people who pay the bills. Help, Support, and Knowledge from a person willing to stand with you when life is becoming hard and solutions aren't easy to see are more important then any diagnostic name or code for what ails you.
I work with individuals and with non-traditional relationships including polyamory, ethical non-monogamy and I have over 20 years of experience serving the QUILTBAG (queer or questioning, undecided, intersex, lesbian, trans, bisexual, asexual or allied, gay or gender diverse). I don't name issues and disorders because labels are important to the people who pay the bills. Help, Support, and Knowledge from a person willing to stand with you when life is becoming hard and solutions aren't easy to see are more important then any diagnostic name or code for what ails you.
(206) 535-1544 View (206) 535-1544

Online Therapists

Photo of Cheryl K Schock, Marriage & Family Therapist in Issaquah, WA
Cheryl K Schock
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lakewood, WA 98498  (Online Only)
Waitlist for new clients
When I work with you as an individual, a couple, or a family, each person's current relationships and family of origin are taken into account.
I offer telehealth appointments to clients in both OR and WA. I work in partnership with my clients to explore their concerns, build and strengthen ways of coping, and create positive changes. We all face challenges, transitions, changes, and growth and these can be exciting as well as emotionally difficult, intimidating or overwhelming. Your desire may be for a closer, stronger relationship, to restore and rebuild your marriage or family, or for help navigating a difficult crisis or transition. I offer support, experiential interactions, and opportunity to learn skills that will help you accomplish your goals.
When I work with you as an individual, a couple, or a family, each person's current relationships and family of origin are taken into account.
I offer telehealth appointments to clients in both OR and WA. I work in partnership with my clients to explore their concerns, build and strengthen ways of coping, and create positive changes. We all face challenges, transitions, changes, and growth and these can be exciting as well as emotionally difficult, intimidating or overwhelming. Your desire may be for a closer, stronger relationship, to restore and rebuild your marriage or family, or for help navigating a difficult crisis or transition. I offer support, experiential interactions, and opportunity to learn skills that will help you accomplish your goals.
(503) 897-9368 View (503) 897-9368
Photo of Mimi Ogasawara, Counselor in Issaquah, WA
Mimi Ogasawara
Counselor, MA, LMHC, CMHS
Verified Verified
1 Endorsed
Renton, WA 98057  (Online Only)
Waitlist for new clients
I know that seeking therapy may be scary and difficult, but it can be a first step to solving issues and having more fulfilling life for yourself and your family.
I have 20 years of clinical experience in providing evidenced-based treatment. As a Licensed Mental Health Therapist, I work with children, adolescents, adults, & families with a variety of issues and challenges, including trauma/PTSD, depression, anxiety, relationship issues, parenting challenges, children emotional & behavioral issues, stress, etc... I am trained in Cognitive Behavioral Therapy, DBT skills, Play Therapy, Cognitive Processing Therapy, and Trauma-Focused Cognitive-Behavioral Therapy. Guided by my client's needs and issues, I use a variety of therapeutic orientations to work with children, adults, and families.
I know that seeking therapy may be scary and difficult, but it can be a first step to solving issues and having more fulfilling life for yourself and your family.
I have 20 years of clinical experience in providing evidenced-based treatment. As a Licensed Mental Health Therapist, I work with children, adolescents, adults, & families with a variety of issues and challenges, including trauma/PTSD, depression, anxiety, relationship issues, parenting challenges, children emotional & behavioral issues, stress, etc... I am trained in Cognitive Behavioral Therapy, DBT skills, Play Therapy, Cognitive Processing Therapy, and Trauma-Focused Cognitive-Behavioral Therapy. Guided by my client's needs and issues, I use a variety of therapeutic orientations to work with children, adults, and families.
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Photo of Amanda Brown, Marriage & Family Therapist Associate in Issaquah, WA
Amanda Brown
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
I understand that every individual and family is unique, and there is no one-size-fits-all approach to therapy.
I approach therapy with a person-centered focus, tailoring my methods to meet your unique needs and concerns. Together, we will explore your strengths, values, and goals to create a personalized plan for growth and healing. Whether you're dealing with issues related to relationships, personal development, or mental health, my aim is to provide support and guidance as you navigate the complexities of life. My commitment to our therapeutic relationship is built on trust, empathy, and collaboration. My goal is to create a safe and non-judgmental space where you can freely express your thoughts and feelings.
I understand that every individual and family is unique, and there is no one-size-fits-all approach to therapy.
I approach therapy with a person-centered focus, tailoring my methods to meet your unique needs and concerns. Together, we will explore your strengths, values, and goals to create a personalized plan for growth and healing. Whether you're dealing with issues related to relationships, personal development, or mental health, my aim is to provide support and guidance as you navigate the complexities of life. My commitment to our therapeutic relationship is built on trust, empathy, and collaboration. My goal is to create a safe and non-judgmental space where you can freely express your thoughts and feelings.
(253) 367-4446 View (253) 367-4446
Photo of Celia Palmer, Counselor in Issaquah, WA
Celia Palmer
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Mountlake Terrace, WA 98043
Based on my client's needs, I incorporate a variety of techniques including Heart Centered Hypnotherapy, Internal Family Systems (IFS), Cognitive Behavioral Therapy (CBT), Mindfulness, Emotional Freedom Technique (EFT), and Solution Focused Therapy.
Do you feel stuck and unsure of how to move forward? Are you ready to step into your personal power? I work with adults in individual counseling and transpersonal life coaching to develop the awareness and tools to progress. As a positive working relationship is the foundation for successful work, I focus on building a strong rapport with my client and co-creating the healing experience that will meet my client's goals.
Based on my client's needs, I incorporate a variety of techniques including Heart Centered Hypnotherapy, Internal Family Systems (IFS), Cognitive Behavioral Therapy (CBT), Mindfulness, Emotional Freedom Technique (EFT), and Solution Focused Therapy.
Do you feel stuck and unsure of how to move forward? Are you ready to step into your personal power? I work with adults in individual counseling and transpersonal life coaching to develop the awareness and tools to progress. As a positive working relationship is the foundation for successful work, I focus on building a strong rapport with my client and co-creating the healing experience that will meet my client's goals.
(425) 654-2647 View (425) 654-2647
Photo of Counseling Services for Wellbeing, Marriage & Family Therapist in Issaquah, WA
Counseling Services for Wellbeing
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98115
Mood Disorders, depression/anxiety, Parenting Concerns, Child and Adolescent Behavioral Problems Women’s Issues, pregnancy-related difficulties, PPD, Body image Personal Growth, introspective, spiritual, and emotional exploration Trauma and Loss Interpersonal Issues Interpersonal Issues Family Matters Self-Injury, Transitional Concerns, Addiction.
Often the goal of therapy is for clients to develop the capacity to resolve personal problems with the support of a therapist. The clinicians at Counseling Services for Wellbeing work collaboratively with the clients to build on their existing strengths, enhance relationships, increase and procure a support system and obtain the necessary skills and tools to lead a happier and more fulfilling life. We strive to work in a comfortable and supportive atmosphere, tailoring to each client’s individual needs and goals to help achieve the personal growth they are striving for.
Mood Disorders, depression/anxiety, Parenting Concerns, Child and Adolescent Behavioral Problems Women’s Issues, pregnancy-related difficulties, PPD, Body image Personal Growth, introspective, spiritual, and emotional exploration Trauma and Loss Interpersonal Issues Interpersonal Issues Family Matters Self-Injury, Transitional Concerns, Addiction.
Often the goal of therapy is for clients to develop the capacity to resolve personal problems with the support of a therapist. The clinicians at Counseling Services for Wellbeing work collaboratively with the clients to build on their existing strengths, enhance relationships, increase and procure a support system and obtain the necessary skills and tools to lead a happier and more fulfilling life. We strive to work in a comfortable and supportive atmosphere, tailoring to each client’s individual needs and goals to help achieve the personal growth they are striving for.
(206) 426-0366 View (206) 426-0366
Photo of Alona Wellness Center, Clinical Social Work/Therapist in Issaquah, WA
Alona Wellness Center
Clinical Social Work/Therapist, LICSW, CCTP II, CDMDTP, LMHCA, LMFTA
Verified Verified
Everett, WA 98201
Maybe you have family conflict.
Hi! At Alona Wellness Center, we recognize the value, strength, and resilience of all those we serve. We honor differences in individuals, communities, cultures, and populations. We offer a safe space to process cultural and racial trauma, as well as micro-aggressions. We also have providers from the LGBTQTS+ community, as well as LGBTQTS+ allied providers.
Maybe you have family conflict.
Hi! At Alona Wellness Center, we recognize the value, strength, and resilience of all those we serve. We honor differences in individuals, communities, cultures, and populations. We offer a safe space to process cultural and racial trauma, as well as micro-aggressions. We also have providers from the LGBTQTS+ community, as well as LGBTQTS+ allied providers.
(425) 414-3137 View (425) 414-3137
Photo of Scott La Fein, Marriage & Family Therapist in Issaquah, WA
Scott La Fein
Marriage & Family Therapist, LMFT
Verified Verified
Mount Vernon, WA 98273
Whether "you" are an individual, couple or family, I am always honored to get to know you and help facilitate the emergence of your unique core self which lies ready to be seen, known and fully lived.
No matter how straight & smooth we try to make it, life is, by nature a crooked line & a bumpy road! Depression, anxiety, grief, trauma...all by-products of living life. Fortunately, we are hard-wired for health; drawn to people & situations that foster our transformance. However, we develop coping/protective mechanisms that hinder that innate tendency to thrive. We create stories about ourselves & the world that keep us scared & isolated. Therapy is the sacred and confidential space in which these, up until now, forbidden feelings, self-thoughts, memories can be carefully, sensitively and intentionally brought forth into the light.
Whether "you" are an individual, couple or family, I am always honored to get to know you and help facilitate the emergence of your unique core self which lies ready to be seen, known and fully lived.
No matter how straight & smooth we try to make it, life is, by nature a crooked line & a bumpy road! Depression, anxiety, grief, trauma...all by-products of living life. Fortunately, we are hard-wired for health; drawn to people & situations that foster our transformance. However, we develop coping/protective mechanisms that hinder that innate tendency to thrive. We create stories about ourselves & the world that keep us scared & isolated. Therapy is the sacred and confidential space in which these, up until now, forbidden feelings, self-thoughts, memories can be carefully, sensitively and intentionally brought forth into the light.
(360) 926-9284 View (360) 926-9284
Photo of R. Jeff(Nickname) Russ, Psychologist in Issaquah, WA
R. Jeff(Nickname) Russ
Psychologist, SHRM, CDP, PhD
Verified Verified
Seattle, WA 98134
Individual Therapy, Couple’s Therapy, Family Therapy, and Group Therapy Theoretical Orientation Jeff deals with addictions, parenting, communication, relational issues, stress, sleep disorders, depression, anxiety, and PTSD. Jeff has provided human resources/management consulting for organizations for more than twenty years. He is a Human Resources professional and broadcaster. Originally when he entered the helping services by working for a large non-profit organization (The Salvation Army), the management noticed that he was building positive relationships with the hardest to reach clients. Please call Jeff contact 520-260-4584.
Individual Therapy, Couple’s Therapy, Family Therapy, and Group Therapy Theoretical Orientation Jeff deals with addictions, parenting, communication, relational issues, stress, sleep disorders, depression, anxiety, and PTSD. Jeff has provided human resources/management consulting for organizations for more than twenty years. He is a Human Resources professional and broadcaster. Originally when he entered the helping services by working for a large non-profit organization (The Salvation Army), the management noticed that he was building positive relationships with the hardest to reach clients. Please call Jeff contact 520-260-4584.
(520) 260-4584 View (520) 260-4584
Photo of Peninsula Psychological Center, Inc., P.S., Psychologist in Issaquah, WA
Peninsula Psychological Center, Inc., P.S.
Psychologist, PsyD
Verified Verified
Silverdale, WA 98383
Life presents many challenges. Our 23 licensed clinical psychologists, social workers, marriage & family therapists and mental health counselors at Peninsula Psychological Center, Inc., P.S. are ready to assist you. We work with people from age 3-90, with experienced therapists in our multispecialty center, helping our clients and their families to clarify their specific concerns and to achieve their goals in therapy. We often help people with depression, anxiety, ADHD, PTSD, panic, grief, insomnia & relationship problems. Individual therapy, family therapy, couples therapy, and psychological assessment services are available.
Life presents many challenges. Our 23 licensed clinical psychologists, social workers, marriage & family therapists and mental health counselors at Peninsula Psychological Center, Inc., P.S. are ready to assist you. We work with people from age 3-90, with experienced therapists in our multispecialty center, helping our clients and their families to clarify their specific concerns and to achieve their goals in therapy. We often help people with depression, anxiety, ADHD, PTSD, panic, grief, insomnia & relationship problems. Individual therapy, family therapy, couples therapy, and psychological assessment services are available.
(360) 200-5865 View (360) 200-5865
Photo of Brionna Anderson, Counselor in Issaquah, WA
Brionna Anderson
Counselor, LMHCA
Verified Verified
Seattle, WA 98119  (Online Only)
I offer a wide range of counseling services, including individual counseling, family therapy, and more.
I believe that everyone has the potential to lead a fulfilling and meaningful life. My counseling services are designed to help our clients unlock their potential and achieve their goals.
I offer a wide range of counseling services, including individual counseling, family therapy, and more.
I believe that everyone has the potential to lead a fulfilling and meaningful life. My counseling services are designed to help our clients unlock their potential and achieve their goals.
(206) 408-6899 View (206) 408-6899
Photo of Tara Hollander, Clinical Social Work/Therapist in Issaquah, WA
Tara Hollander
Clinical Social Work/Therapist, MSW, ACSW, LICSW
Verified Verified
2 Endorsed
Tacoma, WA 98407
I have worked with children who struggle with divorce, other losses, learning problems including ADD, Autism, environmental deficits, gender issues, family conflict, and abuse.
I am a LICSW with a focus on psychotherapy with adults, children and families. I have been a practitioner for 48 years, in private practice for 12 1/2 years and had been a psychotherapist for 26 years in the Behavioral Health Department at Group Health. While there, in addition to a general caseload that included Medicare patients, I ran a Children's Therapy Group, served on a county-wide child abuse oversight committee, co-chaired an inter-disciplinary case consultation team, and managed an intern program.
I have worked with children who struggle with divorce, other losses, learning problems including ADD, Autism, environmental deficits, gender issues, family conflict, and abuse.
I am a LICSW with a focus on psychotherapy with adults, children and families. I have been a practitioner for 48 years, in private practice for 12 1/2 years and had been a psychotherapist for 26 years in the Behavioral Health Department at Group Health. While there, in addition to a general caseload that included Medicare patients, I ran a Children's Therapy Group, served on a county-wide child abuse oversight committee, co-chaired an inter-disciplinary case consultation team, and managed an intern program.
(253) 336-8720 View (253) 336-8720
Photo of Katie Schmitten, Pre-Licensed Professional in Issaquah, WA
Katie Schmitten
Pre-Licensed Professional, CSWA, LSWAIC
Verified Verified
Seattle, WA 98108
I am trained in Dialectical Behavioral Therapy, Trauma Informed Therapy, Internal Family Systems, ACT, and Motivational Interviewing.
Hello my name is Katie and it is nice to meet you. I am currently taking new patients, teens 14 and older, and adults in Oregon and Washington. I have served in the field for 12 years and welcome populations of all demographics, ethnicities and cultures. I have extensive experience in school based settings assisting with issues such as complex trauma, self harm, addiction, anxiety, depression, grief, loss, life transitions, divorce, adoption, children in the foster system, parent coaching, and other issues. I look forward to meeting you and helping you achieve healing and permanent change.
I am trained in Dialectical Behavioral Therapy, Trauma Informed Therapy, Internal Family Systems, ACT, and Motivational Interviewing.
Hello my name is Katie and it is nice to meet you. I am currently taking new patients, teens 14 and older, and adults in Oregon and Washington. I have served in the field for 12 years and welcome populations of all demographics, ethnicities and cultures. I have extensive experience in school based settings assisting with issues such as complex trauma, self harm, addiction, anxiety, depression, grief, loss, life transitions, divorce, adoption, children in the foster system, parent coaching, and other issues. I look forward to meeting you and helping you achieve healing and permanent change.
(206) 593-3834 View (206) 593-3834
Photo of Emily Shoemaker, Marriage & Family Therapist in Issaquah, WA
Emily Shoemaker
Marriage & Family Therapist, MA, LMFT
Verified Verified
Selah, WA 98942
I am dedicated to creating an honest and understanding atmosphere that promotes healthy change. As a couple and family therapist, I am passionate about helping couples as well as individuals face the struggles that keep them from being able to move forward in the ways they desire and to meet the challenges they struggle within their relationships. I am devoted to help couples and individuals through their challenges by working to create new communication techniques to build the relationships they want, in addition to improving coping skills to achieve the desired change.
I am dedicated to creating an honest and understanding atmosphere that promotes healthy change. As a couple and family therapist, I am passionate about helping couples as well as individuals face the struggles that keep them from being able to move forward in the ways they desire and to meet the challenges they struggle within their relationships. I am devoted to help couples and individuals through their challenges by working to create new communication techniques to build the relationships they want, in addition to improving coping skills to achieve the desired change.
(509) 571-3137 View (509) 571-3137

Family Therapy

What do family therapists do?

A family therapist facilitates the process of understanding and improving how a family functions. The therapist will help family members develop empathy for one another. They’ll seek to understand existing patterns, misunderstandings, and conflicts that arise, in order to help the family arrive at a realistic, unified understanding and develop the coping skills they need to build stronger relationships.

How long does therapy for families take to work?

Therapy manifests differently in every family; a common time frame is 12 weekly sessions, but some families may see improvement after just a few weeks. Families should discuss their goals with the therapist at the beginning of the process and periodically revisit those goals to assess their progress together.

How can you encourage a family member to attend family therapy?

You can encourage family members to attend therapy by expressing with both love and concern the challenges you see and explaining how a therapist could help the family navigate those challenges together. An outside perspective can help everyone feel heard, get on the same page, and develop new skills. If family members are still hesitant, it may be helpful to emphasize that family therapy is short-term—it won’t last forever.

Is therapy for families effective?

Family therapy can significantly improve family dynamics and relationships. Research suggests that family therapy can help individuals understand their role in the family, communicate and solve problems together, reduce conflict and draw boundaries when necessary, and develop coping skills for stressors, major life changes, and mental or physical illnesses within the family.