Photo of Art of Counseling, PLLC in Saint Paul, MN
Art of Counseling, PLLC
MA, ATR-BC, LMFT
Verified Verified
3 Endorsed
Saint Paul, MN 55101
Art of counseling pllc offers art therapy, traditional talk therapy, and EMDR for individual, group and family services.
I have experience with trauma, sever mental illness and life transitions. I work at my client's pace and follow the road they take in therapy. My approach is to give gentle guidance, educate, and creatively blend a holistic trauma-informed stance, which is the best success for healing. The creative process, through visual art and storytelling, opens up the unconscious mind, cleansing emotional pain while giving a common universal language. I explore with the client many curiosities of the human condition. Helping to connect the behaviors that motivate us to balance our individual strengths and inherit capacity for good social interest.
Art of counseling pllc offers art therapy, traditional talk therapy, and EMDR for individual, group and family services.
I have experience with trauma, sever mental illness and life transitions. I work at my client's pace and follow the road they take in therapy. My approach is to give gentle guidance, educate, and creatively blend a holistic trauma-informed stance, which is the best success for healing. The creative process, through visual art and storytelling, opens up the unconscious mind, cleansing emotional pain while giving a common universal language. I explore with the client many curiosities of the human condition. Helping to connect the behaviors that motivate us to balance our individual strengths and inherit capacity for good social interest.
(651) 318-0109 View (651) 318-0109
Photo of Lisa Havelin Counseling LLC, Marriage & Family Therapist in Saint Paul, MN
Lisa Havelin Counseling LLC
Marriage & Family Therapist, MA, MFA, LMFT
Verified Verified
3 Endorsed
Saint Paul, MN 55102  (Online Only)
I have specialized training in: grief and bereavement, anxiety, depression, forgiveness, sensorimotor training, trauma informed, mind/body practices, meditation, somatic experiencing, polyvagal theory and internal family systems.
We can be kind, strong, intelligent, and resourceful individuals and still there will be times when we need other people to support us, that’s just how we’re built. Acknowledging that vulnerability and asking for what we need is true wisdom. I honor and respect that in you. Every person is a unique expression of life, our work together supports you in embodying an authentic way of living. I deeply respect the painful things that bring people to seek support, as thresholds that offer the potential for healing, connection and purpose, and work to cultivate that optimism while also honoring the suffering that leads to such transitions
I have specialized training in: grief and bereavement, anxiety, depression, forgiveness, sensorimotor training, trauma informed, mind/body practices, meditation, somatic experiencing, polyvagal theory and internal family systems.
We can be kind, strong, intelligent, and resourceful individuals and still there will be times when we need other people to support us, that’s just how we’re built. Acknowledging that vulnerability and asking for what we need is true wisdom. I honor and respect that in you. Every person is a unique expression of life, our work together supports you in embodying an authentic way of living. I deeply respect the painful things that bring people to seek support, as thresholds that offer the potential for healing, connection and purpose, and work to cultivate that optimism while also honoring the suffering that leads to such transitions
(651) 867-3192 View (651) 867-3192
Photo of Sonja Walker, Marriage & Family Therapist in Saint Paul, MN
Sonja Walker
Marriage & Family Therapist, LMFT
Verified Verified
Saint Paul, MN 55106
My name is Sonja Walker. I am a Licensed Marriage and Family Therapist. I have been working within clinical practice for over 12 years. My experiences are with clients dealing with grief and ambiguous loss, mental health, trauma, divorce, attachment with relationships, parenting, crisis management, inpatient mental health, outpatient/inpatient addiction treatment, transitional services for families dealing with incarceration or legal issues, sexuality concerns and multicultural family systems.
My name is Sonja Walker. I am a Licensed Marriage and Family Therapist. I have been working within clinical practice for over 12 years. My experiences are with clients dealing with grief and ambiguous loss, mental health, trauma, divorce, attachment with relationships, parenting, crisis management, inpatient mental health, outpatient/inpatient addiction treatment, transitional services for families dealing with incarceration or legal issues, sexuality concerns and multicultural family systems.
(651) 374-9173 View (651) 374-9173
Photo of Robert John Miller, Marriage & Family Therapist Associate in Saint Paul, MN
Robert John Miller
Marriage & Family Therapist Associate, MA, LAMFT
Verified Verified
1 Endorsed
Saint Paul, MN 55108
Welcome. I believe we all have the power within us to get to the healing, healthy growth, and development we need. My particular clinical approach is based in humanistic, relational, and family systems theory, and is focused more on human potential than it is on human pathology. Prior to graduate school, I studied widely in philosophy, theology, art, literature, life sciences, and athletic performance, all of which inform my view of human nature, and human existence. What in your life would you like to be better? In our work together, I utilize the collective wisdom of the healing and growth of others to bear on the present moment.
Welcome. I believe we all have the power within us to get to the healing, healthy growth, and development we need. My particular clinical approach is based in humanistic, relational, and family systems theory, and is focused more on human potential than it is on human pathology. Prior to graduate school, I studied widely in philosophy, theology, art, literature, life sciences, and athletic performance, all of which inform my view of human nature, and human existence. What in your life would you like to be better? In our work together, I utilize the collective wisdom of the healing and growth of others to bear on the present moment.
(763) 247-4453 View (763) 247-4453
Photo of Megan Sigmon-Olsen, Clinical Social Work/Therapist in Saint Paul, MN
Megan Sigmon-Olsen
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
10 Endorsed
Saint Paul, MN 55116
I have extensive experience providing teen & family therapy.
I have the awesome privilege of getting to work with teens, families, adults and therapists all day long. I often meet teens who are uncomfortable with the idea of going to therapy. If your teen works with me, I will work closely with them to ensure that therapy with me isn't uncomfortable. I read teens well & will work hard to help your teen have a positive therapy experience. Teens are accepted in my practice for who they are in the world & they have told me that this acceptance is helpful to them during a time of intense growth & change.
I have extensive experience providing teen & family therapy.
I have the awesome privilege of getting to work with teens, families, adults and therapists all day long. I often meet teens who are uncomfortable with the idea of going to therapy. If your teen works with me, I will work closely with them to ensure that therapy with me isn't uncomfortable. I read teens well & will work hard to help your teen have a positive therapy experience. Teens are accepted in my practice for who they are in the world & they have told me that this acceptance is helpful to them during a time of intense growth & change.
(763) 244-1949 View (763) 244-1949
Photo of Jo Kurzmann, Clinical Social Work/Therapist in Saint Paul, MN
Jo Kurzmann
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55117  (Online Only)
I work with teens and adults, providing individual, couples, family, and group therapy. My specialties include working with the challenges of chemical dependency issues and other addictive behaviors such as shopping, eating disorders, and gambling. I help facilitate healing for people suffering from PTSD and trauma as the result of physical, sexual, emotional abuse and neglect. I provide an empathic and relational experience to assist with the challenging and sometimes debilitating effects of anxiety, depression, dissociation, self-harm behaviors, and chronic pain.
I work with teens and adults, providing individual, couples, family, and group therapy. My specialties include working with the challenges of chemical dependency issues and other addictive behaviors such as shopping, eating disorders, and gambling. I help facilitate healing for people suffering from PTSD and trauma as the result of physical, sexual, emotional abuse and neglect. I provide an empathic and relational experience to assist with the challenging and sometimes debilitating effects of anxiety, depression, dissociation, self-harm behaviors, and chronic pain.
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Photo of Holly Tofanelli, Marriage & Family Therapist in Saint Paul, MN
Holly Tofanelli
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Saint Paul, MN 55105  (Online Only)
Holly holds a master's degree from the Minnesota School of Professional Psychology at Argosy University. She welcomes working with adults, teens, couples, and families regarding relationship conflicts, anxiety, depression, grief and loss, substance abuse, communication, addictive behaviors, aggression, GLBT issues, parenting and emotional dysregulation. As a group facilitator, Holly is both dynamic and engaging. She is trained in Brainspotting, EMDR, Gottman method, as as well as Aggression Replacement Training. Holly has also worked with Alzheimer's/Dementia, and family caregivers at the University of Minnesota and Fairview Hospital.
Holly holds a master's degree from the Minnesota School of Professional Psychology at Argosy University. She welcomes working with adults, teens, couples, and families regarding relationship conflicts, anxiety, depression, grief and loss, substance abuse, communication, addictive behaviors, aggression, GLBT issues, parenting and emotional dysregulation. As a group facilitator, Holly is both dynamic and engaging. She is trained in Brainspotting, EMDR, Gottman method, as as well as Aggression Replacement Training. Holly has also worked with Alzheimer's/Dementia, and family caregivers at the University of Minnesota and Fairview Hospital.
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Photo of Beth Lanis, Licensed Professional Counselor in Saint Paul, MN
Beth Lanis
Licensed Professional Counselor, MA, LADC, LPCC
Verified Verified
Saint Paul, MN 55114  (Online Only)
I use Eye Movement Desensitization and Reprocessing (EMDR) to treat several different types of mental health symptoms, mind-body and somatic techniques, and family systems and parts work.
I believe trust and safety are the 2 most important things in therapy. I strive to create this with a warm and non-judgmental presence, humor when appropriate, and listening to truly understand you. To help you make the changes you want in your life, I use a compassionate yet direct approach, helping you to challenge your thought processes and behaviors. I specialize in trauma and addictions, though work with a variety of other issues you may struggle with like having a new baby, relationship and trust issues, divorce, anxiety, depression, poor self-esteem, impulsivity or concentration issues.
I use Eye Movement Desensitization and Reprocessing (EMDR) to treat several different types of mental health symptoms, mind-body and somatic techniques, and family systems and parts work.
I believe trust and safety are the 2 most important things in therapy. I strive to create this with a warm and non-judgmental presence, humor when appropriate, and listening to truly understand you. To help you make the changes you want in your life, I use a compassionate yet direct approach, helping you to challenge your thought processes and behaviors. I specialize in trauma and addictions, though work with a variety of other issues you may struggle with like having a new baby, relationship and trust issues, divorce, anxiety, depression, poor self-esteem, impulsivity or concentration issues.
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Photo of Davis Maxwell Shryer, Counselor in Saint Paul, MN
Davis Maxwell Shryer
Counselor, MA, LPCC, LADC
Verified Verified
Saint Paul, MN 55101
All diseases affect everyone in the family and can be pervasive.
Thank you for taking the time to read this. I believe in the dignity of all people. Every client has a story that needs to be told in a safe and trustworthy environment. The typical client I see often experience issues with depression or anxiety. Every problem has a solution and it my job to help you find the answer, both immediate and long-term. My goal is to help you live a safer, happier and more healthy life. I promise our time together will be respectful and productive.
All diseases affect everyone in the family and can be pervasive.
Thank you for taking the time to read this. I believe in the dignity of all people. Every client has a story that needs to be told in a safe and trustworthy environment. The typical client I see often experience issues with depression or anxiety. Every problem has a solution and it my job to help you find the answer, both immediate and long-term. My goal is to help you live a safer, happier and more healthy life. I promise our time together will be respectful and productive.
(651) 504-8633 View (651) 504-8633
Photo of Erin Morgan, Marriage & Family Therapist in Saint Paul, MN
Erin Morgan
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Saint Paul, MN 55114
Waitlist for new clients
I use a range of tools, including EMDR, mindfulness, and family of origin work to resolve underlying struggles and transform destructive beliefs into more peaceful living.
I work with people who want better relationships with others and better relationships with themselves. Couples, families, and individuals I see are bright, curious, motivated people who find their lives disrupted somehow - by the intrusion of traumatic experiences, life transitions, or persistent struggles with mental health that don't resolve on their own. I have a deep understanding of the unique therapy needs of therapists and doctors and their partners and families, and I enjoy working with folks anywhere on the gender and sexuality spectra. I also work with torture and war trauma survivors, refugees, and asylum seekers.
I use a range of tools, including EMDR, mindfulness, and family of origin work to resolve underlying struggles and transform destructive beliefs into more peaceful living.
I work with people who want better relationships with others and better relationships with themselves. Couples, families, and individuals I see are bright, curious, motivated people who find their lives disrupted somehow - by the intrusion of traumatic experiences, life transitions, or persistent struggles with mental health that don't resolve on their own. I have a deep understanding of the unique therapy needs of therapists and doctors and their partners and families, and I enjoy working with folks anywhere on the gender and sexuality spectra. I also work with torture and war trauma survivors, refugees, and asylum seekers.
(612) 294-9424 View (612) 294-9424
Summit Guidance Center
Counselor
Verified Verified
Saint Paul, MN 55104
At Summit Guidance Center we work with a diverse client population including children, adolescents, adults and family units.
At Summit Guidance Center we specialize in working with people who suffer with depression, stress, anxiety, and trauma. Empathetic understanding and action-oriented skills training underscores our treatment philosophy. We utilize a client centered approach with cognitive, behavioral, and mindfulness based strategies to strengthen clients' adaptive response to difficult emotions and events.
At Summit Guidance Center we work with a diverse client population including children, adolescents, adults and family units.
At Summit Guidance Center we specialize in working with people who suffer with depression, stress, anxiety, and trauma. Empathetic understanding and action-oriented skills training underscores our treatment philosophy. We utilize a client centered approach with cognitive, behavioral, and mindfulness based strategies to strengthen clients' adaptive response to difficult emotions and events.
(651) 237-7536 View (651) 237-7536
Photo of Minnesota Center for Psychology, Psychologist in Saint Paul, MN
Minnesota Center for Psychology
Psychologist, PsyD, LP
Verified Verified
2 Endorsed
Saint Paul, MN 55114
At Minnesota Center for Psychology, we offer comprehensive mental health services for children, adolescents and adults, as well as couples and families. We are committed to providing the best quality care in an environment that fosters integrity, respect, hope, health, and learning. If you are experiencing anxiety, depression, low self-esteem, family conflict, work or relationship issues, grief, sadness, body image issues, sleep problems, suicidal thoughts, trauma, low motivation, restlessness, communication issues, post-partum depression or anxiety, LGBT or gender identity issues, life transitions mood swings, shame, anger, parenting or behavioral issues, our highly trained and experienced clinicians can help!
At Minnesota Center for Psychology, we offer comprehensive mental health services for children, adolescents and adults, as well as couples and families. We are committed to providing the best quality care in an environment that fosters integrity, respect, hope, health, and learning. If you are experiencing anxiety, depression, low self-esteem, family conflict, work or relationship issues, grief, sadness, body image issues, sleep problems, suicidal thoughts, trauma, low motivation, restlessness, communication issues, post-partum depression or anxiety, LGBT or gender identity issues, life transitions mood swings, shame, anger, parenting or behavioral issues, our highly trained and experienced clinicians can help!
(651) 383-4569 View (651) 383-4569
Photo of Dean T. Theophilos, Counselor in Saint Paul, MN
Dean T. Theophilos
Counselor, MA, LPCC, LADC, LCPC
Verified Verified
1 Endorsed
Saint Paul, MN 55114
Waitlist for new clients
I also have training in Ego State, Internal Family Systems (IFS), and Accelerated Experiential Dynamic Psychotherapy (AEDP).
I work with individuals and couples with anxiety, depression, identity issues, relationship conflicts, trauma, and addiction. My passionate and synergistic approach helps clients reflect on their emotional, relational, and behavioral patterns, which help them live and form their inner world. I collaboratively explore these patterns to create purpose and empowerment while bringing about healthier ways of relating to others, the world, and oneself.
I also have training in Ego State, Internal Family Systems (IFS), and Accelerated Experiential Dynamic Psychotherapy (AEDP).
I work with individuals and couples with anxiety, depression, identity issues, relationship conflicts, trauma, and addiction. My passionate and synergistic approach helps clients reflect on their emotional, relational, and behavioral patterns, which help them live and form their inner world. I collaboratively explore these patterns to create purpose and empowerment while bringing about healthier ways of relating to others, the world, and oneself.
(651) 661-3363 View (651) 661-3363
Photo of Nicole Grunzke, Psychologist in Saint Paul, MN
Nicole Grunzke
Psychologist, PsyD, LP
Verified Verified
Saint Paul, MN 55114
Areas of expertise include chemical health issues, disordered eating, interpersonal concerns, couple and family dynamics, anxiety and depression, and unresolved issues related to trauma.
Areas of expertise include chemical health issues, disordered eating, interpersonal concerns, couple and family dynamics, anxiety and depression, and unresolved issues related to trauma.
(952) 314-5479 View (952) 314-5479
Photo of MidWest Center for Personal & Family Development, Psychologist in Saint Paul, MN
MidWest Center for Personal & Family Development
Psychologist
Verified Verified
Saint Paul, MN 55114
Contact MidWest Center for Personal & Family Development today.
You can get help in one simple phone call. We offer Caring, Convenient & Effective Behavioral Health Services. Call us at 651-647-1900 to schedule at one of our convenient counseling offices in: St. Paul, Burnsville or virtually from anywhere in Minnesota.
Contact MidWest Center for Personal & Family Development today.
You can get help in one simple phone call. We offer Caring, Convenient & Effective Behavioral Health Services. Call us at 651-647-1900 to schedule at one of our convenient counseling offices in: St. Paul, Burnsville or virtually from anywhere in Minnesota.
(651) 370-9355 View (651) 370-9355
Photo of Nora L. Hollenkamp, Clinical Social Work/Therapist in Saint Paul, MN
Nora L. Hollenkamp
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55102
I specialize in adults struggling with life transitions (such as complicated grief, loss, infertility, changing family structure, trauma, aging, and chronic illness) to increase their resiliency, improve their mood, and reach their individual potential despite life's changing currents.
You may have lost a job, a beloved pet, or are caring for an aging loved one. Perhaps a significant relationship in your life has taken a turn and you feel alone or confused with what your "new normal" looks like. Maybe you are a recent college graduate and struggle to find meaning in your everyday adult life. Whatever your problem may be, I can help navigate the turbulent waters in life and help you reach both your short- and long-term goals.
I specialize in adults struggling with life transitions (such as complicated grief, loss, infertility, changing family structure, trauma, aging, and chronic illness) to increase their resiliency, improve their mood, and reach their individual potential despite life's changing currents.
You may have lost a job, a beloved pet, or are caring for an aging loved one. Perhaps a significant relationship in your life has taken a turn and you feel alone or confused with what your "new normal" looks like. Maybe you are a recent college graduate and struggle to find meaning in your everyday adult life. Whatever your problem may be, I can help navigate the turbulent waters in life and help you reach both your short- and long-term goals.
(763) 317-0829 View (763) 317-0829
Photo of Mackenzie Allyn Gosa, Pre-Licensed Professional in Saint Paul, MN
Mackenzie Allyn Gosa
Pre-Licensed Professional, MS
Verified Verified
2 Endorsed
Saint Paul, MN 55104  (Online Only)
I completed coursework for AASECT (sex therapy) certification & completed my master's in marriage and family therapy from University of Wisconsin-Stout.
As your therapist, I am interested in accompanying you on the exploration of your inner world. I believe self-acceptance & self-compassion are key to our liberation, and there are few places you can go that I can't follow. Our work together will include 1. Getting to know the different parts of you, including those parts that most of us tend to reject and/or repress 2. Examining and deconstructing cultural messages you may have received growing up around sexuality, gender, vulnerability, & intimacy 3. Working to reveal the underbelly of shame by allowing it to transform into your greatest strength.
I completed coursework for AASECT (sex therapy) certification & completed my master's in marriage and family therapy from University of Wisconsin-Stout.
As your therapist, I am interested in accompanying you on the exploration of your inner world. I believe self-acceptance & self-compassion are key to our liberation, and there are few places you can go that I can't follow. Our work together will include 1. Getting to know the different parts of you, including those parts that most of us tend to reject and/or repress 2. Examining and deconstructing cultural messages you may have received growing up around sexuality, gender, vulnerability, & intimacy 3. Working to reveal the underbelly of shame by allowing it to transform into your greatest strength.
(651) 413-9084 View (651) 413-9084
Photo of Eloise von DeWitt, Drug & Alcohol Counselor in Saint Paul, MN
Eloise von DeWitt
Drug & Alcohol Counselor, LADC, LPCC
Verified Verified
Saint Paul, MN 55105  (Online Only)
Waitlist for new clients
I have a special interest in working with clients struggling with eating disorders, religious trauma, family of origin trauma, neurodiversity, sexual functioning, experiences of cancellations and accountability, and climate grief.
Seeking therapy takes immense courage, and the therapy session should be a place to explore, question, struggle, and heal without judgment. In my practice, I utilize a systemic, feminist approach that honors the innate dignity, worth, and capacity for change in all human beings. I believe that healing and change happen in our relationships to others and to a global sense of humanity. I strive to create a safe container in which to practice interpersonal healing, utilizing the therapeutic relationship and process as the primary tool for creating change.
I have a special interest in working with clients struggling with eating disorders, religious trauma, family of origin trauma, neurodiversity, sexual functioning, experiences of cancellations and accountability, and climate grief.
Seeking therapy takes immense courage, and the therapy session should be a place to explore, question, struggle, and heal without judgment. In my practice, I utilize a systemic, feminist approach that honors the innate dignity, worth, and capacity for change in all human beings. I believe that healing and change happen in our relationships to others and to a global sense of humanity. I strive to create a safe container in which to practice interpersonal healing, utilizing the therapeutic relationship and process as the primary tool for creating change.
(612) 662-4630 View (612) 662-4630
Photo of Sharon J. Barnett Mitchell, Marriage & Family Therapist in Saint Paul, MN
Sharon J. Barnett Mitchell
Marriage & Family Therapist, MS, LMFT
Verified Verified
Saint Paul, MN 55102  (Online Only)
I provide respectful, collaborative psychotherapy for adults, older teens, families, and couples. Taking a holistic and mindful approach, I can help with an array of relational and emotional concerns including life transitions; identity issues; grief and loss; sexuality and intimacy; family conflict and parenI take a client-centered, intersectional, harm-reduction and trauma-informed stance which means I provide a space where differences are honored, power is named, and the complexities of your experiences and identities are held.
I provide respectful, collaborative psychotherapy for adults, older teens, families, and couples. Taking a holistic and mindful approach, I can help with an array of relational and emotional concerns including life transitions; identity issues; grief and loss; sexuality and intimacy; family conflict and parenI take a client-centered, intersectional, harm-reduction and trauma-informed stance which means I provide a space where differences are honored, power is named, and the complexities of your experiences and identities are held.
(612) 806-0264 View (612) 806-0264
Photo of Eugene Hall, Marriage & Family Therapist in Saint Paul, MN
Eugene Hall
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Saint Paul, MN 55108  (Online Only)
Many come to therapy knowing only that they are struggling to get things done, their relationships have become a source of stress rather than comfort, or they need help processing trauma, loss, or other painful experiences impacting their daily lives. Whatever your circumstances, I strive to help each person or family I work with achieve greater emotional, psychological, and social well-being, while also alleviating symptoms. I use the power of storytelling and understand that each person I work with has many, important stories to tell. I also value and work with each person's nervous system in the healing process.
Many come to therapy knowing only that they are struggling to get things done, their relationships have become a source of stress rather than comfort, or they need help processing trauma, loss, or other painful experiences impacting their daily lives. Whatever your circumstances, I strive to help each person or family I work with achieve greater emotional, psychological, and social well-being, while also alleviating symptoms. I use the power of storytelling and understand that each person I work with has many, important stories to tell. I also value and work with each person's nervous system in the healing process.
(612) 429-4092 View (612) 429-4092
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.