About Systemic Family Therapy
Systemic family therapy views challenges within the context of family relationships and interactions, working to identify and shift patterns that may be contributing to difficulties.
Michael Kang

Michael Kang
Sasha Lizárraga

Sasha Lizárraga

Therapy is hard work.
Systemic family therapy is a therapeutic approach that views families as interconnected systems. Rather than focusing solely on one individual, this modality examines how family members influence one another through their interactions, communication patterns, and established roles. The goal is to help families recognize unhelpful dynamics and work together toward healthier ways of relating.
While individual therapy focuses on one person's thoughts, feelings, and behaviours, systemic family therapy looks at the broader relational context. It considers how challenges may be maintained by family dynamics and involves multiple family members in the therapeutic process. This approach often helps families understand that change in one area can positively affect the entire system.
Systemic family therapy may support families dealing with communication difficulties, conflict between family members, major life transitions, parenting challenges, or situations where one person's mental health concerns are affecting family relationships. It can also be helpful when families want to strengthen their connections and develop more supportive ways of interacting.
While systemic family therapy often involves multiple family members, the specific participants can vary depending on the situation and what the therapist recommends. Sometimes the entire household attends, while other times sessions may include just parents, siblings, or other combinations. The therapist will work with your family to determine the most helpful configuration.
The duration of systemic family therapy varies based on each family's unique circumstances and goals. Some families find meaningful progress in a relatively short time, while others benefit from longer-term support. Your therapist will discuss expectations and help you assess progress throughout your work together.
First Session's network is growing to include more therapists trained in systemic approaches. You can browse therapist profiles to learn about their training and specializations, watch introduction videos to get a sense of their style, and book directly through the platform. If systemic family therapy availability is limited in your area, you may also consider exploring practitioners who offer family therapy or other relational approaches.