About family therapists
Family therapists work with the whole family or several of its members to improve communication, resolve conflicts and go through changes such as separations, losses or a child’s difficulties. They look at relationships rather than at one person alone.
Getting mental health care in the United States
Public health system · No single public system (Medicaid, Medicare, community mental health centers)
There is no universal public mental health service. People with low incomes may be covered by Medicaid, older adults by Medicare, and publicly funded community mental health centers and treatment facilities can be located through the federal SAMHSA locator. More information
How to check that a professional is licensed
- State licensing boards. Clinical social workers, counselors and marriage and family therapists are licensed state by state; check the relevant board in your state.
Insurance and coverage
Federal parity law (MHPAEA) requires most group health plans that cover mental health to do so on terms no more restrictive than for physical health; deductibles, copays and in-network rules still apply.
Online therapy in the United States
The clinician must normally be licensed in the state where the patient is located. Psychologists in PSYPACT member states may practice telepsychology across those states.
Urgent help in the United States
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 911 · Emergency (911)
- 988 · 988 Suicide & Crisis Lifeline
Information reviewed in November 2026 · Sources: findtreatment.gov, docinfo.org
What does a family therapist do?
A family therapist works with families as a system, seeing several members together or in different combinations. Day to day they help families improve communication, manage conflict, adapt to changes such as separation, illness, migration or the arrival of a child, and support a member who is struggling. They look at roles, rules and patterns in the relationships rather than blaming one person.
When to see a family therapist
Family therapy makes sense when tension at home is constant, when a child or teenager’s difficulties affect everyone, after a separation or blended-family transition, during a loss or serious illness, or when communication has broken down between generations. If one person has a severe mental health condition, family therapy can complement, not replace, individual treatment. Couple-only problems may suit couples therapy better.
How is it different from other professionals?
A family therapist works with the whole family system, including children, parents and sometimes grandparents. A couples therapist focuses on the relationship between two partners. Individual therapists work with one person, though they may consider family influences. Many family therapists use systemic approaches, and some are also couples therapists, psychologists or social workers with additional systemic training.
What happens in the first session
In the first session the therapist usually meets everyone who is willing to come, listens to each person’s view of the problem and explains how they work. They make sure everyone can speak and feel safe. Think beforehand about who should attend, what each person hopes for, and ask about confidentiality, whether there will be individual sessions and how children take part.
How long does the process take?
Family therapy sessions are often a little longer than individual ones and may be weekly, fortnightly or spaced further apart, giving the family time to try changes at home. Some families find a relatively short process enough; others with complex situations need longer. Duration depends on the problem, how many people attend, their commitment and changes in circumstances.
Online or in person?
Online family therapy can work well when members live in different places, schedules are hard to coordinate, or to include relatives who cannot travel. It requires each person to have a quiet space and good connection. In-person sessions are often better with young children, when conflict is intense, or when the therapist needs to observe interactions closely.
How to check their qualifications
Family therapist is not a protected title in many countries, so check the base qualification, such as psychology, social work or medicine, and registration in that profession. Then ask about specific training in family or systemic therapy, its length, supervised practice, membership of recognised family therapy associations, and experience with situations like yours.
What affects the price?
Prices depend on session length, the number of people attending, whether co-therapists are involved, the professional’s training and experience, the city and modality. Family sessions are usually priced per session rather than per person. Ask whether there are packages or reduced rates, and whether public services or community organisations offer family therapy in your area.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in the United States cover psychological care?
There is no universal public mental health service. People with low incomes may be covered by Medicaid, older adults by Medicare, and publicly funded community mental health centers and treatment facilities can be located through the federal SAMHSA locator.
How do I check that a family therapist is licensed in the United States?
State licensing boards: Clinical social workers, counselors and marriage and family therapists are licensed state by state; check the relevant board in your state.
Can I have online therapy in the United States?
The clinician must normally be licensed in the state where the patient is located. Psychologists in PSYPACT member states may practice telepsychology across those states.