Family Therapy: What It Is and What to Expect
Medically reviewed by Harsha Moole, MD, Internal Medicine. Last reviewed: October 2, 2026.
What kind of doctor provides Family Therapy?
Family therapy is usually led by a licensed therapist. This could be a marriage and family therapist, a psychologist, or a clinical social worker. A family doctor or psychiatrist may suggest therapy. They can also prescribe medicine if it is ever needed.
What it is
Family therapy is a type of talk therapy. It brings family members, or sometimes close friends, together with a trained counselor who helps them talk about problems and change unhelpful patterns. Sessions last about 50 to 60 minutes.
Why a doctor might recommend it
A doctor might suggest family therapy when stress at home is affecting someone's health, when a family member has a mental health condition such as depression or anxiety, or after a big change like a divorce or a death in the family.
How to prepare
- Write down the main problems you want to talk about.
- Ask every family member who should attend the first session.
- Check whether the therapist accepts your insurance or offers a sliding fee based on income.
- Make a list of any medicines family members take.
What happens during it
In the first session, the therapist asks questions to learn about the family and the problems they face. Later sessions focus on setting goals and practicing new ways to communicate.
Recovery
There is no physical recovery after family therapy because nothing is done to the body. Some people feel tired or emotionally raw after a session, but this usually fades within a day.
Risks and side effects
Family therapy is very safe because it does not involve medicine or physical procedures. Talking about painful subjects can bring up strong feelings, and some family members may feel upset at first. A trained therapist keeps the session safe, and anyone can ask to pause.
Who performs it
Family therapy is performed by licensed mental health professionals, including marriage and family therapists, psychologists, clinical social workers, and psychiatrists. A primary care doctor can help you find a qualified therapist nearby.
How a direct primary care or concierge doctor fits in
A direct primary care doctor charges a flat monthly fee instead of billing insurance, while a concierge doctor usually charges more and often works with insurance. Either one can screen for health problems that look like mental health issues and prescribe medicine when needed. When a family needs ongoing therapy, they will refer you to a licensed therapist and can help coordinate your overall care.
Common questions
Does insurance cover family therapy?
Many insurance plans cover therapy, but the rules differ from plan to plan. Some plans require a referral or limit the number of sessions. It is best to call your insurance company before the first visit.
Does the whole family have to attend therapy?
Not always. The therapist may start with whoever is willing to come. Sometimes sessions work best with only two people, such as a parent and a child.
How long does family therapy take?
Many families finish in about 6 to 20 sessions, but this varies a lot. The therapist will talk with you about goals and a rough timeline after the first few visits.
Is what we say in family therapy private?
Therapists must keep most of what is said confidential, which means private. There are a few exceptions, such as a risk of serious harm. The therapist will explain these in the first session.
Sources
Medical Disclaimer
This content is for general educational and informational purposes only and is not medical advice. It is not a substitute for professional medical advice, diagnosis, or treatment, and reading it does not create a doctor-patient relationship. Always seek the advice of your physician or another qualified health provider with any questions about a medical condition, and never disregard or delay seeking professional advice because of something you read here. If you think you may have a medical emergency, call 911 (or your local emergency number) immediately.
