Family Therapy in Saint Paul, MN

Photo of Julia Hutchinson, Clinical Social Work/Therapist in Saint Paul, MN
Julia Hutchinson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Saint Paul, MN 55104
I specialize in providing individual, couples and family therapy to young and emerging adults (18-35+ years old), though I work with adults along the age spectrum (18+). My work focuses on anxiety and stress management, communication skills, personal identity, relationship building, sexuality, life transitions, traumatic experiences, and goal setting. I bring in an understanding of the somatic (body based) experience and the relationship between the mind and body in our health and healing. I am a gender affirming, sex /sexuality positive, body positive provider who uses a variety of client centered approaches in my work.
I specialize in providing individual, couples and family therapy to young and emerging adults (18-35+ years old), though I work with adults along the age spectrum (18+). My work focuses on anxiety and stress management, communication skills, personal identity, relationship building, sexuality, life transitions, traumatic experiences, and goal setting. I bring in an understanding of the somatic (body based) experience and the relationship between the mind and body in our health and healing. I am a gender affirming, sex /sexuality positive, body positive provider who uses a variety of client centered approaches in my work.
(651) 565-6370 View (651) 565-6370
Photo of Megan Serstock, Marriage & Family Therapist Intern in Saint Paul, MN
Megan Serstock
Marriage & Family Therapist Intern, BA
Verified Verified
1 Endorsed
Saint Paul, MN 55115
For those seeking relational counseling, I am educated in Marriage and Family Therapy, and I have completed Level 1 & 2 training in Gottman Method Couples Therapy.
Hi! Are you looking for a safe, nonjudgemental space to work through relationship issues with a partner(s), interpersonal distress, parenting, anxiety, stress, low self-esteem, life adjustments/transitions, or sexual concerns? I will collaborate with you to discover new ways to navigate the issues you're experiencing and utilize the strengths that you bring to therapy. I see couples, families, and individuals (14+) of all backgrounds, sexual orientations, gender expressions, and relationship styles!
For those seeking relational counseling, I am educated in Marriage and Family Therapy, and I have completed Level 1 & 2 training in Gottman Method Couples Therapy.
Hi! Are you looking for a safe, nonjudgemental space to work through relationship issues with a partner(s), interpersonal distress, parenting, anxiety, stress, low self-esteem, life adjustments/transitions, or sexual concerns? I will collaborate with you to discover new ways to navigate the issues you're experiencing and utilize the strengths that you bring to therapy. I see couples, families, and individuals (14+) of all backgrounds, sexual orientations, gender expressions, and relationship styles!
(651) 505-5324 View (651) 505-5324
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 Corinne Ann Sundell, Marriage & Family Therapist in Saint Paul, MN
Corinne Ann Sundell
Marriage & Family Therapist, MA, LMFT, RPT
Verified Verified
Saint Paul, MN 55105
My training is in marriage and family therapy, with additional instruction in play, Narrative and geek therapy.
Because I believe we grow and learn throughout our life, I delight in working with all people. I see therapy as a supportive environment created for the purpose of encouraging one another in times of need, as well as joy. I have specialized experience working with children and families, empowering each during tough transitions such as toddlerhood and adolescence, while collaborating during unexpected and challenging issues like ADHD, anxiety, depression, abuse, trauma and more. I utilize play, narrative, feminist, and mindfulness therapies to encourage hope and develop authentic connections with each person I see.
My training is in marriage and family therapy, with additional instruction in play, Narrative and geek therapy.
Because I believe we grow and learn throughout our life, I delight in working with all people. I see therapy as a supportive environment created for the purpose of encouraging one another in times of need, as well as joy. I have specialized experience working with children and families, empowering each during tough transitions such as toddlerhood and adolescence, while collaborating during unexpected and challenging issues like ADHD, anxiety, depression, abuse, trauma and more. I utilize play, narrative, feminist, and mindfulness therapies to encourage hope and develop authentic connections with each person I see.
(651) 401-8497 View (651) 401-8497
Photo of Bea Natalie Vue-Benson, Marriage & Family Therapist in Saint Paul, MN
Bea Natalie Vue-Benson
Marriage & Family Therapist, MA, MDiv
Verified Verified
Saint Paul, MN 55104
I embrace and take seriously your body, culture, environment, gender identity, sexual orientation, family systems, and personal experiences.
You are not alone. I am here for you wherever you are in your journey of life...struggling with depression, anxiety or past trauma...learning new skills...changing old behaviors...exploring your personal/cultural/racial/sexual identity...having relational problems...dealing with a serious physical illness...grieving losses...seeking the meaning/purpose of life...wondering if God exists at all. I invite you to experience a respectful, compassionate, and trusting therapeutic environment supporting your efforts to take responsibility for your life, face change, grow courage, and cultivate hope. You can do this. I am here for you.
I embrace and take seriously your body, culture, environment, gender identity, sexual orientation, family systems, and personal experiences.
You are not alone. I am here for you wherever you are in your journey of life...struggling with depression, anxiety or past trauma...learning new skills...changing old behaviors...exploring your personal/cultural/racial/sexual identity...having relational problems...dealing with a serious physical illness...grieving losses...seeking the meaning/purpose of life...wondering if God exists at all. I invite you to experience a respectful, compassionate, and trusting therapeutic environment supporting your efforts to take responsibility for your life, face change, grow courage, and cultivate hope. You can do this. I am here for you.
(651) 504-3381 View (651) 504-3381
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 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 Mariposa Family Therapy, Pre-Licensed Professional in Saint Paul, MN
Mariposa Family Therapy
Pre-Licensed Professional, MA
Verified Verified
Saint Paul, MN 55107  (Online Only)
I also have experience working in a treatment center (for substance abuse disorders) focusing on individual, couple, and family therapy.
I work a lot with individuals and couples suffering from a variety of difficulties and emotional stress. Through various therapeutic models, we dive deep into the cause of these difficulties to target strong emotional, holistic healing. A lot of times, we focus on generational trauma, early childhood experiences, and patterns in relationship.
I also have experience working in a treatment center (for substance abuse disorders) focusing on individual, couple, and family therapy.
I work a lot with individuals and couples suffering from a variety of difficulties and emotional stress. Through various therapeutic models, we dive deep into the cause of these difficulties to target strong emotional, holistic healing. A lot of times, we focus on generational trauma, early childhood experiences, and patterns in relationship.
(626) 884-2026 View (626) 884-2026
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 Tana Welter, Clinical Social Work/Therapist in Saint Paul, MN
Tana Welter
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Saint Paul, MN 55116
I recognize the value of the family system in a teenager's life and invite parents to be involved in their child's therapeutic process.
I am passionate about working with teenagers and families as they navigate these years of growth and change. This time can be both exciting and challenging, and I am honored to be invited into this space with my clients. I take a down-to-earth, empathetic, and energetic approach in my therapy. I have been told by many of individuals I work with, that I am easy to talk to and create a comfortable, judgement free space to explore issues related to identity, self-worth, depression, and more. I believe every human has the basic need and desire to be known and valued, and I strive to provide this place of belonging for my clients.
I recognize the value of the family system in a teenager's life and invite parents to be involved in their child's therapeutic process.
I am passionate about working with teenagers and families as they navigate these years of growth and change. This time can be both exciting and challenging, and I am honored to be invited into this space with my clients. I take a down-to-earth, empathetic, and energetic approach in my therapy. I have been told by many of individuals I work with, that I am easy to talk to and create a comfortable, judgement free space to explore issues related to identity, self-worth, depression, and more. I believe every human has the basic need and desire to be known and valued, and I strive to provide this place of belonging for my clients.
(763) 284-8225 View (763) 284-8225
Photo of Paul Goossens, Psychologist in Saint Paul, MN
Paul Goossens
Psychologist, LCP
Verified Verified
Saint Paul, MN 55106
Within that context, when appropriate we may explore ideas through a psychodynamic lens; consider family relationship challenges from a family systems perspective; gain insights from use of metaphors; or tap ideas from Transactional Analysis to better understand relationship dynamics.
I'm Paul Goossens. Great for you to reach out for support! I am a licensed Psychologist with extensive experience helping teens, adults, and families maneuver through a variety of mental health challenges and life transitions. I seek to understand and connect with each individual in the context of their life, while working together to define treatment success and create pathways toward that success. I am able to offer an assortment of clinical tools and modalities to our work together, tailored to each person's needs. I am here to help you move forward when you are ready.
Within that context, when appropriate we may explore ideas through a psychodynamic lens; consider family relationship challenges from a family systems perspective; gain insights from use of metaphors; or tap ideas from Transactional Analysis to better understand relationship dynamics.
I'm Paul Goossens. Great for you to reach out for support! I am a licensed Psychologist with extensive experience helping teens, adults, and families maneuver through a variety of mental health challenges and life transitions. I seek to understand and connect with each individual in the context of their life, while working together to define treatment success and create pathways toward that success. I am able to offer an assortment of clinical tools and modalities to our work together, tailored to each person's needs. I am here to help you move forward when you are ready.
(651) 413-9875 View (651) 413-9875
Photo of Alyssa Perau, Marriage & Family Therapist Intern in Saint Paul, MN
Alyssa Perau
Marriage & Family Therapist Intern, LMFT-I
Verified Verified
1 Endorsed
Saint Paul, MN 55104
Hey there, my name is Alyssa and I use she/they pronouns. I am a queer, neurodivergent marriage and family therapy intern. While my specialty is with couples, families, and groups, I also love working with individuals. I connect with clients through humor, playfulness, and art-making, which I believe can help work through challenges that life can throw at us. In my opinion, art therapy is not about making profound art but is a tool to help process feelings and discover something new.
Hey there, my name is Alyssa and I use she/they pronouns. I am a queer, neurodivergent marriage and family therapy intern. While my specialty is with couples, families, and groups, I also love working with individuals. I connect with clients through humor, playfulness, and art-making, which I believe can help work through challenges that life can throw at us. In my opinion, art therapy is not about making profound art but is a tool to help process feelings and discover something new.
(651) 615-3520 x159 View (651) 615-3520 x159
Photo of Nancy J Dorman, Marriage & Family Therapist in Saint Paul, MN
Nancy J Dorman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Saint Paul, MN 55127
My interests include working with those affected by challenging relationships, couple/family conflict, bullying, difficult life transitions, and various types of loss and trauma that can lead to anxiety, depression, and grief.
Feeling overwhelmed? Inadequate? Undone? Exhausted trying to juggle everything perfectly all of the time? Disappointed with relationships? Ready to consider what keeps you from changes you want? Wondering if life could be better if things were "tweaked" a little? You are not alone! You matter. Your story matters. Help also matters because we weren't meant to "go it alone". All of us need help along the way. And the client-therapist relationship matters: it's important that you are comfortable and find a safe place where your story---your thoughts, perspectives, hopes, and dreams---can be heard, valued, and repurposed for your next chapter.
My interests include working with those affected by challenging relationships, couple/family conflict, bullying, difficult life transitions, and various types of loss and trauma that can lead to anxiety, depression, and grief.
Feeling overwhelmed? Inadequate? Undone? Exhausted trying to juggle everything perfectly all of the time? Disappointed with relationships? Ready to consider what keeps you from changes you want? Wondering if life could be better if things were "tweaked" a little? You are not alone! You matter. Your story matters. Help also matters because we weren't meant to "go it alone". All of us need help along the way. And the client-therapist relationship matters: it's important that you are comfortable and find a safe place where your story---your thoughts, perspectives, hopes, and dreams---can be heard, valued, and repurposed for your next chapter.
(651) 321-5816 View (651) 321-5816
Photo of Eric Fawcett, Marriage & Family Therapist in Saint Paul, MN
Eric Fawcett
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Saint Paul, MN 55104
Usually, the thing that brings us to therapy has us feeling stuck. We might feel paralyzed with indecision as parts of our internal selves compete with one another for attention. We might experience recurring conflict with people we care about. We might feel that our identity - our internal self-knowing - is somehow being prevented from fully expressing itself because of messages we receive from family or society. Most often, the reason we seek therapy is some combination of the above, and as a result of our “stuckness” we may feel sadness, despair, anxiety, anger, or an unnerving lack of feeling altogether.
Usually, the thing that brings us to therapy has us feeling stuck. We might feel paralyzed with indecision as parts of our internal selves compete with one another for attention. We might experience recurring conflict with people we care about. We might feel that our identity - our internal self-knowing - is somehow being prevented from fully expressing itself because of messages we receive from family or society. Most often, the reason we seek therapy is some combination of the above, and as a result of our “stuckness” we may feel sadness, despair, anxiety, anger, or an unnerving lack of feeling altogether.
(612) 295-0884 View (612) 295-0884
Photo of Kelsie Ballentine, Marriage & Family Therapist Associate in Saint Paul, MN
Kelsie Ballentine
Marriage & Family Therapist Associate, MS, LAMFT
Verified Verified
1 Endorsed
Saint Paul, MN 55104
I enjoy working with clients on issues related to depression, anxiety, family of origin, life transitions and change, and trauma.
In my work with clients, I seek to meet them where they are. From there, we can begin our work together. The experiences and relationships in your life have a great impact on who you are today. And you are the best expert in your life. I want to honor those things while also helping you to grow and move towards who you want to be. I view the therapy as a collaborative space where we can work together to find growth, healing, and change.
I enjoy working with clients on issues related to depression, anxiety, family of origin, life transitions and change, and trauma.
In my work with clients, I seek to meet them where they are. From there, we can begin our work together. The experiences and relationships in your life have a great impact on who you are today. And you are the best expert in your life. I want to honor those things while also helping you to grow and move towards who you want to be. I view the therapy as a collaborative space where we can work together to find growth, healing, and change.
(651) 401-4796 View (651) 401-4796
Photo of Leah Swaden, Marriage & Family Therapist in Saint Paul, MN
Leah Swaden
Marriage & Family Therapist, MA, LMFT
Verified Verified
Saint Paul, MN 55104
Specialty areas include relational concerns (romantic partners, family members, etc.
I use a laidback, curious, and collaborative approach to assist people in their journey towards healing. I love laughing and make my best attempt at using humor to lighten the load of some of the heavy topics you might be bringing to our work together. I truly value the real, authentic selves we get to show up as in the therapy room (or zoom screen). As a Marriage and Family Therapist, I believe relationships and connectedness are so important to our wellbeing and how we view the world.
Specialty areas include relational concerns (romantic partners, family members, etc.
I use a laidback, curious, and collaborative approach to assist people in their journey towards healing. I love laughing and make my best attempt at using humor to lighten the load of some of the heavy topics you might be bringing to our work together. I truly value the real, authentic selves we get to show up as in the therapy room (or zoom screen). As a Marriage and Family Therapist, I believe relationships and connectedness are so important to our wellbeing and how we view the world.
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Photo of Katia R. Lopez-Petrovich, Marriage & Family Therapist in Saint Paul, MN
Katia R. Lopez-Petrovich
Marriage & Family Therapist, MS, NCC, LMFT
Verified Verified
Saint Paul, MN 55114
Waitlist for new clients
I am a Licensed Marriage and Family Therapist/Bilingual Psychotherapist focused on providing a range of services for the community including Individual and Family Therapy for Adolescents and Adults. I am not only bilingual (Spanish Language) but fully bicultural as well. I have an experience of more of 15 years. My areas of clinical specialty are mood disorders, anxiety disorders, adjustment disorders, trauma, complex trauma, PTSD, abuse and neglect issues, attachment trauma, acculturation issues, women's issues, post-partum depression, infertility grief & loss, multicultural family adjustments and parenting.
I am a Licensed Marriage and Family Therapist/Bilingual Psychotherapist focused on providing a range of services for the community including Individual and Family Therapy for Adolescents and Adults. I am not only bilingual (Spanish Language) but fully bicultural as well. I have an experience of more of 15 years. My areas of clinical specialty are mood disorders, anxiety disorders, adjustment disorders, trauma, complex trauma, PTSD, abuse and neglect issues, attachment trauma, acculturation issues, women's issues, post-partum depression, infertility grief & loss, multicultural family adjustments and parenting.
(612) 400-7668 View (612) 400-7668
Photo of Jane McCampbell Stuart, Marriage & Family Therapist in Saint Paul, MN
Jane McCampbell Stuart
Marriage & Family Therapist, MA, LMFT, CPCC, RMFT
Verified Verified
2 Endorsed
Saint Paul, MN 55114  (Online Only)
Jane is a licensed therapist, certified coach, spiritual consultant and educator. She works with executives, entrepreneurs, coaches, therapists and medical professionals from around the globe, healing trauma, encouraging relationally and helping all of us become the very best version of ourselves. By weaving together powerful modalities including EMDR, Energy Psychology, Tapping and Spiritual Consulting, she facilitates deep relief from traumatic memories, nightmares, self-worth issues, money blocks, romantic disasters, anxiety and intergenerational family trauma, bringing lasting healing to mind, body and soul.
Jane is a licensed therapist, certified coach, spiritual consultant and educator. She works with executives, entrepreneurs, coaches, therapists and medical professionals from around the globe, healing trauma, encouraging relationally and helping all of us become the very best version of ourselves. By weaving together powerful modalities including EMDR, Energy Psychology, Tapping and Spiritual Consulting, she facilitates deep relief from traumatic memories, nightmares, self-worth issues, money blocks, romantic disasters, anxiety and intergenerational family trauma, bringing lasting healing to mind, body and soul.
(612) 414-0383 View (612) 414-0383
Photo of Libby Luecke, Marriage & Family Therapist in Saint Paul, MN
Libby Luecke
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Saint Paul, MN 55105
I am a Licensed Marriage and Family Therapist who is passionate about working with individuals, couples, and families to find hope in their struggles and freedom from emotional pain. I work from a systems approach and have a strong desire to help clients discover and engage in healthy relationships with themselves and others. I find fulfillment in working with clients to understand the interconnectedness between our individual selves and the people around us.
I am a Licensed Marriage and Family Therapist who is passionate about working with individuals, couples, and families to find hope in their struggles and freedom from emotional pain. I work from a systems approach and have a strong desire to help clients discover and engage in healthy relationships with themselves and others. I find fulfillment in working with clients to understand the interconnectedness between our individual selves and the people around us.
(612) 261-1575 View (612) 261-1575
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
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.