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Family therapy

The room enlarges. The listening does not thin.

Some difficulties are not held by one person. Family therapy makes it possible to look, together, at the pattern that has grown up between you — without blame and without avoidance.

Who this is for

Adult family members willing to sit in the same room.

  • Cross-cultural families — Thai and international — negotiating expectations, roles, and language.

  • Adult children and parents whose relationship has grown distant, silent, or difficult.

  • Adult siblings navigating an aging parent, an inheritance, or a shared history.

  • Blended families finding a shape that works for everyone.

  • Families in transition — relocation, retirement, a serious diagnosis, a bereavement.

  • Families where one member has been quietly carrying more than their share.

What families bring

The patterns that outlive individual attempts to fix them.

  • Communication that has become polite on the surface and unresolved underneath.

  • Long-standing estrangement between a parent and an adult child.

  • Difficulty adjusting to a new life stage — an empty nest, a grown child returning home, a parent's decline.

  • Cross-cultural tensions around marriage, career choices, and grandchildren.

  • Grief that has been held privately by each family member, and never together.

  • A single member whose difficulty (illness, addiction, mental health) has reshaped the whole system.

  • Recurrent conflict at family gatherings and around specific decisions.

How family work is held

Systemic thinking, done gently.

Family therapy is not group individual therapy. It looks at the family as a system — the patterns, the roles, the unspoken rules — and works with the whole system rather than any single member. My approach draws on three complementary traditions.

Systemic family therapy

The foundation — attending to circular patterns, roles, and the family's own history rather than locating the difficulty in one member. Especially useful where a family has silently agreed who is 'the difficult one'.

Narrative therapy

Separating the person from the problem. Useful when a family has become organised around an illness, a betrayal, or a fixed story of who each member is.

Cross-cultural family work

A specific attention to bilingual, mixed-heritage, and multi-generational-migration families. Culture is not a footnote here; it is often the material of the room.

What families take away

Change at the level of the pattern.

  • Conversations that have been avoided for years, held once and held well.

  • A shared understanding of the family's pattern — how each of you contributes, without blame.

  • Reduced conflict at the specific pressure points: gatherings, decisions, milestones.

  • Repaired lines of communication between adult children and parents where both wish to repair them.

  • A more truthful acknowledgment of what a family has been through, and of what it can become.

Frequently asked

Questions families ask first.

How many family members should attend?

It varies. Some pieces of work are between one adult child and one parent; others involve four or five adults across two generations. We agree the configuration together, and it may change during the course of the work.

Do you see young children?

No. My family practice is with adults and adult family systems — parents with adult children, adult siblings, extended families. When children are part of the picture, I refer to trusted colleagues who specialise in child and adolescent work.

How long is a family session?

Ninety minutes. Family work needs longer than individual work; slowing down a system takes time.

How often are sessions?

Usually fortnightly or monthly. Family therapy works differently to individual therapy — the space between sessions is often where the shifts consolidate.

Can some family members join online?

Yes. Blended in-person and online sessions are common for families spread across cities and countries. It is important that no one family member is the only person on a screen; the room should feel balanced.

What if one family member refuses to come?

That is common and workable. Useful family therapy is often possible with only some members present — the pattern is in the room even when the person is not. We may also spend early sessions thinking about how to invite the absent member well.

When you are ready

One person can make the first call.

Fifteen minutes, at no cost. Usually one family member calls first; we then talk about how to bring in the others in a way that will actually work.

Other ways of working