Services

Family Therapy

Family therapy supports healthier attachment, boundaries, and collaboration across family systems.

In-depth topics

We write in depth about specific concerns that families bring to therapy — situations that benefit from focused clinical attention and a clear understanding of the family system.

Parenting Support

Therapy for parents navigating behavior, developmental concerns, family stress, and caregiver burnout.

Attachment-Focused Family Therapy

Supporting emotional safety, connection, and repair between family members across the lifespan.

Co-Parenting Therapy

Support for co-parents navigating communication, conflict, and raising children across two households.

What family therapy can help with

Family therapy supports families who want less reactivity and more connection at home. It can help parents, caregivers, children, teens, and adult family members understand the patterns that keep conflict or distance going.

  • Parenting stress, family conflict, attachment concerns, and communication breakdowns.
  • Reunification work, transitions, sibling conflict, and boundary challenges.
  • Helping family members feel heard while building more consistent follow-through.

What sessions may look like

Family therapy often focuses on slowing interactions down so each person can understand the pattern instead of reacting automatically. Sessions may include coaching, communication practice, parenting support, and planning for what happens between appointments.

  • Clarify the family cycle and what each person needs when conflict escalates.
  • Practice calmer conversations, clearer boundaries, and repair after disconnection.
  • Create realistic home-based steps that support consistency and connection.

Family therapy activities and connection tools

Family therapy is not just conversation — it often includes structured activities that help family members practice new ways of interacting. Family therapy activities might include communication exercises, check-ins, collaborative problem-solving, and connection tools that families can continue using at home between sessions.

  • Practice family connection activities that build trust and repair disconnection.
  • Use structured communication tools to reduce reactivity and improve understanding.
  • Create home-based routines that reinforce what is being built in sessions.

Co-parenting therapy and support

Co-parenting therapy supports separated or divorced parents in reducing conflict, improving communication, and creating a more stable environment for their children. It focuses on the parenting relationship rather than the personal one — helping parents work together effectively even when the partnership has ended.

  • Create communication agreements that reduce conflict and confusion between households.
  • Support children through transitions with more consistency and clarity.
  • Build a functional co-parenting relationship independent of the personal history.

Social-emotional learning and support for kids and teens

Family therapy often addresses the social and emotional needs of children and teens directly. Social-emotional learning activities in a therapeutic context can help kids understand their emotions, develop empathy, practice self-regulation, and navigate peer relationships. Therapy activities for teens can include communication skills, boundary-setting, and tools for managing anxiety, ADHD, or behavioral challenges.

  • Support social-emotional learning with age-appropriate therapeutic activities.
  • Help kids and teens build emotional regulation, communication, and self-awareness.
  • Provide therapy activities for teens navigating anxiety, ADHD, or social challenges.

Family therapy fits many situations, but it isn't the only format for family work. When a teen is in escalating crisis, family-based intensives often produce more durable change than weekly sessions. For families wanting concentrated relational work integrated with a real trip, therapeutic family vacations are an alternative. If you're not sure which container fits your family, our decision aid for therapy formats walks through the options.

Available by state

Family therapy approaches used at Mountain Family Therapy align with evidence recognized by professional mental health and pediatric organizations. The American Psychological Association publishes APA guidance for parents and caregivers, and the American Academy of Pediatrics shares American Academy of Pediatrics guidance on family dynamics.

How we approach family therapy

Family therapy works with the family system rather than with one individual inside it. The presenting problem — a teenager's behavioral changes, a parent-child relationship that's broken down, a family reorganizing after divorce — is understood in the context of the whole system: what roles each person plays, how the family communicates and makes decisions, where conflict concentrates, and what the system is organized around protecting even when those protections are causing harm.

This systems lens is what makes family therapy different from individual therapy that happens to involve family members. The goal isn't to fix the identified problem person. It's to understand what the system is doing and help it function differently.

Shawn Weymouth, LMFT, brings over 25 years of clinical experience specifically in family systems work — including therapeutic schools, young adult transition programs, equine-assisted therapy, wilderness therapy, and addiction-impacted family systems. This is an unusual depth of family-specific experience, and it shows up in an ability to read family dynamics that generalist therapists often miss. Our other clinicians also work with families, particularly in the context of parenting, parent-child relationships, and family transitions.

Who family therapy is for

Families come to therapy at very different points. Some come in early — a family transition is underway and they want support navigating it before patterns calcify. Others come in late — a crisis has made the existing dynamic untenable and something has to change. Both are workable starting points. The presenting situations we work with most often:

Parent-child conflict, particularly with adolescents and young adults. The developmental work of teenagers involves pulling away from family while also needing the family to hold steady. When both of those things are happening at high intensity simultaneously, it can produce conflict that feels like a relationship breakdown but is actually a developmental transition that needs help.

Family reorganization after divorce or separation. How families restructure after a marriage ends is one of the most consequential family therapy situations. The co-parenting relationship, the children's experience of two households, the introduction of new partners over time — all of these benefit from skilled family-systems work.

Multi-generational family systems. Families spanning multiple generations — adult children and aging parents, grandparents raising grandchildren, blended families assembled from later-life marriages — carry patterns and dynamics that show up in specific ways. This work is less crisis-driven and more about helping a family system function well through significant complexity.

Family recovery from addiction or mental illness. When one family member's addiction or mental illness has organized the family system around it — which it usually does — the rest of the family needs therapeutic attention alongside (not instead of) the individual's treatment.

Format and who's in the room

Family therapy sessions typically include the family members most central to the presenting situation. For a parent-child conflict, that's usually the parents and the child, sometimes with siblings. For a multi-generational issue, it might include adult children and a parent, sometimes across multiple states via telehealth. Who participates in each session is part of the clinical work — different configurations are useful at different stages.

Sessions are fifty minutes and held over video. Our telehealth structure is particularly useful for family work because family members can participate from different locations — especially relevant for families where adult children are geographically dispersed or where parents are in different states after a separation. Our multi-state licensure (Florida, Texas, Illinois, Utah, Idaho, Montana) covers most of the state-line situations our families navigate.

For families where weekly sessions aren't the right format, we also offer family therapy vacations (a real trip with the clinical work woven in), in-home family therapy in North Idaho and travel-to-home intensives nationwide, and family intensives for struggling teens as a clinical alternative to wilderness or residential programs.

Pricing

Intake sessions are $195. Standard sessions are $165.

Insurance typically does not cover family therapy. Sessions are self-pay.

Sessions are billed out of pocket at standard session rates.

Multi-participant scheduling and fees confirmed during the free consultation.

Family therapy coverage varies by plan. Some insurers cover family therapy sessions when there is an identified patient with a covered diagnosis; many don't cover family work at all. We verify benefits before your first session and walk through cash-pay options where insurance doesn't apply.

Family sessions involving coordination across multiple participants and sometimes multiple states tend to require more advance scheduling than individual sessions — the consultation call is the right place to map out logistics.

View full pricing →

Service FAQ

Questions about family therapy

Does everyone in the family have to participate?

Not necessarily, and not always at the same time. Family therapy is most effective when the people most central to the presenting situation are involved, but who that is depends on what's being worked on. A clinician will help determine who should be in the room at each stage. For family members who are resistant, starting with those who are willing and letting the work create a pull is a legitimate approach.

How is family therapy different from family mediation?

Mediation focuses on reaching specific agreements — a parenting plan, a decision about a family matter — with a neutral facilitator. Family therapy focuses on the relational dynamics and communication patterns that make family decisions and family life work or not work. Mediation is transactional; therapy is relational. Many families benefit from both at different points.

Can family therapy help with an estranged family member?

Sometimes. Estrangement is almost always the result of patterns that developed over years, and those patterns usually involve multiple people's contributions. Family therapy can address the system dynamics that produced the estrangement, even if the estranged person isn't initially in the room. Whether re-engagement becomes possible depends on the specific situation and what each person is willing to examine.

What if we're in different states?

Our telehealth structure handles this well. Each family member participates from wherever they are, and our multi-state licensure means we can typically cover the states involved. The consultation call confirms whether your specific state combination is within our licensure footprint.

Do you work with families affected by addiction?

Yes. Shawn Weymouth has over 25 years of experience with addiction-impacted family systems, including residential and outpatient addiction treatment settings. Family work in this context focuses on the family system that has organized around the addiction and what it needs to reorganize differently, whether or not the person with addiction is actively engaged in their own treatment.

Looking for between-session support? Our free family therapy activities and tools is a free, private starting point — no account or signup required.

Ready to talk to someone?

A free 15-minute consultation is a low-stakes way to find out if we're a good fit.