Question 1

What is family therapy?

Accepted Answer

Family therapy is counselling that treats the family as a system rather than focusing on one person alone. A therapist works with parents, children, siblings, or other relatives together to improve communication, resolve conflict, and support a member who is struggling. Sessions can involve the whole family or subsets depending on the concern.

Question 2

What is the difference between family therapy and family counselling?

Accepted Answer

In Canada, the terms are largely interchangeable. Some clinicians prefer family therapy for clinical, structured, theory-based work (Bowen, structural, narrative) and family counselling for shorter-term practical support around communication, parenting, or transitions. In practice, the qualifications and techniques often overlap, so ask each provider how they describe their approach.

Question 3

What are the main types of family therapy?

Accepted Answer

Four widely taught models are structural (focuses on family roles and hierarchy), strategic (problem-focused with specific interventions), Bowen or intergenerational (patterns passed down across generations), and narrative (reshaping the stories a family tells about itself). Emotion-focused family therapy and solution-focused approaches are also common in Canada. Ask a therapist which model they draw from and why it fits your situation.

Question 4

What issues can family therapy help with?

Accepted Answer

Common reasons families come in include communication breakdowns, parenting disagreements, blended-family adjustment, co-parenting after separation, and adolescent behaviour or school issues. If the core conflict is between partners, couples therapy is usually the better starting point, and child therapists or teen therapists therapists can support a younger family member individually alongside family work.

Question 5

Can family therapy help when one member is dealing with addiction, grief, or trauma?

Accepted Answer

Yes. When a family is adjusting around someone in addiction counselling recovery, a recent loss, or a traumatic event, family sessions help members coordinate support without losing their own footing. In these situations, pairing family therapy with specialized individual work like grief counselling or trauma and PTSD therapists often produces better outcomes than family sessions alone.

Question 6

Who needs to attend family therapy sessions?

Accepted Answer

That depends on the concern. Some sessions include the whole family, others focus on a single subsystem such as parents together, siblings together, or one parent with one child. The therapist will usually recommend a structure after the intake and may adjust who attends as goals evolve.

Question 7

What if a family member does not want to come?

Accepted Answer

Therapy can often proceed without every member present. The therapist works with whoever is willing and uses system-focused techniques that can shift family patterns even when one person is absent. Some therapists do individual sessions with a reluctant member first, then invite the family in when they are ready.

Question 8

What is the role of a family therapist?

Accepted Answer

A family therapist balances voices so no one dominates, helps each person hear the others, and identifies patterns the family is stuck in. Sessions usually combine structured exercises, between-session tasks, and explicit rules about safety and repair. The therapist acts as a neutral guide rather than a judge of who is right.

Question 9

How many sessions will family therapy take?

Accepted Answer

Many families see meaningful change in 8 to 20 sessions with consistent practice between visits. Frequency usually starts weekly or biweekly and tapers as skills take hold. Some concerns like stepfamily adjustment or co-parenting after separation may need longer support, while targeted communication work can be shorter.

Question 10

Should we start with family therapy, couples therapy, or individual support?

Accepted Answer

If the central tension is between partners, start with couples therapy and expand if needed. If one person is struggling and the household is otherwise stable, individual therapy is usually first. Family therapy fits best when patterns across the household are part of the problem, or when a member needs the family to change alongside their own work. A brief intake with either type of therapist can help clarify.

Profession	Avg. hourly rate
Social Worker	$156/hr
Psychologist	$198/hr
Counsellor	$164/hr
Psychotherapist	$161/hr

City	Avg. hourly rate
Pointe-Claire	$169/hr
Lachine	$172/hr
Saint-Laurent	$169/hr
Montreal	$168/hr

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