
{"id":8230,"date":"2011-03-18T12:32:22","date_gmt":"2011-03-18T19:32:22","guid":{"rendered":"http:\/\/www.goodtherapy.org\/blog\/?p=8230"},"modified":"2014-03-31T14:58:47","modified_gmt":"2014-03-31T21:58:47","slug":"issues-treat-before-family-therapy","status":"publish","type":"post","link":"https:\/\/www.goodtherapy.org\/blog\/issues-treat-before-family-therapy\/","title":{"rendered":"Family Therapy or Individual Therapy? Four Concerns to Consider"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-23755\" alt=\"A couple sits with a therapist as the man looks uninterested.\" src=\"https:\/\/www.goodtherapy.org\/blog\/blog\/wp-content\/uploads\/2011\/03\/couple-in-therapy.jpg\" width=\"300\" height=\"300\" data-id=\"23755\" title=\"\" srcset=\"https:\/\/www.goodtherapy.org\/blog\/blog\/wp-content\/uploads\/2011\/03\/couple-in-therapy.jpg 300w, https:\/\/www.goodtherapy.org\/blog\/blog\/wp-content\/uploads\/2011\/03\/couple-in-therapy-200x200.jpg 200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Families are amazingly resilient relationship groups. While many of us have enduring <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/family-problems\" target=\"_blank\">trouble with some aspect of our families<\/a>, past or present, all of us are part of some form of family all our lives. Most of us organize our lives around the needs, priorities, goals, and problems of our chosen family. Whatever differences and conflicts we may have with other nations and peoples around the world, the human family is the way all of us organize.<\/p>\n<p><a href=\"https:\/\/www.goodtherapy.org\/family-therapy.html\" target=\"_blank\">Family therapy<\/a> is a form of psychotherapy that seeks to understand, theorize, and imagine ways to help families function better with more flexibility, healthier <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/communication-issues\" target=\"_blank\">communication<\/a>, and more functional <a href=\"https:\/\/www.goodtherapy.org\/blog\/psychpedia\/role\" target=\"_blank\">roles<\/a>, responsibilities, and shared connections. When family relationships are strained beyond the members\u00e2\u20ac\u2122 capacity to respond, having a trusted, <a href=\"https:\/\/www.goodtherapy.org\/blog\/psychpedia\/definition-of-compassion\" target=\"_blank\">compassionate<\/a>, and trained relationship coach or mentor can really make life happier, easier, and healthier for all involved. Licensed marriage and family therapists (LMFT) have specialized education, training, and supervision in helping families increase their ability to function in a positive, enjoyable way\u00e2\u20ac\u201dat least, that\u00e2\u20ac\u2122s the goal.<\/p>\n<p>As helpful and healing as family therapy can be, there are certain life problems that are so detrimental to individual functioning that they should be addressed in individually therapy before family therapy can begin. These include:<\/p>\n<ol>\n<li><strong>Addiction<\/strong>. Major, <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/addictions-and-compulsions\" target=\"_blank\">active addiction<\/a> is so distracting and distressing to personal functioning, that the condition must be in treatment and under stable recovery before family therapy can be helpful. Most LMFTs will expect that drug, alcohol, and\u00c2\u00a0<a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/gambling-addiction\" target=\"_blank\">gambling<\/a>\u00c2\u00a0addictions, and <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/eating-disorders\" target=\"_blank\">eating disorders<\/a> get identified and treated before the whole family is under care. <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/sex-addiction\" target=\"_blank\">Sexual addictions<\/a>, in my experience, are often only identified when a couple or family is well into therapy, and so may be initially hidden. However, they too are best treated individually if the addiction has been identified in the beginning.<\/li>\n<li><strong><div class=\"content-fatwidget align-right\">\n\t<h2><a href=\"https:\/\/www.goodtherapy.org\/find-therapist.html\" target=\"_blank\">Find a Therapist<\/a><\/h2>\n\t<form action=\"https:\/\/www.goodtherapy.org\/search-redirect.html\" method=\"get\">\n\n\t\t\t<input required name=\"search[zipcode]\" placeholder=\"Enter ZIP or City\" class=\"inline-input\" type=\"text\" \/>\n\n\n\t\t\t<input type=\"submit\" name=\"TOS agreement\" value=\" \" class=\"inline-btn\" title=\"Search\" onclick=\"ga('send', 'event', 'FAT Widget', 'Submit Search', 'Sidebar', {nonInteraction: true});\" \/>\n\t\t<a href=\"https:\/\/www.goodtherapy.org\/advanced-search.html\" title=\"Advanced Search\" onclick=\"ga('send', 'event', 'FAT Widget', 'Advanced Search', 'Sidebar', {nonInteraction: true});\" >Advanced Search<\/a>\n\t<\/form>\n<\/div>Severe mental health conditions<\/strong>. Major mental health issues such as <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/bipolar\" target=\"_blank\">bipolar<\/a>, <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/depression\" target=\"_blank\">severe depression<\/a>, anxiety, <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/schizophrenia\" target=\"_blank\">schizophrenia<\/a> or other disabling conditions should be under treatment before family treatment is begun.<\/li>\n<li><strong>Family violence<\/strong>. <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/anger\" target=\"_blank\">Chronic anger<\/a>, <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/domestic-violence\" target=\"_blank\">violence<\/a>, and abusive behaviors are so threatening to family life that attempting family therapy can actually cause more hurt unless the violence is first prevented, controlled, and stopped.<\/li>\n<li><strong>Affairs<\/strong>. Secret or not, ongoing <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/infidelity\" target=\"_blank\">emotional and sexual affairs<\/a>\u00c2\u00a0unbalance a family so that therapy is not possible unless they are completely stopped. Most family therapists will ask about affairs in their initial phone conversations or meetings with couples and the adults of family groups and will defer family therapy in cases of ongoing affairs.<\/li>\n<\/ol>\n<p>Even if your family may be in the midst of one of these problems, a family therapist may be a great local resource for <a href=\"https:\/\/www.goodtherapy.org\/find-therapist.html\" target=\"_blank\">finding the help you need<\/a>. If you are worried about your family, have run out of your own ideas, and energy for making a change is running low, please consider seeking out the professional help you need to get your closest relationships back on track.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lynne Silva-Breen, MDiv, MA, LMFT &#8211; There are some concerns that need to be treated through individual therapy before family therapy can begin; here are four. <\/p>\n","protected":false},"author":1104,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[],"tags":[393,81,49,25,27],"class_list":["post-8230","post","type-post","status-publish","format-standard","hentry","tag-family-problems","tag-family-therapy","tag-considering-psychotherapy","tag-psychotherapy-issues","tag-psychotherapy-models"],"_links":{"self":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/posts\/8230","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/users\/1104"}],"replies":[{"embeddable":true,"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/comments?post=8230"}],"version-history":[{"count":0,"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/posts\/8230\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/media?parent=8230"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/categories?post=8230"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/tags?post=8230"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}