Family therapy views problems through a systemic lens—it's not about "fixing" one person but improving how the whole family functions together. A teen's acting out, a parent's depression, or sibling conflicts all affect and are affected by family dynamics.
What Family Therapy Addresses
Communication Breakdowns
Learning to listen, express needs without attacking, and have difficult conversations
Major Transitions
Divorce, remarriage, new baby, death, job loss, moving, illness
Adolescent Issues
Parent-teen conflict, behavioral problems, mental health concerns
Blended Families
Integrating stepparents, stepsiblings, navigating multiple households
How Online Family Therapy Works
Sessions typically last 50-90 minutes (longer than individual therapy to accommodate multiple people). All family members join the same video call, often from the same room but sometimes from different locations. The therapist facilitates conversation, teaches communication skills, and helps identify unhelpful patterns.
Online sessions actually have some advantages: family members who live in different cities can attend, no one has to take as much time off work, and the home environment can reveal dynamics the therapist wouldn't see in an office.
Platforms Offering Family Therapy
Talkspace
Offers family therapy with licensed marriage and family therapists (LMFTs). Multiple family members can join sessions.
Read review →Thriveworks
Offers family counseling via telehealth. Accepts many insurance plans.
Growing Self
Boutique online practice with family therapy specialists.
Note on BetterHelp
BetterHelp is designed for individual therapy only. If you need family therapy, look at platforms that specifically offer it or find a family therapist through Psychology Today's directory who does telehealth.
Tips for Online Family Sessions
- •Use a large screen if possible (TV or computer vs phone)
- •Sit where everyone can be seen on camera
- •Minimize interruptions—pets, phones, other family members
- •If joining from separate locations, use headphones
The Bottom Line
Family therapy helps families communicate better, navigate transitions, and heal from conflict or trauma. The online format removes logistical barriers—everyone can join from wherever they are. Look for platforms that specifically offer family therapy with licensed marriage and family therapists (LMFTs) or psychologists trained in family systems.