What are the Difference Between Family Therapy, Family Counseling and Couples Counseling?

     A good article recently appeared discussing the difference between ‘family therapy’ and ‘family counseling.’ Slight differences, it’s an interesting discussion. Here are some excerpts.

  • Family counseling is a discipline of therapy focused on finding solutions for the challenges and complexities that may arise in family life. Also called marriage and family therapy (MFT), clinicians work to improve communication among family members and adjust the dynamics between members of the family that may result in dysfunction. The terms “family counseling” and “family therapy” are often used synonymously, but it is important to note that family counseling, like other forms of counseling, may be defined by some clinicians as shorter in duration and more solutions-focused than family therapy.
  • Family counseling has evolved and developed over the decades and now incorporates practices and methods from several schools of thought.
  • Structural Family Therapy: This method examines the rules and power dynamics of the family. In structural family therapy, the therapist may be more involved than other types of treatment and help to reorganize the structures of the family to improve how people feel in the family and create a more cohesive unit.
  • Cognitive Behavioral :Couples Therapy: Applying the same principles as cognitive behavioral therapy, this modality encourages couples to identify and name the patterns of behavior causing them or their partner distress in the relationship, with the clinician teaching skills to help confront and change these patterns.
  • Couples and Marriage Counseling: This approach focuses on relationship problems. Therapists typically meet with both partners at the same time to identify the challenges they face and disagreements they may have and help the couple find better solutions for how to communicate, find mutually acceptable solutions, and work as a team.
  • A licensed marriage and family therapist (MFT or LMFT) is a mental health practitioner with a master’s or doctoral degree. MFTs typically train under a supervisor for two years, or 3,000 clinical hours, and must pass an exam to receive licensure.
  • When seeking a family counselor, it’s important to choose someone with whom you and your family members trust and feel comfortable talking about what can be difficult topics. Studies have shown that the quality of the relationship between client and therapist is one of the most important factors for a successful outcome.
  • Family therapy has expanded in popularity significantly in recent years. One study found that as many as 70 percent of psychotherapists now offer treatment to couples or families.
  • Whatever the makeup of the family unit, learning and practicing the skills of respectful communication, mutual understanding, and harmonious conflict resolution have made a difference in the lives of many families across the world.

                                       “Family Counseling.” (2023).