Question 1

What is family therapy, and how is it different from individual therapy?

Accepted Answer

Family therapy is a form of psychotherapy that treats the family as a unit, rather than focusing on one person's diagnosis or behavior. The goal is to improve communication, resolve conflicts, and strengthen the relationships between family members, particularly between parents and children. Unlike individual therapy, where a teenager or parent works one on one with a therapist, family therapy brings multiple people into the room at once. This allows the therapist to observe how the family actually interacts, not just how each person describes the interactions. For many families, especially those with struggling teenagers, this system level view leads to faster and more lasting change than individual treatment alone.

Question 2

What does a family therapist actually do during sessions?

Accepted Answer

A family therapist facilitates structured conversations between family members, identifies patterns of communication that may be creating or maintaining problems, and introduces skills and perspectives the family can use outside of sessions. In practice, this might look like a therapist noticing that a parent and teenager are having the same argument in different forms, and helping them understand the underlying need that is driving it. Sessions are not simply talk about your week. A skilled family therapist has a clear therapeutic intent in each meeting. Different therapists use different approaches, such as structural family therapy, narrative therapy, or cognitive behavioral models. It is reasonable to ask a potential therapist how they work before committing.

Question 3

Is family therapy the right choice, or should my teenager be in individual therapy?

Accepted Answer

Both are often appropriate, and they are not mutually exclusive. The decision depends on what is driving the problem. If a teenager is struggling primarily with internal experiences, anxiety, depression, trauma, individual therapy is often the better starting point, because it gives them a private space to process without the pressure of family dynamics. If the struggle is relational, conflict with parents, communication breakdown, a family going through a major transition like divorce, family therapy may be more directly useful. Many families do both simultaneously: the teenager sees an individual therapist, and the family meets with a separate family therapist. A good clinician should help you think through which structure fits your situation.

Question 4

Does insurance cover family therapy in Washington State?

Accepted Answer

Most major insurance plans in Washington State include coverage for outpatient behavioral health services, which includes family therapy. Under the Mental Health Parity and Addiction Equity Act, insurers are required to provide mental health benefits comparable to medical benefits, so if your plan covers office visits, it should cover therapy. That said, coverage varies significantly by plan. Some plans require pre authorization; others have limits on the number of sessions per year. Before your first appointment, it is worth calling the member services number on the back of your insurance card and asking specifically about coverage for outpatient family therapy or behavioral health outpatient services. Ask whether the therapist you are considering is in network, what your deductible is, and what your copay will be once the deductible is met.

Question 5

What is private pay therapy, and when does it make sense?

Accepted Answer

Private pay, sometimes called self pay or out of pocket, means paying for therapy directly, without billing insurance. Some families choose private pay even when they have insurance, for a few reasons: privacy, because insurance billing creates a diagnostic record; flexibility, because private pay therapists are not bound by insurance required diagnoses or session limits; and access, because some experienced therapists do not accept insurance at all. Private pay rates for family therapy in the Edmonds and Shoreline area typically range from $150 to $250 per session, though rates vary by provider and experience level. If cost is a barrier, it is worth asking a therapist directly about sliding scale options. Many offer them and simply do not advertise them prominently.

Question 6

What questions should I ask a potential family therapist before booking?

Accepted Answer

Finding the right fit matters more than most parents realize. Research consistently shows that the therapeutic relationship is one of the strongest predictors of outcome. Before committing to a therapist, consider asking: Are you licensed in Washington State, and what is your credential? What is your experience working with teenagers and families? How do you typically structure family therapy? Do you meet with the family together, or individually, or both? What is your approach or theoretical orientation? How do you handle confidentiality with minors? Do you accept my insurance, or do you offer a sliding scale? How do you measure progress, and how will we know when we are done? A good therapist will welcome these questions.

Question 7

Our family is going through a divorce. Is family therapy useful, or does it just make things worse?

Accepted Answer

Divorce is one of the situations where family therapy tends to be most valuable, and most underused. The research on children and adolescents is clear: it is not the divorce itself that predicts long term difficulty for kids, but the level of ongoing conflict they are exposed to. A family therapist cannot make divorce easier for adults, but can help parents maintain enough communication and cooperation to protect their children's wellbeing. Sessions may involve the full family, co parents alone, or teenagers individually, depending on what is most useful at each stage. For blended families and families navigating custody transitions, therapy can also serve as a structured neutral ground where new norms are established without the pressure of daily household conflict.

joannamcguire

Default Widget

Default Widget