Family Therapy For Depression Treatment

Family Therapy For Depression Treatment

Writen By: Sana Ihsan
Reviewed By: Huma Khan
Publish Date: November 1, 2024

Have you ever felt sad and lonely, struggling to connect with your family during difficult times? You’re not alone. Depression, a common mental health condition, can strain even the closest family bonds. Family therapy for depression treatment offers a supportive environment where families can learn to better understand and support each other, fostering healing and resilience.

Family therapy for depression treatment can be a powerful tool for individuals and families coping with depression. In this blog, we’ll explore what depression is and its symptoms, delve into the world of family therapy, and discuss its benefits and drawbacks. We’ll also guide you in finding the right family therapist for your unique needs. So, if you’re curious about how family therapy can help you and your loved ones navigate depression, keep reading.

What is Depression? 

Depression is a feeling of persistent sadness and feeling down for a long time. It is accompanied with feelings of fatigue, hopelessness and complete loss of interest in your daily life and hobbies. This constant sense of sadness can severely disrupt your daily life.

Symptoms Of Depression

The common symptoms of depression includes:

  • Continuously feeling sad and hopeless 
  • Loss of interest in your daily life activities
  • Complete loss of interest in your hobbies or any fun activities that you used to enjoy earlier
  • Changes in appetite which can include eating more than usual or eating nothing at all which can trigger eating disorders
  • Always feeling tired and just want to lay in bed all the time
  • Difficulty falling asleep or sleeping excessively
  • Always feeling helpless and hopeless  
  • Feelings of guilt and worthlessness 
  • Trouble in concentrating on your daily tasks 
  • Continuous memory issues due to overthinking and an occupied mind
  • Constant thoughts of suicide and death
  • Physical symptoms like headaches, stomach pains and other issues without a clear cause

How Does Depression Affect Relationships? 

When a person is suffering from depression, they are in a continuous phase of sadness and hopelessness. The hopelessness in your personality affects the way you interact with others, including your loved ones. You might be feeling sad, irritable and tired all the time which badly impacts your relationships with your parents, siblings and specifically your partner. 

You might not like spending time with your family and friends anymore. The thought of attending parties, events or going on a fun trip with your partner might seem really hard and challenging. You might feel like keeping your relationships healthy with your loved ones requires a lot of effort and energy which you don’t really have. These new traits in your personality can upset your loved ones , which can in turn, damage your relationships with your family and friends.

Now let’s discuss what family therapy is, why you should consult a family therapist, and how it can benefit your relationships.

What is Family Therapy? 

Family therapy is a type of talk therapy or psychotherapy where family members participate together in sessions with a therapist. The therapist helps them understand their relationships and the issues affecting those relationships, particularly when a family member is experiencing depression. This therapy involves both the person suffering from a psychological disorder and the family members affected by their symptoms.

The main goal of family therapy is to resolve ongoing problems and improve family dynamics. It focuses on validating everyone’s feelings, ensuring that all family members, especially the patient, feel heard, supported, and respected. While there are various therapies for depression treatment, family therapy is considered one of the most effective treatments.

Types of family therapy for depression treatment
Family therapy for depression treatment 2

Family Therapy For Depression Treatment

Family therapy for depression treatment involves the whole family or sometimes just the partner working with a therapist to address depression symptoms as a team. It aims to improve communication and mutual understanding among family members to provide support for the individual experiencing depression. By listening to everyone’s thoughts and opinions, the therapist suggests ways for the family to communicate better and support each other more effectively.

Family therapy often centers on the needs of the individual with depression, acknowledging that their mental health struggles impact those around them. Numerous studies back the effectiveness of family therapy in treating depression:

  • Back in 2009, research demonstrated that family therapy can be really helpful for adolescents in their journey to treat depression. 
  • 10 years later, another study also found that structural-strategic family therapy helps teenagers with their mental health problems and also improves their relationships with their families. 
  • Another study in 2020 on Chinese adolescents also found that a good relationship with the therapist and working together as a family were important factors in depression treatment. 
  • By  2022, studies indicated that family therapy could effectively reduce suicidal thoughts in teenagers experiencing depression, with better outcomes seen in cases where families actively participated in the treatment.

Given this evidence, it’s clear that family therapy not only supports individuals but also fosters healthier family dynamics. Understanding how this therapeutic process works is important for families considering this option.

The Procedure of Family Therapy

Family therapy for depression treatment follows a structured process to address family dynamics, improve communication, and foster support for the family member experiencing depression. Here’s a step-by-step outline of the procedure:

1. Initial Assessment

The initial assessment includes assessing the overall structure of the family, family roles and hierarchies, exploring the quality of relationships among family members or partners if only a couple is involved. Techniques such as genograms (family tree diagrams) may be used to understand relationships better. The main aim is to identify the problems in the family dynamics and explore areas for strengthening and improving the relationships. The procedure further involves the assessment of the symptoms, causes and treatment needs for the person going through depression and assesses the ways in which depression has affected the family as a whole.

2. Psychoeducation

The therapist will educate the family on depression and its impact on family dynamics so everyone can understand. This will help family members recognize the symptoms of depression and its effects on behavior so they can be more empathetic and informed. By learning about the condition, families can better support their loved ones and reduce stigma around mental health in the home.

3. Setting Goals and Treatment Planning

In this step, the therapist works closely with the family to figure out and understand what the family wants to achieve from this therapy. With the family, the therapist sets specific goals for the therapy. These goals are to improve communication, bridge the understanding gap and provide support to the family member with depression. These bigger goals are broken down into smaller, achievable goals for each session to address individual issues that cause tension in the family.

4. Developing Communication and Coping Skills


The next step is to teach family members communication skills such as active listening, assertiveness and empathy. The therapist guides the family to express their thoughts and feelings constructively, to help reduce misunderstandings. Skills for conflict management are introduced with exercises on listening and responding thoughtfully. Family members also learn coping mechanisms to manage stress and support the family member with depression.

5. Family Support And Skills Learning 

In this stage, the therapist will guide the family to build a stronger support system. The therapist may assign tasks to family members to practice supportive behaviors such as spending quality time together and actively encouraging the family member with depression. Family members will learn how to comfort their loved ones effectively and create an environment where each member feels heard and understood.

6. Individual Sessions (If Needed)

If specific family members need extra guidance, the therapist may do individual sessions to address personal issues that affect family dynamics. These sessions will help family members work on their own struggles so they can contribute more positively to family therapy as a whole.

7. Long-Term Support and Relapse Prevention

As therapy nears its end, the therapist equips the family with strategies to manage future challenges. They learn to recognize early warning signs of depression relapse and develop a plan to offer timely support. Additionally, the therapist may coordinate with healthcare providers to ensure ongoing medical or psychological support, providing the individual with comprehensive care.

8. Ongoing Collaboration and Follow-Up

After the therapy sessions conclude, the therapist may offer periodic follow-up appointments to monitor progress and provide additional guidance as needed. Ongoing collaboration with medical professionals ensures the individual receives holistic support, while occasional family check-ins can reinforce the skills learned during therapy.

Limitations of Family Therapy in Treating Depression

Although family therapy is an effective tool in the treatment of depression in most cases, but patients with severe depression may require additional medical intervention and medication. Research shows that family therapy alone may not be enough to treat people with severe mental illness.

For example, a 2021 study found that while attachment-based family therapy can help with depressive symptoms, it may not fully treat severe depression in young people.

A recent study from 2023 also supports this idea, showing that family therapy is particularly effective in the initial stage of depression, while later cases benefit from a more comprehensive approach, including medical treatment.

In summary, family therapy is an effective depression treatment therapy for dysfunctional families, especially when family support plays a major role. However, for more serious cases, it is best complemented by other medical interventions.

When You Should Consult A Family Therapist

You should personally seek a depression treatment therapy like family therapy if: 

  • One or more family members are suffering from emotional challenges which impacts the entire family
  • There are constant conflicts in the family that seems hard to resolve
  • Communication gaps, disagreements and emotional breakdowns makes it hard for the family members to understand each others feelings and perspectives  
  • Prominent life changes such as divorce, relocating to a new home or work place, marriage, new friendship, death of a loved one or a serious trauma are causing stress in the entire family
  • When there is a strong need to improve your relationship with your family members, or to strengthen relationships of everybody in the family with each other
  • There is loss of trust, respect or intimacy among partners
  • There are parenting issues and its badly affecting your dynamic with your children and the overall mental health of the whole family 
  • One or more members of the family are addicted to substance abuse and its damaging the entire family
  • When you need a proper closure to improve your relationships because there is a history of unresolved traumas which is constantly affecting your relationships 

How Can You Consult A Family Therapist?

You can consult a family therapist suitable for you by following these steps.

  1. Research and Contact: The very first step is to research about the best family therapist available in your town through online directories, so you can directly contact the therapist offices and ask them about their services, charges, and availability. Contact your friends and family and your nearest healthcare institutes for any help that they can offer in this matter.  
  1. Book a Trial Consultation: Try to book a trial consultation with your chosen therapist if they offer that. This will help both of you to figure out if you guys are on the same page or not. The therapist will assess your family problems and you will assess their style of treatment. This will help both parties in planning their way forward.
  1. Planning of Sessions: Based on the trial, the therapist will design a treatment plan for you and will schedule your upcoming sessions. These sessions will mostly include couple or family sessions.
  1. Review your Progress: Maintain an open communication with your therapist and keep a constant check on your progress after each session. This will help you in making any changes or adjustments required for better results.

Benefits Of Family Therapy for Depression Treatment

The following are some of the benefits you will clearly see after getting family therapy:

  1. Better Communication

Family therapy will help to fill all the communication gaps between the family members and will improve the overall bonding in the family.

  1. Stronger Relationships:

This therapy will help you in strengthening your relationships and will promote love, understanding and mutual support in the relationships. 

  1. Resolution of Past Conflicts:

Family therapy will help you in resolving your past relationship traumas with your parents or your life partner. It provides a safe and trusted environment to openly discuss your childhood traumas or disorders like conduct disorder or disruptive mood dysregulation disorder(DMDD), conflicts and disagreements with each other, leading to stronger emotional understanding.

  1. Overcoming New Changes In Life 

Family therapy is a type of psychotherapy that will provide specific support for the depressed individual in the family. Family therapy will help you overcome drastic life changes like death of your loved one, dealing with the chronic illness of a family member, divorce depression symptoms, or unemployment. 

  1. Problem Solving Skills:

Family therapy teaches you effective problem solving skills in your relationships and will empower you to overcome any challenges as a family. It will also teach you skills to manage your stress and anger which will be really helpful for you in the longer run. 

  1. Better Understanding

Family therapy helps in creating a stronger understanding between the family members. It provides greater insight into each other’s lives, perspectives, and emotions leading to a stronger connection.

  1. Prolonged Benefits 

Family therapy will be beneficial for you in the longer run as well because it focuses on solving systemic issues running in the family which leads to sustained improvements in the overall bonds and quality of the relationships. It will also help to treat prolonged mental health conditions such as OCD ( obsessive Compulsive Disorder), mood disorders, eating disorders, bipolar disorder, personality disorder, substance use and schizophrenia

Drawbacks of Family Therapy For Depression Treatment

The following are the drawbacks of Family Therapy for depression treatment:

  1. Unequal Participation

In some situations, one of the family members sometimes resists participating in the family therapy, which creates further conflicts in the family. While in other cases, some family members may dominate others during the therapy sessions due to which other family members might feel unheard.

  1. Trouble Resolving Traumas

In some cases, discussing past traumas might be challenging for some individuals as these are sensitive issues and emotionally challenging topics that require further time and effort to understand and resolve.

  1. Privacy Concerns  

Some individuals might be over conscious about their personal matters and won’t like to discuss them openly in front of everyone. Therefore, maintaining confidentiality among these sessions can be quite a task.

  1. Lack of Self-Dependence 

In many cases, the family tends to depend entirely on the therapist to resolve their conflicts and address their traumas rather than building their own problem solving skills and coping mechanisms.

  1. Limited Effectiveness for Specific Illnesses 

Family therapy can be beneficial for treating and addressing systemic issues in the family but specific mental health issues are out of line for this type of psychotherapy. Hence, specific treatment approaches may be required for such mental health issues.

  1. Cost And Time Management

Family therapy can be costly because multiple sessions might be required which can be worrisome for some families. If all the family members have their own work or study routines, it can be really challenging to manage time routines.

  1. Lack Of Effectiveness for Specific Family Structures

Family therapy might not be effective for specific family structures who have diverse beliefs about mental health problems overall. In other cases, where the family has a continuous pattern of abuse, trauma and neglect, family therapy might not be a permanent solution for such families.

Conclusion

In conclusion, family therapy for depression treatment is an effective form of psychotherapy. By working together as a family and listening to each other, the family members can support each other in a better manner and help specific depressed individuals come out of their tough phase in life. As we have mentioned throughout the article that family therapy helps in improving communication, and strengthening relationships, which can make a huge difference in helping specific family members feel better because it’s not just about that one person; it’s about the whole family learning and growing together. 

Frequently Asked Questions ( FAQs)

The following are the answers to some of the most frequently asked questions.

1. What are the risk factors involved family therapy? 

Risk factors for family therapy include lack of participation from family members, absence of urge for improvement, privacy concerns and complex family dynamics.

2. What benefits can I get from family therapy?

After family therapy, you will feel more connected as a family. The family members will understand how to prevent any potential problems in the future.They will learn to be more supportive and considerate towards each other in their tough times. 

3. How to find a family therapist?

We have already mentioned above about the steps which you need to follow to find a therapist but here are some further useful links which might help you. 

  1. ContactLifeline
  2. FamilyPaths
  3. American Association For Marriage And Family Therapy 

4. Why is family therapy important?

Family therapy is important for families suffering from conflicts or having one depressed individual affecting the entire family because it teaches you to be more compassionate towards each other, it helps you in being more helpful to each other by teaching you ways to solve your problems as a family on your own, it teaches you to strengthen your relationships which will naturally make everyone in the family feel healthier and happier.

5. Is it useful for children and teens?  

Yes, family therapy can be highly effective for children and teens because it will help the children and teens to openly discuss their worries related to school, friends, developmental transitions and their relationship with their parents. This will also help the parents in having a better understanding of their parenting style and what changes are required to make it better.

According to a 2007 study, family therapy can be useful for children and teens but further research is needed in this field.

Recently, another study also mentioned a type of family therapy called family based interpersonal psychotherapy, which helps children between age 8-12 with depression by improving their relationships with their families and friends.

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