Therapy Comparison

Family vs Individual Therapy

Family therapy focuses on the family system and relationships, while individual therapy focuses on one person. Both can be effective, and sometimes they work best together.

FeatureIndividual TherapyFamily Therapy
FocusOne person's thoughts, feelings, behaviorsFamily system, relationships, communication patterns
ParticipantsJust you and therapistMultiple family members
PrivacyComplete confidentialityShared with family members
Best ForPersonal issues, individual symptomsFamily conflicts, communication issues, child/adolescent problems
ApproachFocuses on individual changeViews problems in context of family system
Change FocusIndividual changeSystemic change, family dynamics
DurationVariableTypically shorter-term (8-20 sessions)
StructureOne-on-one sessionsMultiple people, may include different combinations

Which Should You Choose?

Choose Individual Therapy If:

  • You have personal issues you want to work on privately
  • You prefer one-on-one attention
  • You want complete confidentiality
  • Your issues are primarily individual (anxiety, depression, trauma)
  • You're not ready or able to involve family

Choose Family Therapy If:

  • Family conflicts or communication problems
  • Child or adolescent behavioral/emotional issues
  • Family transitions (divorce, remarriage, loss)
  • Substance use affecting the family
  • Everyone is willing to participate

Consider Both:

Many families benefit from combining individual and family therapy. A child might have individual therapy for personal issues while the family does family therapy to improve relationships and communication.