Family therapy, sometimes called family counseling, is a form of treatment that addresses the relationships, communication patterns, and behaviors within the family system. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), integrating family members into the recovery process has been shown to improve engagement in care and lower the risk of relapse. In Colorado, addiction treatment programs often highlight family therapy because recovery is rarely an individual process—it affects the entire family.

At Red Ribbon Recovery Colorado, family therapy sessions give loved ones a structured, supportive space to talk through challenges, rebuild trust, and learn healthier ways of interacting. These sessions are guided by licensed family therapists who understand the unique pressures substance use places on family life. By involving partners, parents, children, and sometimes even extended family members, therapy helps everyone gain skills to support recovery and strengthen overall well being.

What is family therapy?

Family therapy is a type of counseling that brings together clients and their loved ones to work through the challenges that addiction and mental health conditions place on family relationships. Sessions are led by licensed family therapists, marriage and family therapists, or other mental health professionals who are trained to look at the family as a whole rather than just the individual.

During therapy, families explore how patterns of communication, conflict, or unhealthy behaviors may contribute to substance use. The process often includes setting goals, practicing problem solving skills, and identifying healthy behaviors that strengthen the family environment. For many families, this approach helps them understand that addiction is not just an individual problem—it is a family disease that impacts the emotional health and well being of everyone involved.

Family therapy focuses on equipping families with practical strategies they can use to stay engaged throughout the treatment process and beyond. By addressing issues together, families are better prepared to help their loved one sustain recovery while also improving their own quality of life.

What to expect from family therapists and behavioral family therapy programs

The first family therapy session is often an introduction, giving the therapist a chance to learn about the family system and how each person interacts. Family members may be asked questions that feel personal, but these help the therapist understand relationship dynamics, mental health concerns, and areas of family conflict. The first meeting is also a chance for the family to decide if the therapist feels like the right fit. If not, it is always acceptable to request a different family therapist or marriage and family therapist.

Later sessions

After the initial meeting, sessions focus on progress toward treatment goals, changes in family interactions, and any challenges that surface along the way. Family therapists may assign homework to encourage healthy behaviors outside of the therapy room—this could be journaling, practicing communication exercises, or holding short family meetings at home. These assignments are designed to strengthen emotional health, improve problem solving, and keep the whole family actively involved in the healing process.

Client confidentiality

Like other mental health professionals, family therapists are bound by confidentiality. What is said in sessions remains private unless there is a legal or ethical duty to report, such as suspected child abuse or threats of harm. These limits are always reviewed at the start of treatment so every family member understands the process. Confidentiality creates a safe environment for families to address painful emotions, conflicts, and other family issues that may otherwise remain hidden.

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How does family therapy in addiction treatment work?

Family therapy can take different forms during the treatment process. Sessions often last about an hour and may involve the whole family, select family members, or in some cases, each person individually. The therapist guides the discussion based on the family’s unique needs—sometimes focusing on communication, other times on conflict resolution, or simply providing education about how addiction affects the family system.

Most family therapists today use an eclectic approach, combining techniques from different models of care. This flexibility allows them to adapt as the family gains coping skills, learns healthier ways to interact, and addresses family issues that may have contributed to substance use.

Types of family therapy

Some of the most common approaches to family counseling in use today include:

  • Couples therapy. Behavioral couples therapy focuses solely on the patient and their partner. The therapist helps the couple work through issues ranging from communication to finances to child rearing. For those coping with addiction, the therapist will also teach the partner how to better support the recovery process.
  • Systems therapy. This can be a very helpful form of therapy for people with busy lives. It considers each person in the group as part of the various contexts in their lives. For example, the client might be a spouse and parent, but also a member of a specific religious organization, part of a sports team, or a community theater actor. Taking all of these contexts into account, along with factors such as gender and socioeconomic status, can help identify both strengths and areas that need improvement.
  • Functional family therapy (FFT). Although this kind of counseling is most commonly used when the patient is a child, some of its elements are also useful when helping someone in the household overcome addiction. The therapist will dig into specific family dynamics that may have contributed to the addiction and help the family develop healthier coping skills.
  • Strategic family therapy. This can be helpful when the family unit is the most important element in the patient’s life. It focuses on quick wins based on implementing structural and behavioral changes within the household.
  • Structural family therapy. This approach focuses on the structure of the family, including its hierarchies, boundaries, and relationships. The goal is to identify patterns that are unhealthy and teach members of the family new ways of interacting that break those old cycles.
  • Family behavior therapy (FBT). This model combines cognitive-behavioral strategies with family involvement to address substance use and other co-occurring issues. Families work together on problem solving, improving communication, and reinforcing positive behaviors in the home.
  • Brief strategic family therapy (BSFT). Often used with adolescents who have substance use disorders, BSFT helps identify and change interaction patterns that reinforce problem behaviors. Therapy typically lasts 12–16 sessions and focuses on building healthier family interactions.
  • Solution-focused brief therapy. Instead of dwelling on the causes of family issues, this approach looks for practical, short-term solutions that can be put into action right away. Families work with the therapist to define goals and develop strategies to achieve them.
  • Community reinforcement and family training (CRAFT). CRAFT teaches family members how to use positive reinforcement to encourage a loved one to reduce substance use. It also helps families improve their own well being and communication, even if their loved one is not yet in treatment.
  • Multisystemic therapy (MST). MST is an intensive, home-based approach often used with adolescents who struggle with substance use, delinquent behavior, or legal problems. It involves parents, schools, and community resources to create consistent support for healthier choices.
  • Multi-dimensional family therapy (MDFT). MDFT addresses substance use and behavioral issues among adolescents by working not only with the family but also with schools, courts, and other systems. It helps strengthen family relationships while improving the adolescent’s functioning in multiple areas of life.
  • Family recovery support groups. These groups provide education and peer support to family members of people in recovery, offering a place to share experiences and reduce feelings of isolation.
  • Family peer recovery support services. Delivered by peers with lived experience, these services help families understand the recovery process, connect with resources in the community, and stay engaged in their loved one’s own recovery.

What are the benefits of family therapy?

Research shows that family therapy for addiction treatment provides benefits not just for the person in recovery, but for the entire family system. When family members are involved in therapy, they gain a better understanding of substance use disorders, learn healthier ways to communicate, and develop tools for problem solving that improve family life overall. Marriage and family therapists and other mental health professionals often note that involving the family strengthens outcomes and helps maintain long-term well being.

Some of the key benefits include:

  • Improved treatment retention and engagement.
  • Increased family support for the person in recovery.
  • Better understanding of addiction and how it affects families.
  • Greater awareness of relapse warning signs.
  • Enhanced family communication and reduced relationship conflicts.
  • Promotion of healthy behaviors and positive reinforcement strategies.
  • Improved parenting skills and ability to manage family issues.
  • Reduced risk of relapse for the person in treatment.
  • A stronger ability for family members to take care of their own emotional health and overall physical health.

In Colorado, families often face the same challenges seen nationwide: balancing work, school, and daily responsibilities while supporting a loved one in recovery. Family counseling provides a structured space to address these pressures, strengthen relationships, and build healthier routines at home. This support helps both the person in treatment and the family unit as a whole move forward with greater stability and resilience.

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When is family counseling not recommended?

While family therapy offers many benefits, it is not always the right approach in every situation. Therapists and the broader treatment team carefully assess whether family involvement will support or hinder the recovery process. In some cases, involving certain family members may create added stress or risk for the person in treatment.

Family therapy may not be recommended if:

  • One or more family members are in active addiction themselves.
  • There is a history of violence, abuse, or uncontrolled anger that could create safety concerns.
  • Family members are unwilling to acknowledge the substance use disorder or remain in denial about the problem.
  • Participation would cause significant emotional harm to the person in treatment or other family members.

In these cases, family therapists may suggest alternative options such as one-on-one therapy, support groups, or other community services until the family is better prepared to engage in joint sessions. The goal is always to create a safe and constructive environment where meaningful progress can occur.

Family therapy vs. individual therapy or other mental health services

Family therapy and individual therapy are not competing approaches—most people benefit from both during the treatment process. Individual counseling gives clients a private, non-judgmental space to explore personal struggles, address mental health conditions, and set goals for recovery. The focus is entirely on the individual, their thoughts, and their experiences.

Family therapy, by contrast, zooms out to look at the client as part of a larger family system. This approach addresses how family interactions, communication patterns, and relationship conflicts influence substance use and recovery. Each family member has the opportunity to contribute, share perspectives, and build solutions together. In many cases, family therapy works to improve family communication, strengthening problem solving skills, and reducing family conflict while encouraging the entire family to keep showing support.

Treatment plans often include other forms of care as well, such as group therapy. Group sessions bring together people with similar challenges, providing social support networks and opportunities to learn from shared experiences. Twelve Step programs are among the most recognized forms, but many community services and other group models are also available.

Finding family therapy for addiction treatment near you

Family therapy is available in many addiction treatment programs across the country, including here in Colorado. Whether offered as part of residential care, outpatient treatment, or virtual sessions, these services are designed to keep families actively involved in the recovery process. Addiction treatment families benefit from working with licensed family therapists, marriage and family therapists, and other mental health professionals who understand how family issues and substance use disorders are connected.

When looking for family therapy in addiction treatment, consider asking about:

  • Treatment details. How often sessions are held, who participates, and what models of therapy are used (such as functional family therapy, solution focused brief therapy, or systemic family therapy).
  • The treatment team. Whether sessions are led by family therapists, marriage and family therapists, or other qualified mental health professionals.
  • Support outside of therapy. Options such as family recovery groups, community resources, or other family peer recovery support services that can help maintain progress between sessions.
  • Flexibility. Whether therapy can involve extended family, other family members who may not live in the same household, or virtual meetings when in-person sessions are not possible.

If you or someone you love is searching for family therapy for addiction, starting with local treatment centers is often the best step. In Colorado, many programs include family-based treatment as part of comprehensive care, helping families strengthen relationships, remain supportive, and promote healthier family life throughout the recovery process.

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Support for children and teens

Children and adolescents are especially vulnerable when addiction affects the home. The very place where they should feel most secure can instead become a source of uncertainty, broken promises, and emotional pain. Young people may blame themselves, withdraw socially, or act out as they try to cope with the instability around them.

Specialized family programs for kids and teens provide education in age-appropriate ways, helping them understand that they are not responsible for a parent’s or sibling’s substance use. These services focus on building resilience, teaching coping strategies, and reinforcing each child’s strengths and self-worth. By giving children and teens a safe space to process their experiences, families can interrupt the cycle of stress and create healthier patterns for the future.

Other ways to support family members in recovery

Family therapy is one of many ways to stay engaged in the recovery process, but support does not have to end when sessions are over. Families can be supportive in a variety of ways, depending on the needs of their loved one and their own capacity for care.

Some options include:

  • Participating in family support groups. Programs such as Al-Anon or Nar-Anon provide education, encouragement, and connection with other family members who have been through similar experiences.
  • Maintaining support networks. Staying connected to friends, faith communities, or other community services can reduce isolation and provide additional strength for both the person in recovery and their family.
  • Caring for your own recovery. Families often carry painful emotions and stress related to addiction. Taking time for self-care, whether through therapy, support groups, or healthy activities, helps family members protect their own emotional health and well being.
  • Celebrating progress. Acknowledging successes, even small ones, helps reinforce positive behaviors and encourages a loved one to stay committed to their treatment process.

Families may also find encouragement in books and online materials that address topics such as setting boundaries, practicing self-care, and supporting a loved one through recovery. Many treatment centers and community organizations in Colorado offer podcasts, guides, and other resources created by professionals and family members who have been through similar experiences. These tools remind families that they are not alone and that recovery involves healing for everyone—not just the person with the addiction.

Are family therapy programs in Colorado covered by insurance?

In many cases, family therapy is covered by insurance when it is considered medically necessary. Coverage is most common when sessions are included as part of a comprehensive addiction treatment program, but the specifics vary depending on your plan. Some insurers will cover an unlimited number of sessions, while others may set limits on frequency or total visits per year. Policies may also require copays, pre-authorization, or proof that family therapy is part of the treatment process recommended by your treatment team.

Marriage and family therapists, family therapists, and other mental health professionals who provide these services typically bill under behavioral health benefits. Insurance companies may review treatment details such as the client’s diagnosis, whether family therapy focuses on substance use disorders or mental health conditions, and how it fits into the overall treatment plan. For example, sessions may be approved more readily when they address family conflict, relationship conflicts, or parenting skills that directly impact recovery.

It is also worth noting that some policies differentiate between family-based treatment, individual counseling, and group counseling, so coverage may depend on how the service is coded. Families should always confirm whether extended family members or other family members can be included under their plan.

At Red Ribbon Recovery Colorado, we understand that insurance can feel overwhelming, especially when balancing the demands of treatment. Our admissions staff can quickly verify your benefits and explain what is covered, what costs you might be responsible for, and whether other community based services are available to help. Simply call us at (303) 219-3980 for a free, confidential insurance benefits check.

Strengthening families through therapy

Family therapy is one of the most effective ways to address the challenges that addiction and mental health concerns create within a household. In addiction treatment, family therapy allows family members to work through conflict, learn healthier communication, and better understand how family dynamics influence recovery. Many family members report that once they engage in therapy, their stress decreases, and their confidence in supporting a loved one grows. Parents report that after consistent sessions, a child’s behavior improved as structure and stability returned to the home.

Marriage and family therapists are uniquely trained to guide these conversations. Their work draws from the family systems model, which views individuals as part of an interconnected whole rather than in isolation. By using approaches such as solution focused therapy, functional family therapy, or network therapy, therapists can tailor treatment to the specific needs of the family. Whether supporting adolescents with substance use concerns, addressing mental disorders, or helping couples strengthen marriage and family bonds, these interventions give families practical tools for long-term healing.

Addiction treatment family therapy may look different for each household, since no two families interact in the same way. Some sessions may include only a few participants, while others may involve many family members across generations. Regardless of who is present, the goal is the same: to improve the way the family interacts, reduce risk factors for relapse, and create an environment where both the individual and the family can thrive.

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Help and support for families in Colorado starts here

Addiction is often described as a “family disease” because it disrupts the lives of everyone connected to the person struggling. Families may feel exhausted, anxious, and unsure of how to help. Tension at home can escalate into frequent arguments, sleepless nights, and feelings of helplessness. Over time, the stress can lead to more serious problems such as financial strain, health concerns, or legal troubles.

Family therapy and counseling programs are designed to give families the knowledge, tools, and encouragement they need to move forward. With professional guidance, family members can learn how to set healthy boundaries, communicate more effectively, and rebuild trust. These supports not only help loved ones in recovery but also give family members the space to focus on their own healing.

At Red Ribbon Recovery Colorado, we believe healing happens together. Our admissions team is available to answer your questions, verify insurance benefits, and connect you with the right level of care. Call us today at (303) 219-3980 to learn more about family therapy in Colorado and take the first step toward a healthier future for your whole family.

We are here to help you or a loved one find addiction treatment near you.

Admitting you have a substance abuse problem and asking for help is not always easy. If you or a loved one are struggling with drug addiction, alcohol addiction or another substance use disorder, help is available. Call SAMHSA’s National Helpline at (303) 219-3980 to learn about resources in your area or reach out to our team for personalized treatment.

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Sources

  1. Substance Abuse and Mental Health Services Administration. (2021). The importance of family therapy in substance use disorder treatment (Advisory No. 21-02). U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. https://store.samhsa.gov/sites/default/files/SAMHSA_Digital_Download/pep21-06-02-002.pdf
  2. National Institute on Alcohol Abuse and Alcoholism. (August 2021). Treatment for alcohol problems: Finding and getting help. https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help

About the content

Publish date: Sep 16, 2024
Last updated: Dec 12, 2025
Jodi Tarantino (LICSW)

Written by: Carli Simmonds. Carli Simmonds holds a Master of Arts in Community Health Psychology from Northeastern University. From a young age, she witnessed the challenges her community faced with substance abuse, addiction, and mental health challenges, inspiring her dedication to the field.

Jodi Tarantino (LICSW)

Medical reviewed by: Jodi Tarantino, LICSW. Jodi Tarantino is an experienced, licensed Independent Clinical Social Worker (LICSW) and Program Director with over 20 years of experience in Behavioral Healthcare. Also reviewed by the RRR Editorial team.

Red Ribbon Recovery is committed to delivering transparent, up-to-date, and medically accurate information. All content is carefully written and reviewed by experienced professionals to ensure clarity and reliability. During the editorial and medical review process, our team fact-checks information using reputable sources. Our goal is to create content that is informative, easy to understand and helpful to our visitors.

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