Family Therapy Maryland
Your family doesn't look like a sitcom family. (Whose does?)
Maybe you have a child who melts down every evening and nobody knows why. Maybe you and your partner are on completely different pages about parenting — and the kids can tell. Maybe someone in your family just got a diagnosis, and everything you thought you knew about your family is being rewritten.
Or maybe nothing dramatic has happened. Things are just... off. There's too much tension. Too much distance. Too many conversations that end badly.
You love each other. That's not the question. The question is: how do you actually get along?
Family therapy can help.
What Is Family Therapy?
Family therapy is therapy for the whole family — not just for the person everyone's worried about.
That's an important distinction. Because in most families, when something's going wrong, it's not because one person is broken. It's because the system — the way everyone relates to each other — has gotten stuck somewhere.
A family therapist helps you see those stuck places. And then helps you get unstuck.
That might mean learning how to actually hear each other. It might mean figuring out why the same fight keeps happening over and over. It might mean helping one family member's needs stop running the whole household — while still honoring those needs.
Family therapy is for families of all shapes and sizes. Single parents and blended families. Families with young kids and families with teenagers. Multigenerational households. Neurocomplex families. LGBTQIA+ families. Families that look great from the outside and feel chaotic from the inside.
Your family is welcome here.
Who Family Therapy Is For & When Family Therapy Can Help
You might be ready for family therapy if:
The same arguments keep happening on repeat
One child's struggles are affecting everyone in the house
A big change — a move, a divorce, a diagnosis, a loss — has thrown everything off
You feel more like roommates than a family
Parenting feels like a constant negotiation that nobody wins
Your family has a neurodivergent member (or several) and you're trying to figure out how to make life work for everyone
You love your people but you're not sure you like them right now
Is Your Family Neurocomplex? You Might Be Surprised.
Sometimes a child's diagnosis is the first clue that the whole family is wired differently.
Many parents come to us after their child is diagnosed with ADHD, autism, dyslexia, or another learning difference — and somewhere in the middle of figuring out their kid, they start wondering about themselves. That moment of recognition (wait, I do that too) is more common than you'd think. And it changes everything about how we approach family therapy.
You might be neurodivergent — or have a neurodivergent family member — if:
Someone in your family is surprisingly good at something that seems effortless for them but astonishes everyone else
A task that seems easy for other families (keeping track of schedules, planning, making friends) is genuinely hard — and has been for a long time
Your family members experience the same situation in completely different ways
Family members have strong preferences about their things and their environment
Someone in your family just feels different — and has always felt that way — without quite knowing why
If any of that sounds familiar, neurodiversity-affirming family therapy is probably a good fit for you. And you're in the right place.
Our Approach to Family Counseling and Therapy Services
There's no one-size-fits-all way to do family therapy. Different families need different things. That's why our therapists are trained in a range of approaches — and will work with you to figure out which one (or which combination) fits your family best. Click below to examine our approaches to Family Therapy.
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When one or more family members are neurodivergent — autistic, ADHD, twice-exceptional, or otherwise wired differently — the whole family feels it. Not because neurodivergence is a problem, but because most families haven't been given the tools to understand it.
Neurodiversity-affirming family therapy starts from the belief that no one’s brain needs to be fixed. It needs to be understood. By them. And by everyone else in the family.
This means we'll help your family learn what works for each person — their sensory needs, their communication style, their strengths, their triggers. We'll help neurodivergent family members feel seen and celebrated rather than managed and accommodated. And we'll help the whole family build a life that actually works for everyone in it.
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All families are actually neurocomplex. When people with different neurotypes try to stay connected with and supportive of each other, it’s complicated! Sometimes family members love each other AND have needs that directly compete or conflict with each other.
If that's your family, you already know that strategies that work for one person often don't work for another. What calms one kid dysregulates the next. What feels like a reasonable request to one parent feels like an impossible demand to the other.
Neurocomplex families aren't broken. They're just complicated in ways that most therapists haven't been trained to address.
Our therapists have. We'll help your family understand each person's unique neurotype, find the overlap in what everyone needs, and build routines and communication patterns that reduce friction for the whole household.
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Sometimes families don't need to spend months excavating the past. They need help figuring out what to do next.
Solution-focused family therapy is exactly what it sounds like. We start with what you want things to look like — your goal — and work from there. What's already working in your family? How can we do more of that? What small changes would make the biggest difference?
This approach is fast-moving, practical, and great for families who are dealing with a specific challenge and want concrete tools. It forms the foundation for all of our neurodiversity affirming family therapy.
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Every family has a structure — a set of roles, boundaries, and hierarchies that (ideally) keep things running smoothly. When that structure is off, the whole family feels it.
Maybe the kids have too much power and the parents are exhausted from negotiating. Maybe the boundaries between family members are so enmeshed that nobody has any breathing room. Maybe one parent is carrying all the weight and burning out.
Structural family therapy helps you see those patterns clearly — and reorganize them in a way that works better for everyone. Kids feel safer when adults are in charge. Parents feel less overwhelmed when they're actually working together. Everyone breathes a little easier.
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The way we think affects the way we feel. And the way we feel affects the way we treat each other.
Cognitive behavioral family therapy (CBT for families) helps family members identify the thoughts and beliefs that are driving conflict, disconnection, or distress. Then it gives you practical tools to shift those patterns.
This approach is especially helpful when anxiety, depression, or negative thinking is affecting how family members relate to each other — or when everyone's interpretations of the same event are wildly different (aren’t they always?).
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Every family has a story they tell about themselves. That story often leaves out helpful details. The kinds of details that identify strengths and open the door to problem solving.
"We're a family that doesn't talk about feelings." "She's always been the difficult one." "We just can't communicate."
Narrative family therapy helps you examine those stories — where they came from, whether they're actually true, and whether they're serving you. Then it helps you write a new one.
This approach is particularly powerful when one family member has been labeled as "the problem" — because it shifts the focus from the person to the pattern. The problem is the problem. The person is not the problem.
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Not everything can be said in words. Especially by kids. Especially by people who've been through trauma. Especially by families who've been having the same verbal arguments for years and are tired of hearing themselves.
Family art therapy uses creative expression — drawing, painting, collage, sculpting — as a way to communicate what's hard to say out loud. It's not about making good art. It's about making meaning together.
Families often find that making something side by side unlocks conversations that sitting across from each other never could. And for neurodivergent family members who communicate better through doing than talking, it can be genuinely transformative.
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Play is how children process the world. It's also how families reconnect.
Family play therapy uses structured and unstructured play to help family members communicate, bond, and work through conflict in ways that feel natural rather than forced. Therapist-facilitated play sessions give parents a window into their child's inner world — and give kids a way to express what they don't have words for yet.
Play therapy isn't just for little kids, either. Teens and adults often find that doing something — a game, a creative activity, a shared task — makes the hard conversations easier to have.
We work with families at every age and stage, from parents building a family to adult siblings who’d like to get along better. And who you include in your family is entirely up to you.
FAQ: Family Therapy at Better Together Family Therapy
How do I know if my family needs therapy?
If you're wondering, that's usually a pretty good sign. Families don't need to be in crisis to benefit from therapy. If things feel stuck, tense, disconnected, or overwhelming — and your usual strategies aren't working — therapy can help. You don't have to wait until things fall apart.
Does everyone in the family have to come to sessions?
Not always. Sometimes we'll want the whole family together. Sometimes we'll meet with a subset — just the parents, or just one child, or just the siblings. We'll figure out the right configuration based on what your family needs. No one will be forced to participate in a way that doesn't feel right.
What if my child refuses to come to therapy?
This is really common, especially with teenagers. We might work with you on strategies for helping them feel safer coming to therapy. We’ll start with asking the person who isn’t sure they want to attend to come just once — with no pressure to commit beyond that. And sometimes we'll work just with the family members who want to attend, to make changes that shift things at home. Whatever the challenges, there is always a way forward.
We have a neurodivergent child. Will your therapists understand that?
Yes. Neurodiversity-affirming care is central to everything we do. Our therapists understand that standard approaches often don't work for neurodivergent kids and families — and we won't try to force them. We'll adapt our approach to fit your child and your family, not the other way around.
I think I might be neurodivergent too. Can family therapy address that?
Absolutely. It's incredibly common for parents to recognize themselves in their child's diagnosis. We can address your own neurodivergence as part of family therapy, or connect you with individual therapy if that feels like the right fit. Understanding yourself makes you a better partner, parent, and person. It's all connected.
What's the difference between family therapy and individual therapy?
Individual therapy focuses on one person's inner world — their thoughts, feelings, history, and goals. Family therapy focuses on the relationships between people — how you communicate, how you handle conflict, how you support each other. Both have their place. And sometimes we'll recommend both, running alongside each other.
How long does family therapy take?
It depends on what you're working on. Some families have a specific issue and resolve it in 8–12 sessions. Others come in and out over a longer period as different challenges come up. We'll check in regularly about whether therapy is still serving your family and what you want to do next. You're always in the driver's seat.
Do you offer online family therapy?
Yes. We offer both in-person and online sessions. Online family therapy works well for many families — especially those with members who have sensory sensitivities, social anxiety, or schedules that make getting everyone in the car a genuine feat of coordination.
What is neurodiversity-affirming language? How will your therapists talk about my family?
We'll follow your lead. We use the language that each family prefers — whether that's "autistic person," "person with autism," "AuDHD," "neurospicy," or something else entirely. We won't pathologize who your family members are. We won't call your traits symptoms that need to be eliminated. And we won't treat difference as deficiency.
Our family has been through a lot. Is it too late to start?
It is never too late. Families change and grow. Old patterns can shift. New ones can form. We've worked with families who thought things were too far gone — and watched them find their way back to each other. It takes courage and it takes work. But it's possible.
With that said, if you’re trying to change something in family therapy that isn’t going to change, we’ll tell you that. We don’t want you working toward an impossible goal.
Not Sure if You’re Ready for Family Therapy? Here Are Our Tips for Families Who Are Figuring It Out
Whether or not you're in therapy right now, here are some things that actually help:
Learn what each person in your family does well. These are usually the things they love to do — or do without even trying. Build around those.
Find your people. Connect with other families who get it. You'll have to explain yourselves sometimes. The people who really hear you are worth finding.
Build a home that works for your family's actual needs — not the home you think you're supposed to have. Temperature, noise level, textures, routines. Your home should be where everyone can recharge.
Develop hacks for the hard stuff. Gamify the boring tasks. Use music or movement to get started on the things nobody wants to do. What works is what works.
Forgive yourselves. Seriously. You're doing the best you can with the brains and the circumstances you have. That goes for your kids too.
Keep learning and trying new things. Your family will keep discovering what works. That's not failure — that's the process.
If someone in your family is feeling depressed, anxious, or like they're ready to give up, please reach out. That's what we're here for.
Ready to Get Started?
Your family is worth the investment. Even when it's hard. Especially when it's hard.
Reach out today to schedule a consultation and find out which of our therapists is the best fit for your family. We'll take it from there — together.
Other Services We Offer in the Bethesda, MD Area
At Better Together Family Therapy, we’re passionate about supporting people of all ages through a range of tailored services. We offer specialized tween and teen therapy designed to help them navigate the ups and downs of adolescence with confidence and resilience. Our SPACE treatment is here to provide effective support compassionately, helping children find their own resilience and cope with anxiety more effectively on their own. We also offer couples and marriage therapy, where we work together to strengthen connections and resolve conflicts with understanding and care. Additionally, we offer LGBTQIA+ affirming therapy, providing a welcoming and supporting environment where individuals can explore their identities and celebrate who they are. No matter what you’re facing, we’re here to help you and your loved ones find balance and thrive together.