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Systemic therapy

A problem never exists in isolation. There are always people, relationships and patterns around you that play a part. Systemic therapy looks at the whole picture.

What is systemic therapy?

Systemic therapy, also called relationship and family therapy, studies how people interact with each other and how that interaction keeps problems in place or makes them stronger. Instead of looking at the individual alone, systemic therapy focuses on the system: the family, the relationship, the wider family or another network of people.

The starting point is that problems always hang together with their context. Relationship problems are the result of patterns two people have built up together. Tension with your parents or with a colleague follows the same logic. Systemic therapy makes those patterns visible and helps to change them.

Systemic therapy can be given one to one, but also with couples or with several people involved together. The provider adapts to your situation.

Scientific basis: systemic therapy is based on decades of research into family and relationship dynamics (Minuchin, 1974; Haley, 1976). The Dutch Association for Relationship and Family Therapy (NVRG) works with evidence-based guidelines. Family therapy has been shown to be effective for eating disorders and family conflicts in several meta-analyses.

Who is it for?

✓Family conflicts and communication problems
✓Relationship problems (alongside EFT or IBCT)
✓Tensions with parents, brothers or sisters
✓Blended families looking for balance
✓Work-related conflicts and team dynamics
✓Divorce and co-parenting

Related complaints

Relationship problemsAttachment issuesParent and child relationshipMarriage problemsDivorce

Related treatments

Couples therapyEFTIBCTFamily constellations

Frequently asked questions

Does everyone involved have to take part?
Not necessarily. Systemic therapy can also be followed one to one. The provider looks at the system as a whole, even when not everyone is in the room.
How does systemic therapy differ from couples therapy?
Couples therapy focuses primarily on two partners. Systemic therapy is broader: it can involve families, relatives, work teams or other groups.
Can I come on my own?
Yes. Many people start on their own, for example because the other person does not want to come or is no longer part of their daily life. You then work on your own position and your own patterns within the system.

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Sources: Minuchin (1974), Families and Family Therapy · Haley (1976), Problem Solving Therapy · NVRG systemic therapy guidelines