Painted Grove Recovery believes that healing doesn’t happen alone. Family therapy is a vital part of our therapy programs in Louisville, KY, helping clients and their loved ones rebuild trust, strengthen communication, and grow together in recovery. Addiction affects the entire family system, and recovery can, too. Whether you're a parent, sibling, spouse, or chosen family member, you have a role to play and a path to healing.
What is family therapy?
Family therapy is a form of counseling that involves multiple members of a family meeting together with a licensed therapist. Sessions focus on the dynamics and communication patterns that influence the family system as a whole. When addiction is present, these patterns often include pain, mistrust, codependency, and breakdowns in communication.
Rather than treating one person in isolation, family therapy recognizes that each family member plays a role—and each one deserves support. Therapy is not about pointing fingers, but about learning how to move forward together with understanding and grace.
Family therapy may include:
- Parents, siblings, or children of the client
- Spouses or significant others
- Extended family members or chosen family
Therapy sessions provide tools for healing long-standing wounds, expressing difficult emotions in a healthy way, and establishing a new foundation of trust. By creating a safe space for honest conversation and guided healing, family therapy empowers everyone involved to better understand addiction, set healthy boundaries, and work toward shared recovery goals.
What are the types of family therapy?
At Painted Grove Recovery, we use a variety of therapeutic models to support families. Each is tailored to the unique needs, history, and culture of the family system involved. Families are diverse, and therapy should reflect that diversity with care and respect. Common approaches include:
Structural family therapy
Focuses on realigning power dynamics and roles within the family. Helpful for families with unclear or shifting boundaries or where roles have become blurred.
Strategic family therapy
Uses goal-oriented tasks to help family members shift behaviors and improve functioning. This approach can be particularly effective when a family is feeling stuck in repetitive cycles.
Bowenian family therapy
Examines generational patterns and emotional systems. Encourages individual autonomy while maintaining connection and accountability.
Narrative therapy
Helps families reframe their “story” about addiction, shifting blame into shared understanding and resilience.
Psychoeducation
Provides information about addiction, trauma, recovery, and mental health to reduce stigma and increase empathy.
In many cases, clinicians combine these methods with individual and group counseling to offer an integrated, whole-family approach to recovery.
How does family therapy in addiction treatment work?
In the context of addiction treatment, family therapy helps to repair the relational damage caused by substance use. It gives families a chance to express themselves, hear one another without judgment, and begin rebuilding trust.
Therapy sessions are typically guided by a licensed clinician who creates a space where each person feels seen, respected, and heard. Sessions may include:
- Identifying unhealthy patterns like enabling, avoidance, or miscommunication
- Exploring how past experiences affect current behaviors and beliefs
- Practicing communication and active listening skills
- Developing shared goals for support and accountability
- Learning about the nature of addiction as a disease, not a personal failing or moral flaw
When families learn how to talk—and listen—with compassion, they create an environment that supports long-term recovery and healthier relationships.
Benefits of family therapy for addiction recovery
When families participate in therapy, they’re not just supporting the person in treatment—they’re healing themselves too. Addiction often creates cycles of shame, silence, and disconnection that can last for years. Family therapy breaks that cycle.
Some of the key benefits include:
- Improved communication: Learn how to express feelings, set expectations, and resolve conflicts in healthy, non-confrontational ways.
- Stronger boundaries: Understand where support ends and enabling begins. Healthy boundaries protect everyone involved.
- Rebuilt trust: Address broken promises, emotional wounds, and disappointment through honesty, consistency, and accountability.
- Reduced conflict: Learn tools for de-escalation, compromise, and moving forward after disagreements.
- Greater empathy: Develop a deeper understanding of the emotional toll addiction takes on everyone in the family.
- Shared support: Build a unified approach to healing. Everyone has a role and a voice.
Families that heal together are more likely to maintain long-term recovery and to feel less alone in the process. Rebuilding those bonds takes time, but the reward is a stronger, more connected family unit.
Therapeutic methods used in our family therapy sessions
Our approach to family therapy is grounded in compassion, structure, and flexibility. We pull from several evidence-based methods to meet families where they are and guide them forward together.
- Cognitive-behavioral therapy (CBT): Helps families identify and change unhelpful thoughts and behaviors that contribute to dysfunction. Encourages practical, real-world change.
- Dialectical behavior therapy (DBT): Teaches emotional regulation, mindfulness, and interpersonal effectiveness. It is especially helpful when family dynamics feel chaotic or overwhelming.
- Motivational interviewing (MI): Encourages each family member to consider their goals, ambivalence, and willingness to support the recovery process.
- Trauma-informed therapy: Acknowledges that many families have experienced complex trauma—whether from addiction, mental illness, or generational patterns—and creates a safe environment for all voices.
Our therapists are also skilled in working with multicultural families, blended families, and nontraditional family systems. Every story is valid, and every family deserves a chance to heal.
Navigating your therapy options at Painted Grove Recovery
Family therapy is one part of a full continuum of care available at Painted Grove Recovery in Louisville, KY. Every treatment plan is personalized and may include:
- Individual therapy: One-on-one support for clients working through trauma, mental health, and addiction
- Group therapy: Peer connection and shared experiences with others in recovery
- Educational workshops: Skill-building for families and clients alike
- Aftercare support: Continued therapy or check-ins post-treatment to ensure sustainable progress
We proudly serve the Medicaid population and individuals who have often been left out of traditional treatment systems. Our goal is to provide accessible, inclusive, and meaningful care that addresses the full picture, not just the symptoms.
Frequently asked questions
This model views addiction as a condition that impacts the entire family system. Instead of focusing only on the individual, it addresses relational patterns and encourages shared recovery goals.
No, but it’s encouraged. Even one or two family members can make a meaningful difference. Participation is always voluntary, and sessions are tailored to meet everyone’s comfort level.
That’s okay. Our therapists are trained in trauma-informed care and will guide sessions with sensitivity and respect. You don’t have to be “perfect” to begin—just willing to try.
Not at all. Family therapy can include spouses, siblings, children, grandparents, or chosen family—anyone who plays a meaningful role in your life and recovery.
Group therapy brings together peers with similar challenges, while family therapy focuses on the unique dynamics of one family unit. Both are valuable and often used together as part of a well-rounded treatment plan.
Rebuild together with family therapy at Painted Grove Recovery
At Painted Grove Recovery, we help families come together with compassion, guidance, and real support. If someone you love is struggling with addiction, or if your family is ready to heal, we’re here to help. Our therapy programs in Louisville, KY, are designed for accessibility, inclusivity, and meaningful change. Whether your family needs to reconnect, rebuild, or simply talk for the first time in a long time, there is space for you here. Call 502.842.1425 or connect with us online to start today.