Marriage and Family Therapist how-to

How to Build a Genogram

Genograms reveal family patterns.

Updated By the Career Education Institute Curriculum Team
Quick answer

Genograms reveal family patterns. In short: explain; map; add, then complete the remaining steps below.

Step by step

  1. Explain the purpose.

  2. Map three generations.

  3. Add relationships and conflicts.

  4. Note health and life events.

  5. Look for patterns.

  6. Discuss insights with clients.

Safety reminders for marriage and family therapists

  • Assess for violence and suicide risk
  • Follow duty-to-warn laws
  • Protect confidentiality
  • Seek consultation and self-care

Family systems · Genogram · Triangulation · Enmeshment · Differentiation · Reframing: see the full marriage and family therapist glossary.

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