Why You Should Consider Family Therapy With Your Sibling—Even as Adults
- drstephaniesimon
- Sep 10
- 3 min read
Sibling relationships are some of the longest-running relationships we’ll have in life. From shared bedrooms to shared childhood secrets, siblings often know each other in ways no one else can. But with that closeness comes complexity: old dynamics, unresolved conflict, and family baggage can resurface again and again—even (or especially) in adulthood. That’s where family therapy between adult siblings comes in.
Here’s why you might consider it—and what you stand to gain.
1. Unpack Childhood Dynamics That Still Linger
Even if you’ve moved out, moved on, or moved cross-country, childhood dynamics often linger. Maybe one of you was always seen as "the responsible one" and the other as "the rebel." These roles can become baked into your relationship, influencing how you interact—even decades later.
Therapy offers a neutral space to:
Understand how those roles developed
Reevaluate whether they still serve you
Set new boundaries as equals, not rivals
2. Heal After Family Trauma or Estrangement
Families go through tough things—divorce, addiction, loss, mental illness. Sometimes, siblings experience the same event but interpret or cope with it in very different ways.
A trained therapist can help you:
Validate each other’s version of events
Acknowledge pain without assigning blame
Begin the healing process together
3. Improve Communication and Reduce Conflict
Does every phone call spiral into passive-aggressive comments or silence? Do group texts feel like a landmine of misinterpretations?
Sibling therapy can help you:
Learn healthy conflict resolution skills
Practice setting and respecting emotional boundaries
Communicate more clearly and compassionately
Sometimes, just having someone model what a respectful, non-defensive conversation looks like can be game-changing.
4. Support Each Other Through Life Transitions
Siblings often re-enter each other’s lives more fully during major transitions:
Taking care of aging parents
Inheriting family responsibilities or assets
Co-parenting between cousins
Coping with a family member’s illness or death
Family therapy gives you a chance to:
Align expectations
Divide responsibilities fairly
Strengthen your bond before tensions escalate
5. Break Generational Patterns—Together
Sometimes you don’t realize how deeply a family pattern runs until you're both adults and repeating it in your own relationships.
Therapy can help you and your sibling:
Name toxic patterns (e.g., avoidance, codependency, secrecy)
Work on breaking the cycle together
Redefine what “family” looks like for your generation
Doing this work with a sibling can be incredibly affirming—it says, “We’re choosing to do better, together.”
6. Build a Stronger, Healthier Relationship for the Future
Ultimately, the goal isn’t perfection—it’s reconnection. Many siblings who attend therapy together come away with:
Deeper empathy for each other’s lived experience
A greater sense of mutual respect
Renewed closeness that feels more adult and authentic
And for some, the best outcome is peace: accepting each other for who you are now, not who you used to be.
Is It Worth It?
Family therapy can feel intimidating. Maybe you're worried about opening old wounds or feel skeptical that anything will change. But with the right therapist and a shared willingness to grow, it can be one of the most powerful investments in your emotional health and family legacy.
Because at the end of the day, no one else shares your story quite like your sibling does.
Interested in starting this journey? Set up a free phone consultation with us at City Lights Psychology.
Therapy with a sibling isn’t about rehashing who took the front seat in 1996. It’s about reclaiming your relationship now—on your terms. With time, compassion, and guidance, you can learn to not just coexist, but to thrive together.
You don’t have to go it alone. And neither do they.

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