Grace McBrien Psychotherapy

Systemic family psychotherapy

 

Families often come to therapy when they feel stuck—when communication has broken down, when there’s no shared understanding of what the problem is, or when conversations feel too difficult to have. I often hear that communication has become tense and fraught; family members feel hurt, unheard, or frustrated, and things aren’t working in the way they once did—or the way they hoped they would.

In family therapy, each person is supported to better understand the experiences and feelings of others, while also having their own voice heard. We will acknowledge your family’s strengths, gently challenge unhelpful assumptions, and explore more constructive and respectful ways of being with one another.

You will begin to notice what happens both inside the family and around it. We work together to improve cooperation between individuals in the group and to uncover the problem-solving abilities already present within your family. Sometimes I work with families living under one roof; sometimes I support families spread across multiple households. It’s also not uncommon for adult children and parents to come together for therapy.

We begin by thinking about who it would be helpful to include, in the sessions, this may mean some people come every time, or once or twice. From there, we explore what’s happening in your family, what effect it’s having, and how you'd like things to be different. Together, we develop strategies for responding to these difficulties in a way that makes sense to you. I support you not just in designing these steps, but also in implementing and reviewing them—so you feel more confident, capable, and more able to enjoy your family relationships again.

 

Areas I’ve Supported Families With Include:

  • Parental alignment: how and what are we responding to as parents?

  • Shared intentions: what are we trying to achieve as a family? (expectations, rules, boundaries—and why they matter)

  • Understanding children’s needs: how to tune into your child’s thoughts, feelings, and behaviours (regaining your confidence in your ability)

  • Fostering cooperation: helping children listen, engage, and feel part of a shared family space (learning useful relationship life skills)

  • Managing strong emotions: supporting both children and adults with anxiety, anger, or aggression (keeping connection while choosing about more helpful responses)

My Role in the Process

As a reflective and encouraging facilitator, I help your family explore its story—identifying the capabilities, wisdom, and resources you already hold. I support you to work together in a way that feels fair and accessible, helping you trust that your family knows what it needs and is capable of creating change.

Listening Differently, Moving Forward Together

When family life feels strained, disconnected, or tense, it can be hard to know where to begin. Systemic family therapy brings people together in a thoughtful, respectful space — where each person’s perspective is heard, and new ways of understanding one another can emerge.

We’ll work together to explore what’s happening in your family relationships, how it’s affecting each of you, and what’s needed to feel more connected and understood. This process supports co-operation, compassion and practical strategies for living together in more satisfying ways.

I offer family therapy in Marylebone (London W1) and Swanbourne (Buckinghamshire) for families facing communication challenges, emotional tension, parenting difficulties, and generational conflict. I work with families living in one or multiple households, with children or adult children, and at various stages of change.

If you feel family therapy could help, I invite you to contact me. You're welcome to call or email with any questions, or to arrange an initial consultation to explore how we might begin.