The sibling relationship is often the longest relationship of a person's life.
It shapes how you understand family, loyalty, fairness, and belonging in ways that run deeper than most people recognize. And yet, it's one of the most consistently overlooked relationships in therapy.
Sibling therapy is one of my primary clinical specialties. I bring advanced training in Emotionally Focused Family Therapy (EFFT), direct grounding in Dr. Karen Gail Lewis's foundational framework for sibling work, and years of clinical experience with adult siblings navigating the full range of what these relationships can hold. My work on sibling therapy has been featured in The Atlantic and SELF Magazine.
What we do in this work isn't just talk about the past. We look at the patterns happening between you now: the ways you get stuck in old roles, the ways you see each other through images formed decades ago, the ways a conversation can go sideways in minutes and leave both of you wondering how you got there again. We interrupt those patterns. We make room for who you each actually are now. And we figure out what this relationship could look like when it's no longer carrying all of that weight.
Common themes in sibling therapy
Estrangement or near-estrangement
Releasing frozen images of one another from childhood
Navigating shared parental stressors: illness, aging, death, and caregiving
Processing shared history, adversity, and family-of-origin trauma
Exploring intergenerational sibling patterns and how they show up in your relationship today
Increasing compassion and reducing defensiveness and reactivity
Building a relationship with your sibling that exists outside the family-of-origin dynamic
Strengthening the sibling bond as a genuine source of support and connection
Sibling therapy is for people with complicated histories and complicated feelings about being here. You don't need to have it figured out before you call. You just need to want something different.
If you're a clinician looking for resources to support sibling work in your own practice, head to the resources page.
