Treatments · Family therapy

Family therapy for the patterns between you.

Family therapy across Ontario for adults and older teens. Attachment-based, emotionally focused, and systemic-informed, with attention to the dynamic in the family rather than to assigning blame.

Two mugs of tea side by side on a wooden table, evoking connection and repair in family therapy at Anchor & Bloom
Fees
$160 to $180 · 50-minute family session
Free consultation
15 minutes, no charge
Who we work with
Adults and older teens (17+) · and the family system
Format
Secure online video via Jane, or in person in Mississauga
Modalities
Emotionally Focused Therapy (EFT), attachment-based, relational, IFS, ACT, CBT
Clinician
Katelyn Matias (RP, CRPO #10340)
Receipts
Provided for extended-health reimbursement · HST-exempt

About family therapy at Anchor & Bloom.

Family therapy at Anchor & Bloom is psychotherapy for the relationships within a family, offered virtually across Ontario and in person in Mississauga. The work is attachment-based, informed by Emotionally Focused Therapy (EFT), and systemic-informed, which means we pay attention to the patterns that live between family members rather than locating the difficulty in any one person.

Our current family work is with adults and older teens (17+), and with the family system as a whole. That can look like two adult siblings, a parent and an adult child, a parent and an older teen, or a wider part of the family working through communication, rupture, and repair. We do not currently offer individual therapy for young children, and we are glad to refer for that when it is what a family needs.

How therapy helps

What family therapy can help with.

Through family therapy, families can work toward:

  • Communication that feels clearer and less reactive
  • Navigating conflict in ways that can feel more workable
  • More emotional safety and understanding between members
  • Repair after ruptures that have been hard to move past
  • Healthier patterns in how the family responds to stress
  • More empathy and mutual support
  • A steadier sense of connection within the family

These are directions the work can move in, not promised outcomes. What is possible depends on what each family brings and who is able to take part.

Learn more

Want the full picture?

Everything below is optional. Open any section to go deeper on how family therapy works at Anchor & Bloom, who it fits, and what tends to change over time.

What families bring in

Common reasons families reach out.

Communication that has broken down

The same conversation that never lands. Words that come out sideways. A sense that family members have stopped really hearing each other, even on small things.

Parent and adult-child strain

The relationship between a parent and a grown child that has grown distant, tense, or stuck in old roles. Wanting a different kind of adult-to-adult connection and not knowing how to begin.

Parent and older-teen tension

The shift as an older teen moves toward independence. Conflict over autonomy, trust, and boundaries, and the strain that can put on the relationship for everyone involved.

Ruptures and repair

The moment, or the long stretch, that left trust frayed between family members. Working slowly and carefully toward repair when everyone involved wants to try.

Conflict cycles

The predictable choreography of a family argument. Who raises it, who withdraws, who steps in to fix it. The pattern that everyone knows by heart and no one can seem to interrupt.

Life-stage transitions

A child leaving home, a parent retiring or aging, a relocation, a new partner joining the family. Transitions can change roles in ways the family is still catching up to.

Caregiving and aging-parent dynamics

The relational toll of caring for an aging parent. Differing views among adult siblings about decisions, responsibility, and how to share the load.

Blended and step-family adjustment

Two histories becoming one household. New roles, loyalties, and expectations that can take time and care to settle into.

Grief in the family

A loss that each family member is carrying differently. Finding ways to grieve alongside one another rather than in separate, silent corners.

The frame

The system, not the symptom.

Family therapy at Anchor & Bloom works from a systemic-informed and attachment-based frame. The starting idea is that a difficulty in a family is rarely located in one person. It usually lives in the patterns between people: who reaches, who withdraws, who steps in, who goes quiet. When the work is framed this way, no single family member has to be the problem to be solved.

Many families find it relieving to see the recurring fight as a cycle rather than a character flaw. One person raises a concern, another defends, a third tries to smooth it over, and the original concern never gets heard. The shape can be recognizable within the first few sessions. Underneath it, each person is often reaching for something: to matter, to be trusted, to not let the others down.

Emotionally Focused Therapy brings attention to the attachment bonds underneath those patterns. In session, the work is often to slow the cycle down enough to see it, to put it on the table between family members rather than inside any one of them, and to build language for what each person is reaching for. Over time, many families find they can catch the cycle in the moment, and sometimes before it starts.

How sessions are structured

The arc of family work.

Family therapy moves at the family's pace, and not every family needs every phase. The shape below is a rough map of how this kind of work often unfolds. We share it so you have a sense of the terrain, not a script to follow.

  • Getting oriented. An early conversation to hear what is happening, what each person hopes for, and who needs to be in the room for the work to be useful. By the end of this phase we usually have a shared, working sense of the patterns at play.
  • Slowing the cycle. The work of building language for what is happening underneath the conflict, and learning to name the pattern in the moment rather than riding it to the end. Many families notice that arguments get shorter and recover faster during this phase.
  • New conversations. The kind that were harder before because the cycle was too loud. Reaching toward each other from a different place, with more honesty about what each person needs. This is often where the relationships start to feel different.
  • Practicing and consolidating. Trying the new patterns in everyday life, returning to old sore spots and finding they carry less charge, and spacing sessions out. Ending well, with a sense of what to do if the old cycle visits again.

These phases are illustrative, not prescriptive. Some families move through them in order, some loop back, and some need only the early phases. We talk about pacing openly, in the room, as we go.

Scope of work

What we work with, and what we don't.

We work with:

  • Communication within the family that has stopped working
  • Parent and adult-child relationships, and parent and older-teen tension
  • Conflict cycles and the patterns underneath them
  • Ruptures and repair, when everyone involved wants to try
  • Life transitions: a child leaving home, retirement, relocation, a new partner
  • Caregiving strain and aging-parent dynamics among adult family members
  • Blended and step-family adjustment
  • Grief that the family is carrying differently

We are honest about what is outside our scope:

  • Individual therapy for young children. We do not currently offer this. Our family work is with adults, older teens (17+), and the family system. When a young child needs individual therapy, we are glad to refer to a clinician who specializes in that.
  • Acute crisis or situations needing a higher level of care. Anchor & Bloom is not a crisis service. When a family member is in acute crisis, at risk, or needs a higher level of care than outpatient psychotherapy can provide, we help connect you with the right resources rather than continue work that is not the right fit.
  • Ongoing family violence. Conjoint family work is not appropriate when there is current physical, sexual, or coercive control in the family. We can refer to specialist programs and individual safety planning.
  • Anything outside our competence. If what a family is bringing falls outside the areas we are trained for, we say so plainly and refer you to a clinician or service better suited to it.

The modalities, in plain terms

How each approach shows up in the room.

Family therapy at Anchor & Bloom is integrative and evidence-informed. EFT and attachment theory tend to form the spine of the work, with other approaches drawn on as they fit the family in front of us. Here is how each may show up in a session.

Emotionally Focused Therapy (EFT). EFT brings attention to the emotional bonds between family members. Sessions slow down the moments where people misfire with each other, so we can hear what each person was reaching for underneath the conflict. The aim is less about settling a particular disagreement and more about changing how family members turn toward each other when things get hard.

Attachment-based therapy. Underneath a recurring pattern, each family member is often reaching for closeness, trust, or reassurance. Attachment-based work can make that visible. We pay attention to what people learned about connection and dependence earlier in life, and how those templates may be showing up in the family now. Naming a template often loosens its grip.

Internal Family Systems (IFS). IFS offers a way of understanding the different parts a person can carry into a family conversation, such as a protective part that gets defensive or a younger part that feels unheard. Working gently with those parts can help family members show up to each other with more choice and less reactivity.

Acceptance and Commitment Therapy (ACT) and CBT. These can offer practical tools: noticing unhelpful thinking patterns, clarifying the values a family wants to move toward, and building small, workable changes in how people respond to one another. They give the work some structure alongside the deeper relational pieces.

Mindfulness and a nervous-system lens. When a family conversation becomes heated, useful talking tends to stop. Many people find it helpful to understand this through a nervous-system lens, which is one framework we may draw from to notice when the room is activated and to slow the work until there is enough capacity to continue. We hold this as a working frame rather than as established fact, and we draw on it when it is helpful.

Signals of progress

What can change when family work is working.

Conflicts can end sooner

The argument that used to take over an evening may start ending earlier, and sometimes before it really gets going.

People name the cycle

In the middle of a hard moment, someone may say "we are in the cycle." Naming it is often enough to take the temperature down a little.

Reaching instead of reacting

Instead of the old defensive move, a family member may say what is actually underneath. "I felt unheard." "I was worried I let you down." A different conversation can follow.

Repair can be faster

The reconnection after a hard moment, which used to take days, can start to take less time as the pattern loosens.

Warmth comes back

The small, ordinary signals of connection that had gone quiet, the check-ins and the shared humour, can start to show up again.

A sense of being a team

Difficulty can start to feel like something the family faces together rather than something one member does to another. Same problem, different orientation.

How sessions work

The practical details.

  • First session. A conversation about what is happening, what each person hopes for, and who needs to be in the room for the work to be useful.
  • Following sessions. A mix of working with patterns as they come up, slower work on the attachment dynamics underneath, and small experiments between sessions.
  • Who attends. Adults and older teens (17+), and members of the family system as the work calls for. This can shift over time, and we decide it together.
  • Modalities drawn on. Emotionally Focused Therapy (EFT), attachment-based therapy, Internal Family Systems (IFS), Acceptance and Commitment Therapy (ACT), CBT, mindfulness-based interventions, and trauma-informed, person-centred, relational care.
  • Frequency. Weekly or biweekly is common, and we talk about what fits the family.
  • Format. Secure online video through Jane, a PHIPA-compliant Canadian platform, or in person in Mississauga.
  • Session length. 50 minutes.

Who offers this

Who works with families.

Katelyn Matias, RP

Registered Psychotherapist, CRPO #10340

Attachment-based, EFT-informed family work for adults and older teens, drawing on IFS, ACT, CBT, mindfulness-based interventions, and trauma-informed, person-centred, relational care.

About Katelyn

Common questions about family therapy.

Who in the family comes to family therapy?

It depends on what you are working on. Sometimes it is two adult family members, sometimes a parent and an adult child or older teen, sometimes a larger part of the family system. We work out together who needs to be in the room for the work to be useful, and that can change over the course of therapy.

Do you see young children for individual therapy?

Not at this time. Our current family work is with adults and older teens (17+), and with the family system as a whole. We do not currently offer individual therapy for young children, and we are glad to refer you to a clinician who specializes in that.

Does everyone in the family have to want to be here?

It often helps when people come willingly, though it is common for one family member to be more hesitant than another. We can talk in the consultation about who is ready, and whether starting with the people who are willing makes sense for what you are bringing.

Will the therapist take sides?

No. The therapist holds space for each person and works with the patterns between you, rather than with one family member against another. The aim is shared understanding, not a verdict.

How long does family therapy take?

It varies. Some families come for shorter, focused work on a specific rupture, and some stay longer to shift patterns that have been in place for years. We talk about pacing openly as we go, and revisit it together.

Can family therapy run alongside individual therapy?

Often, yes. Some family members also do individual work on their own attachment patterns, anxiety, or trauma, and many people find the two can support each other. We can talk about what combination may fit.

How much do family sessions cost?

Family sessions are $160 to $180 for a 50-minute session. Many extended health benefit plans through Canadian employers cover Registered Psychotherapist services, though family and relational therapy is sometimes treated differently from individual therapy, so confirm with your insurer. Psychotherapy is exempt from GST/HST as of June 2024.

For plan-by-plan coverage details, direct billing notes, and how to submit a claim, see Fees & Insurance.

Further reading

Trusted clinical resources.

The International Centre for Excellence in Emotionally Focused Therapy offers information on EFT for clients and clinicians.

For information on the regulation of psychotherapists in Ontario, see the College of Registered Psychotherapists of Ontario.

Related services

What often supports family work.

Family therapy is available virtually across Ontario, including Mississauga and Toronto. Curious about the clinician you would work with? Read more about Katelyn Matias, or book a free 15-minute consultation to talk through fit.

Why Anchor & Bloom

How we work, and what to expect.

Every family is different, so the work is personalized. Drawing from evidence-informed and relationship-focused approaches, the work may incorporate Emotionally Focused Therapy (EFT), attachment-based therapy, Internal Family Systems (IFS), Acceptance and Commitment Therapy (ACT), Cognitive Behavioural Therapy (CBT), mindfulness-based interventions, and trauma-informed, person-centred care.

  • Personalized work tailored to your family's needs and goals
  • Compassionate, collaborative, and non-judgmental care
  • Attachment-based and systemic-informed approach
  • Practical tools that can support meaningful change
  • Work with adults and older teens (17+), and the family system
  • Virtual therapy available across Ontario, in person in Mississauga

Start with a free conversation.

A 15-minute consultation is the first step toward seeing if this is the right fit.

Book a consultation

Online therapy across Ontario

Sessions are virtual province-wide, with local support for:

Toronto · Mississauga · Oakville · Burlington · Hamilton