The Hardest Therapy I’ve Ever Done

When I first began my journey as a therapist, I thought I knew what the hardest cases would be. I imagined working with individuals who had committed crimes, those battling psychosis, homelessness, or histories of sexual violence would challenge me the most. And while these cases are undeniably complex and heart-wrenching, I’ve come to realize that the hardest therapy I’ve ever done involves something seemingly more ordinary: families trying to come back together.

Family therapy is an entirely different battlefield. It’s not about walking alongside someone who feels completely alone in their struggles but rather stepping into a web of connections, history, and emotions that are tangled beyond belief. Every session feels like trying to hold fragile threads together while addressing years—sometimes decades—of hurt, resentment, and unmet needs.

In these sessions, the stakes are impossibly high. These aren’t just clients sitting across from me as individuals; they are parents, siblings, and children fighting to reclaim relationships that were once the bedrock of their lives. The pain of these dynamics often cuts deeper than any trauma from the outside world, because it’s personal. The love is there, but it’s buried under layers of misunderstanding and, often, silence.

What makes this work so challenging is the intensity. The emotions in the room are palpable: the longing for connection, the anger, the defensiveness, the grief. You can feel the weight of everything left unsaid or poorly said over the years. You witness the heartbreak of a parent who doesn’t know how to reach their child, or a sibling who feels invisible in their own family. And as a therapist, you’re trying to guide them, to find some common ground, while staying present in the storm of emotions.

There’s no script for these moments. There’s no guarantee of resolution. Yet, in the hardest moments, I see glimpses of hope: a tearful apology, a tentative agreement to try again, a hand reaching across the space that has divided them for so long.

These are the moments that humble me. They remind me why this work matters. Families are the crucible of human connection, the places where we learn to love and be loved, where we develop resilience or, sadly, where we are most often hurt. Helping a family move toward healing feels like watching the first rays of sunlight after a long, stormy night. It’s not easy, and it’s never perfect, but it’s worth every ounce of effort.

If there’s one thing I’ve learned from these sessions, it’s that repair is possible. Not always, and not in the way we might envision, but healing can happen. And when it does, it’s nothing short of extraordinary.

To those who are navigating these journeys in their own families: know that it’s okay to feel like it’s hard. It is hard. But even in the hardest of moments, there is room for hope, for grace, and for the possibility of connection.

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