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Family Therapy

Addiction is a family condition. So is recovery.

Years of living with someone’s substance use reshape a family — roles harden, communication narrows, trust frays. Family therapy at Pines treats that system directly. The person in recovery gets their treatment. The family gets theirs.

Structured WeekendsVirtual OptionsInterventionist Available
Accredited & Certified
Joint CommissionGold Seal of Approval LegitScriptCertified
SAMHSAListed
Florida DCFLicensed Provider
HIPAACompliant
DEARegistered
What Family Therapy Is

A systems approach, not a blame session.

Family therapy is grounded in systems theory — the clinical premise that problems reside not inside individuals but in the patterns of relationship around them. When substance use is one of those patterns, the system has to change alongside the person.

Evidence for family-involved treatment is robust. SAMHSA and NIDA both recommend family engagement as a component of comprehensive addiction treatment. Meta-analyses (O’Farrell & Clements, 2012) show family-involved treatment outperforms individual-only approaches on retention, reduced substance use, and relationship satisfaction.

What We Address

The four hardest conversations, held with a clinician in the room.

Topic One

Communication Repair

Years of substance use fracture honest communication. Blame, defensiveness, and avoidance become the default. Family therapy teaches both sides specific communication skills — active listening, reflective response, “I” statements — and rehearses them in session.

Topic Two

Boundaries & Roles

Families often reorganize around a loved one’s substance use. One person becomes the enforcer, another the peacemaker, another the rescuer. Naming these roles — and building healthier boundaries — is core family-therapy work.

Topic Three

Enabling vs Support

The most common family question: where is the line between helping and enabling? There isn’t a single answer, but there is a framework. Family therapy helps each family find its own.

Topic Four

Family Systems Work

Multigenerational patterns. Trauma that predates the substance use. The ways family members have coped alone. Structured systems-therapy techniques make what has been invisible visible.

How We Deliver It

Structured family weekends, plus virtual.

Formal family programming happens on weekends to accommodate working family members. Virtual sessions accommodate out-of-state families — particularly important since Pines serves patients from NJ, MA, NY, TX, and nationally.

Pre-admission, families navigating a loved one’s resistance to treatment can work with Jake Kiernan, our certified interventionist. Jake helps families design a structured conversation that increases the likelihood of a yes — without ultimatums, without ambush.

Meet our clinical team
Week 1
Family assessmentIntake call with family therapist, history, goals.
Week 2
First joint sessionPatient + family, structured ground rules.
Week 3
Systems workRoles, patterns, communication repair.
Week 4
Discharge planningAftercare roles, ongoing family support, resources.
Why Pines for family therapy

Physician-led, accredited, and built for unhurried care.

The choice of where to receive family therapy matters. Patients and families weigh credentials, environment, and continuity of care alongside cost and coverage. Here is what consistently brings people to our 18,000 sq ft private clinical campus in Pembroke Pines, Florida.

Physician-ledPsychiatrist Medical Director

Medical Director Sergey Litvinov, MD — a board-certified psychiatrist — directs clinical care. Every patient is reviewed by an attending physician, not a counselor signing off on a protocol.

Joint Commission accreditedGold Seal of Approval

Independent accreditation by the nation’s most recognized healthcare standards body. Surveyed against rigorous safety and quality standards.

LegitScript certifiedVerified addiction-treatment provider

LegitScript certification is the standard required by Google, Microsoft, and Meta to advertise addiction treatment. It signals an audited, transparent operator.

Co-occurring capabilityDual diagnosis from day one

Depression, anxiety, trauma, and ADHD frequently co-occur with substance use. Psychiatric assessment and care run in parallel with detox, not after.

In-network with major payersBCBS, UHC, Aetna, Cigna, Tricare

Most commercial and military plans are accepted. Verification is free, confidential, and typically completed in under 60 seconds.

Private 18,000 sq ft campus40-patient maximum

Private bedrooms, dedicated medical detox wing, therapy rooms sized for real clinical work, outdoor grounds. Not a strip-mall storefront.

Further Reading

Authoritative references and related resources.

Clinical authorities & sources. ASAM — Clinical Practice Guidelines · SAMHSA — National Helpline · CDC — Overdose Prevention

Related Pines resources. Medical detox · Residential inpatient · Dual diagnosis · Admissions process · Insurance carriers · For families

Coordinated Support

From the first call through aftercare.

Care at Pines is delivered along a coordinated pathway, not as a one-off appointment. Coordination begins on the admissions call and continues through detox, residential, and the handoff to aftercare partners. Each phase has named accountabilities — the admissions counselor, the attending physician, the primary therapist, the case manager, and the alumni coordinator each carry specific responsibilities documented in the patient’s chart.

Family members are supported in parallel. With patient consent, our family liaison provides regular updates, schedules family therapy sessions, and helps prepare for visitation weekends and aftercare. Without consent, family education programming, crisis-line referrals, and Al-Anon and Nar-Anon resources remain available so families are not navigating alone.

Aftercare is planned during residential, not at discharge. The case manager identifies suitable step-down providers (PHP, IOP, sober living, outpatient therapy, MOUD prescribers) based on home location, insurance, and clinical recommendation. Pines maintains working relationships with vetted partner programs across our priority states to ensure continuity rather than handing patients off to a generic directory.

Throughout the entire pathway, all communication, charting, and data handling is HIPAA-compliant. Substance use disorder records receive additional federal protection under 42 CFR Part 2, which limits redisclosure even within healthcare settings. Patients and families can request specific privacy preferences in writing at any point in care, and our team honors them across the admissions, clinical, and alumni systems.

Insurance Coverage

Family therapy is covered. Verify in under a minute.

Family therapy delivered as part of the patient’s treatment is typically covered under Mental Health Parity.

Verify Coverage
BCBS · UnitedHealthcare · Aetna · Cigna · Tricare · Humana Military · VA CCN
Family Therapy — FAQ

Common questions.

What is family therapy in the context of addiction?+
It treats the family system, not just the patient. Addresses communication, boundaries, enabling behaviors, and trauma that developed around substance use. Evidence shows involving family improves outcomes for the person in recovery.
Does every patient do family therapy?+
Encouraged when family relationships are a factor. Not mandatory. Some patients are estranged, some are alone, some are better served by focusing on individual work first.
When do family sessions happen?+
Structured family sessions are offered on weekends to accommodate work schedules, with additional sessions scheduled as clinically indicated. Virtual sessions available for families outside Florida.
What is an interventionist?+
A certified interventionist helps families structure a clinical conversation with a loved one resisting treatment. Jake Kiernan at Pines is a certified interventionist available as a resource for families navigating pre-admission.
Is family therapy covered by insurance?+
Family therapy delivered as part of the patient’s treatment plan is typically covered under Mental Health Parity. Our admissions team confirms specifics for your plan.

Reviewed by Sergey Litvinov, MD — Medical Director, board-certified psychiatrist. Updated April 2026.

Citations: SAMHSA · O’Farrell 2012 (PubMed) · NIDA