Psychotherapists approach this specialized area in different ways, depending on the child's problem and on their training. Some problems are worked out best when all members of the family (even the children who are seen as problem free) join in therapy sessions. Other children and other problems may respond better in individual therapy, where the child has the time and space, apart from the family, to work on issues that may be getting in the way of development.

When a family meets together in therapy, the therapist listens carefully, without judgment, to each person's point of view. The therapist is objective, and helps family members understand some of the difficult feelings that come up in close family relationships. The therapist insures that no one person is unduly singled out. The goal is to create a safe place in which family members can experience different and improved ways of connecting with one another.