When You and Your Child Can't Reach Each Other
Emotion-Focused Family Therapy (EFFT) addresses your child's symptoms and behaviors at their root — by transforming the family dynamics that keep patterns stuck.
Available in-person in Brooklyn and virtually across New York State.
No pressure. No commitment. Just a brief conversation to see if we're the right fit for your family.
If any of this sounds familiar,
you're in the right place:
Your child is struggling with anxiety, depression, an eating disorder, OCD, or something else — and the symptoms aren't responding to the treatment you've tried.
Your child's behavior feels out of control — the meltdowns, the dysregulation, the explosive moments — and nothing you've tried has helped them, or you.
Your teen has shut down. Conversations end in slammed doors, one-word answers, or long silences.
You feel like you're walking on eggshells in your own home, terrified that the wrong word will make things worse.
Your adult child has gone quiet. Phone calls unanswered, holidays missed. You don't always know what you did, and they won't tell you.
More than anything, you want your child to know how much you love them in spite of all the challenge, but you don’t know how to communicate it anymore.
Neither of you is the problem. The dynamic is.
In Emotion-Focused Family Therapy, we don't pathologize you or your child. We work with the dynamic — the cycle that keeps reproducing itself, regardless of how much love is underneath it.
When the dynamic shifts, your child's struggles often shift with it. Anxiety, depression, dysregulation, withdrawal, and acting-out behaviors are usually signals of relational and emotional stress, not separate conditions disconnected from the family system. EFFT addresses them at their relational root.
The parent leads the change. Not because the parent is the problem, but because the parent has more capacity, right now, to do the kind of internal work that can begin to shift the entire pattern.
That doesn't mean we bypass your child. It means we begin where change is most possible — with you — so that your child can eventually feel safe enough to reach you, and be reached.
By leading the change process, parents set the stage for loving connection and lasting symptom relief to emerge.
What is Emotion-Focused Family Therapy?
EFFT is an attachment-based approach that addresses the cycles driving your child's symptoms and behaviors at their root. This is family therapy that goes deeper than teaching better communication — it transforms the underlying emotional patterns that hold your child's struggles in place.
EFFT draws on decades of clinical research into how parents and children build secure connection, how that connection ruptures under stress, and how it can be restored — even after years of conflict, withdrawal, or distance.
The research
Emotionally Focused Therapy is one of the most researched couple and family therapy models. Early research on Emotion-Focused Family Therapy shows that parents become more confident and less stuck in supporting their children, and that children's emotion regulation improves over time — even in families with complex trauma histories.
More broadly, family-based therapy approaches consistently show 70–80% of families reporting better communication and emotional well-being after treatment. And the couples form of EFT — on which the family extension is built — has decades of outcome data behind it, with about 70–75% of couples moving out of relationship distress and around 90% reporting significant improvement after EFT.
Take the first step
If anything on this page resonates, the next step is a free 15-minute conversation. We'll listen, ask a few questions, and tell you honestly whether we think EFFT and our practice are the right fit for what you're facing.
How does EFFT work?
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STAGE 1
YOU DO THE FOUNDATIONAL WORK
The first phase is with you. We help you identify the emotional blocks — old grief, unresolved anger, inherited patterns, the parts of you that get hijacked in difficult moments — that get in the way of being able to fully reach and be reached by your child. This is depth work, not communication-skills training.
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STAGE 2
YOUR CHILD BEGINS TO FEEL SAFE AND HEARD
As your capacity to listen, validate, and stay regulated grows, your child starts to experience something different from you. They begin to feel that you are acting out of love — not control, not fear, not your own unprocessed pain. They begin to feel safe enough to lower their defenses. -
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STAGE 3
THE DYNAMIC DE-ESCALATES
With safety established, the cycles of conflict, shutdown, dysregulation, and reactivity begin to soften. There's more room in the relationship. Less walking on eggshells. Less explosive rupture. -
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STAGE 4
YOU AND YOUR CHILD CAN REACH EACH OTHER
Once de-escalation is in place, you can begin to hear each other's needs much more easily. The conversations you've been wanting to have — the ones where your child finally lets you in, and lets your love land — become possible. -
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STAGE 5
YOUR CHILD’S SYMPTOMS AND BEHAVIORS EASE
As secure attachment is restored, the anxiety, depression, dysregulation, withdrawal, eating struggles, and acting-out behaviors that brought your family to therapy often begin to resolve. Not because we've targeted them as problems to fix from the outside, but because they were rooted in disconnection. When connection is restored, the disconnection-driven symptoms have less reason to exist.
Why we combine EFFT with Somatic Therapy.
Becoming the kind of parent your child can reach is not just a matter of knowing what to say or do. It requires you to be able to stay present, regulated, and reachable in the exact moments that have historically overwhelmed you — when your child is dysregulated, when an old pattern starts again, when you feel triggered by their pain or their pulling away.
Somatic therapy works at the body level to give you that capacity. We help your nervous system learn to stay regulated under the conditions that used to throw it off. This is what allows you to show up the way you want to — and what allows your child to begin experiencing you as a source of safety rather than another source of dysregulation.
This integration of EFFT with somatic work is rare in New York. Most family therapists do one or the other. We do both because both are necessary.
What is the process?
Who attends, and when
The work typically begins with one or both parents. This is where the foundational shifts happen — your nervous system, your blocks, your capacity to stay present and reachable.
As the dynamic begins to change and your child starts to feel safer in the relationship, joint sessions often become possible — and frequently become deeply transformative. The timing depends on what's clinically appropriate for your situation and your child's readiness. With younger children, joint sessions may begin sooner. With teens or adult children who are resistant or distant, the integration happens later, sometimes much later.
EFFT is family therapy. The relationship is the patient. Your child is part of the work — at the right stage.
Format
Weekly 50-minute sessions, in-person at our Brooklyn office or virtually across New York State. Many families do a mix depending on schedules and circumstances.
Who we work with
Parents of children, teens, and young adults struggling with anxiety, depression, OCD, or eating disorders
Parents of children with dysregulation, behavioral challenges, or explosive emotions
Parents of teens (ages 13+) and young adults navigating mental health concerns
Parents of distant or estranged adult children
Parents whose child is in a higher level of care (residential, IOP, hospitalization)
Parents whose child is currently refusing other forms of treatment
Timeline
Most families experience meaningful change in 6 to 12 months of weekly work, though deeper or longer-standing patterns benefit from longer engagement. We'll discuss what's realistic for your situation in the consultation.
What healing in your family can look like
Your child's symptoms ease. The anxiety, depression, dysregulation, withdrawal, or acting-out behaviors that brought you in often begin to lift, because they were rooted in disconnection. As connection returns, the symptoms have less reason to persist.
The cycle softens. The same patterns that used to play out automatically begin to interrupt themselves. You catch yourself before the old reaction. Your child catches themselves too.
Your child becomes reachable. The defensive posture, the shutdown, the reactivity - these begin to ease as they experience you differently.
Your child can take in your love. The thing you've been trying to communicate for years - that you are acting out of love, that they are seen, that they matter - finally lands.
You feel reachable, too. Once safety is established, the conversations you've been wanting to have can finally happen. Your child can let you in, and you can let them in.
The relationship becomes a place of repair, not rupture. Not perfect. But real.
Frequently Asked Questions
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Family therapy is often the most direct route to lasting symptom relief, especially for children, teens, and young adults. Anxiety, depression, dysregulation, eating struggles, and withdrawal in young people are almost always tied to the family system — the patterns of connection, safety, and emotional attunement that surround them. When those patterns shift, symptoms shift. EFFT is depth work focused on exactly those patterns. It's not communication-skills training, and it's not just "family meetings." It's the work that addresses what's actually driving your child's struggles.
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The work typically begins with you, because the parent leads relational change in EFFT. As the dynamic between you and your child shifts — as they begin to feel safer, more heard, more sure that you're acting out of love — joint sessions become possible and are often where the deepest moments of repair happen. The timing of integrating your child depends on what's clinically appropriate and what your child is ready for. EFFT is not a parent-only modality, and it does not bypass your child. It creates the conditions in which you and your child can reach each other again.
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EFFT addresses behaviors at their root. Difficult behaviors — meltdowns, defiance, withdrawal, dysregulation — are usually messages from a child who doesn't yet have another way to communicate their pain or get their needs met. Working with the relational dynamic, rather than trying to control behavior from the outside, often allows behaviors to resolve more thoroughly and lastingly than behavior-management approaches alone. Early research on EFFT supports this: children's emotion regulation improves over time, even in families with complex trauma histories. Your child learns to self-regulate by first co-regulating with a parent who has the capacity to hold them.
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We work with families facing serious challenges. When your child is in acute crisis, EFFT works alongside other treatment — therapists, psychiatrists, dietitians, IOP programs — so your child's immediate safety is addressed while we work on restoring the connection that supports lasting healing. In the consultation we'll discuss your specific situation and whether the timing is right for this work.
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Often, yes. When contact with your adult child is limited or absent, the work focuses on you doing your own internal repair — examining what may have contributed to the rupture, building capacity for non-defensive presence, and preparing for the possibility of reconnection. Real reconnection ultimately requires your adult child to choose it. EFFT cannot force that. But it changes who you are in the relationship, which often creates the conditions in which your adult child becomes more able to return.
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We are an out-of-network practice. We provide superbills you can submit to your insurance for potential out-of-network reimbursement. Our session fee is $200-$350. We discuss fees openly in the consultation.
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Both. We see clients in our Brooklyn office and virtually across New York State. Many families do a mix depending on schedules. Virtual work is just as effective for EFFT.
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The free 15-minute consultation is for exactly this. You'll briefly describe what's going on, we'll ask a few questions, and we'll be honest about whether we think we're the right fit. There's no pressure to book a first session afterward.
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This is one of the most common things we hear. Previous family therapy often struggles when it focuses on communication skills without addressing the deeper emotional patterns underneath, or when it requires the most resistant family member to be motivated from the start. EFFT works differently — it begins with you, builds safety in the relationship before asking your child to engage further, and treats the family system rather than asking everyone to perform health they don't yet have access to.
Take the first step.
Your child's struggles can ease. You and your child can reach each other again. The work begins with you.
Please fill in the form below to schedule your free 15-minute call. We look forward to being in touch!
Please note: Our services are only available to residents of New York State.
About Brooklyn Somatic Therapy
Brooklyn Somatic Therapy is a private psychotherapy practice serving adults, couples, and families in Brooklyn and across New York State. Our family therapy work integrates Emotion-Focused Family Therapy with somatic and trauma-informed approaches.