Family Genogram Guide
A genogram worksheet with a symbol key, drawing space and reflection prompts that helps clients map three generations of family structure, relationships and recurring patterns.
2-page fillable PDF · US Letter (prints on A4) · Family systems
- Approach / concern
- Family Therapy
- Technique
- Family systems
- Format
- Fillable PDF, 2 pages (US Letter / A4)
- Access
- Pro and Advanced plans (3-day free trial)
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Family Genogram Guide?
A genogram is a graphic representation of a family over at least three generations, showing structure, relationships and significant events. Developed within family systems therapy and standardized by McGoldrick and colleagues, it is used to explore intergenerational patterns, roles, losses and resilience.
Why it works
Genograms help clients and clinicians see the family context of current difficulties, identify transmitted patterns and strengths, and generate hypotheses for therapy (McGoldrick et al., 2020). Drawing the genogram together also builds engagement and rapport.
When to use it
- Family and couples therapy
- Intergenerational trauma and migration stories
- Grief and loss work
- Clinical training and supervision
How to use it in session
- Explain the purpose and symbols.
- Start with the client’s household, then expand outwards.
- Add relationship lines and key events.
- Explore patterns, strengths and cultural context.
- Revisit and update over the course of therapy.
Clinician tips
- Ask about chosen family and non-traditional structures.
- Be sensitive when mapping losses, abuse or estrangement.
- Free genogram software can help create cleaner versions.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
How many generations should be included?
At least three: grandparents, parents and the client’s generation. Include children if relevant.
What if the client doesn’t know much about their family?
Gaps are information too. Note what’s unknown and explore what it means to the client.
References
McGoldrick, M., Gerson, R., & Petry, S. (2020). Genograms: Assessment and treatment (4th ed.). W. W. Norton.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
