Family therapy is meant to be very flexible. Often the counseling session will include the entire family, though some sessions may just be with parents or a subset of the family. Determinations for who is included in a session are based on the family dynamic and the problems and goals set for treatment service selected. Family therapy can be especially helpful for adjustment issues within a family, disruptive patterns that you would like to change, as well as blended families who are trying to foster new relationships with one another.