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Family Therapy · Adult Families · Online in Texas

Online Family Therapy for Adult Families Throughout Texas

Parents, adult children, and siblings often see the same problem in very different ways. I help adult families understand the patterns between them and find their way back to each other, online from my Southlake-based practice.

  • Free phone consultation
  • Secure video, anywhere in Texas
  • Texas LMFT #201087
Adult family members hugging each other outdoors

Per session

$245

Does this sound familiar?

You don’t have to have the words for it yet.

  • My adult child barely calls, and when we do talk, it feels tense.
  • My parents still treat me like I'm sixteen.
  • My siblings and I can't agree on how to care for Mom and Dad.
  • Since the divorce, or the death in our family, we don't know how to be together anymore.
  • Our parents expect one thing, our generation expects another, and everyone feels misunderstood.
  • We haven't really spoken in years, but I want to try.

Online family therapy for adult families

Parents, adult children, and siblings often have very different ways of seeing the problems that arise in their families. The truth is that most problems surface because long-standing patterns of behavior and communication no longer work. Families naturally create these patterns and, over time, become entrenched in them, allowing them to dictate how everyone communicates and behaves.

A pattern that worked when your kids were eight, or when you were eight, may not work when everyone is an adult with their own home, partner, and opinions. The old roles linger anyway: the peacemaker, the responsible one, the one who's always "too sensitive."

I offer family therapy online for adult families anywhere in Texas, from my Southlake-based practice. My family work is for adults: parents and their adult children, adult siblings, and multigenerational families. I don't currently see children or teens, so everyone in family sessions is 18 or older.

When family patterns can't stretch to fit life changes

If family patterns aren't flexible enough, families struggle to adapt to natural changes in the family life cycle. Reactions to normal life transitions and major life events become troubling and disrupt an otherwise loving family. Common concerns I address in family therapy include:

  • Creating an adult relationship with your parents
  • Adult children leaving home, returning home, or building independent lives
  • The death of a loved one and grieving together, or very differently
  • Divorce or marriage, including parents who divorce later in life and remarriage
  • Sibling conflict that never quite resolved
  • Boundaries around time, money, advice, and grandchildren
  • Caring for aging parents and sharing that responsibility fairly
  • Joining together to heal wounds from past experiences

Many of these overlap with the broader life transitions adults face. In family therapy, we work on them together instead of each person carrying their own version alone.

Multigenerational family relaxing together on a couch with their dog

Who I work with in family therapy

  • Parents and adult children who want a relationship built on mutual respect rather than old hierarchies. I spoke about this with Authority Magazine in 2025, and you can find that conversation in my post Five Tips for a Great Relationship With Your Adult Child.
  • Adult siblings working through old rivalries, inheritance questions, or decisions about a parent's care.
  • Blended families where stepparents, stepchildren, and new partners are still figuring out how they fit.
  • Families with in-law conflict, where a new marriage has shifted loyalties and everyone feels a little left out.
  • Families after a loss or divorce, where grief or a split has rearranged everyone's roles and the holidays no longer feel familiar.
  • Families facing estrangement who want to explore whether reconnection is possible. I won't force reconciliation. Sometimes the work is repair, and sometimes it's finding a healthier distance.

“In family therapy, I become an advocate for your entire family by promoting reconnection and facilitating communication.”

Shameela Keshavjee, LMFT

Culture and generations: immigrant parents and first-generation children

Some of the hardest family conflicts aren't about who's right. They're about two generations raised in different worlds trying to love each other across the gap.

I understand South Asian family and community dynamics, and I work with many South Asian and Muslim families (Ismaili, Sunni, and Shia). Parents who sacrificed everything to build a life here may expect closeness, involvement, and deference. Their adult children may want those things too, alongside more independence in decisions about careers, partners, and how to practice their faith. Both sides often feel unseen.

Common flashpoints include marriage choices, career paths, where adult children live, how grandchildren are raised, and who takes in an aging parent. These questions carry generations of meaning, and they rarely resolve in a single conversation.

In therapy, we slow down long enough for each person to explain what something means to them, not just what they want. That's often where empathy starts. Sessions are in English, which is worth knowing if a family member is more comfortable in another language. You can read more on my multicultural issues page.

How family therapy sessions work

In family therapy, I become an advocate for your entire family by promoting reconnection and facilitating communication. I can't guarantee that sessions will always be comfortable, but I will do everything I can to help each of you listen and be heard in a new way.

We'll work to find common ground on a variety of issues, including boundaries, expectations, and appropriate ways to disagree. I believe each family member shares responsibility for improvement. So I will challenge and support each of you to develop new perspectives and find empathy for one another. Each of you has strengths, and together you have more to work with than it may feel like right now.

A typical session might start with each person sharing what's been on their mind since we last met. Then we'll slow down a specific moment, like a holiday that went sideways or a text that landed badly, and look at what each person was feeling and needing. Often the same event has three or four completely different stories attached to it. I'm not there to decide which story is true. I'm there to help each of you understand the others.

Sessions are online, so family members can join from different homes or cities, each on their own device. Everyone needs to be physically located in Texas during the session, since I'm licensed in Texas. Sometimes I'll meet with smaller groups or individuals within the family if it helps the overall work. If one person would benefit from their own support alongside family sessions, individual therapy can be a good complement.

Fees and getting started

Family sessions for three or more people are $245 for 45 to 55 minutes. If your family configuration is different, please ask me and we'll figure out what makes sense. Family work benefits from consistency, so I recommend weekly sessions at first when schedules allow. I'm out of network for all insurance and can provide receipts for out-of-network reimbursement.

Start with a free phone consultation. We'll talk about who's involved, what's been happening, and what you're hoping for. It's okay if not everyone is on board yet. Often one person reaches out first, and we can think together about how to invite the others. If the main relationship you want to work on is with a partner, take a look at couples and marriage therapy.

What I draw from

  • Mindfulness
  • Emotionally Focused Therapy
  • Internal Family Systems
  • Cognitive Therapy
  • Communication & coping skill-building

Curious how these fit together? Read more about my training.

How it begins

Three simple steps to get started

  1. 01

    A free phone consultation

    We talk briefly about what’s bringing you in and whether I’m the right fit. For couples, this call is required before a first appointment.

  2. 02

    Your first session, online

    You join a secure SimplePractice video session from anywhere in Texas. We start getting to know your story, your patterns and your goals.

  3. 03

    Steady, honest work

    Weekly sessions to start build momentum. As things improve, we space them out. You set the pace; I help you keep it.

Sessions are private-pay. I’m out of network with all insurance companies, and I can give you a receipt to submit for out-of-network reimbursement. See rates & insurance.

Questions

Family Therapy: common questions

Don’t see yours? Browse all FAQs or send me a note.

Do you offer family therapy in Southlake, TX?

My practice is based in Southlake, and all family therapy sessions are online. That makes it easier for adult family members living in different parts of DFW or across Texas to join from wherever they are. Everyone needs to be physically located in Texas during the session.

Do you see children or teenagers in family therapy?

No. My family therapy is for adult families, so everyone participating is 18 or older. I work with parents and adult children, adult siblings, blended families, and multigenerational families. If you're looking for help with a younger child or teen, I'd recommend finding a family therapist who specializes in working with minors.

How much does family therapy cost?

Family sessions for three or more people are $245 for 45 to 55 minutes. If your family has a different configuration, please ask me about it during your consultation. I'm out of network for all insurance and can provide receipts for possible out-of-network reimbursement. I accept all major credit cards through Ivy Pay, plus HSA and FSA cards with a backup card on file.

Can family members join from different cities?

Yes, as long as everyone is in Texas at the time of the session. Each person can join from their own device and private space. This is one of the real advantages of online family therapy: an adult child in Austin and parents in Southlake can be in the same session without anyone getting on the highway.

What if someone in the family refuses to come?

That's very common. Family therapy can begin with whoever is willing, and sometimes others join later once they see it's not about blame. We can talk together about how to extend an invitation that feels respectful rather than pressured. Even if someone never joins, the work you do can still shift the pattern.

Can family therapy help with estrangement from an adult child or parent?

It can help you understand what happened and explore whether reconnection is possible. I won't push anyone into reconciliation. Sometimes the path forward is repair, and sometimes it's a healthier kind of distance. Either way, therapy can help you approach it with more clarity and less pain.

Will you take sides?

No. My role is to advocate for the whole family, not for any one person. I'll challenge and support each of you, and I'll make sure every voice in the room gets heard, including the quieter ones. If you ever feel I'm leaning one way, I want you to tell me.

Online across Texas

Ready when you are.

Reaching out is the hardest part. A short, free phone call is all it takes to see whether we’re a good fit, with no pressure and no paperwork.

Prefer email? shameela@therapywithshameela.com

CallBook a free phone consultation