Repairing Strained Parent-Adult Child Relationships Through Therapy
- Kirsten Siewert, M.A. LMFT

- Dec 22, 2025
- 3 min read
Relationships between parents and adult children can become strained in ways that feel confusing, painful, and deeply personal. Old roles linger, expectations clash, and attempts to reconnect often lead to frustration rather than repair. Many families reach a point where conversations feel circular - or stop happening altogether.
This is a type of work I regularly do in my practice. Parent–adult child therapy is nuanced and emotionally layered, but it can be profoundly meaningful. Contrary to what many people assume, it is not about assigning blame or revisiting every past hurt. It is about creating new ways of relating - ones that allow for autonomy, mutual respect, and emotional safety.
Why Parent–Adult Child Relationships Become Strained
Unlike couples, parents and adult children don’t choose one another as adults - yet they are still deeply bonded. Tension often arises around:
Differing expectations about closeness, independence, and responsibility
Unresolved attachment injuries such as emotional neglect, abandonment, or parentification
Protest behaviors like withdrawal, criticism, over-functioning, or emotional shutdown
Adult children seeking autonomy and safety, while parents struggle with fear, guilt, or loss of role
When these dynamics go unspoken, they harden into patterns that feel immovable.

How Parent-Adult Child Therapy Helps Repair the Relationship
I often integrate tools and frameworks commonly used in couples therapy, adapting them thoughtfully for parent-adult child relationships.
The Gottman Method for Structure, Boundaries, and Mutual Respect
This approach can be selectively useful, particularly for structure and boundaries. Tools like softened start-up, identifying the Four Horsemen, and practicing psychological self-soothing help reduce escalation and foster mutual respect. When appropriate, concepts such as Dreams Within Conflict can illuminate what each person is truly longing for - often beneath defensiveness or rigidity. Used carefully, this approach supports differentiation without emotional cutoff.
Emotionally Focused Therapy (EFT) and Attachment Injuries
Especially powerful when communication issues are rooted in attachment rather than skill deficits. In many parent-adult child relationships, the core pain isn’t how people talk - it’s what hasn’t been felt, acknowledged, or repaired. EFT helps address unresolved attachment injuries and shift entrenched protest patterns, allowing both parties to move toward connection without sacrificing autonomy.
When Solution-Focused Brief Therapy (SFBT) Is Most Effective
Useful when the goal is repair and forward movement rather than deep processing. It works well when both parties want practical change, have limited tolerance for emotional excavation, and the relationship - while strained - has not been severely traumatized. SFBT helps shift the focus from “who hurt whom” to “what works,” reduces power struggles, and builds momentum quickly.
Is It Ever Too Late to Repair a Parent–Adult Child Relationship?
Research and clinical experience consistently show that even long-standing relational patterns can shift when there is structure, safety, and support. Importantly, it is never too late to change how you relate to one another. Repair does not require perfection, agreement on the past, or even closeness as it once existed - only a willingness to engage differently in the present.
For some families, therapy leads to renewed closeness. For others, it results in clearer boundaries, less resentment, and more peace. Both outcomes are valid and meaningful.
If you find yourself feeling stuck, disconnected, or unsure how to move forward with a parent or adult child, support can help. These relationships matter - and with the right approach, they can evolve in ways that feel healthier and more sustainable for everyone involved.






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