
The episode discusses the complexities of family estrangement in therapy with insights from Karl Melvin.
🫐Sponsored by Berries: Use code TherapyShow50 for $50 off your first month - CLICK HERE for a free trial .🫐 Family estrangement is no longer a fringe issue. It's showing up more frequently in our therapy rooms, our culture, and even in mainstream media. But many clinicians were never formally trained to work with it. In this episode, I'm joined by therapist, researcher, and author Karl Melvin to explore the clinical complexity of family estrangement and why it requires more nuance than simply labeling it "no contact" or "toxic family." We talk about estrangement as a continuum, the central role of rejection, the layered psychological and relational impacts, generational gaps, stigma, and what therapists may unintentionally miss when supporting clients navigating cutoffs or reconciliation attempts. Karl shares insights from his research, his book, and years of clinical work, including how to think systemically, stay perspective-neutral, and manage your own family-of-origin bias as a therapist. This conversation is also a preview of Karl's continuing education training now available inside my learning platform: "8 Things Every Therapist Should Know About Family Estrangement."…
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