A family genogram illustrating multiple generations of addiction and recovery, showing the full spectrum from active addiction to long-term sobriety....
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A family genogram illustrating multiple generations of addiction and recovery, showing the full spectrum from active addiction to long-term sobriety. Demonstrates multigenerational transmission of substance use disorders, codependency patterns, the role of 12-step programs and treatment, family healing in recovery, reconnection after cutoff, and how addiction disrupts and recovery rebuilds family relationships. Includes family members at different stages of change.
How this family structure is represented using standard genogram notation.
Key relationship dynamics and emotional bonds within the family system.
How professionals use this type of genogram in assessment and treatment.
This 3-generation genogram maps 10 family members with birth years spanning from 1938 to 2001, comprising 5 males and 5 females (1 deceased). The genogram tracks 4 medical/psychological condition categories and 3 emotional relationship types across 6 documented dyads. The index patient is Tom Garrett (b. 1968), substance abuse counselor.
The family system encompasses 3 generations with distinct patterns at each level. The oldest generation includes William, Dolores, Henry and 1 other, with 3 presenting documented conditions. The middle generation includes Tom, Linda, Kathleen, with 3 presenting documented conditions. The youngest generation includes Ryan, Ashley, Patrick, with 2 presenting documented conditions.
Emotional relationship mapping reveals 1 cutoff_repaired relationship, 3 close relationships, 2 conflictual relationships. Specific patterns include a cutoff_repaired relationship between Tom and Linda, a close relationship between Tom and Ryan, a conflictual relationship between Tom and Kathleen. Conflictual patterns highlight areas of tension that may benefit from therapeutic intervention and improved communication strategies.
Medical and psychological conditions are documented in 8 of 10 family members (80%). Substance appear in 4 members (William, Tom, Kathleen...), affecting 1 female and 3 males. Anxiety-spectrum conditions appear in 3 members (Dolores, Linda, Ashley). Depressive disorders appear in 2 members (Dolores, Kathleen). Comorbidity is observed in 2 family members, with Dolores presenting 2 concurrent condition categories. The multigenerational prevalence of substance suggests both genetic predisposition and possible environmental or behavioral transmission pathways.
This genogram illustrates how family structure shapes individual development and relational patterns. Professionals working with families of this structure can use the genogram to normalize diverse family configurations and identify both strengths and areas for growth in the family system.
The following standard genogram symbols appear in the Addiction Recovery Family. Each symbol follows McGoldrick and Gerson clinical notation conventions.

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Educational disclaimer: This genogram example is an educational illustration of genogram notation and family systems concepts. Examples based on public figures use publicly available information. They are not clinical documents. All examples are intended for learning genogram symbols and patterns.