Sarah Brennan (38) and David Mitchell (42) present for couple therapy, reporting constant conflict about parenting. They have been married for three...
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Sarah Brennan (38) and David Mitchell (42) present for couple therapy, reporting constant conflict about parenting. They have been married for three years. Sarah has two children from her first marriage: Jake (14) and Lily (11).
How conditions and behaviors are passed across generations through family dynamics.
Patterns of enmeshment, cutoff, conflict, and closeness between family members.
How the family operates as a system with roles, boundaries, and recurring patterns.
This 2-generation genogram maps 8 family members with birth years spanning from 1984 to 2024, comprising 4 males and 4 females (1 deceased). The genogram tracks 1 medical/psychological condition category. The index patient is Tom Brennan (b. 1985).
The family system encompasses 2 generations with distinct patterns at each level. The oldest generation includes Tom, Sarah, Claire and 1 other, with 1 presenting documented conditions. The middle generation includes Jake, Lily, Mia and 1 other.
Medical and psychological conditions are documented in 1 of 8 family members (13%). Cancer diagnoses appears in 1 member (Claire).
From a clinical perspective, this genogram offers rich material for therapeutic exploration. The presenting concerns of Tom Brennan can be contextualized within 2 generations of family patterns. Bowen family systems theory would note the intergenerational transmission of both symptomatic presentations and relational patterns. This case is particularly suited for exploring differentiation of self, family projection processes, and the way anxiety moves through the family emotional system.
The following standard genogram symbols appear in the Brennan-Mitchell Family Genogram. 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.