9 genogram examples

Clinical Fictional Case Study Genograms

Fictional family case studies designed for clinical training. These composite families demonstrate complex dynamics — blended cultures, intergenerational trauma, military transitions — without using real patient data.

Updated October 2026

Quick answer

Clinical case study genograms are fictional composite families written for training, so they carry no real client data. These 9 cases cover cross-cultural blended families, military transition, gender identity, pregnancy loss, suicide loss and couples therapy, with enough detail to practice intake, hypothesis building and treatment planning.

All 9 clinical case studies examples

Okafor Family Genogram

Adaeze Okafor, 16, is brought to therapy by her parents, Chukwu (50) and Ngozi (47), for "defiant behavior.

Brennan-Mitchell Family Genogram

Sarah Brennan (38) and David Mitchell (42) present for couple therapy, reporting constant conflict about parenting. They have been married for three years.

Kim-Alvarez Family Genogram

Maya Kim (35) and Elena Alvarez (33) present for family therapy.

Washington Family Genogram

Marcus Washington (28) enters treatment for alcohol use disorder after a DUI arrest. He is court-mandated to treatment. Marcus lives alone.

Fischer-Tanaka Family Genogram

Emma Fischer-Tanaka (45) presents with severe anxiety, insomnia, and a sense of dread that began abruptly six months ago. She cannot identify a trigger.

Gender Identity in the Family: Transgender and Nonbinary Members

Clinical genogram with a transgender teenager and a nonbinary sibling: gender identity symbols, orientation, cutoff, repair and support across generations.

Pregnancy Loss and Infertility Across Generations

Genogram with miscarriage, stillbirth, abortion and pregnancy symbols in birth order, plus IVF and unspoken losses in the previous generation.

Suicide Loss and Anniversary Reactions

Clinical genogram of suicide loss across generations: death dates, a family secret, depression and alcohol patterns and an anniversary reaction.

Couples Therapy: Affair, Separation and Two Families of Origin

Couples genogram with an affair, separation and reconciliation, both families of origin, a repeated affair pattern and a parent-child triangle.

Fictional Case Studies for Clinical Training

These composite family cases are designed for clinical training without using real client data. The Okafor family demonstrates African American multigenerational dynamics. The Kim-Alvarez family shows cross-cultural blended family challenges. The Fischer-Tanaka family illustrates military-to-civilian transition stress. Use these in classroom role-plays, supervision exercises, or case conceptualization practice.

Fictional case studies solve one of the biggest challenges in clinical education: access to realistic, complex family scenarios without ethical risk. Each case includes enough detail for students to practice intake interviewing, hypothesis generation, and treatment planning. Supervisors can also use these genograms as calibration tools, comparing how different trainees interpret the same family system.

Who uses these examples

Clinical supervisors running case conceptualization exercises with trainees
Marriage and family therapy programs needing teaching materials without real client data
Social work faculty teaching multicultural family assessment
Counseling students practicing intake interviews and treatment planning

Browse all 184 examples in the genogram examples gallery. Examples based on public figures use publicly available information; they are educational illustrations, not clinical documents.