10 Examples
Clinical & Therapeutic Genogram Examples
Explore genograms showing anxiety, depression, PTSD, substance use, and other mental health patterns across generations. These clinical examples are used by therapists for intake assessment, treatment planning, family systems conceptualization, and clinical supervision presentations.
Why Clinical Genogram Examples Matter
These examples demonstrate how genograms are applied in real clinical practice to reveal patterns that would otherwise remain invisible during talk therapy alone. You will find cases tracing anxiety transmission across three generations, depression clustering on the maternal line, substance abuse dynamics that mirror parental modeling, and PTSD presentations linked to intergenerational trauma. For graduate students preparing for practicum placements, studying these diagrams provides a concrete preview of the assessment work they will be expected to perform on day one. For licensed therapists, they serve as ready-made references when planning sessions that involve family-of-origin exploration or when presenting cases in clinical supervision.
Every example in this collection uses McGoldrick standard notation, the same symbol system taught in accredited MFT and social work programs worldwide. Squares represent males, circles represent females, horizontal lines denote partnerships, and vertical lines indicate parent-child relationships. Symptoms and diagnoses are annotated directly on each individual symbol, making it possible to scan the entire family system at a glance and identify where clinical attention is most needed. Whether you are mapping a new client intake or reviewing a complex multi-problem family, these examples give you a reliable starting framework.
Who Uses These Examples
- Licensed therapists preparing intake assessments, treatment plans, and supervision presentations
- Graduate students in MFT, social work, and counseling programs studying for practicum and licensure exams
- Clinical supervisors demonstrating family systems conceptualization techniques to trainees
- Researchers studying intergenerational transmission of mental health conditions
Anxiety Disorder Family Pattern
A three-generation genogram illustrating the hereditary transmission of anxiety spectrum disorders including generalized anxiety disorder, social anxiety, panic disorder, agoraphobia, and OCD tendencies. Demonstrates enmeshed mother-child dynamics and paternal emotional distance.
Depression Across Generations
A three-generation genogram tracing major depressive disorder through the maternal line, illustrating patterns of suicide, alcoholism, recurrent depression, treatment-resistant depression, and postpartum depression. Highlights intergenerational transmission of mood disorders and family cutoff dynamics.
Substance Abuse Family Dynamics
A three-generation genogram depicting multigenerational alcoholism and substance abuse patterns, including codependency dynamics, recovery trajectories, and overdose death. Illustrates how substance use disorders transmit through families alongside enabling and codependent relationship patterns.
Eating Disorder Family Pattern
A three-generation genogram depicting the transmission of eating disorders and body image disturbances across a family system. Features anorexia nervosa, bulimia, body dysmorphia, and controlling family dynamics with fused/enmeshed relationship patterns.
PTSD and Trauma Transmission
A three-generation genogram illustrating intergenerational trauma transmission from a Vietnam War veteran through domestic violence, complex PTSD, and hypervigilance. Demonstrates how unresolved trauma propagates through family systems via abuse, emotional neglect, and maladaptive coping.
Bipolar Disorder Family History
A three-generation genogram depicting the hereditary pattern of bipolar spectrum disorders across a family system. Features Bipolar I, Bipolar II, undiagnosed mood instability in older generations, and the impact of psychiatric illness on marital and parent-child relationships.
Schizophrenia Hereditary Pattern
A three-generation genogram illustrating the hereditary pattern of schizophrenia spectrum disorders across a family system. Features schizophrenia, schizoaffective disorder, schizotypal personality, and the social impact of psychotic illness including institutionalization, estrangement, and social withdrawal.
OCD Family Dynamics
A three-generation genogram illustrating the familial clustering of obsessive-compulsive spectrum disorders including OCD, hoarding, trichotillomania, and perfectionistic traits. Demonstrates fused/enmeshed family dynamics and the role of anxiety in maintaining OCD cycles across generations.
ADHD Multi-Generational Pattern
A three-generation genogram illustrating the multigenerational transmission of ADHD, including late-life diagnosis in adults, childhood diagnosis in younger generations, and the academic and occupational impacts of undiagnosed neurodevelopmental conditions. Features a supportive family system working to understand and accommodate ADHD.
Autism Spectrum Family Genogram
A three-generation genogram depicting the presentation of autism spectrum disorder (ASD) across a family system, including late diagnosis in adults, varied presentations (high-functioning autism, Asperger syndrome, ASD Level 2), and the Broader Autism Phenotype (BAP) in extended family members. Illustrates diverse relationship styles and communication patterns.
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