Genogram example · Emotional & relational
Family Secrets and Hidden Relationships
Quick answer

At a glance
| This example | |
|---|---|
| Generations | 3 |
| Family members | 12 (6 male, 6 female) |
| Birth years | 1932 to 2009 |
| Deceased | 1 |
| Index person | Andrew Sinclair |
| Emotional relationships | Close, Distant and Conflict |
| Conditions marked | Anxiety Conditions, Depressive Disorders, Mental Health Conditions, Cardiovascular Conditions and Cancer |
| Category | Emotional & relational |
| Tags | Clinical, Educational |
About this genogram
A three-generation genogram revealing family secrets and hidden relationships that create invisible barriers within the family system. Includes a father's extramarital affair that produced an unknown half-sibling, a grandmother who gave up a child for adoption in the 1960s, and a paternal uncle whose homosexuality is hidden from the extended family. Demonstrates how family secrets distort communication patterns, create unexplained emotional distance, and affect members who may not even know the secrets exist.
Pattern analysis
Overview
This 3-generation genogram maps 12 family members with birth years spanning from 1932 to 2009, comprising 6 males and 6 females (1 deceased). The genogram tracks 5 medical/psychological condition categories and 3 emotional relationship types across 8 documented dyads. The index patient is Andrew Sinclair (b. 1996), software developer.
Generation by generation
The family system encompasses 3 generations with distinct patterns at each level. The oldest generation includes Harold, Margaret, George and 1 other, with 3 presenting documented conditions. The middle generation includes Richard, Karen, Paul and 1 other, with 4 presenting documented conditions. The youngest generation includes Lily, Andrew, Emma and 1 other, with 2 presenting documented conditions.
Emotional relationships
Emotional relationship mapping reveals 4 distant relationships, 1 conflictual relationship, 3 close relationships. Specific patterns include a distant relationship between Richard and Karen, a distant relationship between Richard and Paul, a conflictual relationship between Andrew and Richard. Conflictual patterns highlight areas of tension that may benefit from therapeutic intervention and improved communication strategies.
Health conditions
Medical and psychological conditions are documented in 9 of 12 family members (75%). Anxiety-spectrum conditions appear in 4 members (Margaret, Richard, Paul...), affecting 1 female and 3 males. Depressive disorders appear in 3 members (Margaret, Karen, Paul), affecting 2 females and 1 male. Mental health conditions appear in 3 members (Catherine, Lily, Andrew), affecting 2 females and 1 male. Comorbidity is observed in 3 family members, with Margaret presenting 2 concurrent condition categories. The multigenerational prevalence of anxiety-spectrum conditions suggests both genetic predisposition and possible environmental or behavioral transmission pathways.
This genogram is particularly valuable for understanding the family emotional system. With 8 documented emotional relationships across 3 categories, it provides rich material for mapping emotional process. Therapists can use these patterns to identify triangles, track emotional reactivity, and help family members develop greater awareness of how their relationship patterns mirror those of previous generations.
How do you read the Family Secrets and Hidden Relationships genogram?
- 1
Find each person and generation
Squares are males and circles are females, and each row is one generation, oldest at the top. This one has 6 males and 6 females across 3 generations. - 2
Check the status markers
Markers on a symbol add facts about that person: Deceased (X) and Index Patient (Arrow). 1 person is marked deceased. The index person, the focus of the assessment, is Andrew Sinclair. - 3
Follow the family lines
Horizontal lines join partners and vertical lines drop to their children, born left to right in birth order. This genogram uses Marriage, Parent-Child and Biological Child lines. - 4
Read the emotional lines
Lines drawn between two people show how they relate: Close, Distant and Conflict. Notice who has several lines converging on them, and which patterns repeat from one generation to the next. - 5
Read the shading
Shaded symbols mark health conditions: Anxiety Conditions, Depressive Disorders, Mental Health Conditions, Cardiovascular Conditions and Cancer. Trace each line of descent to see where a condition recurs and where it stops.
Genogram symbols used in this example
| Symbol | Type | What it means |
|---|---|---|
| Male (Square) | Person Symbols | A square represents a male family member in standard genogram notation. |
| Female (Circle) | Person Symbols | A circle represents a female family member in standard genogram notation. |
| Deceased (X) | Status Markers | An X drawn through the symbol indicates the person is deceased. |
| Index Patient (Arrow) | Status Markers | An arrow pointing to a person identifies them as the index patient — the individual who is the focus of the clinical assessment. |
| Marriage | Structural Relationships | A solid horizontal line connecting two individuals represents a marriage or committed partnership. |
| Parent-Child | Structural Relationships | A vertical line descending from a couple line to a child symbol represents a parent-child relationship. |
| Biological Child | Child Connection Types | A solid vertical line from parent to child indicates a biological relationship. |
| Close | Emotional Relationships | Two parallel lines between individuals represent an emotionally close relationship. |
| Distant | Emotional Relationships | A dotted line represents an emotionally distant or disengaged relationship. |
| Conflict | Emotional Relationships | A zigzag line between individuals represents an openly conflictual relationship. |
| Anxiety Conditions | Medical Conditions | Shading in the genogram symbol indicates anxiety-spectrum diagnoses (GAD, panic disorder, phobias, OCD). |
| Depressive Disorders | Medical Conditions | Shading indicates depressive conditions (major depression, dysthymia, bipolar disorder). |
| Mental Health Conditions | Medical Conditions | Shading indicates psychological or psychiatric conditions beyond anxiety and depression. |
| Cardiovascular Conditions | Medical Conditions | Shading indicates heart disease, hypertension, stroke, or other cardiovascular conditions. |
| Cancer | Medical Conditions | Shading indicates any cancer diagnosis, with specifics noted in the individual's record. |
Build a genogram like this one
Example prompt
- 1
Start from the dashboard
Sign in to GenogramAI and choose Create with AI (paid plans), or open a blank genogram and use Ask AI (any plan). To start from this exact chart instead, use Open as template. - 2
Describe your family
Paste a description like the one above, with your own names, dates, relationships and health history. - 3
Check and adjust
Edit people and lines by hand, or ask the AI for one change at a time. - 4
Export
Download a PNG on the free plan. PDF and SVG export are on paid plans.
The free plan includes 2 genograms and 5 AI credits a month. See the AI genogram creator for what else it can do.
Related resources
- Understand the meaning of genogram relationship lines used to depict emotional dynamics.
- See how therapists use genograms for couples therapy to address relational patterns.
- Our guide to genogram interpretation explains how to analyze emotional patterns like those shown here.
- The distant relationship symbol in this genogram indicates emotional disengagement.
- The conflict relationship symbol marks openly hostile dynamics between family members.
Frequently asked questions
What clinical patterns does the Family Secrets and Hidden Relationships genogram reveal?
The Family Secrets and Hidden Relationships genogram maps multigenerational transmission of psychological patterns, emotional dynamics, and relationship structures. Clinicians use it to identify recurring cycles of behavior, attachment styles, and communication patterns that may inform diagnosis and treatment planning in family therapy.
What emotional patterns does the Family Secrets and Hidden Relationships genogram reveal?
The Family Secrets and Hidden Relationships genogram reveals patterns of emotional relationships across generations, including closeness, conflict, enmeshment, cutoffs, and triangulation. These patterns help therapists and clients understand how family emotional dynamics repeat and can be addressed in treatment.
What genogram symbols are used in the Family Secrets and Hidden Relationships example?
This genogram uses Male (Square), Female (Circle), Deceased (X), Index Patient (Arrow), Marriage, Parent-Child, Biological Child, Close, Distant, Conflict, Anxiety Conditions, Depressive Disorders and 3 more. All of them follow standard genogram notation, so the chart reads the same way in any genogram program or textbook.
Can I build a genogram like the Family Secrets and Hidden Relationships example?
Yes. Open GenogramAI, choose Create with AI on the dashboard (paid plans) or open a blank genogram and use Ask AI in the editor (any plan), and describe the family in plain words: who is in it, how they are related, key dates and the relationships or health conditions you want to show. The AI draws the symbols and lines, and you can then edit by hand or ask for one change at a time. A family of 12 people like this one takes a short paragraph to describe. The free plan includes 2 genograms and 5 AI credits a month, with PNG export.
About this example





