Genogram example · Specialty

Genetic Counseling Genogram

A genetic counseling genogram for a couple seeking pre-conception genetic counseling.
Updated October 2026 · GenogramAI Clinical Team

Quick answer

This Genetic Counseling genogram covers 3 generations and 12 family members born between 1948 and 2013, centered on Sarah Levine. Standard notation shows relationship lines for close ties and shading for mental health, cardiovascular and genetic conditions. It shows a genogram adapted to a specialized practice setting.
Genetic Counseling Genogram drawn in standard genogram notation: 3 generations, 12 family members, with close relationship lines
Genetic Counseling Genogram, rendered in GenogramAI. Select Explore interactively to inspect each person and line.
Open in the appPan, zoom and inspect each person and relationship.

At a glance

This example
Generations3
Family members12 (6 male, 6 female)
Birth years1948 to 2013
Index personSarah Levine
Emotional relationshipsClose
Conditions markedMental Health Conditions, Cardiovascular Conditions and Genetic Conditions
CategorySpecialty
TagsMedical, Academic, Educational

About this genogram

A genetic counseling genogram for a couple seeking pre-conception genetic counseling. The wife's family has a history of Down syndrome (trisomy 21) including an affected sibling. The husband's family is of Ashkenazi Jewish heritage with Tay-Sachs carrier status in the lineage. Demonstrates how genograms are used in genetic counseling to map carrier statuses, affected individuals, reproductive history, and calculate genetic risk for future pregnancies.

Family analysis

Overview

This 3-generation genogram maps 12 family members with birth years spanning from 1948 to 2013, comprising 6 males and 6 females. The genogram tracks 4 medical/psychological condition categories and 1 emotional relationship type across 2 documented dyads. The index patient is Sarah Levine (b. 1982), occupational therapist.

Generation by generation

The family system encompasses 3 generations with distinct patterns at each level. The oldest generation includes Frank, Margaret, Harold and 2 others, with 4 presenting documented conditions. The middle generation includes Sarah, David, Tommy and 2 others, with 3 presenting documented conditions. The youngest generation includes Emma, Lucas.

Emotional relationships

Emotional relationship mapping reveals 2 close relationships. Specific patterns include a close relationship between Sarah and Tommy, a close relationship between David and Rebecca.

Health conditions

Medical and psychological conditions are documented in 7 of 12 family members (58%). Reproductive appear in 3 members (Margaret, Sarah, Miscarriage). Genetic conditions appear in 3 members (Harold, David, Tommy). Cardiovascular conditions appear in 2 members (Frank, Tommy). Comorbidity is observed in 1 family member, with Tommy presenting 3 concurrent condition categories. The multigenerational prevalence of reproductive 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.

How do you read the Genetic Counseling Genogram?

Work through it in layers, from the people to the lines between them.
  1. 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. 2

    Check the status markers

    Markers on a symbol add facts about that person: Index Patient (Arrow). The index person, the focus of the assessment, is Sarah Levine.
  3. 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 and Parent-Child lines.
  4. 4

    Read the emotional lines

    Lines drawn between two people show how they relate: Close. Notice who has several lines converging on them, and which patterns repeat from one generation to the next.
  5. 5

    Read the shading

    Shaded symbols mark health conditions: Mental Health Conditions, Cardiovascular Conditions and Genetic Conditions. Trace each line of descent to see where a condition recurs and where it stops.

Genogram symbols used in this example

Every symbol below follows standard genogram notation. Linked names open the full symbol guide.
SymbolTypeWhat it means
Male (Square)Person SymbolsA square represents a male family member in standard genogram notation.
Female (Circle)Person SymbolsA circle represents a female family member in standard genogram notation.
Index Patient (Arrow)Status MarkersAn arrow pointing to a person identifies them as the index patient — the individual who is the focus of the clinical assessment.
MarriageStructural RelationshipsA solid horizontal line connecting two individuals represents a marriage or committed partnership.
Parent-ChildStructural RelationshipsA vertical line descending from a couple line to a child symbol represents a parent-child relationship.
CloseEmotional RelationshipsTwo parallel lines between individuals represent an emotionally close relationship.
Mental Health ConditionsMedical ConditionsShading indicates psychological or psychiatric conditions beyond anxiety and depression.
Cardiovascular ConditionsMedical ConditionsShading indicates heart disease, hypertension, stroke, or other cardiovascular conditions.
Genetic ConditionsMedical ConditionsShading indicates inherited genetic disorders (sickle cell, hemophilia, cystic fibrosis, etc.).

Build a genogram like this one

Describe the family in plain words and GenogramAI places the symbols, lines and layout for you. A description like this one is a good starting point:

Example prompt

Create a 3-generation genogram: A genetic counseling genogram for a couple seeking pre-conception genetic counseling. The wife's family has a history of Down syndrome (trisomy 21) including an affected sibling. Show close relationships between the people involved. Mark mental health, cardiovascular and genetic conditions on the people who have them. Mark Sarah Levine as the index person.
  1. 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. 2

    Describe your family

    Paste a description like the one above, with your own names, dates, relationships and health history.
  3. 3

    Check and adjust

    Edit people and lines by hand, or ask the AI for one change at a time.
  4. 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

Frequently asked questions

What clinical patterns does the Genetic Counseling Genogram reveal?

The Genetic Counseling 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.

Who would benefit from studying the Genetic Counseling genogram?

The Genetic Counseling genogram is valuable for family therapists, social workers, counseling students, medical professionals, and anyone interested in understanding family dynamics and intergenerational patterns through visual family mapping.

What genogram symbols are used in the Genetic Counseling Genogram example?

This genogram uses Male (Square), Female (Circle), Index Patient (Arrow), Marriage, Parent-Child, Close, Mental Health Conditions, Cardiovascular Conditions and Genetic Conditions. 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 Genetic Counseling Genogram 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

This genogram 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.