Sibling therapy, an emerging form of counseling aimed at improving relationships between brothers and sisters, is gaining attention as more adults seek to repair familial bonds later in life.
While couples therapy has long been an established practice, therapy specifically for siblings remains relatively uncommon. However, mental health professionals say interest appears to be growing as people recognize the lifelong impact of sibling relationships.
Research has shown that sibling relationships in childhood can have long-term effects on mental health and well-being. One study that followed participants for 30 years found that closeness with a sibling in childhood predicted lower levels of depression by age 50.
Despite the importance of sibling bonds, psychologists have historically focused more on parent-child relationships. A 2012 review of literature found that fewer than 3% of close-relationship studies examined sibling ties.
Some therapists believe addressing unresolved sibling issues can unlock insights into other relationship challenges. Early sibling dynamics often shape how people interact in adult friendships and romantic partnerships.
Sibling therapy can involve pairs or larger family groups working to improve communication and resolve long standing conflicts. Therapists may explore childhood experiences and family roles to help siblings understand different perspectives.
For some, the motivation to seek therapy comes later in life as they reflect on family relationships. Others are prompted by major life events like caring for aging parents or wanting their own children to have relationships with cousins.
While not all siblings can or should remain in close contact, therapists say the work can help reduce negative emotions even if siblings do not stay in regular communication afterward.
Experts note that sibling relationships often follow an "hourglass pattern" with more contact early in life, a period of distance in adulthood, and then efforts to reconnect later on.
As awareness of sibling therapy grows, more resources and training may be needed for mental health professionals interested in this specialization. Currently, few materials exist to guide clinicians in sibling-specific approaches.
While not a cure-all, proponents say sibling therapy can help adults process childhood dynamics and improve family bonds. For some, it offers a chance to find common ground with the person who may best understand their family background.