11/17/2025
It’s common for trauma therapy and chosen family estrangement to go hand-in-hand. Some trauma survivors begin therapy already estranged from family; others choose estrangement during or after treatment. Estrangement may be brief, longer term, or permanent. Regardless of duration, trauma therapists frequently work with survivors who choose estrangement so frequently that anti-estrangement advocates often claim therapy causes estrangement.
This allegation isn’t true as the goal of trauma therapy is to treat trauma, not to initiate family estrangement. Yet, trauma therapy also does not seek to end estrangements or prevent them from occurring. In fact, several aspects of trauma treatment naturally support survivors in making decisions, including family estrangement, that prioritize their safety and well-being.
Once trauma survivors gain clarity about what keeps them safe, nurtures them, and aligns with their worth, family estrangement may be needed.