A session begins with a dialogue to determine the best approach to the client’s issue and clarify their needs. A genogram is often used to highlight existing imbalances and repetitive patterns. The client’s family system is then represented using figurines, cards, or symbolic objects.

Observing this arrangement reveals the imbalances and opens the way to greater harmony. The therapist senses the state of each element and conveys this information. The client then formulates healing statements to release, acknowledge, and honor what has been revealed.