Family therapy & teen counseling that helps the whole family heal — not just one person.
Dr. Audrey Kteily is a PhD family therapist licensed in Texas, New Jersey, and New York. She uses a family systems approach to help parents and teens stop the same fights, communicate again, and rebuild trust at home. Every session is online, so the whole family can join from wherever they are.
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What is family systems therapy?
Family systems therapy is a type of family therapy that treats the family as one connected emotional unit. Rather than "fixing" the person with the most visible problem, a family systems therapist helps everyone see the patterns, roles, and communication habits that keep the problem going — and change them together.
"Our families shape our world view, our attitudes and behaviors, our identity and our self-esteem." That idea sits at the center of Dr. Audrey's work.
When a teen is anxious, a child is acting out, or parents can't stop arguing, it's natural to look for the one person who needs help. But families work more like a mobile: touch one piece and every other piece moves. That's why individual therapy alone sometimes stalls — the person improves in session, then comes home to the same patterns.
Family systems therapy works on those patterns directly. Dr. Audrey earned her PhD in Family Studies and has spent more than 20 years applying this lens with families, which means she's looking at the whole picture: how your family communicates, who carries which role, what happens when stress hits, and what each person needs to feel safe and heard.
The result is change that sticks, because it happens where your family actually lives. Families who also need help with a specific teen concern can pair family sessions with adolescent counseling, and couples carrying strain into parenting can add couples therapy.
Signs your family could benefit from a family therapist
You don't need to be in crisis to start family counseling. Most families reach out when one or more of these feels familiar.
The same arguments keep repeating, and nobody feels heard.
Your teen has shut down, pulled away, or only talks to you when there's conflict.
A child's anxiety, depression, or behavior is affecting everyone at home.
You and your partner disagree about discipline, screens, or rules.
Your kids aren't listening, and you're exhausted from yelling or giving in.
You're navigating divorce, co-parenting, or a blended family.
Anger, harsh words, or sibling conflict have become the norm.
The family is grieving a loss, a move, an illness, or another big transition.
A family member's mood disorder is putting strain on everyone else.
When a family member is distressed, the whole family feels it. Family therapy gives everyone a way to talk about it — and a plan.
Family counseling services for every stage of family life
Online family therapy and family counseling for parents, children, teens, and young adults across Texas, New Jersey, and New York.
Youth & Family Counseling
Whole-family and parent-child sessions to improve communication, reduce conflict, and rebuild connection between parents, children, and siblings.
- Communication & conflict repair
- Sibling conflict
- Rebuilding trust after a rupture
Teen Counseling
Individual counseling for teens ages 12–18, paired with family sessions so progress carries over at home.
- Anxiety, depression & mood
- School stress & performance pressure
- Identity, friendships & self-harm
Parenting Strategies
For parents who are stressed, stuck, or tired of kids not listening. Practical tools for structure, consistent limits, and raising kids with respect, discipline, and character.
- Parent-only coaching sessions
- Getting on the same page as co-parents
- Age-appropriate expectations
Blended Families & Co-Parenting
Support for divorce, remarriage, stepfamilies, and children moving between two homes — with online sessions that work across households.
- Step-parent roles & loyalty binds
- Co-parenting communication
- Helping kids adjust to change
Mood Disorders in the Family
Depression, anxiety, and bipolar disorder affect the whole household. Family sessions help everyone understand what's happening and how to respond in ways that help.
- Supporting a depressed or anxious teen
- Reducing blame and walking on eggshells
- DBT skills for emotional regulation
Family Conflict, Anger & Violence
Help with anger, yelling, and unhealthy communication patterns. Dr. Audrey is experienced with family violence and screens for safety before deciding which sessions happen together.
- Anger management for parents & teens
- Healthy conflict skills
- Safety planning & resources
Teen counseling works better when the family is part of it.
Teens need a space that's theirs — somewhere they can say what they're actually feeling without worrying about how a parent will react. They also go home every night to the same family. Dr. Audrey's teen counseling gives adolescents both: private one-on-one sessions, plus family sessions that change the dynamics they return to.
Teen sessions
Coping skills, DBT tools, and a trusted adult who listens without lecturing.
Parent sessions
What's going on, how to respond, and what to stop doing that's backfiring.
Family sessions
Practicing new ways to talk, repair, and set limits — together.
Clear confidentiality
Teens and parents both know up front what stays private and what's shared for safety.
From first call to real change at home
A clear, collaborative process — built around your family, delivered through secure HIPAA-compliant video.
Request & schedule
Submit the form or call. The office responds within one business day and sends a secure video link — no downloads required.
Parent intake
Often the first session is with parents only, so Dr. Audrey can understand your family's history, concerns, and goals before meeting everyone.
Map the system
Through teen, parent, and family sessions, Dr. Audrey identifies the patterns and roles driving conflict — and builds a plan with you.
Practice & sustain
Skills get practiced in session and at home. Progress is reviewed regularly, and sessions step down as things stabilize.
Family therapy vs. teen counseling vs. parent counseling
Most families use a mix. Here's how each format helps — Dr. Audrey will recommend a starting point after your first session.
| Format | Who attends | Best for | What changes |
|---|---|---|---|
| Family therapy | Two or more family members, together | Repeating conflict, communication breakdown, transitions, blended families | The patterns between people |
| Teen counseling | Teen one-on-one with Dr. Audrey | Anxiety, depression, self-harm, school stress, identity | The teen's coping skills and self-understanding |
| Parent counseling | One or both parents | Discipline, limits, co-parenting, parental burnout | How parents respond and lead |
| Combined plan | Rotates by need | Most families with a struggling teen | All of the above, in sync |
Family counseling in Texas, New Jersey & New York
Dr. Audrey is licensed in all three states and sees families anywhere in them through secure online sessions. Clients need to be physically located in one of these states during each session.
Family therapy in Texas
A Texas Licensed Professional Counselor since 2001 and Supervisor since 2004, Dr. Audrey has spent two decades as a family therapist for DFW families from her Coppell practice. Now fully online, she provides family therapy and teen counseling statewide.
Family counseling in New Jersey
As a New Jersey Licensed Professional Counselor, Dr. Audrey offers online family counseling and teen counseling in all 21 counties — with Eastern Time evening slots that work around school and commutes.
Family therapist in New York
Dr. Audrey is a New York Licensed Mental Health Counselor with a primary office address at 1159 2nd Ave, New York, NY 10065. She provides family therapy and teen counseling online to families across the state.
Why families choose Dr. Audrey
Plenty of therapists see families. Few have made families their academic specialty. Dr. Audrey Kteily holds a PhD in Family Studies, is a Certified Family Life Educator through the National Council on Family Relations, and is a published author on family dynamics. Families describe her as warm, direct, and patient — including with teens who don't want to be there.
She's also refreshingly human. She believes therapy works best when everyone can be authentic, which is why you won't find her in a suit — and why teens tend to relax once they discover she's a Ravenclaw who still builds with Legos.
- ✓PhD in Family Studies — Texas Woman's University
- ✓Master's in Counseling — Dallas Baptist University
- ✓LPC-S Texas · LPC New Jersey · LMHC New York
- ✓Certified Family Life Educator (CFLE) — National Council on Family Relations
- ✓C-DBT Certified — Dialectical Behavior Therapy
- ✓LGBTQ+ affirming for youth, parents, and every kind of family
If someone in your home is in danger, safety comes first. Call 911 for emergencies. The National Domestic Violence Hotline is available 24/7 at 1-800-799-7233, and the 988 Suicide & Crisis Lifeline is available by call or text at 988. Online therapy is not an emergency service.
What families say about Dr. Audrey
Dr. Audrey has been on this journey with us as a family through our rollercoaster and spiral to rock bottom and our climb back up.
It can be tough working with a depressed teenager who doesn't like to share her feelings, but Audrey was patient and understanding week after week.
Questions about family therapy & teen counseling
Straight answers about how family counseling works, who attends, and getting started in Texas, New Jersey, or New York.
Family systems therapy is a form of family therapy that treats the family as one connected emotional unit. Instead of focusing only on the person with the most visible problem, a family systems therapist looks at the patterns, roles, and communication habits that keep a problem going, and helps the whole family change them together.
In everyday use, no. Family therapy and family counseling describe the same service: a licensed clinician working with two or more family members to improve communication, reduce conflict, and solve problems together. Dr. Audrey uses both terms. Her doctoral training is in Family Studies, so her family counseling is grounded in a family systems model.
Consider a family therapist when the same arguments keep repeating, a child or teen is struggling and it is affecting everyone at home, parents disagree about discipline, the family is going through divorce, remarriage, a move, or a loss, or communication has shut down. You do not need to wait for a crisis. Families often get the most out of therapy when they start early.
Often both. Teen counseling gives an adolescent a private space to build coping skills and talk openly, while family sessions change the patterns at home that the teen returns to every day. Dr. Audrey typically blends the two, with individual teen sessions, parent-only sessions, and whole-family sessions as needed. The mix is decided together after the first appointment.
For most families, yes. Research on telehealth therapy shows outcomes comparable to in-person care for most concerns. Online sessions also make it easier for everyone to attend, including a parent who travels, a college student, or children living between two homes, and many teens are more comfortable talking from their own space.
Not everyone, every time. Some sessions include the whole family, some include one parent and one child, and some are parent-only or teen-only. Change in one part of a family system affects the rest, so meaningful progress is possible even when a family member is not ready to participate.
Yes, as long as each participant is physically located in Texas, New Jersey, or New York at the time of the session, the states where Dr. Audrey is licensed. If a family member is in another state, for example a student at an out-of-state college, contact the office before booking so options can be reviewed.
Yes. Dr. Audrey has been a Licensed Professional Counselor in Texas since 2001 and an LPC-Supervisor since 2004. She provides online family therapy and teen counseling statewide, including Coppell, Dallas, Fort Worth, Plano, Frisco, Flower Mound, Southlake, Irving, Austin, Houston, and San Antonio.
Yes. Dr. Audrey is a Licensed Professional Counselor (LPC) in New Jersey and provides online family counseling and teen counseling to families in all 21 New Jersey counties, from Bergen and Hudson to Monmouth, Mercer, and Camden.
Dr. Audrey is a Licensed Mental Health Counselor (LMHC) in New York State, which authorizes her to provide counseling and psychotherapy, including family therapy and teen counseling, to New York residents. She serves families online across all five NYC boroughs, Long Island, Westchester, the Hudson Valley, and upstate New York. Her primary business address is 1159 2nd Ave #157, New York, NY 10065.
It depends on the family and the goals. Many families meet weekly at the start, then move to every other week as things stabilize. Dr. Audrey reviews progress with the family regularly so you always know what you are working toward and when it may be time to step down or finish.
For clients under 18, a parent or legal guardian completes intake paperwork and consents to treatment. In separated or divorced families, the office may ask for the custody or parenting-plan documents that show who can consent. Dr. Audrey explains confidentiality to both teens and parents at the first session, including what stays private and when safety concerns must be shared.
Dr. Audrey is an out-of-network provider and can provide a superbill you can submit to your insurance company for possible reimbursement. Ask your insurer about out-of-network benefits for family psychotherapy and for individual psychotherapy for your teen. Call (888) 718-7045 or email admin@draudrey.net for current rates.
Safety comes first. If anyone is in immediate danger, call 911. The National Domestic Violence Hotline is available 24/7 at 1-800-799-7233, and the 988 Suicide & Crisis Lifeline is available by call or text at 988. Dr. Audrey has extensive experience with family violence and anger, and will assess safety before recommending which sessions should be held jointly and which should be held separately.
Complete the secure appointment request form on this page, call (888) 718-7045, or email admin@draudrey.net. The office typically responds within one business day to schedule a first session, which is often a parent intake so Dr. Audrey can understand the family's history and goals before meeting everyone.
Related services
Your family doesn't have to keep having the same fight.
Dr. Audrey is accepting new families for online family therapy and teen counseling across Texas, New Jersey, and New York. Start with a quick, no-pressure request — we'll be in touch within one business day.
Request a Family SessionPrefer to talk first? Call (888) 718-7045