Therapy Resource

Genogram Symbol Reference Guide

Standard notation for mapping family structure and relational dynamics

RelationshipsInfographicFree Resource

Genogram Symbol Reference Guide

Standard notation for mapping family structure and relational dynamics

A genogram is a multigenerational family map that uses standardized symbols to represent family members, their relationships, and significant patterns. Originally developed by Murray Bowen and refined by McGoldrick, Gerson, and Petry (2020), genograms are widely used in family therapy, medical practice, and social work to visualize relational dynamics across generations.

1
Gender and Identity Symbols
Males are represented by a square, females by a circle, transgender individuals by a square-circle combination, and non-binary individuals by a diamond. The identified patient or client is indicated by a double border around their symbol.
2
Lifespan Indicators
A living person is shown with an open symbol. A deceased person is indicated by an X drawn through the symbol. Birth year is written above the symbol, and age or age at death is written inside.
3
Family Relationship Lines
Marriage is shown by a solid horizontal line connecting two symbols. Committed partnerships use a dashed line. Separation is indicated by one diagonal slash through the line, and divorce by two slashes. Cohabitation is shown by a dotted line.
4
Children and Offspring
Children descend from the couple line vertically, ordered left to right from oldest to youngest. Adopted children are connected by a dashed vertical line. Twins are shown with lines converging to a single point. Identical twins add a horizontal bar between the converging lines. A pregnancy is represented by a small triangle.
5
Emotional Relationship Patterns
Normal relationships use a single line. Close relationships use two parallel lines. Very close or fused relationships use three lines. Conflictual relationships use a zigzag line. Distant relationships use a dotted line. Estranged or cutoff relationships use a line with perpendicular hash marks. Fused and conflictual relationships combine three lines with a zigzag.
6
Abuse and Harmful Dynamics
Emotional abuse is shown by a line with a jagged segment. Physical abuse uses an arrow from the perpetrator to the target. Sexual abuse uses a curved arrow. The direction of the arrow indicates the direction of the abusive behavior.
Genograms typically include at least three generations. Use consistent symbol sizes and spacing to maintain readability. Add dates, names, and brief annotations to provide clinical context.

Related Worksheets

Relationships

ADHD Self-Management Strategies

Practical skills for building structure, focus, and well-being

Relationships

Applying Your Strengths Across Life Domains

Identify, reflect on, and expand the use of your character strengths

Relationships

Building Connection Rituals Together

Intentional Habits That Strengthen Your Partnership

Want to fill this out digitally and save your progress?

Pro members can fill worksheets online, share with clients, and export beautiful PDFs.

Try Pro free for 7 days →
← Back to all worksheets
TherapyResource.net — Free evidence-based therapy worksheets

Share with Client

Create a private link to share this worksheet directly with a client. They won't need an account to view it.

For your reference only. Not shown to the client.