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Internal family systems therapy: a path to inner healing

Carli Simmonds, Author

Carli Simmonds

Internal family systems therapy

You know that tug-of-war feeling when one part of you craves a quiet night in with your favorite show while another insists you should go for a run or call a friend? It’s almost like you’ve got a whole committee inside, each voice pulling you in a different direction. What if, instead of feeling frustrated or ashamed about this inner noise, you could meet each of these ‘parts’ with compassion and curiosity? Internal family systems therapy does just that, gently guiding you toward understanding, and even healing, the hidden conversations within yourself, so you can finally feel a bit more whole.

What is internal family systems therapy?

Internal family systems (IFS) is a powerful, evidence-based approach to psychotherapy that offers a new way to understand yourself and your inner world. At its heart, IFS is built on a simple yet profound idea: the mind is naturally multiple. Instead of seeing yourself as a single, unified personality, this model recognizes that you’re made up of many different “parts” or subpersonalities. Think of them as a kind of inner family. Each part has its own feelings, beliefs, and motivations, and they all have a role to play.

The internal system

Imagine your mind is like a family living together in a house. Everyone has a different job and personality, and their goal is to keep the family safe and functioning. In internal family systems, this inner family is made up of three main groups of parts, all guided by the wisdom of your Core Self.

Understanding these roles can feel like getting a user manual for your own mind. While IFS shares some concepts with other innovative models like radically open dialectical behavior therapy (RO-DBT), its focus on these internal family dynamics is unique. Here’s a closer look at the key players:

  • Managers. These are your proactive protectors. They run your day-to-day life to keep you safe and in control. A manager might be the part that pushes you to be a perfectionist at work, organizes your schedule meticulously, or acts as your inner critic to prevent you from making mistakes. They’re always trying to stop painful feelings from surfacing.
  • Firefighters. These parts are your reactive protectors. When painful emotions do break through, firefighters jump into action to douse the flames. Their methods are often extreme and impulsive, like binge-watching TV, overeating, or using substances. They don’t have a long-term plan; their only job is to numb the pain right now, no matter the cost.
  • Exiles. These are the most vulnerable parts of your system. Exiles are often young parts that hold the burdens of past trauma, shame, and pain. Because their feelings are so overwhelming, the managers and firefighters work hard to keep them locked away, or “exiled,” from your conscious awareness to protect you.
  • The Core Self. At the center of this bustling inner world is the Self. This isn’t a part; it’s you at your essence. The Self is naturally calm, curious, compassionate, and confident. It’s the wise, loving leader your inner family needs. The goal of IFS is to help you access this Self, so you can heal your exiles and allow your protectors to rest.

When internal family systems therapy works

Internal family systems therapy is a versatile approach that can bring relief and healing to a wide range of emotional and psychological challenges. Because it focuses on the root causes of our pain rather than just the symptoms, it has proven effective for many conditions that other therapies struggle to address. It is particularly well-suited for anyone who feels like they are at war with themselves or stuck in patterns they can’t seem to break.

Some of the most common areas where IFS is used include:

  • Trauma and posttraumatic stress disorder. IFS offers a safe and gentle way to heal from trauma. Instead of forcing you to relive painful memories, it allows you to approach the wounded, exiled parts of yourself with compassion and care. This process helps you unburden the trauma without re-traumatizing your system, making it especially helpful for those who have experienced complex trauma and want to understand the full symptoms of ptsd.
  • Anxiety and depression. By identifying and building relationships with the parts that hold anxiety or depression, you can understand their underlying fears and needs. This compassionate dialogue can calm anxious protectors and bring hope to parts burdened by sadness, leading to lasting relief.
  • Substance use and addiction. IFS views addiction not as a moral failing but as the work of a firefighter part trying desperately to numb the pain of exiled parts. In dual diagnosis treatment, IFS is incredibly powerful because it addresses both the substance use and the underlying emotional pain simultaneously. It helps you heal the wounds that the addiction is trying to cover, which is a key step in understanding how alcohol can affect depression.
  • Eating disorders. Much like with addiction, IFS helps uncover the protective intentions behind behaviors like restricting, binging, and purging, allowing for a more compassionate approach to recovery.
  • Relationship issues. By understanding your own inner system, you can better navigate your relationships with others, breaking free from reactive patterns and connecting more authentically from your Core Self.

If you’re struggling with co-occurring disorders, our specialized programs use IFS to help you find lasting recovery. Verify your insurance to learn more about taking the first step.

What to look for in an IFS therapist

Finding the right therapist is one of the most important steps in your healing journey. When you’re looking for someone to guide you through internal family systems therapy, it’s essential to find a professional who is not only qualified but also a good fit for you personally. A great IFS therapist embodies the qualities of the Self: they are compassionate, curious, calm, and non-judgmental, creating a safe space for you to explore your inner world.

Here are a few things to look for when choosing an IFS therapist:

  • Official training. The most credible IFS therapists have completed official training through the IFS Institute, the organization founded by Dr. Richard Schwartz. Look for clinicians who have completed at least Level 1 training. Many go on to complete Level 2, Level 3, or become Certified IFS Therapists, which indicates an advanced level of expertise.
  • A feeling of safety. During a consultation call or first session, pay attention to how you feel. Do you feel seen, heard, and respected? A good therapist will help you feel safe and comfortable, even when discussing difficult topics. Trust your gut; the connection you have with your therapist is a key ingredient for successful therapy.
  • Experience with your concerns. While IFS is a versatile model, it can be helpful to find a therapist who has experience working with the specific challenges you’re facing, whether it’s trauma, addiction, anxiety, or relationship issues.

You can find qualified professionals through the official IFS Institute’s online directory or by asking for referrals from trusted sources. Government resources like the Substance Abuse and Mental Health Services Administration (SAMHSA) can also help you find licensed professionals in your area. At Red Ribbon Mental Health, our clinicians are trained in a variety of evidence-based modalities like IFS to provide compassionate, effective care. We are committed to helping you find a path to healing that feels right for you. You can learn more about our approach and our team to see if we’re a good fit for your journey.

Frequently asked questions

How is IFS different from other therapies like CBT?

While therapies like Cognitive Behavioral Therapy (CBT) focus on changing unhelpful thoughts and behaviors, Internal Family Systems (IFS) takes a different approach. It views the mind as being naturally made up of many “parts,” and the goal isn’t to change them, but to understand them with compassion.

Instead of trying to manage symptoms, IFS therapy helps you build a relationship with all your inner parts from your calm, core Self. This process helps heal the original pain that your parts are trying to protect you from, which can lead to bigger and more lasting change.

How long does an IFS therapy session last?

A typical IFS therapy session usually lasts between 50 and 60 minutes, which is standard for most types of psychotherapy. Some therapists may offer longer sessions of 75 or 90 minutes for more intensive work, but this is something you would discuss and decide on together.

The frequency of sessions, such as weekly or bi-weekly, will depend on your individual needs and goals. Consistency often helps build trust within your internal system, allowing for a steady and supportive healing process.

Is IFS therapy right for everyone?

IFS therapy can be incredibly helpful for a wide range of people, especially those who feel internally conflicted or struggle with self-criticism, anxiety, or the effects of trauma. Its gentle, non-judgmental approach makes it a safe and effective option for many individuals seeking healing.

However, the best fit depends on the person. For someone experiencing active psychosis or in an acute crisis, a different approach focused on stabilization might be needed first. The key is a willingness to be curious about your inner world, and a consultation can help determine if it’s right for you.

Can I do IFS on my own without a therapist?

It is possible to learn about IFS principles on your own through books and exercises, which can be very insightful. However, working with a trained IFS therapist is highly recommended, especially when you are starting or dealing with significant pain.

A therapist provides crucial safety and guidance, particularly when you encounter parts that hold deep trauma or overwhelming emotions. They ensure the process is healing rather than re-traumatizing, helping you build the skills to navigate your inner world with confidence.

Your path to healing with internal family systems therapy

Beginning a journey with internal family systems is an act of profound self-compassion. It’s a path that leads away from inner conflict and toward a new relationship with yourself, one built on understanding, trust, and care.

At Red Ribbon Mental Health, we are deeply committed to helping you find lasting recovery and a renewed sense of peace. If you’re ready to begin your journey toward inner harmony, our compassionate team is here to support you every step of the way. Please don’t hesitate to call us at (317) 707-9706 or contact us to take the first step.

Sources
  1. Substance Abuse and Mental Health Services Administration. (09-24-2025). Home | SAMHSA – Substance Abuse and Mental Health Services Administration. Substance Abuse and Mental Health Services Administration.
  2. U.S. National Library of Medicine. (03-27-2025). A pilot study of an online group-based Internal Family Systems intervention for comorbid PTSD and SUD. U.S. National Library of Medicine.
  3. U.S. National Library of Medicine. (07-25-2016). Family Systems Therapy for Substance Using Mothers and their 8- to 11-Year-Old Children. U.S. National Library of Medicine.
  4. U.S. National Library of Medicine. (01-24-2017). The Efficacy of Internal Family Systems Therapy in the Treatment of Mood Disorders Among Female College Students: A Pilot Study. Journal of Marital and Family Therapy.
  5. U.S. National Library of Medicine. (12-26-2023). Development of the internal family systems model. U.S. National Library of Medicine.
  6. U.S. National Library of Medicine. (08-15-2013). A randomized controlled trial of an internal family systems-based psychotherapeutic intervention for adults with rheumatoid arthritis. Journal of Rheumatology.
  7. Seattle Pacific University. (05-28-2025). Effectiveness of Internal Family Systems (IFS) therapy versus treatment as usual (TAU) in reducing trauma-related symptoms in adolescents. Seattle Pacific University.
  8. Harvard University. (09-17-2025). Efficacy of an Online, Group-Based Internal Family Systems (IFS) Intervention. Harvard University.
  9. Substance Abuse and Mental Health Services Administration. (04-24-2023). Find Help and Treatment for Mental Health, Drug, Alcohol Issues. Substance Abuse and Mental Health Services Administration.
  10. Substance Abuse and Mental Health Services Administration. (04-24-2023). Find a Health Care Professional or Program: Mental Health Care. Substance Abuse and Mental Health Services Administration.
  11. U.S. Department of Health and Human Services. (05-20-2025). Search For Treatment – FindTreatment.gov. U.S. Department of Health and Human Services.

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About the content

Last updated on: Jan 14, 2026
Jodi Tarantino (LICSW)

Written by: Carli Simmonds. Carli Simmonds holds a Master of Arts in Community Health Psychology from Northeastern University. From a young age, she witnessed the challenges her community faced with substance abuse, addiction, and mental health challenges, inspiring her dedication to the field.

Jodi Tarantino (LICSW)

Medical reviewed by: Jodi Tarantino, LICSW. Jodi Tarantino is an experienced, licensed Independent Clinical Social Worker (LICSW) and Program Director with over 20 years of experience in Behavioral Healthcare. Also reviewed by the RRR Editorial team.

Red Ribbon Recovery is committed to delivering transparent, up-to-date, and medically accurate information. All content is carefully written and reviewed by experienced professionals to ensure clarity and reliability. During the editorial and medical review process, our team fact-checks information using reputable sources. Our goal is to create content that is informative, easy to understand and helpful to our visitors.

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