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Mental illness can deeply impact a family’s dynamic, sometimes leading to its breakdown. At the same time, family support can make or break the recovery trajectory of a person with mental illness. When traditional individual treatments are not effective, it is often an indicator that the family should be included. Observing family interactions can help determine a family’s and individual’s needs. In this chapter, a family’s story is used to illustrate how public psychiatrists can work with families to preserve attachments, develop understanding and support for the affected individual, and prevent caregiver burnout. The case illustrates how a genogram, family inclusion, and family psychoeducation can be used create a broader narrative and build empathy for the family system.