Table of Contents

Genogram Symbols

The complete reference for every genogram symbol - person shapes, life status indicators, 25 couple relationship lines, 4 parent-child types, and 39 emotional bond patterns. Based on the McGoldrick & Gerson standard notation.

Last updated September 2026. Based on McGoldrick et al., Genograms: Assessment and Treatment (4th ed., 2020)

One-page symbol reference

Every genogram symbol on a single sheet. Download the printable PDF or the high-resolution PNG.

Prefer to learn by doing? Open the free genogram maker and place these symbols on a canvas as you read.

Still choosing a tool? See how the best genogram software compares on notation support and clinical features.

Need just the legend? Print the printable genogram key or start from one of the blank genogram templates.

Genogram Symbols at a Glance

A genogram uses a small set of standard shapes and lines. Squares and circles are people, horizontal lines connect couples, vertical lines connect parents to children, and colored lines show the emotional quality of a relationship. The chart below is a quick lookup; every symbol and its variants are explained in full further down.

Genogram Pro symbol reference sheet covering five sections: basic symbols (square male, circle female, diamond unknown, deceased X, pregnancy, miscarriage, abortion, stillbirth, twins and identical twins); gender and sexual identity symbols (trans female, trans male, gay, lesbian, bisexual); family relationship lines (marriage, separation, legal separation, divorce, nullity, widowed, engagement, cohabitation, casual relationship, love affair); emotional relationship lines (harmony, friendship, very close, love, fused, distant, cutoff, discord, hostile, violence, abuse, manipulative, controlling and more); and addiction and illness fill patterns (psychological or physical problem, alcohol or drug abuse, substance abuse in remission and recovery).
Every Genogram Pro symbol on one A4 sheet. Download it as an image or printable PDF below.
SymbolWhat it means
SquareA male
CircleA female
DiamondUnknown or non-binary gender (also used for pets)
X through the shapeA deceased person
Highlighted / double-lined shapeThe index person, the focus of the genogram
TriangleA pregnancy
Solid horizontal lineMarriage
Horizontal line with two slashesDivorce
Horizontal line with one slashSeparation
Dashed horizontal lineCohabitation or unmarried partnership
Solid vertical lineA biological child
Dashed vertical lineAn adopted child
Two children on a shared peakTwins
Green lineA close or positive relationship
Red lineConflict or hostility
Three parallel linesA fused or enmeshed relationship
Broken line with two barsEmotional cutoff or estrangement

Person Symbols

Every person on a genogram is represented by a shape that encodes their gender. These shapes are the first things you place when building a genogram, and every relationship line, life event marker, and condition indicator connects to them.

Basic Shapes

The three base shapes represent identified gender. Males go on the left of couple pairs, females on the right.

Male

Conventionally placed on the left of couple pairs.

Female

Conventionally placed on the right of couple pairs.

Unknown / Other

Used when gender is unknown, non-binary, or unspecified. Also used for pets.

Transgender Symbols

The outer shape represents identified gender and the inner shape represents biological sex. A square with an inner circle means this person identifies as male and was assigned female at birth.

Trans Male

Square (identified male) with inner circle (biological female).

Trans Female

Circle (identified female) with inner square (biological male).

Sexual Orientation

A small triangle inside the person symbol indicates non-heterosexual orientation. A solid triangle means homosexual, a dashed triangle means bisexual (McGoldrick, 4th ed., p. 65).

Gay Male

Square with solid triangle.

Lesbian

Circle with solid triangle.

Bisexual Male

Square with dashed triangle.

Bisexual Female

Circle with dashed triangle.

Life Status Indicators

Life status indicators are markers added to person shapes to show whether someone is alive, deceased, or unborn. An X drawn through the shape means that person has died.

Alive

Empty (unfilled) person symbol.

Deceased

X drawn through the person symbol. Birth and death dates noted nearby.

Pregnancy

Small triangle shape, placed as a child.

Stillbirth

Smaller person symbol with X overlay.

Abortion

Small triangle with a horizontal dash.

Miscarriage

Small filled circle or X on the parent-child line.

Dates and Age on Symbols

Birth year, death year, and age are recorded directly on or near person symbols. Couple relationship lines can also carry date labels (e.g., the year of marriage or divorce).

Birth and Death Years

Birth year appears above the person symbol on the left. For deceased individuals, death year appears on the right, separated by a dash.

1965

Living person with birth year

1945-2018

Deceased person with birth and death years

?-2010

Deceased, birth year unknown

Age Display

When enabled, a person's current age (or age at death) appears centered inside the symbol. Age is calculated from the birth and death dates automatically.

196065

Living male, age 65

1940-200262

Deceased female, age at death 62

199530

Living female, age 30

Date Labels on Relationship Lines

Couple relationship lines can include date annotations. Marriage lines commonly show the wedding year (e.g., "m. 1997"), and divorce markers may show the year the marriage ended. These labels appear near the center of the couple line, making it possible to reconstruct a family's relationship timeline from the genogram alone.

Medical Condition Symbols

Medical conditions are shown by filling portions of the person symbol with colors. Each condition gets a unique color, and the symbol is divided into sections (halves, quarters) for multiple conditions. A color-coded legend is always included.

Medical Genogram Symbols

Couple Relationship Lines

Horizontal lines connecting partners. There are 25 couple types in 9 categories. Color tells you the legal status: black for marriage, blue for partnerships (engagement, cohabitation, dating), pink for affairs, red for separation and divorce markers, gray for unknown. The line pattern tells you formality - solid for the most formal, dashed for established, dotted for informal.

Genogram of a divorced couple, John and Mary, joined by a marriage bar with two slashes marking divorce. Vertical parent-child lines run down to their sons Matt and Damian. Notes explain that family lines join partners bottom-to-bottom and parent-child lines connect children to the partner line.
How the lines connect in practice: the marriage bar carries two slashes for divorce, and parent-child lines drop from it to the two children below.

Marriage

Solid lines. Black for active marriage, red with slash markers for ended states.

Marriage

Default couple bond. Permanent legal union. Male placed left by convention.

Separation in Fact

Couple has physically separated without legal action. Still legally married.

Legal Separation

Court-recognized separation. Marriage not yet dissolved.

Divorce

Finalized legal dissolution of marriage.

Nullity

Annulment. Marriage declared legally void.

Widowed

Marriage ended by death of a spouse. No slash marks - ended by loss, not choice.

Divorce & Remarriage Genogram Example

Engagement

Drawn as dashed blue lines with long dashes.

Engagement

Formal commitment to marry. Non-marriage partnership.

Engagement + Cohabitation

Engaged couple living together.

Engagement + Separation

Engaged couple who have separated.

Drawn as dashed blue with a dash-dot-dash pattern.

Legal Cohabitation

Registered partnership with legal recognition. Living together.

Legal Cohab. + Factual Sep.

Legally registered partners who have physically separated.

Legal Cohab. + Legal Sep.

Legally registered partners with court-recognized separation.

Cohabitation

Drawn as dashed blue with a dash-dot-dot-dot pattern and a house marker.

Cohabitation

Unmarried couple living together in a committed relationship.

Cohabitation + Separation

Cohabiting couple who have separated.

Non-Sentimental Cohabitation

Drawn as dotted blue with wide spacing and a house marker.

Non-sentimental Cohabitation

Living together for practical reasons, not romantic partnership.

Non-sentimental + Separation

Non-romantic cohabitants who have separated.

Committed Relationship

Drawn as dashed blue with medium-length dashes.

Committed (Long-term)

Long-term committed partnership without cohabitation or marriage.

Committed + Separation

Long-term committed couple who have separated.

Dating

Drawn as dotted blue with close spacing.

Casual Relationship / Dating

Informal romantic relationship.

Dating + Separation

Dating relationship that has ended.

Casual / Affair

Temporary relationships and affairs. Affairs use pink to stand out.

Temporary / One-night Stand

Brief or one-time sexual encounter.

Love Affair

Extramarital or secret romantic relationship.

Love Affair + Separation

Affair that has ended.

Other

Rape / Force

Non-consensual sexual contact. Forced relationship.

Other / Unknown

Relationship type unknown or does not fit standard categories.

Parent-Child Lines

Vertical lines from the couple's family bar downward to children.

Biological

The child's genetic parent. Solid line - the default when no other type is specified.

Adoptive

Legally adopted. Dashed line - permanent but not biological.

Foster

Temporary placement. Dotted line - the child may move to another home.

Other / Unknown

Parent-child relationship of unknown or non-standard type.

Emotional Bond Lines

Lines between any two people showing how they actually get along - not their legal relationship, but the emotional reality. In McGoldrick's framework, relationships fall on a continuum from emotional distance, conflict, and cutoff at one end to closeness and fusion at the other. 39 bond types in 11 categories. Color tells you the tone (green = positive, red = conflict, blue = abuse, gray = neutral). More lines means more intensity. Markers like arrows, circles, and zigzags add specifics.

Neutral

Gray lines indicate a relationship that exists but carries nothing particularly warm or hostile about it, like two relatives who exchange Christmas cards but never call.

Plain / Normal

Single solid gray line.

Indifferent

Dotted gray, wide gaps.

Distant

Dashed gray line.

Never Met

Solid gray with X-box marker.

Disconnection

A line broken by gaps - someone deliberately cut off contact. An uncle who has not spoken to his mother in ten years and refuses to attend family holidays is in cutoff, not just distance.

Cutoff / Estranged

Deliberately stopped all contact. Not just drifting apart - one or both people decided to end the relationship.

Cutoff Repaired

Green segmented-cutoff with circle marker.

Cutoff & Estrangement in Genograms

Conflict

Red lines. These people argue, resent each other, or are openly hostile. Discord means active tension - two sisters who fight at every family dinner. Hostile is more intense and persistent. Distrust is quieter - they do not fight, but neither believes a word the other says.

Discord

Active tension. They argue, disagree, or create stress when they interact.

Hate

Three parallel dashed red lines.

Hostile / Conflict

Ongoing antagonism. Not just arguments - they actively work against each other.

Distrust

Solid neutral line with red interval-cross markers.

Positive

Green lines. One line is basic goodwill - you get along fine. Two lines means genuinely close - you call each other when something happens. Three lines is the strongest, but be careful: three green lines means very close, while three red lines means fused (see Enmeshment below).

Harmony

Basic positive relationship. They get along and wish each other well.

Close / Friendship

Warm and connected, but each person still has their own life.

Very Close / Best Friends

Deep bond. They talk about everything and support each other, but neither depends on the other to feel okay.

Love

Solid green with circle marker.

In Love

Solid green with overlapping circles.

Spiritual Connection

Double wavy green lines.

Enmeshment

Three parallel solid red lines represent two people so entangled that one cannot function independently of the other. A mother who calls her adult son five times a day and falls apart if he does not answer is showing fusion: the boundary between two people has dissolved. Enmeshment is a core concept in Bowen family systems theory.

Fused

One person cannot feel okay unless the other feels okay. Boundaries have dissolved.

Fused / Enmeshed Relationships

Hostile Variants

These combine proximity with hostility - people who are in each other's lives and fighting. Close-hostile is the couple who bicker constantly but spend every evening together. Fused-hostile is the "can't live with you, can't live without you" dynamic.

Distant-Hostile

Dashed gray + red zigzag overlay.

Close-Hostile

Double solid gray + red zigzag.

Fused-Hostile

Triple solid gray + red zigzag.

Violence

A tight red zigzag indicates physical violence in the relationship. The proximity prefix (distant, close, fused) shows how entangled the people are beyond the violence itself, with fused-violence indicating that the relationship is severe and neither person can separate from the other.

Violence

Physical violence in the relationship.

Distant-Violence

Dashed gray + red tight zigzag.

Close-Violence

Double gray + red tight zigzag.

Fused-Violence

Triple gray + red tight zigzag.

Abuse

Blue zigzag with an arrow pointing from the person doing harm toward the person being harmed. Different fill styles distinguish physical, emotional, and sexual abuse. Neglect uses gray instead of blue because it is passive - harm through absence rather than action.

Abuse (General)

Blue zigzag + dashed blue + hollow arrow.

Physical Abuse

Blue zigzag + filled blue arrow.

Emotional Abuse

Blue zigzag + hollow blue arrow.

Sexual Abuse

Blue zigzag + double blue lines + filled arrow.

Neglect

Dashed gray + filled gray arrow.

Control

Solid red with a chevron (arrow-like marker) pointing toward the person being controlled. Dad monitors every dollar Mom spends and checks her phone - that is controlling. A sibling who guilt-trips you into doing what they want - that is manipulative. Fearful of is drawn differently, as a dashed amber line with a filled arrow pointing at the person who is feared, like a child who is frightened of an aggressive stepparent.

Manipulative

Solid red + red chevron.

Controlling

Solid red + X-box + red chevron.

Jealous

Solid red + rhomboid + red chevron.

Fearful Of

Dashed amber + filled amber arrow.

Focused

Gray lines with a chevron. One person is preoccupied with the other, not necessarily in a negative way. A grandmother who talks about her favorite grandson constantly is "focused on." A parent who fixates on everything their teenager does wrong is "focused on negatively." Caretaker is the exception: a green line with a double arrow pointing to the person being cared for, like an adult daughter looking after her aging father.

Focused On

Solid gray + gray chevron.

Focused On Negatively

Gray zigzag + solid gray + chevron.

Caretaker

Solid green + double arrow toward the person cared for.

Fan / Admirer

Solid gray + circle + chevron.

Limerence

Solid gray + overlapping circles + chevron.

Other

?

Other

Solid gray + question-box marker.

How to Read a Genogram

This reading order matters because a visually striking emotional line can distract from a simpler structural fact, like a divorce, remarriage, or adoptive connection, that explains the family context more directly.

Example: Reading a Family Genogram

Try applying the three steps to the genogram below before reading the walkthrough.

m. 1997d. 2004m. 2007CharlesDorothyHenryEvelynBeatriceArthurFionaGeorgeIanJuliaKevinLydia
Example Family GenogramView Only|Genogram Pro
  1. Structure. Three generations are visible. The top row has two couples: Charles and Dorothy (divorced in 2004, note the slashes), Charles remarried to Evelyn (married 2007), and Arthur and Beatrice (married, Arthur deceased indicated by the X through his symbol). The middle row shows Henry and Fiona (married), plus George. The bottom row has four children: Ian, Julia, Kevin, and Lydia (a pregnancy, shown as a triangle).
  2. Patterns. Notice how relationship difficulty concentrates around Henry. He has a hostile bond (red zigzag) with his father Charles and a fused bond (triple red lines) with his mother Dorothy. Meanwhile Fiona has a close bond (double green lines) with her mother Beatrice but a cutoff (broken red line) with her brother George. The emotional intensity in one generation connects to the divorce in the generation above.
  3. Color and detail. Green lines between Fiona and Beatrice indicate warmth. Red lines between Henry and his parents signal trouble: the zigzag with Charles means active hostility, while the triple parallel lines with Dorothy mean fusion (enmeshment). The red dashed break between Fiona and George is a cutoff, meaning they have deliberately stopped contact.

Deep Dives

Specific family situations explained step by step - how to draw them, common mistakes, and real-world examples:

Frequently Asked Questions

What is a genogram and what is it used for?
A genogram is a detailed family diagram that goes beyond a basic family tree. It maps three or more generations and records not just who is related to whom, but also the quality of their relationships (close, hostile, cutoff), medical conditions, behavioral patterns, and major life events. Therapists, social workers, nurses, and counselors use genograms to spot repeating patterns across generations - like every eldest daughter cutting off her mother, or heart disease appearing in every generation on the father's side.
What are the basic genogram symbols?
Squares represent males, circles represent females, and diamonds represent unknown or non-binary gender (also used for pets). An X through any shape means that person is deceased. A small triangle inside any person symbol indicates LGBTQ+ orientation. The index person (IP) is highlighted with a double-lined symbol or yellow outline. Horizontal lines connect couples (solid black for marriage, dashed blue for other partnerships). Vertical lines connect parents to children. Colored lines between any two people show the emotional quality of their relationship: green for positive, red for conflict, blue for abuse, gray for neutral.
What do genogram relationship lines and colors mean?
Line color shows the nature of the bond. Green lines are positive (harmony, friendship, love). Red lines are negative (conflict, hostility, enmeshment, violence). Blue lines indicate abuse. Gray lines are neutral or disengaged. The number of lines shows intensity: one line is standard, two is stronger, three is the most intense. Markers on the lines add detail - arrows show direction, slashes show divorce, zigzags show hostility or violence.
What are the symbols for a genogram?
A square is a male, a circle is a female, a diamond is unknown or non-binary gender, and an X through the shape means the person has died. A horizontal line between two people is a couple, with one slash for separation and two for divorce. Vertical lines drop from the couple line to children, dashed for adoption. Colored or patterned lines between people show emotional bonds such as close, fused, distant, cutoff or hostile, and fill patterns inside a shape mark medical or psychological conditions.
What is a 3 generational genogram?
A 3 generational genogram maps grandparents, parents and children of the index person on three rows. It is the standard scope for a first assessment in therapy, social work and nursing because patterns such as divorce, addiction or illness usually show when three generations sit side by side. The 3 generation genogram example shows a completed one with a key, and the blank 3 generation template gives you the empty structure.
Is a genogram a family tree?
A genogram starts from the same structure as a family tree but adds notation a family tree does not have: emotional relationship lines, medical conditions, life events and the index person. A family tree records who is related to whom. A genogram records how the family functions.
What is the easiest way to draw genogram symbols?
Use an editor that already contains the notation. In the free genogram maker you add a person, pick a gender, connect couples and children with one click, and choose the relationship line from a list. The symbols are drawn to the standard and a key is added on export.

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