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Reference Guide

Genogram Symbols

A complete guide to standard genogram symbols and notations used by clinicians, therapists, and researchers worldwide.

Basic Symbols

These fundamental symbols represent individual family members and their basic characteristics.

Male Symbol

A square represents a male family member in a genogram

Female Symbol

A circle represents a female family member in a genogram

Unknown Gender Symbol

A diamond or question mark represents a person whose gender is unknown

Pregnancy Symbol

A small triangle represents a current pregnancy

Miscarriage Symbol

A small filled triangle or circle with an X represents a miscarriage

Stillbirth Symbol

A filled square or circle with an X represents a stillbirth

Abortion Symbol

A triangle with an X through it represents an induced abortion

Deceased Symbol

An X drawn through a square or circle indicates the person is deceased

Fraternal Twins Symbol

Two symbols connected by lines to a common point above represent fraternal twins

Identical Twins Symbol

Two symbols connected by lines with a horizontal bar represent identical twins

Adopted Child Symbol

A symbol with brackets or dashed lines to parents represents an adopted child

Foster Child Symbol

A symbol with dotted lines to caregivers represents a foster child

Index Person Symbol

A double-outlined square or circle indicates the index person (IP) or identified patient

Pet Symbol

A small diamond may represent a significant pet in the family system

Ectopic Pregnancy Symbol

A symbol representing an ectopic pregnancy (pregnancy outside the uterus)

Molar Pregnancy Symbol

A symbol representing a molar pregnancy (abnormal pregnancy with tissue growth)

SIDS Symbol

A deceased infant symbol with SIDS marking indicates sudden infant death syndrome

Neonatal Death Symbol

A symbol representing death within the first 28 days of life

Same-Sex Partnership Symbol

A connection line indicating a same-sex committed partnership

Polyamorous Relationship Symbol

Multiple connection lines indicating polyamorous relationships

Cohabitation Symbol

A dashed or specific line pattern indicating cohabitation without marriage

Triplets Symbol

Three symbols connected to a common point representing triplets

Quadruplets Symbol

Four symbols connected to a common point representing quadruplets

Surrogate Birth Symbol

A special marking indicating a child carried by a surrogate

Donor Conception Symbol

A marking indicating conception using donor egg, sperm, or embryo

Unknown Parentage Symbol

A dashed or question-marked line indicating unknown biological parent

Transgender Symbol

A symbol indicating a transgender individual, may combine square and circle

Non-Binary Symbol

A symbol representing non-binary gender identity

Estranged Relationship Symbol

A broken or cut line indicating estrangement between family members

Legal Guardianship Symbol

A specific line pattern indicating legal guardianship

Condition Symbols

These symbols denote medical conditions, mental health issues, and other clinically relevant information.

Alcoholism Symbol

A symbol with the lower half filled indicates alcoholism or alcohol abuse

Drug Abuse Symbol

A symbol with a quarter filled or specific marking indicates drug abuse

Mental Illness Symbol

A symbol with the left half filled or specific color indicates mental illness

Depression Symbol

A symbol filled with blue or marked with 'D' indicates depression

Anxiety Symbol

A symbol filled with yellow or marked with 'A' indicates anxiety disorders

Bipolar Disorder Symbol

A symbol split into two colors indicates bipolar disorder

Schizophrenia Symbol

A symbol filled with green or marked 'Sz' indicates schizophrenia

Eating Disorder Symbol

A symbol marked 'ED' or specific pattern indicates an eating disorder

Suicide Symbol

A deceased symbol with 'S' marking indicates death by suicide

Cancer Symbol

A symbol marked with 'C' or specific color indicates cancer

Heart Disease Symbol

A symbol with a heart marking indicates cardiovascular disease

Diabetes Symbol

A symbol marked with 'DM' indicates diabetes mellitus

Obesity Symbol

A symbol with weight marking indicates obesity

ADHD Symbol

A symbol marked 'ADHD' indicates attention deficit hyperactivity disorder

Autism Symbol

A symbol marked 'ASD' indicates autism spectrum disorder

Learning Disability Symbol

A symbol marked 'LD' indicates a learning disability

PTSD Symbol

A symbol marked 'PTSD' indicates post-traumatic stress disorder

Dementia Symbol

A symbol with dementia marking indicates Alzheimer's or other dementia

OCD Symbol

A symbol marked 'OCD' indicates obsessive-compulsive disorder

Borderline Personality Disorder Symbol

A symbol marked 'BPD' indicates borderline personality disorder

Narcissistic Personality Disorder Symbol

A symbol marked 'NPD' indicates narcissistic personality disorder

Antisocial Personality Disorder Symbol

A symbol marked 'ASPD' indicates antisocial personality disorder

Rheumatoid Arthritis Symbol

A symbol marked 'RA' indicates rheumatoid arthritis

Lupus Symbol

A symbol with lupus marking indicates systemic lupus erythematosus

Multiple Sclerosis Symbol

A symbol marked 'MS' indicates multiple sclerosis

Parkinson's Disease Symbol

A symbol marked 'PD' indicates Parkinson's disease

Epilepsy Symbol

A symbol with epilepsy marking indicates seizure disorders

Chronic Pain Symbol

A symbol indicating chronic pain conditions

Migraine Symbol

A symbol indicating chronic migraine disorders

Asthma Symbol

A symbol indicating asthma or chronic respiratory conditions

Thyroid Disorder Symbol

A symbol indicating thyroid conditions (hyper/hypothyroidism)

Celiac Disease Symbol

A symbol indicating celiac disease or gluten intolerance

Incarceration Symbol

A symbol indicating history of incarceration or imprisonment

Military Service Symbol

A symbol indicating military service or veteran status

Immigration Status Symbol

A symbol indicating immigration or refugee status

Domestic Violence Symbol

A symbol indicating history of domestic violence or abuse

Sexual Abuse Symbol

A symbol indicating history of sexual abuse or assault

Clergy/Religious Leader Symbol

A symbol indicating clergy, religious leader, or spiritual role

Healthcare Worker Symbol

A symbol indicating healthcare profession (doctor, nurse, therapist)

Educator Symbol

A symbol indicating teaching or educational profession

Intellectual Disability Symbol

A symbol indicating intellectual disability or developmental delay

Down Syndrome Symbol

A symbol marked with 'DS' indicating Down syndrome

Cerebral Palsy Symbol

A symbol marked 'CP' indicating cerebral palsy

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