The article presents the 30-year history and activities of the Department of Family Therapy and Psychosomatics in Krakow. Founded in 1993, the center stems from the psychotherapeutic tradition of Krakow psychiatry, initiated by Antoni Kępiński. Initially focused on working with families of psychotic patients, it gradually evolved towards couple therapy. The team currently consists of psychiatrists and psychologists with psychotherapeutic experience. The Department combines clinical practice with scientific research and didactic activities, providing internships for psychotherapists. The therapeutic approach evolved from psychoeducation through strategic and structural methods to dialogical, narrative, and constructionist approaches, with strong influences from the Milan school. Over the years, the patient profile has changed – couples now dominate, often with personality disorders in one partner, which has required integrating systemic approaches with psychodynamic ones. The Department also provides consultations for psychiatric wards and conducts research on therapeutic processes. The center played a pioneering role in training psychotherapists in Poland, publishing the first Polish family therapy textbook. Currently, it struggles with systemic problems – long patient waiting lists and low valuation of family therapy in the healthcare system, which threatens the availability of this form of help in public healthcare. Despite these challenges, the team aims to maintain a high quality of care and participate in developing standards for the field of family therapy in Poland.