Imagine this scene. You are sitting in your office when a call comes in. A man and his wife are on the line. The wife says she was given your name from someone who thought you could help. Their adult children have not spoken to them for 10 months. They have pleaded, cajoled, and apologized for all past transgressions hoping they can make amends and, yet no amount of remorse can stop the pain of being disconnected. The husband says, “We miss our children. We miss our grandchildren. What can we do?” This scenario is an example of an emotional cut-off. Family disengagement and emotional splinters are trending upward for a variety of reasons. Our special guest, Margaret Otto, LSCSW and co-founder and director of KC Center for Families and Organizational Systems, offers insight regarding understanding the dynamics associated with emotional cut-offs and how they precipitate transgenerational impact.