The experience of intensive care for patients and their families is known to be very stressful and may result in both acute and chronic psychological problems that include sleep disturbance, depression, anxiety and post-traumatic stress disorder. While some non-modifiable risk factors for psychological harm are known, there are also a several modifiable risk factors that may be addressed using strategically planned interventions such as optimal communication techniques. Effective communication is increasingly being recognized as an essential non-technical skills for all intensive care clinicians. One situation which is central to communication in the ICU is the family meeting. Similar to other procedures in the ICU, training, practice, preparation and reflective review may improve performance when conducting family meetings and lead to better outcomes for patients and families.