With the sharp increase of refugees’ arrival and resettlement in western communities, adequate mental health care forms a pivotal dimension in host societies’ responses to those individuals and communities. Clinical literature shows a growing interest in the development of family therapy approaches with refugees, in which therapeutic practice engages with the pivotal role of refugee family dynamics in post-trauma reconstruction and adaptation in resettlement and aims at supporting post-trauma reconstruction through strengthening capacities to restore safety, meaning, and connectedness within family relationships. In this chapter, we focus on trauma narration or the narrative restoration of meaning as central mode of posttrauma reparation, and we explore its specific dynamics and relational complexities in therapeutic practice with refugee families. We build on theoretical and clinical scholarly work on trauma narration to develop a phased approach of interventive modes in working with trauma narration in refugee care. A clinical case analysis illustrates the cyclic engagement with the phased approach.