People who come from abusive family backgrounds can answer better, but my impression is, if that's what you're dealing with, yes. You either have to cut ties physically or learn how to construct mental barriers to protect yourself psychologically.

It does depend on the issue, I think: mine is that future ex and other factors isolated me, so my task is more to become part of the world again.

And TR, no one is ever entirely to blame for "the screwed up issues with our family."