Photo of James Norman O'Connor, Psychotherapist in Sydney, NSW
James Norman O'Connor
Psychotherapist, MPsych, ACA-L4
Verified Verified
Sydney, NSW 2000
Hi I'm Jim O'Connor clinical psychotherapist and relationship therapist. I help people overcome the challenges they face in their relationships. If you're someone who is single and wishing to get into a relationship but you don't know how to find the right person, then I can help. If your in a relationship and you want to create more connection, I can show you how. If you're in an abusive relationship and you don't know if you should leave or stay I can help you decide and I will support you what ever you decide. If it has anything to do with dating or relating in the modern world I can help.
Hi I'm Jim O'Connor clinical psychotherapist and relationship therapist. I help people overcome the challenges they face in their relationships. If you're someone who is single and wishing to get into a relationship but you don't know how to find the right person, then I can help. If your in a relationship and you want to create more connection, I can show you how. If you're in an abusive relationship and you don't know if you should leave or stay I can help you decide and I will support you what ever you decide. If it has anything to do with dating or relating in the modern world I can help.
(02) 9100 0073 View (02) 9100 0073
Photo of Shweta Israni - Relationship And Family Therapist, Psychotherapist in Sydney, NSW
Shweta Israni - Relationship And Family Therapist
Psychotherapist, MPsych, PACFA
Verified Verified
Sydney, NSW 2000
To help you re-build your relationship and provide you with skills to establish and maintain more meaningful, harmonious and fulfilling connections in your life.
I can support you through challenging times in your life or relationships; to help with conflict, communication issues, loss of trust, low intimacy, feeling disconnected, family disagreements/estrangements, blended family difficulties and parenting. I also have particular expertise with AD/HD, and anxiety in adults & teens. I bring thoughtfulness, warmth, extensive therapeutic knowledge and a multi-cultural perspective to my work as a therapist.
To help you re-build your relationship and provide you with skills to establish and maintain more meaningful, harmonious and fulfilling connections in your life.
I can support you through challenging times in your life or relationships; to help with conflict, communication issues, loss of trust, low intimacy, feeling disconnected, family disagreements/estrangements, blended family difficulties and parenting. I also have particular expertise with AD/HD, and anxiety in adults & teens. I bring thoughtfulness, warmth, extensive therapeutic knowledge and a multi-cultural perspective to my work as a therapist.
(02) 9100 0956 View (02) 9100 0956
Photo of Eudaimonia HQ, Psychologist in Sydney, NSW
Eudaimonia HQ
Psychologist, MSc, PsyBA General
Verified Verified
1 Endorsed
Sydney, NSW 2000
Are you interested in actively engaging in a therapeutic process that fosters a positive and nurturing environment for well-being, personal growth, boosting self-esteem, and developing healthier coping strategies? I bring experience in providing support to individuals facing a range of challenges, such as anxiety, stress, depression, trauma, relationship complexities, and various disorders. Additionally, I have extensive expertise in working with neurodiverse clients. My commitment is to assist you on your unique journey toward lasting positive change and fulfillment.
Are you interested in actively engaging in a therapeutic process that fosters a positive and nurturing environment for well-being, personal growth, boosting self-esteem, and developing healthier coping strategies? I bring experience in providing support to individuals facing a range of challenges, such as anxiety, stress, depression, trauma, relationship complexities, and various disorders. Additionally, I have extensive expertise in working with neurodiverse clients. My commitment is to assist you on your unique journey toward lasting positive change and fulfillment.
(02) 9100 0484 View (02) 9100 0484
Photo of Arzu Aksu Chapman, Counsellor in Sydney, NSW
Arzu Aksu Chapman
Counsellor, ACA-L2
Verified Verified
1 Endorsed
Sydney, NSW 2000
Tailored strategies for ADHD and Autism empower individuals, while couples benefit from a nuanced understanding of neurodivergent dynamics and LGBTQ+ relationship nuances.
You, seeking understanding and connection in a world that often feels overwhelming. My ideal client navigates the intricate landscape of neurodivergence—be it ADHD, Autism, or related experiences. In couples, I welcome those facing unique dynamics, including neurodivergent and LGBTQ+ pairs. Your issues may vary, but the core need is universal: a safe space to explore challenges, cultivate understanding, and forge a path towards fulfillment. As a passionate therapist specializing in neurodiversity and couples therapy, my approach transcends conventional methods. Let's embark on a journey where acceptance and growth intersect.
Tailored strategies for ADHD and Autism empower individuals, while couples benefit from a nuanced understanding of neurodivergent dynamics and LGBTQ+ relationship nuances.
You, seeking understanding and connection in a world that often feels overwhelming. My ideal client navigates the intricate landscape of neurodivergence—be it ADHD, Autism, or related experiences. In couples, I welcome those facing unique dynamics, including neurodivergent and LGBTQ+ pairs. Your issues may vary, but the core need is universal: a safe space to explore challenges, cultivate understanding, and forge a path towards fulfillment. As a passionate therapist specializing in neurodiversity and couples therapy, my approach transcends conventional methods. Let's embark on a journey where acceptance and growth intersect.
(02) 8403 1928 View (02) 8403 1928
Photo of Pamela Rita Verrender, Psychologist in Sydney, NSW
Pamela Rita Verrender
Psychologist, PsyBA General
Verified Verified
Sydney, NSW 2000
Pam is a registered psychologist, social worker, family and couples therapist. Pam has extensive experience in a broad range of mental health problems including depression, anxiety, stress, PTSD, adjustment difficulties, ASD, ADHD, grief and loss, relationship issues, perinatal mental health and fertility issues. Pam will provide a thorough assessment of the presenting issues and work collaboratively with you to devise a comprehensive treatment plan. She sees clients for face-to-face sessions as well as Telehealth sessions (Zoom video-conferencing.). GP or specialist referral is required for the Medicare rebate.
Pam is a registered psychologist, social worker, family and couples therapist. Pam has extensive experience in a broad range of mental health problems including depression, anxiety, stress, PTSD, adjustment difficulties, ASD, ADHD, grief and loss, relationship issues, perinatal mental health and fertility issues. Pam will provide a thorough assessment of the presenting issues and work collaboratively with you to devise a comprehensive treatment plan. She sees clients for face-to-face sessions as well as Telehealth sessions (Zoom video-conferencing.). GP or specialist referral is required for the Medicare rebate.
(02) 9159 6732 View (02) 9159 6732
Photo of Sarah Pak, Clinical Social Work/Therapist in Sydney, NSW
Sarah Pak
Clinical Social Work/Therapist, AMHSW
Verified Verified
Sydney, NSW 2000
I've been a mental health clinician/ therapist for over 20 years assisting patients/clients with a variety of issues ranging from mild depression, anxiety, stress, adjustment to more severe psychological and complex difficulties stemming from trauma, abuse, addictions, disability, psychiatric illnesses and personality and relationship related problems. I enjoy meeting those who value the importance of self-awareness and personal development in order to improve their psychological well-being.. I have extensive experiencing working with children, adults, couples and families who wish to improve their Mental Health conditions.
I've been a mental health clinician/ therapist for over 20 years assisting patients/clients with a variety of issues ranging from mild depression, anxiety, stress, adjustment to more severe psychological and complex difficulties stemming from trauma, abuse, addictions, disability, psychiatric illnesses and personality and relationship related problems. I enjoy meeting those who value the importance of self-awareness and personal development in order to improve their psychological well-being.. I have extensive experiencing working with children, adults, couples and families who wish to improve their Mental Health conditions.
(02) 8074 1764 View (02) 8074 1764
Photo of Jacob Lee, Psychologist in Sydney, NSW
Jacob Lee
Psychologist, PsyBA - Clin. Psych
Verified Verified
Sydney, NSW 2000
Everyone can live a more fulfilling life, although thoughts and feelings make it easy to get stuck. I believe therapy offers space to take a step back and do our best thinking about 'whats working well?' and 'whats not working well?', when it comes to thoughts, feelings, and relationships. I work with people experiencing a wide range of difficult thoughts, feelings, and situations such as: anxiety, low mood, relationship stress, and low motivation.
Everyone can live a more fulfilling life, although thoughts and feelings make it easy to get stuck. I believe therapy offers space to take a step back and do our best thinking about 'whats working well?' and 'whats not working well?', when it comes to thoughts, feelings, and relationships. I work with people experiencing a wide range of difficult thoughts, feelings, and situations such as: anxiety, low mood, relationship stress, and low motivation.
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Photo of Amelie Nguyen, Psychologist in Sydney, NSW
Amelie Nguyen
Psychologist, MPsych, PsyBA - Clin. Psych
Verified Verified
Sydney, NSW 2000  (Online Only)
Accepting New Referrals - Recipient of multiple awards for excellence in Psychology, Amelie is a highly accomplished Clinical Psychologist and Board Approved Supervisor, inspiring you toward a greater sense of meaning, life satisfaction, & fulfillment. Amelie provides diagnoses, assessment and treatment of Anxiety, Depression, Complex Trauma, PTSD, low self-esteem, relationship problems (family, social, partners, couples), behavioural issues, impulsivity, paranoia, stress, grief, burnout, mood, anger management, addiction, self-harm, emotion dysregulation, & relapse. Amelie has extensive experience in suicide intervention.
Accepting New Referrals - Recipient of multiple awards for excellence in Psychology, Amelie is a highly accomplished Clinical Psychologist and Board Approved Supervisor, inspiring you toward a greater sense of meaning, life satisfaction, & fulfillment. Amelie provides diagnoses, assessment and treatment of Anxiety, Depression, Complex Trauma, PTSD, low self-esteem, relationship problems (family, social, partners, couples), behavioural issues, impulsivity, paranoia, stress, grief, burnout, mood, anger management, addiction, self-harm, emotion dysregulation, & relapse. Amelie has extensive experience in suicide intervention.
(02) 9100 0673 View (02) 9100 0673
Photo of Connie Easterbrook Counselling Services, Counsellor in Sydney, NSW
Connie Easterbrook Counselling Services
Counsellor, PACFA
Verified Verified
1 Endorsed
Sydney, NSW 2000
Experiencing relationship struggles or marriage breakdown. Wanting to refresh, renew or repair your relationship with your partner or loved one. Overwhelmed by grief and sadness. Anxious. Depressed. Stressed. Overwhelmed. Discouraged. Low self-esteem. If you are looking for compassionate care, support, hope for the future and a transformed emotional life - then I may be able to help. I am a warm, relational counsellor who offers experience, wisdom and compassion. I can provide practical skills and strategies to assist alongside empowering you to find your own unique way forward.
Experiencing relationship struggles or marriage breakdown. Wanting to refresh, renew or repair your relationship with your partner or loved one. Overwhelmed by grief and sadness. Anxious. Depressed. Stressed. Overwhelmed. Discouraged. Low self-esteem. If you are looking for compassionate care, support, hope for the future and a transformed emotional life - then I may be able to help. I am a warm, relational counsellor who offers experience, wisdom and compassion. I can provide practical skills and strategies to assist alongside empowering you to find your own unique way forward.
(02) 7501 0787 View (02) 7501 0787
Photo of Ess Binet, Psychotherapist in Sydney, NSW
Ess Binet
Psychotherapist, PACFA
Verified Verified
Sydney, NSW 2000  (Online Only)
I intimately understand the power of transformation that can occur when we commit to building a new relationship with ourselves.
Hey, I'm stoked you've stopped by! I'm Ess, an introverted, dance obsessed, spiritual being who will drop an F-bomb in solidarity or celebration. I'm genuinely interested in learning about you and hearing your story. I'm excited for you, to be more YOU! Whether that's supporting you to: express yourself more fully, learn tools to practice self-acceptance, work through past experiences so you can embrace you now, unlearn and relearn behaviours so you can thrive... I have approx 10 years experience working in trauma/mental health, and enjoy working with folks curious about deeper self exploration + growth.
I intimately understand the power of transformation that can occur when we commit to building a new relationship with ourselves.
Hey, I'm stoked you've stopped by! I'm Ess, an introverted, dance obsessed, spiritual being who will drop an F-bomb in solidarity or celebration. I'm genuinely interested in learning about you and hearing your story. I'm excited for you, to be more YOU! Whether that's supporting you to: express yourself more fully, learn tools to practice self-acceptance, work through past experiences so you can embrace you now, unlearn and relearn behaviours so you can thrive... I have approx 10 years experience working in trauma/mental health, and enjoy working with folks curious about deeper self exploration + growth.
(02) 8074 5874 View (02) 8074 5874
Photo of Bronte Purcell, Psychotherapist in Sydney, NSW
Bronte Purcell
Psychotherapist, MA, PACFA
Verified Verified
Sydney, NSW 2000  (Online Only)
As a qualified somatic psychotherapist & counsellor, I support people experiencing anxiety, burn out, shut down, low self worth, body disconnection & relationship challenges. I help you develop a safe, loving relationship with your body & mind so that you can transform your relationship to yourself, and embrace the wholeness of this human experience. The approach I take is person-centred, trauma-informed and built on a foundation of openness, acceptance, curiosity & compassion. I focus on providing you with the tools that you need to thrive and getting to the root cause of the challenges you are experiencing.
As a qualified somatic psychotherapist & counsellor, I support people experiencing anxiety, burn out, shut down, low self worth, body disconnection & relationship challenges. I help you develop a safe, loving relationship with your body & mind so that you can transform your relationship to yourself, and embrace the wholeness of this human experience. The approach I take is person-centred, trauma-informed and built on a foundation of openness, acceptance, curiosity & compassion. I focus on providing you with the tools that you need to thrive and getting to the root cause of the challenges you are experiencing.
(02) 5943 7272 View (02) 5943 7272
Photo of Nishie Govender - Cetas Psychology , Psychologist in Sydney, NSW
Nishie Govender - Cetas Psychology
Psychologist, MA, PsyBA - Clin. Psych
Verified Verified
2 Endorsed
Sydney, NSW 2000
Clinical/ therapeutic areas of interest include: Depression, Anxiety, OCD, Phobias, Trauma and Relationship issues.
I am a registered clinical psychologist with over 10 years of experience in both clinical and organisational psychology. This dual speciality allows for a holistic lens for adults with mental health challenges. Recognising individual beliefs, experiences, and cultures is at the core of my practice. I provide support in a non-judgmental and friendly environment, allowing clients to share and work through barriers uniquely. Learn more at CetasPsychology.com
Clinical/ therapeutic areas of interest include: Depression, Anxiety, OCD, Phobias, Trauma and Relationship issues.
I am a registered clinical psychologist with over 10 years of experience in both clinical and organisational psychology. This dual speciality allows for a holistic lens for adults with mental health challenges. Recognising individual beliefs, experiences, and cultures is at the core of my practice. I provide support in a non-judgmental and friendly environment, allowing clients to share and work through barriers uniquely. Learn more at CetasPsychology.com
(03) 7003 2697 View (03) 7003 2697
Photo of Logic Lounge Psychology, Psychologist in Sydney, NSW
Logic Lounge Psychology
Psychologist, MAPS
Verified Verified
Sydney, NSW 2000
Our team of experienced psychologists across Hornsby, Drummoyne, Gladesville and Auburn provide treatment for a diverse range of clients ranging from adults, children and adolescents. Our psychologists are experienced in anxiety management, workplace issues, panic disorders, depression, stress management, anger management and relationship counselling. We are WorkCover (SIRA) accredited and also provide NDIS sessions. Court reports are available on request.
Our team of experienced psychologists across Hornsby, Drummoyne, Gladesville and Auburn provide treatment for a diverse range of clients ranging from adults, children and adolescents. Our psychologists are experienced in anxiety management, workplace issues, panic disorders, depression, stress management, anger management and relationship counselling. We are WorkCover (SIRA) accredited and also provide NDIS sessions. Court reports are available on request.
(02) 8074 5489 View (02) 8074 5489
Photo of Alain Moulay in Sydney, NSW
Alain Moulay
MSc
Verified Verified
Sydney, NSW 2000
As a qualified Sexologist (Sex Therapist) and Relationship Therapist, my specialty role is to provide clients with support, education, therapy, knowledge, empowerment, growth, and avenues to explore, resolve and improve relationships and sexuality.
Sexuality is multidimensional that engages all areas of life: mental, emotional, physical and social. Understanding the psychology and the culture through which sexuality is experienced is integral to finding well being and happiness. Shame, guilt, anxiety, as well as other psychological or medical conditions, can profoundly affect how we experience sexuality and deeply impact or attach itself to the complexities of our personal history and life experiences.
As a qualified Sexologist (Sex Therapist) and Relationship Therapist, my specialty role is to provide clients with support, education, therapy, knowledge, empowerment, growth, and avenues to explore, resolve and improve relationships and sexuality.
Sexuality is multidimensional that engages all areas of life: mental, emotional, physical and social. Understanding the psychology and the culture through which sexuality is experienced is integral to finding well being and happiness. Shame, guilt, anxiety, as well as other psychological or medical conditions, can profoundly affect how we experience sexuality and deeply impact or attach itself to the complexities of our personal history and life experiences.
(02) 9159 6682 View (02) 9159 6682
Photo of Foresight Psychology, Psychologist in Sydney, NSW
Foresight Psychology
Psychologist, PhD, PsyBA - Clin. Psych
Verified Verified
Sydney, NSW 2000
Foresight Psychology is passionate about promoting mental health and wellbeing. Our primary goal is to promote healthy thinking habits and behaviours, and to help you learn new tools to cope better with life’s challenges, and lead a rich and meaningful life. We are a group of warm and empathic psychologists who use evidence-based treatment to address a range of difficulties, such as anxiety and depression/mood disorders, complex trauma and PTSD, interpersonal difficulties, ADHD, deliberate self-harm and disordered eating behaviours, grief, relationship difficulties, work/study stress, and adjustment difficulties.
Foresight Psychology is passionate about promoting mental health and wellbeing. Our primary goal is to promote healthy thinking habits and behaviours, and to help you learn new tools to cope better with life’s challenges, and lead a rich and meaningful life. We are a group of warm and empathic psychologists who use evidence-based treatment to address a range of difficulties, such as anxiety and depression/mood disorders, complex trauma and PTSD, interpersonal difficulties, ADHD, deliberate self-harm and disordered eating behaviours, grief, relationship difficulties, work/study stress, and adjustment difficulties.
(02) 9100 0636 View (02) 9100 0636
Photo of Helen Fearnley, Psychologist in Sydney, NSW
Helen Fearnley
Psychologist, MPsych, PsyBA Endorsed
Verified Verified
Sydney, NSW 2000
It is normal to feel challenged by life at times. However, if you feel stuck, or overwhelmed, perhaps I can help. I offer both individual therapy and relationship therapy, to assist you with navigating life's challenges. I have over a dozen years of experience which includes general mental health, sexual health and wellbeing, attachment issues, trauma and forensic issues. I have worked in hospital settings and forensic settings, as well as private practice, before starting my own practice - Epiphany Psychology Services. My therapy style is affirming, inclusive, nonjudgmental and warm. I offer both online and in-person appointments.
It is normal to feel challenged by life at times. However, if you feel stuck, or overwhelmed, perhaps I can help. I offer both individual therapy and relationship therapy, to assist you with navigating life's challenges. I have over a dozen years of experience which includes general mental health, sexual health and wellbeing, attachment issues, trauma and forensic issues. I have worked in hospital settings and forensic settings, as well as private practice, before starting my own practice - Epiphany Psychology Services. My therapy style is affirming, inclusive, nonjudgmental and warm. I offer both online and in-person appointments.
(03) 9118 9060 View (03) 9118 9060
Photo of Sayaka Sayeed, Counsellor in Sydney, NSW
Sayaka Sayeed
Counsellor, MC, ACA-L2
Verified Verified
1 Endorsed
Sydney, NSW 2000
I can support clients with Depression, Anxiety, ADHD management, Stress & Burnout, Relationship Issues, Intercultural Relationships, Women's Issues, Men's Issues, LGBTQIA+ Issues, Personal Development & Identity, Life Transition Issues & Life Coaching, Self-Esteem, Navigating Cultural & Religious Issues.
I have a strong interest in cultivating culturally responsive and accessible practices in my work and in the wider mental health industry. I focus on cultivating strong therapeutic relationships with clients from different age groups, cultural and neurodivergent backgrounds through using collaborative intersectional frameworks and maintaining authenticity, empathy, and curiosity in the counselling space with a focus on CBT, ACT, Schema Therapy and more, using multiple modalities as and when needed by my clients. If this holistic approach aligns with you, please reach out and we can address any hesitations or questions you may have.
I can support clients with Depression, Anxiety, ADHD management, Stress & Burnout, Relationship Issues, Intercultural Relationships, Women's Issues, Men's Issues, LGBTQIA+ Issues, Personal Development & Identity, Life Transition Issues & Life Coaching, Self-Esteem, Navigating Cultural & Religious Issues.
I have a strong interest in cultivating culturally responsive and accessible practices in my work and in the wider mental health industry. I focus on cultivating strong therapeutic relationships with clients from different age groups, cultural and neurodivergent backgrounds through using collaborative intersectional frameworks and maintaining authenticity, empathy, and curiosity in the counselling space with a focus on CBT, ACT, Schema Therapy and more, using multiple modalities as and when needed by my clients. If this holistic approach aligns with you, please reach out and we can address any hesitations or questions you may have.
(03) 7003 2356 View (03) 7003 2356
Photo of Sex and Relationship Therapist | Mim Kempson, Counsellor in Sydney, NSW
Sex and Relationship Therapist | Mim Kempson
Counsellor, ACA-L2
Verified Verified
Sydney, NSW 2000
As a Sexologist and Registered Counsellor, I support individuals and couples facing challenges in sex, communication, dating, libido, FIFO relationships, neurodiversity (ADHD/ASD), family stresses, sexual difficulties/pain, codependency, healing from betrayal, ENM/polyamory, and more. I work with LGBTQ+ people and anyone feeling constrained or exhausted by the pressures to have a certain kind of marriage/relationship, income, family, career, appearance, to behave in a certain way, and be a certain person.
As a Sexologist and Registered Counsellor, I support individuals and couples facing challenges in sex, communication, dating, libido, FIFO relationships, neurodiversity (ADHD/ASD), family stresses, sexual difficulties/pain, codependency, healing from betrayal, ENM/polyamory, and more. I work with LGBTQ+ people and anyone feeling constrained or exhausted by the pressures to have a certain kind of marriage/relationship, income, family, career, appearance, to behave in a certain way, and be a certain person.
(08) 7079 5667 View (08) 7079 5667
Photo of Isabella Lay, Psychologist in Sydney, NSW
Isabella Lay
Psychologist, MPsych, PsyBA General
Verified Verified
Sydney, NSW 2000
The relationship between client and therapist is a key part of therapy success.
My interest is in working with people who have a history of being in unhealthy relationships and who wish to change this. Clients come to me because they notice a pattern of being attracted to individuals who exhibit behaviours such as abusiveness, control, manipulation and devaluation. This often leads to their sense of rejection and abandonment; and feelings of helplessness and hopelessness. Together, we work through factors such as how to regulate intense emotions, tolerate distress and curb impulsiveness. We also learn strategies such as assertiveness, individuation, as well as gaining awareness about the impact of factors such
The relationship between client and therapist is a key part of therapy success.
My interest is in working with people who have a history of being in unhealthy relationships and who wish to change this. Clients come to me because they notice a pattern of being attracted to individuals who exhibit behaviours such as abusiveness, control, manipulation and devaluation. This often leads to their sense of rejection and abandonment; and feelings of helplessness and hopelessness. Together, we work through factors such as how to regulate intense emotions, tolerate distress and curb impulsiveness. We also learn strategies such as assertiveness, individuation, as well as gaining awareness about the impact of factors such
(03) 7003 2967 View (03) 7003 2967
Photo of Chris Theodoridis, Psychologist in Sydney, NSW
Chris Theodoridis
Psychologist, MA, PsyBA General
Verified Verified
Sydney, NSW 2000
I provide support to adults who are experiencing depression, anxiety, facing life transitions, relationship difficulties, family issues, addictions, grief, and LGBTIQA+ Health.
I am a registered psychologist, board approved supervisor and SIRA registered. I have also had extensive experience with NDIS clients, workcover, career coaching and vocational assessments/ reports.
I provide support to adults who are experiencing depression, anxiety, facing life transitions, relationship difficulties, family issues, addictions, grief, and LGBTIQA+ Health.
I am a registered psychologist, board approved supervisor and SIRA registered. I have also had extensive experience with NDIS clients, workcover, career coaching and vocational assessments/ reports.
(02) 9100 0069 View (02) 9100 0069

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Relationship Issues Counsellors
While need for human connection appears to be innate, the ability to form healthy, loving relationships is learned. Some evidence suggests that the ability to form a stable relationship starts to form in infancy, in a child's earliest experiences with a caregiver who reliably meets the infant's needs for food, care, warmth, protection, stimulation, and social contact. Such relationships are not destiny, but they are theorized to establish deeply ingrained patterns of relating to others. The end of a relationship, however, is often a source of great psychological anguish.