Relationship Issues Therapists in 27510

Photo of Lisa Kay Gist, MA, LCMHC
Lisa Kay Gist
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
5 Endorsed
Carrboro, NC 27510
You can feel connected, confident, safe, and energized in your life and relationships. I'd like to help. I'm interested in you and your relationships. Your relationship with others and relationship with self. Your relationship with work and rest. Your relationship with identity. Your relationship with your story, your past, and your future. Your relationship with your losses, your injuries, and your grief. ​Your relationship with things seen and things felt.
You can feel connected, confident, safe, and energized in your life and relationships. I'd like to help. I'm interested in you and your relationships. Your relationship with others and relationship with self. Your relationship with work and rest. Your relationship with identity. Your relationship with your story, your past, and your future. Your relationship with your losses, your injuries, and your grief. ​Your relationship with things seen and things felt.
(984) 205-4485 View (984) 205-4485
Photo of Margaret Rhee, MSW, LCSW, Clinical Social Work/Therapist
Margaret Rhee
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Carrboro, NC 27510
My areas of specialty are: Depression, Anxiety, Post-partum and Perinatal Depression, Stress related to college and graduate school, Women's Issues, Relationship Issues, and Issues around transitions, loss, and change.
Congratulations on seeking help for yourself through psychotherapy! I believe that we are all able to make the changes we want to make and therapy is an ideal place to get the support to do that. I have been practicing psychotherapy since 2001, and have been in private practice since 2007. I have worked in both a public mental health clinic counseling adults and at two local universities counseling college and graduate school students. I have a Master's degree in Social Work from UNC Chapel Hill and a Bachelor's degree in Psychology from Wellesley College in Massachusetts.
My areas of specialty are: Depression, Anxiety, Post-partum and Perinatal Depression, Stress related to college and graduate school, Women's Issues, Relationship Issues, and Issues around transitions, loss, and change.
Congratulations on seeking help for yourself through psychotherapy! I believe that we are all able to make the changes we want to make and therapy is an ideal place to get the support to do that. I have been practicing psychotherapy since 2001, and have been in private practice since 2007. I have worked in both a public mental health clinic counseling adults and at two local universities counseling college and graduate school students. I have a Master's degree in Social Work from UNC Chapel Hill and a Bachelor's degree in Psychology from Wellesley College in Massachusetts.
(984) 314-5783 View (984) 314-5783
Photo of Asia Elzein Platt - 2nd Spring CCC, PLLC, LCSW, Clinical Social Work/Therapist
2nd Spring CCC, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Carrboro, NC 27510  (Online Only)
If what you need is a healing journey from life's challenges or relationship complexities, I'm here to guide you. Whether you're navigating traumas, in need of coping strategies, or wanting lasting positive changes, your journey is at the heart of my warm, personalized approach. From self-discovery to resilience, find a genuine connection and expert support crafted just for you. Let's embark together on a personal path to well-being, where the focus is on your needs and aspirations with understanding, compassion, and heartfelt expertise.
If what you need is a healing journey from life's challenges or relationship complexities, I'm here to guide you. Whether you're navigating traumas, in need of coping strategies, or wanting lasting positive changes, your journey is at the heart of my warm, personalized approach. From self-discovery to resilience, find a genuine connection and expert support crafted just for you. Let's embark together on a personal path to well-being, where the focus is on your needs and aspirations with understanding, compassion, and heartfelt expertise.
(919) 646-6860 View (919) 646-6860
Photo of Melissa L Chadwick, MSW, LCSW, Clinical Social Work/Therapist
Melissa L Chadwick
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Carrboro, NC 27510  (Online Only)
I believe that the foundation of therapy is a strong therapeutic relationship built on trust and respect. I will meet you where you are and offer a safe, nonjudgmental space for you to share and explore challenges.
I believe that the foundation of therapy is a strong therapeutic relationship built on trust and respect. I will meet you where you are and offer a safe, nonjudgmental space for you to share and explore challenges.
(984) 231-8059 View (984) 231-8059
Photo of Shari E Coveney, LCSW, Clinical Social Work/Therapist
Shari E Coveney
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Carrboro, NC 27510  (Online Only)
I am a Licensed Clinical Social Worker with 20 years experience conducting individual and group therapy with a variety of clients experiencing, depression, anxiety, relationship and parenting issues, teen concerns, and a wide range of challenges including grief/loss, insomnia, addiction, abuse, as well as personal growth, adjustment issues, and crisis.
I believe everyone just wants to be heard and validated. When people reach out for help and want to set some goals to change and grow, I am here to listen. I would like to help you create some steps and options for you to become your best self. I accepting Optum (United, Oscar, & Oxford), Aetna, & Cigna insurance plans. If you are interested in booking me with your insurance benefits, please contact me sharicoveney.gmail.com
I am a Licensed Clinical Social Worker with 20 years experience conducting individual and group therapy with a variety of clients experiencing, depression, anxiety, relationship and parenting issues, teen concerns, and a wide range of challenges including grief/loss, insomnia, addiction, abuse, as well as personal growth, adjustment issues, and crisis.
I believe everyone just wants to be heard and validated. When people reach out for help and want to set some goals to change and grow, I am here to listen. I would like to help you create some steps and options for you to become your best self. I accepting Optum (United, Oscar, & Oxford), Aetna, & Cigna insurance plans. If you are interested in booking me with your insurance benefits, please contact me sharicoveney.gmail.com
(919) 849-3476 View (919) 849-3476
Photo of Sally F Maslansky, MA, MFT, Marriage & Family Therapist
Sally F Maslansky
Marriage & Family Therapist, MA, MFT
Verified Verified
3 Endorsed
Carrboro, NC 27510  (Online Only)
My practice includes adults, couples, families and adolescents navigating depression, anxiety and relationship challenges.
Therapy at its best is a unique collaboration between therapist and client. I offer my education, training and experience along with an open mind and attuned communication to assist my clients' in exploring the issues they bring to therapy. As a Marriage and Family Therapist, I specialize in working with adults, couples, adolescents and families working on interpersonal and intra-personal issues. I am committed to nurturing my client's personal growth and development towards achieving a deeper sense of self knowing and the ability to live an integrated, emotionally regulated and balanced life.
My practice includes adults, couples, families and adolescents navigating depression, anxiety and relationship challenges.
Therapy at its best is a unique collaboration between therapist and client. I offer my education, training and experience along with an open mind and attuned communication to assist my clients' in exploring the issues they bring to therapy. As a Marriage and Family Therapist, I specialize in working with adults, couples, adolescents and families working on interpersonal and intra-personal issues. I am committed to nurturing my client's personal growth and development towards achieving a deeper sense of self knowing and the ability to live an integrated, emotionally regulated and balanced life.
(919) 714-4139 View (919) 714-4139
Photo of Karen Brown - Standing Stones Therapy, MA, LCMHCS, Licensed Professional Counselor
Standing Stones Therapy
Licensed Professional Counselor, MA, LCMHCS
Verified Verified
Carrboro, NC 27510
Although we can't change difficult situations of the past, we can move toward greater self understanding and more fulfilling relationships in the present. I engage with you based on a relationship of two people coming together as equals within the safety of the therapeutic container. My focus is on interpersonal relationship, however, I include art, music, movement, play, and guided imagery as another means to connect with each other and to free the imagination for self discovery.
Although we can't change difficult situations of the past, we can move toward greater self understanding and more fulfilling relationships in the present. I engage with you based on a relationship of two people coming together as equals within the safety of the therapeutic container. My focus is on interpersonal relationship, however, I include art, music, movement, play, and guided imagery as another means to connect with each other and to free the imagination for self discovery.
(828) 303-2095 View (828) 303-2095
Photo of Judith S Barnett, PhD, Psychologist
Judith S Barnett
Psychologist, PhD
Verified Verified
Carrboro, NC 27510
I have been working successfully with couples and individuals for 20+ years on a variety of topics including depression, relationship issues, and specializing in the areas of communication, extramarital affairs, online infidelity, couples conflict resolution, and divorce prevention. I am very client-centered and value teaming with my clients to work effectively at their comfort level, staying mindful of their wishes while using my clinical skills and modalities.
I have been working successfully with couples and individuals for 20+ years on a variety of topics including depression, relationship issues, and specializing in the areas of communication, extramarital affairs, online infidelity, couples conflict resolution, and divorce prevention. I am very client-centered and value teaming with my clients to work effectively at their comfort level, staying mindful of their wishes while using my clinical skills and modalities.
(252) 392-0707 View (252) 392-0707
Photo of Bonnie Gilliom, MS, LCMHC, Licensed Professional Counselor
Bonnie Gilliom
Licensed Professional Counselor, MS, LCMHC
Verified Verified
Carrboro, NC 27510
Psychotherapy is a powerful tool for breaking out of confusion and pain. For 21 years I have worked with people seeking help with depression, anxiety, grief, life transitions, job problems, trauma, gender identity issues, relationships, loneliness, anger, existential questions and unhappiness. One of my specialties is Eye Movement Desensitization Reprocessing (EMDR) which I find to be very effective method of treating post-traumatic stress resulting from trauma such as physical, sexual, or emotional abuse. I also have worked extensively with couples, helping them establish goals for the relationship, teaching communication and conflict resolution skills.
Psychotherapy is a powerful tool for breaking out of confusion and pain. For 21 years I have worked with people seeking help with depression, anxiety, grief, life transitions, job problems, trauma, gender identity issues, relationships, loneliness, anger, existential questions and unhappiness. One of my specialties is Eye Movement Desensitization Reprocessing (EMDR) which I find to be very effective method of treating post-traumatic stress resulting from trauma such as physical, sexual, or emotional abuse. I also have worked extensively with couples, helping them establish goals for the relationship, teaching communication and conflict resolution skills.
(919) 234-5285 View (919) 234-5285
Photo of Lisa Dumain, MSW, LCSW, Clinical Social Work/Therapist
Lisa Dumain
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Carrboro, NC 27510
I'm comfortable working with issues such as depression, anxiety, life transitions, values clarification, domestic violence, trauma history, parenting issues, and other family or relationship dynamics.
I believe therapy should be a collaborative effort between client and therapist. While I may share some evidenced-based ideas during our sessions, only you are the expert on what works for you. My sessions will generally follow a cognitive behavioral approach, meaning that we will examine, and possibly shift, your thoughts and perspectives on life situations that are causing you enough distress to want to pursue change. Together we will form a plan of action that is the right fit for you at this point in time.
I'm comfortable working with issues such as depression, anxiety, life transitions, values clarification, domestic violence, trauma history, parenting issues, and other family or relationship dynamics.
I believe therapy should be a collaborative effort between client and therapist. While I may share some evidenced-based ideas during our sessions, only you are the expert on what works for you. My sessions will generally follow a cognitive behavioral approach, meaning that we will examine, and possibly shift, your thoughts and perspectives on life situations that are causing you enough distress to want to pursue change. Together we will form a plan of action that is the right fit for you at this point in time.
(919) 436-2122 View (919) 436-2122
Photo of Devon Abdo, LMFT, Marriage & Family Therapist
Devon Abdo
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Carrboro, NC 27510  (Online Only)
Sex and relationships can be hard to talk about --- But you don't have to do it alone! I am Devon Abdo (her/she), LMFT, a Licensed Marriage and Family Therapist who specializes in Sexuality and Sex Therapy. I work with both couples and individuals who are interested in exploring their relationships and sexuality or need help dealing with this crazy world. I believe in tailoring each session to the needs of each client where they are, of any gender orientation, gender expression, race, or relationship style. I am trans-affirming, fetish-affirming, and poly-affirming.
Sex and relationships can be hard to talk about --- But you don't have to do it alone! I am Devon Abdo (her/she), LMFT, a Licensed Marriage and Family Therapist who specializes in Sexuality and Sex Therapy. I work with both couples and individuals who are interested in exploring their relationships and sexuality or need help dealing with this crazy world. I believe in tailoring each session to the needs of each client where they are, of any gender orientation, gender expression, race, or relationship style. I am trans-affirming, fetish-affirming, and poly-affirming.
(984) 223-5292 View (984) 223-5292
Photo of Maggie Truesdale, LCSW, Clinical Social Work/Therapist
Maggie Truesdale
Clinical Social Work/Therapist, LCSW
Verified Verified
Carrboro, NC 27510  (Online Only)
Johnesha “Maggie” Truesdale is a Licensed Clinical Social Worker (LCSW) in the state of North Carolina and has been practicing clinical social work since 2018. Maggie earned her Bachelor’s Degree in Social Work at North Carolina Central University, then entered the highly competitive Advanced Standing Program at North Carolina State University where she earned her Master’s degree in Social Work. She has a significant amount of experience working with children and families addressing parenting/co-parenting challenges, child behaviors, and overall relationship and family dynamics, as well as working with individuals and couples.
Johnesha “Maggie” Truesdale is a Licensed Clinical Social Worker (LCSW) in the state of North Carolina and has been practicing clinical social work since 2018. Maggie earned her Bachelor’s Degree in Social Work at North Carolina Central University, then entered the highly competitive Advanced Standing Program at North Carolina State University where she earned her Master’s degree in Social Work. She has a significant amount of experience working with children and families addressing parenting/co-parenting challenges, child behaviors, and overall relationship and family dynamics, as well as working with individuals and couples.
(919) 804-1590 View (919) 804-1590
Photo of Laura Lindsey, LCMHC, LCAS, Licensed Professional Counselor
Laura Lindsey
Licensed Professional Counselor, LCMHC, LCAS
Verified Verified
1 Endorsed
Carrboro, NC 27510
My areas of specialty include anxiety, depression, and relationship issues.
I deeply enjoy working with a diverse population of adults to deepen their understanding of themselves and assist them in developing strategies that support their goals and values. I offer a supportive environment and warm, down-to-earth style. I offer practical life tools that foster change and growth. My approach uses scientifically supported therapies that honor the individuality, strengths, and needs of each client. Sessions are interactive and skill-based, drawing from Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and mindfulness-based practices.
My areas of specialty include anxiety, depression, and relationship issues.
I deeply enjoy working with a diverse population of adults to deepen their understanding of themselves and assist them in developing strategies that support their goals and values. I offer a supportive environment and warm, down-to-earth style. I offer practical life tools that foster change and growth. My approach uses scientifically supported therapies that honor the individuality, strengths, and needs of each client. Sessions are interactive and skill-based, drawing from Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and mindfulness-based practices.
(919) 213-0225 View (919) 213-0225
Photo of Lysandra Penn-Bartoo, MSW, LCSW, Clinical Social Work/Therapist
Lysandra Penn-Bartoo
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Carrboro, NC 27510
Waitlist for new clients
I specialize in working with adolescents and young adults experiencing depression, anxiety, OCD, trauma, loneliness, and relationship issues.
Whether you're going through a difficult time at this moment or if you've been feeling this way for awhile, I can offer support and positive coping mechanisms for the stressors you're experiencing. I empower clients to have the capability to use self-compassion and combat damaging thinking and behavioral patterns using evidence-based therapeutic modalities. Every client is unique and I like to employ an individualized, emotionally-centered approach that implements humor, support, and warmth. 
I specialize in working with adolescents and young adults experiencing depression, anxiety, OCD, trauma, loneliness, and relationship issues.
Whether you're going through a difficult time at this moment or if you've been feeling this way for awhile, I can offer support and positive coping mechanisms for the stressors you're experiencing. I empower clients to have the capability to use self-compassion and combat damaging thinking and behavioral patterns using evidence-based therapeutic modalities. Every client is unique and I like to employ an individualized, emotionally-centered approach that implements humor, support, and warmth. 
(336) 203-6822 View (336) 203-6822
Photo of Tessa Permut, PhD, LPC, LCAS-A, Licensed Professional Counselor
Tessa Permut
Licensed Professional Counselor, PhD, LPC, LCAS-A
Verified Verified
Carrboro, NC 27510
I tend to be a good fit for those seeking a collaborative, deep therapeutic relationship, looking for a new path, or figuring out life after a serious change, such as job loss, death of a loved one, or divorce.
My approach is relational and intensive. I see therapy as a chance to connect with another human in a protected way that allows for greater openness and honesty. In the safety of the therapeutic relationship, I challenge my clients so we get beneath the surface to gain insight, find greater meaning, grounding, and deeper connection. I specialize in work with men, those experiencing divorce, life transitions, and relationship issues, and struggling with substance use.
I tend to be a good fit for those seeking a collaborative, deep therapeutic relationship, looking for a new path, or figuring out life after a serious change, such as job loss, death of a loved one, or divorce.
My approach is relational and intensive. I see therapy as a chance to connect with another human in a protected way that allows for greater openness and honesty. In the safety of the therapeutic relationship, I challenge my clients so we get beneath the surface to gain insight, find greater meaning, grounding, and deeper connection. I specialize in work with men, those experiencing divorce, life transitions, and relationship issues, and struggling with substance use.
(919) 299-2253 View (919) 299-2253
Photo of Kristin Leonheart - Kristin Leonheart, M.S., LMFT, MS, LMFT, Marriage & Family Therapist
Kristin Leonheart, M.S., LMFT
Marriage & Family Therapist, MS, LMFT
Verified Verified
3 Endorsed
Carrboro, NC 27510  (Online Only)
I have expertise in supporting my clients in resolving trauma, learning to trust the wisdom of the body, dismantling internalized oppressive paradigms, resolving toxic relationship patterns, and cultivating love and safety with the parts of ourselves we are most afraid of.
I want to support you in healing in the deepest possible way. This has led me to explore the very roots of suffering, from the perspective of the ancient sages and from the perspective of modern trauma therapy. I support my people in experiencing the reality that exists beyond the bounds of the conditioned mind. I wield the wisdom of the body to facilitate deep transformation. I weave a nuanced understanding of the particular challenges modern minds face into what I offer to support my people in safely opening more and more fully to the freedom, love, and deep internal well-being available to us when we connect to who we truly are.
I have expertise in supporting my clients in resolving trauma, learning to trust the wisdom of the body, dismantling internalized oppressive paradigms, resolving toxic relationship patterns, and cultivating love and safety with the parts of ourselves we are most afraid of.
I want to support you in healing in the deepest possible way. This has led me to explore the very roots of suffering, from the perspective of the ancient sages and from the perspective of modern trauma therapy. I support my people in experiencing the reality that exists beyond the bounds of the conditioned mind. I wield the wisdom of the body to facilitate deep transformation. I weave a nuanced understanding of the particular challenges modern minds face into what I offer to support my people in safely opening more and more fully to the freedom, love, and deep internal well-being available to us when we connect to who we truly are.
(984) 209-1017 View (984) 209-1017
Photo of Gillian Corzine, MS, NCMFT, AAMFT, Marriage & Family Therapist
Gillian Corzine
Marriage & Family Therapist, MS, NCMFT, AAMFT
Verified Verified
3 Endorsed
Carrboro, NC 27510
Areas where I have both knowledge and expertise include: relationship issues , depression, anxiety, body image, mother-daughter and parenting struggles.
I believe understanding how my client perceives the world is essential to successful treatment. For 25 years I have helped a multitude of individuals and family groupings to find peace, resolution and happiness in many areas of their lives. I am a dedicated therapist who is present in the session and highly committed to honoring and respecting the individuals who have allowed me to work with them. I draw inspiration from Pema Chodron, Virginia Satir and Esther Perel.
Areas where I have both knowledge and expertise include: relationship issues , depression, anxiety, body image, mother-daughter and parenting struggles.
I believe understanding how my client perceives the world is essential to successful treatment. For 25 years I have helped a multitude of individuals and family groupings to find peace, resolution and happiness in many areas of their lives. I am a dedicated therapist who is present in the session and highly committed to honoring and respecting the individuals who have allowed me to work with them. I draw inspiration from Pema Chodron, Virginia Satir and Esther Perel.
(919) 885-0069 View (919) 885-0069
Photo of Ally Kane, LCSW, Clinical Social Work/Therapist
Ally Kane
Clinical Social Work/Therapist, LCSW
Verified Verified
Carrboro, NC 27510  (Online Only)
Finding the right therapist is an important first step in working toward your personal goals. To help determine if I am the right fit for a client, I offer a free 15-minute initial consultation. In my practice, I create an environment that is safe and non-judgmental. Every person is different and I offer an individualized treatment approach that best addresses each person's unique needs and overall goals. I work with young adults, adults and older adults, and I specialize in helping individuals who are dealing with stress, relationship issues, difficult life transitions, anger, anxiety, depression and chronic health issues.
Finding the right therapist is an important first step in working toward your personal goals. To help determine if I am the right fit for a client, I offer a free 15-minute initial consultation. In my practice, I create an environment that is safe and non-judgmental. Every person is different and I offer an individualized treatment approach that best addresses each person's unique needs and overall goals. I work with young adults, adults and older adults, and I specialize in helping individuals who are dealing with stress, relationship issues, difficult life transitions, anger, anxiety, depression and chronic health issues.
(919) 585-4297 View (919) 585-4297
Photo of James Moran, MEd, LCMHCA, NCC, Counselor
James Moran
Counselor, MEd, LCMHCA, NCC
Verified Verified
1 Endorsed
Carrboro, NC 27510
I strive for a collaborative therapeutic relationship built on trust, openness, and authenticity.
When we ignore or deny the things that upset us most, the more power and control we attribute to them. How often do you suppress or push away painful feelings, intrusive thoughts, shame, or chronic suicidality? Rather than avoid what’s causing our pain, fear, and discomfort, it's crucial that we stop and ask ourselves why we’re avoiding the things that make us human. When we ignore the physical and cognitive messages our bodies communicate to us, we risk neglecting what our bodies need to heal and thrive, thus denying ourselves the chance to succeed and live a value-driven and purposeful life.
I strive for a collaborative therapeutic relationship built on trust, openness, and authenticity.
When we ignore or deny the things that upset us most, the more power and control we attribute to them. How often do you suppress or push away painful feelings, intrusive thoughts, shame, or chronic suicidality? Rather than avoid what’s causing our pain, fear, and discomfort, it's crucial that we stop and ask ourselves why we’re avoiding the things that make us human. When we ignore the physical and cognitive messages our bodies communicate to us, we risk neglecting what our bodies need to heal and thrive, thus denying ourselves the chance to succeed and live a value-driven and purposeful life.
(919) 343-9227 View (919) 343-9227
Photo of Allyson Yarsinske, MA, LCMHC, Counselor
Allyson Yarsinske
Counselor, MA, LCMHC
Verified Verified
Carrboro, NC 27510  (Online Only)
Waitlist for new clients
I work with individuals of all ages and presenting concerns, however, I specialize in helping adults resolve issues related to anxiety, depression, suicidality, trauma, ADHD, parenting, life transitions, and relationship challenges.
Feeling overwhelmed, stressed, and exhausted constantly? Isolated and alone because you don’t want to burden your friends or family with your problems? Or maybe you don’t know quite how to name why you feel this way or how to talk about it. Here is the good news - therapy is the place to explore the challenging thoughts and feelings you're having. I’ve worked in the mental health field since 2016, helping people of all ages, backgrounds, and challenges. I approach mental health challenges with a holistic mindset to help identify what we can change, inside of our control, and to increase resilience.
I work with individuals of all ages and presenting concerns, however, I specialize in helping adults resolve issues related to anxiety, depression, suicidality, trauma, ADHD, parenting, life transitions, and relationship challenges.
Feeling overwhelmed, stressed, and exhausted constantly? Isolated and alone because you don’t want to burden your friends or family with your problems? Or maybe you don’t know quite how to name why you feel this way or how to talk about it. Here is the good news - therapy is the place to explore the challenging thoughts and feelings you're having. I’ve worked in the mental health field since 2016, helping people of all ages, backgrounds, and challenges. I approach mental health challenges with a holistic mindset to help identify what we can change, inside of our control, and to increase resilience.
(984) 600-7280 View (984) 600-7280
Relationship Issues Therapists
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.