Photo of Ashley Zarmanian Mangrove Therapy Group, Counselor in 33444, FL
Ashley Zarmanian Mangrove Therapy Group
Counselor, MA, LMHC, EDIT
Verified Verified
Delray Beach, FL 33444
I have an extensive background in supporting individuals and their family system as they navigate issues that fuel addiction and process addictions. I am specifically trained in Eating Disorder and Body Image treatment. I have also completed training to become a trauma specialist, as it is very rare to encounter a person struggling with addiction or an eating disorder without a history of trauma. Additionally, long history of helping family members working on issues of co-dependency and boundaries in an effort to restore healthy, loving relationships. I believe very firmly that families need to heal together!
I have an extensive background in supporting individuals and their family system as they navigate issues that fuel addiction and process addictions. I am specifically trained in Eating Disorder and Body Image treatment. I have also completed training to become a trauma specialist, as it is very rare to encounter a person struggling with addiction or an eating disorder without a history of trauma. Additionally, long history of helping family members working on issues of co-dependency and boundaries in an effort to restore healthy, loving relationships. I believe very firmly that families need to heal together!
(561) 279-6635 View (561) 279-6635
Photo of Lexi Kuntz, Registered Clinical Social Worker Intern in 33444, FL
Lexi Kuntz
Registered Clinical Social Worker Intern, RCSWI
Verified Verified
Delray Beach, FL 33444  (Online Only)
My therapeutic techniques include CBT, Acceptance and Commitment Therapy, Grief Therapy, Attachment-Based, Strength-Based, Person-Centered, Family Systems, Mindfulness & Confidence-Building.
Are you in need of a non-judgmental and safe environment to express and process your feelings, emotions, and thoughts? Do you feel uncertain of the next steps to take to improve your overall well-being? If you answered yes to either of the questions, then you’ve come to the right place! My name is Lexi Kuntz, and I strive to help people improve their quality of life. Together, we identify the barriers that are getting in the way and learn effective coping skills to help foster a meaningful life. With a passion for supporting others, I help guide individuals in identifying their own strengths and values to reach their goals.
My therapeutic techniques include CBT, Acceptance and Commitment Therapy, Grief Therapy, Attachment-Based, Strength-Based, Person-Centered, Family Systems, Mindfulness & Confidence-Building.
Are you in need of a non-judgmental and safe environment to express and process your feelings, emotions, and thoughts? Do you feel uncertain of the next steps to take to improve your overall well-being? If you answered yes to either of the questions, then you’ve come to the right place! My name is Lexi Kuntz, and I strive to help people improve their quality of life. Together, we identify the barriers that are getting in the way and learn effective coping skills to help foster a meaningful life. With a passion for supporting others, I help guide individuals in identifying their own strengths and values to reach their goals.
(561) 621-4021 View (561) 621-4021
Photo of Brian Drennen, Pre-Licensed Professional in 33444, FL
Brian Drennen
Pre-Licensed Professional, MSW, CAP
Verified Verified
2 Endorsed
Delray Beach, FL 33444
My passion lies in helping you connect more deeply with what you are wanting for yourself. Together, we uncover the blocks that are getting in the way of your healing and success. My experience is drawn from working in residential treatment supporting individuals and their families as they navigate substance abuse and mental health recovery. In this field, I have worked in a variety of capacities which I believe helps me bring a uniquely skilled perspective and approach. I firmly believe in looking at one’s family of origin to discover patterns that were once necessary but are now maladaptive and have become blockages.
My passion lies in helping you connect more deeply with what you are wanting for yourself. Together, we uncover the blocks that are getting in the way of your healing and success. My experience is drawn from working in residential treatment supporting individuals and their families as they navigate substance abuse and mental health recovery. In this field, I have worked in a variety of capacities which I believe helps me bring a uniquely skilled perspective and approach. I firmly believe in looking at one’s family of origin to discover patterns that were once necessary but are now maladaptive and have become blockages.
(561) 404-0165 x105 View (561) 404-0165 x105
Photo of Anna Kirakosian, Registered Mental Health Counselor Intern in 33444, FL
Anna Kirakosian
Registered Mental Health Counselor Intern, PhD
Verified Verified
Delray Beach, FL 33444
I am one of those therapists who use their natural empathy and heartiness together with the professional skills on the sessions. I believe this is possible and increase the effectiveness. I am working with the following issues: self grow and personal development; marital disharmony, conflicts, adultery; going through life stages; relationship or family issues; sexual disharmony; conflicts at home or work; behavioral and psyche issues in childhood and adolescents; parent-child conflicts, moving to another country and adaptation, professional self-development.
I am one of those therapists who use their natural empathy and heartiness together with the professional skills on the sessions. I believe this is possible and increase the effectiveness. I am working with the following issues: self grow and personal development; marital disharmony, conflicts, adultery; going through life stages; relationship or family issues; sexual disharmony; conflicts at home or work; behavioral and psyche issues in childhood and adolescents; parent-child conflicts, moving to another country and adaptation, professional self-development.
(561) 556-3697 View (561) 556-3697
Photo of Lynn Rosen, Psychologist in 33444, FL
Lynn Rosen
Psychologist, PhD
Verified Verified
Delray Beach, FL 33444  (Online Only)
I am a marriage and family therapist, psychologist,and coach with over 30 years experience.
We all have within us a resilience to confront and handle even the most challenging of issues. But we do not have to do it alone. A willingness to share our deepest thoughts and emotions in a safe and caring environment can empower you to figure out how you are feeling , how to move forward, reclaim your purpose and passion. I would like to participate in that process with you. I am experienced in relationship and self-counseling, using complementary approaches tto best facilitate positive change. I'm looking forward to being your partner in this process. Go to my website for more info
I am a marriage and family therapist, psychologist,and coach with over 30 years experience.
We all have within us a resilience to confront and handle even the most challenging of issues. But we do not have to do it alone. A willingness to share our deepest thoughts and emotions in a safe and caring environment can empower you to figure out how you are feeling , how to move forward, reclaim your purpose and passion. I would like to participate in that process with you. I am experienced in relationship and self-counseling, using complementary approaches tto best facilitate positive change. I'm looking forward to being your partner in this process. Go to my website for more info
(561) 287-3325 View (561) 287-3325
Photo of Anger Management of Boca Raton LLC, Counselor in 33444, FL
Anger Management of Boca Raton LLC
Counselor, RN, LMHC, MEd
Verified Verified
Delray Beach, FL 33444
Licensed Mental Health Counselor, Qualified Supervisor - Mental Health Counselor Interns, Registered Nurse, Educator, Parenting Coordinator, Florida Supreme Court Certified Family and County Court Mediator, Healthcare Dispute Mediator.
My goal is to develop a therapeutic partnership and work with you so you may achieve greater levels of self-awareness, self-reliance, self-control and self-esteem. Emphasis is placed on education, understanding, skill development and practice in problem solving, coping skills, interpersonal communication, emotional regulation, behavior management and cognitive restructuring, which may help you successfully navigate stressful situations and achieve personal growth and progress.
Licensed Mental Health Counselor, Qualified Supervisor - Mental Health Counselor Interns, Registered Nurse, Educator, Parenting Coordinator, Florida Supreme Court Certified Family and County Court Mediator, Healthcare Dispute Mediator.
My goal is to develop a therapeutic partnership and work with you so you may achieve greater levels of self-awareness, self-reliance, self-control and self-esteem. Emphasis is placed on education, understanding, skill development and practice in problem solving, coping skills, interpersonal communication, emotional regulation, behavior management and cognitive restructuring, which may help you successfully navigate stressful situations and achieve personal growth and progress.
(561) 739-2278 View (561) 739-2278
Photo of Mark Ira Minson, Psychologist in 33444, FL
Mark Ira Minson
Psychologist, PhD
Verified Verified
1 Endorsed
Delray Beach, FL 33444
I have been treating both minor and lifelong problems in living and loving for more than 30 years. Doctoral and Postdoctoral training and experience with a wide range of people and problems helps me offer you a deeper insight and genuine understanding of your experience, and to make change! I can help you if you are at all invested in making things better in yourself and your life. My primary interest and challenge is as a psychotherapist. I work regularly with adolescents, individual adults and seniors, marital and family relationships.
I have been treating both minor and lifelong problems in living and loving for more than 30 years. Doctoral and Postdoctoral training and experience with a wide range of people and problems helps me offer you a deeper insight and genuine understanding of your experience, and to make change! I can help you if you are at all invested in making things better in yourself and your life. My primary interest and challenge is as a psychotherapist. I work regularly with adolescents, individual adults and seniors, marital and family relationships.
(561) 705-0836 View (561) 705-0836
Photo of Jaclyn Tureff, Clinical Social Work/Therapist in 33444, FL
Jaclyn Tureff
Clinical Social Work/Therapist, LCSW
Verified Verified
Delray Beach, FL 33444
After completing my education at Wurzweiler School of Social Work in NYC, I worked at Jacobi Medical Center in the Bronx. There, I managed social work issues for a large ICU population. I became comfortable with patient and family concerns . This included the response to severe trauma, illness, conflict and loss. It led me to my most recent role in supporting and educating school age children with psycho-social issues. These include children with anxiety, family conflicts, and social concerns.
After completing my education at Wurzweiler School of Social Work in NYC, I worked at Jacobi Medical Center in the Bronx. There, I managed social work issues for a large ICU population. I became comfortable with patient and family concerns . This included the response to severe trauma, illness, conflict and loss. It led me to my most recent role in supporting and educating school age children with psycho-social issues. These include children with anxiety, family conflicts, and social concerns.
(561) 536-4300 View (561) 536-4300
Photo of Dr. Julia Breur LLC, Marriage & Family Therapist in 33444, FL
Dr. Julia Breur LLC
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Delray Beach, FL 33444
I am a licensed Marriage and Family Therapist (LMFT) with a private clinical practice in Boca Raton, Florida. I work with children, adolescents, adults, elderly, couples, families and LGBT. Areas of Specialty Treatment include: Relationship and Communication Issues, Sexual Issues, Alcohol, Drug and Eating Addictions, Trauma and Loss, Aging and Corporate Stress.
I am a licensed Marriage and Family Therapist (LMFT) with a private clinical practice in Boca Raton, Florida. I work with children, adolescents, adults, elderly, couples, families and LGBT. Areas of Specialty Treatment include: Relationship and Communication Issues, Sexual Issues, Alcohol, Drug and Eating Addictions, Trauma and Loss, Aging and Corporate Stress.
(561) 571-9454 View (561) 571-9454
Photo of Barbara Bennett, Marriage & Family Therapist in 33444, FL
Barbara Bennett
Marriage & Family Therapist, LMFT
Verified Verified
Delray Beach, FL 33444
I am trained in the following therapy Models: Internal Family Systems (IFS), Body-Centered Gestalt Therapy, EMDR and the Intuitive Healers Training Program.
Life often feels harder than it needs to. We have so many balls in the air, and constant juggling often leads to anxiety, self-doubt, and anger. It can be hard to be a good parent and spouse, to meet the expectations of friends colleagues and family, all while trying to meet our own needs. No wonder we find ourselves lost, unfulfilled and disconnected. If it seems like you don't know which way to turn, you've come to the right place.
I am trained in the following therapy Models: Internal Family Systems (IFS), Body-Centered Gestalt Therapy, EMDR and the Intuitive Healers Training Program.
Life often feels harder than it needs to. We have so many balls in the air, and constant juggling often leads to anxiety, self-doubt, and anger. It can be hard to be a good parent and spouse, to meet the expectations of friends colleagues and family, all while trying to meet our own needs. No wonder we find ourselves lost, unfulfilled and disconnected. If it seems like you don't know which way to turn, you've come to the right place.
(646) 845-0488 View (646) 845-0488
Photo of Amber Benamou, Clinical Social Work/Therapist in 33444, FL
Amber Benamou
Clinical Social Work/Therapist, LCSW, QS
Verified Verified
Delray Beach, FL 33444  (Online Only)
I specialize in working with teens and adults who experience issues with stress, self-esteem/confidence, anxiety, family conflict, depression, grief/loss, and trauma (I'm trained in Trauma-Focused Cognitive Behavioral Therapy).
I've been a licensed psychotherapist in the state of Florida for the past 12 years. I graduated summa cum laude from Barry University with a Master of Social Work. I've worked in different areas of practice, including community mental health, addictions, and with children and families. I have a special place in my heart for helping adults in their 20's, 30's and 40's, parents of children diagnosed with Autism Spectrum Disorder, and individuals with anxiety and depression. I strive to be my most authentic self and when appropriate, sprinkle in some humor into our sessions.
I specialize in working with teens and adults who experience issues with stress, self-esteem/confidence, anxiety, family conflict, depression, grief/loss, and trauma (I'm trained in Trauma-Focused Cognitive Behavioral Therapy).
I've been a licensed psychotherapist in the state of Florida for the past 12 years. I graduated summa cum laude from Barry University with a Master of Social Work. I've worked in different areas of practice, including community mental health, addictions, and with children and families. I have a special place in my heart for helping adults in their 20's, 30's and 40's, parents of children diagnosed with Autism Spectrum Disorder, and individuals with anxiety and depression. I strive to be my most authentic self and when appropriate, sprinkle in some humor into our sessions.
(954) 945-9942 View (954) 945-9942
Photo of Lauren Pezzo, Counselor in 33444, FL
Lauren Pezzo
Counselor, MA, LMHC, CASAC
Verified Verified
Delray Beach, FL 33444  (Online Only)
I am a Licensed Mental Health Counselor (LMHC) providing therapy for 13 years to a variety of populations. My specialty is in treating addiction as a Credentialed Alcohol and Substance Abuse Counselor (CASAC-Master). I have worked through behavioral concerns with children, ages 13 - 17, focusing on the adolescents needs and family dynamics. I also treat couples to better define communication which facilitates a healthy relationship. I find dedication to treatment helpful to provide resolution and I pride myself on retention of clients. ******Please email me to set up an appointment******
I am a Licensed Mental Health Counselor (LMHC) providing therapy for 13 years to a variety of populations. My specialty is in treating addiction as a Credentialed Alcohol and Substance Abuse Counselor (CASAC-Master). I have worked through behavioral concerns with children, ages 13 - 17, focusing on the adolescents needs and family dynamics. I also treat couples to better define communication which facilitates a healthy relationship. I find dedication to treatment helpful to provide resolution and I pride myself on retention of clients. ******Please email me to set up an appointment******
(646) 956-2566 View (646) 956-2566
Photo of Judi Bellomo, Clinical Social Work/Therapist in 33444, FL
Judi Bellomo
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Delray Beach, FL 33444  (Online Only)
I worked at the elementary and middle school level with individual students on issues about family and peer relationships, drugs, self-esteem, academics and mental health.
I have been a practicing clinical social worker for over 15 years. I have extensive experience working as a school social worker, addiction counselor and private practitioner. I incorporate different types of treatment modalities into my sessions, based on the issues and people that I am working with. My client base consists of tweens to adults and I work with individuals, couples and families.
I worked at the elementary and middle school level with individual students on issues about family and peer relationships, drugs, self-esteem, academics and mental health.
I have been a practicing clinical social worker for over 15 years. I have extensive experience working as a school social worker, addiction counselor and private practitioner. I incorporate different types of treatment modalities into my sessions, based on the issues and people that I am working with. My client base consists of tweens to adults and I work with individuals, couples and families.
(516) 853-0103 View (516) 853-0103
Photo of Maddy Main, Counselor in 33444, FL
Maddy Main
Counselor, LMHC
Verified Verified
Delray Beach, FL 33444
I promise to provide you and your family the highest quality mental health treatment and offer reliable support to meet your individualized family's needs.
Hi there! I am a Licensed Mental Health Counselor located in Boca Raton, Florida with over six years of experience working with children, teens, and families. My experience enables me to offer effective individual and family therapy. I utilize a variety of interventions including Cognitive Behavioral Therapy, Filial Therapy, Play Therapy techniques, and evidence-based interventions such as Trauma-Focused Cognitive Behavioral Therapy.
I promise to provide you and your family the highest quality mental health treatment and offer reliable support to meet your individualized family's needs.
Hi there! I am a Licensed Mental Health Counselor located in Boca Raton, Florida with over six years of experience working with children, teens, and families. My experience enables me to offer effective individual and family therapy. I utilize a variety of interventions including Cognitive Behavioral Therapy, Filial Therapy, Play Therapy techniques, and evidence-based interventions such as Trauma-Focused Cognitive Behavioral Therapy.
(561) 867-8806 View (561) 867-8806
Photo of Susan Albinder, Marriage & Family Therapist in 33444, FL
Susan Albinder
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Delray Beach, FL 33444
I am a licensed Marriage and Family therapist in the state of Florida.
Life can be challenging and sometimes we all need a little help to navigate through difficult times. If you're feeling overwhelmed, anxious, or just need someone to talk to, psychotherapy services can support you. I provide a safe and non-judgmental space for you to explore your thoughts and feelings. The goal is to help you gain insight into the underlying causes of your challenges and develop coping strategies that will enable you to live a more fulfilling life.
I am a licensed Marriage and Family therapist in the state of Florida.
Life can be challenging and sometimes we all need a little help to navigate through difficult times. If you're feeling overwhelmed, anxious, or just need someone to talk to, psychotherapy services can support you. I provide a safe and non-judgmental space for you to explore your thoughts and feelings. The goal is to help you gain insight into the underlying causes of your challenges and develop coping strategies that will enable you to live a more fulfilling life.
(561) 571-9376 View (561) 571-9376
Photo of Center for Trauma Counseling, Inc., Counselor in 33444, FL
Center for Trauma Counseling, Inc.
Counselor, MS, LMHC
Verified Verified
3 Endorsed
Delray Beach, FL 33444
Services provided are individual therapy, family therapy, couples counseling, and group therapy.
Have you been thinking about seeing a therapist to ease emotional distress? Our therapists at Center for Trauma Counseling can help you overcome any obstacles to seeking help, meet your goals, and start your journey to emotional healing today. We work with young children, families, adolescents, and adults. We tailor our treatment approach to meet our clients' individual needs. We believe that by providing a safe compassionate space and effective tools, clients can resolve problems and find answers. We have highly qualified professionals including registered Play Therapists and Certified Eye Movement Desensitization and Reprocessing (EMDR)therapists on staff.
Services provided are individual therapy, family therapy, couples counseling, and group therapy.
Have you been thinking about seeing a therapist to ease emotional distress? Our therapists at Center for Trauma Counseling can help you overcome any obstacles to seeking help, meet your goals, and start your journey to emotional healing today. We work with young children, families, adolescents, and adults. We tailor our treatment approach to meet our clients' individual needs. We believe that by providing a safe compassionate space and effective tools, clients can resolve problems and find answers. We have highly qualified professionals including registered Play Therapists and Certified Eye Movement Desensitization and Reprocessing (EMDR)therapists on staff.
(561) 666-9037 View (561) 666-9037
Photo of Aryn R Wexler, Registered Mental Health Counselor Intern in 33444, FL
Aryn R Wexler
Registered Mental Health Counselor Intern, BEd, PsyM, MHC
Verified Verified
Delray Beach, FL 33444
Are you: facing family conflict, hoping to heal from recent trauma or adverse childhood experiences, interested in exploring your attachment style & interpersonal relationships, or new to navigating neurodiversity? I'm here to help. Together, we will develop strategies for: enforcing boundaries, communicating effectively, reframing old beliefs, resolving conflict, & navigating life's challenges using healthy coping skills. We will identify your values & priorities, define success & happiness on your terms, and uncover your capacity for acceptance & self-love. We will reveal your Zen and empower you to thrive as your authentic self.
Are you: facing family conflict, hoping to heal from recent trauma or adverse childhood experiences, interested in exploring your attachment style & interpersonal relationships, or new to navigating neurodiversity? I'm here to help. Together, we will develop strategies for: enforcing boundaries, communicating effectively, reframing old beliefs, resolving conflict, & navigating life's challenges using healthy coping skills. We will identify your values & priorities, define success & happiness on your terms, and uncover your capacity for acceptance & self-love. We will reveal your Zen and empower you to thrive as your authentic self.
(561) 944-3455 View (561) 944-3455
Photo of Yiolanta Sofiali-Brunvert, Counselor in 33444, FL
Yiolanta Sofiali-Brunvert
Counselor, LMHC, PhD
Verified Verified
Delray Beach, FL 33444
It may feel that you are far from your ideal self and that your hopes and dreams have become elusive. You may feel stuck as you found yourself engulfed in personal and relational cycles that do not serve you or someone you love anymore. Whether you are seeking individual therapy, couples therapy, family therapy or are a guardian trying to help your child/adolescent, we will work together to construct goals in positive terms and create positive shifts in the way you connect with your experiences.
It may feel that you are far from your ideal self and that your hopes and dreams have become elusive. You may feel stuck as you found yourself engulfed in personal and relational cycles that do not serve you or someone you love anymore. Whether you are seeking individual therapy, couples therapy, family therapy or are a guardian trying to help your child/adolescent, we will work together to construct goals in positive terms and create positive shifts in the way you connect with your experiences.
(561) 257-0854 View (561) 257-0854
Photo of Ana Silva, Psychologist in 33444, FL
Ana Silva
Psychologist, PsyD, ABPP
Verified Verified
2 Endorsed
Delray Beach, FL 33444
I am a board certified clinical psychologist and have experience working in private practice, hospitals, residential facilities, and outpatient agencies providing psychotherapy to adolescents and adults through individual, couples, and family formats.My specialties include the treatment of eating disorders depression, anxiety, personality disorders, and relationship difficulties. I am able to fluently provide therapy in English, Spanish, and Portuguese I take a warm, culturally-sensitive, individualized, and collaborative approach to provide a safe environment, where my clients can feel comfortable discussing their life goals.
I am a board certified clinical psychologist and have experience working in private practice, hospitals, residential facilities, and outpatient agencies providing psychotherapy to adolescents and adults through individual, couples, and family formats.My specialties include the treatment of eating disorders depression, anxiety, personality disorders, and relationship difficulties. I am able to fluently provide therapy in English, Spanish, and Portuguese I take a warm, culturally-sensitive, individualized, and collaborative approach to provide a safe environment, where my clients can feel comfortable discussing their life goals.
(786) 398-5032 View (786) 398-5032
Photo of Diane Halperin, Clinical Social Work/Therapist in 33444, FL
Diane Halperin
Clinical Social Work/Therapist, LCSW
Verified Verified
Delray Beach, FL 33444
My specialties include : grief and loss, separation and divorce, work and life related stress, family conflict, anxiety, couples counseling, depression, chronic illness and infertility.
I am Licensed Clinical Social Worker whose focus is on client-centered therapy. Clients can expect an understanding, supportive and comfortable environment. We will explore problems collaboratively, setting realistic goals together. I work with teens, adults, couples and families. Many of my clients are seeking relief from depression, anxiety and anger. Clients receiving Couples Counseling state that both parties feel understood and validated which helps them to move forward. Clients report that it is easy for them to share their personal struggles with me as I provide a nurturing, non-judgmental environment.
My specialties include : grief and loss, separation and divorce, work and life related stress, family conflict, anxiety, couples counseling, depression, chronic illness and infertility.
I am Licensed Clinical Social Worker whose focus is on client-centered therapy. Clients can expect an understanding, supportive and comfortable environment. We will explore problems collaboratively, setting realistic goals together. I work with teens, adults, couples and families. Many of my clients are seeking relief from depression, anxiety and anger. Clients receiving Couples Counseling state that both parties feel understood and validated which helps them to move forward. Clients report that it is easy for them to share their personal struggles with me as I provide a nurturing, non-judgmental environment.
(561) 771-5695 View (561) 771-5695
Family Therapy

What do family therapists do?

A family therapist facilitates the process of understanding and improving how a family functions. The therapist will help family members develop empathy for one another. They’ll seek to understand existing patterns, misunderstandings, and conflicts that arise, in order to help the family arrive at a realistic, unified understanding and develop the coping skills they need to build stronger relationships.

How long does therapy for families take to work?

Therapy manifests differently in every family; a common time frame is 12 weekly sessions, but some families may see improvement after just a few weeks. Families should discuss their goals with the therapist at the beginning of the process and periodically revisit those goals to assess their progress together.

How can you encourage a family member to attend family therapy?

You can encourage family members to attend therapy by expressing with both love and concern the challenges you see and explaining how a therapist could help the family navigate those challenges together. An outside perspective can help everyone feel heard, get on the same page, and develop new skills. If family members are still hesitant, it may be helpful to emphasize that family therapy is short-term—it won’t last forever.

Is therapy for families effective?

Family therapy can significantly improve family dynamics and relationships. Research suggests that family therapy can help individuals understand their role in the family, communicate and solve problems together, reduce conflict and draw boundaries when necessary, and develop coping skills for stressors, major life changes, and mental or physical illnesses within the family.