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Online Therapists

Photo of Jose Mata Lmft Associate, Marriage & Family Therapist Associate in Mcculloch County, TX
Jose Mata Lmft Associate
Marriage & Family Therapist Associate, MA, LMFT-A
Verified Verified
1 Endorsed
Killeen, TX 76541
I strive to provide a safe space where you feel supported, accepted, and challenged as you work through your struggles. No matter where you are in your journey, my passion is walking with you as you explore your desired change, how to get there, and what holds you back from it – whether it’s individual, couple’s, or family issues, I would like to be a part of your process.
I strive to provide a safe space where you feel supported, accepted, and challenged as you work through your struggles. No matter where you are in your journey, my passion is walking with you as you explore your desired change, how to get there, and what holds you back from it – whether it’s individual, couple’s, or family issues, I would like to be a part of your process.
(254) 277-3386 View (254) 277-3386
Photo of Jenn McCarthy-Blundin Prichard, Marriage & Family Therapist Associate in Mcculloch County, TX
Jenn McCarthy-Blundin Prichard
Marriage & Family Therapist Associate, MMFT, LMFT-A
Verified Verified
1 Endorsed
Abilene, TX 79601
Welcome! My name is Jenn Prichard and I am a Marriage & Family Therapist Associate. I enjoy working with a variety of topics including grief, depression, and anxiety. I hold a heartfelt interest in working with a variety of marginalized populations including the LGBTQ+ community. I also have a passion for working with adult adoptees, recognizing the significance of their journey in navigating identity, attachment, and belonging. My goal is to accompany adoptees as they explore their feelings and experiences, offering support and guidance throughout the process.
Welcome! My name is Jenn Prichard and I am a Marriage & Family Therapist Associate. I enjoy working with a variety of topics including grief, depression, and anxiety. I hold a heartfelt interest in working with a variety of marginalized populations including the LGBTQ+ community. I also have a passion for working with adult adoptees, recognizing the significance of their journey in navigating identity, attachment, and belonging. My goal is to accompany adoptees as they explore their feelings and experiences, offering support and guidance throughout the process.
(325) 309-4843 View (325) 309-4843
Photo of Kristine S. Miller, Marriage & Family Therapist in Mcculloch County, TX
Kristine S. Miller
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Marble Falls, TX 78654
Pssst! Hey there! Yes, YOU! The one feeling stressed, exhausted and beyond overwhelmed! Your life may have been in balance before, with time for family, friends, and a successful career, but now everything has become so chaotic. Your fights are intensifying, infidelity may be present, your workload is insane, and loneliness pervades your days. You are on edge or shut down most of the time. And you're worried because no matter how hard you try, nothing seems to work. You just want it all to stop. This could be a sign of unresolved trauma - I get it, and I'm here to help. Don't give up, I'm here to listen and guide you through.
Pssst! Hey there! Yes, YOU! The one feeling stressed, exhausted and beyond overwhelmed! Your life may have been in balance before, with time for family, friends, and a successful career, but now everything has become so chaotic. Your fights are intensifying, infidelity may be present, your workload is insane, and loneliness pervades your days. You are on edge or shut down most of the time. And you're worried because no matter how hard you try, nothing seems to work. You just want it all to stop. This could be a sign of unresolved trauma - I get it, and I'm here to help. Don't give up, I'm here to listen and guide you through.
(830) 219-4377 View (830) 219-4377
Photo of Peace of Mind Wellness & Family Counseling, Inc., Marriage & Family Therapist in Mcculloch County, TX
Peace of Mind Wellness & Family Counseling, Inc.
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Burnet, TX 78611
At Peace of Mind Wellness & Family Counseling, authenticity, compassion, and sincerity are at the forefront of each session.
Our passion lies in storytelling – narratives of those who embrace life one day at a time. With experience in numerous clinical settings, working with individuals of all ages, we pride myself on providing a warm and therapeutic environment for my clients. During tumultuous times, when stressors mount, allow us to offer a listening ear and a supportive hands. Our ultimate goal is to empower clients to discover their inner superhero and realize their distinctive aspirations.
At Peace of Mind Wellness & Family Counseling, authenticity, compassion, and sincerity are at the forefront of each session.
Our passion lies in storytelling – narratives of those who embrace life one day at a time. With experience in numerous clinical settings, working with individuals of all ages, we pride myself on providing a warm and therapeutic environment for my clients. During tumultuous times, when stressors mount, allow us to offer a listening ear and a supportive hands. Our ultimate goal is to empower clients to discover their inner superhero and realize their distinctive aspirations.
(714) 503-0813 View (714) 503-0813
Photo of Samantha Serbin, Licensed Professional Counselor Associate in Mcculloch County, TX
Samantha Serbin
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
2 Endorsed
Leander, TX 78641
With a background in education and clinical psychology specializing in marriage and family therapy, I have had extensive experience working with the LGBTQIA+ community, people who suffer from trauma, grief, abuse, anxiety, depression, and general self-esteem issues.
Ever felt like parenting or growing up should come with a manual? Well, guess what? You've just found your guide! My name is Samantha and I am a former middle and high school teacher. I have experienced firsthand the need for mental health care and general awareness in our educational system. But first and foremost, I care about YOU and creating a space where young minds can grow, laugh, and tackle life's twists and turns together.
With a background in education and clinical psychology specializing in marriage and family therapy, I have had extensive experience working with the LGBTQIA+ community, people who suffer from trauma, grief, abuse, anxiety, depression, and general self-esteem issues.
Ever felt like parenting or growing up should come with a manual? Well, guess what? You've just found your guide! My name is Samantha and I am a former middle and high school teacher. I have experienced firsthand the need for mental health care and general awareness in our educational system. But first and foremost, I care about YOU and creating a space where young minds can grow, laugh, and tackle life's twists and turns together.
(512) 641-5646 View (512) 641-5646
Photo of Heidi White Morris, Licensed Professional Counselor in Mcculloch County, TX
Heidi White Morris
Licensed Professional Counselor, PhD, LPC
Verified Verified
Abilene, TX 79601
Welcome to my site. Chances are you are experiencing some life challenges that have sent you searching for guidance and help. We all face difficulties in life, and sometimes we need professional guidance to help us move forward and grow. Strength is seen when we reach out to others for help, and I commend you for taking that step. From anxiety and depression, marital problems, parenting challenges, extended family issues, or other relational matters, I will work with you to help you grow and enhance your life and relationships.
Welcome to my site. Chances are you are experiencing some life challenges that have sent you searching for guidance and help. We all face difficulties in life, and sometimes we need professional guidance to help us move forward and grow. Strength is seen when we reach out to others for help, and I commend you for taking that step. From anxiety and depression, marital problems, parenting challenges, extended family issues, or other relational matters, I will work with you to help you grow and enhance your life and relationships.
(325) 515-0105 View (325) 515-0105
Photo of New Leaf Services, LLC, Licensed Professional Counselor in Mcculloch County, TX
New Leaf Services, LLC
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Stephenville, TX 76401
At New Leaf Services, LLC we offer a wide variety of therapy and specialties. We offer individual, family, and couples counseling. Specialty treatment is available in Trauma, Abuse, PTSD, Substance Abuse, Grief Counseling, Depression, Anxiety, Stress Management, Cognitive Behavioral Therapy, Health Issues, and Animal Assisted Therapy. For counselors, we offer CEU training, administrative services, billing, credentialing, and general bookkeeping.
At New Leaf Services, LLC we offer a wide variety of therapy and specialties. We offer individual, family, and couples counseling. Specialty treatment is available in Trauma, Abuse, PTSD, Substance Abuse, Grief Counseling, Depression, Anxiety, Stress Management, Cognitive Behavioral Therapy, Health Issues, and Animal Assisted Therapy. For counselors, we offer CEU training, administrative services, billing, credentialing, and general bookkeeping.
(855) 236-7013 View (855) 236-7013
Photo of Julie Shaw, LPC Associate in Mcculloch County, TX
Julie Shaw
LPC Associate, LPC-A
Verified Verified
2 Endorsed
Lago Vista, TX 78645
Parenting a struggling teen can be challenging, but you don't have to navigate it alone. I'm a seasoned therapist specializing in guiding both teens and parents through the complexities of adolescence. Let's work together to bring harmony back to your family. My practice specializes in therapy for teens and families, offering a safe space for individuals to navigate challenges and foster positive growth. My approach is tailored to address a range of concerns, including anxiety, depression, behavioral issues, trauma, and family conflict.
Parenting a struggling teen can be challenging, but you don't have to navigate it alone. I'm a seasoned therapist specializing in guiding both teens and parents through the complexities of adolescence. Let's work together to bring harmony back to your family. My practice specializes in therapy for teens and families, offering a safe space for individuals to navigate challenges and foster positive growth. My approach is tailored to address a range of concerns, including anxiety, depression, behavioral issues, trauma, and family conflict.
(512) 893-2725 View (512) 893-2725
Photo of Lauren Bethany Perry, Marriage & Family Therapist Intern in Mcculloch County, TX
Lauren Bethany Perry
Marriage & Family Therapist Intern
Verified Verified
Abilene, TX 79601
I am in the process of learning Internal Family Systems Therapy, and I look forward to adding EMDR under my belt this year.
My ideal client is not limited to a specific issue, need, or goals. I am open to any client and will adjust the therapy sessions to suit their needs. I enjoy working with families, couples, and individuals of all ages.
I am in the process of learning Internal Family Systems Therapy, and I look forward to adding EMDR under my belt this year.
My ideal client is not limited to a specific issue, need, or goals. I am open to any client and will adjust the therapy sessions to suit their needs. I enjoy working with families, couples, and individuals of all ages.
(325) 252-4372 View (325) 252-4372
Photo of Terry Rauschuber, Clinical Social Work/Therapist in Mcculloch County, TX
Terry Rauschuber
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Kerrville, TX 78028
Providing treatment for adults and older adults for depression, anxiety, grief and loss, stress related issues, divorce, family relationships, as well as care-giving issues often faced by adult children of Older Adults.
Often we face many challenges in our lives and need an outlet to figure out the road we will take on this next journey. Dealing with depression and anxiety can add to our level of stress. I have successful experience working with adults and older adults dealing with depression and anxiety, grief and loss, stress, divorce, family and care giving issues. With my previous experience working in hospitals and psychiatric hospitals for adults and older adults I bring skills to help you develop coping strategies as you might face these challenges.
Providing treatment for adults and older adults for depression, anxiety, grief and loss, stress related issues, divorce, family relationships, as well as care-giving issues often faced by adult children of Older Adults.
Often we face many challenges in our lives and need an outlet to figure out the road we will take on this next journey. Dealing with depression and anxiety can add to our level of stress. I have successful experience working with adults and older adults dealing with depression and anxiety, grief and loss, stress, divorce, family and care giving issues. With my previous experience working in hospitals and psychiatric hospitals for adults and older adults I bring skills to help you develop coping strategies as you might face these challenges.
(830) 321-7837 View (830) 321-7837
Photo of Brenna G. Camp, Clinical Social Work/Therapist in Mcculloch County, TX
Brenna G. Camp
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
1 Endorsed
Abilene, TX 79601
The journey of life sometimes leads us down roads and paths untraveled. These new paths can be exciting or painful and scary. Perhaps you have experienced an unexpected death or loss. You or someone you love may be struggling with addiction, like substances or pornography. You may experience chronic physical pain and feel hopeless to find relief. Stress, depression, and anxiety may have surfaced unexpectedly or you have struggled with them for years. Or, you may be experiencing a life transition and hoping to grow through it. You, your children, teenagers, marriage, or family may be struggling to find harmony, peace or direction.
The journey of life sometimes leads us down roads and paths untraveled. These new paths can be exciting or painful and scary. Perhaps you have experienced an unexpected death or loss. You or someone you love may be struggling with addiction, like substances or pornography. You may experience chronic physical pain and feel hopeless to find relief. Stress, depression, and anxiety may have surfaced unexpectedly or you have struggled with them for years. Or, you may be experiencing a life transition and hoping to grow through it. You, your children, teenagers, marriage, or family may be struggling to find harmony, peace or direction.
(325) 896-4151 View (325) 896-4151
Photo of Dr. Latisha D. Wilson, Marriage & Family Therapist in Mcculloch County, TX
Dr. Latisha D. Wilson
Marriage & Family Therapist, PhD, LMFT-S, LPC
Verified Verified
2 Endorsed
Killeen, TX 76541
My goal is to unveil your potential and what you have been looking for within yourself and help you and/or your family narrate a better, more positive, fulfilling, and sustaining story.
Change is inevitable, and with it emerges multiple experiences that shape your course as you transition through life. But know this, you have a choice in who is writing your story and what it says to you and those around you. I am Latisha Wilson and I find that it takes a bold and courageous person to ask for help. Let me take this time to welcome and congratulate you on taking the first step towards taking control of your life. You may be facing internal struggles, dysfunctional relationships, unhealthy thoughts, anxiety, stress, depression, grief, trauma, or misleading behavioral patterns.
My goal is to unveil your potential and what you have been looking for within yourself and help you and/or your family narrate a better, more positive, fulfilling, and sustaining story.
Change is inevitable, and with it emerges multiple experiences that shape your course as you transition through life. But know this, you have a choice in who is writing your story and what it says to you and those around you. I am Latisha Wilson and I find that it takes a bold and courageous person to ask for help. Let me take this time to welcome and congratulate you on taking the first step towards taking control of your life. You may be facing internal struggles, dysfunctional relationships, unhealthy thoughts, anxiety, stress, depression, grief, trauma, or misleading behavioral patterns.
(254) 400-2989 View (254) 400-2989
Photo of Jessica Neader, Marriage & Family Therapist Intern in Mcculloch County, TX
Jessica Neader
Marriage & Family Therapist Intern, LMFT, Intern
Verified Verified
San Angelo, TX 76904
My goal as a Marriage and Family Therapist Intern is to walk alongside you in your journey towards your personal, relationship, and family goals. Psychotherapy, by nature, is a relationship-based treatment. It is two or more people interacting with the purpose of bringing about some kind of relief and healing for the client. The treatment itself is embedded in the relationship you have with your counselor.
My goal as a Marriage and Family Therapist Intern is to walk alongside you in your journey towards your personal, relationship, and family goals. Psychotherapy, by nature, is a relationship-based treatment. It is two or more people interacting with the purpose of bringing about some kind of relief and healing for the client. The treatment itself is embedded in the relationship you have with your counselor.
(325) 766-5249 View (325) 766-5249
The IOPs at Counseling Solutions
Marriage & Family Therapist, MS, LMFT, LPC
Verified Verified
Killeen, TX 76542
We offer: mindfulness, meditation, life coaching, family therapy, art therapy, stress reduction, DBT, CBT, CPT, support animal therapy, small groups, yoga, ju jitsu, movement, financial management, dietician, nutritionist, aromatherapy, sponsors, motivational speakers, psychoeducation, more.
Eating Disorders , Addiction Recovery (SUDS) , Trauma IOPs are available here. We are not your traditional treatment center. Our Intensive Outpatient Programs and Center is owned by therapists and run by therapists. Our priority is the client and their wellness. Located on ten acres outside of Killeen, Texas, we use an integrative approach with numerous evidence-based therapies designed specifically for the individual's success. The incoming IOP client needs a higher level of care than someone attending therapy weekly. We offer 12-15 hours a week of intense treatments while the client lives at home. The family system is included.
We offer: mindfulness, meditation, life coaching, family therapy, art therapy, stress reduction, DBT, CBT, CPT, support animal therapy, small groups, yoga, ju jitsu, movement, financial management, dietician, nutritionist, aromatherapy, sponsors, motivational speakers, psychoeducation, more.
Eating Disorders , Addiction Recovery (SUDS) , Trauma IOPs are available here. We are not your traditional treatment center. Our Intensive Outpatient Programs and Center is owned by therapists and run by therapists. Our priority is the client and their wellness. Located on ten acres outside of Killeen, Texas, we use an integrative approach with numerous evidence-based therapies designed specifically for the individual's success. The incoming IOP client needs a higher level of care than someone attending therapy weekly. We offer 12-15 hours a week of intense treatments while the client lives at home. The family system is included.
(254) 279-0714 View (254) 279-0714
Photo of Leo Mora, Marriage & Family Therapist in Mcculloch County, TX
Leo Mora
Marriage & Family Therapist, PhD, MDiv, MSci, MSM, LMFT-S
Verified Verified
1 Endorsed
Killeen, TX 76542
Waitlist for new clients
Are you experiencing difficulty in keeping and developing good, solid relationships with those you love? Has anyone in your family deployed to the Middle East only to return with some form of combat stress - and can't seem to shake it? Perhaps you or someone close is feeling anxious or depressed about life and can't seem to come out of it on their own. However, it is more than possible to get past those disturbing thoughts and feelings and enjoy life again. Person of faith? At your request, I can also offer a spiritual perspective along with a warm, personable approach.
Are you experiencing difficulty in keeping and developing good, solid relationships with those you love? Has anyone in your family deployed to the Middle East only to return with some form of combat stress - and can't seem to shake it? Perhaps you or someone close is feeling anxious or depressed about life and can't seem to come out of it on their own. However, it is more than possible to get past those disturbing thoughts and feelings and enjoy life again. Person of faith? At your request, I can also offer a spiritual perspective along with a warm, personable approach.
(254) 791-5614 View (254) 791-5614
Photo of Kari J Somera, Licensed Professional Counselor in Mcculloch County, TX
Kari J Somera
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Copperas Cove, TX 76522  (Online Only)
As a counselor, it is important to meet each individual where they are at; therefore, I utilize various modalities to meet my clients needs via interpersonal therapy, narrative therapy, CBT, family systems, attachment theories, trauma-informed care and EFT for couples.
"Daring greatly means the courage to be vulnerable. It means to show up and be seen. To ask for what you need. To talk about how you’re feeling. To have the hard conversations."- Brené Brown. Counseling can feel intimidating, nerve-racking, and desperate; I get it. And the reality is we cannot live life alone and we cannot heal alone. We need each other for support, encouragement, empowerment and restoration. My role as a counselor is to partner with you in your journey toward integrated wholeness and health and to provide you a safe space to be vulnerable, courageous, real and imperfect; for you to come as you are and to just be.
As a counselor, it is important to meet each individual where they are at; therefore, I utilize various modalities to meet my clients needs via interpersonal therapy, narrative therapy, CBT, family systems, attachment theories, trauma-informed care and EFT for couples.
"Daring greatly means the courage to be vulnerable. It means to show up and be seen. To ask for what you need. To talk about how you’re feeling. To have the hard conversations."- Brené Brown. Counseling can feel intimidating, nerve-racking, and desperate; I get it. And the reality is we cannot live life alone and we cannot heal alone. We need each other for support, encouragement, empowerment and restoration. My role as a counselor is to partner with you in your journey toward integrated wholeness and health and to provide you a safe space to be vulnerable, courageous, real and imperfect; for you to come as you are and to just be.
(541) 639-4940 View (541) 639-4940
Photo of Ashley Nicole Slaughter, LPC-Associate in Mcculloch County, TX
Ashley Nicole Slaughter
LPC-Associate, MA
Verified Verified
3 Endorsed
Abilene, TX 79602
The story of your life will lead you through many ups and downs. Sometimes, you get stuck in a low spot and cannot find a way out. At other times, a chapter ends, and you struggle to turn the page and begin the next adventure. Maybe a dark moment lives in your past but refuses to stay there. Perhaps you are a parent watching your child struggle with their own story, wishing you could just swoop in and save the day. As a former High School English teacher, I have always known the power of stories. As a counselor, my goal is to empower my clients to take control of their story and write a more hopeful future.
The story of your life will lead you through many ups and downs. Sometimes, you get stuck in a low spot and cannot find a way out. At other times, a chapter ends, and you struggle to turn the page and begin the next adventure. Maybe a dark moment lives in your past but refuses to stay there. Perhaps you are a parent watching your child struggle with their own story, wishing you could just swoop in and save the day. As a former High School English teacher, I have always known the power of stories. As a counselor, my goal is to empower my clients to take control of their story and write a more hopeful future.
(325) 308-6784 View (325) 308-6784
Photo of Michelle Overman, Marriage & Family Therapist in Mcculloch County, TX
Michelle Overman
Marriage & Family Therapist, MMFT, LMFT
Not Verified Not Verified
Abilene, TX 79602  (Online Only)
I can work with athletic teams on team building and performance related concerns. I can expand these topics beyond the world of sports for places including businesses and schools as well as for high risk occupations such as military personnel, firefighters, and police officers. I also work with young adult issues including depression, anxiety, and trauma (particularly related to past sexual assault). I also enjoy working with couples, families with teenagers, and LGBT individuals.
I can work with athletic teams on team building and performance related concerns. I can expand these topics beyond the world of sports for places including businesses and schools as well as for high risk occupations such as military personnel, firefighters, and police officers. I also work with young adult issues including depression, anxiety, and trauma (particularly related to past sexual assault). I also enjoy working with couples, families with teenagers, and LGBT individuals.
(325) 423-8436 View (325) 423-8436
Photo of Loria A Lofton, Marriage & Family Therapist in Mcculloch County, TX
Loria A Lofton
Marriage & Family Therapist, LMFT-S
Verified Verified
1 Endorsed
Copperas Cove, TX 76522  (Online Only)
Stress, anxiety, anger, depression, trauma and drama...We have all encountered them! But, you don't have to face these common life difficulties alone. I am here to help. With extensive training and experience, I provide a compassionate, confidential, and non-judgmental environment that is safe for you. Though it is sometimes necessary to look at history, I believe that time and energy are better spent focusing on where you're going rather than where you've been. No, we cannot re-write your past but we can work together to write the future you want. Let's begin your next chapter!
Stress, anxiety, anger, depression, trauma and drama...We have all encountered them! But, you don't have to face these common life difficulties alone. I am here to help. With extensive training and experience, I provide a compassionate, confidential, and non-judgmental environment that is safe for you. Though it is sometimes necessary to look at history, I believe that time and energy are better spent focusing on where you're going rather than where you've been. No, we cannot re-write your past but we can work together to write the future you want. Let's begin your next chapter!
(254) 781-3321 View (254) 781-3321
Photo of Dr. Holly McFarland, Psychologist in Mcculloch County, TX
Dr. Holly McFarland
Psychologist, PsyD
Verified Verified
Llano, TX 78643  (Online Only)
It is time to heal the split. Red vs Blue. Autonomy vs Community. Masculine vs Feminine. Mind vs Body. Earth vs. Human. Rationality vs Intuition. Science vs Spirit. All of these divisions have created monstrous cracks in our collective and inner landscapes, which have been making us sick psychologically, physically, and spiritually. However, for those who are willing to slow down and step into these cracks, therein lies the space and possibility for something new and more beautiful to emerge. We have become fractured and fragmented by a misunderstood myth of separation.
It is time to heal the split. Red vs Blue. Autonomy vs Community. Masculine vs Feminine. Mind vs Body. Earth vs. Human. Rationality vs Intuition. Science vs Spirit. All of these divisions have created monstrous cracks in our collective and inner landscapes, which have been making us sick psychologically, physically, and spiritually. However, for those who are willing to slow down and step into these cracks, therein lies the space and possibility for something new and more beautiful to emerge. We have become fractured and fragmented by a misunderstood myth of separation.
(512) 643-7977 View (512) 643-7977
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.