Photo of Dennis D. Rozema, Counselor in Birmingham, MI
Dennis D. Rozema
Counselor, MA, LPC
Not Verified Not Verified
Birmingham, MI 48009
Most of my most current clients are adolescents and young adults wanting to uderstand why they are not satisfied with their lives. Most issues involve their relationships: Family, friend, sexual, work, or school. With the increased stress of the pandemic and economic insecurities today, everything is magnified and more difficult. What most clients want is to feel what they believe was normal again. Every story is unique and individual. No treatment plan is based on a cookie cutter approach. Your treatment is based on your needs and desires. You are a partner in your treatment. Actually you are in charge. I'm there to help you.
Most of my most current clients are adolescents and young adults wanting to uderstand why they are not satisfied with their lives. Most issues involve their relationships: Family, friend, sexual, work, or school. With the increased stress of the pandemic and economic insecurities today, everything is magnified and more difficult. What most clients want is to feel what they believe was normal again. Every story is unique and individual. No treatment plan is based on a cookie cutter approach. Your treatment is based on your needs and desires. You are a partner in your treatment. Actually you are in charge. I'm there to help you.
(248) 639-4725 View (248) 639-4725
Photo of Brandy Goins, Licensed Professional Counselor in Birmingham, MI
Brandy Goins
Licensed Professional Counselor, Phd,ABD, MS, LPC
Verified Verified
1 Endorsed
Birmingham, MI 48009  (Online Only)
Talking to family and friends has gone nowhere lately.
Are you feeling frustrated, perhaps a bit angry? In addition, the feeling that no one understands you or they say the wrong thing to you without thinking of the impact. Dealing with chronic illness and pain is a consistent struggle. Sometimes getting through a day to just support a decent lifestyle is excruciating. The isolation is troubling because a social life feels so out of reach Top that off with a relationship and a healthy sex life seems impossible at the moment. Everyday feels like a marathon of how much can be done while feeling a consistent exhaustion that never goes away. Waking up feeling refreshed seems like a fantasy.
Talking to family and friends has gone nowhere lately.
Are you feeling frustrated, perhaps a bit angry? In addition, the feeling that no one understands you or they say the wrong thing to you without thinking of the impact. Dealing with chronic illness and pain is a consistent struggle. Sometimes getting through a day to just support a decent lifestyle is excruciating. The isolation is troubling because a social life feels so out of reach Top that off with a relationship and a healthy sex life seems impossible at the moment. Everyday feels like a marathon of how much can be done while feeling a consistent exhaustion that never goes away. Waking up feeling refreshed seems like a fantasy.
(248) 965-0474 View (248) 965-0474
Photo of Marcie W Zoref, Psychologist in Birmingham, MI
Marcie W Zoref
Psychologist, PsyD
Verified Verified
1 Endorsed
Birmingham, MI 48009
I provide psychotherapy and treat individuals and families. We can work together to help you alleviate stress and distress, improve self esteem and relationships, strengthen academic and occupational dynamics and enhance your quality of life. Comprehensive experience with depression, anxiety (PTSD & OCD), sexual abuse, eating disorders, substance abuse, self-esteem, relationship issues and behavioral problems. I also conduct psychological testing, including the need for school/ standardized testing accommodations, IQ, ADHD, learning disabilities, information processing, achievement/academic, and personality and emotional functioning. Theoretical orientation is psychodynamic, cognitive-behavioral and family systems. I am in network with various insurance companies and will offer sliding scale if indicated.
I provide psychotherapy and treat individuals and families. We can work together to help you alleviate stress and distress, improve self esteem and relationships, strengthen academic and occupational dynamics and enhance your quality of life. Comprehensive experience with depression, anxiety (PTSD & OCD), sexual abuse, eating disorders, substance abuse, self-esteem, relationship issues and behavioral problems. I also conduct psychological testing, including the need for school/ standardized testing accommodations, IQ, ADHD, learning disabilities, information processing, achievement/academic, and personality and emotional functioning. Theoretical orientation is psychodynamic, cognitive-behavioral and family systems. I am in network with various insurance companies and will offer sliding scale if indicated.
(248) 955-5108 View (248) 955-5108
Photo of Paula Christian Kliger, Psychologist in Birmingham, MI
Paula Christian Kliger
Psychologist, PhD, ABPP
Verified Verified
Birmingham, MI 48009
If you see or feel there are barriers holding you back… If your family life feels out of control and daunting… If your organizations goals and values are just words on the wall without meaning or purpose… Have courage, show your heart and take the lead to call PsychAssets.
We surround each person on a continuous basis, responsive to their ever evolving needs. Psych Assets leads the way by investing each day in life’s most important asset: PEOPLE. We believe in the power of the human mind to transform viewpoints and vision into new insights, attitudes, and behaviors. We believe that doing ‘what is right’ and ‘what is fair’ may feel hard at times but these are the ideals we follow with each connecting encounter. We value all human life, and in doing so we believe in the richness of cultures, human diversity and inclusion. We believe that transformation and change are always possible.
If you see or feel there are barriers holding you back… If your family life feels out of control and daunting… If your organizations goals and values are just words on the wall without meaning or purpose… Have courage, show your heart and take the lead to call PsychAssets.
We surround each person on a continuous basis, responsive to their ever evolving needs. Psych Assets leads the way by investing each day in life’s most important asset: PEOPLE. We believe in the power of the human mind to transform viewpoints and vision into new insights, attitudes, and behaviors. We believe that doing ‘what is right’ and ‘what is fair’ may feel hard at times but these are the ideals we follow with each connecting encounter. We value all human life, and in doing so we believe in the richness of cultures, human diversity and inclusion. We believe that transformation and change are always possible.
(947) 333-8190 View (947) 333-8190
Photo of Bainbridge Center for Growth & Development in Birmingham, MI
Bainbridge Center for Growth & Development
MA, LPC, LLC
Verified Verified
Birmingham, MI 48009
You have been sitting with your thoughts and seem to recycle your memories. You are excellent at suppressing your hurt and stay busy with work and life as a distraction. You no longer connect with others the way you used to and keep friends and family at a distance. The Pandemic may have increased your anxiety and depression and you are uncertain where to begin. Your worry and fear come out as; anger, sadness and controlling behaviors, due to questioning your worth and self esteem. Will I ever feel truly happy? Will I feel truly loved? Will I find my life path and the career that makes my soul soar? Will I learn to forgive?
You have been sitting with your thoughts and seem to recycle your memories. You are excellent at suppressing your hurt and stay busy with work and life as a distraction. You no longer connect with others the way you used to and keep friends and family at a distance. The Pandemic may have increased your anxiety and depression and you are uncertain where to begin. Your worry and fear come out as; anger, sadness and controlling behaviors, due to questioning your worth and self esteem. Will I ever feel truly happy? Will I feel truly loved? Will I find my life path and the career that makes my soul soar? Will I learn to forgive?
(248) 265-3095 View (248) 265-3095
Photo of In Peace Counseling, Clinical Social Work/Therapist in Birmingham, MI
In Peace Counseling
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Birmingham, MI 48009
Seeking connection is an integral part of being a human being. Often times our primary relationships with family members do not provide the connection that helps us feel the love and peace that we deserve. Through the therapeutic process, we can learn about how to seek relationships and connections that can bring this happiness to our lives. Sometimes this may mean creating boundaries with family members or friends or possibly ending those relationships we deem unhealthy. Through counseling, we are able to restore ourselves and our "families." This may mean our families of origin or simply the friends that we have chosen as our family.
Seeking connection is an integral part of being a human being. Often times our primary relationships with family members do not provide the connection that helps us feel the love and peace that we deserve. Through the therapeutic process, we can learn about how to seek relationships and connections that can bring this happiness to our lives. Sometimes this may mean creating boundaries with family members or friends or possibly ending those relationships we deem unhealthy. Through counseling, we are able to restore ourselves and our "families." This may mean our families of origin or simply the friends that we have chosen as our family.
(248) 406-6928 View (248) 406-6928
Photo of Karen T Davis, Limited Licensed Psychologist in Birmingham, MI
Karen T Davis
Limited Licensed Psychologist, MA, MPA, LLP
Not Verified Not Verified
Birmingham, MI 48009
Karen Davis is a psychotherapist specializing in individual, couples and family therapy and maintains a private practice in Bloomfield Hills, Michigan. With over 18 years experience as a psychotherapist, she is currently serving as private practitioner working with a broad spectrum of clients. Among her areas of expertise are anxiety, depression, and addiction. Karen is an interactive, solution-focused therapist. Her therapeutic approach is to provide support and practical feedback to help clients effectively address personal life challenges. She integrates complementary methodologies and techniques to offer a highly personalized approach tailored to each client.
Karen Davis is a psychotherapist specializing in individual, couples and family therapy and maintains a private practice in Bloomfield Hills, Michigan. With over 18 years experience as a psychotherapist, she is currently serving as private practitioner working with a broad spectrum of clients. Among her areas of expertise are anxiety, depression, and addiction. Karen is an interactive, solution-focused therapist. Her therapeutic approach is to provide support and practical feedback to help clients effectively address personal life challenges. She integrates complementary methodologies and techniques to offer a highly personalized approach tailored to each client.
(248) 997-4237 View (248) 997-4237
Photo of Judith E. Margerum, Psychologist in Birmingham, MI
Judith E. Margerum
Psychologist, PhD
Verified Verified
Birmingham, MI 48009
I work with a wide range of clients including adults with problems ranging from sexual abuse, depression and anxiety, to marriage counseling, family problems or those who just need fine tuning or coaching.
I have been working as a licensed psychologist for over 25 years, working with individuals and families with a wide range of problems. I am always aware of the systemic context within which problems exist as people are impacted by their work, home and social environments as well as their internal conflicts. I focus on the individual's and family's strengths that can be harnessed to solve problems, improve life or reach goals. I believe that everyone has within themselves the power to solve their problems and find possibility, meaning and hope in their lives. My role is to help them find this power.
I work with a wide range of clients including adults with problems ranging from sexual abuse, depression and anxiety, to marriage counseling, family problems or those who just need fine tuning or coaching.
I have been working as a licensed psychologist for over 25 years, working with individuals and families with a wide range of problems. I am always aware of the systemic context within which problems exist as people are impacted by their work, home and social environments as well as their internal conflicts. I focus on the individual's and family's strengths that can be harnessed to solve problems, improve life or reach goals. I believe that everyone has within themselves the power to solve their problems and find possibility, meaning and hope in their lives. My role is to help them find this power.
(947) 222-0548 View (947) 222-0548
Photo of Paul Kowalski, Clinical Social Work/Therapist in Birmingham, MI
Paul Kowalski
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Birmingham, MI 48009
Life presents all of us with challenges and difficulties. Some are obvious, some less so. Sometimes we only know that we're struggling without being able to put our finger on why that is. I don't believe you need all the answers to start your journey to overcome the obstacles that you face. The starting point is the desire to improve your relationships, family, and career. Therapy provides a supportive environment where you can learn to cope with existing distress and learn to address the needs that will help increase the quality of your life and relationships.
Life presents all of us with challenges and difficulties. Some are obvious, some less so. Sometimes we only know that we're struggling without being able to put our finger on why that is. I don't believe you need all the answers to start your journey to overcome the obstacles that you face. The starting point is the desire to improve your relationships, family, and career. Therapy provides a supportive environment where you can learn to cope with existing distress and learn to address the needs that will help increase the quality of your life and relationships.
(313) 327-3311 View (313) 327-3311
Photo of David Castine, Marriage & Family Therapist in Birmingham, MI
David Castine
Marriage & Family Therapist, LMSW, LMFT
Verified Verified
2 Endorsed
Birmingham, MI 48009
My credentials and experience include licenses in marriage and family therapy and clinical social work, AAMFT Clinical Fellowship and Approved Supervisor designation, over 25 years as an adjunct professor at Wayne State University, and over 40 years of direct clinical work with individuals, couples and families.
As a practical, interactive, solution-focused therapist, my approach is to provide insight to help individuals, couples, and families address current challenges and longstanding issues. With an integration of methods, I draw from an array of styles and interventions. I have been able to assist clients with a variety of mental health problems and relational issues in a private, comfortable, and confidential atmosphere.
My credentials and experience include licenses in marriage and family therapy and clinical social work, AAMFT Clinical Fellowship and Approved Supervisor designation, over 25 years as an adjunct professor at Wayne State University, and over 40 years of direct clinical work with individuals, couples and families.
As a practical, interactive, solution-focused therapist, my approach is to provide insight to help individuals, couples, and families address current challenges and longstanding issues. With an integration of methods, I draw from an array of styles and interventions. I have been able to assist clients with a variety of mental health problems and relational issues in a private, comfortable, and confidential atmosphere.
(248) 487-9764 View (248) 487-9764
Photo of James A. Evans, Clinical Social Work/Therapist in Birmingham, MI
James A. Evans
Clinical Social Work/Therapist, MA, MSW
Not Verified Not Verified
Birmingham, MI 48009
I provide services to individuals and families who are struggling with imbalance in their lives. Many of my clients suffer from anxiety, depression, family problems, addictions, marital problems, emotional disorders, and many other issues. As a long - time educator and therapist, I believe that identifying and treating emotional problems is as complex as learning a foreign language. So I see my patients at least twice per week for 90 minutes per session. Your commitment is the primary reason that I have an 80 percent rate of success!
I provide services to individuals and families who are struggling with imbalance in their lives. Many of my clients suffer from anxiety, depression, family problems, addictions, marital problems, emotional disorders, and many other issues. As a long - time educator and therapist, I believe that identifying and treating emotional problems is as complex as learning a foreign language. So I see my patients at least twice per week for 90 minutes per session. Your commitment is the primary reason that I have an 80 percent rate of success!
(248) 629-0966 View (248) 629-0966
Photo of Joyce Pearlman, Clinical Social Work/Therapist in Birmingham, MI
Joyce Pearlman
Clinical Social Work/Therapist, MSW, CSW
Verified Verified
1 Endorsed
Birmingham, MI 48009
I have had extensive experience working with adolescents who are experiencing questions and concerns about their identify, social anxiety, academic school performance problems, learning problems, family conflict, inter-personal relationship problems and gender concerns. I work with LGBT teenagers and adults.
I have had extensive experience working with adolescents who are experiencing questions and concerns about their identify, social anxiety, academic school performance problems, learning problems, family conflict, inter-personal relationship problems and gender concerns. I work with LGBT teenagers and adults.
(248) 438-5221 View (248) 438-5221
Photo of Lee Kelly, Licensed Professional Counselor in Birmingham, MI
Lee Kelly
Licensed Professional Counselor, MA, LPC
Verified Verified
Birmingham, MI 48009
My experience includes working with individuals that are struggling with addictions, anxiety, bipolar, depression, divorce and family counseling, mood disorders, trauma and PTSD.
I believe in providing a nonjudgmental, safe space to explore the issues that may be creating problems in an individual's life. I incorporate a person-centered, holistic approach recognizing the specialness of every individual, while addressing life's concerns that we all share. My goal through therapy is to help a person live a more fulfilling life and to help them work through whatever is hindering them from achieving their full potential.
My experience includes working with individuals that are struggling with addictions, anxiety, bipolar, depression, divorce and family counseling, mood disorders, trauma and PTSD.
I believe in providing a nonjudgmental, safe space to explore the issues that may be creating problems in an individual's life. I incorporate a person-centered, holistic approach recognizing the specialness of every individual, while addressing life's concerns that we all share. My goal through therapy is to help a person live a more fulfilling life and to help them work through whatever is hindering them from achieving their full potential.
(734) 315-2016 View (734) 315-2016
Photo of Angela Hallisy, Counselor in Birmingham, MI
Angela Hallisy
Counselor, MA, LPC, CCTP
Verified Verified
Birmingham, MI 48012
There are many factors that can impact your quality of life on a daily basis. Whether it's transitions, stress/anxiety, trauma, complex PTSD, depression, relationships, school or work - I can help. I am dedicated to the overall health and well-being of every client. I provide a safe environment where we work together to explore challenges, develop strategies for growth, and find a path that meets your needs for care while building upon your personal strengths. I work with both children and adults dealing with a variety of conditions in individual and family sessions.
There are many factors that can impact your quality of life on a daily basis. Whether it's transitions, stress/anxiety, trauma, complex PTSD, depression, relationships, school or work - I can help. I am dedicated to the overall health and well-being of every client. I provide a safe environment where we work together to explore challenges, develop strategies for growth, and find a path that meets your needs for care while building upon your personal strengths. I work with both children and adults dealing with a variety of conditions in individual and family sessions.
(586) 649-3486 View (586) 649-3486
Photo of Reilly Barth, Clinical Social Work/Therapist in Birmingham, MI
Reilly Barth
Clinical Social Work/Therapist, LLMSW
Verified Verified
Birmingham, MI 48009
Are you feeling the pressure to settle down and start a family, but you aren’t sure that is what you want for your life? Are you looking to heal from past sexual trauma while also developing the insight and skills to create lasting intimate relationships? Are you someone who appears to have it all figured out on the outside but on the inside you are dealing with nagging self-doubt, anxious thoughts, and questions about the future? This work can and will be challenging and vulnerable, but it will also be full of curiosity, courage, and growth.
Are you feeling the pressure to settle down and start a family, but you aren’t sure that is what you want for your life? Are you looking to heal from past sexual trauma while also developing the insight and skills to create lasting intimate relationships? Are you someone who appears to have it all figured out on the outside but on the inside you are dealing with nagging self-doubt, anxious thoughts, and questions about the future? This work can and will be challenging and vulnerable, but it will also be full of curiosity, courage, and growth.
(947) 777-0615 View (947) 777-0615
Photo of Dr. Jeff J. Rocker, Licensed Professional Counselor in Birmingham, MI
Dr. Jeff J. Rocker
Licensed Professional Counselor, PhD, NCC, LPC, LPCC, LMHC
Verified Verified
Birmingham, MI 48009
in Marriage and Family therapy from Nova Southeastern University.
With 12 years of experience working with clients going through individual, relationship, and family issues, Celebrity Therapist Dr. Jeff Rocker has provided therapeutic services to clients nationwide. He is Licensed in 14 states and has served clients from all age groups. Over the years, Dr. Jeff has organized lectures and various events in the community, including excursions and retreats for couples to improve their communication and better understand each other. He has experience working with athletes in the NFL, NBA, and MLB. In addition, Dr. Jeff has also worked with clients in the Movie, Music, and Entertainment Industries.
in Marriage and Family therapy from Nova Southeastern University.
With 12 years of experience working with clients going through individual, relationship, and family issues, Celebrity Therapist Dr. Jeff Rocker has provided therapeutic services to clients nationwide. He is Licensed in 14 states and has served clients from all age groups. Over the years, Dr. Jeff has organized lectures and various events in the community, including excursions and retreats for couples to improve their communication and better understand each other. He has experience working with athletes in the NFL, NBA, and MLB. In addition, Dr. Jeff has also worked with clients in the Movie, Music, and Entertainment Industries.
(313) 546-0014 View (313) 546-0014
Photo of Gregory Johnson, Clinical Social Work/Therapist in Birmingham, MI
Gregory Johnson
Clinical Social Work/Therapist, LMSW, QMPH
Verified Verified
Birmingham, MI 48009
My clinical services encompass individual therapy, couples’ therapy, family therapy, group therapy, and coaching.
Are you struggling with your sexual orientation and/or gender identity? Do feel isolated within the LGBTQIA community? Are your mental health symptoms (i.e. depression, anxiety, mood instability, insomnia, addiction, low self-esteem, poor body image) holding you back from fulfilling your dreams? Is trauma/PTSD ruining your life and your relationships? Do you often wonder how to help yourself? You may feel alone, isolated and withdrawn. Your challenges are not insurmountable! There is real help and the biggest step is to ask. There is no shame in asking for help. Be free from addiction, mental health and relationship struggles.
My clinical services encompass individual therapy, couples’ therapy, family therapy, group therapy, and coaching.
Are you struggling with your sexual orientation and/or gender identity? Do feel isolated within the LGBTQIA community? Are your mental health symptoms (i.e. depression, anxiety, mood instability, insomnia, addiction, low self-esteem, poor body image) holding you back from fulfilling your dreams? Is trauma/PTSD ruining your life and your relationships? Do you often wonder how to help yourself? You may feel alone, isolated and withdrawn. Your challenges are not insurmountable! There is real help and the biggest step is to ask. There is no shame in asking for help. Be free from addiction, mental health and relationship struggles.
(248) 290-8082 View (248) 290-8082
Photo of Lauren Blake, Marriage & Family Therapist in Birmingham, MI
Lauren Blake
Marriage & Family Therapist, MA, LMFT
Verified Verified
Birmingham, MI 48012
Our lives are a system made up of family, friends, biases, and life experiences. If one part of the system has fractured, the entire system functions incorrectly. As someone who didn't believe therapy could help me, I struggled with a spiral of bad decisions before seeking therapy as a last-ditch effort to "fix" myself. I'm thankful that I found therapy when I did - it saved my life, prevented years of heartache, and gave me purpose and direction. I want to work with you to create the best possible life for yourself. You deserve a life filled with healthy people, boundaries, and genuine joy. Let's find it together.
Our lives are a system made up of family, friends, biases, and life experiences. If one part of the system has fractured, the entire system functions incorrectly. As someone who didn't believe therapy could help me, I struggled with a spiral of bad decisions before seeking therapy as a last-ditch effort to "fix" myself. I'm thankful that I found therapy when I did - it saved my life, prevented years of heartache, and gave me purpose and direction. I want to work with you to create the best possible life for yourself. You deserve a life filled with healthy people, boundaries, and genuine joy. Let's find it together.
(678) 897-9796 View (678) 897-9796
Photo of Niyama Center (accepting new client--this week!) in Birmingham, MI
Niyama Center (accepting new client--this week!)
LMSW, EMDR
Verified Verified
3 Endorsed
Birmingham, MI 48009  (Online Only)
This constant anxiety, followed by crippling bouts of depression, is preventing you from living your life. Even on good days, your negative self-talk beats you into a sleepy paralysis. Everyone can be hard on themselves, but your mind has become downright violent. It’s exhausting trying to anticipate when it will strike next. You can’t trust your own thoughts. It’s obvious that your painful past isn’t going away on its own. It takes all you’ve got to get through the day. And most days it takes more than that. Stuck in a vicious cycle with no end in sight, you know you can’t handle this alone anymore. But what choice do you have?
This constant anxiety, followed by crippling bouts of depression, is preventing you from living your life. Even on good days, your negative self-talk beats you into a sleepy paralysis. Everyone can be hard on themselves, but your mind has become downright violent. It’s exhausting trying to anticipate when it will strike next. You can’t trust your own thoughts. It’s obvious that your painful past isn’t going away on its own. It takes all you’ve got to get through the day. And most days it takes more than that. Stuck in a vicious cycle with no end in sight, you know you can’t handle this alone anymore. But what choice do you have?
(248) 927-2935 View (248) 927-2935
Photo of Rochelle Anixt Gold, Clinical Social Work/Therapist in Birmingham, MI
Rochelle Anixt Gold
Clinical Social Work/Therapist, LMSW, ACSW, MA
Verified Verified
Birmingham, MI 48009
Shall we talk about the issues you face? You may not be sure how to deal with them on your own. We could talk them through and consider the best solutions that would ease your mind by removing worrisome thoughts. Learning how to resolve some of these issues with people you relate to all the time will increase their understanding of you.
Shall we talk about the issues you face? You may not be sure how to deal with them on your own. We could talk them through and consider the best solutions that would ease your mind by removing worrisome thoughts. Learning how to resolve some of these issues with people you relate to all the time will increase their understanding of you.
(248) 327-3501 View (248) 327-3501
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.