Photo of Macomb Therapy Group, PLLC, Counselor in Clinton Township, MI
Macomb Therapy Group, PLLC
Counselor, LMSW, LPC, LLP, CAADC, PA-C
Verified Verified
3 Endorsed
Clinton Township, MI 48038
Our clinicians offer a wide variety of exceptional therapeutic approaches, incorporating a spectrum of techniques, including: Marriage and Family, Person Centered, Dialectical Behavior (DBT), Cognitive Behavioral (CBT), LGBTQ+, the Gottman Method, Solution Focused-Brief Therapy, Somatic, Developmental, Integrative, Multicultural, Art and Play Therapy.
We all need a friendly ear, especially in difficult times. With someone in your corner you can build the coping skills needed to handle life's challenges with confidence. Macomb Therapy Group works with adults, adolescents, families and couples. Our clinicians have experience counseling people from a range of backgrounds and ages; facing a variety of challenges: from individuals dealing with depression, anxiety, trauma, and post-traumatic stress disorder; to children and adults in crisis and families with relational problems.
Our clinicians offer a wide variety of exceptional therapeutic approaches, incorporating a spectrum of techniques, including: Marriage and Family, Person Centered, Dialectical Behavior (DBT), Cognitive Behavioral (CBT), LGBTQ+, the Gottman Method, Solution Focused-Brief Therapy, Somatic, Developmental, Integrative, Multicultural, Art and Play Therapy.
We all need a friendly ear, especially in difficult times. With someone in your corner you can build the coping skills needed to handle life's challenges with confidence. Macomb Therapy Group works with adults, adolescents, families and couples. Our clinicians have experience counseling people from a range of backgrounds and ages; facing a variety of challenges: from individuals dealing with depression, anxiety, trauma, and post-traumatic stress disorder; to children and adults in crisis and families with relational problems.
(586) 333-5328 View (586) 333-5328
Photo of Samantha Coyne, Clinical Social Work/Therapist in Clinton Township, MI
Samantha Coyne
Clinical Social Work/Therapist, LMSW
Verified Verified
Clinton Township, MI 48038
My treatment modalities include Cognitive-Behavioral Therapy, Trauma-Focused Cognitive Behavioral Therapy, Person-Centered Therapy, Motivational Interviewing, Family Therapy, Marital Counseling, Crisis-Intervention, Grief Counseling, Life Coaching and supervision for LLMSW seeking full licensure.
We are all masters of our own lives; we each hold the answers to questions and problems we may endure. Sometimes, we lose insight and need guidance to uncover our underlying knowledge or simply to cope with setbacks. My goal is to empower, educate and assist people to regain control of their lives. Seeking assistance can be difficult and takes courage; I provide a safe environment, compassionate, holistic nature and welcome people of all ages. I pride my practice on integrating what are considered non-traditional methods of treatment to supplement our therapy together.
My treatment modalities include Cognitive-Behavioral Therapy, Trauma-Focused Cognitive Behavioral Therapy, Person-Centered Therapy, Motivational Interviewing, Family Therapy, Marital Counseling, Crisis-Intervention, Grief Counseling, Life Coaching and supervision for LLMSW seeking full licensure.
We are all masters of our own lives; we each hold the answers to questions and problems we may endure. Sometimes, we lose insight and need guidance to uncover our underlying knowledge or simply to cope with setbacks. My goal is to empower, educate and assist people to regain control of their lives. Seeking assistance can be difficult and takes courage; I provide a safe environment, compassionate, holistic nature and welcome people of all ages. I pride my practice on integrating what are considered non-traditional methods of treatment to supplement our therapy together.
(586) 576-6136 View (586) 576-6136
Photo of Great Lakes Psychology Group - Clinton Township, Psychologist in Clinton Township, MI
Great Lakes Psychology Group - Clinton Township
Psychologist
Verified Verified
Clinton Township, MI 48036
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
(248) 247-7816 View (248) 247-7816
Photo of Karen Gibson, Counselor in Clinton Township, MI
Karen Gibson
Counselor, MA, LPC, LBSW
Verified Verified
Clinton Township, MI 48035  (Online Only)
Providing secure, video-based, online therapy services in Michigan. Your friends, family & coworkers are impressed with your great life. You present as confident in all areas of your life. You’re self-motivated, dependable & the most trusted. But on the inside, your judgmental towards yourself. You've spent most of your life trying to maintain your "great life" as others would perceive, but you have become exhausted & are struggling to face challenges in your career and personal life. It's time to replenish your spiritual, mental, emotional, & physical self. Its time to live your best life starting today!
Providing secure, video-based, online therapy services in Michigan. Your friends, family & coworkers are impressed with your great life. You present as confident in all areas of your life. You’re self-motivated, dependable & the most trusted. But on the inside, your judgmental towards yourself. You've spent most of your life trying to maintain your "great life" as others would perceive, but you have become exhausted & are struggling to face challenges in your career and personal life. It's time to replenish your spiritual, mental, emotional, & physical self. Its time to live your best life starting today!
(586) 554-2027 View (586) 554-2027
Photo of Leslie Osborn, Clinical Social Work/Therapist in Clinton Township, MI
Leslie Osborn
Clinical Social Work/Therapist, LMSW
Verified Verified
Clinton Township, MI 48038
I support individuals through issues such as depression, anxiety, adjusting to change, family issue, addiction, and grief.
I believe we all have the power within ourselves to create the lives we desire. As humans, we are much more capable and resilient than our brains allow us to believe. Sometimes we may lose sight, need guidance, or someone to acknowledge our humanity, value, feelings, and strengths. Seeking mental health assistance can feel like a very scary step, and my goal is to make you feel as comfortable and empowered as possible.
I support individuals through issues such as depression, anxiety, adjusting to change, family issue, addiction, and grief.
I believe we all have the power within ourselves to create the lives we desire. As humans, we are much more capable and resilient than our brains allow us to believe. Sometimes we may lose sight, need guidance, or someone to acknowledge our humanity, value, feelings, and strengths. Seeking mental health assistance can feel like a very scary step, and my goal is to make you feel as comfortable and empowered as possible.
(586) 300-4251 View (586) 300-4251
Photo of Judith K Moon, LMSW, ACSW, LLC, Clinical Social Work/Therapist in Clinton Township, MI
Judith K Moon, LMSW, ACSW, LLC
Clinical Social Work/Therapist
Verified Verified
Clinton Township, MI 48036
Is your child or teen struggling with academic, behavioral, social, or emotional issues? There may be a need for additional support and redirection to get through these challenges which affect the whole family. Therapy can be life-changing as it provides the skills to help us meet these challenges successfully. I have provided therapy to children, adolescents, adults, and families for over 30 years. With a wide variety of therapeutic experience, I have been helping people solve their problems and accomplish their goals as well as improve the quality of their lives. I provide a warm, supportive environment.
Is your child or teen struggling with academic, behavioral, social, or emotional issues? There may be a need for additional support and redirection to get through these challenges which affect the whole family. Therapy can be life-changing as it provides the skills to help us meet these challenges successfully. I have provided therapy to children, adolescents, adults, and families for over 30 years. With a wide variety of therapeutic experience, I have been helping people solve their problems and accomplish their goals as well as improve the quality of their lives. I provide a warm, supportive environment.
(586) 353-8714 View (586) 353-8714
Photo of Heather (Ashley) Haraga, Licensed Professional Counselor in Clinton Township, MI
Heather (Ashley) Haraga
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Clinton Township, MI 48038  (Online Only)
There are times in our lives when finding a peaceful solution to our current struggles can feel overwhelming. Anxiety, depression, grief, family or parenting struggles can disrupt our lives and leave us feeling lost. I am here to provide a safe, confidential place to help children, teens, and adults with their concerns. Together, we can find the peaceful solution you are seeking.
There are times in our lives when finding a peaceful solution to our current struggles can feel overwhelming. Anxiety, depression, grief, family or parenting struggles can disrupt our lives and leave us feeling lost. I am here to provide a safe, confidential place to help children, teens, and adults with their concerns. Together, we can find the peaceful solution you are seeking.
(586) 623-4767 View (586) 623-4767
Photo of Open Door Counseling Center, Licensed Professional Counselor in Clinton Township, MI
Open Door Counseling Center
Licensed Professional Counselor, MA, LLPC
Verified Verified
Clinton Township, MI 48038
I am a Professional Counselor and Marriage, Couples and Family Therapist, which allows me to meet a wide range of goals clients seek. I specialize in Emotion Focused Therapy, which addresses the deep underlying emotions behind surface level emotions that may affect our behavior. If your emotions are affecting your health or relationships I can help.
I am a Professional Counselor and Marriage, Couples and Family Therapist, which allows me to meet a wide range of goals clients seek. I specialize in Emotion Focused Therapy, which addresses the deep underlying emotions behind surface level emotions that may affect our behavior. If your emotions are affecting your health or relationships I can help.
(586) 221-9925 View (586) 221-9925
Photo of Amy Leigh Perugi, Clinical Social Work/Therapist in Clinton Township, MI
Amy Leigh Perugi
Clinical Social Work/Therapist, LMSW , CAADC
Verified Verified
Clinton Township, MI 48036
I encourage you to come and experience the straightforward answers and options that you are looking for to assist you and your family in living the happy life that you want to live.
With over 22 years Social Work experience dealing with kids and adults who are battling with mental health and/or substance abuse issues my qualifications and approach to healing are available to you or your loved ones. I can help with coping skills, referrals and other needs identified.
I encourage you to come and experience the straightforward answers and options that you are looking for to assist you and your family in living the happy life that you want to live.
With over 22 years Social Work experience dealing with kids and adults who are battling with mental health and/or substance abuse issues my qualifications and approach to healing are available to you or your loved ones. I can help with coping skills, referrals and other needs identified.
(586) 261-8221 View (586) 261-8221
Photo of Susan Williams, Clinical Social Work/Therapist in Clinton Township, MI
Susan Williams
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Clinton Township, MI 48038  (Online Only)
Life can be very hard. We all face certain obstacles that cause us to feel afraid, sad, worried or even hopeless. We all deserve to be happy and at peace. My goal is to help you to become as happy and at peace as you can be. Many people are in difficult and stressful relationships with family or partners; dealing with loss; trauma; childhood pain and issues; coping with financial hardship, job loss or daily physical pain. Many are feeling depressed, hopeless, helpless and anxious. Together we will work to fix the problems that need to be fixed or better cope with them.
Life can be very hard. We all face certain obstacles that cause us to feel afraid, sad, worried or even hopeless. We all deserve to be happy and at peace. My goal is to help you to become as happy and at peace as you can be. Many people are in difficult and stressful relationships with family or partners; dealing with loss; trauma; childhood pain and issues; coping with financial hardship, job loss or daily physical pain. Many are feeling depressed, hopeless, helpless and anxious. Together we will work to fix the problems that need to be fixed or better cope with them.
(810) 356-3717 View (810) 356-3717
Photo of Kristin Rosales, Clinical Social Work/Therapist in Clinton Township, MI
Kristin Rosales
Clinical Social Work/Therapist, LMSW, CATP
Verified Verified
2 Endorsed
Clinton Township, MI 48038
Kristin has a wide array of experience and is a highly regarded and knowledgeable clinician. She works with children, youth, and families using an eclectic approach tailored to the unique needs of each client and family. She's been providing high-quality services for over 10 years. Kristin assists clients coping with depression, anxiety, relationship issues and sexual trauma. She utilizes a blend of Solution Focused and Client Centered Therapy while also incorporating elements of DBT and CBT. These advanced methods promote healing and desired change in a unique, gentle and respectful manner.
Kristin has a wide array of experience and is a highly regarded and knowledgeable clinician. She works with children, youth, and families using an eclectic approach tailored to the unique needs of each client and family. She's been providing high-quality services for over 10 years. Kristin assists clients coping with depression, anxiety, relationship issues and sexual trauma. She utilizes a blend of Solution Focused and Client Centered Therapy while also incorporating elements of DBT and CBT. These advanced methods promote healing and desired change in a unique, gentle and respectful manner.
(586) 745-3582 View (586) 745-3582
Photo of Great Lakes Psychology Group - Roseville, Psychologist in Clinton Township, MI
Great Lakes Psychology Group - Roseville
Psychologist
Verified Verified
Clinton Township, MI 48038
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
(800) 693-1916 View (800) 693-1916
Photo of All Things Possible Wellness Center PLLC, Licensed Professional Counselor in Clinton Township, MI
All Things Possible Wellness Center PLLC
Licensed Professional Counselor, LPC, NCC, ACS
Verified Verified
1 Endorsed
Clinton Township, MI 48035
The ATPWC Family would be honored, and humbled, to walk alongside you to help you to discern where your pain, joys, and struggles are rooted.
Are you looking for a challenging, and rewarding, therapeutic experience that translates into lasting insight and change? We celebrate your courage to seek help. The clinicians at ATPWC have helped many with a variety of life changes, mental health, and substance abuse issues on an inpatient and outpatient basis. In addition to individual, couples/marital, and family counseling we also have group counseling. We also offer psychological and psycho-educational assessment. Lastly, Counseling limited license supervision is also offered.
The ATPWC Family would be honored, and humbled, to walk alongside you to help you to discern where your pain, joys, and struggles are rooted.
Are you looking for a challenging, and rewarding, therapeutic experience that translates into lasting insight and change? We celebrate your courage to seek help. The clinicians at ATPWC have helped many with a variety of life changes, mental health, and substance abuse issues on an inpatient and outpatient basis. In addition to individual, couples/marital, and family counseling we also have group counseling. We also offer psychological and psycho-educational assessment. Lastly, Counseling limited license supervision is also offered.
(586) 213-5505 View (586) 213-5505
Photo of Great Lakes Psychology Group - Sterling Heights, Marriage & Family Therapist in Clinton Township, MI
Great Lakes Psychology Group - Sterling Heights
Marriage & Family Therapist, MS, LMFT
Verified Verified
Clinton Township, MI 48038
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
(586) 474-4951 View (586) 474-4951
Photo of Vanessa Jackson, Clinical Social Work/Therapist in Clinton Township, MI
Vanessa Jackson
Clinical Social Work/Therapist, LCSW, CCM, CTS
Verified Verified
1 Endorsed
Clinton Township, MI 48038
Behavioral Health Consultants, LLC seeks to improve day-to-day functioning by addressing psychosocial barriers and specific dynamics that necessitate therapeutic intervention.Vanessa has worked as a clinical therapist addressing specialty areas to include crisis intervention, trauma focused intervention, risk assessment and family skill building. For the past 10 years she's worked with survivors of sexual abuse as well as individuals overcoming adverse childhood experiences. She has a significant amount of clinical experience working with individuals battling depression, anxiety and adjustment disorders.
Behavioral Health Consultants, LLC seeks to improve day-to-day functioning by addressing psychosocial barriers and specific dynamics that necessitate therapeutic intervention.Vanessa has worked as a clinical therapist addressing specialty areas to include crisis intervention, trauma focused intervention, risk assessment and family skill building. For the past 10 years she's worked with survivors of sexual abuse as well as individuals overcoming adverse childhood experiences. She has a significant amount of clinical experience working with individuals battling depression, anxiety and adjustment disorders.
(734) 328-0235 View (734) 328-0235
Photo of Sharon R Rose LMSW Counseling Services LLC, Clinical Social Work/Therapist in Clinton Township, MI
Sharon R Rose LMSW Counseling Services LLC
Clinical Social Work/Therapist, LMSW, CAADC, ACSW
Verified Verified
3 Endorsed
Clinton Township, MI 48036  (Online Only)
I am an advanced, skilled, trained clinician with 30+ years experience in therapeutic practice. Are you feeling depressed/anxious, upset/irritable? Are you grieving? Are you balancing work from home with family life, school? Have you lost your job? Are you concerned about getting sick? You are not alone. I have specialities in PTSD, grief, fear, trauma, addictions, behavioral & mental health issues. Would you like to be happier, communicating better with loved ones or others? I counsel individuals/families/couples/marriage/divorce, GLBT+ & military with positive outcomes. Just call or email today to begin to reach your goals!
I am an advanced, skilled, trained clinician with 30+ years experience in therapeutic practice. Are you feeling depressed/anxious, upset/irritable? Are you grieving? Are you balancing work from home with family life, school? Have you lost your job? Are you concerned about getting sick? You are not alone. I have specialities in PTSD, grief, fear, trauma, addictions, behavioral & mental health issues. Would you like to be happier, communicating better with loved ones or others? I counsel individuals/families/couples/marriage/divorce, GLBT+ & military with positive outcomes. Just call or email today to begin to reach your goals!
(586) 580-8022 View (586) 580-8022
Photo of Rochester Evidence-Based Psychotherapy Clinic in Clinton Township, MI
Rochester Evidence-Based Psychotherapy Clinic
LPC, NCC
Verified Verified
Clinton Township, MI 48035
Examples include: Dialectical Behavior Therapy (DBT); Cognitive-Behavioral Therapy for anxiety, depression, and OCD; Prolonged Exposure for PTSD; treatment for problems with drugs and alcohol; individual and group therapy; and marriage/family therapy.
At our practice, we have created an inviting and comfortable environment in which clients and professional staff can collaborate to address a number of presenting concerns. We are trained in a variety of evidence-based treatment methods that have been developed and rigorously researched by some of the world's leading experts. Our measured, thoughtful approach to assessment and treatment planning help to ensure that all clients are presented with treatment options that are well-suited to meet their needs. You and your therapist will partner to develop a customized plan to help you achieve an optimal treatment outcome.
Examples include: Dialectical Behavior Therapy (DBT); Cognitive-Behavioral Therapy for anxiety, depression, and OCD; Prolonged Exposure for PTSD; treatment for problems with drugs and alcohol; individual and group therapy; and marriage/family therapy.
At our practice, we have created an inviting and comfortable environment in which clients and professional staff can collaborate to address a number of presenting concerns. We are trained in a variety of evidence-based treatment methods that have been developed and rigorously researched by some of the world's leading experts. Our measured, thoughtful approach to assessment and treatment planning help to ensure that all clients are presented with treatment options that are well-suited to meet their needs. You and your therapist will partner to develop a customized plan to help you achieve an optimal treatment outcome.
(248) 710-0139 View (248) 710-0139
Photo of Marya Drygalski in Clinton Township, MI
Marya Drygalski
LMSW, CAADC, CCS-M, CEAP
Not Verified Not Verified
Clinton Township, MI 48035
I have experience in couples and family counseling and received training through the Ann Arbor Center for the Family.
In Helping my clients achieve a life worth living; it is my goal to provide a positive, nurturing environment that is safe and consistent where clients are valued, heard, understood and accepted. In this environment, clients are able to honestly face themselves, their situations and move toward freedom, fulfillment and contentment. Through this relationship, people are able to grow in their relationship with themselves and others, gain insight, develop their potential and make positive changes.
I have experience in couples and family counseling and received training through the Ann Arbor Center for the Family.
In Helping my clients achieve a life worth living; it is my goal to provide a positive, nurturing environment that is safe and consistent where clients are valued, heard, understood and accepted. In this environment, clients are able to honestly face themselves, their situations and move toward freedom, fulfillment and contentment. Through this relationship, people are able to grow in their relationship with themselves and others, gain insight, develop their potential and make positive changes.
(586) 217-3632 View (586) 217-3632
Photo of Denise Spencer, Clinical Social Work/Therapist in Clinton Township, MI
Denise Spencer
Clinical Social Work/Therapist, LMSW, ACSW, DCSW, CAADC
Verified Verified
Clinton Township, MI 48038  (Online Only)
I understand family dynamics and the expectations we put on ourselves and others based on our individual histories.
When you are hurting and feel alone, remember it is temporary. There is a helping hand. As a solution focused therapist, I can help you to create and achieve a new you. Sometimes we need an objective witness to help manifest our dreams. I see individuals, couples, families and groups for mental health and substance abuse treatment.
I understand family dynamics and the expectations we put on ourselves and others based on our individual histories.
When you are hurting and feel alone, remember it is temporary. There is a helping hand. As a solution focused therapist, I can help you to create and achieve a new you. Sometimes we need an objective witness to help manifest our dreams. I see individuals, couples, families and groups for mental health and substance abuse treatment.
(586) 260-5565 View (586) 260-5565
Photo of Julie Bella Goodman, Licensed Professional Counselor in Clinton Township, MI
Julie Bella Goodman
Licensed Professional Counselor, LPC
Verified Verified
Clinton Township, MI 48038  (Online Only)
Are you struggling? Have you been trying your hardest to manage and resolve the issues causing your struggle, but have had no success? You're not alone. I've been there myself. I have the personal and professional experience to assist you with, ceasing the struggle and live the life you desire. Come and visit with me. Let's talk and develop a plan together on how I can assist you in achieving life long healthy coping skills, so you don't have to struggle, anymore.
Are you struggling? Have you been trying your hardest to manage and resolve the issues causing your struggle, but have had no success? You're not alone. I've been there myself. I have the personal and professional experience to assist you with, ceasing the struggle and live the life you desire. Come and visit with me. Let's talk and develop a plan together on how I can assist you in achieving life long healthy coping skills, so you don't have to struggle, anymore.
(586) 496-7082 View (586) 496-7082

See more therapy options for Clinton Township

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.