Photo of Dr. Brittany Davis, Licensed Professional Counselor in Fayette County, TX
Dr. Brittany Davis
Licensed Professional Counselor, PhD, MFT, CPC, LPC
Verified Verified
Schulenburg, TX 78956
Waitlist for new clients
There are no ideal clients that I am able to describe because all clients are all different. I don't treat one client the same as I treat the next, but all clients need a different treatment but will always receive the same genuine approach. Your goals and treatment goals can only work with the transcribing of the clients needs and the needs of the clients; which are my main focus.
There are no ideal clients that I am able to describe because all clients are all different. I don't treat one client the same as I treat the next, but all clients need a different treatment but will always receive the same genuine approach. Your goals and treatment goals can only work with the transcribing of the clients needs and the needs of the clients; which are my main focus.
(702) 956-9636 View (702) 956-9636

Online Therapists

Photo of Wellness Restoration Counseling, Licensed Professional Counselor in Fayette County, TX
Wellness Restoration Counseling
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Houston, TX 77074
Connection with family and friends is vital to one's happiness, and therapy provides the tools for just that.
Therapy starts with understanding a person and seeing the world from that person's eyes.
Connection with family and friends is vital to one's happiness, and therapy provides the tools for just that.
Therapy starts with understanding a person and seeing the world from that person's eyes.
(281) 377-9687 View (281) 377-9687
Photo of Mary Gillock, Licensed Professional Counselor in Fayette County, TX
Mary Gillock
Licensed Professional Counselor, MA, LPC-A, LMFT-A
Verified Verified
Round Rock, TX 78665
As a Licensed Professional Counselor Associate under supervision of Toby Collins and Licensed Marriage and Family Therapist Associate under supervision of Carla Noto-Vencill, Mary specializes in emotional and physical abuse from family, interpersonal, and romantic relationships - and how it presents in one's personality or behavior.
Mary works with individuals and couples to address attachment and emotional enmeshment, performance anxiety, moral injury and religious trauma, personality dynamics, and systems that cause people to feel stuck in life and relationships. Using an eclectic, psychodynamic approach to postmodern and constructivist theories, clients can expect to find meaning in problem solving and strengthen interpersonal relationships outside of therapy. In doing so, Mary integrates humor and everyday language in evidence-based therapies to educate clients along the way.
As a Licensed Professional Counselor Associate under supervision of Toby Collins and Licensed Marriage and Family Therapist Associate under supervision of Carla Noto-Vencill, Mary specializes in emotional and physical abuse from family, interpersonal, and romantic relationships - and how it presents in one's personality or behavior.
Mary works with individuals and couples to address attachment and emotional enmeshment, performance anxiety, moral injury and religious trauma, personality dynamics, and systems that cause people to feel stuck in life and relationships. Using an eclectic, psychodynamic approach to postmodern and constructivist theories, clients can expect to find meaning in problem solving and strengthen interpersonal relationships outside of therapy. In doing so, Mary integrates humor and everyday language in evidence-based therapies to educate clients along the way.
(737) 637-5137 View (737) 637-5137
Photo of Stella Lessert, Clinical Social Work/Therapist in Fayette County, TX
Stella Lessert
Clinical Social Work/Therapist, LCSW
Verified Verified
Katy, TX 77450  (Online Only)
As you have probably learned by now, life doesn't come with a road map. Life's journeys are uniquely individual! When you feel stuck, overwhelmed or seem to be going in circles, you've hit a boulder. Life transitions can be difficult, sometimes painful and tough to maneuver. They typically involve family relationships, career changes, peer interactions, or are related to loss, terminal illness, or caregiver responsibilities. Often, we experience feelings of anxiety, sadness, loneliness or fear; your not alone. Together, in a supportive, non-judgemental environment, we will explore and clarify these issues and underlying feelings.
As you have probably learned by now, life doesn't come with a road map. Life's journeys are uniquely individual! When you feel stuck, overwhelmed or seem to be going in circles, you've hit a boulder. Life transitions can be difficult, sometimes painful and tough to maneuver. They typically involve family relationships, career changes, peer interactions, or are related to loss, terminal illness, or caregiver responsibilities. Often, we experience feelings of anxiety, sadness, loneliness or fear; your not alone. Together, in a supportive, non-judgemental environment, we will explore and clarify these issues and underlying feelings.
(832) 569-7943 View (832) 569-7943
Photo of Comprehensive Mental Health in Fayette County, TX
Comprehensive Mental Health
MD, PhD, LMFT, LPC, LCSW
Verified Verified
Austin, TX 78737
High-quality psychiatric and mental health counseling services for local Texas communities. We have Psychiatrists, Psych Nurse Practitioners, Licensed Professional Counselors, Licensed Marriage and Family Therapists, and Licensed Clinical Social Workers on staff to meet any and all of your mental healthcare needs.
High-quality psychiatric and mental health counseling services for local Texas communities. We have Psychiatrists, Psych Nurse Practitioners, Licensed Professional Counselors, Licensed Marriage and Family Therapists, and Licensed Clinical Social Workers on staff to meet any and all of your mental healthcare needs.
(512) 881-8711 View (512) 881-8711
Photo of Lauren Tepfer, Counselor in Fayette County, TX
Lauren Tepfer
Counselor, LMHC
Verified Verified
1 Endorsed
Austin, TX 78701  (Online Only)
I provide individual, family, and group therapy.
I am passionate about breaking the stigma of vulnerability and reframing it as a sign of strength. Therefore, I invite my clients to take a step closer to becoming more comfortable with vulnerability. I understand that, while the past has shaped all of us and helps to explain who each person is today, I believes that each person still has the power to choose how their past experiences can help them thrive in the present and the future, and I am committed to helping my clients do just that. I also help clients build a more secure relationship with themself in order to connect with others in a more purposeful manner.
I provide individual, family, and group therapy.
I am passionate about breaking the stigma of vulnerability and reframing it as a sign of strength. Therefore, I invite my clients to take a step closer to becoming more comfortable with vulnerability. I understand that, while the past has shaped all of us and helps to explain who each person is today, I believes that each person still has the power to choose how their past experiences can help them thrive in the present and the future, and I am committed to helping my clients do just that. I also help clients build a more secure relationship with themself in order to connect with others in a more purposeful manner.
(646) 450-3064 View (646) 450-3064
Photo of Joseph Scott Anenberg, Licensed Professional Counselor in Fayette County, TX
Joseph Scott Anenberg
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
Houston, TX 77098
*LPC SUPERVISION AVAILABLE. Therapy for individuals, couples and families. I work with clients who are trying to grow healthier relationships. People who choose my practice work on the relationships they have with marriage, divorce and family, the future, the world of work, anxiety or depression, food, spirit and community.
*LPC SUPERVISION AVAILABLE. Therapy for individuals, couples and families. I work with clients who are trying to grow healthier relationships. People who choose my practice work on the relationships they have with marriage, divorce and family, the future, the world of work, anxiety or depression, food, spirit and community.
(281) 668-7803 View (281) 668-7803
Photo of Danielle Ellis, Licensed Professional Counselor in Fayette County, TX
Danielle Ellis
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
The Woodlands, TX 77382  (Online Only)
Dani provides individual, couples, and family counseling to clients who are 13 years old and over.
Danielle "Dani" Ellis is a counselor, coach, and psychotherapist who helps people having difficulty coping with emotional or behavioral problems that are affecting their happiness and peace of mind. She assists her clients by focusing on resilience, empowerment, assertiveness, and positive actionable change. Treatment is based on a wellness perspective where clients are understood, accepted, and encouraged to focus on their individual uniqueness and strengths rather than identifying with an illness or diagnosis. She helps clients heal from trauma, confront unhealthy habits, develop insight and awareness, and learn new ways to cope.
Dani provides individual, couples, and family counseling to clients who are 13 years old and over.
Danielle "Dani" Ellis is a counselor, coach, and psychotherapist who helps people having difficulty coping with emotional or behavioral problems that are affecting their happiness and peace of mind. She assists her clients by focusing on resilience, empowerment, assertiveness, and positive actionable change. Treatment is based on a wellness perspective where clients are understood, accepted, and encouraged to focus on their individual uniqueness and strengths rather than identifying with an illness or diagnosis. She helps clients heal from trauma, confront unhealthy habits, develop insight and awareness, and learn new ways to cope.
(713) 893-3989 View (713) 893-3989
Photo of Brittany (Neece) Whallen, Marriage & Family Therapist in Fayette County, TX
Brittany (Neece) Whallen
Marriage & Family Therapist, MA, LPC-S, LMFT-S
Verified Verified
9 Endorsed
Austin, TX 78759
Many of our clients come to us for issues including: Relationship struggles; Grief and Loss (including the death or loss of a loved one, loss of a job, and divorce); Anxiety; Depression; Traumatic experiences; EMDR; Life transitional issues; Difficulty within the family system; and Chronic Pain (Specifically pelvic pain).
We all go through complicated situations, some of which we don’t feel adequately prepared to handle. Most of us were never taught how to navigate these difficult struggles in healthy, constructive ways. That's why we are here. My clinical team works with a diverse variety of clientele to provide affordable counseling services to individuals, couples, and families. We want to work with you to help you overcome obstacles that you are facing, improve on aspects in your current life situation, and provide a sense of strength and hope during times that you may feel lost. Please call us for a free phone consultation.
Many of our clients come to us for issues including: Relationship struggles; Grief and Loss (including the death or loss of a loved one, loss of a job, and divorce); Anxiety; Depression; Traumatic experiences; EMDR; Life transitional issues; Difficulty within the family system; and Chronic Pain (Specifically pelvic pain).
We all go through complicated situations, some of which we don’t feel adequately prepared to handle. Most of us were never taught how to navigate these difficult struggles in healthy, constructive ways. That's why we are here. My clinical team works with a diverse variety of clientele to provide affordable counseling services to individuals, couples, and families. We want to work with you to help you overcome obstacles that you are facing, improve on aspects in your current life situation, and provide a sense of strength and hope during times that you may feel lost. Please call us for a free phone consultation.
(512) 814-6027 View (512) 814-6027
Photo of Chantel Y Smith, Licensed Professional Counselor in Fayette County, TX
Chantel Y Smith
Licensed Professional Counselor, MS, LPC-S
Verified Verified
5 Endorsed
Magnolia, TX 77354
Experienced with providing family counseling, working with blended families, families coping with terminal illnesses, depression and anxiety.
I understand that life brings unexpected transitions. During these transitions people sometimes need someone to help facilitate change, someone to listen without judgment, or voice their thoughts in order to gain a fresh perspective. The goal in counseling is to help those in crisis, navigate through grief, anger, confusion, and those who feel out of control gain control. I have worked in several inpatient hospitals and private practice for six years and that has allowed me to counsel military families, clients with suicidal thoughts or attempts, addicts, and those who struggle with psychosis.
Experienced with providing family counseling, working with blended families, families coping with terminal illnesses, depression and anxiety.
I understand that life brings unexpected transitions. During these transitions people sometimes need someone to help facilitate change, someone to listen without judgment, or voice their thoughts in order to gain a fresh perspective. The goal in counseling is to help those in crisis, navigate through grief, anger, confusion, and those who feel out of control gain control. I have worked in several inpatient hospitals and private practice for six years and that has allowed me to counsel military families, clients with suicidal thoughts or attempts, addicts, and those who struggle with psychosis.
(832) 979-7360 x1 View (832) 979-7360 x1
Photo of Thomas Brackendorff - Shire Family Counseling, LPC Associate in Fayette County, TX
Thomas Brackendorff - Shire Family Counseling
LPC Associate, MS
Verified Verified
3 Endorsed
Houston, TX 77027
At Shire Family Counseling, we would be honored to listen as you speak about your own journey, and to help you find the path that you want to take in life.
CaLm DoWn: Has anyone ever told you this before? I know, it really gets under my skin, too. Do I really need therapy? What's the point of sitting on a couch and talking with a stranger about my problems? I'm way too busy to be speaking with this guy for an hour anyway - - All of us have difficult moments in our lives that lead us to seek out therapy. Sadness can feel like it will never end. Anger is felt in our head, but we may feel judged by others for expressing it. If only there was a button we could press that would make us feel happiness. Though that magic button may not exist, we can work to create a new path together.
At Shire Family Counseling, we would be honored to listen as you speak about your own journey, and to help you find the path that you want to take in life.
CaLm DoWn: Has anyone ever told you this before? I know, it really gets under my skin, too. Do I really need therapy? What's the point of sitting on a couch and talking with a stranger about my problems? I'm way too busy to be speaking with this guy for an hour anyway - - All of us have difficult moments in our lives that lead us to seek out therapy. Sadness can feel like it will never end. Anger is felt in our head, but we may feel judged by others for expressing it. If only there was a button we could press that would make us feel happiness. Though that magic button may not exist, we can work to create a new path together.
(713) 843-7149 View (713) 843-7149
Photo of Finding Peace Counseling Center in Fayette County, TX
Finding Peace Counseling Center
MSW, LCSW
Verified Verified
2 Endorsed
The Woodlands, TX 77380
Do you feel like your life has been difficult to manage lately? Are you having family or relationship issues and feel like you need someone to help you and your loved ones understand one another? Are you concerned about recent changes you've seen in your child or teenager? No matter what challenges you may currently be facing, we strive to make sure our clients feel comfortable and supported on their journey to bettering themselves and their families and look forward to helping you Find Peace.
Do you feel like your life has been difficult to manage lately? Are you having family or relationship issues and feel like you need someone to help you and your loved ones understand one another? Are you concerned about recent changes you've seen in your child or teenager? No matter what challenges you may currently be facing, we strive to make sure our clients feel comfortable and supported on their journey to bettering themselves and their families and look forward to helping you Find Peace.
(936) 220-2143 View (936) 220-2143
Photo of Discovery Counseling Austin, Licensed Professional Counselor in Fayette County, TX
Discovery Counseling Austin
Licensed Professional Counselor, LPC-S, CEDS-S
Verified Verified
6 Endorsed
Austin, TX 78705
The path forward. That's how we think of therapy at Discovery Counseling. We're here to help you navigate the highs and lows. The challenges and triumphs. That means the hard stuff and the big transitions. The persistent issues and the seemingly small stuff too. Experience tells us that you've got all the skills and smarts you need to thrive. So we'll help you find your path and we'll follow it alongside you. Whether you're searching for mental health, career aspirations, family healing or nutrition counseling, we're here to help tap into your inner wisdom and set out on the next phase of your journey.
The path forward. That's how we think of therapy at Discovery Counseling. We're here to help you navigate the highs and lows. The challenges and triumphs. That means the hard stuff and the big transitions. The persistent issues and the seemingly small stuff too. Experience tells us that you've got all the skills and smarts you need to thrive. So we'll help you find your path and we'll follow it alongside you. Whether you're searching for mental health, career aspirations, family healing or nutrition counseling, we're here to help tap into your inner wisdom and set out on the next phase of your journey.
(512) 942-0720 View (512) 942-0720
Photo of Asma Rahim, Licensed Professional Counselor in Fayette County, TX
Asma Rahim
Licensed Professional Counselor, MA, LPC, S
Verified Verified
Sugar Land, TX 77479
Mrs. Rahim started RCCS in 2010. Her first experience in the field in 2007 was at the Veteran Hospital's Pain Clinic and In-patient Area. After Graduation, she spent some time in the Middle East and voluntarily served her time and knowledge with familial issues and women issues. She has experienced hospice and loss, & understands grief and suicide. Her years of experience is wide as she has worked with clients and their families about depression, anxiety, addiction, multi-cultural, multi-racial family and marital issues. She works well with adults and adolescents dealing with self esteem and communication issues.
Mrs. Rahim started RCCS in 2010. Her first experience in the field in 2007 was at the Veteran Hospital's Pain Clinic and In-patient Area. After Graduation, she spent some time in the Middle East and voluntarily served her time and knowledge with familial issues and women issues. She has experienced hospice and loss, & understands grief and suicide. Her years of experience is wide as she has worked with clients and their families about depression, anxiety, addiction, multi-cultural, multi-racial family and marital issues. She works well with adults and adolescents dealing with self esteem and communication issues.
(832) 308-8146 View (832) 308-8146
Photo of Dr. Cedrina Ruffin, Clinical Social Work/Therapist in Fayette County, TX
Dr. Cedrina Ruffin
Clinical Social Work/Therapist, PhD, LCSW-S
Verified Verified
Missouri City, TX 77459
I have also been trained to assist with behavioral issues, family relationship issues, ADHD, and Parenting issues.
I believe that living a peaceful life is very important to the stability of your mental health. As a Licensed Clinical Social Worker, my passion is to assist you in developing the tools you need to effectively heal, resolve issues, and achieve your desired life changes. Life can be full of many challenges, that can often present themselves at some of the most unexpected times in our lives. We are often never prepared to deal with these challenges, but somehow find a way to get through them, by reach out for assistance to help us to defeat them.
I have also been trained to assist with behavioral issues, family relationship issues, ADHD, and Parenting issues.
I believe that living a peaceful life is very important to the stability of your mental health. As a Licensed Clinical Social Worker, my passion is to assist you in developing the tools you need to effectively heal, resolve issues, and achieve your desired life changes. Life can be full of many challenges, that can often present themselves at some of the most unexpected times in our lives. We are often never prepared to deal with these challenges, but somehow find a way to get through them, by reach out for assistance to help us to defeat them.
(832) 990-1164 View (832) 990-1164
Photo of Pure Hope Counseling ,B.Dotson LPC-S, Licensed Professional Counselor in Fayette County, TX
Pure Hope Counseling ,B.Dotson LPC-S
Licensed Professional Counselor, -S, MA
Verified Verified
Houston, TX 77074
At Pure Hope Counseling, we hold relentless hope that healing, change and growth are absolutely possible for you and your family.
Although life can get messy, we can practice owning our story and loving ourselves through that process.Great therapy transforms your relationships, your confidence at and your perspective on life. AT PHC we have dedicated our life’s work to helping people like you connect with your authentic self and integrate lasting healing and change!
At Pure Hope Counseling, we hold relentless hope that healing, change and growth are absolutely possible for you and your family.
Although life can get messy, we can practice owning our story and loving ourselves through that process.Great therapy transforms your relationships, your confidence at and your perspective on life. AT PHC we have dedicated our life’s work to helping people like you connect with your authentic self and integrate lasting healing and change!
(281) 688-1632 View (281) 688-1632
Photo of Ashley D. King, Marriage & Family Therapist in Fayette County, TX
Ashley D. King
Marriage & Family Therapist, PhD, LMFT, LPC
Verified Verified
1 Endorsed
Houston, TX 77070
My theoretical approaches include family systems theory, narrative therapy, relational cultural therapy, person-centered counseling, cognitive behavioral therapy, and structural family therapy.
Do you find yourself at a crossroads in life? Are you seeking to move from being "stuck" to "unstuck"? Are you looking for additional perspectives to your issues and concerns? Difficult seasons in our lives can be expected, and sometimes our old ways of coping or adapting do not meet the need of our season. I enjoy working with clients, their family, and support system in exercising autonomy to choose what is best for them. I believe you can adapt to meet the need of your season without losing the essence of what makes you, you.
My theoretical approaches include family systems theory, narrative therapy, relational cultural therapy, person-centered counseling, cognitive behavioral therapy, and structural family therapy.
Do you find yourself at a crossroads in life? Are you seeking to move from being "stuck" to "unstuck"? Are you looking for additional perspectives to your issues and concerns? Difficult seasons in our lives can be expected, and sometimes our old ways of coping or adapting do not meet the need of our season. I enjoy working with clients, their family, and support system in exercising autonomy to choose what is best for them. I believe you can adapt to meet the need of your season without losing the essence of what makes you, you.
(281) 973-0358 View (281) 973-0358
Photo of Jessica L. Warren, Licensed Professional Counselor in Fayette County, TX
Jessica L. Warren
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Round Rock, TX 78665
I have been serving adults and couples in the Round Rock/Austin area for over 15 years. My passion is working with adults with various different presenting issues, including loss and grief, marriage/relationship concerns, and trauma. It is my belief that a sound therapeutic relationship is a foundation for healing and I seek to provide that for all of my clients. Through this therapeutic relationship, and through a variety of treatment modalities including Object-Relations, Psychoanalytic, and Internal Family Systems, I strive to assist my clients in finding solutions to their concerns that work for their unique situations.
I have been serving adults and couples in the Round Rock/Austin area for over 15 years. My passion is working with adults with various different presenting issues, including loss and grief, marriage/relationship concerns, and trauma. It is my belief that a sound therapeutic relationship is a foundation for healing and I seek to provide that for all of my clients. Through this therapeutic relationship, and through a variety of treatment modalities including Object-Relations, Psychoanalytic, and Internal Family Systems, I strive to assist my clients in finding solutions to their concerns that work for their unique situations.
(512) 865-6701 View (512) 865-6701
Photo of Behavioral Solutions of Texas, LLC, Clinical Social Work/Therapist in Fayette County, TX
Behavioral Solutions of Texas, LLC
Clinical Social Work/Therapist, MSSW, LCSW-S
Verified Verified
Humble, TX 77338
Our goal is to help you see yourself, your family and others around you with a new perspective.
We are a group practice with diverse capabilities to assist you in transitioning into the life and happiness you deserve. Our job is to help you see what's "Right" about you and convert your strengths into the energy that already exists within you. There's no doubt in our minds that you can do this. If there's some doubt or hesitance in you we can help see you through that tiny, paper thin veil that holds you in a place you hope to move through. No two ways about this... you deserve to choose life. YOU CANNOT BE REPLACED!
Our goal is to help you see yourself, your family and others around you with a new perspective.
We are a group practice with diverse capabilities to assist you in transitioning into the life and happiness you deserve. Our job is to help you see what's "Right" about you and convert your strengths into the energy that already exists within you. There's no doubt in our minds that you can do this. If there's some doubt or hesitance in you we can help see you through that tiny, paper thin veil that holds you in a place you hope to move through. No two ways about this... you deserve to choose life. YOU CANNOT BE REPLACED!
(832) 793-8875 View (832) 793-8875
Photo of Aysha Hussaini, Clinical Social Work/Therapist in Fayette County, TX
Aysha Hussaini
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Pearland, TX 77584
My clinical experience includes working with adolescents and adults providing individual, family, and group therapy.
Whatever your reasons for finding a therapist, I am glad that you have taken this step. As a client-centered therapist, I believe that you are a unique individual, and will make it my goal to help you live your best life. It is not my job to tell you what to do but to provide a safe, comfortable space in which we will work together to navigate your journey. We will use evidence-based treatments, including Cognitive Behavioral Therapy, Trauma-focused Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solution-focused Therapy, Motivational Interviewing, and Strengths-based techniques to work on your goals.
My clinical experience includes working with adolescents and adults providing individual, family, and group therapy.
Whatever your reasons for finding a therapist, I am glad that you have taken this step. As a client-centered therapist, I believe that you are a unique individual, and will make it my goal to help you live your best life. It is not my job to tell you what to do but to provide a safe, comfortable space in which we will work together to navigate your journey. We will use evidence-based treatments, including Cognitive Behavioral Therapy, Trauma-focused Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solution-focused Therapy, Motivational Interviewing, and Strengths-based techniques to work on your goals.
(281) 559-7264 View (281) 559-7264

See more therapy options for Fayette County

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.