Photo of Rise Counseling & Wellness Center, Licensed Professional Counselor in League City, TX
Rise Counseling & Wellness Center
Licensed Professional Counselor, MA, LPC-S, RPT-S
Verified Verified
League City, TX 77573
Rise Counseling and Wellness offers individual therapy, family and couples therapy and play therapy for young children. We strive to reduce the impact of mental illness, family conflict, and trauma, increasing the resilience of our clients and the world we live in. We believe each person has the innate ability to rise above and grow from life's challenges. We are committed to being your partner in your journey to overcome. We approach therapy from a systemic perspective, recognizing the significance of generational experiences, society and culture on your life today.
Rise Counseling and Wellness offers individual therapy, family and couples therapy and play therapy for young children. We strive to reduce the impact of mental illness, family conflict, and trauma, increasing the resilience of our clients and the world we live in. We believe each person has the innate ability to rise above and grow from life's challenges. We are committed to being your partner in your journey to overcome. We approach therapy from a systemic perspective, recognizing the significance of generational experiences, society and culture on your life today.
(936) 463-0280 View (936) 463-0280
Photo of Brian Schulz, Licensed Professional Counselor in League City, TX
Brian Schulz
Licensed Professional Counselor, MSEd, LPHA, LPC, LCDC, CCPT
Verified Verified
1 Endorsed
League City, TX 77573
If you are not at your best right now, feeling bored, sad, anxious, unmotivated, or even helpless, please give me a call. We can set up a free phone consultation and if you're interested, a first appointment. Counseling can help individuals, couples, and families dealing with difficult times and behavioral challenges. Call now to set up your first appointment. You can make a change and counseling can help. Your goals are my goals! Happiness is something we create. No one can make you happy. You create your happiness. There is hope. Hopeful Texas, PLLC
If you are not at your best right now, feeling bored, sad, anxious, unmotivated, or even helpless, please give me a call. We can set up a free phone consultation and if you're interested, a first appointment. Counseling can help individuals, couples, and families dealing with difficult times and behavioral challenges. Call now to set up your first appointment. You can make a change and counseling can help. Your goals are my goals! Happiness is something we create. No one can make you happy. You create your happiness. There is hope. Hopeful Texas, PLLC
(281) 549-4705 View (281) 549-4705

More Therapists Nearby

Photo of Wellspring Behavioral Health, Psychologist in League City, TX
Wellspring Behavioral Health
Psychologist, PsyD, LP
Verified Verified
Webster, TX 77598  (Online Only)
At Wellspring Behavioral Health, we provide psychological counseling and testing, including individual and family services for adults, adolescents, children, and families in the Austin, Texas metro area.
The predominant perspective at Wellspring Behavioral Health is holistic. which regards people and communities as wholes, not just parts pieced together. That means that your physical, psychological, spiritual, behavioral and other "selves" are all intertwined, acting together and impacting one another. Similarly, you live in a family, workplace, and community which influence and are influenced by you. In concrete terms this means that any difficulty that may bring you to see a counselor is seen from a broad perspective opening a wealth of insight and ability to respond.
At Wellspring Behavioral Health, we provide psychological counseling and testing, including individual and family services for adults, adolescents, children, and families in the Austin, Texas metro area.
The predominant perspective at Wellspring Behavioral Health is holistic. which regards people and communities as wholes, not just parts pieced together. That means that your physical, psychological, spiritual, behavioral and other "selves" are all intertwined, acting together and impacting one another. Similarly, you live in a family, workplace, and community which influence and are influenced by you. In concrete terms this means that any difficulty that may bring you to see a counselor is seen from a broad perspective opening a wealth of insight and ability to respond.
(512) 521-3718 View (512) 521-3718
Photo of Pablo (Paul) Martinez, Licensed Professional Counselor in League City, TX
Pablo (Paul) Martinez
Licensed Professional Counselor, MS,, LPC,, LCDC
Verified Verified
1 Endorsed
Friendswood, TX 77546
I am currently accepting new clients and I am able to provide telehealth and in person counseling. I am dually licensed as a Licensed Professional Counselor (LPC) and a Licensed Chemical Dependency Counselor (LCDC). I have recently gained EMDR therapy training and I invite you to take your next step towards healing.
I am currently accepting new clients and I am able to provide telehealth and in person counseling. I am dually licensed as a Licensed Professional Counselor (LPC) and a Licensed Chemical Dependency Counselor (LCDC). I have recently gained EMDR therapy training and I invite you to take your next step towards healing.
(361) 203-2612 View (361) 203-2612

Online Therapists

Photo of David Christopher Estes, Licensed Professional Counselor in League City, TX
David Christopher Estes
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
The Woodlands, TX 77380
I have 20+ years of experience as a licensed clinician. During that time, I have taken many roles within the helping professions - first responder, therapist, supervisor, university professor and clinical director, to name a few. I work with many situations and would like to see if I can assist you. I work with ages 15 and up and see clients in many modalities, including individual, couple, family and group therapy sessions. I have significant experience with crisis management & intervention, assessment & diagnosis, clients who are prescribed psychotropic medications and professionals in high-stress careers (Health, LEOs, Law, Ed.).
I have 20+ years of experience as a licensed clinician. During that time, I have taken many roles within the helping professions - first responder, therapist, supervisor, university professor and clinical director, to name a few. I work with many situations and would like to see if I can assist you. I work with ages 15 and up and see clients in many modalities, including individual, couple, family and group therapy sessions. I have significant experience with crisis management & intervention, assessment & diagnosis, clients who are prescribed psychotropic medications and professionals in high-stress careers (Health, LEOs, Law, Ed.).
(936) 227-5403 View (936) 227-5403
Photo of Tamra White Truman, Licensed Professional Counselor in League City, TX
Tamra White Truman
Licensed Professional Counselor, LPCC
Verified Verified
Houston, TX 77057
Tamra White, Licensed Professional Counselor and Supervisor. I have been in individual practice for 18 years. I specialize in several areas of human behavior, including depression, anxiety, marriage/family, as well as LGBTQ + issues. My client focus encompasses family issues, anxiety, depression, adolescent concerns, as well as the LGBTQ + community.
Tamra White, Licensed Professional Counselor and Supervisor. I have been in individual practice for 18 years. I specialize in several areas of human behavior, including depression, anxiety, marriage/family, as well as LGBTQ + issues. My client focus encompasses family issues, anxiety, depression, adolescent concerns, as well as the LGBTQ + community.
(281) 215-5474 View (281) 215-5474
Photo of Wendy Williams, LPC, Licensed Professional Counselor in League City, TX
Wendy Williams, LPC
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Katy, TX 77494
AFTERNOON APPOINTMENTS AVAILABLE! Are you or your family struggling emotionally with life's challenges, you have tried everything to fix the problem with no avail, and you don't know where else to turn? I can help. Through focusing on your strengths, helping you create healthy habits, and teaching you healthy coping skills, I can help you and/or your family cope with and overcome family issues/couples issues, mental illness, work through struggles you may face during each stage of life, and work through traumatic life experiences so you can live a life free of emotional pain.
AFTERNOON APPOINTMENTS AVAILABLE! Are you or your family struggling emotionally with life's challenges, you have tried everything to fix the problem with no avail, and you don't know where else to turn? I can help. Through focusing on your strengths, helping you create healthy habits, and teaching you healthy coping skills, I can help you and/or your family cope with and overcome family issues/couples issues, mental illness, work through struggles you may face during each stage of life, and work through traumatic life experiences so you can live a life free of emotional pain.
(832) 734-9102 View (832) 734-9102
Photo of Colton Rouse, Licensed Professional Counselor in League City, TX
Colton Rouse
Licensed Professional Counselor, MA, LPC, LMFT
Verified Verified
1 Endorsed
Houston, TX 77002  (Online Only)
Licensed as both a Professional Counselor and a Marriage & Family Therapist, I bring knowledge and experience from both fields into my work.
I'm proud of you. Awareness is the first step and searching for a therapist means you are already on a path to self-betterment. My role is to be a companion, someone to walk that path with you and help unlock personal insights and perspectives to improve your quality of life. Change is the unknown, so it is scary and difficult. We can become too comfortable in our routine of life, but your presence here means you are ready for the next adventure. Allow me to connect with you to fulfill my life's purpose and help you reach your full potential. You are not alone and you are cared for, even by people you haven't met yet.
Licensed as both a Professional Counselor and a Marriage & Family Therapist, I bring knowledge and experience from both fields into my work.
I'm proud of you. Awareness is the first step and searching for a therapist means you are already on a path to self-betterment. My role is to be a companion, someone to walk that path with you and help unlock personal insights and perspectives to improve your quality of life. Change is the unknown, so it is scary and difficult. We can become too comfortable in our routine of life, but your presence here means you are ready for the next adventure. Allow me to connect with you to fulfill my life's purpose and help you reach your full potential. You are not alone and you are cared for, even by people you haven't met yet.
(512) 890-3105 View (512) 890-3105
Photo of Danielle Ellis, Licensed Professional Counselor in League City, 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 Sheri Dunn, Clinical Social Work/Therapist in League City, TX
Sheri Dunn
Clinical Social Work/Therapist, MEd, LPC
Verified Verified
Shenandoah, TX 77384
With a Master of Education in Marriage and Family Counseling from Lamar University and a bachelors in General Studies with a concentration in Psychology from Southern New Hampshire University, my education has well prepared me to offer evidence based treatments such as CBT, Solution Focused Therapy, and Rational Emotive Therapy to clients of all ages.
My strongest belief as a therapist is that there must be a connection between therapist and client, one of trust and respect. Not all therapists are a right fit for you, you have to find the therapist you connect with. I have worked with individuals and their families to gain skills for coping with and managing issues surrounding depression, anxiety, bipolar disorder, PTSD, and behavioral struggles along with relational and personal issues. I have worked with adolescents in hospital outpatient settings as well as private practice. I have experience working with children, adult individuals, couples, and families.
With a Master of Education in Marriage and Family Counseling from Lamar University and a bachelors in General Studies with a concentration in Psychology from Southern New Hampshire University, my education has well prepared me to offer evidence based treatments such as CBT, Solution Focused Therapy, and Rational Emotive Therapy to clients of all ages.
My strongest belief as a therapist is that there must be a connection between therapist and client, one of trust and respect. Not all therapists are a right fit for you, you have to find the therapist you connect with. I have worked with individuals and their families to gain skills for coping with and managing issues surrounding depression, anxiety, bipolar disorder, PTSD, and behavioral struggles along with relational and personal issues. I have worked with adolescents in hospital outpatient settings as well as private practice. I have experience working with children, adult individuals, couples, and families.
(936) 237-7915 View (936) 237-7915
Photo of Woodnote Counseling, PLLC in League City, TX
Woodnote Counseling, PLLC
M, Ed, LPC-S
Verified Verified
Houston, TX 77066
A challenging responsibility in life is to heal emotional wounds. Family crisis, divorce, losses, anxiety or having a child with emotional or intellectual barriers to be successful in life without finding the desired answer creates frustration and distress. Psychotherapy as an alternative isn't the easiest answer but could be insightful and resilient. Children with developmental difficulties, learning disabilities, autism or conduct disorders can benefit from a holistic approach that considers the healing of their emotional pain as resource for reaching developmental goals. I work with a collaborative approach. You will discover your own potential and solutions to your specific circumstance.
A challenging responsibility in life is to heal emotional wounds. Family crisis, divorce, losses, anxiety or having a child with emotional or intellectual barriers to be successful in life without finding the desired answer creates frustration and distress. Psychotherapy as an alternative isn't the easiest answer but could be insightful and resilient. Children with developmental difficulties, learning disabilities, autism or conduct disorders can benefit from a holistic approach that considers the healing of their emotional pain as resource for reaching developmental goals. I work with a collaborative approach. You will discover your own potential and solutions to your specific circumstance.
(956) 290-8606 View (956) 290-8606
Photo of Dr. Roger D. Vazquez, Licensed Professional Counselor in League City, TX
Dr. Roger D. Vazquez
Licensed Professional Counselor, PhD, LPC, LCDC
Verified Verified
Sugar Land, TX 77478
I have experience working with a wide variety of life problems and mental health disorders, but my primary interests include depression, anxiety, bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), Post Traumatic Stress Disorder (PTSD), academic issues, panic/phobias, anger management, addiction, couples, marriage, and family relationship issues.
I have experience working with a wide variety of life problems and mental health disorders, but my primary interests include depression, anxiety, bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), Post Traumatic Stress Disorder (PTSD), academic issues, panic/phobias, anger management, addiction, couples, marriage, and family relationship issues.
(281) 666-9607 View (281) 666-9607
Photo of Ashley Frederick, Licensed Professional Counselor in League City, TX
Ashley Frederick
Licensed Professional Counselor, MA, LPC
Verified Verified
Kingwood, TX 77339
Someone once asked me, "Ashley, what is the number one thing that brings people to counseling?" I laughed and answered, "PEOPLE. People bring people to therapy!" We've all heard that adage: "People go to therapy for the people in their life that WON’T go to therapy”, and it's funny because it's absolutely true! As a professional counselor, I have never met someone who didn't have a story. Everyone has PEOPLE! Everyone has family struggles and relationship issues. Everyone has trouble processing emotions when they feel overwhelmed. Everyone needs someone to confide in and feel safe with, and that's what therapy can be for you.
Someone once asked me, "Ashley, what is the number one thing that brings people to counseling?" I laughed and answered, "PEOPLE. People bring people to therapy!" We've all heard that adage: "People go to therapy for the people in their life that WON’T go to therapy”, and it's funny because it's absolutely true! As a professional counselor, I have never met someone who didn't have a story. Everyone has PEOPLE! Everyone has family struggles and relationship issues. Everyone has trouble processing emotions when they feel overwhelmed. Everyone needs someone to confide in and feel safe with, and that's what therapy can be for you.
(346) 699-2310 View (346) 699-2310
Photo of Miracle Obeta, Clinical Social Work/Therapist in League City, TX
Miracle Obeta
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Katy, TX 77494
Wondering how you can finally get that peace of mind about the problem that's been heavy on you for many years? Suffered a loss in the family? Are you having medical adjustment related issues at work? Is your work environment inducing too much stress? No matter the problem, we can figure out what went wrong, bring clarity, healing, and a new perspective.
You're probably wondering how I can best meet your therapeutic needs. With so many options out there, I wouldn't blame you. The truth is that we'll both work together to identity what those needs are, starting exactly where you're comfortable, and working together to ignite clarity, bring about healing, and restore hope within you or your family, one therapeutic session at a time. With over seven years of experience working with patients in the medical field, children/families in child welfare and mental health institutions, you'll be attended to with the most up to date evidence based practice tools and methods.
Wondering how you can finally get that peace of mind about the problem that's been heavy on you for many years? Suffered a loss in the family? Are you having medical adjustment related issues at work? Is your work environment inducing too much stress? No matter the problem, we can figure out what went wrong, bring clarity, healing, and a new perspective.
You're probably wondering how I can best meet your therapeutic needs. With so many options out there, I wouldn't blame you. The truth is that we'll both work together to identity what those needs are, starting exactly where you're comfortable, and working together to ignite clarity, bring about healing, and restore hope within you or your family, one therapeutic session at a time. With over seven years of experience working with patients in the medical field, children/families in child welfare and mental health institutions, you'll be attended to with the most up to date evidence based practice tools and methods.
(405) 784-5248 View (405) 784-5248
Photo of Dr. Kinnari Birla, Psychologist in League City, TX
Dr. Kinnari Birla
Psychologist, PsyD
Verified Verified
Pearland, TX 77584  (Online Only)
We are accepting clients for individual, couples, family, children and adolescents.
There is no greater agony than bearing an untold story inside you, as stated by Dr. Maya Angelou, resonates deeply with our mission at Elvive Psychological Services. Founded by Dr. Birla, our practice is dedicated to empowering individuals to have a voice. Our therapists act as catalysts in your journey, offering a safe and supportive environment to foster psychological flexibility amidst life's trials. Committed to inclusivity, we serve a diverse population with various emotional and behavioral challenges. Our clinical approaches are rooted in evidence-based and culturally sensitive care, customized to meet needs of each client.
We are accepting clients for individual, couples, family, children and adolescents.
There is no greater agony than bearing an untold story inside you, as stated by Dr. Maya Angelou, resonates deeply with our mission at Elvive Psychological Services. Founded by Dr. Birla, our practice is dedicated to empowering individuals to have a voice. Our therapists act as catalysts in your journey, offering a safe and supportive environment to foster psychological flexibility amidst life's trials. Committed to inclusivity, we serve a diverse population with various emotional and behavioral challenges. Our clinical approaches are rooted in evidence-based and culturally sensitive care, customized to meet needs of each client.
(281) 949-6371 View (281) 949-6371
Photo of SKT Therapy Inc. (Shannon), Marriage & Family Therapist in League City, TX
SKT Therapy Inc. (Shannon)
Marriage & Family Therapist, LMFT, NCPM, LAADCCA, M-RAS
Verified Verified
Houston, TX 77074  (Online Only)
Culturally Competent Licensed Marriage Family Therapist (LMFT), and Nationally Certified Professional Mediator (NCPM). I have over 10 years of experience working with children, adolescents, teens, individuals, couples, and families from culturally diverse populations on a wide range of issues and concerns. It is my belief that once the relationship between thoughts, feelings, and behaviors is understood, one is then able to modify or change their pattern(s) of thinking to cope with stressors in a more positive manner.
Culturally Competent Licensed Marriage Family Therapist (LMFT), and Nationally Certified Professional Mediator (NCPM). I have over 10 years of experience working with children, adolescents, teens, individuals, couples, and families from culturally diverse populations on a wide range of issues and concerns. It is my belief that once the relationship between thoughts, feelings, and behaviors is understood, one is then able to modify or change their pattern(s) of thinking to cope with stressors in a more positive manner.
(844) 444-4520 View (844) 444-4520
Photo of Asma Rahim, Licensed Professional Counselor in League City, 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 Kathy P Wu, Psychologist in League City, TX
Kathy P Wu
Psychologist, PhD
Verified Verified
Houston, TX 77025  (Online Only)
My clients often share that they feel heard, seen, and celebrated as individuals throughout therapy. I apply research-backed, trauma-informed, multi-culturally competent individual therapy to instill hope, self-compassion, and empowerment in young people. Through gentle guidance, developmentally appropriate psychoeducation, and empathic listening, my clients are able to tap into their inner strengths and vulnerabilities, and learn to tolerate discomforts and-- once and for all-- conquer their fears and insecurities.
My clients often share that they feel heard, seen, and celebrated as individuals throughout therapy. I apply research-backed, trauma-informed, multi-culturally competent individual therapy to instill hope, self-compassion, and empowerment in young people. Through gentle guidance, developmentally appropriate psychoeducation, and empathic listening, my clients are able to tap into their inner strengths and vulnerabilities, and learn to tolerate discomforts and-- once and for all-- conquer their fears and insecurities.
(215) 515-8355 View (215) 515-8355
Photo of Eduardo Salazar, Licensed Professional Counselor in League City, TX
Eduardo Salazar
Licensed Professional Counselor, MS, MA, LPC-S
Verified Verified
3 Endorsed
Houston, TX 77066
I am a Licensed Professional Counselor-Supervisor, working with children, adolescents, families, couples for pre-marriage & marriage counseling. People struggle with are grief/loss, anxiety, depression, infidelity & traumatic experiences that require Crisis/Critical Incident Response/Debriefing. People want to resolve internal emotional conflict & interpersonal conflict with others to achieve reconciliation. Everyone has, is, or will suffer in the future. Life is challenging. I help people overcome obstacles, turn them into opportunities, learn from loss & achieve their goals. I help, hurting people, heal.
I am a Licensed Professional Counselor-Supervisor, working with children, adolescents, families, couples for pre-marriage & marriage counseling. People struggle with are grief/loss, anxiety, depression, infidelity & traumatic experiences that require Crisis/Critical Incident Response/Debriefing. People want to resolve internal emotional conflict & interpersonal conflict with others to achieve reconciliation. Everyone has, is, or will suffer in the future. Life is challenging. I help people overcome obstacles, turn them into opportunities, learn from loss & achieve their goals. I help, hurting people, heal.
(713) 581-3973 View (713) 581-3973
Photo of Renewing Hope Counseling in League City, TX
Renewing Hope Counseling
PhD, NCC, LPC-S, RPT, NP
Verified Verified
4 Endorsed
Houston, TX 77079
Individuals were not designed to go through the challenges of life alone. Renewing Hope and Children's Hope Counseling is dedicated to helping you navigate these challenges and find paths to new places of HOPE and PEACE. RHC offers individual therapy for children and adults as well as couples counseling, assessments, and medication management.
Individuals were not designed to go through the challenges of life alone. Renewing Hope and Children's Hope Counseling is dedicated to helping you navigate these challenges and find paths to new places of HOPE and PEACE. RHC offers individual therapy for children and adults as well as couples counseling, assessments, and medication management.
(713) 352-7979 View (713) 352-7979

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.