Family Therapy in Longmeadow, MA

Photo of John J Maloney, Counselor in Longmeadow, MA
John J Maloney
Counselor, LMHC
Verified Verified
Longmeadow, MA 01106
I also believe in treating the whole family system, when possible, and feel that the best way to ensure sustainable change is to support and strengthen more than just the individual.
I've been a mental health professional for 25 years and have spent that time challenging and supporting teens, adults, couples and families facing a myriad of mental health, addiction and life-transition related issues. I have extensive experience working with local school professionals and also thoroughly enjoy working directly with teens and young adults around life-choices, healthy relationships and transition-related challenges as they venture into adulthood. Finally, I provide couples and families support to aid in navigating the demands of marriage, relationships, divorce, parenting and other life stressors.
I also believe in treating the whole family system, when possible, and feel that the best way to ensure sustainable change is to support and strengthen more than just the individual.
I've been a mental health professional for 25 years and have spent that time challenging and supporting teens, adults, couples and families facing a myriad of mental health, addiction and life-transition related issues. I have extensive experience working with local school professionals and also thoroughly enjoy working directly with teens and young adults around life-choices, healthy relationships and transition-related challenges as they venture into adulthood. Finally, I provide couples and families support to aid in navigating the demands of marriage, relationships, divorce, parenting and other life stressors.
(413) 384-5251 View (413) 384-5251
Photo of Ellen Piper Therapy, Marriage & Family Therapist in Longmeadow, MA
Ellen Piper Therapy
Marriage & Family Therapist, MS, LMFT
Verified Verified
Longmeadow, MA 01106
We all deserve to feel a sense of harmony in our family life, enjoyment in our friendships, and good relationships with co-workers and acquaintances.
Additional EVENING spots now available. Accepting United Health Care, Always Health, and Health New England insurance. When struggling with your emotional health, it is hard to be happy. There are many aspects of our lives that define our emotional connectedness to others and our own happiness. When we experience anxiety, depression, anger, and/or grief, we suffer. Our suffering touches all parts of our life, both personal and professional. Sometimes, things just aren’t right. When you feel unhealthy, due to a difficult relationship or your behaviors are hurtful to yourself or others, life can be difficult.
We all deserve to feel a sense of harmony in our family life, enjoyment in our friendships, and good relationships with co-workers and acquaintances.
Additional EVENING spots now available. Accepting United Health Care, Always Health, and Health New England insurance. When struggling with your emotional health, it is hard to be happy. There are many aspects of our lives that define our emotional connectedness to others and our own happiness. When we experience anxiety, depression, anger, and/or grief, we suffer. Our suffering touches all parts of our life, both personal and professional. Sometimes, things just aren’t right. When you feel unhealthy, due to a difficult relationship or your behaviors are hurtful to yourself or others, life can be difficult.
(215) 987-4373 View (215) 987-4373
Cheryl Bonica
Psychologist, PhD
Verified Verified
Longmeadow, MA 01106
Please feel free to call if you have questions about individual or family.
Currently, I am accepting new patients! I welcome college students returning home seeking therapy. I also welcome adults wanting cognitive-behavioral therapy (CBT) for anxiety, OCD, or eating disorders. I I am a clinical psychologist with 20+ years of experience providing psychological services to children, adolescents, young adults, and families. My areas of specialty include working with teenagers and children with anxiety, OCD, eating disorders. More recently, I have expanded my treatment services to provide therapy for adults with anxiety disorders and eating disorders.
Please feel free to call if you have questions about individual or family.
Currently, I am accepting new patients! I welcome college students returning home seeking therapy. I also welcome adults wanting cognitive-behavioral therapy (CBT) for anxiety, OCD, or eating disorders. I I am a clinical psychologist with 20+ years of experience providing psychological services to children, adolescents, young adults, and families. My areas of specialty include working with teenagers and children with anxiety, OCD, eating disorders. More recently, I have expanded my treatment services to provide therapy for adults with anxiety disorders and eating disorders.
(413) 207-9095 View (413) 207-9095
Photo of E. M. Garrigan, Counselor in Longmeadow, MA
E. M. Garrigan
Counselor, LMHC, MS, CS
Verified Verified
Longmeadow, MA 01106
The stress of daily life can affect us in different areas; career, financial, relationship and family issues. As time passes, if we are not mindful of behaviors, things can fester increasing symptoms of anxiety, and depression. My approach is to unravel false belief systems, with either solution focused, and at the Client's choice, a psycho-dynamic, psychotherapy approach. Sometimes we need to look at the past. I believe it is acceptable to focus on present day solutions. Overwhelming feelings can be a detour to our true authentic selves. Counseling is to effectively set, and achieve, goals to be our true, unique, authentic selves.
The stress of daily life can affect us in different areas; career, financial, relationship and family issues. As time passes, if we are not mindful of behaviors, things can fester increasing symptoms of anxiety, and depression. My approach is to unravel false belief systems, with either solution focused, and at the Client's choice, a psycho-dynamic, psychotherapy approach. Sometimes we need to look at the past. I believe it is acceptable to focus on present day solutions. Overwhelming feelings can be a detour to our true authentic selves. Counseling is to effectively set, and achieve, goals to be our true, unique, authentic selves.
(413) 213-3589 View (413) 213-3589
Photo of Maria Del Mar Farina, Clinical Social Work/Therapist in Longmeadow, MA
Maria Del Mar Farina
Clinical Social Work/Therapist, Ph, D, LICSW
Verified Verified
Longmeadow, MA 01106  (Online Only)
I am a bilingual (Spanish/English) bicultural, LICSW, clinical social worker. I obtained my MSW and PhD degrees from Smith College, School for Social Work. I have worked in the mental health field for over 25 years providing individual and family therapy to adults, children, adolescents and couples. I specialize in parent-child and sibling conflict, depression, grief/loss, domestic violence, anxiety, trauma, acculturation, relocation/immigration and life transitions. I am also an Associate Professor at Westfield State University, and adjunct faculty at Columbia University, Smith College and Boston University.
I am a bilingual (Spanish/English) bicultural, LICSW, clinical social worker. I obtained my MSW and PhD degrees from Smith College, School for Social Work. I have worked in the mental health field for over 25 years providing individual and family therapy to adults, children, adolescents and couples. I specialize in parent-child and sibling conflict, depression, grief/loss, domestic violence, anxiety, trauma, acculturation, relocation/immigration and life transitions. I am also an Associate Professor at Westfield State University, and adjunct faculty at Columbia University, Smith College and Boston University.
(413) 337-1973 View (413) 337-1973
Heather L Sykes
Clinical Social Work/Therapist, LICSW
Verified Verified
Longmeadow, MA 01106
Anxiety, depression, family stress, and identifying patterns of toxic communication are examples of the type of insight-oriented issues I assist clients to address.
I understand that people seek out therapy often times looking for solutions to issues impacting their daily lives. My therapeutic approach is nurturing, interactive, strength-based and solution-focused. Using empathy, compassion, humor, and an objective perspective, I collaborate with clients to develop an effective approach to their current life challenges as well as addressing long standing personal, familial, and relationship concerns. I work to assist clients in accessing their own unique strengths and resources to create an attainable, ongoing plan to reduce their stress and life struggles.
Anxiety, depression, family stress, and identifying patterns of toxic communication are examples of the type of insight-oriented issues I assist clients to address.
I understand that people seek out therapy often times looking for solutions to issues impacting their daily lives. My therapeutic approach is nurturing, interactive, strength-based and solution-focused. Using empathy, compassion, humor, and an objective perspective, I collaborate with clients to develop an effective approach to their current life challenges as well as addressing long standing personal, familial, and relationship concerns. I work to assist clients in accessing their own unique strengths and resources to create an attainable, ongoing plan to reduce their stress and life struggles.
(413) 729-3169 View (413) 729-3169
Photo of Charles A. Dooley, Psychologist in Longmeadow, MA
Charles A. Dooley
Psychologist, PhD
Verified Verified
Longmeadow, MA 01106
I am a licensed clinical psychologist who specializes in comprehensive psychological and neuropsychological evaluation. Most referrals reflect concerns around life-long problems as well as recent changes in functioning that concern friends and family. Most of the time, patients and their families/supports are looking for empathy and clarification around real-world problems. This in-depth clarification allows for real-world treatment recommendations that can make a difference. Lengths are taken to minimize time in office. These include telephone and video interviews as well as electronically submitted forms and fact sheets.
I am a licensed clinical psychologist who specializes in comprehensive psychological and neuropsychological evaluation. Most referrals reflect concerns around life-long problems as well as recent changes in functioning that concern friends and family. Most of the time, patients and their families/supports are looking for empathy and clarification around real-world problems. This in-depth clarification allows for real-world treatment recommendations that can make a difference. Lengths are taken to minimize time in office. These include telephone and video interviews as well as electronically submitted forms and fact sheets.
(413) 477-5570 View (413) 477-5570
Photo of Matthew Despard, Counselor in Longmeadow, MA
Matthew Despard
Counselor, LMHC
Verified Verified
Longmeadow, MA 01106
Life is constantly changing. Navigating these changes can be incredibly difficult. Chances are at some point most us will experience difficulties in our careers, intimate relationships, family relationships, and in relation to ourselves. Many of us, at some point, will face the impact of trauma, loss, addiction, anxiety, or depression. It is normal to feel overwhelmed, stuck, and helpless at times to deal with the mosaic of challenges life presents us. These challenges get in the way of living the life we want. If you're ready to take your life back you've come to the right place. Longmeadow-Counseling.com
Life is constantly changing. Navigating these changes can be incredibly difficult. Chances are at some point most us will experience difficulties in our careers, intimate relationships, family relationships, and in relation to ourselves. Many of us, at some point, will face the impact of trauma, loss, addiction, anxiety, or depression. It is normal to feel overwhelmed, stuck, and helpless at times to deal with the mosaic of challenges life presents us. These challenges get in the way of living the life we want. If you're ready to take your life back you've come to the right place. Longmeadow-Counseling.com
(413) 259-4085 View (413) 259-4085
Photo of Kasia Novak, Marriage & Family Therapist in Longmeadow, MA
Kasia Novak
Marriage & Family Therapist, LMFT
Verified Verified
Longmeadow, MA 01106  (Online Only)
Therapeutic alliance and connection are essential for couples and family therapy to be successful. My strengths lie in joining with couples and families to guide them to hope, reconnection and renewed understanding. I like to jump into the spaces between partners and family members to explore things from mutual vantage points. I'm continually amazed and humbled by people's capacity to grow when given the right support, tools and incentives for positive change in their lives.
Therapeutic alliance and connection are essential for couples and family therapy to be successful. My strengths lie in joining with couples and families to guide them to hope, reconnection and renewed understanding. I like to jump into the spaces between partners and family members to explore things from mutual vantage points. I'm continually amazed and humbled by people's capacity to grow when given the right support, tools and incentives for positive change in their lives.
(413) 420-5874 View (413) 420-5874
Photo of Lindsay Schulz, Clinical Social Work/Therapist in Longmeadow, MA
Lindsay Schulz
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Longmeadow, MA 01106  (Online Only)
Do you often feel overwhelmed, exhausted or like your emotions are out of your control? Are your relationships, self-care, health, work and family pulling you in a millions directions when you feel like you have nothing left to give? Are you struggling to adapt to the changes that a relationship or new parenthood have brought upon you? What about that inner voice that tells you that you aren't enough, you aren't doing it right, and everyone else has something figured out that you can't quite pin down?
Do you often feel overwhelmed, exhausted or like your emotions are out of your control? Are your relationships, self-care, health, work and family pulling you in a millions directions when you feel like you have nothing left to give? Are you struggling to adapt to the changes that a relationship or new parenthood have brought upon you? What about that inner voice that tells you that you aren't enough, you aren't doing it right, and everyone else has something figured out that you can't quite pin down?
(413) 331-7893 View (413) 331-7893
Photo of Jane Garcia, Licensed Professional Counselor in Longmeadow, MA
Jane Garcia
Licensed Professional Counselor, LMHC, LPC, ATR-BC
Verified Verified
3 Endorsed
Longmeadow, MA 01106  (Online Only)
3/28/24: Telehealth only. Six hr time difference ahead of EST, with weekday morning and Sunday hours. I am a board-certified art therapist and licensed professional counselor with 17 years of clinical experience. I specialize in early childhood mental health and work with all ages. I trust in the wisdom of clients' abilities to explore their own themes, symbols, and stories. Because we all develop our senses of self and safety within the context of early relationships, family/relationship-based work is essential. I am trauma and polyvagal theory-informed. My approach is flexible, solution-focused, and non-judgmental.
3/28/24: Telehealth only. Six hr time difference ahead of EST, with weekday morning and Sunday hours. I am a board-certified art therapist and licensed professional counselor with 17 years of clinical experience. I specialize in early childhood mental health and work with all ages. I trust in the wisdom of clients' abilities to explore their own themes, symbols, and stories. Because we all develop our senses of self and safety within the context of early relationships, family/relationship-based work is essential. I am trauma and polyvagal theory-informed. My approach is flexible, solution-focused, and non-judgmental.
(860) 724-2373 View (860) 724-2373
Photo of Dr. Jeff J. Rocker in Longmeadow, MA
Dr. Jeff J. Rocker
PhD, NCC, LMHC, LPC
Verified Verified
1 Endorsed
Longmeadow, MA 01106
in Marriage and Family therapy from Nova Southeastern University.
With 12 years of experience working with clients going through individual, relationship, and family issues, Celebrity Therapist Dr. Jeff Rocker has provided therapeutic services to clients nationwide. He is Licensed in 14 states and has served clients from all age groups. Over the years, Dr. Jeff has organized lectures and various events in the community, including excursions and retreats for couples to improve their communication and better understand each other. He has experience working with athletes in the NFL, NBA, and MLB. In addition, Dr. Jeff has also worked with clients in the Movie, Music, and Entertainment Industries.
in Marriage and Family therapy from Nova Southeastern University.
With 12 years of experience working with clients going through individual, relationship, and family issues, Celebrity Therapist Dr. Jeff Rocker has provided therapeutic services to clients nationwide. He is Licensed in 14 states and has served clients from all age groups. Over the years, Dr. Jeff has organized lectures and various events in the community, including excursions and retreats for couples to improve their communication and better understand each other. He has experience working with athletes in the NFL, NBA, and MLB. In addition, Dr. Jeff has also worked with clients in the Movie, Music, and Entertainment Industries.
(857) 574-4741 View (857) 574-4741
Photo of Caitlin Beth Grossi, Counselor in Longmeadow, MA
Caitlin Beth Grossi
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Longmeadow, MA 01106
Do you need help, for yourself and/or loved ones? I work with children, adolescence and adults in an individual, family, or group setting. I strive to develop a safe therapeutic relationship with my clients. My goal is to develop a treatment plan that is individualized and specific to the areas of your distress. We will focus on strengths as well as implementing positive coping skills and exploration of stressors that hinder success and happiness in one's life. My practice is fully functioning and has transitioned into our “new normal”. Together I will provide the safest place possible through the many measures we have useful to us.
Do you need help, for yourself and/or loved ones? I work with children, adolescence and adults in an individual, family, or group setting. I strive to develop a safe therapeutic relationship with my clients. My goal is to develop a treatment plan that is individualized and specific to the areas of your distress. We will focus on strengths as well as implementing positive coping skills and exploration of stressors that hinder success and happiness in one's life. My practice is fully functioning and has transitioned into our “new normal”. Together I will provide the safest place possible through the many measures we have useful to us.
(413) 931-1935 View (413) 931-1935
Photo of Sarah Shube, Counselor in Longmeadow, MA
Sarah Shube
Counselor, LMHC, ATR
Verified Verified
3 Endorsed
Longmeadow, MA 01106
I have years of experience working with substance use disorders, including family members of addicts/alcoholics.
Ongoing and underlying fatigue? Feeling numb and detached right now? My current caseload consists primarily of working professionals. I am a licensed mental health counselor, board certified art therapist, and have training in CBT. Counseling is a collaborative experience that empowers an individual in a confidential setting to explore their thoughts, feelings, and behavior. There is no better time than now to gain insight, develop skills, and set goals. I often support clients with ongoing anxiety, depressed mood, and significant life changes. If you are paying out of pocket I do offer receipts for insurance reimbursement.
I have years of experience working with substance use disorders, including family members of addicts/alcoholics.
Ongoing and underlying fatigue? Feeling numb and detached right now? My current caseload consists primarily of working professionals. I am a licensed mental health counselor, board certified art therapist, and have training in CBT. Counseling is a collaborative experience that empowers an individual in a confidential setting to explore their thoughts, feelings, and behavior. There is no better time than now to gain insight, develop skills, and set goals. I often support clients with ongoing anxiety, depressed mood, and significant life changes. If you are paying out of pocket I do offer receipts for insurance reimbursement.
(413) 650-6128 View (413) 650-6128
Photo of Elizabeth 'bobbie' L. Callard, Counselor in Longmeadow, MA
Elizabeth 'bobbie' L. Callard
Counselor, LMHC, CADC, LADC
Verified Verified
Longmeadow, MA 01106  (Online Only)
I am mother and grandmother; we have teachers, artists/musicians, and spiritual leaders in my family.
I look forward to meeting new clients - people who are ready to make life changes. My approach is to help others become aware of what triggers their negative feelings of rejection, abandonment, anger and hurt. Together we explore ways to eliminate unwanted behaviors and to learn positive ways to relate to others. I will help you on a road of self-discovery as you learn to identify and to understand your feelings and their origins. I like to do all of this with a sense of humor and positive reinforcement. I enjoy being with people on their journey.
I am mother and grandmother; we have teachers, artists/musicians, and spiritual leaders in my family.
I look forward to meeting new clients - people who are ready to make life changes. My approach is to help others become aware of what triggers their negative feelings of rejection, abandonment, anger and hurt. Together we explore ways to eliminate unwanted behaviors and to learn positive ways to relate to others. I will help you on a road of self-discovery as you learn to identify and to understand your feelings and their origins. I like to do all of this with a sense of humor and positive reinforcement. I enjoy being with people on their journey.
(508) 589-4316 View (508) 589-4316
Photo of Cristina di Nardo-Dupre, Clinical Social Work/Therapist in Longmeadow, MA
Cristina di Nardo-Dupre
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Longmeadow, MA 01106
I currently work with only adults and couples. I work with clients who need to work on symptoms such as anxiety, depression, agoraphobia, academic problems, anger management, bereavement and grief issues, communication problems with family members and partners, self-esteem, separation and divorce, sleep disturbance, work stress, and much more. I use Cognitive behavioral therapy, systems approach, relaxation, and guided imagery. I also provide assertiveness training. I also use Clinical Hypnosis for weight loss, smoke cessation, nail biting, and other behavioral changes. I also do Christian counseling with focus on spirituality.
I currently work with only adults and couples. I work with clients who need to work on symptoms such as anxiety, depression, agoraphobia, academic problems, anger management, bereavement and grief issues, communication problems with family members and partners, self-esteem, separation and divorce, sleep disturbance, work stress, and much more. I use Cognitive behavioral therapy, systems approach, relaxation, and guided imagery. I also provide assertiveness training. I also use Clinical Hypnosis for weight loss, smoke cessation, nail biting, and other behavioral changes. I also do Christian counseling with focus on spirituality.
(413) 337-1378 View (413) 337-1378
Photo of Sarah Saremi, Counselor in Longmeadow, MA
Sarah Saremi
Counselor, LMHC, MEd
Verified Verified
3 Endorsed
Longmeadow, MA 01106
I provide a safe place where each person has the opportunity to relieve pressures from family, society, and life’s stressors.
I am a licensed independent therapist in Massachusetts currently accepting Aetna, Blue Cross/Blue Shield and Optum insurance. I aim to allow each person to find their strengths and develop healthy coping skills to establish a positive mindset. I have worked with and helped many cope with anxiety, depression, trauma, relationship issues, addiction, and many other areas of mental health. I honor diversity and am LGBTQ+ allied.
I provide a safe place where each person has the opportunity to relieve pressures from family, society, and life’s stressors.
I am a licensed independent therapist in Massachusetts currently accepting Aetna, Blue Cross/Blue Shield and Optum insurance. I aim to allow each person to find their strengths and develop healthy coping skills to establish a positive mindset. I have worked with and helped many cope with anxiety, depression, trauma, relationship issues, addiction, and many other areas of mental health. I honor diversity and am LGBTQ+ allied.
(413) 216-2412 View (413) 216-2412
Photo of James Lowell Ferry, Clinical Social Work/Therapist in Longmeadow, MA
James Lowell Ferry
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Longmeadow, MA 01116
I primarily work with aging and/or disabled adults and caregivers coping with emotional and health care related challenges. Much of my work with clients focuses on adjustment difficulty related to declining health and diminished functional independence. Clients who are caregivers often struggle with managing career and family caregiving roles and also the needed transitions that can emerge in the latter half of life.
I primarily work with aging and/or disabled adults and caregivers coping with emotional and health care related challenges. Much of my work with clients focuses on adjustment difficulty related to declining health and diminished functional independence. Clients who are caregivers often struggle with managing career and family caregiving roles and also the needed transitions that can emerge in the latter half of life.
(413) 475-7437 View (413) 475-7437
Photo of Lighthouse Psychotherapy and Coaching, LLC, Clinical Social Work/Therapist in Longmeadow, MA
Lighthouse Psychotherapy and Coaching, LLC
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Longmeadow, MA 01116
I am so glad to help you with your healing journey. I have worked with most populations, and my specialties are working with people who have PTSD, dementia/Alzheimer's, anxiety, depression and family/relationship issues, and I am a divorce mediator. I am an authorized Oasis trainer, so mindfulness is an important part of my practice, as it soothes us mentally and physically.
I am so glad to help you with your healing journey. I have worked with most populations, and my specialties are working with people who have PTSD, dementia/Alzheimer's, anxiety, depression and family/relationship issues, and I am a divorce mediator. I am an authorized Oasis trainer, so mindfulness is an important part of my practice, as it soothes us mentally and physically.
(860) 968-2827 View (860) 968-2827
Photo of Blue Nest Counseling Services, Counselor in Longmeadow, MA
Blue Nest Counseling Services
Counselor, LMHC
Verified Verified
Longmeadow, MA 01106
I work with adults and teens with the following problems: Stress in life Workplace Conflicts Peer Conflicts/Friendships School Issues Navigating a Divorce/Breakup Intimate Partner/Jealousy Issues  Toxic Family Dynamics.
Here at Blue Nest Counseling, Elizabeth strives to provide a safe space and calming emotional environment. Elizabeth offers insight into past trauma, underlying feelings, and limiting beliefs or attitudes. Gain Resiliency, recognize obstacles, and cultivate awareness. I will work with you, giving you the opportunity to envision a new path, to engage fruitfully in your world, to take action, build resiliency, and ultimately, achieve your true purpose.
I work with adults and teens with the following problems: Stress in life Workplace Conflicts Peer Conflicts/Friendships School Issues Navigating a Divorce/Breakup Intimate Partner/Jealousy Issues  Toxic Family Dynamics.
Here at Blue Nest Counseling, Elizabeth strives to provide a safe space and calming emotional environment. Elizabeth offers insight into past trauma, underlying feelings, and limiting beliefs or attitudes. Gain Resiliency, recognize obstacles, and cultivate awareness. I will work with you, giving you the opportunity to envision a new path, to engage fruitfully in your world, to take action, build resiliency, and ultimately, achieve your true purpose.
(413) 267-6684 View (413) 267-6684
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.