Relationship Issues Therapists in Great Falls, VA

Photo of Cliff Ayers, Psychologist in Great Falls, VA
Cliff Ayers
Psychologist, PhD
Verified Verified
3 Endorsed
Great Falls, VA 22066
As a marriage or couples therapist, I primarily utilize Imago Relationship Therapy, which is a powerful approach for transforming conflict or withdrawal in relationships into an experience that restores connection.
I am a licensed clinical psychologist with over thirty years of experience helping individuals and couples to experience happier, more fulfilling lives. Clients describe me as both empathic and logical, and I am interactive in style compared to the more passive style of therapist. As an individual therapist I tailor my approach to your own strengths and style of learning, often combining elements of cognitive, humanistic, and insight and depth oriented approaches as indicated. Together we may address a broad range of issues including anxiety, depression, low self-worth, stress, grief, anger, and relationship or work problems.
As a marriage or couples therapist, I primarily utilize Imago Relationship Therapy, which is a powerful approach for transforming conflict or withdrawal in relationships into an experience that restores connection.
I am a licensed clinical psychologist with over thirty years of experience helping individuals and couples to experience happier, more fulfilling lives. Clients describe me as both empathic and logical, and I am interactive in style compared to the more passive style of therapist. As an individual therapist I tailor my approach to your own strengths and style of learning, often combining elements of cognitive, humanistic, and insight and depth oriented approaches as indicated. Together we may address a broad range of issues including anxiety, depression, low self-worth, stress, grief, anger, and relationship or work problems.
(571) 458-1448 View (571) 458-1448
Photo of Sandy C Malawer, Marriage & Family Therapist in Great Falls, VA
Sandy C Malawer
Marriage & Family Therapist, LPC, LMFT
Verified Verified
Great Falls, VA 22066
I have a particular interest in working with couples who want to improve communications & better their relationship. I stress pragmatic solutions & reaching optimal goals. Studied at Johns Hopkins (Masters) & Oxford Univ. (Certificate). Former Virginia gubernatorial appointee to the Virginia Board of Counseling (Vice Chm). Have had many clients from around the world. Security clearance at EAP with intelligence agencies. Counseling at George Mason Univ. Zoom & in-person. Website http://www.virginiacounselling.com/ Blog https://counsellingcouples.net/ LinkedIn https://www.linkedin.com/in/sandy-malawer-7b99117/detail/recent-activity/
I have a particular interest in working with couples who want to improve communications & better their relationship. I stress pragmatic solutions & reaching optimal goals. Studied at Johns Hopkins (Masters) & Oxford Univ. (Certificate). Former Virginia gubernatorial appointee to the Virginia Board of Counseling (Vice Chm). Have had many clients from around the world. Security clearance at EAP with intelligence agencies. Counseling at George Mason Univ. Zoom & in-person. Website http://www.virginiacounselling.com/ Blog https://counsellingcouples.net/ LinkedIn https://www.linkedin.com/in/sandy-malawer-7b99117/detail/recent-activity/
(703) 346-7065 View (703) 346-7065
Photo of Beulah Anne Levy, Clinical Social Work/Therapist in Great Falls, VA
Beulah Anne Levy
Clinical Social Work/Therapist, MSW, LCSW, BCD
Verified Verified
Great Falls, VA 22066  (Online Only)
My particular strengths are dealing with adults with depression, anxiety, panic or fears and relationship issues. I have specialized training and expertise in working with couples (married, dating and divorcing) who are experiencing difficulties and/or dissatisfaction in their relationships. With more than 30 years as a therapist, I bring a depth of experience to help you deal with the conflicts of everyday life. Reaching out to receive help from a therapist is often a very difficult but very important first step. Sometimes, you experience problems that you do not feel you can handle alone. Therapy can help with these issues.
My particular strengths are dealing with adults with depression, anxiety, panic or fears and relationship issues. I have specialized training and expertise in working with couples (married, dating and divorcing) who are experiencing difficulties and/or dissatisfaction in their relationships. With more than 30 years as a therapist, I bring a depth of experience to help you deal with the conflicts of everyday life. Reaching out to receive help from a therapist is often a very difficult but very important first step. Sometimes, you experience problems that you do not feel you can handle alone. Therapy can help with these issues.
(703) 957-7319 View (703) 957-7319
Photo of Elaine Boomer, Clinical Social Work/Therapist in Great Falls, VA
Elaine Boomer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Great Falls, VA 22066
A relationship that is satisfying? Call or email me today for a free 20-minute consultation.
You are dissatisfied with your life. Every day is busy. Sleep is hard to come by. You feel edgy and anxious. Relationships aren't what you expected - poor communication, little or no sex... you and your partner are fighting or just not talking. You might have considered an affair (or are already having one, but that isn't really working either). You've thought about talking to someone, but that takes time that you don't really have, and talking to someone you don't know is uncomfortable.
A relationship that is satisfying? Call or email me today for a free 20-minute consultation.
You are dissatisfied with your life. Every day is busy. Sleep is hard to come by. You feel edgy and anxious. Relationships aren't what you expected - poor communication, little or no sex... you and your partner are fighting or just not talking. You might have considered an affair (or are already having one, but that isn't really working either). You've thought about talking to someone, but that takes time that you don't really have, and talking to someone you don't know is uncomfortable.
(703) 348-4846 View (703) 348-4846
Photo of Ware Wellness LLC, Clinical Social Work/Therapist in Great Falls, VA
Ware Wellness LLC
Clinical Social Work/Therapist, LCSW, RYT-500
Verified Verified
Great Falls, VA 22066
Eleanor Ware has been in private practice as a Board Certified Licensed Clinical Social Worker for over 20 years. She sees individuals, couples and families with a focus on anxiety, depression and relationship issues.
Eleanor Ware has been in private practice as a Board Certified Licensed Clinical Social Worker for over 20 years. She sees individuals, couples and families with a focus on anxiety, depression and relationship issues.
(571) 377-8948 View (571) 377-8948
Photo of Miki Bakhtar, Licensed Professional Counselor in Great Falls, VA
Miki Bakhtar
Licensed Professional Counselor, LPC, LMFT
Verified Verified
Great Falls, VA 22066
In my specialty of Couples Counseling, I help couples to rediscover the spark that initially drew them together, help them uncover the forces in the relationship that have worked to dampen that spark and discover ways to reawaken and relight the hopes and dreams of being together through life.
I, Hossein (Miki) Bakhtar, have been a counselor in the field of Psychology for over 25 years, working with individuals and couples to help them exchange intensity and drama or isolation and loneliness for intimacy, respect, appreciation and love. "My job is to get you well enough so that you don't need me anymore." Whether it be for a mental health issue, or relationship or other treatment, the philosophical vision of the right intervention program is critical in determining the right place for you or a family member to heal.
In my specialty of Couples Counseling, I help couples to rediscover the spark that initially drew them together, help them uncover the forces in the relationship that have worked to dampen that spark and discover ways to reawaken and relight the hopes and dreams of being together through life.
I, Hossein (Miki) Bakhtar, have been a counselor in the field of Psychology for over 25 years, working with individuals and couples to help them exchange intensity and drama or isolation and loneliness for intimacy, respect, appreciation and love. "My job is to get you well enough so that you don't need me anymore." Whether it be for a mental health issue, or relationship or other treatment, the philosophical vision of the right intervention program is critical in determining the right place for you or a family member to heal.
(703) 935-5701 View (703) 935-5701
Photo of Kristen Messenger, LPC, Licensed Professional Counselor in Great Falls, VA
Kristen Messenger, LPC
Licensed Professional Counselor, MS, MEd
Verified Verified
4 Endorsed
Great Falls, VA 22066  (Online Only)
I treat a variety of issues, including anxiety, relationship issues, depression, and life transitions for adolescents and adults of all ages.
Are you feeling stressed, sad, anxious or alone? For many of us our world has changed significantly in the past couple of years. Whether you are trying to navigate new transitions, or just trying to figure out how to stay grounded in these uncertain times, I offer virtual therapy sessions to help. Clients I have worked with describe me as warm, compassionate, funny and wise. As a therapist with over 17 years of training and experience, I team with you to learn new ways of looking at current challenges and consider how you can let go of old patterns that are not serving you well.
I treat a variety of issues, including anxiety, relationship issues, depression, and life transitions for adolescents and adults of all ages.
Are you feeling stressed, sad, anxious or alone? For many of us our world has changed significantly in the past couple of years. Whether you are trying to navigate new transitions, or just trying to figure out how to stay grounded in these uncertain times, I offer virtual therapy sessions to help. Clients I have worked with describe me as warm, compassionate, funny and wise. As a therapist with over 17 years of training and experience, I team with you to learn new ways of looking at current challenges and consider how you can let go of old patterns that are not serving you well.
(571) 450-8830 View (571) 450-8830
Photo of Sara R Ablard-Parella, Licensed Professional Counselor in Great Falls, VA
Sara R Ablard-Parella
Licensed Professional Counselor, MA, LPC
Verified Verified
Great Falls, VA 22066
I can help your family put the joy back into your parent-child relationship.
My passion as a therapist is helping couples and families establish a safe, secure connection. This often involves healing a past injury. I have extensive training in Emotionally Focused Therapy, an empirically validated therapy based in attachment theory. I also work with individuals to help recover from depression and establish ways to manage anxiety. Parenting, including co-parenting for divorced couples is another passion of mine.
I can help your family put the joy back into your parent-child relationship.
My passion as a therapist is helping couples and families establish a safe, secure connection. This often involves healing a past injury. I have extensive training in Emotionally Focused Therapy, an empirically validated therapy based in attachment theory. I also work with individuals to help recover from depression and establish ways to manage anxiety. Parenting, including co-parenting for divorced couples is another passion of mine.
(703) 596-8470 View (703) 596-8470
Photo of Rebekah Stone, Licensed Professional Counselor in Great Falls, VA
Rebekah Stone
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Great Falls, VA 22066
I have over 14 years of experience. I am passionate and Solution-Focused, about helping others, whether it is a struggle with daily life tasks, general life transitions, or in cases of distress or crisis. My goal is to help you feel more empowered to reach your personal goals and experience a healthier and happier life. We can work together on healing whether you are experiencing issues in managing emotions, relationship boundaries, self-esteem, mood instability, or other symptoms directly related to OCD, bi-polar disorder, trauma, depression, and anxiety. I consider myself to be an “eclectic” therapist.
I have over 14 years of experience. I am passionate and Solution-Focused, about helping others, whether it is a struggle with daily life tasks, general life transitions, or in cases of distress or crisis. My goal is to help you feel more empowered to reach your personal goals and experience a healthier and happier life. We can work together on healing whether you are experiencing issues in managing emotions, relationship boundaries, self-esteem, mood instability, or other symptoms directly related to OCD, bi-polar disorder, trauma, depression, and anxiety. I consider myself to be an “eclectic” therapist.
(571) 520-4294 View (571) 520-4294
Photo of Higher Life Pathways Counseling Services , Counselor in Great Falls, VA
Higher Life Pathways Counseling Services
Counselor, Dr, Dinelly, Holder, LPC, LMHC
Verified Verified
Great Falls, VA 22066  (Online Only)
Facing relationship issues? Anxieties of life? Life transitional issues? You will find a supportive and collaborative approach through the use of cognitive-behavioral therapy, relational therapy and solution-focused therapy in helping you to understand the importance of lowering stress and anxiety levels as individuals, couples and families.
Feeling stressed? Experiencing high anxiety or tired of stress? Sometimes it can be difficult to overcome stressors and anxieties on our own. If you are having difficulties handling life stressors, there are ways to overcome and alleviate what you are going through. We will begin with the problem, then strategies to resolve your issue, then you will learn how to solve a variety of stressful issues in your life. If you are committed to lowering stress and anxiety levels in your life, CLICK on our website to request an appointment. Additionally, you can contact us thru text/phone at 571.946.8115 or info@higherlifepathways.com
Facing relationship issues? Anxieties of life? Life transitional issues? You will find a supportive and collaborative approach through the use of cognitive-behavioral therapy, relational therapy and solution-focused therapy in helping you to understand the importance of lowering stress and anxiety levels as individuals, couples and families.
Feeling stressed? Experiencing high anxiety or tired of stress? Sometimes it can be difficult to overcome stressors and anxieties on our own. If you are having difficulties handling life stressors, there are ways to overcome and alleviate what you are going through. We will begin with the problem, then strategies to resolve your issue, then you will learn how to solve a variety of stressful issues in your life. If you are committed to lowering stress and anxiety levels in your life, CLICK on our website to request an appointment. Additionally, you can contact us thru text/phone at 571.946.8115 or info@higherlifepathways.com
(571) 458-1428 View (571) 458-1428
Photo of Susan Saint-Rossy, Clinical Social Work/Therapist in Great Falls, VA
Susan Saint-Rossy
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
5 Endorsed
Great Falls, VA 22066
You look like the perfect high achieving couple from the outside, but behind closed doors you are struggling with communication, conflict, and connection. You are both suffering–either out loud through conflict or silently through shutting down. You worry about when the next breakdown in communication will be, how big the next argument will be, or how long you will get (or give) the silent treatment. You're keeping up with your professional duties and paying attention to your children’s needs. But you’re lonely. You don’t want to walk away from the relationship, but it’s feeling almost too painful to keep the status quo.
You look like the perfect high achieving couple from the outside, but behind closed doors you are struggling with communication, conflict, and connection. You are both suffering–either out loud through conflict or silently through shutting down. You worry about when the next breakdown in communication will be, how big the next argument will be, or how long you will get (or give) the silent treatment. You're keeping up with your professional duties and paying attention to your children’s needs. But you’re lonely. You don’t want to walk away from the relationship, but it’s feeling almost too painful to keep the status quo.
(703) 596-8801 View (703) 596-8801
Photo of Jennifer J. Oh, Psychologist in Great Falls, VA
Jennifer J. Oh
Psychologist, PsyD, MSW
Verified Verified
1 Endorsed
Great Falls, VA 22066  (Online Only)
I am an expert in working with older adolescents, adults, and older adults of diverse developmental, cultural, racial, sand immigrant backgrounds to treat anxiety, OCD, ADHD, relationship conflicts, intercultural or immigrant difficulties, and traumatic memories.
Living with anxiety/OCD/ADHD, feeling as if living "between two worlds" by virtue of all of your intersecting identities, and feeling confused about why your past haunts you (and why your most important relationships are suffering) can culminate in helplessness and despair. By creating a non-judgmental, open, and relational space for both reflection and exploration, I can meet you as you are and help you forge and narrate a path that fits. I help you better understand why you experience yourself and the world as you do and identify how you can be more present and move forward with tools, skills, and greater agency in your life.
I am an expert in working with older adolescents, adults, and older adults of diverse developmental, cultural, racial, sand immigrant backgrounds to treat anxiety, OCD, ADHD, relationship conflicts, intercultural or immigrant difficulties, and traumatic memories.
Living with anxiety/OCD/ADHD, feeling as if living "between two worlds" by virtue of all of your intersecting identities, and feeling confused about why your past haunts you (and why your most important relationships are suffering) can culminate in helplessness and despair. By creating a non-judgmental, open, and relational space for both reflection and exploration, I can meet you as you are and help you forge and narrate a path that fits. I help you better understand why you experience yourself and the world as you do and identify how you can be more present and move forward with tools, skills, and greater agency in your life.
(240) 868-6413 View (240) 868-6413
Photo of Anthony LoPresti, Psychologist in Great Falls, VA
Anthony LoPresti
Psychologist, MS, PsyD
Verified Verified
Great Falls, VA 22066
I value a compassionate, warm, genuine therapeutic relationship that can help you come to know your problems and identify actionable solutions.
It can be difficult to find the "right" therapist. Many clients are nervous about what therapy entails and wonder if counseling will really help them. Although this is completely normal, it shouldn't get in the way of finding the support you deserve. I have found success helping clients navigate relational and professional difficulties. Sometimes these problems come from an identifiable stressor (such as trauma), and other times are more nebulous. I am committed to helping you better understand yourself and create long-lasting change.
I value a compassionate, warm, genuine therapeutic relationship that can help you come to know your problems and identify actionable solutions.
It can be difficult to find the "right" therapist. Many clients are nervous about what therapy entails and wonder if counseling will really help them. Although this is completely normal, it shouldn't get in the way of finding the support you deserve. I have found success helping clients navigate relational and professional difficulties. Sometimes these problems come from an identifiable stressor (such as trauma), and other times are more nebulous. I am committed to helping you better understand yourself and create long-lasting change.
(571) 200-5286 View (571) 200-5286
Photo of Mehr Niazi, Clinical Social Work/Therapist in Great Falls, VA
Mehr Niazi
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Great Falls, VA 22066  (Online Only)
Are you struggling in a relationship? Dealing with stress at work? Trying to bridge the gap between two cultures or struggling to find your identity? Feeling overwhelmed or just not like yourself? Maybe it feels like nothing is going your way or there is too much on your plate. The fact that you are here means you have already taken the first step towards feeling better. You no longer need to be stuck in a place of anxiety, anger, trauma or stress. Let's work together to find a healthier place to be, a better understanding of yourself and how to deal with the stress in your life.
Are you struggling in a relationship? Dealing with stress at work? Trying to bridge the gap between two cultures or struggling to find your identity? Feeling overwhelmed or just not like yourself? Maybe it feels like nothing is going your way or there is too much on your plate. The fact that you are here means you have already taken the first step towards feeling better. You no longer need to be stuck in a place of anxiety, anger, trauma or stress. Let's work together to find a healthier place to be, a better understanding of yourself and how to deal with the stress in your life.
(804) 596-6547 View (804) 596-6547
Photo of Barbara M. Brown, Psychotherapist, Marriage & Family Therapist in Great Falls, VA
Barbara M. Brown, Psychotherapist
Marriage & Family Therapist, LPC, LMFT, Psychot
Verified Verified
Great Falls, VA 22066  (Online Only)
As a psychotherapist in full-time practice for over 30 years, I take an integrated approach to therapy. I’m trained in Cognitive Behavioral Therapy, Emotional Focused Therapy, Family Therapy, and mindfulness practices. Therapy can help you get unstuck. Whether you are dealing with difficult relationship issues, individual worries, fears, lack of confidence, or unresolved issues, it is possible to move forward and change your life.
As a psychotherapist in full-time practice for over 30 years, I take an integrated approach to therapy. I’m trained in Cognitive Behavioral Therapy, Emotional Focused Therapy, Family Therapy, and mindfulness practices. Therapy can help you get unstuck. Whether you are dealing with difficult relationship issues, individual worries, fears, lack of confidence, or unresolved issues, it is possible to move forward and change your life.
(757) 941-5625 View (757) 941-5625
Photo of Courtney Parker, Marriage & Family Therapist in Great Falls, VA
Courtney Parker
Marriage & Family Therapist, L, M, F, T
Verified Verified
Great Falls, VA 22066
We are experienced in working with couples and with adults who struggle with anxiety, depression, low self-esteem, relationship problems, gender/sexuality issues and life transitions.
Let's eliminate the same problem, different day, bandaid approach, and create a plan that will provide lasting solutions. Let us help you end the cycle that keeps you from moving forward with your life and from reaching your personal goals.
We are experienced in working with couples and with adults who struggle with anxiety, depression, low self-esteem, relationship problems, gender/sexuality issues and life transitions.
Let's eliminate the same problem, different day, bandaid approach, and create a plan that will provide lasting solutions. Let us help you end the cycle that keeps you from moving forward with your life and from reaching your personal goals.
(310) 706-2722 View (310) 706-2722
Photo of Chloe Koutsos, Licensed Professional Counselor in Great Falls, VA
Chloe Koutsos
Licensed Professional Counselor, NCC, LPC
Verified Verified
11 Endorsed
Great Falls, VA 22066  (Online Only)
I work with clients with concerns such as anxiety, depression, stress, perfectionism, athlete concerns, self-esteem, relationships (peer, spousal, dating, breakups), sleep issues, and life transitions. My approach is based on my belief in the importance of the therapeutic relationship and having a safe, supportive, non-judgmental space where clients can feel understood, accepted, connected, can share and explore their experiences, strengthen and expand upon coping skills, and develop insights.
I work with clients with concerns such as anxiety, depression, stress, perfectionism, athlete concerns, self-esteem, relationships (peer, spousal, dating, breakups), sleep issues, and life transitions. My approach is based on my belief in the importance of the therapeutic relationship and having a safe, supportive, non-judgmental space where clients can feel understood, accepted, connected, can share and explore their experiences, strengthen and expand upon coping skills, and develop insights.
(571) 200-8148 View (571) 200-8148
Photo of Ailish R Dermody, Resident in Counseling in Great Falls, VA
Ailish R Dermody
Resident in Counseling, MA, NCC, CGP
Verified Verified
2 Endorsed
Great Falls, VA 22066
I work from a trauma-informed and attachment-focused approach with clients experiencing grief and loss, relationship issues, trauma, anxiety, and depression.
We can all find ourselves overwhelmed by the expectations put on us by others and ourselves. Often our past experiences may have us repeating patterns and cycles in our relationships that don’t serve us and it can be easy to try to ignore our problems or stuff our feelings only to find they're coming out sideways. To cope, we may engage in behaviors that prevent us from being the best version of ourselves. Often difficult life transitions put us in a state of upheaval, leaving us feeling hopeless, anxious, or depressed. I'd like to help you navigate these challenges.
I work from a trauma-informed and attachment-focused approach with clients experiencing grief and loss, relationship issues, trauma, anxiety, and depression.
We can all find ourselves overwhelmed by the expectations put on us by others and ourselves. Often our past experiences may have us repeating patterns and cycles in our relationships that don’t serve us and it can be easy to try to ignore our problems or stuff our feelings only to find they're coming out sideways. To cope, we may engage in behaviors that prevent us from being the best version of ourselves. Often difficult life transitions put us in a state of upheaval, leaving us feeling hopeless, anxious, or depressed. I'd like to help you navigate these challenges.
(571) 462-6494 View (571) 462-6494
Photo of Madelyn B Schrader, Licensed Professional Counselor in Great Falls, VA
Madelyn B Schrader
Licensed Professional Counselor, RN, LPC, LPC(S)
Verified Verified
Great Falls, VA 22066
In each of us there is a drive to move towards wholeness. Sometimes we require assistance to unblock that which slows our movement towards balance. Engaging in therapy is a sign of resilience in the face of personal struggles. Courage is walking through your fears to make a difference. By engaging in a strong and empathetic relationship, we will work to uncover the motivations and thoughts that are preventing you from living your life to the fullest. I educate my clients to utilize innovative strategies that capture the extraordinary power that comes from within to facilitate the changes you seek.
In each of us there is a drive to move towards wholeness. Sometimes we require assistance to unblock that which slows our movement towards balance. Engaging in therapy is a sign of resilience in the face of personal struggles. Courage is walking through your fears to make a difference. By engaging in a strong and empathetic relationship, we will work to uncover the motivations and thoughts that are preventing you from living your life to the fullest. I educate my clients to utilize innovative strategies that capture the extraordinary power that comes from within to facilitate the changes you seek.
(703) 957-7157 View (703) 957-7157
Photo of Path to Peace Psychotherapy LLC, Clinical Social Work/Therapist in Great Falls, VA
Path to Peace Psychotherapy LLC
Clinical Social Work/Therapist, MSW, LCSW, LCSW-C
Verified Verified
1 Endorsed
Great Falls, VA 22066
We are a group practice specializing in treating kids, teens & adults who need help managing stress, fears, anxiety, depression & resolution of trauma & PTSD. We use approaches such as EMDR Therapy, CBT, IFS and Sandtray to heal as well as address and change, persistent negative thoughts from difficult childhood experiences or more recently. The use of these modalities within a safe therapeutic relationship help you feel empowered & hopeful about your future. Our particular approach is to build on your core strengths enabling you to move beyond, while completely eliminating, triggering situations. Our bodies & minds are geared heal.
We are a group practice specializing in treating kids, teens & adults who need help managing stress, fears, anxiety, depression & resolution of trauma & PTSD. We use approaches such as EMDR Therapy, CBT, IFS and Sandtray to heal as well as address and change, persistent negative thoughts from difficult childhood experiences or more recently. The use of these modalities within a safe therapeutic relationship help you feel empowered & hopeful about your future. Our particular approach is to build on your core strengths enabling you to move beyond, while completely eliminating, triggering situations. Our bodies & minds are geared heal.
(703) 988-6436 View (703) 988-6436

Relationship Issues Therapists
While need for human connection appears to be innate, the ability to form healthy, loving relationships is learned. Some evidence suggests that the ability to form a stable relationship starts to form in infancy, in a child's earliest experiences with a caregiver who reliably meets the infant's needs for food, care, warmth, protection, stimulation, and social contact. Such relationships are not destiny, but they are theorized to establish deeply ingrained patterns of relating to others. The end of a relationship, however, is often a source of great psychological anguish.