Family Therapy in Seattle, WA

Photo of Denise Johnson, Marriage & Family Therapist Associate in Seattle, WA
Denise Johnson
Marriage & Family Therapist Associate, MA, LMFTA, CHT
Verified Verified
1 Endorsed
Seattle, WA 98126
Waitlist for new clients
Internal Family Systems, amongst other mind-body approaches, informs my work with individuals, helping them heal pain, remove obstacles, and connect to their potential.
Are you struggling with a life transition, feelings of insecurity or other emotional pain? Do you desire less conflict or more connection in your relationship? Often, my clients arrive with anxiety, feelings of shame, or are suffering from challenging relationship dynamics. Others, arrive unsure of the exact source of their problem, but know they want more fulfillment. Perhaps you have awareness regarding your issues, but still struggle to interrupt negative patterns or grow beyond reoccurring challenges. If you long to improve your relationship with yourself or others, I would love to work with you.
Internal Family Systems, amongst other mind-body approaches, informs my work with individuals, helping them heal pain, remove obstacles, and connect to their potential.
Are you struggling with a life transition, feelings of insecurity or other emotional pain? Do you desire less conflict or more connection in your relationship? Often, my clients arrive with anxiety, feelings of shame, or are suffering from challenging relationship dynamics. Others, arrive unsure of the exact source of their problem, but know they want more fulfillment. Perhaps you have awareness regarding your issues, but still struggle to interrupt negative patterns or grow beyond reoccurring challenges. If you long to improve your relationship with yourself or others, I would love to work with you.
(206) 350-9223 View (206) 350-9223
Photo of Simone Heyward, Mental Health Counselor in Seattle, WA
Simone Heyward
Mental Health Counselor, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98133  (Online Only)
Waitlist for new clients
I completed my graduate training in California in 2016 at The Chicago School of Professional Psychology, Irvine Campus and have been a licensed Mental Health Professional with experience in Integrated Behavioral Health Services, Sexual dysfunction, emergency crisis stabilization, case management and psychotherapy, individual, family/couple, and group therapy.
The ideal client is an individual ready to make active change. Change is subjective and can be both big and small therefore, we start where you are and not where others think you should be. This is a collaborative approach in which you receive support and guidance towards the growth that you would like to see. I am fully invested in my clients and take the time to apply factors that can also hinder and promote success. My artistic background also allows me to be open to thinking outside the box when needed. I encourage you to think and explore both challenges and probable solutions as you continue in your therapeutic experience
I completed my graduate training in California in 2016 at The Chicago School of Professional Psychology, Irvine Campus and have been a licensed Mental Health Professional with experience in Integrated Behavioral Health Services, Sexual dysfunction, emergency crisis stabilization, case management and psychotherapy, individual, family/couple, and group therapy.
The ideal client is an individual ready to make active change. Change is subjective and can be both big and small therefore, we start where you are and not where others think you should be. This is a collaborative approach in which you receive support and guidance towards the growth that you would like to see. I am fully invested in my clients and take the time to apply factors that can also hinder and promote success. My artistic background also allows me to be open to thinking outside the box when needed. I encourage you to think and explore both challenges and probable solutions as you continue in your therapeutic experience
(360) 284-1557 View (360) 284-1557
Photo of Dr. Amaris Espinosa, Psychologist in Seattle, WA
Dr. Amaris Espinosa
Psychologist, PsyD, LMHC, ATR
Verified Verified
Seattle, WA 98118  (Online Only)
EMDR is my first choice modality for working with traumatic events, and I am also skilled in Mindfulness Based modalities, Internal Family Systems.
I encourage new clients to utilize a free 15-20 minute consultation with me to assure that we are a good match to embark on a therapeutic relationship together. Taking the first steps towards help is difficult and takes a great deal of courage. I work with great care and compassion through multiple modalities to provide my clients the most effective therapy for what is overwhelming them. Feeling more peace and understanding, with a clear pathway to a healthier relationship with yourself and others are the results I provide. Services offered are strength-based, evidenced-based, social justice oriented, and support mind-body-spirit.
EMDR is my first choice modality for working with traumatic events, and I am also skilled in Mindfulness Based modalities, Internal Family Systems.
I encourage new clients to utilize a free 15-20 minute consultation with me to assure that we are a good match to embark on a therapeutic relationship together. Taking the first steps towards help is difficult and takes a great deal of courage. I work with great care and compassion through multiple modalities to provide my clients the most effective therapy for what is overwhelming them. Feeling more peace and understanding, with a clear pathway to a healthier relationship with yourself and others are the results I provide. Services offered are strength-based, evidenced-based, social justice oriented, and support mind-body-spirit.
(970) 458-7287 View (970) 458-7287
Photo of Claire Hipkens, Clinical Social Work/Therapist in Seattle, WA
Claire Hipkens
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98105  (Online Only)
I'm open to a broad client base but my predominant experience is with first gen college students, pro athletes & their family members. I ran the mental health services for UW athletics and am currently the consulting clinician for the Seattle Mariners and the NHL. I work best with driven people experiencing a big change. Perhaps, despite your best efforts, things aren’t working out as you’d hoped. Or perhaps you’ve gotten all you wanted and it doesn’t satisfy the way you thought it might. Though I often work with athletes I am not a Sports Psych. In fact, I don’t even follow sports! I’m here for the rest of your life and identity.
I'm open to a broad client base but my predominant experience is with first gen college students, pro athletes & their family members. I ran the mental health services for UW athletics and am currently the consulting clinician for the Seattle Mariners and the NHL. I work best with driven people experiencing a big change. Perhaps, despite your best efforts, things aren’t working out as you’d hoped. Or perhaps you’ve gotten all you wanted and it doesn’t satisfy the way you thought it might. Though I often work with athletes I am not a Sports Psych. In fact, I don’t even follow sports! I’m here for the rest of your life and identity.
(206) 752-2461 View (206) 752-2461
Photo of Stephanie Gonia, Counselor in Seattle, WA
Stephanie Gonia
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98134
I support clients with a wide variety of concerns including relationship issues, grief and loss, anxiety disorders, LGBTQ sexual identity and orientation, self-esteem, PTSD, depression, family concerns, and other life changes and stressors. I utilize various modalities of therapy including psychodynamic, CBT and solution-focused/skill building therapies. I work with individual adults, children, teens, families, and couples, as well as adults with developmental disabilities and delays.
I support clients with a wide variety of concerns including relationship issues, grief and loss, anxiety disorders, LGBTQ sexual identity and orientation, self-esteem, PTSD, depression, family concerns, and other life changes and stressors. I utilize various modalities of therapy including psychodynamic, CBT and solution-focused/skill building therapies. I work with individual adults, children, teens, families, and couples, as well as adults with developmental disabilities and delays.
(206) 460-1348 View (206) 460-1348
Photo of Grace Lee, Clinical Social Work/Therapist in Seattle, WA
Grace Lee
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98109  (Online Only)
As a 2nd generation immigrant, my work is shaped by my own experiences in balancing expectations of my family & community with my own wellbeing.
I enjoy working with folx around anxiety, depression, perfectionism, stress management, Racial & Ethnic identity development, Gender & Sexual identity development and trauma related to your family of origin. I also enjoy working with teens (13+) and young adults supporting them to navigate challenges they maybe face through life transitions and identity development. I approach therapy with a social justice lens, acknowledging and examining how different systems and “-isms” impacts us as an individuals.
As a 2nd generation immigrant, my work is shaped by my own experiences in balancing expectations of my family & community with my own wellbeing.
I enjoy working with folx around anxiety, depression, perfectionism, stress management, Racial & Ethnic identity development, Gender & Sexual identity development and trauma related to your family of origin. I also enjoy working with teens (13+) and young adults supporting them to navigate challenges they maybe face through life transitions and identity development. I approach therapy with a social justice lens, acknowledging and examining how different systems and “-isms” impacts us as an individuals.
(425) 374-1560 View (425) 374-1560
Photo of David C. Herzog, Psychologist in Seattle, WA
David C. Herzog
Psychologist, PsyD, MFA
Verified Verified
Seattle, WA 98116
During our lives, we encounter experiences that can move us away from a direct connection to ourselves. Influences from family, friends, peers, jobs, and the greater culture can affect how we view and express ourselves. We can become conditioned to thinking, feeling and behaving in a way that is incompatible with who we really are and what we want in our lives. This compromises our ability to value our unique identity and to express and apply ourselves, and our strengths. I will help you to identify, understand and remove barriers that are keeping you from realizing your fullest potential. I offer Telehealth only in California.
During our lives, we encounter experiences that can move us away from a direct connection to ourselves. Influences from family, friends, peers, jobs, and the greater culture can affect how we view and express ourselves. We can become conditioned to thinking, feeling and behaving in a way that is incompatible with who we really are and what we want in our lives. This compromises our ability to value our unique identity and to express and apply ourselves, and our strengths. I will help you to identify, understand and remove barriers that are keeping you from realizing your fullest potential. I offer Telehealth only in California.
(206) 565-0187 View (206) 565-0187
Photo of Andi Eberhardt, Counselor in Seattle, WA
Andi Eberhardt
Counselor, MS, LMHCA
Verified Verified
2 Endorsed
Seattle, WA 98116  (Online Only)
I currently hold a Washington State Associate License in Mental Health Counseling after receiving my Master’s in Counseling from Central Washington University. Prior to this I received a Bachelor’s in Psychology from Western Washington University. My primary work in therapy has been with children and teens, though I have also spent a great deal of time working with adults of all ages in individual and couples counseling. My main areas of focus include adjustment issues/life transitions, mood and anxiety disorders, behavioral issues, attachment issues, family issues, identity issues, family trauma, parenting, and mindfulness.
I currently hold a Washington State Associate License in Mental Health Counseling after receiving my Master’s in Counseling from Central Washington University. Prior to this I received a Bachelor’s in Psychology from Western Washington University. My primary work in therapy has been with children and teens, though I have also spent a great deal of time working with adults of all ages in individual and couples counseling. My main areas of focus include adjustment issues/life transitions, mood and anxiety disorders, behavioral issues, attachment issues, family issues, identity issues, family trauma, parenting, and mindfulness.
(206) 222-6603 View (206) 222-6603
Photo of Horizon Therapy Seattle - Jen Davis, Marriage & Family Therapist Associate in Seattle, WA
Horizon Therapy Seattle - Jen Davis
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Seattle, WA 98133
My approach is rooted in systemic couple and family therapy treatment orientations and experiential treatment modalities.
As a couple, family, & individual therapist, I honor the importance of our inherent human need to be in fulfilling connection with others and ourselves. And I recognize how difficult this can sometimes be. Whether you're feeling disconnected from your partner, overwhelmed by the level of conflict in your day-to-day family interactions, going through a major life transition, or seeking individual therapy to explore how past hurt and current challenges are constraining you from more fully inhabiting your life, therapy can be a powerful tool for growth. I offer a free consultation to explore our possible work together.
My approach is rooted in systemic couple and family therapy treatment orientations and experiential treatment modalities.
As a couple, family, & individual therapist, I honor the importance of our inherent human need to be in fulfilling connection with others and ourselves. And I recognize how difficult this can sometimes be. Whether you're feeling disconnected from your partner, overwhelmed by the level of conflict in your day-to-day family interactions, going through a major life transition, or seeking individual therapy to explore how past hurt and current challenges are constraining you from more fully inhabiting your life, therapy can be a powerful tool for growth. I offer a free consultation to explore our possible work together.
(206) 752-5538 View (206) 752-5538
Photo of Julie Camp, Counselor in Seattle, WA
Julie Camp
Counselor, MA, LMHC, MHP
Verified Verified
1 Endorsed
Seattle, WA 98126
Individuals seek therapy to make life changes, try new behaviors, and learn to heal/grow. Often, this is precipitated by a crisis demanding such growth. I encourage clients to gather and bolster personal resources in order to address problems they are struggling with and create new ways of thinking/believing. Our work will focus on the presenting issue, previous coping attempts, related emotions, and possible alternatives. Effective therapy may include unresolved family-of-origin issues, the building of interpersonal skills, and/or the resolution of unhealthy views of self or others and unprocessed trauma.
Individuals seek therapy to make life changes, try new behaviors, and learn to heal/grow. Often, this is precipitated by a crisis demanding such growth. I encourage clients to gather and bolster personal resources in order to address problems they are struggling with and create new ways of thinking/believing. Our work will focus on the presenting issue, previous coping attempts, related emotions, and possible alternatives. Effective therapy may include unresolved family-of-origin issues, the building of interpersonal skills, and/or the resolution of unhealthy views of self or others and unprocessed trauma.
(253) 733-0286 View (253) 733-0286
Photo of Rian A Roberson, Counselor in Seattle, WA
Rian A Roberson
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98108  (Online Only)
As a therapist, I synthesize multiple therapeutic modalities, including: Intersectional Therapy, Psychodynamic Therapy, Family Systems Theory, Attachment, Dialectical Behavioral Therapy (DBT), Narrative Therapy, and Humanistic Therapy.
Pausing intake requests until January 2024. My ideal client is an emerging adult who is ready to start on the path towards living their best, healthiest, and most authentic life. I work with clients from every background, but I am especially passionate about serving the BIPOC and LGBTQ+ communities. Many of my clients aspire to learn techniques to manage depression, anxiety, and other mental health conditions. I enjoy aiding clients on their journey towards authentic self-expression, higher self-esteem, powerful communication skills, and utilizing boundaries, especially for clients with marginalized identities.
As a therapist, I synthesize multiple therapeutic modalities, including: Intersectional Therapy, Psychodynamic Therapy, Family Systems Theory, Attachment, Dialectical Behavioral Therapy (DBT), Narrative Therapy, and Humanistic Therapy.
Pausing intake requests until January 2024. My ideal client is an emerging adult who is ready to start on the path towards living their best, healthiest, and most authentic life. I work with clients from every background, but I am especially passionate about serving the BIPOC and LGBTQ+ communities. Many of my clients aspire to learn techniques to manage depression, anxiety, and other mental health conditions. I enjoy aiding clients on their journey towards authentic self-expression, higher self-esteem, powerful communication skills, and utilizing boundaries, especially for clients with marginalized identities.
(206) 210-5368 View (206) 210-5368
Photo of Lisa M Velin, Counselor in Seattle, WA
Lisa M Velin
Counselor, MACP, LMHC
Verified Verified
Seattle, WA 98115
My intention as a counselor is to form a relationship which becomes a safe place within which you can explore the nature of persistent obstacles which leave you feeling confused, overwhelmed, or "stuck." We will look at your style of relating to others, habits and patterns formed throughout the years, as a way to gain insight into who you are and where you would like to be. We will explore the significant relationships in your life (FAMILY OF ORIGIN, romantic, friendships) as well as your relationship with yourself (your emotions, how you handle and/or address conflict, anxiety, stress, sadness).
My intention as a counselor is to form a relationship which becomes a safe place within which you can explore the nature of persistent obstacles which leave you feeling confused, overwhelmed, or "stuck." We will look at your style of relating to others, habits and patterns formed throughout the years, as a way to gain insight into who you are and where you would like to be. We will explore the significant relationships in your life (FAMILY OF ORIGIN, romantic, friendships) as well as your relationship with yourself (your emotions, how you handle and/or address conflict, anxiety, stress, sadness).
(206) 330-8851 View (206) 330-8851
Photo of Tiffany Somera, Marriage & Family Therapist in Seattle, WA
Tiffany Somera
Marriage & Family Therapist, MA , LMFT, MHP
Verified Verified
5 Endorsed
Seattle, WA 98108
Life can be challenging and change is inevitable, and with transitions there are many aspects to growth and loss. I work with individuals, couples, and family systems; often dealing with unprocessed grief, trauma, parenting, identity issues, and midlife decisions. It takes courage to communicate the strong emotions felt within these difficult topics, especially to those you love the most. I prioritize holding a non-judgmental space for these strong emotions to be seen, heard, and liberated.
Life can be challenging and change is inevitable, and with transitions there are many aspects to growth and loss. I work with individuals, couples, and family systems; often dealing with unprocessed grief, trauma, parenting, identity issues, and midlife decisions. It takes courage to communicate the strong emotions felt within these difficult topics, especially to those you love the most. I prioritize holding a non-judgmental space for these strong emotions to be seen, heard, and liberated.
(253) 525-5712 View (253) 525-5712
Photo of Jeff Fickes, Counselor in Seattle, WA
Jeff Fickes
Counselor, LMHCA, MA
Verified Verified
1 Endorsed
Seattle, WA 98109
I’ll seek for us both to understand you in the many contexts of your life: family, culture, work, and important relationships.
Is there a story you’re carrying about yourself, a situation, or relationship that’s causing heartache, pain, or frustration? Is it something you just can’t shake or feel stuck carrying? Stories hold power, whether they’re told to us, learned consciously, buried deep, or what we tell ourselves. They can be instructional, revealing, occasionally harmful, but filled with endless possibilities. When we are aware of our stories, we get to determine the next chapter. I want to hear your story.
I’ll seek for us both to understand you in the many contexts of your life: family, culture, work, and important relationships.
Is there a story you’re carrying about yourself, a situation, or relationship that’s causing heartache, pain, or frustration? Is it something you just can’t shake or feel stuck carrying? Stories hold power, whether they’re told to us, learned consciously, buried deep, or what we tell ourselves. They can be instructional, revealing, occasionally harmful, but filled with endless possibilities. When we are aware of our stories, we get to determine the next chapter. I want to hear your story.
(206) 741-0802 View (206) 741-0802
Photo of Mary Jayne Wykowski, Clinical Social Work/Therapist in Seattle, WA
Mary Jayne Wykowski
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Seattle, WA 98116  (Online Only)
Waitlist for new clients
Welcome and congratulations on taking the first step so that life may get different for you. The beauty and benefits of re-examining how we can make changes in our lives, continues to fuel my passion for therapeutic dialogue. The integrative nature of my work allows for us to look at family of origin explanations, without blaming, so that you can move toward change. When what feels like roadblocks comes up there are a number of tools that can help, like increasing mindfulness and learning more around boundaries and assertive communication.
Welcome and congratulations on taking the first step so that life may get different for you. The beauty and benefits of re-examining how we can make changes in our lives, continues to fuel my passion for therapeutic dialogue. The integrative nature of my work allows for us to look at family of origin explanations, without blaming, so that you can move toward change. When what feels like roadblocks comes up there are a number of tools that can help, like increasing mindfulness and learning more around boundaries and assertive communication.
(206) 558-1081 View (206) 558-1081
Photo of Devon Marie Little, Clinical Social Work/Therapist in Seattle, WA
Devon Marie Little
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98102
At Sequoia, I work with young people ages 14 - 25 years old. I appreciate supporting those who want to: increase their self-worth; experience emotions without being overwhelmed by them; improve their relationships with their family, friends, or significant others; examine the relationship between past events and current patterns; make changes in their behaviors that are consistent with their goals and values; and/or navigate oppression with more self-respect and advocacy skills. I have supported people of many identities, including people who identify as queer, NB, trans, POC, and neurodiverse.
At Sequoia, I work with young people ages 14 - 25 years old. I appreciate supporting those who want to: increase their self-worth; experience emotions without being overwhelmed by them; improve their relationships with their family, friends, or significant others; examine the relationship between past events and current patterns; make changes in their behaviors that are consistent with their goals and values; and/or navigate oppression with more self-respect and advocacy skills. I have supported people of many identities, including people who identify as queer, NB, trans, POC, and neurodiverse.
(425) 230-5637 View (425) 230-5637
Photo of Mark Lins, Counselor in Seattle, WA
Mark Lins
Counselor, MS, NCC
Verified Verified
Seattle, WA 98188
Mark’s first love has always been in practice with family and individual counseling. After managing, he decided to enter into private practice, currently with the Mindful Therapy Group. Mark provides individual, couples, family and group psychotherapy services to people with a variety of mental and emotional difficulties including depression, anxiety, attention deficit, multiple personality, anti-social and other personality issues. Mark has experience working with children, adolescents, and adults from different backgrounds, cultures, and unique circumstances.
Mark’s first love has always been in practice with family and individual counseling. After managing, he decided to enter into private practice, currently with the Mindful Therapy Group. Mark provides individual, couples, family and group psychotherapy services to people with a variety of mental and emotional difficulties including depression, anxiety, attention deficit, multiple personality, anti-social and other personality issues. Mark has experience working with children, adolescents, and adults from different backgrounds, cultures, and unique circumstances.
(206) 594-3515 View (206) 594-3515
Photo of Sean M Jackson, Counselor in Seattle, WA
Sean M Jackson
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98109
I specialize in relationship counseling that includes couples therapy and family counseling services for those interested in making dynamic, lasting changes in their lives and relationships with others.
I specialize in relationship counseling that includes couples therapy and family counseling services for those interested in making dynamic, lasting changes in their lives and relationships with others.
(206) 801-0662 View (206) 801-0662
Photo of Jen Mccormick, Clinical Social Work/Therapist in Seattle, WA
Jen Mccormick
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98115
Hello- I am not taking new clients until September 2023. Thank you for taking a look at my profile. Choosing to engage in therapy is an opportunity for growth and change. In my practice, I strive to meet you where you are and help illuminate your path a bit. The focus of my therapeutic work is within the relationship and the belief in your autonomy and ability to empower yourself. With trust and respect, we can work together to explore areas of your life that may need a fresh perspective. Speciality areas include traumatic loss, transition, depression, and family relationship struggles with children, adolescents, and adults.
Hello- I am not taking new clients until September 2023. Thank you for taking a look at my profile. Choosing to engage in therapy is an opportunity for growth and change. In my practice, I strive to meet you where you are and help illuminate your path a bit. The focus of my therapeutic work is within the relationship and the belief in your autonomy and ability to empower yourself. With trust and respect, we can work together to explore areas of your life that may need a fresh perspective. Speciality areas include traumatic loss, transition, depression, and family relationship struggles with children, adolescents, and adults.
(206) 203-3945 View (206) 203-3945
Photo of Amber Tabares, Psychologist in Seattle, WA
Amber Tabares
Psychologist, PhD
Verified Verified
Seattle, WA 98102
I find that relationships with partners, family, friends, and peers are so important and at the foundation of who we are and how we feel about our lives.
I know that when you don't feel like yourself or feel stuck, it's hard to see that change is possible, and even harder to know what to change. I truly believe we can work on that together. Therapy can be a big step and together we will figure out the best way to help you feel better and move you in a direction of increased happiness and fulfillment. Therapy is flexible and we may focus on developing new skills or on developing new understanding of yourself and others. We'll work together to see what approach fits best.
I find that relationships with partners, family, friends, and peers are so important and at the foundation of who we are and how we feel about our lives.
I know that when you don't feel like yourself or feel stuck, it's hard to see that change is possible, and even harder to know what to change. I truly believe we can work on that together. Therapy can be a big step and together we will figure out the best way to help you feel better and move you in a direction of increased happiness and fulfillment. Therapy is flexible and we may focus on developing new skills or on developing new understanding of yourself and others. We'll work together to see what approach fits best.
(206) 855-3938 View (206) 855-3938
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.