Family Therapy in Cumming, GA

Photo of Brian L Long, Licensed Professional Counselor in Cumming, GA
Brian L Long
Licensed Professional Counselor, LPC, MAC, NCC, TH-FL
Verified Verified
Cumming, GA 30041  (Online Only)
I have worked extensively with children, adolescents and adults with moderate to severe behavioral and emotional issues, such as AD/HD, oppositional and defiance issues, conduct problems, anxiety, depression, PTSD, Autism spectrum, relationship conflict, family conflict, anger management, career coaching and substance abuse related disorders and issues.
Greetings! Thank you for viewing my profile. Regarding my experience and education, I received a Master's degree with a specialization in mental health counseling in 2008. I am a Licensed Professional Counselor, Florida Tele-Health approved provider, National Certified Counselor, and Master Addiction Counselor. I have worked with children, adolescents and adults in many different capacities over the last 19 years. To schedule an appointment and to inquire about your insurance benefits, please visit www.brianleelong.com.
I have worked extensively with children, adolescents and adults with moderate to severe behavioral and emotional issues, such as AD/HD, oppositional and defiance issues, conduct problems, anxiety, depression, PTSD, Autism spectrum, relationship conflict, family conflict, anger management, career coaching and substance abuse related disorders and issues.
Greetings! Thank you for viewing my profile. Regarding my experience and education, I received a Master's degree with a specialization in mental health counseling in 2008. I am a Licensed Professional Counselor, Florida Tele-Health approved provider, National Certified Counselor, and Master Addiction Counselor. I have worked with children, adolescents and adults in many different capacities over the last 19 years. To schedule an appointment and to inquire about your insurance benefits, please visit www.brianleelong.com.
(470) 946-6402 View (470) 946-6402
Photo of Kimberly Mulkey, Marriage & Family Therapist in Cumming, GA
Kimberly Mulkey
Marriage & Family Therapist, LMFT
Verified Verified
Cumming, GA 30040
Do you find yourself struggling to engage in meaningful relationships? Are you unhappy with the current path you are on? Whatever your struggles are, you are not alone! Therapy can be an excellent place for you to work on the things keeping you from feeling fulfilled. I am a licensed marriage and family therapist who provides therapy services for diagnoses including, but not limited to mood disorders, anxiety disorders, and trauma disorders. I enjoy working with teens, adults, and couples and my specialties include anxiety, depression, grief, and relationship issues.
Do you find yourself struggling to engage in meaningful relationships? Are you unhappy with the current path you are on? Whatever your struggles are, you are not alone! Therapy can be an excellent place for you to work on the things keeping you from feeling fulfilled. I am a licensed marriage and family therapist who provides therapy services for diagnoses including, but not limited to mood disorders, anxiety disorders, and trauma disorders. I enjoy working with teens, adults, and couples and my specialties include anxiety, depression, grief, and relationship issues.
(470) 616-9237 View (470) 616-9237
Photo of The Marriage Point, Marriage & Family Therapist in Cumming, GA
The Marriage Point
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Cumming, GA 30040
Using methods such as Relational Life Therapy (RLT), The Gottman Method, Emotionally Focused Therapy (EFT) and Family Systems Theory, we help couples and individuals find their way to healthy relationships.
We believe that healthy, passionate, and connected marriages are possible and we make it our life's work to advocate for marriages in which each partner feels empowered, secure, and cherished. We believe in a passionate and mutually satisfying sex life and we work to help you transform your sex life. We understand the importance of empathetic, thorough and expert care. Therefore we treat you with authentic respect and empathy from our very first interaction. Our team is highly qualified to work with marital and relational dynamics. Each clinician has post-graduate training/certification in various areas of the marital relationship.
Using methods such as Relational Life Therapy (RLT), The Gottman Method, Emotionally Focused Therapy (EFT) and Family Systems Theory, we help couples and individuals find their way to healthy relationships.
We believe that healthy, passionate, and connected marriages are possible and we make it our life's work to advocate for marriages in which each partner feels empowered, secure, and cherished. We believe in a passionate and mutually satisfying sex life and we work to help you transform your sex life. We understand the importance of empathetic, thorough and expert care. Therefore we treat you with authentic respect and empathy from our very first interaction. Our team is highly qualified to work with marital and relational dynamics. Each clinician has post-graduate training/certification in various areas of the marital relationship.
(470) 863-8696 View (470) 863-8696
Photo of Amorette Jones, Marriage & Family Therapist in Cumming, GA
Amorette Jones
Marriage & Family Therapist, MS, LMFT, LAPC
Verified Verified
1 Endorsed
Cumming, GA 30041
I currently hold associate licensures as a Professional Counselor and Marriage & Family Therapist in the State of Georgia.
I am a passionate wellbeing leader who understands the importance of self-care in order to get the most out life. My unique background has allowed me to work with disabled patients in rehab programs, serve as a coordinator of wrap-around services for children with special needs, and gain experience in corporate positions that require attention to detail and demand work-life balance. This journey has taught me to be empathetic to my client's circumstances. I have a client-centered approach that considers every aspect of their lives, and meet each person where they are in their mental wellness journey.
I currently hold associate licensures as a Professional Counselor and Marriage & Family Therapist in the State of Georgia.
I am a passionate wellbeing leader who understands the importance of self-care in order to get the most out life. My unique background has allowed me to work with disabled patients in rehab programs, serve as a coordinator of wrap-around services for children with special needs, and gain experience in corporate positions that require attention to detail and demand work-life balance. This journey has taught me to be empathetic to my client's circumstances. I have a client-centered approach that considers every aspect of their lives, and meet each person where they are in their mental wellness journey.
(470) 243-8905 View (470) 243-8905
Photo of Laura Hafner, Licensed Professional Counselor in Cumming, GA
Laura Hafner
Licensed Professional Counselor, MS, LPC, RPT, CPCS
Verified Verified
2 Endorsed
Cumming, GA 30040
Waitlist for new clients
Often times when individuals seek therapy, they are in some of the hardest seasons of life. I strive to offer an environment and experience filled with acceptance and empathy to help you work through those challenges. I enjoy working collaboratively with clients to help process big feelings and hardships they may be experiencing. I especially enjoy working with children and adolescents who are struggling with life transitions, anxiety, depression, trauma, grief, ADHD, family conflict, and other difficulties that are keeping them from living their best life.
Often times when individuals seek therapy, they are in some of the hardest seasons of life. I strive to offer an environment and experience filled with acceptance and empathy to help you work through those challenges. I enjoy working collaboratively with clients to help process big feelings and hardships they may be experiencing. I especially enjoy working with children and adolescents who are struggling with life transitions, anxiety, depression, trauma, grief, ADHD, family conflict, and other difficulties that are keeping them from living their best life.
(470) 243-8458 View (470) 243-8458
Photo of Shontel Cargill, Marriage & Family Therapist in Cumming, GA
Shontel Cargill
Marriage & Family Therapist, MFT
Verified Verified
Cumming, GA 30040
Shontel Cargill is a Licensed Marriage and Family Therapist (LMFT) who has been facilitating change for those who are greatly impacted by mental health issues, addictive diseases, and developmental disabilities for 6 years. Shontel has experience working with diverse populations in private practice, community health care, outpatient, and hospital settings. She specializes in marriage and family therapy, couples therapy, and maternal mental health. Shontel also enjoys working with individuals on achieving their personal and professional goals in therapy.
Shontel Cargill is a Licensed Marriage and Family Therapist (LMFT) who has been facilitating change for those who are greatly impacted by mental health issues, addictive diseases, and developmental disabilities for 6 years. Shontel has experience working with diverse populations in private practice, community health care, outpatient, and hospital settings. She specializes in marriage and family therapy, couples therapy, and maternal mental health. Shontel also enjoys working with individuals on achieving their personal and professional goals in therapy.
(678) 916-9772 View (678) 916-9772
Photo of Solutions Counseling Centers, Licensed Professional Counselor in Cumming, GA
Solutions Counseling Centers
Licensed Professional Counselor, EdS, LPC, NCC
Verified Verified
Cumming, GA 30041
Treatment specialization includes: Therapy for Depression and Anxiety *Couples Counseling *Family Counseling *Parenting Support *Grief Counseling *Work and Career Issues *Stress Management *Addiction & Recovery *Conflict Resolution *Men’s Issues *Women's Issues .
Online sessions available now. As solution-focused therapists at Solutions Counseling Centers and The Neurofeedback Group, our goal is to help you uncover your true potential and lead a life worth celebrating.
Treatment specialization includes: Therapy for Depression and Anxiety *Couples Counseling *Family Counseling *Parenting Support *Grief Counseling *Work and Career Issues *Stress Management *Addiction & Recovery *Conflict Resolution *Men’s Issues *Women's Issues .
Online sessions available now. As solution-focused therapists at Solutions Counseling Centers and The Neurofeedback Group, our goal is to help you uncover your true potential and lead a life worth celebrating.
(678) 771-6960 View (678) 771-6960
Photo of Charles L Britt, Jr., MS, LPC, NCC, CPCS, Licensed Professional Counselor in Cumming, GA
Charles L Britt, Jr., MS, LPC, NCC, CPCS
Licensed Professional Counselor, MS, LPC, NCC, CPCS
Verified Verified
4 Endorsed
Cumming, GA 30040
Master of Counseling and Personnel Services Community Agency Counseling: University of Memphis, 1995; Memberships and Affiliations: Licensed Professional Counselor, National Certified Counselor: NBCC; Member of LPCAGA and Certified Professional Counselor Supervisor, CPCS; Member of the American Association of Christian Counselors; DBHDD Clinical Evaluator and Treatment Provider; Certified Family Violence Intervention Provider.
Are you or do you know someone who is suffering from problems such as depression, anxiety,anger or addiction? Many of us at times find ourselves or our loved ones trapped and having difficulty finding a way out of the problems life brings. Through the suffering and the pain we are tempted to give up in despair, unable to see a way through the confusion and hopelessness.As a Christian counselor I seek to minister to the mental, emotional and spiritual needs of the individual, couple or families who may be struggling with various problems.
Master of Counseling and Personnel Services Community Agency Counseling: University of Memphis, 1995; Memberships and Affiliations: Licensed Professional Counselor, National Certified Counselor: NBCC; Member of LPCAGA and Certified Professional Counselor Supervisor, CPCS; Member of the American Association of Christian Counselors; DBHDD Clinical Evaluator and Treatment Provider; Certified Family Violence Intervention Provider.
Are you or do you know someone who is suffering from problems such as depression, anxiety,anger or addiction? Many of us at times find ourselves or our loved ones trapped and having difficulty finding a way out of the problems life brings. Through the suffering and the pain we are tempted to give up in despair, unable to see a way through the confusion and hopelessness.As a Christian counselor I seek to minister to the mental, emotional and spiritual needs of the individual, couple or families who may be struggling with various problems.
(678) 824-2142 x1 View (678) 824-2142 x1
Photo of Jodie Schneeberg, Counselor in Cumming, GA
Jodie Schneeberg
Counselor, MS, LPC
Verified Verified
Cumming, GA 30040  (Online Only)
I am excited to connect with people who are looking to open up and talk about their past, present, or future. I have experience working with the following areas: family violence, trauma, relationship conflict, changes in family structure, parenting, grief, health and wellness.
I am excited to connect with people who are looking to open up and talk about their past, present, or future. I have experience working with the following areas: family violence, trauma, relationship conflict, changes in family structure, parenting, grief, health and wellness.
(470) 839-4759 View (470) 839-4759
Photo of Kim Waters-Rose, Licensed Professional Counselor in Cumming, GA
Kim Waters-Rose
Licensed Professional Counselor, LPC, CPCS
Verified Verified
4 Endorsed
Cumming, GA 30040
Our goal is to provide whole health healing for the entire family.
Need to talk... I'll listen... Making the decision to talk with a professional counselor takes bravery, strength and courage. I work to provide an inviting environment where my clients feel safe, comfortable, and cared for while exploring challenges present in their life. You may feel stuck, out of control, unhealthy, or simply feeling like you are not living your best life. I will embrace those struggles with you, while together we explore a life of living you have long awaited, your best life!
Our goal is to provide whole health healing for the entire family.
Need to talk... I'll listen... Making the decision to talk with a professional counselor takes bravery, strength and courage. I work to provide an inviting environment where my clients feel safe, comfortable, and cared for while exploring challenges present in their life. You may feel stuck, out of control, unhealthy, or simply feeling like you are not living your best life. I will embrace those struggles with you, while together we explore a life of living you have long awaited, your best life!
(678) 853-7095 View (678) 853-7095
Photo of Cheryl A. O'Connell, Licensed Professional Counselor in Cumming, GA
Cheryl A. O'Connell
Licensed Professional Counselor, LPC, CPCS, BC-TMH, TPMC996
Verified Verified
1 Endorsed
Cumming, GA 30028  (Online Only)
Relationships, Marriage, Stress, Anxiety, Depression, Family Conflict, Teenager, Grief (family, friends or pets). With over 20yrs of therapeutic experience my overall passion is helping Individuals, Teens, Couples & Families discover the truth in their current circumstances & together developing a peaceful, livable solution. ALL appointments are Virtual Telemental Health. I look forward to meeting and working with you.
Relationships, Marriage, Stress, Anxiety, Depression, Family Conflict, Teenager, Grief (family, friends or pets). With over 20yrs of therapeutic experience my overall passion is helping Individuals, Teens, Couples & Families discover the truth in their current circumstances & together developing a peaceful, livable solution. ALL appointments are Virtual Telemental Health. I look forward to meeting and working with you.
(404) 919-7334 View (404) 919-7334
Photo of Trish Bellante, Marriage & Family Therapist in Cumming, GA
Trish Bellante
Marriage & Family Therapist, LMFT, MBA
Verified Verified
3 Endorsed
Cumming, GA 30040
As a Marriage and Family Therapist, I'm dedicated to fostering lasting change through collaborative and encouraging support. Working with both couples and individuals, my goal is to empower clients to navigate challenges and cultivate thriving relationships. Together, we'll embark on a journey toward growth, resilience, and lasting fulfillment.
As a Marriage and Family Therapist, I'm dedicated to fostering lasting change through collaborative and encouraging support. Working with both couples and individuals, my goal is to empower clients to navigate challenges and cultivate thriving relationships. Together, we'll embark on a journey toward growth, resilience, and lasting fulfillment.
(678) 551-6851 View (678) 551-6851
Photo of Sanona A Williams, Licensed Professional Counselor in Cumming, GA
Sanona A Williams
Licensed Professional Counselor, MS, LPC, CPCS, NCC
Verified Verified
Cumming, GA 30040
Waitlist for new clients
My passion is to provide healing, help and restoration to individuals, couples and families. My work in marriage ministry and with families and couples enables me to walk with you through the challenges life brings. Providing a safe, supportive and confidential environment for my clients to explore and process past and present issues is my goal in therapy. Promoting healing of the individual and the family unit is my heart's work and I dedicate myself to helping my clients reach their potential.
My passion is to provide healing, help and restoration to individuals, couples and families. My work in marriage ministry and with families and couples enables me to walk with you through the challenges life brings. Providing a safe, supportive and confidential environment for my clients to explore and process past and present issues is my goal in therapy. Promoting healing of the individual and the family unit is my heart's work and I dedicate myself to helping my clients reach their potential.
(770) 766-4767 View (770) 766-4767
Photo of Jaclyn Barnum, Clinical Social Work/Therapist in Cumming, GA
Jaclyn Barnum
Clinical Social Work/Therapist, LCSW, CMFT, HS-BCP
Verified Verified
4 Endorsed
Cumming, GA 30041
Jaclyn is associated with Hope & Growth Counseling Services, LLC. Jaclyn Barnum is a fully licensed clinical social worker, marriage and family therapy certificate and a Human Services Board Certified practitioner. Jaclyn's biggest focus is listening to her clients, helping them with where they are at, and helping them move forward in the direction they want to go. Jaclyn is kind and feels that listening to her clients is the best way to help. Jaclyn provides several focuses in the areas of DBT and CBT. Jaclyn can also complete several different types of assessments. Currently accepting new clients and looks forward to helping you
Jaclyn is associated with Hope & Growth Counseling Services, LLC. Jaclyn Barnum is a fully licensed clinical social worker, marriage and family therapy certificate and a Human Services Board Certified practitioner. Jaclyn's biggest focus is listening to her clients, helping them with where they are at, and helping them move forward in the direction they want to go. Jaclyn is kind and feels that listening to her clients is the best way to help. Jaclyn provides several focuses in the areas of DBT and CBT. Jaclyn can also complete several different types of assessments. Currently accepting new clients and looks forward to helping you
(770) 501-4673 View (770) 501-4673
Photo of Beth Franchini, Counselor in Cumming, GA
Beth Franchini
Counselor, MEd, LPC
Verified Verified
1 Endorsed
Cumming, GA 30041  (Online Only)
My superpower is helping you connect with your true self. Maybe you have no idea who that is or if you even like your true self. I specialize in working with adults that are still living with childhood emotional neglect and trauma. Until we connect the dots, and gain a clear picture of how this impacts our lives today, we will be stuck. Whether this is showing up for you in addiction, relationships, family or job struggles, it's time to get support. Contact me today for a free 15 minute consultation to see if I might be the right fit for you.
My superpower is helping you connect with your true self. Maybe you have no idea who that is or if you even like your true self. I specialize in working with adults that are still living with childhood emotional neglect and trauma. Until we connect the dots, and gain a clear picture of how this impacts our lives today, we will be stuck. Whether this is showing up for you in addiction, relationships, family or job struggles, it's time to get support. Contact me today for a free 15 minute consultation to see if I might be the right fit for you.
(678) 831-6351 View (678) 831-6351
Photo of Amanda Prior, Licensed Professional Counselor in Cumming, GA
Amanda Prior
Licensed Professional Counselor, MS, LPC
Verified Verified
Cumming, GA 30040
I have a passion for those struggling with boundaries, conflict resolution, family struggles, communication, and poor coping skills.
I am Amanda Prior a Licensed Professional Counselor in Georgia. I have experience working with at risk youth, children, adults, families, and couples. My experience has been working in a residential setting as well as private practice. I have completed my education and continue training to work on a professional level to help you. In addition, I too have had my own challenges and life experiences so I know how difficult working on ourselves can be. I have a deep appreciation for the courage that it takes to seek help and to start therapy. Talking about our feelings, experiences and thoughts can be extremely hard.
I have a passion for those struggling with boundaries, conflict resolution, family struggles, communication, and poor coping skills.
I am Amanda Prior a Licensed Professional Counselor in Georgia. I have experience working with at risk youth, children, adults, families, and couples. My experience has been working in a residential setting as well as private practice. I have completed my education and continue training to work on a professional level to help you. In addition, I too have had my own challenges and life experiences so I know how difficult working on ourselves can be. I have a deep appreciation for the courage that it takes to seek help and to start therapy. Talking about our feelings, experiences and thoughts can be extremely hard.
(770) 659-7159 View (770) 659-7159
Photo of Beyond Today Counseling Center, LLC, Licensed Professional Counselor in Cumming, GA
Beyond Today Counseling Center, LLC
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Cumming, GA 30040
Are you overwhelmed with trying to find the right therapist for you or your family member? Has your search left you frustrated and confused? Our practice is multi-disciplinary, meaning we treat all ages and a variety of specializations. The counselors of Beyond Today Counseling Center all provide compassionate and evidenced base care to the individuals and families who seek our services. With this variety of professional expertise, we are able to meet a multitude of treatment needs. If for some reason we are not able to help you at this time, we will help you find someone in the area who we think will be a good fit for you.
Are you overwhelmed with trying to find the right therapist for you or your family member? Has your search left you frustrated and confused? Our practice is multi-disciplinary, meaning we treat all ages and a variety of specializations. The counselors of Beyond Today Counseling Center all provide compassionate and evidenced base care to the individuals and families who seek our services. With this variety of professional expertise, we are able to meet a multitude of treatment needs. If for some reason we are not able to help you at this time, we will help you find someone in the area who we think will be a good fit for you.
(678) 882-7833 View (678) 882-7833
Photo of Jasmine Marie Gosha, Marriage & Family Therapist in Cumming, GA
Jasmine Marie Gosha
Marriage & Family Therapist, LMFT
Verified Verified
Cumming, GA 30040
I am a Licensed Marriage and Family Therapist in Georgia.
Are you feeling stuck in patterns that make life hard to navigate? Do you want to understand more about yourself to improve your relationships? Maybe you are feeling overwhelmed by the many tasks we must accomplish daily. Whatever the reason may be, therapy can provide a safe and supportive environment to develop tools to tackle any obstacle we face. It takes courage to reach out for help and make the decision to look inward. The reward for being brave in this moment could benefit you for the rest of your life.
I am a Licensed Marriage and Family Therapist in Georgia.
Are you feeling stuck in patterns that make life hard to navigate? Do you want to understand more about yourself to improve your relationships? Maybe you are feeling overwhelmed by the many tasks we must accomplish daily. Whatever the reason may be, therapy can provide a safe and supportive environment to develop tools to tackle any obstacle we face. It takes courage to reach out for help and make the decision to look inward. The reward for being brave in this moment could benefit you for the rest of your life.
(470) 722-2073 View (470) 722-2073
Photo of Focus Forward Counseling and Consulting, Inc., Psychologist in Cumming, GA
Focus Forward Counseling and Consulting, Inc.
Psychologist, PhD, LCSW, LPC, LMFT
Verified Verified
Cumming, GA 30040
We offer day, evening and weekend appointments to help you get "unstuck." We provide pragmatic, down to earth, help for individuals, couples, and families. Our expert psychology and counseling staff offers child and adolescent counseling, adult therapy, individual therapy, couples counseling, marriage and family services, and psychological testing. We treat anxiety and depressive disorders, bipolar disorder, substance abuse, trauma, career concerns, relationship troubles, academic issues, and ADHD.
We offer day, evening and weekend appointments to help you get "unstuck." We provide pragmatic, down to earth, help for individuals, couples, and families. Our expert psychology and counseling staff offers child and adolescent counseling, adult therapy, individual therapy, couples counseling, marriage and family services, and psychological testing. We treat anxiety and depressive disorders, bipolar disorder, substance abuse, trauma, career concerns, relationship troubles, academic issues, and ADHD.
(404) 948-5710 View (404) 948-5710
Photo of Heather R Hayes & Associates, Licensed Professional Counselor in Cumming, GA
Heather R Hayes & Associates
Licensed Professional Counselor, LPC, CAI, CIP
Verified Verified
1 Endorsed
Cumming, GA 30041
Hayes & Associates, we understand how challenging the journey toward healing can be, especially when an individual or family is in the midst of crisis.
Heather Hayes & Associates is your trusted ally for navigating the complex world of treatment and recovery options for substance abuse, mental health issues, and process addictions. The Heather R. Hayes team offers a concierge approach to care management, tailoring our services to meet the needs of the behavioral health professionals, organizations, and families we serve. The HRH team offers intervention and case management services, treatment placement, sober/therapeutic transportation, sober/therapeutic companionship, and in office consults for families struggling with mental health, trauma, eating disorders, and addiction.
Hayes & Associates, we understand how challenging the journey toward healing can be, especially when an individual or family is in the midst of crisis.
Heather Hayes & Associates is your trusted ally for navigating the complex world of treatment and recovery options for substance abuse, mental health issues, and process addictions. The Heather R. Hayes team offers a concierge approach to care management, tailoring our services to meet the needs of the behavioral health professionals, organizations, and families we serve. The HRH team offers intervention and case management services, treatment placement, sober/therapeutic transportation, sober/therapeutic companionship, and in office consults for families struggling with mental health, trauma, eating disorders, and addiction.
(470) 281-3423 View (470) 281-3423
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.