Photo of Holly A Cox, Counselor in Mokena, IL
Holly A Cox
Counselor, LCPC, CDC
Verified Verified
Mokena, IL 60448
Have you been living your life like it's a dress rehearsal for the real thing? If so, you've come to the right place! My goal is to help you get clear about what you really want and assist you in transforming your life. I will support you in developing the skills you need to achieve whatever it is you are searching for - increased self-confidence, better relationships, improved parenting skills, emotional peace and stability, stress reduction, financial security, family harmony, etc. I am also passionate about assisting parents who are dealing with the challenges of raising "gritty" children in this topsy-turvy world.
Have you been living your life like it's a dress rehearsal for the real thing? If so, you've come to the right place! My goal is to help you get clear about what you really want and assist you in transforming your life. I will support you in developing the skills you need to achieve whatever it is you are searching for - increased self-confidence, better relationships, improved parenting skills, emotional peace and stability, stress reduction, financial security, family harmony, etc. I am also passionate about assisting parents who are dealing with the challenges of raising "gritty" children in this topsy-turvy world.
(708) 277-6852 View (708) 277-6852
Photo of Krista Raatjes, Clinical Social Work/Therapist in Mokena, IL
Krista Raatjes
Clinical Social Work/Therapist, AM, LCSW, RPlayT
Verified Verified
Mokena, IL 60448
I enjoy working with clients of all ages towards their therapeutic goals. After years of experience, I am still in awe of the way clients overcome trauma and hardship. I feel fortunate to be a part of the process of healing as clients use and build their strengths through challenging times. I have experience helping children and families in a plethora of family set ups such as biological, adoption, foster care, kinship, etc. I enjoy working with clients using play therapy and I am pumped to be a Registered Play Therapist. I really enjoy meeting with children, adolescents, young adults, and adults using talk or play therapy.!
I enjoy working with clients of all ages towards their therapeutic goals. After years of experience, I am still in awe of the way clients overcome trauma and hardship. I feel fortunate to be a part of the process of healing as clients use and build their strengths through challenging times. I have experience helping children and families in a plethora of family set ups such as biological, adoption, foster care, kinship, etc. I enjoy working with clients using play therapy and I am pumped to be a Registered Play Therapist. I really enjoy meeting with children, adolescents, young adults, and adults using talk or play therapy.!
(779) 223-1188 View (779) 223-1188
Photo of Dr. Dawn Kusinski, Counselor in Mokena, IL
Dr. Dawn Kusinski
Counselor, PsyD
Verified Verified
2 Endorsed
Mokena, IL 60448
During my final year of graduate school, I embarked on additional training in the area of Marriage and Family Therapy.
I have experience providing treatment for those who have suffered painful experiences in their childhood or adult life. As well as treating individuals who feel angry, sad or anxious much of the time. I have also worked with those who feel out of control of their behavior and feel misunderstood in their relationships. Additionally, I have experience working with milder symptoms including stress related to managing a healthy work-life balance, interpersonal relationship struggles, inattention, and hyperactivity. I have also provided therapy to help individuals implement effective parenting strategies and increase assertiveness in their lives.
During my final year of graduate school, I embarked on additional training in the area of Marriage and Family Therapy.
I have experience providing treatment for those who have suffered painful experiences in their childhood or adult life. As well as treating individuals who feel angry, sad or anxious much of the time. I have also worked with those who feel out of control of their behavior and feel misunderstood in their relationships. Additionally, I have experience working with milder symptoms including stress related to managing a healthy work-life balance, interpersonal relationship struggles, inattention, and hyperactivity. I have also provided therapy to help individuals implement effective parenting strategies and increase assertiveness in their lives.
(815) 854-4672 View (815) 854-4672
Photo of Stephanie Kozlowski, Marriage & Family Therapist Associate in Mokena, IL
Stephanie Kozlowski
Marriage & Family Therapist Associate
Verified Verified
Mokena, IL 60448
I believe everyone’s journey is unique and deserves to be told. As a marriage and Family Therapist, I will meet you where you are at to help navigate what is not working for you. While helping clients reach their goals, my goal is to help make the therapy process a positive and helpful tool for my clients in their everyday life. I have years of experience working with men, women, children, marriages and families who have experienced trauma, anxiety, depression, eating disorders, loss,ODD,OCD, ADHD, intimacy issues, affairs, abuse,co-parenting and behaviors. I have extra training in the area of family studies and crisis intervention.
I believe everyone’s journey is unique and deserves to be told. As a marriage and Family Therapist, I will meet you where you are at to help navigate what is not working for you. While helping clients reach their goals, my goal is to help make the therapy process a positive and helpful tool for my clients in their everyday life. I have years of experience working with men, women, children, marriages and families who have experienced trauma, anxiety, depression, eating disorders, loss,ODD,OCD, ADHD, intimacy issues, affairs, abuse,co-parenting and behaviors. I have extra training in the area of family studies and crisis intervention.
(708) 627-2935 View (708) 627-2935
Photo of Sandy Sybert, Counselor in Mokena, IL
Sandy Sybert
Counselor, LCPC, NCC
Verified Verified
1 Endorsed
Mokena, IL 60448
I use a combination of Cognitive Behavioral Therapy, Family Systems Therapy, and Solution Focused Therapy.
We all experience stress, whether it be from our jobs, relationships, and/or life changes, big and small. Most of the time we handle everything just fine but sometimes life throws us a curve and we become overwhelmed. That is when I would encourage you to talk with a professional, whether it is me or another professional.
I use a combination of Cognitive Behavioral Therapy, Family Systems Therapy, and Solution Focused Therapy.
We all experience stress, whether it be from our jobs, relationships, and/or life changes, big and small. Most of the time we handle everything just fine but sometimes life throws us a curve and we become overwhelmed. That is when I would encourage you to talk with a professional, whether it is me or another professional.
(708) 745-8210 View (708) 745-8210
Photo of Saulena Antanavi, Counselor in Mokena, IL
Saulena Antanavi
Counselor, MSCP, LCPC, NCC
Verified Verified
Mokena, IL 60448
Do you feel overwhelmed by anxiety or obsessive thoughts, frequently thinking the worst? Have you noticed your child is preoccupied by excessive worry or fears? You are not alone, and there is help. My focus is on, though not limited to, services for those struggling with anxiety, OCD, mood disorders, PTSD and co-occurring disorders, such as depression. My approach is entirely determined by the unique needs of you, my client - whether it's individual or family counseling. You deserve the best help and guidance to live a fulfilling, more joyful life.
Do you feel overwhelmed by anxiety or obsessive thoughts, frequently thinking the worst? Have you noticed your child is preoccupied by excessive worry or fears? You are not alone, and there is help. My focus is on, though not limited to, services for those struggling with anxiety, OCD, mood disorders, PTSD and co-occurring disorders, such as depression. My approach is entirely determined by the unique needs of you, my client - whether it's individual or family counseling. You deserve the best help and guidance to live a fulfilling, more joyful life.
(708) 469-4748 View (708) 469-4748
Photo of Jamie Simmert, Clinical Social Work/Therapist in Mokena, IL
Jamie Simmert
Clinical Social Work/Therapist, MS, LSW, EMDR
Verified Verified
Mokena, IL 60448
We’ve all experienced times when we just feel stuck, going through the motions of life rather than actually living our best lives. Anxiety, depression, addiction, low self-esteem, past trauma or many other issues can impact your ability to live a full and happy life and have healthy family and other relationships. Therapy is a powerful medium that can provide many tools and strategies to help you navigate all of these challenges and many more. I enjoy working with child/adolescent, adult, and geriatric populations using a variety of therapeutic techniques including CBT, DBT, 12-Step, Trauma-Informed, and Family Systems Therapy.
We’ve all experienced times when we just feel stuck, going through the motions of life rather than actually living our best lives. Anxiety, depression, addiction, low self-esteem, past trauma or many other issues can impact your ability to live a full and happy life and have healthy family and other relationships. Therapy is a powerful medium that can provide many tools and strategies to help you navigate all of these challenges and many more. I enjoy working with child/adolescent, adult, and geriatric populations using a variety of therapeutic techniques including CBT, DBT, 12-Step, Trauma-Informed, and Family Systems Therapy.
(708) 315-2734 View (708) 315-2734
Photo of Melissa Baranowski, Licensed Professional Counselor in Mokena, IL
Melissa Baranowski
Licensed Professional Counselor, MS
Verified Verified
1 Endorsed
Mokena, IL 60448
I have extensive experience working with adolescents and adults with a variety of issues, including mood and anxiety disorders, trauma, PTSD, stress, eating disorders, marriage/couples/relationship issues, family conflict, among others.
Do you sometimes feel like you’re disconnected, or feel like you don’t belong? Are you finding yourself overwhelmed by feelings of anxiety? Or perhaps relationship struggles or past traumas are not allowing you to live the life you want. You are not alone. Therapy is a powerful medium that can provide many tools and strategies to help you navigate all of these challenges and more. I pride myself on being open and accepting of everyone and have been fortunate to work with clients from all walks of life.
I have extensive experience working with adolescents and adults with a variety of issues, including mood and anxiety disorders, trauma, PTSD, stress, eating disorders, marriage/couples/relationship issues, family conflict, among others.
Do you sometimes feel like you’re disconnected, or feel like you don’t belong? Are you finding yourself overwhelmed by feelings of anxiety? Or perhaps relationship struggles or past traumas are not allowing you to live the life you want. You are not alone. Therapy is a powerful medium that can provide many tools and strategies to help you navigate all of these challenges and more. I pride myself on being open and accepting of everyone and have been fortunate to work with clients from all walks of life.
(708) 419-3644 View (708) 419-3644
Photo of Deanna L Stacy, Counselor in Mokena, IL
Deanna L Stacy
Counselor, MA, LCPC, NCC, CCMHC
Verified Verified
Mokena, IL 60448
I am a Licensed Clinical Professional Counselor with over 9 years experience. I hold an M.A. in Clinical Psychology from Roosevelt University and additional credentials in Family Psychology and Stress Management. I regularly guide clients to develop coping mechanisms for their anxiety, depression, and difficult life situations. My experience working with the foster care system assists me to support children, teens, and adults through many complex issues including abuse and trauma. I am also skilled in helping couples and families build proper communication to strengthen marriages and relationships.
I am a Licensed Clinical Professional Counselor with over 9 years experience. I hold an M.A. in Clinical Psychology from Roosevelt University and additional credentials in Family Psychology and Stress Management. I regularly guide clients to develop coping mechanisms for their anxiety, depression, and difficult life situations. My experience working with the foster care system assists me to support children, teens, and adults through many complex issues including abuse and trauma. I am also skilled in helping couples and families build proper communication to strengthen marriages and relationships.
(708) 541-1822 View (708) 541-1822
Photo of Lynn Panepinto, Clinical Social Work/Therapist in Mokena, IL
Lynn Panepinto
Clinical Social Work/Therapist, LCSW, CCTP-II, EMDR
Verified Verified
Mokena, IL 60448
If you’re struggling with difficult emotions, relationship/family issues, trauma, uncomfortable life transitions, or feeling stuck and overwhelmed, help is available. My passion is working with clients to develop self-awareness, inner strength, and coping skills so that true and lasting healing occurs. I believe that your overall sense of well-being and overall health includes mental and emotional wellness. My hope is that therapy will help you experience greater self-acceptance, understanding, and an ability to achieve your goals and increase your emotional wellness.
If you’re struggling with difficult emotions, relationship/family issues, trauma, uncomfortable life transitions, or feeling stuck and overwhelmed, help is available. My passion is working with clients to develop self-awareness, inner strength, and coping skills so that true and lasting healing occurs. I believe that your overall sense of well-being and overall health includes mental and emotional wellness. My hope is that therapy will help you experience greater self-acceptance, understanding, and an ability to achieve your goals and increase your emotional wellness.
(708) 316-9132 View (708) 316-9132
Photo of Dr. Garilynn Winterbottom, Pre-Licensed Professional in Mokena, IL
Dr. Garilynn Winterbottom
Pre-Licensed Professional, PsyD
Verified Verified
1 Endorsed
Mokena, IL 60448
If you're feeling stuck and overwhelmed help is available. My passion is working with children, adolescents and adults to help guide them toward true and lasting mental wellness and recovery. I have extensive experience working with individuals, couples, and families dealing with mood disorders, anxiety, trauma/PTSD, abuse issues, grief/loss, emotional dysregulation, substance use, and family/other conflicts. As an active participant in your journey, I am able to provide skills training and treatment in the areas of anger management, parenting, problem-solving, self-esteem, communication, stress management, and attachment.
If you're feeling stuck and overwhelmed help is available. My passion is working with children, adolescents and adults to help guide them toward true and lasting mental wellness and recovery. I have extensive experience working with individuals, couples, and families dealing with mood disorders, anxiety, trauma/PTSD, abuse issues, grief/loss, emotional dysregulation, substance use, and family/other conflicts. As an active participant in your journey, I am able to provide skills training and treatment in the areas of anger management, parenting, problem-solving, self-esteem, communication, stress management, and attachment.
(708) 919-3515 View (708) 919-3515
Photo of Helene A Jacques, Counselor in Mokena, IL
Helene A Jacques
Counselor, MS, LCPC, NCC
Verified Verified
Mokena, IL 60448  (Online Only)
Helene Jacques is a Licensed Clinical Professional Counselor and a National Certified Counselor who has been in practice since 2000. She sees adolescents and adults for individual and family therapy. Helene has extensive experience working with clients dealing with lesbian, gay, bisexual and transgender issues, depression, anxiety, grief and loss, adoption concerns, relationship problems, stress management, medical and health concerns, and post-abortion issues. Helene was trained in an eclectic model of therapy and relies on this knowledge base to select effective treatment approaches for each client or family.
Helene Jacques is a Licensed Clinical Professional Counselor and a National Certified Counselor who has been in practice since 2000. She sees adolescents and adults for individual and family therapy. Helene has extensive experience working with clients dealing with lesbian, gay, bisexual and transgender issues, depression, anxiety, grief and loss, adoption concerns, relationship problems, stress management, medical and health concerns, and post-abortion issues. Helene was trained in an eclectic model of therapy and relies on this knowledge base to select effective treatment approaches for each client or family.
(630) 599-8674 View (630) 599-8674
Photo of Susan Ryan-Michalak, Counselor in Mokena, IL
Susan Ryan-Michalak
Counselor, MA, LCPC, NCC, LBSI
Verified Verified
1 Endorsed
Mokena, IL 60448
I am a Licensed Clinical Professional Counselor, an EMDR TRAINED CLINICIAN AND A LEARNING BEHAVIOR SPECIALIST with a focus on Individuals, Marriage, Family, and Children.
Telehealth/ Video Counseling now offered. Are you in need to talk to someone right now? I'm here. I AM PASSIONATE about HELPING others with anxiety, depression, self-esteem, trauma, divorce, and life changing events. Are you going through something new, a life changing event that happened or something you have been struggling with for awhile? My goal is to facilitate clients to reach THEIR GOALS in a safe, respectful, non-judgmental environment. I believe everyone can achieve the success they want and feel better. You don't have to do it alone. I am fully trained with many techniques and experience to get you where you want to be.
I am a Licensed Clinical Professional Counselor, an EMDR TRAINED CLINICIAN AND A LEARNING BEHAVIOR SPECIALIST with a focus on Individuals, Marriage, Family, and Children.
Telehealth/ Video Counseling now offered. Are you in need to talk to someone right now? I'm here. I AM PASSIONATE about HELPING others with anxiety, depression, self-esteem, trauma, divorce, and life changing events. Are you going through something new, a life changing event that happened or something you have been struggling with for awhile? My goal is to facilitate clients to reach THEIR GOALS in a safe, respectful, non-judgmental environment. I believe everyone can achieve the success they want and feel better. You don't have to do it alone. I am fully trained with many techniques and experience to get you where you want to be.
(773) 796-4048 View (773) 796-4048
Photo of Dr. Rebecca Hall, Psychologist in Mokena, IL
Dr. Rebecca Hall
Psychologist, PsyD
Verified Verified
1 Endorsed
Mokena, IL 60448
Family therapy, couples counseling, and psychological testing are also available.
Are you feeling overwhelmed and ready for a change? Most of us are pulled in so many different directions these days it is easy to feel anxious or depressed. When difficult experiences, thoughts, and feelings interfere with relationships, goals, work, and home responsibilities, counseling can make a difference. I believe even the strongest people can benefit from a caring, unbiased ear to help them overcome life’s struggles. I help children, adolescents, adults, and families with a range of behavioral, emotional, and relational difficulties, including ADHD, anxiety, depression, eating disorders, self-injury, social problems, and trauma.
Family therapy, couples counseling, and psychological testing are also available.
Are you feeling overwhelmed and ready for a change? Most of us are pulled in so many different directions these days it is easy to feel anxious or depressed. When difficult experiences, thoughts, and feelings interfere with relationships, goals, work, and home responsibilities, counseling can make a difference. I believe even the strongest people can benefit from a caring, unbiased ear to help them overcome life’s struggles. I help children, adolescents, adults, and families with a range of behavioral, emotional, and relational difficulties, including ADHD, anxiety, depression, eating disorders, self-injury, social problems, and trauma.
(708) 315-2381 View (708) 315-2381
Photo of Christina M Reed, Counselor in Mokena, IL
Christina M Reed
Counselor, MA, NCC, LCPC
Verified Verified
Mokena, IL 60448
In my work with children, adolescents and adults, I have vast experience and knowledge working with clients experiencing Anxiety, Depression, self-injury, PTSD, panic attacks, sexual abuse/assault, relationship and family issue, grief and loss, and eating disorders.
I am a Licensed Clinical Professional Counselor and have extensive counseling experience working with Adolescents, Adults and Families for over 24 years. The counseling process should be a collaborative effort between the client and counselor. It is important for the client to trust the therapist for the process to be successful. I work with each person to develop a connection with them to allow us to explore life issues. My professional work has been with clients of all ages in both private and social service agency settings.
In my work with children, adolescents and adults, I have vast experience and knowledge working with clients experiencing Anxiety, Depression, self-injury, PTSD, panic attacks, sexual abuse/assault, relationship and family issue, grief and loss, and eating disorders.
I am a Licensed Clinical Professional Counselor and have extensive counseling experience working with Adolescents, Adults and Families for over 24 years. The counseling process should be a collaborative effort between the client and counselor. It is important for the client to trust the therapist for the process to be successful. I work with each person to develop a connection with them to allow us to explore life issues. My professional work has been with clients of all ages in both private and social service agency settings.
(708) 469-6933 View (708) 469-6933
Photo of Laura Scott-Crusing, Counselor in Mokena, IL
Laura Scott-Crusing
Counselor, LCPC, CADC, MISAII
Verified Verified
1 Endorsed
Mokena, IL 60448
My specialties are adolescents, family and addiction.
"Your greatest self has been waiting your whole life, don't make it wait any longer." When we least expect it, life throws us many difficult challenges. Therapy is the first step in your journey of self exploration and change. You have the power to overcome obstacles and make positive changes in your life. I can give you the proper guidance, education, and tools to make your life better.
My specialties are adolescents, family and addiction.
"Your greatest self has been waiting your whole life, don't make it wait any longer." When we least expect it, life throws us many difficult challenges. Therapy is the first step in your journey of self exploration and change. You have the power to overcome obstacles and make positive changes in your life. I can give you the proper guidance, education, and tools to make your life better.
(708) 325-4853 View (708) 325-4853
Photo of Compassionate Care LSC, INC, Counselor in Mokena, IL
Compassionate Care LSC, INC
Counselor, LCPC, CADC, MISAII
Verified Verified
Mokena, IL 60448
We offer individual, and family counseling, and marital therapy.
Compassionate Care LSC, INC has therapists that are professional, certified, and licensed to meet the growing needs of the world we live in. We are committed to developing a relationship of caring for all the individuals we serve. We offer over 20 years of clinical experience and expertise. We take the time to help you when your life has been turned upside down and you don't know what to do. We can help you solve the obstacles that are getting in the way of your life.
We offer individual, and family counseling, and marital therapy.
Compassionate Care LSC, INC has therapists that are professional, certified, and licensed to meet the growing needs of the world we live in. We are committed to developing a relationship of caring for all the individuals we serve. We offer over 20 years of clinical experience and expertise. We take the time to help you when your life has been turned upside down and you don't know what to do. We can help you solve the obstacles that are getting in the way of your life.
(815) 828-6749 View (815) 828-6749
Dr. Julie Chicvara
Psychologist, PsyD, LCP
Verified Verified
Mokena, IL 60448
Hello! I am Dr. Julie Chicvara, PsyD, a Licensed Clinical Psychologist. Born and raised in the southwest suburbs, I have settled my own family in the same community and opened a private practice in the Orland/Mokena area. You can expect a warm welcome and a comfortable environment upon coming to my office. The first visit entails a structured interview where background information and presenting problems are noted. A weekly time will be agreed upon where we will meet to work on therapeutic goals and current stressors. Therapy sessions are less structured and are tailored to the individual.
Hello! I am Dr. Julie Chicvara, PsyD, a Licensed Clinical Psychologist. Born and raised in the southwest suburbs, I have settled my own family in the same community and opened a private practice in the Orland/Mokena area. You can expect a warm welcome and a comfortable environment upon coming to my office. The first visit entails a structured interview where background information and presenting problems are noted. A weekly time will be agreed upon where we will meet to work on therapeutic goals and current stressors. Therapy sessions are less structured and are tailored to the individual.
(708) 317-9435 View (708) 317-9435
Photo of Sheila A Boender, Counselor in Mokena, IL
Sheila A Boender
Counselor, MA, LCPC, RPT-S
Verified Verified
1 Endorsed
Mokena, IL 60448
I have my Masters in Counseling with a Marriage & Family focus.
I have been in the Professional Counseling field over ten years and my passion is to help individuals achieve their fullest potential utilizing their internal and external resources, especially during times of life's trials. I believe no one should walk through life alone and I feel privileged to work with young children, adolescents, adults, couples and families at times of need. My hope is to open my practice to those in need of support due to life circumstances, walk with them and evaluate healthy coping strategies to persevere in Life.
I have my Masters in Counseling with a Marriage & Family focus.
I have been in the Professional Counseling field over ten years and my passion is to help individuals achieve their fullest potential utilizing their internal and external resources, especially during times of life's trials. I believe no one should walk through life alone and I feel privileged to work with young children, adolescents, adults, couples and families at times of need. My hope is to open my practice to those in need of support due to life circumstances, walk with them and evaluate healthy coping strategies to persevere in Life.
(708) 274-7221 View (708) 274-7221
Photo of Rasa Ruzgys, Licensed Professional Counselor in Mokena, IL
Rasa Ruzgys
Licensed Professional Counselor, LPC, CADC, NCC
Verified Verified
Mokena, IL 60448  (Online Only)
Sometimes it’s hard to get out of bed, isn’t it? Sometimes you feel defeated. Sometimes this worry takes over, feels like you’re trying to breathe under water, doesn’t it? We become so avoidant of emotions that some of us turn to alcohol and/or drugs for help. There’s no time for family or friends or self-care. We become stuck in this loop of unsatisfaction or just pain that doesn’t seem to end. It becomes hard to move, to motivate, to socialize, to change when we have these loud negative voices screaming in our heads that we’re not good enough, we don’t deserve better.
Sometimes it’s hard to get out of bed, isn’t it? Sometimes you feel defeated. Sometimes this worry takes over, feels like you’re trying to breathe under water, doesn’t it? We become so avoidant of emotions that some of us turn to alcohol and/or drugs for help. There’s no time for family or friends or self-care. We become stuck in this loop of unsatisfaction or just pain that doesn’t seem to end. It becomes hard to move, to motivate, to socialize, to change when we have these loud negative voices screaming in our heads that we’re not good enough, we don’t deserve better.
(708) 726-4843 View (708) 726-4843
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.