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Online Therapists

Photo of Heal Your Roots Wellness, Marriage & Family Therapist in Kennett Square, PA
Heal Your Roots Wellness
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Bensalem, PA 19020  (Online Only)
We practice Systemic Marriage & Family therapy, with specialized training in Sex Therapy.
We are passionate about helping adults & couples struggling with anxiety, relational distress, life transitions, sexuality & gender. It is essential to create a safe and shame-free space for clients to explore their emotions, sexual issues, fears of intimacy, and vulnerabilities in order to make powerful changes. If you find yourself feeling lonely, disconnected from your loved ones, experiencing self-doubt and allowing fear to control your life then we can help. Through this process you will learn ways to self-regulate your emotions, practice self-love, create healthy boundaries in your relationships, and take control of your life.
We practice Systemic Marriage & Family therapy, with specialized training in Sex Therapy.
We are passionate about helping adults & couples struggling with anxiety, relational distress, life transitions, sexuality & gender. It is essential to create a safe and shame-free space for clients to explore their emotions, sexual issues, fears of intimacy, and vulnerabilities in order to make powerful changes. If you find yourself feeling lonely, disconnected from your loved ones, experiencing self-doubt and allowing fear to control your life then we can help. Through this process you will learn ways to self-regulate your emotions, practice self-love, create healthy boundaries in your relationships, and take control of your life.
(484) 276-1708 View (484) 276-1708
Photo of Ilona Naroditskiy, Licensed Professional Counselor in Kennett Square, PA
Ilona Naroditskiy
Licensed Professional Counselor, MA, LPC
Verified Verified
13 Endorsed
Holland, PA 18966
Being a parent is not easy and it's OK to reach out for help when your child's behavior is a bigger challenge than you ever expected. As a child and family counselor I enjoy helping families with children with developmental, emotional and behavioral concerns. I will work with your family to help you find effective parenting solutions, achieve better communication, and re-discover the joy of being around each other. I also provide mental health counseling and support to young adults transitioning to adulthood and aging out of the special education system.
Being a parent is not easy and it's OK to reach out for help when your child's behavior is a bigger challenge than you ever expected. As a child and family counselor I enjoy helping families with children with developmental, emotional and behavioral concerns. I will work with your family to help you find effective parenting solutions, achieve better communication, and re-discover the joy of being around each other. I also provide mental health counseling and support to young adults transitioning to adulthood and aging out of the special education system.
(267) 270-5527 View (267) 270-5527
Photo of Marianna Kopp, Pre-Licensed Professional in Kennett Square, PA
Marianna Kopp
Pre-Licensed Professional, MFT
Verified Verified
3 Endorsed
Philadelphia, PA 19103
Hey there! My name is Marianna and I am a Marriage and Family Therapist who helps individuals and couples overcome challenging obstacles, cultivate intra/interpersonal understanding, and achieve overall fulfillment. Together, we can gain awareness of how past experiences show up in the present day and break free from the limiting beliefs and patterns that no longer serve you and/or your relationship. I also specialize in sex therapy and am passionate about helping clients heal from sexual trauma, dismantle sexual shame, rekindle intimacy, navigate desire discrepancy, and explore non-traditional relationship structures.
Hey there! My name is Marianna and I am a Marriage and Family Therapist who helps individuals and couples overcome challenging obstacles, cultivate intra/interpersonal understanding, and achieve overall fulfillment. Together, we can gain awareness of how past experiences show up in the present day and break free from the limiting beliefs and patterns that no longer serve you and/or your relationship. I also specialize in sex therapy and am passionate about helping clients heal from sexual trauma, dismantle sexual shame, rekindle intimacy, navigate desire discrepancy, and explore non-traditional relationship structures.
(484) 989-6975 View (484) 989-6975
Photo of Lana Selitsky, Licensed Professional Counselor in Kennett Square, PA
Lana Selitsky
Licensed Professional Counselor, LPC
Verified Verified
Ambler, PA 19002
Ms. Selitsky received her Master's Degree in Counseling Psychology from Holy Family University in 2014. Ms. Selitsky utilizes CBT, Solution Focus, and Psychodynamic Psychotherapy. Ms. Selitsky has expanded her professional development to study Mindfulness, and Motivational Interviewing. As a Licensed Professional Counselor, Ms. Selitsky works with clients age 14 to older adults, utilizing individual, couple/marital modalities.
Ms. Selitsky received her Master's Degree in Counseling Psychology from Holy Family University in 2014. Ms. Selitsky utilizes CBT, Solution Focus, and Psychodynamic Psychotherapy. Ms. Selitsky has expanded her professional development to study Mindfulness, and Motivational Interviewing. As a Licensed Professional Counselor, Ms. Selitsky works with clients age 14 to older adults, utilizing individual, couple/marital modalities.
(610) 200-6184 View (610) 200-6184
Photo of Kateryna Dukenski, Psychologist in Kennett Square, PA
Kateryna Dukenski
Psychologist, PsyD, MA
Verified Verified
3 Endorsed
Media, PA 19063
I am a multicultural PA licensed psychologist with twenty years of experience working with individuals and couples. I specialize in helping people struggling with issues related to life transitions, burnout, pandemic fatigue, challenging family relationships and history of trauma. My goal is to aid people in unlocking their potential for growth during challenging times by bringing light and new perspectives on old relational patterns that made them stuck. Through a combination of insight, mindfullness practices and experiential processing, my focus is my patients building an authentic sense of self and their ability for self-care.
I am a multicultural PA licensed psychologist with twenty years of experience working with individuals and couples. I specialize in helping people struggling with issues related to life transitions, burnout, pandemic fatigue, challenging family relationships and history of trauma. My goal is to aid people in unlocking their potential for growth during challenging times by bringing light and new perspectives on old relational patterns that made them stuck. Through a combination of insight, mindfullness practices and experiential processing, my focus is my patients building an authentic sense of self and their ability for self-care.
(484) 334-2763 View (484) 334-2763
Photo of Daniel A Schwarz and Associates, Psychologist in Kennett Square, PA
Daniel A Schwarz and Associates
Psychologist, PhD
Verified Verified
Jenkintown, PA 19046
Dr. DANIEL SCHWARZ is a Ph.D. Licensed Psychologist in private practice for over 30 years. He specializes in working with children who have learning challenges, Attention Deficit Hyperactivity Disorder (ADHD) and other behavioral problems. He provides family therapy, parent training and couples therapy. Dr. Schwarz consults with schools and clients' physicians to help coordinate treatment. He is fluent in Spanish and is unique in his ability to be culturally sensitive to his clients needs. Dr. Schwarz provides psychological evaluations for Immigration Issues and Waivers. Dr. Schwarz has three experienced providers in his practice.
Dr. DANIEL SCHWARZ is a Ph.D. Licensed Psychologist in private practice for over 30 years. He specializes in working with children who have learning challenges, Attention Deficit Hyperactivity Disorder (ADHD) and other behavioral problems. He provides family therapy, parent training and couples therapy. Dr. Schwarz consults with schools and clients' physicians to help coordinate treatment. He is fluent in Spanish and is unique in his ability to be culturally sensitive to his clients needs. Dr. Schwarz provides psychological evaluations for Immigration Issues and Waivers. Dr. Schwarz has three experienced providers in his practice.
(215) 995-1191 View (215) 995-1191
Photo of Joseph Grosh, Counselor in Kennett Square, PA
Joseph Grosh
Counselor, LMHC, NCC, LPC
Verified Verified
Philadelphia, PA 19151
Are you trying to manage your stress in the ever-growing tumultuous environment? Are you working from home having a hard time juggling with family life? Perhaps you have a challenge with practicing effective communication? Or maybe just talking about your issues can be difficult, and that's ok. Do you want to learn more about yourself, how to cope in a healthy way, and have better communication? I can help. In my practice, I respect the unique experience of each individual. I see the particular difficulties that each faces. I listen and interact with empathy and provide insight and support. No two treatments are the same.
Are you trying to manage your stress in the ever-growing tumultuous environment? Are you working from home having a hard time juggling with family life? Perhaps you have a challenge with practicing effective communication? Or maybe just talking about your issues can be difficult, and that's ok. Do you want to learn more about yourself, how to cope in a healthy way, and have better communication? I can help. In my practice, I respect the unique experience of each individual. I see the particular difficulties that each faces. I listen and interact with empathy and provide insight and support. No two treatments are the same.
(347) 613-1826 View (347) 613-1826
Photo of Alina Tsirelson, Licensed Professional Counselor in Kennett Square, PA
Alina Tsirelson
Licensed Professional Counselor, MS, LPC
Verified Verified
Southampton, PA 18966
My goal as your therapist is to help you be the happiest version of yourself. I believe we all need to work on ourselves on a daily basis to improve our lives and our outlook. The day to day struggles of life, work, family, friends and finding the balance is a challenge that we all endure. While you may be in need of therapy to help with clinically diagnosed conditions, such as depression, anxiety, and many others, you might also be a healthy individual looking for extra support and guidance through a challenging situation and desire to move in a new direction in your life.
My goal as your therapist is to help you be the happiest version of yourself. I believe we all need to work on ourselves on a daily basis to improve our lives and our outlook. The day to day struggles of life, work, family, friends and finding the balance is a challenge that we all endure. While you may be in need of therapy to help with clinically diagnosed conditions, such as depression, anxiety, and many others, you might also be a healthy individual looking for extra support and guidance through a challenging situation and desire to move in a new direction in your life.
(267) 314-6416 View (267) 314-6416
Photo of Tiffany Griffiths, Psy.D. & Associates, Inc., Psychologist in Kennett Square, PA
Tiffany Griffiths, Psy.D. & Associates, Inc.
Psychologist
Verified Verified
Kingston, PA 18704
Our specialties and interests include: Mindfulness Based Stress Reduction (MBSR), trauma resolution, pain management, testing and assessment, interpersonal issues, GLBTQ issues, women's issues, sexual issues, substance abuse and recovery, marital and family issues, childhood disorders, mood disorders, anxiety disorders, and personal growth.
I have worked to create an integrated, evidence-based, and holistic group practice where my vision of the ideal environment for growth can unfold. The associates in the practice have diverse backgrounds, interests, and training. No matter what problem or difficulty with which you present, someone in our group can assist you. We have cultivated an environment of peace, warmth, and acceptance to assure you will be respected, unconditionally.
Our specialties and interests include: Mindfulness Based Stress Reduction (MBSR), trauma resolution, pain management, testing and assessment, interpersonal issues, GLBTQ issues, women's issues, sexual issues, substance abuse and recovery, marital and family issues, childhood disorders, mood disorders, anxiety disorders, and personal growth.
I have worked to create an integrated, evidence-based, and holistic group practice where my vision of the ideal environment for growth can unfold. The associates in the practice have diverse backgrounds, interests, and training. No matter what problem or difficulty with which you present, someone in our group can assist you. We have cultivated an environment of peace, warmth, and acceptance to assure you will be respected, unconditionally.
(570) 654-4357 View (570) 654-4357
Photo of CityCouples Online Therapy, Marriage & Family Therapist in Kennett Square, PA
CityCouples Online Therapy
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Harrisburg, PA 17109  (Online Only)
Our therapists are experts in couple therapy who specialize in helping you restore emotional connection, process betrayal, work together, prepare for a transition, manage family expectations, and more.
You're going through a relationship crisis, feeling confused about how to get on the same page, or frustrated with the state of your connection. You remember when things were different, and you're ready to make changes that will get you on the path to the future you hope to have, together. We know how to help! We offer expert online therapy for couples in New York, Pennsylvania, Florida, and Worldwide. Take a look at our available therapists at citycouples.net/meet-our-team. Our specialities include communication, betrayal recovery, ENM, LGBTQIA+ relationships, and more.
Our therapists are experts in couple therapy who specialize in helping you restore emotional connection, process betrayal, work together, prepare for a transition, manage family expectations, and more.
You're going through a relationship crisis, feeling confused about how to get on the same page, or frustrated with the state of your connection. You remember when things were different, and you're ready to make changes that will get you on the path to the future you hope to have, together. We know how to help! We offer expert online therapy for couples in New York, Pennsylvania, Florida, and Worldwide. Take a look at our available therapists at citycouples.net/meet-our-team. Our specialities include communication, betrayal recovery, ENM, LGBTQIA+ relationships, and more.
(833) 204-3561 View (833) 204-3561
Photo of GOOD Counseling LLC, Inna Pavlova-Rosenfeld, Licensed Professional Counselor in Kennett Square, PA
GOOD Counseling LLC, Inna Pavlova-Rosenfeld
Licensed Professional Counselor, MSCP, NCC, LPC
Verified Verified
Huntingdon Valley, PA 19006
Together we will work to better understand the life challenges, every day stressors, and begin practicing things that will make you stronger, developing attitudes of gratitude and ability to listen and understand each other, your children, and your parents; learning about family meetings and styles of parenting.
GOOD Counseling means: Growth, Opportunity, Optimism, Development and much more... We can build relationships that work. We are capable of creating personal, professional, and social connections that last. We contribute. We grow. We love. We laugh. We become. We, the People... Are you ready to start living your life to its fullest potential? It is time to take back control of your direction, set realistic goals, and begin living life with purpose! As a counselor, my role is to guide you as you take steps towards positive life changes, healing, and balance.
Together we will work to better understand the life challenges, every day stressors, and begin practicing things that will make you stronger, developing attitudes of gratitude and ability to listen and understand each other, your children, and your parents; learning about family meetings and styles of parenting.
GOOD Counseling means: Growth, Opportunity, Optimism, Development and much more... We can build relationships that work. We are capable of creating personal, professional, and social connections that last. We contribute. We grow. We love. We laugh. We become. We, the People... Are you ready to start living your life to its fullest potential? It is time to take back control of your direction, set realistic goals, and begin living life with purpose! As a counselor, my role is to guide you as you take steps towards positive life changes, healing, and balance.
(215) 437-0411 View (215) 437-0411
Photo of Kira Yakubov Ploshansky, Marriage & Family Therapist in Kennett Square, PA
Kira Yakubov Ploshansky
Marriage & Family Therapist, LMFT
Verified Verified
Bensalem, PA 19020  (Online Only)
I practice Systemic Marriage & Family therapy, with specialized training in Sex Therapy.
I am passionate about helping adults and couples struggling with anxiety, relational distress, self-worth, and sexual issues. It is essential to create a safe and shame-free space for my clients to explore their emotions, sexual issues, fears of intimacy, and vulnerabilities in order to make powerful changes. If you find yourself feeling lonely, disconnected from your loved ones, experiencing self-doubt and allowing fear to control your life then I can help. Through this process you will learn ways to self-regulate your emotions, practice self-love, create healthy boundaries in your relationships, and take control of your life.
I practice Systemic Marriage & Family therapy, with specialized training in Sex Therapy.
I am passionate about helping adults and couples struggling with anxiety, relational distress, self-worth, and sexual issues. It is essential to create a safe and shame-free space for my clients to explore their emotions, sexual issues, fears of intimacy, and vulnerabilities in order to make powerful changes. If you find yourself feeling lonely, disconnected from your loved ones, experiencing self-doubt and allowing fear to control your life then I can help. Through this process you will learn ways to self-regulate your emotions, practice self-love, create healthy boundaries in your relationships, and take control of your life.
(856) 454-8559 View (856) 454-8559
Photo of Nina Yashin, Clinical Social Work/Therapist in Kennett Square, PA
Nina Yashin
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Haverford, PA 19041
I specialize in treating individuals with addiction, trauma, family dysfunction, and major life changes.
Feeling stagnant or stuck? Do you feel lost, overwhelmed, unfulfilled, or isolated? Do you find yourself repeating the same behaviors, even though you know they are not helping you get to where you want to be? You want things to be different with your entire being, but for whatever reason just cant seem to get there. You've turned to addictive behaviors or developed an unhealthy relationship with food to cope. Self sabotage and self criticism turns into a vicious cycle. You have tried therapy before, but didn't feel like you got what you needed because you were listened to but not challenged or pushed out of your comfort zone.
I specialize in treating individuals with addiction, trauma, family dysfunction, and major life changes.
Feeling stagnant or stuck? Do you feel lost, overwhelmed, unfulfilled, or isolated? Do you find yourself repeating the same behaviors, even though you know they are not helping you get to where you want to be? You want things to be different with your entire being, but for whatever reason just cant seem to get there. You've turned to addictive behaviors or developed an unhealthy relationship with food to cope. Self sabotage and self criticism turns into a vicious cycle. You have tried therapy before, but didn't feel like you got what you needed because you were listened to but not challenged or pushed out of your comfort zone.
(484) 715-0773 View (484) 715-0773
Photo of Everlasting Wellness LLC, Clinical Social Work/Therapist in Kennett Square, PA
Everlasting Wellness LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Royersford, PA 19468
At Everlasting Wellness LLC, we understand that finding a therapist you feel comfortable with and trust is extremely important. We offer a safe and trusting space and work at your comfort level. Everlasting Wellness specializes in Pregnancy, Postpartum and Maternal Issues, Trauma, Sex Therapy, Sexuality, D&A, Acute and Chronic Medical Diagnosis and Women's Issues as well as Young/Older Adults and College Students. We come with an array of experiences, professionally and personally. We offer groups, individual, couples, and family counseling. We offer in-person sessions in our Sinking Spring and/or Royersford location.
At Everlasting Wellness LLC, we understand that finding a therapist you feel comfortable with and trust is extremely important. We offer a safe and trusting space and work at your comfort level. Everlasting Wellness specializes in Pregnancy, Postpartum and Maternal Issues, Trauma, Sex Therapy, Sexuality, D&A, Acute and Chronic Medical Diagnosis and Women's Issues as well as Young/Older Adults and College Students. We come with an array of experiences, professionally and personally. We offer groups, individual, couples, and family counseling. We offer in-person sessions in our Sinking Spring and/or Royersford location.
(484) 706-9465 View (484) 706-9465
Photo of Queen Village Therapy Group, Licensed Professional Counselor in Kennett Square, PA
Queen Village Therapy Group
Licensed Professional Counselor
Verified Verified
Philadelphia, PA 19147  (Online Only)
At Queen Village Therapy Group, we recognize the significance of mental health and well-being. Our committed team of seasoned therapists is devoted to delivering tailored and high-quality services to support your optimal state of being. Our range of therapy services encompasses individual, couples, family, and group therapy. Collaborating closely with our clients, we aim to pinpoint the most suitable treatment plan tailored to their unique needs.
At Queen Village Therapy Group, we recognize the significance of mental health and well-being. Our committed team of seasoned therapists is devoted to delivering tailored and high-quality services to support your optimal state of being. Our range of therapy services encompasses individual, couples, family, and group therapy. Collaborating closely with our clients, we aim to pinpoint the most suitable treatment plan tailored to their unique needs.
(267) 448-3178 View (267) 448-3178
Photo of Dr. Irina Thorne, Psychologist in Kennett Square, PA
Dr. Irina Thorne
Psychologist, PsyD
Verified Verified
Newtown, PA 18940  (Online Only)
Navigating mental health is challenging, and beginning the journey of therapy takes courage and strength. I am here with empathy, expertise, and effective tools to help you toward your goals. I invite you to reach out so that we can discuss your unique needs and how cognitive-behavioral therapy can be tailored to support them.
Navigating mental health is challenging, and beginning the journey of therapy takes courage and strength. I am here with empathy, expertise, and effective tools to help you toward your goals. I invite you to reach out so that we can discuss your unique needs and how cognitive-behavioral therapy can be tailored to support them.
(856) 485-8375 View (856) 485-8375
Photo of Sonya Mendelovich in Kennett Square, PA
Sonya Mendelovich
BSW, MBA, CCBT
Verified Verified
1 Endorsed
Philadelphia, PA 19102
The journey of life can sometimes be trying, difficult, and uncomfortable, but I believe that by working together, you can open new pathways and attain your goals for a happier future. I look forward to working with you to explore the past, create meaning in the present and embark on an exhilarating future.
The journey of life can sometimes be trying, difficult, and uncomfortable, but I believe that by working together, you can open new pathways and attain your goals for a happier future. I look forward to working with you to explore the past, create meaning in the present and embark on an exhilarating future.
(215) 709-7783 View (215) 709-7783
Photo of Talia Palant, Clinical Social Work/Therapist in Kennett Square, PA
Talia Palant
Clinical Social Work/Therapist, LSW
Verified Verified
2 Endorsed
Philadelphia, PA 19147  (Online Only)
Life's journey is riddled with challenges and transitions. I specialize in aiding adult clients grappling with a history of trauma, carrying scars that haunt their daily lives. Together, we navigate the emotional labyrinth, working to mend shattered pieces. Trauma casts a shadow, impacting self-esteem and relationships. Mood regulation difficulties complicate their journey, as they wrestle with the ebbs and flows of their emotional landscape. It's a relentless inner battle my clients face, and I'm here to guide them through.
Life's journey is riddled with challenges and transitions. I specialize in aiding adult clients grappling with a history of trauma, carrying scars that haunt their daily lives. Together, we navigate the emotional labyrinth, working to mend shattered pieces. Trauma casts a shadow, impacting self-esteem and relationships. Mood regulation difficulties complicate their journey, as they wrestle with the ebbs and flows of their emotional landscape. It's a relentless inner battle my clients face, and I'm here to guide them through.
(267) 458-7026 View (267) 458-7026
Photo of Tanya Koifman, Clinical Social Work/Therapist in Kennett Square, PA
Tanya Koifman
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19104  (Online Only)
I am a warm, affirming, non-judgmental psychotherapist with over 20 years of experience, and I work with an interactive, humanistic, strengths-based, trauma-informed, HAES-aligned, and transparent, narrative approach. I believe that people have the innate capacity to heal and change. We will work together to develop a deeper understanding of your life goals and perspectives, so that we can custom-tailor techniques to make life most meaningful for you. We will work together toward resolving life challenges by identifying your personal strengths, coping strategies, and by helping you to see things in your life from a different lens.
I am a warm, affirming, non-judgmental psychotherapist with over 20 years of experience, and I work with an interactive, humanistic, strengths-based, trauma-informed, HAES-aligned, and transparent, narrative approach. I believe that people have the innate capacity to heal and change. We will work together to develop a deeper understanding of your life goals and perspectives, so that we can custom-tailor techniques to make life most meaningful for you. We will work together toward resolving life challenges by identifying your personal strengths, coping strategies, and by helping you to see things in your life from a different lens.
(646) 798-6332 View (646) 798-6332
Photo of Ilona Menshova, Licensed Professional Counselor in Kennett Square, PA
Ilona Menshova
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Huntingdon Valley, PA 19006  (Online Only)
I will collaborate with you to identify what may be holding you back from the freedom to live a more enriching life. My mission is to help you rediscover a sense of hope and encourage you to move forward with the feeling of empowerment and a renewed ability to cope with life challenges. I focus on fostering a positive, non-judgmental environment while building trust. I build positive connections with my clients- sometimes through humor and laughter, other times through empathy and compassion.
I will collaborate with you to identify what may be holding you back from the freedom to live a more enriching life. My mission is to help you rediscover a sense of hope and encourage you to move forward with the feeling of empowerment and a renewed ability to cope with life challenges. I focus on fostering a positive, non-judgmental environment while building trust. I build positive connections with my clients- sometimes through humor and laughter, other times through empathy and compassion.
(215) 709-0518 View (215) 709-0518

See more therapy options for Kennett Square

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.