Family Therapy Psychiatrists in Tempe, AZ
![Photo of Dr. Dorothy Igwe, DNP , PMHNPBC, FNP-C, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/b6e15cb2-7e59-419e-961e-18a1851c1f1e/2/320x400.jpeg)
Dr. Dorothy Igwe
Psychiatric Nurse Practitioner, DNP , PMHNPBC, FNP-C
Verified Verified
1 Endorsed
Tempe, AZ 85283
Dr. Igwe uses an integrated mind-body approach to identify the physical symptoms that can lead to mental health issues and vice versa. She is double certified as a psychiatric nurse practitioner and a family nurse practitioner. She sees patients across the lifespan. She has over 27 years of nursing experience. She is experienced in psychiatric evaluation and medication management for anxiety, depression, ADHD, mood disorders, psychosis, and substance abuse treatment. As a family nurse practitioner, Dr. Igwe also evaluates and manages patients in various acute and chronic medical conditions.
Dr. Igwe uses an integrated mind-body approach to identify the physical symptoms that can lead to mental health issues and vice versa. She is double certified as a psychiatric nurse practitioner and a family nurse practitioner. She sees patients across the lifespan. She has over 27 years of nursing experience. She is experienced in psychiatric evaluation and medication management for anxiety, depression, ADHD, mood disorders, psychosis, and substance abuse treatment. As a family nurse practitioner, Dr. Igwe also evaluates and manages patients in various acute and chronic medical conditions.
![Photo of Dr. Jennifer Muhammad, DNP, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/ce1c25d6-0b7c-4d81-b79b-316d9ed75e48/1/320x400.jpeg)
Dr. Jennifer Muhammad
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
1 Endorsed
Tempe, AZ 85282
NEW Clients Accepted - Ages 10 and up - In-Office or Video Visits Available - Phoenix, Buckeye, Casa Grande, Chandler, Flagstaff, Mesa, Scottsdale, Tempe, Tucson, etc. At Healthy Wings Psychiatric Healthcare, we specialize in taking the time to get to know you and your mental health care concerns - you will not find an overcrowded waiting room or experience a rushed appointment. We are dedicated to helping you and your family to receive the care and respect you deserve! For faster service, visit our website to BOOK an appointment NOW for stress-free evaluations, lab testing, medication management, and psychotherapy/counseling.
NEW Clients Accepted - Ages 10 and up - In-Office or Video Visits Available - Phoenix, Buckeye, Casa Grande, Chandler, Flagstaff, Mesa, Scottsdale, Tempe, Tucson, etc. At Healthy Wings Psychiatric Healthcare, we specialize in taking the time to get to know you and your mental health care concerns - you will not find an overcrowded waiting room or experience a rushed appointment. We are dedicated to helping you and your family to receive the care and respect you deserve! For faster service, visit our website to BOOK an appointment NOW for stress-free evaluations, lab testing, medication management, and psychotherapy/counseling.
![Photo of Dr. Mark Chofla - Dr Mark Chofla | Empathy Therapy , DO, Psychiatrist](https://photos.psychologytoday.com/30ea1571-8140-4eac-80a3-992f0ce6da4c/2/320x400.jpeg)
As a family and community psychiatrist, he performs respectful psychotherapy with empathy in addition to careful medication management.
Dr. Mark Chofla is a board-certified psychiatrist and physician who completed his specialty residency training at the Los Angeles County + University of Southern California Medical Center. After receiving his Bachelor of Science degree in Neurobiology, Physiology, and Behavior from the University of California at Davis, Dr. Chofla earned his medical degree from Midwestern University: Arizona College of Osteopathic Medicine.
As a family and community psychiatrist, he performs respectful psychotherapy with empathy in addition to careful medication management.
Dr. Mark Chofla is a board-certified psychiatrist and physician who completed his specialty residency training at the Los Angeles County + University of Southern California Medical Center. After receiving his Bachelor of Science degree in Neurobiology, Physiology, and Behavior from the University of California at Davis, Dr. Chofla earned his medical degree from Midwestern University: Arizona College of Osteopathic Medicine.
![Photo of Flora Stowater, PMHNPBC, FNP-C, ARNP, MSN, RN, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/586ecaeb-92ea-4cf1-8b62-d9e073141057/2/320x400.jpeg)
Flora Stowater
Psychiatric Nurse Practitioner, PMHNPBC, FNP-C, ARNP, MSN, RN
Verified Verified
Tempe, AZ 85282 (Online Only)
I am a Psychiatric/Mental Health & Family Nurse Practitioner licensed in the State of Arizona. I work with children, adolescents, adults, and geriatric patients. I evaluate, diagnose and treat a variety of psychiatric conditions. I use a holistic approach (body and mind) to target your symptoms; together, we make a plan that is best suited for your condition. I understand that mental illness remains a taboo for many. I believe in treating individuals, not their diagnostics. I offer telepsychiatry in the comfort of your home or car if you have reliable internet. I also offer late hours and weekend appointments for your convenience.
I am a Psychiatric/Mental Health & Family Nurse Practitioner licensed in the State of Arizona. I work with children, adolescents, adults, and geriatric patients. I evaluate, diagnose and treat a variety of psychiatric conditions. I use a holistic approach (body and mind) to target your symptoms; together, we make a plan that is best suited for your condition. I understand that mental illness remains a taboo for many. I believe in treating individuals, not their diagnostics. I offer telepsychiatry in the comfort of your home or car if you have reliable internet. I also offer late hours and weekend appointments for your convenience.
![Photo of Roland Segal - Scottsdale Mental Health & Wellness Institute, MD, LPC, PMHNP, FNP, LISAC, Psychiatrist](https://photos.psychologytoday.com/9425b0e1-24b5-45ea-a242-232622eeb1c1/1/320x400.jpeg)
Scottsdale Mental Health & Wellness Institute
Psychiatrist, MD, LPC, PMHNP, FNP, LISAC
Verified Verified
Tempe, AZ 85281
We treat all our clients as we would treat our friends and family.
Scottsdale Mental Health and Wellness Institute (SMHWI) is a center of excellence in providing premier psychiatric stabilization and substance use treatment. We offer the following clinical programs: General Psychiatric Treatment, Chemical Dependency Treatment, Suboxone Treatment, Forensic Evaluations, Psychosomatic Evaluation and Treatment, Workers' Compensation Treatment, Gambling Addiction Treatment, and Psychiatric Return to Work Program. SMHWI offers compassionate care for those needing mental health services or struggling with substance abuse. We offer TELE-MEDICINE service from the comfort of your home.
We treat all our clients as we would treat our friends and family.
Scottsdale Mental Health and Wellness Institute (SMHWI) is a center of excellence in providing premier psychiatric stabilization and substance use treatment. We offer the following clinical programs: General Psychiatric Treatment, Chemical Dependency Treatment, Suboxone Treatment, Forensic Evaluations, Psychosomatic Evaluation and Treatment, Workers' Compensation Treatment, Gambling Addiction Treatment, and Psychiatric Return to Work Program. SMHWI offers compassionate care for those needing mental health services or struggling with substance abuse. We offer TELE-MEDICINE service from the comfort of your home.
![Photo of Dr. Mark Chofla - Dr Mark Chofla | Empathy Therapy, DO, Psychiatrist](https://photos.psychologytoday.com/45113115-23ab-43c1-9a3b-982cd0b3cd65/2/320x400.jpeg)
As a family and community psychiatrist, he performs respectful psychotherapy with empathy in addition to careful medication management.
Dr. Mark Chofla is a board-certified psychiatrist and physician who completed his specialty residency training at the Los Angeles County + University of Southern California Medical Center. After receiving his Bachelor of Science degree in Neurobiology, Physiology, and Behavior from the University of California at Davis, Dr. Chofla earned his medical degree from Midwestern University: Arizona College of Osteopathic Medicine.
As a family and community psychiatrist, he performs respectful psychotherapy with empathy in addition to careful medication management.
Dr. Mark Chofla is a board-certified psychiatrist and physician who completed his specialty residency training at the Los Angeles County + University of Southern California Medical Center. After receiving his Bachelor of Science degree in Neurobiology, Physiology, and Behavior from the University of California at Davis, Dr. Chofla earned his medical degree from Midwestern University: Arizona College of Osteopathic Medicine.
![Photo of Stephen Woodward, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/13c028e6-e7af-4a18-af2d-f53c9ab1495c/1/320x400.png)
Stephen Woodward
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Tempe, AZ 85281 (Online Only)
Hello! My name is Stephen Woodward, PMHNP-BC. I am the founder of Woodward Psychiatry, and a Board-Certified Family Psychiatric Nurse Practitioner with experience treating a variety of mental health concerns in adolescents and adults, primarily ADHD, depression, bipolar disorders, anxiety disorders, and sleep disorders. I am open-minded and solution-oriented. My goal is that patients leave their appointments feeling like their concerns have been heard and addressed, and that they have a clear understanding of their treatment plan.
Hello! My name is Stephen Woodward, PMHNP-BC. I am the founder of Woodward Psychiatry, and a Board-Certified Family Psychiatric Nurse Practitioner with experience treating a variety of mental health concerns in adolescents and adults, primarily ADHD, depression, bipolar disorders, anxiety disorders, and sleep disorders. I am open-minded and solution-oriented. My goal is that patients leave their appointments feeling like their concerns have been heard and addressed, and that they have a clear understanding of their treatment plan.
![Photo of Cameo E Johnson, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/d212ff2d-8965-4b58-ad03-8be70df29058/2/320x400.jpeg)
Depression, anxiety, ADHD, mood swings and other mental health struggles make it hard to balance family, work and relationships. I can provide an evaluation, diagnosis, medications to alleviate symptoms, prepare you for therapy, and help you get your mental health back on track. You are not alone.
Depression, anxiety, ADHD, mood swings and other mental health struggles make it hard to balance family, work and relationships. I can provide an evaluation, diagnosis, medications to alleviate symptoms, prepare you for therapy, and help you get your mental health back on track. You are not alone.
![Photo of Topher Bradshaw - Alevea Mental Health, PA-C, MSPAS, Physician Assistant](https://photos.psychologytoday.com/e0100f83-d506-4c80-8a22-85f633b59dc8/1/320x400.jpeg)
At Alevea Mental Health, we understand that each individual is unique, and that's why we're committed to providing personalized, integrative mental healthcare that meets you where you are. From a range of conditions like depression, anxiety, and ADHD to more complex psychiatric conditions, our experienced team of dedicated and compassionate providers tailor treatment plans to suit your specific needs. What sets us apart is our holistic approach that combines psychiatric medication management with evidence-based counseling services, primary care, and psychedelic therapy.
At Alevea Mental Health, we understand that each individual is unique, and that's why we're committed to providing personalized, integrative mental healthcare that meets you where you are. From a range of conditions like depression, anxiety, and ADHD to more complex psychiatric conditions, our experienced team of dedicated and compassionate providers tailor treatment plans to suit your specific needs. What sets us apart is our holistic approach that combines psychiatric medication management with evidence-based counseling services, primary care, and psychedelic therapy.
![Photo of Adel Mostafavi, MD, Psychiatrist](https://photos.psychologytoday.com/2968368f-d7e2-40fa-8444-437a675a054a/1/320x400.png)
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
Calm Psych is an outstanding patient-centered psychiatric mental health clinic catering to individuals of all ages in Tempe and Gilbert, Arizona. Led by Dr. Priti Patel, MD, the collaborative team provides comprehensive support and specialized treatment, fostering the well-being of their patients. The team is easy to reach via text messages and communicates with patients promptly. During an initial consultation, the providers learn about the patient’s goals and walk alongside them, helping them achieve overall health.
Calm Psych is an outstanding patient-centered psychiatric mental health clinic catering to individuals of all ages in Tempe and Gilbert, Arizona. Led by Dr. Priti Patel, MD, the collaborative team provides comprehensive support and specialized treatment, fostering the well-being of their patients. The team is easy to reach via text messages and communicates with patients promptly. During an initial consultation, the providers learn about the patient’s goals and walk alongside them, helping them achieve overall health.
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![Photo of Dr. Anthony Quinn, Psychiatrist](https://photos.psychologytoday.com/738afda3-8a3f-4104-b79c-9ae6a6b2c6f4/3/320x400.jpeg)
Immediate Availability! Behavioral Health Solutions is accepting new patients for medication consultation, suboxone treatment and other psychiatry needs. Are you experiencing depression, anxiety, trauma or other concerns that keep you from progressing in life? Here at Behavioral Health Solutions, our team of licensed therapists and psychiatrists are experienced and caring. My interest in practicing psychiatry stems from a passion and desire to form meaningful connections with other people. Building self-esteem, increasing resilience, and expanding personal development are all involved in my daily work with patients.
Immediate Availability! Behavioral Health Solutions is accepting new patients for medication consultation, suboxone treatment and other psychiatry needs. Are you experiencing depression, anxiety, trauma or other concerns that keep you from progressing in life? Here at Behavioral Health Solutions, our team of licensed therapists and psychiatrists are experienced and caring. My interest in practicing psychiatry stems from a passion and desire to form meaningful connections with other people. Building self-esteem, increasing resilience, and expanding personal development are all involved in my daily work with patients.
![Photo of Behavioral Health Solutions, Psychiatrist](https://photos.psychologytoday.com/dec9bd4b-fe80-4b8e-9c37-b60d88f86c9c/1/320x400.png)
***IMMEDIATE AVAILABILITY*** Behavioral Health Solutions is accepting new patients for medication consultation, suboxone treatment and other psychiatry needs. Are you experiencing depression, anxiety, trauma or other concerns that keep you from progressing in life? Here at Behavioral Health Solutions, our team of licensed therapists and psychiatrists are experienced and caring. We would love to help you understand how to address your concerns. We provide a safe environment that allows you to discuss your problems without feeling shame or judgement. Your help is just an email or phone call away!
***IMMEDIATE AVAILABILITY*** Behavioral Health Solutions is accepting new patients for medication consultation, suboxone treatment and other psychiatry needs. Are you experiencing depression, anxiety, trauma or other concerns that keep you from progressing in life? Here at Behavioral Health Solutions, our team of licensed therapists and psychiatrists are experienced and caring. We would love to help you understand how to address your concerns. We provide a safe environment that allows you to discuss your problems without feeling shame or judgement. Your help is just an email or phone call away!
![Photo of Taqialdeen Zamil, DNP, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/02c6efcb-72f0-4f4b-bf94-0574e227811b/1/320x400.jpeg)
Taqialdeen Zamil
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Tempe, AZ 85282 (Online Only)
Welcome to my practice. With over a decade of diverse clinical experience, I've had the privilege of guiding clients through the intricate landscape of mental health. From adolescents struggling with identity issues, adults combating anxiety, to those deciphering the layers of substance use, depressive or bipolar disorders, PTSD, or OCD, I've witnessed the resilience of the human spirit. I'm passionate about providing evidence-based, compassionate care to empower individuals to reclaim control and joy in their lives. If you seek a deeper understanding and the tools to flourish, I'm here to support you on this transformative journey.
Welcome to my practice. With over a decade of diverse clinical experience, I've had the privilege of guiding clients through the intricate landscape of mental health. From adolescents struggling with identity issues, adults combating anxiety, to those deciphering the layers of substance use, depressive or bipolar disorders, PTSD, or OCD, I've witnessed the resilience of the human spirit. I'm passionate about providing evidence-based, compassionate care to empower individuals to reclaim control and joy in their lives. If you seek a deeper understanding and the tools to flourish, I'm here to support you on this transformative journey.
![Photo of Lleva Groves, MSN, APRN, PMHNPBC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/4351f177-f02d-4a7b-919d-e48786e111d1/2/320x400.jpeg)
Lleva Groves
Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
Verified Verified
1 Endorsed
Tempe, AZ 85283
Embarking on the journey towards mental wellness requires courage, support, and a trusted ally. As a psychiatric nurse practitioner, I am honored to walk alongside individuals as they navigate the complexities of their mental health. Rooted in a deep sense of empathy and fueled by a passion for fostering resilience, my mission is to provide comprehensive, personalized care that empowers patients to reclaim control over their lives
Embarking on the journey towards mental wellness requires courage, support, and a trusted ally. As a psychiatric nurse practitioner, I am honored to walk alongside individuals as they navigate the complexities of their mental health. Rooted in a deep sense of empathy and fueled by a passion for fostering resilience, my mission is to provide comprehensive, personalized care that empowers patients to reclaim control over their lives
![Photo of Adel Mostafavi, MD, Psychiatrist](https://photos.psychologytoday.com/52ed0c42-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
![Photo of Jason Hardman - Raise Behavioral Health, PMHNP, MSN, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/e507d173-9c8f-4a9d-845b-685705c336d5/3/320x400.jpeg)
Raise Behavioral Health
Psychiatric Nurse Practitioner, PMHNP, MSN
Verified Verified
Tempe, AZ 85282
Hello, my name is Jason Hardman and I am a Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). I support children, teens, and young adults (ages 6-30) who are facing a variety of mental health challenges, including families dealing with difficult behaviors. Whether you're navigating the challenges of growing up, the pressures of college, or the transitions of early adulthood, I’m here to provide guidance and support. At Raise Behavioral Health, I focus on a systemic approach that looks at the whole person, not just the symptoms, helping you or your loved one build resilience and achieve long-term success.
Hello, my name is Jason Hardman and I am a Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). I support children, teens, and young adults (ages 6-30) who are facing a variety of mental health challenges, including families dealing with difficult behaviors. Whether you're navigating the challenges of growing up, the pressures of college, or the transitions of early adulthood, I’m here to provide guidance and support. At Raise Behavioral Health, I focus on a systemic approach that looks at the whole person, not just the symptoms, helping you or your loved one build resilience and achieve long-term success.
![Photo of Janine Dukuze - Brightstar Health Solutions, LLC , AGNP, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/474ba7ce-e7ac-4edb-bb70-f60e90039713/3/320x400.jpeg)
Brightstar Health Solutions, LLC
Psychiatric Nurse Practitioner, AGNP, PMHNP
Verified Verified
Tempe, AZ 85282
Welcome to Brightstar Health Solutions, LLC. We are Accepting new patients in person and via telehealth. Our provider Janine Dukuze, AGNP/PMHNP is a duo-certified Nurse Practitioner. She has over 10 years of NP experience. We treat adult patients suffering with various psychiatric disorders including depression, anxiety, bipolar disorder, mood disorders, psychosis, traumatic life experiences, interpersonal relationship, substance abuse addiction. We provide psychotherapy for individuals/families, as well as medication management.
Welcome to Brightstar Health Solutions, LLC. We are Accepting new patients in person and via telehealth. Our provider Janine Dukuze, AGNP/PMHNP is a duo-certified Nurse Practitioner. She has over 10 years of NP experience. We treat adult patients suffering with various psychiatric disorders including depression, anxiety, bipolar disorder, mood disorders, psychosis, traumatic life experiences, interpersonal relationship, substance abuse addiction. We provide psychotherapy for individuals/families, as well as medication management.
![Photo of Adel Mostafavi, MD, Psychiatrist](https://photos.psychologytoday.com/5dfd2407-900d-49fe-b17b-25e3cbc5cf37/1/320x400.png)
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
![Photo of Adel Mostafavi, MD, Psychiatrist](https://photos.psychologytoday.com/9eb91749-7ba9-4a73-b42f-cdfa01d09db7/1/320x400.png)
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
See more therapy options for Tempe
Family Therapy Psychiatrists
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.