Family Therapy Psychiatrists in Mesa, AZ
![Photo of Dr. Joshua Nead, DO, Psychiatrist](https://photos.psychologytoday.com/5833fe36-1003-4580-914f-a8531797e9e8/2/320x400.jpeg)
We strive to provide Arizona with the quality of care we would expect for our own family who were in need of treatment. We feel strongly that the path to mental health does not start by identifying an individual diagnosis, but rather a comprehensive evaluation of the individual as a person. As Child, Adolescent and Adult Psychiatrists trained in medical school, residency and several fellowships we are positioned to confidently evaluate and treat all ages. We specialize in Anxiety, ADHD, Autism, Bipolar, Depression, Disruptive behaviors, Insomnia, OCD, Schizophrenia, Substance or behavioral addiction and many more.
We strive to provide Arizona with the quality of care we would expect for our own family who were in need of treatment. We feel strongly that the path to mental health does not start by identifying an individual diagnosis, but rather a comprehensive evaluation of the individual as a person. As Child, Adolescent and Adult Psychiatrists trained in medical school, residency and several fellowships we are positioned to confidently evaluate and treat all ages. We specialize in Anxiety, ADHD, Autism, Bipolar, Depression, Disruptive behaviors, Insomnia, OCD, Schizophrenia, Substance or behavioral addiction and many more.
![Photo of Dr. Mark Chofla - Dr Mark Chofla | Empathy Therapy, DO, Psychiatrist](https://photos.psychologytoday.com/3118dbf5-e07c-4c8a-83ec-cd7d71e0697b/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 Troy Fulton - Mesquite Valley Integrated Health, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/36710ede-cdae-4bf9-b57a-899c6ff154bc/2/320x400.jpeg)
Mesquite Valley Integrated Health
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
5 Endorsed
Mesa, AZ 85201
As a psychiatric nurse practitioner, I am skilled at combining the art of nursing with evidenced based science of advanced nursing care. My experience and training allow me to provide holistic care across the lifespan. I am respectful, kind and compassionate to my clients and their family. My goal would be to balance psychopharmacology with psychotherapy and complementary treatments integrating client input to achieve the most effective treatment plan. At Mesquite Valley Integrated Health, we focus on achieving wellness by utilizing a blend of medication, therapy, and complementary health to achieve overall wellness and balance.
As a psychiatric nurse practitioner, I am skilled at combining the art of nursing with evidenced based science of advanced nursing care. My experience and training allow me to provide holistic care across the lifespan. I am respectful, kind and compassionate to my clients and their family. My goal would be to balance psychopharmacology with psychotherapy and complementary treatments integrating client input to achieve the most effective treatment plan. At Mesquite Valley Integrated Health, we focus on achieving wellness by utilizing a blend of medication, therapy, and complementary health to achieve overall wellness and balance.
![Photo of Irene Wanjiku Njenga, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/130a6a8d-a2bc-4384-bdfe-b1dc62dcebad/1/320x400.png)
Irene Wanjiku Njenga
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Mesa, AZ 85206 (Online Only)
I am a dual board-certified Family Nurse Practitioner and Psychiatric Nurse Practitioner. I am dedicated in providing comprehensive and personalized care to treatment for mental health challenges to patients 10 years and older. . I process strong clinical skills enhanced by natural ability to build rapport with patients and families empowering them to make the best treatment choices. We will evaluate your specific needs and work with you to develop a clear plan and support you through the process of improving your life. My goal is to help you achieve balanced mental health and function at your best.
I am a dual board-certified Family Nurse Practitioner and Psychiatric Nurse Practitioner. I am dedicated in providing comprehensive and personalized care to treatment for mental health challenges to patients 10 years and older. . I process strong clinical skills enhanced by natural ability to build rapport with patients and families empowering them to make the best treatment choices. We will evaluate your specific needs and work with you to develop a clear plan and support you through the process of improving your life. My goal is to help you achieve balanced mental health and function at your best.
![Photo of Dr. Mark Chofla - Dr Mark Chofla | Empathy Therapy, DO, Psychiatrist](https://photos.psychologytoday.com/d71a8dba-560b-4b58-84a1-8b1a7b930290/2/320x400.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 Christy Olloh - Maricopa Christian Psychiatry, DNP, MSN, RNP, PMHNP, -BC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/951f53c3-fb41-46a5-b0c8-bdbe3afc4901/3/320x400.jpeg)
Maricopa Christian Psychiatry
Psychiatric Nurse Practitioner, DNP, MSN, RNP, PMHNP, -BC
Verified Verified
8 Endorsed
Mesa, AZ 85204 (Online Only)
ACCEPTING NEW PATIENTS. Dr. Christy Olloh is a Family Psych-Mental Nurse Practitioner who is very passionate about mental health care. She provides non-judgmental, unrushed care to her patients and their families. If you are struggling with anxiety, depression, mood swings, or attention difficulty, we can help you. Get the care you need from the comfort of your home. Maricopa Christian Psychiatry (MCP)is a mental health clinic that provide services across Arizona and other states. MCP team of Psychiatric Mental Health Nurse Practitioners and therapist offers compassionate, non-judgmental, and evidenced-based psychiatric services.
ACCEPTING NEW PATIENTS. Dr. Christy Olloh is a Family Psych-Mental Nurse Practitioner who is very passionate about mental health care. She provides non-judgmental, unrushed care to her patients and their families. If you are struggling with anxiety, depression, mood swings, or attention difficulty, we can help you. Get the care you need from the comfort of your home. Maricopa Christian Psychiatry (MCP)is a mental health clinic that provide services across Arizona and other states. MCP team of Psychiatric Mental Health Nurse Practitioners and therapist offers compassionate, non-judgmental, and evidenced-based psychiatric services.
![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
Mesa, AZ 85206
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 Ezinne Iroku - Spirit-Mind-Body, PMHNP-C, FNP-C, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/b3293c16-d69b-4df8-99fc-14568a9078dd/2/320x400.jpeg)
Spirit-Mind-Body
Psychiatric Nurse Practitioner, PMHNP-C, FNP-C
Verified Verified
1 Endorsed
Mesa, AZ 85204
Ezinne Iroku is licensed in Family Psychiatric Mental Health Nurse Practitioner, has a second Master's degree and license in Family Nurse Practitioner.
Accepting New clients In-person or Telehealth! You can't go back and change the beginning, but you can start where you are and change the ending - C. S. Lewis. Life can be overwhelming sometimes, you don't have to go through it alone, you need a safe space to express your emotions and not feel judged. 1st step is usually the hardest, it is ok to reach out for help. Let us help you on your road to recovery!
Ezinne Iroku is licensed in Family Psychiatric Mental Health Nurse Practitioner, has a second Master's degree and license in Family Nurse Practitioner.
Accepting New clients In-person or Telehealth! You can't go back and change the beginning, but you can start where you are and change the ending - C. S. Lewis. Life can be overwhelming sometimes, you don't have to go through it alone, you need a safe space to express your emotions and not feel judged. 1st step is usually the hardest, it is ok to reach out for help. Let us help you on your road to recovery!
![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
Mesa, AZ 85202
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 Marcus Robinson, MSN, APRN, PMHNP-C, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/331d653c-4b47-48f4-bfca-cd844c600961/1/320x400.jpeg)
Marcus Robinson
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP-C
Verified Verified
1 Endorsed
Mesa, AZ 85201 (Online Only)
*NOW ACCEPTING NEW PATIENTS AND APPOINTMENTS ARE AVAILABLE WITHIN DAYS* Have you been struggling with depression, grief, anxiety, ADHD, issues with body image, severe mood fluctuations or perceptual disturbances and find that life has been increasingly difficult to cope with? Have you tried to seek advice from family members, friends and spiritual counselors, to no avail? You can overcome these struggles, with the right tools and I am here to help, using an unbiased approach. I draw from a few traditional therapeutic techniques, in combination with medication management, to create a treatment plan to meet your unique needs.
*NOW ACCEPTING NEW PATIENTS AND APPOINTMENTS ARE AVAILABLE WITHIN DAYS* Have you been struggling with depression, grief, anxiety, ADHD, issues with body image, severe mood fluctuations or perceptual disturbances and find that life has been increasingly difficult to cope with? Have you tried to seek advice from family members, friends and spiritual counselors, to no avail? You can overcome these struggles, with the right tools and I am here to help, using an unbiased approach. I draw from a few traditional therapeutic techniques, in combination with medication management, to create a treatment plan to meet your unique needs.
Peter Ngaruiya Njogu
Psychiatric Nurse Practitioner, PMHNPBC
Verified Verified
1 Endorsed
Mesa, AZ 85203
Your mental health is important, and I'm here to help you achieve the sense of well-being and balance you deserve. Let's embark on this journey together.
Your mental health is important, and I'm here to help you achieve the sense of well-being and balance you deserve. Let's embark on this journey together.
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![Photo of Christina Louise Tylersmith - Tree of Life Healing, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/bbde3a2b-b975-4067-b810-f162dd948a79/1/320x400.jpeg)
I love working with people to walk alongside them in their healing journey. I am great at connecting and have intuition that can understand on a deep level what they are experiencing. I have always known "It's not the words people say but the way they say them" I am able to pick up intuitively through sound frequencies what someone is experiencing and can provide an objective look. Life can be so painful; it can ease the pain to find someone with strong empathy.
I love working with people to walk alongside them in their healing journey. I am great at connecting and have intuition that can understand on a deep level what they are experiencing. I have always known "It's not the words people say but the way they say them" I am able to pick up intuitively through sound frequencies what someone is experiencing and can provide an objective look. Life can be so painful; it can ease the pain to find someone with strong empathy.
![Photo of Brandi Morgan, DNP, Psych, NP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/6231d391-235d-4d72-a728-53b3f4e6828c/2/320x400.jpeg)
Brandi Morgan
Psychiatric Nurse Practitioner, DNP, Psych, NP
Verified Verified
Mesa, AZ 85206 (Online Only)
**NOW ACCEPTING NEW CLIENTS!***Our goal is to meet all of your therapy and medication needs. Through a web-based platform (telepsychiatry), we hope to maintain a relaxing environment for you as we allow for care to be given to you in your home, from the comfort of your couch to a quiet space in your providers' office. We provide exceptional, personalized, and timely access to psychiatric care with little to no wait time.
**NOW ACCEPTING NEW CLIENTS!***Our goal is to meet all of your therapy and medication needs. Through a web-based platform (telepsychiatry), we hope to maintain a relaxing environment for you as we allow for care to be given to you in your home, from the comfort of your couch to a quiet space in your providers' office. We provide exceptional, personalized, and timely access to psychiatric care with little to no wait time.
![Photo of James Hartwell, PMHNP, BC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/25d9ee54-3da6-485f-8b76-d24b38305fec/2/320x400.jpeg)
James Hartwell
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
1 Endorsed
Mesa, AZ 85210
As a board-certified psychiatric mental health nurse practitioner at Blue Water Psychiatry in Mesa, Arizona I can help empower you to find a balance in this busy life we live. Struggling with depression, anxiety, or mood swings, or just not sure? There is help and I would love the opportunity to help and support you on your journey to health and wellness.
As a board-certified psychiatric mental health nurse practitioner at Blue Water Psychiatry in Mesa, Arizona I can help empower you to find a balance in this busy life we live. Struggling with depression, anxiety, or mood swings, or just not sure? There is help and I would love the opportunity to help and support you on your journey to health and wellness.
![Photo of Donald Mason, DMSc, PA-C, CAQ-Psy, Physician Assistant](https://photos.psychologytoday.com/3cf2e035-2a43-4ac3-b762-021698c82e3e/1/320x400.jpeg)
Accepting New Patients. I have over 15 years of experience working with patients who suffer from mental health conditions. I'm looking for patients who prefer more personalized treatment and have a desire for growth and improvement. Whether your suffering from depression, anxiety, bipolar disorder, ADD/ADHD, OCD, insomnia, PTSD, personality disorder, addiction, grief, chronic pain, or just want to find a happier and healthier you then I believe you would benefit from making an appointment to discuss treatment options. I look forward to working with you to achieve your mental health goals.
Accepting New Patients. I have over 15 years of experience working with patients who suffer from mental health conditions. I'm looking for patients who prefer more personalized treatment and have a desire for growth and improvement. Whether your suffering from depression, anxiety, bipolar disorder, ADD/ADHD, OCD, insomnia, PTSD, personality disorder, addiction, grief, chronic pain, or just want to find a happier and healthier you then I believe you would benefit from making an appointment to discuss treatment options. I look forward to working with you to achieve your mental health goals.
![Photo of Ibukun Odutola - Victory Health Solution LLC (Virtual Appts ONLY), APRN, PMHNP, BC, CNP, DNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/9eeff864-c260-468d-92e9-fb2f4e01bc71/1/320x400.jpeg)
Victory Health Solution LLC (Virtual Appts ONLY)
Psychiatric Nurse Practitioner, APRN, PMHNP, BC, CNP, DNP
Verified Verified
Mesa, AZ 85204 (Online Only)
Attention:Same day prescriptions. we offer only telepsychiatry services. Afraid of over dose call me for Naloxone Now ! Addiction,Opiod use, CALL for your Naltrexone now. No more addiction. Your local pharmacy may be able to give you Vivitrol. TRIWEST/ TRICARE welcome. Please note we do not offer in-person services at this time. We treat opioid, addiction, schizophrenia, bipolar, anxiety, eating disorders, borderline personality disorder, cleptomaniac, ADHD and depression. We treat all other mental health disorders. Please click on our website link to make your appointment. We accept cash at $90 / Month if you do not have insurance.
Attention:Same day prescriptions. we offer only telepsychiatry services. Afraid of over dose call me for Naloxone Now ! Addiction,Opiod use, CALL for your Naltrexone now. No more addiction. Your local pharmacy may be able to give you Vivitrol. TRIWEST/ TRICARE welcome. Please note we do not offer in-person services at this time. We treat opioid, addiction, schizophrenia, bipolar, anxiety, eating disorders, borderline personality disorder, cleptomaniac, ADHD and depression. We treat all other mental health disorders. Please click on our website link to make your appointment. We accept cash at $90 / Month if you do not have insurance.
![Photo of Marilyn A Staires, MSN, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/70907df4-d2d0-43f6-8d32-70c110b9cd5b/1/320x400.jpeg)
Marilyn A Staires
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
1 Endorsed
Mesa, AZ 85202
I am committed to forming transformational partnerships that empowers you to take an active role in your mental health treatment. I understand the life journey of each individual is unique and influenced by many factors. My goal is meet you on your journey and develop mental health solutions that embrace your values, celebrates your culture, and supports your treatment goals.
I am committed to forming transformational partnerships that empowers you to take an active role in your mental health treatment. I understand the life journey of each individual is unique and influenced by many factors. My goal is meet you on your journey and develop mental health solutions that embrace your values, celebrates your culture, and supports your treatment goals.
![Photo of Imma Nzomo - Foothills Psychiatric Services PLLC, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/4b49dc26-875a-44dd-95ae-7e8524bbee77/3/320x400.jpeg)
Foothills Psychiatric Services PLLC
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
2 Endorsed
Mesa, AZ 85203
Foothills psychiatric services offer mobile and telepsychiatry services in the valley and surrounding areas. We provide psychiatric evaluations and follow-ups, medication management, and therapy. We specialize in treating different mood disorders including Depression, Bipolar, Anxiety, PTSD, and other behavioral disorders like Schizophrenia, personality disorder, substance abuse, ADHD, Autism, treatment-resistant depression, among others.
Foothills psychiatric services offer mobile and telepsychiatry services in the valley and surrounding areas. We provide psychiatric evaluations and follow-ups, medication management, and therapy. We specialize in treating different mood disorders including Depression, Bipolar, Anxiety, PTSD, and other behavioral disorders like Schizophrenia, personality disorder, substance abuse, ADHD, Autism, treatment-resistant depression, among others.
![Photo of LOUKISHA Roberts, DNP, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/573b78f7-a240-4bd2-8933-30e3285561bd/1/320x400.jpeg)
LOUKISHA Roberts
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Mesa, AZ 85210 (Online Only)
Dr Roberts began in Emergency Medicine providing excellent, high-quality patient care on a holistic level. During this time,her passion for psychiatry and mental health was discovered. Her dedication and committment to providing excellent mental health care services, health promotion, and disease prevention care to all ages. Prism Behavioral health provide telepsychiatry services for all ages that include psychological evaluations, medications management, follow ups, crisis intervention, and therapy.
Dr Roberts began in Emergency Medicine providing excellent, high-quality patient care on a holistic level. During this time,her passion for psychiatry and mental health was discovered. Her dedication and committment to providing excellent mental health care services, health promotion, and disease prevention care to all ages. Prism Behavioral health provide telepsychiatry services for all ages that include psychological evaluations, medications management, follow ups, crisis intervention, and therapy.
![Photo of Mohammad Reza Karami-Sichani, MD, Psychiatrist](https://photos.psychologytoday.com/3efcdf49-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
As a medical doctor trained in the specialty of psychiatry I am able to diagnose and treat a broad range of psychiatric disorders in adults. But as a mental health professional I like to see myself as a specialist in the promotion of what fundamentally makes life a wonderful and fulfilling experience-being mentally healthy! We do not treat any type of dual diagnosis (substance abuse along with a mental health condition)
As a medical doctor trained in the specialty of psychiatry I am able to diagnose and treat a broad range of psychiatric disorders in adults. But as a mental health professional I like to see myself as a specialist in the promotion of what fundamentally makes life a wonderful and fulfilling experience-being mentally healthy! We do not treat any type of dual diagnosis (substance abuse along with a mental health condition)
See more therapy options for Mesa
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.