Relationship Issues Therapists in Los Gatos, CA
![Photo of Julee Peterson, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/ae303087-e113-4cd3-94e3-e6db30c45b7e/3/320x400.jpeg)
Julee Peterson
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Los Gatos, CA 95031 (Online Only)
I bring a sense of genuine caring to the therapeutic relationship and I have the personal experience of living in a blended family.
Hello, I'm Julee Peterson. I'm a licensed Marriage and Family Therapist working online throughout California. I am currently taking new clients. I am interested in helping blended families, repairing marriages and strengthen family bonds. I'm part of a blended family and have walked the difficult starting path and have insight into the nuances of blended family life. What I love most about my work is positively affecting people’s lives through psycho-education and helping improve communication and understanding between family members and couples. Better communication increases trust for better functioning relationships.
I bring a sense of genuine caring to the therapeutic relationship and I have the personal experience of living in a blended family.
Hello, I'm Julee Peterson. I'm a licensed Marriage and Family Therapist working online throughout California. I am currently taking new clients. I am interested in helping blended families, repairing marriages and strengthen family bonds. I'm part of a blended family and have walked the difficult starting path and have insight into the nuances of blended family life. What I love most about my work is positively affecting people’s lives through psycho-education and helping improve communication and understanding between family members and couples. Better communication increases trust for better functioning relationships.
![Photo of Cynthia Heier, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/408324bf-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Cynthia Heier
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Los Gatos, CA 95030
Couples therapy is my specialty and passion, and I'm skilled at guiding couples through their relationship complexities.
Ready to unlock your full potential and create a life that feels truly fulfilling? Therapy can be a powerful catalyst for growth and positive change. I offer a collaborative approach that guides you towards present-moment awareness and a deeper connection with your inner world. Together, we'll transform your challenges into opportunities for growth, leading to greater self-awareness and clarity. Greater self-awareness is the key to better managing stress and building emotional resilience. This empowers you to make lasting changes that enhance your well-being and cultivate a more authentic and meaningful life.
Couples therapy is my specialty and passion, and I'm skilled at guiding couples through their relationship complexities.
Ready to unlock your full potential and create a life that feels truly fulfilling? Therapy can be a powerful catalyst for growth and positive change. I offer a collaborative approach that guides you towards present-moment awareness and a deeper connection with your inner world. Together, we'll transform your challenges into opportunities for growth, leading to greater self-awareness and clarity. Greater self-awareness is the key to better managing stress and building emotional resilience. This empowers you to make lasting changes that enhance your well-being and cultivate a more authentic and meaningful life.
![Photo of Ann Hawkins, MFT, Marriage & Family Therapist](https://photos.psychologytoday.com/7de79fdd-67fc-4722-95e5-d449d76129ee/3/320x400.jpeg)
If you find yourself feeling stuck in life, locked in the grip of persistent anxiety and depression, or are worried that an important relationship is in trouble, I would like to offer my help. Life presents many challenges, and I'm guessing that you've been able to respond well to most of them, but when stress overwhelms your ability to find a way through the challenges, you can find empowerment and clarity with the help of a therapist who helps you to feel truly seen, understood, and accepted. I am here to listen deeply and compassionately, and together we will explore new ways of being and evolving to help clear the way ahead.
If you find yourself feeling stuck in life, locked in the grip of persistent anxiety and depression, or are worried that an important relationship is in trouble, I would like to offer my help. Life presents many challenges, and I'm guessing that you've been able to respond well to most of them, but when stress overwhelms your ability to find a way through the challenges, you can find empowerment and clarity with the help of a therapist who helps you to feel truly seen, understood, and accepted. I am here to listen deeply and compassionately, and together we will explore new ways of being and evolving to help clear the way ahead.
![Photo of Ricci Elliott, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/a8f2ffb8-b000-456d-9736-f182eb9261b3/2/320x400.jpeg)
Ricci Elliott
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Los Gatos, CA 95032 (Online Only)
The therapeutic relationship is an essential part of success in therapy.
Seeking and getting support isn't always easy, but we aren't meant to endure life's challenges alone. Reaching out for support is itself a brave act of self love, and in doing so you will prove to yourself the depth of your abilities and the unlimited potential for growth with which you possess. I believe people are capable of so much, and my goal is to work collaboratively with you to help you achieve what you want to get out of your life and your relationships with others.
The therapeutic relationship is an essential part of success in therapy.
Seeking and getting support isn't always easy, but we aren't meant to endure life's challenges alone. Reaching out for support is itself a brave act of self love, and in doing so you will prove to yourself the depth of your abilities and the unlimited potential for growth with which you possess. I believe people are capable of so much, and my goal is to work collaboratively with you to help you achieve what you want to get out of your life and your relationships with others.
![Photo of Whitney Heier, LMFT, MA, Marriage & Family Therapist](https://photos.psychologytoday.com/29bfdd43-a9df-4e1a-adda-8de6d36dc48e/2/320x400.jpeg)
Whitney Heier
Marriage & Family Therapist, LMFT, MA
Verified Verified
2 Endorsed
Los Gatos, CA 95030 (Online Only)
If you struggle with low self worth, setting boundaries, losing yourself in your relationships, feeling over stimulated and overwhelmed by life, lack of self and intuitive and body connection, we might be a particularly aligned fit to work together. If you are struggling in your relationship with food and/or body image I can offer you support and hope for healing. I am an attachment-oriented therapist when it comes to supporting the parent/child relationship. I believe that when working with children and youth it is vitally important to work congruently with parents and caregivers as well.
If you struggle with low self worth, setting boundaries, losing yourself in your relationships, feeling over stimulated and overwhelmed by life, lack of self and intuitive and body connection, we might be a particularly aligned fit to work together. If you are struggling in your relationship with food and/or body image I can offer you support and hope for healing. I am an attachment-oriented therapist when it comes to supporting the parent/child relationship. I believe that when working with children and youth it is vitally important to work congruently with parents and caregivers as well.
![Photo of Devora Lomas, MA, APCC, MPH, Pre-Licensed Professional](https://photos.psychologytoday.com/72893a76-9e55-44bf-aa69-f0c003a2a67d/2/320x400.jpeg)
Finding a therapist or life/relationship coach can be a daunting task.
I offer in-person and online therapy or coaching for adults and couples. I specialize in working with "neuro-diverse" clients and their partners. I can assess and diagnose for Autism Spectrum Disorder (ASD), ADD and ADHD. I will educate you about your brain (and/or your partner's brain) and how brain differences show up in relationships (romantic, work, family, friends). I will help you work through any feelings of grief, self-judgement and shame. It is important to find a therapist who understands how brains on the spectrum function and influence behavior. I invite you to call for a free consultation.
Finding a therapist or life/relationship coach can be a daunting task.
I offer in-person and online therapy or coaching for adults and couples. I specialize in working with "neuro-diverse" clients and their partners. I can assess and diagnose for Autism Spectrum Disorder (ASD), ADD and ADHD. I will educate you about your brain (and/or your partner's brain) and how brain differences show up in relationships (romantic, work, family, friends). I will help you work through any feelings of grief, self-judgement and shame. It is important to find a therapist who understands how brains on the spectrum function and influence behavior. I invite you to call for a free consultation.
![Photo of Jenna Benson Sholl - Jenna Sholl, Cura Integrative Health, LMFT, CCTP, Marriage & Family Therapist](https://photos.psychologytoday.com/60c57b23-cb71-49c1-b355-bb6e7d6818a8/4/320x400.png)
Jenna Sholl, Cura Integrative Health
Marriage & Family Therapist, LMFT, CCTP
Verified Verified
5 Endorsed
Los Gatos, CA 95032
Do you find your current relationship(s) disappointing, have trouble keeping relationships or finding one at all? Our patients have concerns about how trauma impacts their daily life. They often report that food feels overwhelming and confusing. We will track and understand the unsettling and yet important feelings you have about yourself, your past, your food intake and your relationships with others. Common topics addressed in session include anxiety, low mood, sleep difficulty, feeling out of control with food, concerns about sex and more. Taking the first step to examine this with us isn't always easy but can be life-altering.
Do you find your current relationship(s) disappointing, have trouble keeping relationships or finding one at all? Our patients have concerns about how trauma impacts their daily life. They often report that food feels overwhelming and confusing. We will track and understand the unsettling and yet important feelings you have about yourself, your past, your food intake and your relationships with others. Common topics addressed in session include anxiety, low mood, sleep difficulty, feeling out of control with food, concerns about sex and more. Taking the first step to examine this with us isn't always easy but can be life-altering.
![Photo of Dr. Jeanne Jakob - Jeanne Jakob / Inside Out Psychology Inc, PhD, ABPP, Psychologist](https://photos.psychologytoday.com/41c960bf-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Jeanne Jakob / Inside Out Psychology Inc
Psychologist, PhD, ABPP
Verified Verified
Los Gatos, CA 95032
The quality of our relationship is critical to getting the most out of our work together.
I am a seasoned, board-certified psychologist licensed in California. I provide individual and group psychotherapy via telehealth and in-person (Los Gatos, CA). My ideal clients are motivated to develop psychological flexibility skills to live more fulfilling lives. I integrate various psychotherapy perspectives, with a strong emphasis on evidence-based approaches (ACT, CBT, DBT). I am the owner of Inside Out Psychology, an educational and wellness company. I offer Zoom mindfulness sessions to the general public and host expert webinars to educate mental health consumers. Psychotherapy practice: DrJeanneJakob.com
The quality of our relationship is critical to getting the most out of our work together.
I am a seasoned, board-certified psychologist licensed in California. I provide individual and group psychotherapy via telehealth and in-person (Los Gatos, CA). My ideal clients are motivated to develop psychological flexibility skills to live more fulfilling lives. I integrate various psychotherapy perspectives, with a strong emphasis on evidence-based approaches (ACT, CBT, DBT). I am the owner of Inside Out Psychology, an educational and wellness company. I offer Zoom mindfulness sessions to the general public and host expert webinars to educate mental health consumers. Psychotherapy practice: DrJeanneJakob.com
![Photo of Gail Jones, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/1722f0ad-e941-4c76-84bb-6739e0a5197a/3/320x400.jpeg)
Gail Jones
Marriage & Family Therapist, MA, LMFT
Verified Verified
Los Gatos, CA 95032 (Online Only)
Welcome to my psychotherapy practice, where I believe in the transformative power of therapy. I have several openings for Telehealth sessions at $150 (for individual). With a personalized and empathetic approach, I provide a safe space for you to explore your thoughts, behavioral choices, emotions, and challenges. My goal is to guide you towards self-discovery, resilience, and lasting positive change. I specialize in addiction recovery, relationship challenges, young adult coaching and parental support. I am dedicated to supporting you on your journey to mental and emotional well-being. ALL are Welcome here. LGBTQ+
Welcome to my psychotherapy practice, where I believe in the transformative power of therapy. I have several openings for Telehealth sessions at $150 (for individual). With a personalized and empathetic approach, I provide a safe space for you to explore your thoughts, behavioral choices, emotions, and challenges. My goal is to guide you towards self-discovery, resilience, and lasting positive change. I specialize in addiction recovery, relationship challenges, young adult coaching and parental support. I am dedicated to supporting you on your journey to mental and emotional well-being. ALL are Welcome here. LGBTQ+
![Photo of Jennifer Yager, MA, MFT, PPS, Marriage & Family Therapist](https://photos.psychologytoday.com/44ce1699-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
The best predictor of success in therapy is the relationship built between the client and the therapist. I create an environment where you will experience unconditional acceptance and a safe place to share your thoughts and feelings. Over the course of therapy, you will feel more confident in yourself, your decisions and build healthy coping skills. For 15 years I have helped my clients cope with a variety of issues including: depression, anxiety, parenting, divorce, affairs, eating disorders, relationships, communication, grief and loss, setting appropriate boundaries, increased self-confidence and self-esteem.
The best predictor of success in therapy is the relationship built between the client and the therapist. I create an environment where you will experience unconditional acceptance and a safe place to share your thoughts and feelings. Over the course of therapy, you will feel more confident in yourself, your decisions and build healthy coping skills. For 15 years I have helped my clients cope with a variety of issues including: depression, anxiety, parenting, divorce, affairs, eating disorders, relationships, communication, grief and loss, setting appropriate boundaries, increased self-confidence and self-esteem.
![Photo of Ellen Noon, LMFT, CSAT, CEMDR, Marriage & Family Therapist](https://photos.psychologytoday.com/3ea1ac3e-a3c1-49ee-a45d-53c365ae6a87/1/320x400.jpeg)
Ellen Noon
Marriage & Family Therapist, LMFT, CSAT, CEMDR
Verified Verified
1 Endorsed
Los Gatos, CA 95033 (Online Only)
I am a sex therapist and couples counselor. I provide expert care for couples’ issues, intimacy struggles, sexual struggles, infidelity, sexual compulsivity, sexual addiction and trauma. My goal is to create an intimate space where both partners can share their experience and feelings. I also work with individuals on their relationship issues. My intention is to share a journey that will allow you to unlock the whatever it is that is keeping you from having a happy, fulfilling life. The work that you do now can positively impact you and your partner for a life time. If you are serious about change deep transformation is possible.
I am a sex therapist and couples counselor. I provide expert care for couples’ issues, intimacy struggles, sexual struggles, infidelity, sexual compulsivity, sexual addiction and trauma. My goal is to create an intimate space where both partners can share their experience and feelings. I also work with individuals on their relationship issues. My intention is to share a journey that will allow you to unlock the whatever it is that is keeping you from having a happy, fulfilling life. The work that you do now can positively impact you and your partner for a life time. If you are serious about change deep transformation is possible.
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![Photo of Kaitlin Eastland, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/cd7b879c-0095-4bc2-a46b-6cf9cc5e105e/1/320x400.jpeg)
I am passionate about helping adolescents, teens, and adults strengthen their relationship with themselves and the ones they hold dear.
Many times in life we find ourselves struggling with change. We feel burdened by changes that are out of our control, or discouraged by unsuccessful attempts at creating change. Ideas of who we should be and all of the ways we fall short can so easily conceal our path to contentment and self-love.
I am passionate about helping adolescents, teens, and adults strengthen their relationship with themselves and the ones they hold dear.
Many times in life we find ourselves struggling with change. We feel burdened by changes that are out of our control, or discouraged by unsuccessful attempts at creating change. Ideas of who we should be and all of the ways we fall short can so easily conceal our path to contentment and self-love.
![Photo of Marie A. Felberg, PsyD, Psychologist](https://photos.psychologytoday.com/3f97080c-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
If you are stuck, thinking the same thoughts over and over, lying awake, unable to turn off your brain - we need to talk! I can help you climb out of your rut, and consider the alternatives. Drawing on several therapeutic modalities, I customize a treatment strategy best suited to your problem, temperament, and personal strengths. With a practice in Los Gatos, I have developed a number of specialties, relevant to the Silicon Valley high-tech, high-achievement, high-pressure environment: anxiety; life-work balance; obesity; chronic pain management; mood disorders; workplace conflict; relationship issues; and coping skills.
If you are stuck, thinking the same thoughts over and over, lying awake, unable to turn off your brain - we need to talk! I can help you climb out of your rut, and consider the alternatives. Drawing on several therapeutic modalities, I customize a treatment strategy best suited to your problem, temperament, and personal strengths. With a practice in Los Gatos, I have developed a number of specialties, relevant to the Silicon Valley high-tech, high-achievement, high-pressure environment: anxiety; life-work balance; obesity; chronic pain management; mood disorders; workplace conflict; relationship issues; and coping skills.
![Photo of Laura D. Hunter, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/82b082f4-4937-4edb-8d60-bab44685617b/1/320x400.jpeg)
Laura D. Hunter
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Los Gatos, CA 95032
Whether you are looking to unlock stress, address old/new wounds or to work on your relationship, I look forward to hearing from you.
Finding and sustaining connection, happiness, and fulfillment is often challenging. It's not uncommon to feel stuck, frustrated, and/or hopeless about the way things are. Whether you are in a relationship or seeking individual help to find a new direction, resolution, or to uncover difficult patterns, therapy can help you get to the heart of the matter and implement change. I will help you to build insight, solve problems, and teach you tools for self discovery. I bring 25 years of experience from many settings (hospitals, clinics, private practice) to my work and I am committed to helping you feel safe, listened to & supported.
Whether you are looking to unlock stress, address old/new wounds or to work on your relationship, I look forward to hearing from you.
Finding and sustaining connection, happiness, and fulfillment is often challenging. It's not uncommon to feel stuck, frustrated, and/or hopeless about the way things are. Whether you are in a relationship or seeking individual help to find a new direction, resolution, or to uncover difficult patterns, therapy can help you get to the heart of the matter and implement change. I will help you to build insight, solve problems, and teach you tools for self discovery. I bring 25 years of experience from many settings (hospitals, clinics, private practice) to my work and I am committed to helping you feel safe, listened to & supported.
![Photo of Ericka Grinna, LPCC, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/b6299135-64e0-40f8-9073-e31f57abd3e3/1/320x400.jpeg)
Ericka Grinna
Marriage & Family Therapist, LPCC, LMFT
Verified Verified
1 Endorsed
Los Gatos, CA 95030 (Online Only)
My current focus is working with adult individuals. Issues may include depression, anxiety, relationship issues, difficulty understanding or setting boundaries, or feeling stuck or somehow dissatisfied with life. I also have extensive experience treating those who suffer from substance abuse issues, and those whose loved ones suffer from substance abuse issues. Click my website button to see my availability and book a session.
My current focus is working with adult individuals. Issues may include depression, anxiety, relationship issues, difficulty understanding or setting boundaries, or feeling stuck or somehow dissatisfied with life. I also have extensive experience treating those who suffer from substance abuse issues, and those whose loved ones suffer from substance abuse issues. Click my website button to see my availability and book a session.
![Photo of Victoria Swenson, MA, MFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3d8e35e3-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Victoria Swenson
Marriage & Family Therapist, MA, MFT
Verified Verified
4 Endorsed
Los Gatos, CA 95030 (Online Only)
Would you like to improve your relationship by strengthening communication, dealing with conflict effectively, reviving intimacy, or balancing family/work demands? Do you want to get beyond feeling stuck in self-sabotaging and self-destructive habits? Are you tired of dealing with the emotional and physical effects of anxiety? As a specialist in couples therapy and anxiety treatment for adults, I work with people to explore unproductive patterns and develop more useful alternatives for healthier relationships and satisfying lives.
Would you like to improve your relationship by strengthening communication, dealing with conflict effectively, reviving intimacy, or balancing family/work demands? Do you want to get beyond feeling stuck in self-sabotaging and self-destructive habits? Are you tired of dealing with the emotional and physical effects of anxiety? As a specialist in couples therapy and anxiety treatment for adults, I work with people to explore unproductive patterns and develop more useful alternatives for healthier relationships and satisfying lives.
![Photo of Kate Brooks Williams, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/ccbc9c9a-ea7f-4685-be33-9780999bfd53/1/320x400.jpeg)
Kate helps to foster a safe environment and therapeutic relationship where clients can share their life experiences and explore what may be contributing to their suffering, challenges, or difficulties.
A positive therapeutic experience consists of rapport building and establishing a strong connection with your therapist. Kate is passionate about providing honest and open therapy that helps clients explore their lives and move towards change. As a systems based therapist, Kate likes to process a person’s upbringing and childhood experiences to understand how they affect their current relationships today.
Kate helps to foster a safe environment and therapeutic relationship where clients can share their life experiences and explore what may be contributing to their suffering, challenges, or difficulties.
A positive therapeutic experience consists of rapport building and establishing a strong connection with your therapist. Kate is passionate about providing honest and open therapy that helps clients explore their lives and move towards change. As a systems based therapist, Kate likes to process a person’s upbringing and childhood experiences to understand how they affect their current relationships today.
![Photo of Desiree Hedberg, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/af3cca8f-310e-4af7-8d10-8eb1c6b98cff/1/320x400.jpeg)
Desiree Hedberg
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Los Gatos, CA 95032
Affirming Relationship Therapy provides a judgement-free space to work on helping people create more balance and calm in their lives and within their relationships. We help you connect with your authentic self and guide you on that journey. Together, we will work through changes, anxieties, or other stressors in a way that focuses on emotional well-being and growth. We'll use mindfulness, person-centered therapy, coupled with an attachment approach and emotionally focused therapy that fits your style - let us help you to get to where you envision yourself and your relationships at their best.
Affirming Relationship Therapy provides a judgement-free space to work on helping people create more balance and calm in their lives and within their relationships. We help you connect with your authentic self and guide you on that journey. Together, we will work through changes, anxieties, or other stressors in a way that focuses on emotional well-being and growth. We'll use mindfulness, person-centered therapy, coupled with an attachment approach and emotionally focused therapy that fits your style - let us help you to get to where you envision yourself and your relationships at their best.
![Photo of Vicky Venter, MA, MFT, Marriage & Family Therapist](https://photos.psychologytoday.com/469beb81-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I work best with high functioning individuals in executive roles and couples struggling with relationship issues, life events , depression and anxiety. When you are heard, seen, and encouraged, helped to explore and re-discover what you feel passionate and enlivened about, there is a good chance you will grow. You're probably here because perhaps you feel stuck, frustrated and discouraged - in your relationships, your job or with life in general and you want to make some fundamental changes and need some guidance and support. I can help you with this.
I work best with high functioning individuals in executive roles and couples struggling with relationship issues, life events , depression and anxiety. When you are heard, seen, and encouraged, helped to explore and re-discover what you feel passionate and enlivened about, there is a good chance you will grow. You're probably here because perhaps you feel stuck, frustrated and discouraged - in your relationships, your job or with life in general and you want to make some fundamental changes and need some guidance and support. I can help you with this.
![Photo of Debra Pace - Los Gatos Counseling Center , MFT, PhD, MA, Marriage & Family Therapist](https://photos.psychologytoday.com/683cc125-ae42-4c79-b73d-16c106866b3c/3/320x400.jpeg)
Los Gatos Counseling Center
Marriage & Family Therapist, MFT, PhD, MA
Verified Verified
2 Endorsed
Los Gatos, CA 95030
Not accepting new clients
Have you spent time trying to claw your way out of a deep, dark cave of depression? Unhappiness feels scary, unfair and even shameful. We are here to help you identify patterns & behaviors you can change to realize true happiness and make the most of yourself. You will learn to recognize and accept your emotions as separate from who you are. We will identify current and past relationships that may be impacting how you experience life and work to improve your understanding of these relationships and communication to continue developing new and better connections. The most important relationship is your relationship with yourself!
Have you spent time trying to claw your way out of a deep, dark cave of depression? Unhappiness feels scary, unfair and even shameful. We are here to help you identify patterns & behaviors you can change to realize true happiness and make the most of yourself. You will learn to recognize and accept your emotions as separate from who you are. We will identify current and past relationships that may be impacting how you experience life and work to improve your understanding of these relationships and communication to continue developing new and better connections. The most important relationship is your relationship with yourself!
See more therapy options for Los Gatos
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Relationship Issues Therapists
While need for human connection appears to be innate, the ability to form healthy, loving relationships is learned. Some evidence suggests that the ability to form a stable relationship starts to form in infancy, in a child's earliest experiences with a caregiver who reliably meets the infant's needs for food, care, warmth, protection, stimulation, and social contact. Such relationships are not destiny, but they are theorized to establish deeply ingrained patterns of relating to others. The end of a relationship, however, is often a source of great psychological anguish.