Family Therapy in Bentonville, AR
![Photo of Morgan L Scott, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8470f8ce-bf7d-4acd-8b45-db0d0f2f4d8f/1/320x400.jpeg)
I have worked with clients living with anxiety, depression, adhd, relationship issues, challenging family dynamics, and/or experiencing life transitions. Clients with a goal of understanding and improving their self concept, meaningful relationships and overall peace in their lives are great to work with!
I have worked with clients living with anxiety, depression, adhd, relationship issues, challenging family dynamics, and/or experiencing life transitions. Clients with a goal of understanding and improving their self concept, meaningful relationships and overall peace in their lives are great to work with!
![Photo of Jennifer Nelson, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b139c8dc-87eb-4107-a877-50dc35d5e9d9/2/320x400.jpeg)
Jennifer Nelson
Clinical Social Work/Therapist, LCSW
Verified Verified
Bentonville, AR 72712 (Online Only)
Hello! My name is Jennifer Nelson. I am a Licensed Clinical Social Worker in Arkansas with over 15 years of professional work experience. I have experience in helping clients with depression, anxiety, family conflicts, motivation, self-esteem, and confidence. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming issues that challenge you. I often use Cognitive Behavioral Therapy (CBT) and Solutions-Focused approaches to help my clients work their way out of what is distressing them.
Hello! My name is Jennifer Nelson. I am a Licensed Clinical Social Worker in Arkansas with over 15 years of professional work experience. I have experience in helping clients with depression, anxiety, family conflicts, motivation, self-esteem, and confidence. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming issues that challenge you. I often use Cognitive Behavioral Therapy (CBT) and Solutions-Focused approaches to help my clients work their way out of what is distressing them.
![Photo of Deborah Jane Clay, MEd, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/62e4295f-ff83-4938-a258-e7e56583353b/6/320x400.jpeg)
There is a certain kind of validation and personal development that comes from authentic and genuine connection with another human. Sometimes, being with friends and family provides the support we need. Often times, we need an individualized safe and caring environment to share our deepest thoughts, feelings, fears, concerns, vulnerabilities, past and present experiences and hopes for the future in order to make changes, learn to be and accept ourselves as we truly want to be.
There is a certain kind of validation and personal development that comes from authentic and genuine connection with another human. Sometimes, being with friends and family provides the support we need. Often times, we need an individualized safe and caring environment to share our deepest thoughts, feelings, fears, concerns, vulnerabilities, past and present experiences and hopes for the future in order to make changes, learn to be and accept ourselves as we truly want to be.
![Photo of Emily Veasey, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6eac33ba-a698-44cd-ad6c-53b2de03e43c/2/320x400.jpeg)
Emily Veasey
Clinical Social Work/Therapist, LCSW
Verified Verified
Bentonville, AR 72712
Waitlist for new clients
I provide individual, family, and group therapy services.
I currently have a waitlist, but check back periodically in the summer for potential openings! I am pleased to join forces with four other quirky neurodivergent women in our small practice! Working with children is where I truly make an impact and enjoy my career most. My interests and experiences are in: trauma processing, neurodiversity, autism, anxiety, depression, adoption and foster care, attachment, behavior and mood dysregulation, stress and panic, and self-esteem. I have lived experience with chronic illness as well.
I provide individual, family, and group therapy services.
I currently have a waitlist, but check back periodically in the summer for potential openings! I am pleased to join forces with four other quirky neurodivergent women in our small practice! Working with children is where I truly make an impact and enjoy my career most. My interests and experiences are in: trauma processing, neurodiversity, autism, anxiety, depression, adoption and foster care, attachment, behavior and mood dysregulation, stress and panic, and self-esteem. I have lived experience with chronic illness as well.
![Photo of Lori Stevens - LifeMatters Counseling, MA, LPC, NAMA, Licensed Professional Counselor](https://photos.psychologytoday.com/9830d5c4-56cd-484e-aa48-dd3ca2618ec6/2/320x400.jpeg)
LifeMatters Counseling
Licensed Professional Counselor, MA, LPC, NAMA
Verified Verified
Bentonville, AR 72712
After a 20+ year marriage, I became a single mom of five children. With no education and no work experience the road seemed too difficult to travel. Yet, I struggled and fought for myself and for my children. I am happy to say that they are now 26-36 years old and wonderful adults. When we face difficult challenges, it is important to have a good support system. That may be family, friends or just maybe a good therapist:)
After a 20+ year marriage, I became a single mom of five children. With no education and no work experience the road seemed too difficult to travel. Yet, I struggled and fought for myself and for my children. I am happy to say that they are now 26-36 years old and wonderful adults. When we face difficult challenges, it is important to have a good support system. That may be family, friends or just maybe a good therapist:)
![Photo of Nadia Salley, MS, LAC, Counselor](https://photos.psychologytoday.com/ca8fcf84-75fd-49b5-8002-be05dcbfacd4/1/320x400.jpeg)
I am dedicated to helping individuals who are living with anxiety, stress, depression, loss, trauma, mood disorders, relationship and family issues, life transitions, difficulties understanding and controlling emotions, and other challenges. Clients I serve often require guidance in navigating life's numerous obstacles, as well as coping techniques, support, connection, empathy, accountability, authenticity, and personalized care. I serve those who want to expand their awareness of themselves and their emotions, to become their true selves and one with their emotions - living a more harmonious and authentic lifestyle.
I am dedicated to helping individuals who are living with anxiety, stress, depression, loss, trauma, mood disorders, relationship and family issues, life transitions, difficulties understanding and controlling emotions, and other challenges. Clients I serve often require guidance in navigating life's numerous obstacles, as well as coping techniques, support, connection, empathy, accountability, authenticity, and personalized care. I serve those who want to expand their awareness of themselves and their emotions, to become their true selves and one with their emotions - living a more harmonious and authentic lifestyle.
![Photo of Lauren Garrett, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/36df2a6e-3656-47c6-9e85-29b8a0c84513/2/320x400.jpeg)
Lauren is passionate about helping clients find patterns and make connections. She is a very engaged therapist who asks unique questions to bring you clarity and a fresh perspective. Her clinical interests include trauma, family conflict, relationship dynamics, attachment, anxiety, and identity exploration. Her therapeutic approach is psychodynamic therapy, which recognizes the profound impact our past experiences have on our present thoughts and behaviors. Lauren studied social work at NYU and NYU Shanghai, and received training at The New School University. She is a member of the LGBTQIA+ community and values a diverse clientele.
Lauren is passionate about helping clients find patterns and make connections. She is a very engaged therapist who asks unique questions to bring you clarity and a fresh perspective. Her clinical interests include trauma, family conflict, relationship dynamics, attachment, anxiety, and identity exploration. Her therapeutic approach is psychodynamic therapy, which recognizes the profound impact our past experiences have on our present thoughts and behaviors. Lauren studied social work at NYU and NYU Shanghai, and received training at The New School University. She is a member of the LGBTQIA+ community and values a diverse clientele.
![Photo of Gayla Spence, MSMFT, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/46888484-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Gayla Spence
Licensed Professional Counselor, MSMFT, LPC
Verified Verified
1 Endorsed
Bentonville, AR 72712
I hold a Masters of Science in Marriage and Family Therapy from Harding University.
I work with children, teens, adults, and couples. I understand life challenges are different for everyone because we all experience events and phases of life differently. Adjusting to changes in life and relationships or coming to terms with your past can be overwhelming. Empowering you is the most important part of counseling. My goal is to be a team with you if you are looking for growth, change, and a new way of perceiving and receiving life. It takes courage to come to therapy and open up to change whether it be as an individual, couple or a family.
I hold a Masters of Science in Marriage and Family Therapy from Harding University.
I work with children, teens, adults, and couples. I understand life challenges are different for everyone because we all experience events and phases of life differently. Adjusting to changes in life and relationships or coming to terms with your past can be overwhelming. Empowering you is the most important part of counseling. My goal is to be a team with you if you are looking for growth, change, and a new way of perceiving and receiving life. It takes courage to come to therapy and open up to change whether it be as an individual, couple or a family.
![Photo of Martha Gonzalez-Michaelis, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3d3b9103-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Martha Gonzalez-Michaelis
Licensed Professional Counselor, MS, LPC
Verified Verified
Bentonville, AR 72712
They can be as complicated as expanding your family, changing jobs, adjusting to meaningful relationships or as simple as trying a new brand.
Are you having difficulty adjusting or transitioning to what life is bringing you? Life is a series of transitions that we need to manage and/or adjust to. Unfortunately, there are times that we have trouble doing so,this is when we feel overwhelmed, depressed and stressed. As your counselor, I will help you transition through these difficult times by developing new skills that will empower you and help you overcome your current situation.In addition to working through the current situation, I will help you develop new personal insights that will enable you to manage future challenges as well.
They can be as complicated as expanding your family, changing jobs, adjusting to meaningful relationships or as simple as trying a new brand.
Are you having difficulty adjusting or transitioning to what life is bringing you? Life is a series of transitions that we need to manage and/or adjust to. Unfortunately, there are times that we have trouble doing so,this is when we feel overwhelmed, depressed and stressed. As your counselor, I will help you transition through these difficult times by developing new skills that will empower you and help you overcome your current situation.In addition to working through the current situation, I will help you develop new personal insights that will enable you to manage future challenges as well.
![Photo of Nancy D Harris, MS, LPC, CRC, Licensed Professional Counselor](https://photos.psychologytoday.com/f6564794-d8f6-4799-af59-6024f39d0328/1/320x400.jpeg)
Nancy D Harris
Licensed Professional Counselor, MS, LPC, CRC
Verified Verified
Bentonville, AR 72712
I am particularly proficient with mood disorders and family dynamics.
I am a Licensed Profession Counselor and a Certified Rehabilitation Counselor. I have been established in the NWA area for some time now. I enjoy working with individuals and families to resolve life issues. I have assisted many people with change, reducing stress and to manage their challenges. I establish healthy, supportive, encouraging relationships with those I work with. I accept ages 10 and up. I am credentialed with all major insurances. Please call to initiate a consultation appointment.
I am particularly proficient with mood disorders and family dynamics.
I am a Licensed Profession Counselor and a Certified Rehabilitation Counselor. I have been established in the NWA area for some time now. I enjoy working with individuals and families to resolve life issues. I have assisted many people with change, reducing stress and to manage their challenges. I establish healthy, supportive, encouraging relationships with those I work with. I accept ages 10 and up. I am credentialed with all major insurances. Please call to initiate a consultation appointment.
![Photo of Anna Slatton - Thriveworks Counseling & Psychiatry Bentonville, Licensed Professional Counselor](https://photos.psychologytoday.com/a7b51cc7-672c-47fd-b573-6c46b1b73ef7/1/320x400.png)
Thriveworks Counseling & Psychiatry Bentonville
Licensed Professional Counselor
Verified Verified
Bentonville, AR 72712
We offer individual counseling, psychiatry/medication management (virtual only), family counseling, couples therapy/marriage counseling, and child & teen therapy.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
We offer individual counseling, psychiatry/medication management (virtual only), family counseling, couples therapy/marriage counseling, and child & teen therapy.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
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![Photo of Ally Sabados Smolinski, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/864012f8-1107-4cdc-bf98-d5c7684c29bf/3/320x400.jpeg)
Hi there! I'm a licensed clinical therapist & owner of The Therapy Lounge. My goal as your clinician is to assist you in your journey of personal growth. Self-awareness is a key part of healing & my style of therapy is tailored to assist you in identifying stuck points, exploring self-defeating patterns/thoughts, improving emotional regulation, and building personal insight. I specialize in the areas of depression, anxiety, family of origin issues, adjusting through life transitions, relational issues, & trauma. My ideal clients are adults who have self-curiosity & wish to dive more deeply into the root causes of their symptoms.
Hi there! I'm a licensed clinical therapist & owner of The Therapy Lounge. My goal as your clinician is to assist you in your journey of personal growth. Self-awareness is a key part of healing & my style of therapy is tailored to assist you in identifying stuck points, exploring self-defeating patterns/thoughts, improving emotional regulation, and building personal insight. I specialize in the areas of depression, anxiety, family of origin issues, adjusting through life transitions, relational issues, & trauma. My ideal clients are adults who have self-curiosity & wish to dive more deeply into the root causes of their symptoms.
![Photo of Charlene Lucille Fields, LPC, LADAC, CRC, Counselor](https://photos.psychologytoday.com/79e07d79-ebe6-4ccc-b618-d5903f9900fa/3/320x400.jpeg)
Charlene Lucille Fields
Counselor, LPC, LADAC, CRC
Verified Verified
1 Endorsed
Bentonville, AR 72712
Years of first hand in experience with substance use and eating disorders perpetuated by trauma and family history allows me the unique ability to truly empathize.
Leaning on my own experiences, knowledge, and ability to empathize, I walk alongside my clients on their path to recovery. Therapeutic practices I utilize on this path are CBT, DBT, REBT and MI.
Years of first hand in experience with substance use and eating disorders perpetuated by trauma and family history allows me the unique ability to truly empathize.
Leaning on my own experiences, knowledge, and ability to empathize, I walk alongside my clients on their path to recovery. Therapeutic practices I utilize on this path are CBT, DBT, REBT and MI.
![Photo of Stephanie J Litzinger, MS, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/2dd256da-afd6-40e1-88bd-c34dd5db1516/2/320x400.jpeg)
Stephanie J Litzinger
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
Bentonville, AR 72712
Waitlist for new clients
I wish to collaborate with you as my client to cultivate insight, orient you to your strengths, find resilience and create calm and contentment in your family, work, social, and spiritual life.
I am a Licensed Clinical Social Worker and psychotherapist, focusing on adults and couples. I seek to establish trust through ongoing collaboration with my clients and ensure development of a symbiotic relationship, which supports a client’s feelings of safety, greater self-knowledge, access to their inner resources and liberation of repressed feelings. I seek to cultivate an environment steeped in calm, which allows the client or couple to embrace/grow their capacity to see their own value and self worth.
I wish to collaborate with you as my client to cultivate insight, orient you to your strengths, find resilience and create calm and contentment in your family, work, social, and spiritual life.
I am a Licensed Clinical Social Worker and psychotherapist, focusing on adults and couples. I seek to establish trust through ongoing collaboration with my clients and ensure development of a symbiotic relationship, which supports a client’s feelings of safety, greater self-knowledge, access to their inner resources and liberation of repressed feelings. I seek to cultivate an environment steeped in calm, which allows the client or couple to embrace/grow their capacity to see their own value and self worth.
![Photo of Chloe Zahn, LAC, NCC, Counselor](https://photos.psychologytoday.com/4c20dfea-8525-4c71-b830-98c539450ae7/3/320x400.jpeg)
She spends time cooking or baking for herself, her friends, and her family.
Chloe’s practice focuses on healing a client’s attachment and relationship wounds, providing a safe and secure presence for the client(s), and reframing or challenging a client’s inner critic. As a Certified Trauma Professional, Chloe has vast understanding of how past trauma impacts today’s well-being. She utilizes her studies as a CPT therapist and EFT techniques, along other techniques. Chloe, like all Wellness & Courage clinicians, is LGBTQIA+ friendly and affirming.
She spends time cooking or baking for herself, her friends, and her family.
Chloe’s practice focuses on healing a client’s attachment and relationship wounds, providing a safe and secure presence for the client(s), and reframing or challenging a client’s inner critic. As a Certified Trauma Professional, Chloe has vast understanding of how past trauma impacts today’s well-being. She utilizes her studies as a CPT therapist and EFT techniques, along other techniques. Chloe, like all Wellness & Courage clinicians, is LGBTQIA+ friendly and affirming.
![Photo of Charis Parker, LPC, Counselor](https://photos.psychologytoday.com/1cb0e02d-e1e6-4cf7-b2b8-1d069fb72997/2/320x400.jpeg)
When Charis is not seeing clients, she is most likely spending time with family and friends, playing with her dog, trying out new recipes, riding roller coasters or attending concerts.
Neurodiversity is more common than you might think. Roughly 15-20% of the world's population experiences neruodivergence; however, there is still not enough support for neurodivergent individuals. Charis is passionate about helping clients with neurodiversity such as ADHD, OCD, sensory needs, and various learning disorders. In addition, she has experience working with clients with anxiety, trauma, sleep disturbances, depression, grief and loss, relational concerns and behavioral issues. Charis enjoys working with adolescents, teens and adults and is trained in EMDR, TheraPlay, DBT, and TF-CBT.
When Charis is not seeing clients, she is most likely spending time with family and friends, playing with her dog, trying out new recipes, riding roller coasters or attending concerts.
Neurodiversity is more common than you might think. Roughly 15-20% of the world's population experiences neruodivergence; however, there is still not enough support for neurodivergent individuals. Charis is passionate about helping clients with neurodiversity such as ADHD, OCD, sensory needs, and various learning disorders. In addition, she has experience working with clients with anxiety, trauma, sleep disturbances, depression, grief and loss, relational concerns and behavioral issues. Charis enjoys working with adolescents, teens and adults and is trained in EMDR, TheraPlay, DBT, and TF-CBT.
![Photo of Massiel (Massy) Bradberry, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/7c90180a-cb92-43e7-bd58-7917ee552052/2/320x400.jpeg)
Massiel (Massy) Bradberry
Licensed Professional Counselor, MS, LPC
Verified Verified
8 Endorsed
Bentonville, AR 72712
I'm happy you're considering seeking help! I know you are tired, overwhelmed, stressed and ready to live a life worth living, feel happier, and take control of your life! Anxiety, comparison, and trying to keep it together gets exhausting. Trying to be your best at everything (work, family, friends, self-care, social life) all the time is draining. If you are ready for a change and looking to find balance and more peace of mind, I can help you. My clients say I'm approachable, warm, and genuine in counseling.
I'm happy you're considering seeking help! I know you are tired, overwhelmed, stressed and ready to live a life worth living, feel happier, and take control of your life! Anxiety, comparison, and trying to keep it together gets exhausting. Trying to be your best at everything (work, family, friends, self-care, social life) all the time is draining. If you are ready for a change and looking to find balance and more peace of mind, I can help you. My clients say I'm approachable, warm, and genuine in counseling.
![Photo of Katherine D Rogers - Katherine Rogers Counseling, LLC, MS, EdS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/4fb2c719-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Katherine Rogers Counseling, LLC
Licensed Professional Counselor, MS, EdS, LPC
Verified Verified
1 Endorsed
Bentonville, AR 72712
Maintaining a strong support system ( family and friends) is key when navigating through troubled waters.
Sometimes, in our lives we hold onto unresolved issues from the past, which can resurface in many different forms. Anxiety, sadness, depression, and anger usually have "roots" digging deep into our pasts. Choosing to suppress or push disturbing feelings aside may work for a period of time, but will not resolve the underlying issue. As a result, ineffective, and often destructive coping patterns develop. Talking with me can break this pattern and lead to a more fulfilling life.
Maintaining a strong support system ( family and friends) is key when navigating through troubled waters.
Sometimes, in our lives we hold onto unresolved issues from the past, which can resurface in many different forms. Anxiety, sadness, depression, and anger usually have "roots" digging deep into our pasts. Choosing to suppress or push disturbing feelings aside may work for a period of time, but will not resolve the underlying issue. As a result, ineffective, and often destructive coping patterns develop. Talking with me can break this pattern and lead to a more fulfilling life.
![Photo of Matthew J Sweetser, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/423f3928-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Matthew J Sweetser
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Bentonville, AR 72712
When working with families, I use emotion-focused therapy, an empirically validated approach with one of the highest success rates in family counseling.
My goal is to create a safe, relaxed, and fun environment to partner with clients on their life journeys, explore new goals, and cope with difficult life situations. I am a comfortable working with a wide variety of issues including depression, anxiety, anger, trauma, social skills, grief, family conflict, life-changes, and relationship issues. I especially enjoy working with adolescents and their families, and individual adults.
When working with families, I use emotion-focused therapy, an empirically validated approach with one of the highest success rates in family counseling.
My goal is to create a safe, relaxed, and fun environment to partner with clients on their life journeys, explore new goals, and cope with difficult life situations. I am a comfortable working with a wide variety of issues including depression, anxiety, anger, trauma, social skills, grief, family conflict, life-changes, and relationship issues. I especially enjoy working with adolescents and their families, and individual adults.
![Photo of Marisa Gilbreth, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/6c35d9ea-517d-49e4-af2e-e0035012766b/2/320x400.jpeg)
She integrates several counseling approaches in her work, including person-centered, attachment, EMDR, psychodynamic, family systems, and trauma-informed theories.
Marisa values compassion and connection in the counseling office. Marisa aims to help those that sit with her to answer the questions that led them to counseling, as well as experience the change and healing they've been searching for. She believes that each person is created for healthy relationship and prioritizes working to build such with those in her office. She especially enjoys working with adult children of immature parents and young women (ages 16-35) who are struggling with family of origin issues, stressful life transitions, co-dependency, trauma, and more.
She integrates several counseling approaches in her work, including person-centered, attachment, EMDR, psychodynamic, family systems, and trauma-informed theories.
Marisa values compassion and connection in the counseling office. Marisa aims to help those that sit with her to answer the questions that led them to counseling, as well as experience the change and healing they've been searching for. She believes that each person is created for healthy relationship and prioritizes working to build such with those in her office. She especially enjoys working with adult children of immature parents and young women (ages 16-35) who are struggling with family of origin issues, stressful life transitions, co-dependency, trauma, and more.
See more therapy options for Bentonville
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.