Family Therapy in Fort Myers, FL

Photo of Rashawn Brewster - Elevating Relationships: Couple to Couple Therapy, LMFT, Marriage & Family Therapist
Elevating Relationships: Couple to Couple Therapy
Marriage & Family Therapist, LMFT
Verified Verified
Fort Myers, FL 33913  (Online Only)
We believe in the hopeful possibilities within relationships, the healing process when things are not going so well, and we understand the difficult impact of uncoupling on the individual and the extended family.
We (Rashawn & Lori Brewster) offer a unique "couple to couple" counseling experience for relationships in all stages (dating, engaged, married, separated). Typical couples/marriage counseling is with 1 therapist but with Elevating Relationships you work with a married co-therapist team. We support relationship issues such as poor communication, harmful conflict cycle, loss of trust, feeling disconnected, and lackluster intimacy. We will partner with you to highlight the areas of your relationship that you’re not experiencing success in and provide research-based tools and guidance designed to cultivate an improved relationship.
We believe in the hopeful possibilities within relationships, the healing process when things are not going so well, and we understand the difficult impact of uncoupling on the individual and the extended family.
We (Rashawn & Lori Brewster) offer a unique "couple to couple" counseling experience for relationships in all stages (dating, engaged, married, separated). Typical couples/marriage counseling is with 1 therapist but with Elevating Relationships you work with a married co-therapist team. We support relationship issues such as poor communication, harmful conflict cycle, loss of trust, feeling disconnected, and lackluster intimacy. We will partner with you to highlight the areas of your relationship that you’re not experiencing success in and provide research-based tools and guidance designed to cultivate an improved relationship.
(239) 312-5825 View (239) 312-5825
Photo of Danielle E Jediny-Racies - Danielle Jediny-Racies, MFT, LMFT, Marriage & Family Therapist
Danielle Jediny-Racies, MFT
Marriage & Family Therapist, LMFT
Verified Verified
Fort Myers, FL 33913  (Online Only)
Hello. My name is Danielle Jediny-Racies. I am a practicing licensed marriage and family therapist since 2009 providing care for people who live in Oregon, California, Florida, South Carolina, Washington, and Georgia. My therapeutic approach is informed by system-centered, attachment, trauma-informed methods of care and psychobiological approach to couples therapy (PACT). I am steady, engaging, and compassionate.
Hello. My name is Danielle Jediny-Racies. I am a practicing licensed marriage and family therapist since 2009 providing care for people who live in Oregon, California, Florida, South Carolina, Washington, and Georgia. My therapeutic approach is informed by system-centered, attachment, trauma-informed methods of care and psychobiological approach to couples therapy (PACT). I am steady, engaging, and compassionate.
(239) 420-8049 View (239) 420-8049
Photo of Dorothy L Rodwell, LMFT, MS, MFT, Marriage & Family Therapist
Dorothy L Rodwell
Marriage & Family Therapist, LMFT, MS, MFT
Verified Verified
Fort Myers, FL 33908
Making sense of what is happening in the world, the neighborhood, the family and even within myself has taken on a new intensity and urgency! If you have lost the joy in your life, it is ok to reach out for help that enables that joy to emerge from deep within. Whatever your issue, contact me to see if there is a connection that makes a difference.
Making sense of what is happening in the world, the neighborhood, the family and even within myself has taken on a new intensity and urgency! If you have lost the joy in your life, it is ok to reach out for help that enables that joy to emerge from deep within. Whatever your issue, contact me to see if there is a connection that makes a difference.
(239) 851-7166 View (239) 851-7166
Photo of Liza J. Vitiello, LMHC, NCC, NBCCH, Counselor
Liza J. Vitiello
Counselor, LMHC, NCC, NBCCH
Verified Verified
Fort Myers, FL 33901  (Online Only)
Many benefits are possible from participating in counseling. Counseling can provide a fresh perspective on a difficult problem or point you in the direction of a solution. Counseling can help you find new ways to cope with stress, better manage anger, depression, and other emotional pressures. Get "unstuck" from past relationships and family issues--break old patterns and develop new ways of dealing with old issues. Heal old psychological wounds---repair damage from the past. Discover creative ways to problem-solve. Improve your self esteem and boost your self confidence. The overall result can be improved health and well being.
Many benefits are possible from participating in counseling. Counseling can provide a fresh perspective on a difficult problem or point you in the direction of a solution. Counseling can help you find new ways to cope with stress, better manage anger, depression, and other emotional pressures. Get "unstuck" from past relationships and family issues--break old patterns and develop new ways of dealing with old issues. Heal old psychological wounds---repair damage from the past. Discover creative ways to problem-solve. Improve your self esteem and boost your self confidence. The overall result can be improved health and well being.
(239) 217-9124 x1 View (239) 217-9124 x1
Photo of Vanessa Ann Lera - Dandelion Behavioral Health, MS, Marriage & Family Therapist Intern
Dandelion Behavioral Health
Marriage & Family Therapist Intern, MS
Verified Verified
Fort Myers, FL 33907  (Online Only)
I am a Registered Marriage and Family Therapist Intern and I have experience working with children ages 5-18, young adults and families.
My name is Vanessa, and I am accepting new telehealth clients through Dandelion Behavioral Health. I can be requested via phone call, email or website! I have a passion for working with children and families. I enjoy teaching the power of healthy communication and silence, support and resources and togetherness and boundaries.
I am a Registered Marriage and Family Therapist Intern and I have experience working with children ages 5-18, young adults and families.
My name is Vanessa, and I am accepting new telehealth clients through Dandelion Behavioral Health. I can be requested via phone call, email or website! I have a passion for working with children and families. I enjoy teaching the power of healthy communication and silence, support and resources and togetherness and boundaries.
(239) 294-8392 View (239) 294-8392
Photo of Dr. Shannon Sweitzer, PhD, NCSP, Psychologist
Dr. Shannon Sweitzer
Psychologist, PhD, NCSP
Verified Verified
3 Endorsed
Fort Myers, FL 33907
Sweitzer enjoys spending time with her family and is an avid runner.
Dr. Sweitzer has specialized training in the psychological, educational, and developmental assessment of children ages 3 to 19. She has worked in both public school systems and independent schools servicing elementary, middle, and high school students. Dr. Sweitzer conducts comprehensive neurodevelopmental and psychoeducational evaluations for dyslexia and other learning differences, Attention Deficit Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), mood disorders, and twice-exceptional (2e).
Sweitzer enjoys spending time with her family and is an avid runner.
Dr. Sweitzer has specialized training in the psychological, educational, and developmental assessment of children ages 3 to 19. She has worked in both public school systems and independent schools servicing elementary, middle, and high school students. Dr. Sweitzer conducts comprehensive neurodevelopmental and psychoeducational evaluations for dyslexia and other learning differences, Attention Deficit Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), mood disorders, and twice-exceptional (2e).
(239) 235-3105 View (239) 235-3105
Photo of William A Moulton, MA, MAEd, Counselor
William A Moulton
Counselor, MA, MAEd
Verified Verified
1 Endorsed
Fort Myers, FL 33919
My experiences include working with the LGBTQ, mid-life, 'empty nest,' divorce, family dynamics, and the elderly, including issues of depression, managing chronic pain, stress, anxiety, health issues, learning challenges, time management, including care giver stress.
Life often gets in the way of being our best selves. Being a Licensed Clinical Mental Health Counselor, Florida Supreme Court Family Law Mediator, a former university/college administrator, and former public school teacher, I have a well rounded understanding of life's struggles with change. LGBTQ, 'empty nest,' and chronic pain are three of the many areas where I am well versed working with clients. Call me to set up an appointment so we can work together toward a better you!
My experiences include working with the LGBTQ, mid-life, 'empty nest,' divorce, family dynamics, and the elderly, including issues of depression, managing chronic pain, stress, anxiety, health issues, learning challenges, time management, including care giver stress.
Life often gets in the way of being our best selves. Being a Licensed Clinical Mental Health Counselor, Florida Supreme Court Family Law Mediator, a former university/college administrator, and former public school teacher, I have a well rounded understanding of life's struggles with change. LGBTQ, 'empty nest,' and chronic pain are three of the many areas where I am well versed working with clients. Call me to set up an appointment so we can work together toward a better you!
(239) 208-5156 View (239) 208-5156
Photo of Christopher Santini, MSW, LCSW, Clinical Social Work/Therapist
Christopher Santini
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fort Myers, FL 33919  (Online Only)
My specialties include: anxiety, depression, self-esteem, bereavement, couples counseling and marital/ family conflict, as well as unique training and insight into issues affecting the LGBTQ community.
As a clinical social worker with over 20 years of experience, I have had the privilege of working with culturally, economically and ethnically diverse individuals, families, couples and groups from all walks of life. I have practiced domestically and internationally including, NYC, California and most recently in Dublin, Ireland. (Please note that I am only taking tele-therapy clients and use a HIPPA approved site. I have found using tele-therapy to be very convenient for clients with challenging schedules).
My specialties include: anxiety, depression, self-esteem, bereavement, couples counseling and marital/ family conflict, as well as unique training and insight into issues affecting the LGBTQ community.
As a clinical social worker with over 20 years of experience, I have had the privilege of working with culturally, economically and ethnically diverse individuals, families, couples and groups from all walks of life. I have practiced domestically and internationally including, NYC, California and most recently in Dublin, Ireland. (Please note that I am only taking tele-therapy clients and use a HIPPA approved site. I have found using tele-therapy to be very convenient for clients with challenging schedules).
(239) 758-0352 View (239) 758-0352
Photo of Jennifer Ann Oseroff, EdS
Jennifer Ann Oseroff
EdS
Verified Verified
1 Endorsed
Fort Myers, FL 33907  (Online Only)
My goal is to provide your child and family with tools to help everyone succeed no matter if the difficulties are surrounding school or behavioral difficulties at home.
I enjoy working with children and families who are struggling in school either academically, behaviorally, or emotionally. I primarily evaluate children and adolescents to assess the presence of learning disabilities, ADHD, autism, depression, and anxiety. My passion is helping children succeed at home and school through a combination of therapy, organizational coaching, behavior management, parental support and educational planning.
My goal is to provide your child and family with tools to help everyone succeed no matter if the difficulties are surrounding school or behavioral difficulties at home.
I enjoy working with children and families who are struggling in school either academically, behaviorally, or emotionally. I primarily evaluate children and adolescents to assess the presence of learning disabilities, ADHD, autism, depression, and anxiety. My passion is helping children succeed at home and school through a combination of therapy, organizational coaching, behavior management, parental support and educational planning.
(239) 266-9846 View (239) 266-9846
Photo of Rick De Leon, MA, Pre-Licensed Professional
Rick De Leon
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Fort Myers, FL 33966
Rick De Leon earned his master's degree in Clinical Mental Health Counseling and a bachelor's degree in Sociology from Florida Gulf Coast University. Additionally, he holds certifications in Relationship and Family counseling, and he is recognized as a Level 2 Gottman Couples Therapist. He has experience working with children, adolescents, adults, couples, and families.
Rick De Leon earned his master's degree in Clinical Mental Health Counseling and a bachelor's degree in Sociology from Florida Gulf Coast University. Additionally, he holds certifications in Relationship and Family counseling, and he is recognized as a Level 2 Gottman Couples Therapist. He has experience working with children, adolescents, adults, couples, and families.
(239) 266-2328 View (239) 266-2328
Photo of Barbara J Lanz - Barbara J. Lanz Counseling Services in  FL & TN, LPC, MHSP, NCC, MAC, CH, Licensed Professional Counselor
Barbara J. Lanz Counseling Services in FL & TN
Licensed Professional Counselor, LPC, MHSP, NCC, MAC, CH
Verified Verified
Fort Myers, FL 33907  (Online Only)
My skills include EMDR Level 2, Internal Family Systems Levle1, CBT and Motivational Interviewing, along with many years of experiencing my own soul recovery.
Stress and dysfunction are part of life. But--how come some people manage, and others struggle? Where do you get the skills to not only survive stress and life but thrive? Few of us grew up with those skills, but they are skills you can learn! Stress reactions accumulate in the body, and feelings from past trauma and pain remain alive. Let me walk with you as you walk through the fear, the shame, the anger, the numbness, to get to the next best feeling...and find your bliss.
My skills include EMDR Level 2, Internal Family Systems Levle1, CBT and Motivational Interviewing, along with many years of experiencing my own soul recovery.
Stress and dysfunction are part of life. But--how come some people manage, and others struggle? Where do you get the skills to not only survive stress and life but thrive? Few of us grew up with those skills, but they are skills you can learn! Stress reactions accumulate in the body, and feelings from past trauma and pain remain alive. Let me walk with you as you walk through the fear, the shame, the anger, the numbness, to get to the next best feeling...and find your bliss.
(239) 241-5684 View (239) 241-5684
Photo of Ashley Harms, LMHC, Counselor
Ashley Harms
Counselor, LMHC
Verified Verified
Fort Myers, FL 33905
I have extensive experience working in individual, couples, family, outpatient, and inpatient settings. As a person in long-term recovery and a sur-thriver through adverse life experiences, my heart and passion are in helping individuals and families learn and overcome their uncomfortable experiences, reclaim their power, and live a fulfilled, joyful life.
I have extensive experience working in individual, couples, family, outpatient, and inpatient settings. As a person in long-term recovery and a sur-thriver through adverse life experiences, my heart and passion are in helping individuals and families learn and overcome their uncomfortable experiences, reclaim their power, and live a fulfilled, joyful life.
(904) 560-8337 View (904) 560-8337
Photo of Daphne Choute, LMHC, Counselor
Daphne Choute
Counselor, LMHC
Verified Verified
Fort Myers, FL 33905  (Online Only)
Together, we will work towards breaking the cycle of pain and creating a future where you and your family can thrive.
Are you finding it difficult to break free from the patterns of the past? Parenting is challenging, especially when your own upbringing left you with wounds that still affect you today. But it doesn't have to be this way. At Paved Counseling Services, we specialize in helping parents like you overcome the impact of generational trauma. Our approach is designed to help you heal, so you can break the cycle and give your children the healthy, loving environment they deserve.
Together, we will work towards breaking the cycle of pain and creating a future where you and your family can thrive.
Are you finding it difficult to break free from the patterns of the past? Parenting is challenging, especially when your own upbringing left you with wounds that still affect you today. But it doesn't have to be this way. At Paved Counseling Services, we specialize in helping parents like you overcome the impact of generational trauma. Our approach is designed to help you heal, so you can break the cycle and give your children the healthy, loving environment they deserve.
(813) 602-7241 View (813) 602-7241
Photo of Marla Peyser, MEd, LPC, RPT-S, Licensed Professional Counselor
Marla Peyser
Licensed Professional Counselor, MEd, LPC, RPT-S
Verified Verified
1 Endorsed
Fort Myers, FL 33907
Waitlist for new clients
I am currently not accepting new clients. I am a licensed professional counselor and registered play therapist working in my own practice with children, teens, and adults. While the work we do is serious, I provide a comfortable environment filled with light, humor, and genuine positive regard. I offer a lively and interactive experience regardless of your needs. I am trained in several models, including Eye Movement Desensitization and Reprocessing (EMDR), play therapy, and Internal Family Systems (IFS); however, I believe a solid therapeutic relationship is the foundation for growth and change.
I am currently not accepting new clients. I am a licensed professional counselor and registered play therapist working in my own practice with children, teens, and adults. While the work we do is serious, I provide a comfortable environment filled with light, humor, and genuine positive regard. I offer a lively and interactive experience regardless of your needs. I am trained in several models, including Eye Movement Desensitization and Reprocessing (EMDR), play therapy, and Internal Family Systems (IFS); however, I believe a solid therapeutic relationship is the foundation for growth and change.
(571) 789-0119 View (571) 789-0119
Photo of Yalily Smith - The Traveling Therapist, LLC, LMHC, LCSW, MSW, MHC, Clinical Social Work/Therapist
The Traveling Therapist, LLC
Clinical Social Work/Therapist, LMHC, LCSW, MSW, MHC
Verified Verified
Fort Myers, FL 33907
We offer Individual Therapy, Couples Counseling, and Family Counseling.
Life may not come with a manual, but we help you navigate it with confidence. We are now accepting new patients for Mental Health therapy. We offer Telehealth and In-Person sessions. Most insurances are accepted, including: Medicare, most Medicaid plans, Cigna, United Healthcare, BCBS, FL Blue, and Humana. We provide therapy services in English and Spanish. We treat patients throughout Southwest Florida, at our Fort Myers office, Cape Coral office, and virtually (Telehealth). Each office offers unique therapeutic services, including spa services at our Fort Myers office. No doctor referral is needed. We accept ages 6 and older.
We offer Individual Therapy, Couples Counseling, and Family Counseling.
Life may not come with a manual, but we help you navigate it with confidence. We are now accepting new patients for Mental Health therapy. We offer Telehealth and In-Person sessions. Most insurances are accepted, including: Medicare, most Medicaid plans, Cigna, United Healthcare, BCBS, FL Blue, and Humana. We provide therapy services in English and Spanish. We treat patients throughout Southwest Florida, at our Fort Myers office, Cape Coral office, and virtually (Telehealth). Each office offers unique therapeutic services, including spa services at our Fort Myers office. No doctor referral is needed. We accept ages 6 and older.
(239) 326-9705 View (239) 326-9705
Photo of Timara Tyler-, MS, LMHC, LCDC, EMDR
Timara Tyler-
MS, LMHC, LCDC, EMDR
Verified Verified
Fort Myers, FL 33901  (Online Only)
I specialize in working with addiction, spirituality, women's issues, self-esteem, family, couples, social skills, career, anxiety, depression, and multicultural issues.
Wanting to teach brought me to counseling, which ironically, has allowed me to explore the journey of life with those who seek guidance, and it is the aspect I perhaps love most about being a clinician. I am passionate about community which has led me to working with individuals, young adults, couples and their families in diverse settings such as private practice, therapeutic schools, outpatient treatment, residential treatment, and criminal justice settings.
I specialize in working with addiction, spirituality, women's issues, self-esteem, family, couples, social skills, career, anxiety, depression, and multicultural issues.
Wanting to teach brought me to counseling, which ironically, has allowed me to explore the journey of life with those who seek guidance, and it is the aspect I perhaps love most about being a clinician. I am passionate about community which has led me to working with individuals, young adults, couples and their families in diverse settings such as private practice, therapeutic schools, outpatient treatment, residential treatment, and criminal justice settings.
(561) 576-6418 View (561) 576-6418
Photo of Christina Cummings, LMHC , CMHC, Counselor
Christina Cummings
Counselor, LMHC , CMHC
Verified Verified
Fort Myers, FL 33966
Specializing in anxiety/depression, PTSD, substance abuse, general life stressors, mindfulness, & family/relationship counseling, I offer a safe space to process, explore, and freely express yourself.
It is important that my clients have issues that I am qualified to treat. An ideal client would be willing to explore, understand, and work through their psychological and emotional challenges. Their needs consist of a nonjudgmental space where they feel seen, heard, and understood, allowing them to express themselves freely and practical tools and coping strategies to manage symptoms of anxiety, depression, or stress and to navigate challenging emotions or situations.
Specializing in anxiety/depression, PTSD, substance abuse, general life stressors, mindfulness, & family/relationship counseling, I offer a safe space to process, explore, and freely express yourself.
It is important that my clients have issues that I am qualified to treat. An ideal client would be willing to explore, understand, and work through their psychological and emotional challenges. Their needs consist of a nonjudgmental space where they feel seen, heard, and understood, allowing them to express themselves freely and practical tools and coping strategies to manage symptoms of anxiety, depression, or stress and to navigate challenging emotions or situations.
(239) 376-8501 View (239) 376-8501
Photo of Julie Jakobi, MS, LMHC, Counselor
Julie Jakobi
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Fort Myers, FL 33901  (Online Only)
I have many experiences in my life with mental health issues including family members with mental health diagnoses, adopting foster children with diagnoses and behaviors, and my own history of depression and anxiety.
My main focus is working with clients and/or family who are struggling with Borderline Personality Disorder. I utilize DBT and EMDR, among other approaches, to help the client find a way to regulate their symptoms and utilize new ways of approaching issues. I believe in education about what is going on in the mind and body so the client can leave my office with information and skills that can be utilized on a daily basis in order to achieve real change.
I have many experiences in my life with mental health issues including family members with mental health diagnoses, adopting foster children with diagnoses and behaviors, and my own history of depression and anxiety.
My main focus is working with clients and/or family who are struggling with Borderline Personality Disorder. I utilize DBT and EMDR, among other approaches, to help the client find a way to regulate their symptoms and utilize new ways of approaching issues. I believe in education about what is going on in the mind and body so the client can leave my office with information and skills that can be utilized on a daily basis in order to achieve real change.
(239) 323-6614 View (239) 323-6614
Photo of Dr. Hanna Kallstrom - Bright Future Psychology  -  Dr. Hanna Kallstrom, PsyD
Bright Future Psychology - Dr. Hanna Kallstrom
PsyD
Verified Verified
Fort Myers, FL 33912
I look forward to meeting you for a free initial consultation to discuss your concerns and goals to see how I can help finding answers and solutions for you and your family.
With a compassionate and neuropsychological approach, I provide comprehensive diagnostic evaluation services for children and adults. Specialty areas include Specific Learning Disorders (Dyslexia; Dyscalculia; Dysgraphia), Autism (ASD), Attention Deficit Hyperactivity Disorder (ADHD), anxiety/mood disorders, developmental delays, intellectual impairments, giftedness, and executive functioning. I provide psychoeducational evaluations for IEP and 504 plans, testing accommodations (AP/SAT/ACT), and any other services/accommodations that require an evaluation. I'm proud to be a Board Certified Autism Specialist and Cognitive Specialist!
I look forward to meeting you for a free initial consultation to discuss your concerns and goals to see how I can help finding answers and solutions for you and your family.
With a compassionate and neuropsychological approach, I provide comprehensive diagnostic evaluation services for children and adults. Specialty areas include Specific Learning Disorders (Dyslexia; Dyscalculia; Dysgraphia), Autism (ASD), Attention Deficit Hyperactivity Disorder (ADHD), anxiety/mood disorders, developmental delays, intellectual impairments, giftedness, and executive functioning. I provide psychoeducational evaluations for IEP and 504 plans, testing accommodations (AP/SAT/ACT), and any other services/accommodations that require an evaluation. I'm proud to be a Board Certified Autism Specialist and Cognitive Specialist!
(239) 326-3580 View (239) 326-3580
Photo of Lisa Hubbard, LMHC , PhD , MA, Counselor
Lisa Hubbard
Counselor, LMHC , PhD , MA
Verified Verified
Fort Myers, FL 33966
Whether your needs involve coping with depression, anxiety, or trauma; childhood issues, work-related issues, relationship issues, or family issues; or you or someone you are/have been involved with is/has struggled with a substance use issue, I am willing to help you discover your personal goals, strategize a plan for meeting those goals, and to guide you along the path you are cutting. I enjoy working with individuals who have a strong desire to identify complex areas or situations in their own lives that they would like to re-evaluate.
Whether your needs involve coping with depression, anxiety, or trauma; childhood issues, work-related issues, relationship issues, or family issues; or you or someone you are/have been involved with is/has struggled with a substance use issue, I am willing to help you discover your personal goals, strategize a plan for meeting those goals, and to guide you along the path you are cutting. I enjoy working with individuals who have a strong desire to identify complex areas or situations in their own lives that they would like to re-evaluate.
(239) 932-5784 View (239) 932-5784
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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.