Relationship Issues Therapists in Landsdowne, Charlotte, NC
![Photo of Brooke Osterhoudt, LCSW, LISW-CP, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/47dd8e26-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Brooke Osterhoudt
Clinical Social Work/Therapist, LCSW, LISW-CP, MSW
Verified Verified
Landsdowne, Charlotte, NC 28270
We are all capable of experiencing connection, joy, and a sense of wonder in our everyday lives. However, there are several barriers that prevent us from getting the most out of life such as depression, addiction, grief, loss, low self-esteem, feeling disconnected and unfulfilled. I work in a caring, supportive, and respectful way to confront self-sabotaging behaviors. Together, we will explore present day conflicts, especially relationship and attachment issues, which have prevented you from achieving your goals in life. I am committed to helping you discover new possibilities that will support an abundant and purposeful life.
We are all capable of experiencing connection, joy, and a sense of wonder in our everyday lives. However, there are several barriers that prevent us from getting the most out of life such as depression, addiction, grief, loss, low self-esteem, feeling disconnected and unfulfilled. I work in a caring, supportive, and respectful way to confront self-sabotaging behaviors. Together, we will explore present day conflicts, especially relationship and attachment issues, which have prevented you from achieving your goals in life. I am committed to helping you discover new possibilities that will support an abundant and purposeful life.
![Photo of Sherry B. Stacks, MA, LMFT, LCMHC, Marriage & Family Therapist](https://photos.psychologytoday.com/3c6749ad-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Sherry B. Stacks
Marriage & Family Therapist, MA, LMFT, LCMHC
Verified Verified
Landsdowne, Charlotte, NC 28270
"When you get into a tight place and everything goes against you, till it seems as though you could not hang on a minute longer, never give up then, for that is just the place and time that the tide will turn."-Harriet Beecher Stowe. I encourage you in the healing process as you discover your innate strengths and develop them. My extensive training in relationship and various modes of individual therapy prepare me to work with individuals, couples, and families. With an emphasis on interpersonal relationships and their impact on thinking, emotions and behavior, I address the whole person emphasizing the ever-changing life cycle.
"When you get into a tight place and everything goes against you, till it seems as though you could not hang on a minute longer, never give up then, for that is just the place and time that the tide will turn."-Harriet Beecher Stowe. I encourage you in the healing process as you discover your innate strengths and develop them. My extensive training in relationship and various modes of individual therapy prepare me to work with individuals, couples, and families. With an emphasis on interpersonal relationships and their impact on thinking, emotions and behavior, I address the whole person emphasizing the ever-changing life cycle.
![Photo of Mary Lucas Lacey, DBH, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3e462ff6-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Mary Lucas Lacey
Licensed Professional Counselor, DBH, LPC
Verified Verified
Landsdowne, Charlotte, NC 28270
I work with adults to address a wide range of concerns, including anxiety, depression, codependency, perfectionism, relationship issues, trust issues and grief/loss.
Now Accepting New Patients! How long have you been in pain? Have you been living with it so long that you don't remember how it started? Past and current damage can sabotage our attempts at living the life we deserve and prevent us from trusting others. Often before people enter therapy, they have tried many things to make changes in their lives in order to feel better. Nothing has worked- at least for long. Talking about your problems is not enough. I will help you identify destructive patterns that have interfered with your ability to enjoy life and replace them with healthy solutions.
I work with adults to address a wide range of concerns, including anxiety, depression, codependency, perfectionism, relationship issues, trust issues and grief/loss.
Now Accepting New Patients! How long have you been in pain? Have you been living with it so long that you don't remember how it started? Past and current damage can sabotage our attempts at living the life we deserve and prevent us from trusting others. Often before people enter therapy, they have tried many things to make changes in their lives in order to feel better. Nothing has worked- at least for long. Talking about your problems is not enough. I will help you identify destructive patterns that have interfered with your ability to enjoy life and replace them with healthy solutions.
![Photo of Nancy Waring, PhD, Psychologist](https://photos.psychologytoday.com/3dd8cf74-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I work with clients who are experiencing depression, anxiety, a wide range of relationship issues (including marital, pre-marital, divorce and singleness), chronic illness, grief and also offer career assessment and counseling. I combine a practical, problem solving approach with a focus on the client's emotional and family history to facilitate greater insight for the client as we collaborate to bring balance and wholeness to that client's life. In my many years of practice, I have been on staff at a university counseling center, a large private practice and currently am with a ministry-based counseling center.
I work with clients who are experiencing depression, anxiety, a wide range of relationship issues (including marital, pre-marital, divorce and singleness), chronic illness, grief and also offer career assessment and counseling. I combine a practical, problem solving approach with a focus on the client's emotional and family history to facilitate greater insight for the client as we collaborate to bring balance and wholeness to that client's life. In my many years of practice, I have been on staff at a university counseling center, a large private practice and currently am with a ministry-based counseling center.
![Photo of Pam Lassiter, PhD, LMHCS, LMFT, LCAS, CCS, Counselor](https://photos.psychologytoday.com/4b9c45b4-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Pam Lassiter
Counselor, PhD, LMHCS, LMFT, LCAS, CCS
Verified Verified
Landsdowne, Charlotte, NC 28270
Mental and emotional wellness is important in this hectic world today. I am a Licensed Mental Health Counselor, Licensed Marriage & Family Therapist, & Licensed Clinical Addiction Specialist with 35 years of counseling experience. My practice serves individuals, couples, and families who are seeking assistance with a wide array of concerns including life transitions, stress, anxiety, depression, relationship struggles, and grief and loss. I am an LGBTQ affirming counselor. I can help with trauma issues using techniques like EMDR. My specialties include couples counseling, adult children of alcoholics issues, and women's issues.
Mental and emotional wellness is important in this hectic world today. I am a Licensed Mental Health Counselor, Licensed Marriage & Family Therapist, & Licensed Clinical Addiction Specialist with 35 years of counseling experience. My practice serves individuals, couples, and families who are seeking assistance with a wide array of concerns including life transitions, stress, anxiety, depression, relationship struggles, and grief and loss. I am an LGBTQ affirming counselor. I can help with trauma issues using techniques like EMDR. My specialties include couples counseling, adult children of alcoholics issues, and women's issues.
![Photo of Vincent P Hughes - Calm Seas Family Services, PLLC, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/458810d9-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Calm Seas Family Services, PLLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
Landsdowne, Charlotte, NC 28270
My mission and calling is to work on relationship difficulties in the family.
My ideal client is someone who is dissatisfied with their current life and is ready to discuss making a change to live the life they wish to live.
My mission and calling is to work on relationship difficulties in the family.
My ideal client is someone who is dissatisfied with their current life and is ready to discuss making a change to live the life they wish to live.
![Photo of Sonja Buckles-Smith, MA, LCMHCS](https://photos.psychologytoday.com/6232f79d-c2b9-4ae7-8f74-dc2ec55d0aa5/2/320x400.jpeg)
Sonja Buckles-Smith
MA, LCMHCS
Verified Verified
2 Endorsed
Landsdowne, Charlotte, NC 28270
Waitlist for new clients
Our working relationship is designed to elicit positive change and confront roadblocks that are blocking you from a sense of fulfillment, satisfaction and purpose.
I strive to help people discover their purpose, increase self-awareness, and empower them to be the outstanding individuals they are capable of being. By discarding emotional baggage, often years of hurt, pain, guilt and shame; you can rediscover your purpose, live a more fulfilling life, and regain your natural balance.
Our working relationship is designed to elicit positive change and confront roadblocks that are blocking you from a sense of fulfillment, satisfaction and purpose.
I strive to help people discover their purpose, increase self-awareness, and empower them to be the outstanding individuals they are capable of being. By discarding emotional baggage, often years of hurt, pain, guilt and shame; you can rediscover your purpose, live a more fulfilling life, and regain your natural balance.
![Photo of Dr. Jenny Pierre-Renville, DHA, NCC, LPC](https://photos.psychologytoday.com/a5a4f6ca-4a0d-42db-87df-c7c812be6f97/3/320x400.jpeg)
Dr. Jenny Pierre-Renville
Lic Clinical Mental Health Counselor Associate, DHA, NCC, LPC
Verified Verified
Landsdowne, Charlotte, NC 28270
A journey of a thousand miles begin with a single step. Sometimes taking the initial step can be the most challenging thing we do. Congratulations! You’ve taken your first step. As you begin to honor your needs please allow me to walk with you during your wellness journey. I combine clinical skill with compassion to help people of diverse backgrounds reclaim their joy. I help navigate unique situations to restore mind, body, and spirit balance. A successful therapeutic relationship is about building a rapport based on trust. I help to ease emotional burdens and provide a safe and special sanctuary for clients to be themselves.
A journey of a thousand miles begin with a single step. Sometimes taking the initial step can be the most challenging thing we do. Congratulations! You’ve taken your first step. As you begin to honor your needs please allow me to walk with you during your wellness journey. I combine clinical skill with compassion to help people of diverse backgrounds reclaim their joy. I help navigate unique situations to restore mind, body, and spirit balance. A successful therapeutic relationship is about building a rapport based on trust. I help to ease emotional burdens and provide a safe and special sanctuary for clients to be themselves.
![Photo of Claudia De Los Rios, MS, LCMHCA, LCASA](https://photos.psychologytoday.com/3c440cb4-c3c2-4bab-be19-a3af2850bc0c/2/320x400.png)
Claudia De Los Rios
Licensed Clincal Mental Health Counselor Associate, MS, LCMHCA, LCASA
Verified Verified
1 Endorsed
Landsdowne, Charlotte, NC 28270
Have you just graduated college and recently undergoing life transitions? Are you noticing that you're hitting a wall in your life, and craving change? Often we feel burdened by the routine of day-to-day, overcome by our emotions, have trauma, grief, or use substances to cope. Generational trauma tends to create a burden for some that makes it hard to live life. I believe by learning the powerful relationship between our thoughts, feelings, and behaviors, we can break free from the chains that hold us back from living the life we want. Ofrezco servicios en Español.
Have you just graduated college and recently undergoing life transitions? Are you noticing that you're hitting a wall in your life, and craving change? Often we feel burdened by the routine of day-to-day, overcome by our emotions, have trauma, grief, or use substances to cope. Generational trauma tends to create a burden for some that makes it hard to live life. I believe by learning the powerful relationship between our thoughts, feelings, and behaviors, we can break free from the chains that hold us back from living the life we want. Ofrezco servicios en Español.
![Photo of Josh Burnett, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/9a8cfe59-1e73-4c31-8cab-81000a53cb55/2/320x400.jpeg)
Josh Burnett
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Landsdowne, Charlotte, NC 28270
I help adults and teens become better versions of themselves by helping them connect with their faith, self and others so they can live life with more meaning and purpose. Life is difficult. It can bring massive challenges, heartbreak, loss, stress, relationship issues and much appreciated more. Maybe you’ve been too strong trying to hold it all together and it’s starting to wear you down, feeling stressed, overwhelmed, anxious or depressed. I can help you!
I help adults and teens become better versions of themselves by helping them connect with their faith, self and others so they can live life with more meaning and purpose. Life is difficult. It can bring massive challenges, heartbreak, loss, stress, relationship issues and much appreciated more. Maybe you’ve been too strong trying to hold it all together and it’s starting to wear you down, feeling stressed, overwhelmed, anxious or depressed. I can help you!
![Photo of Lisa Pate - Lisa Pate LCSW, Sea Change Psychotherapy, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ea233863-4f34-4ecc-a912-4e1367cdf3de/1/320x400.jpeg)
Lisa Pate LCSW, Sea Change Psychotherapy
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Landsdowne, Charlotte, NC 28270
Several telehealth spots open currently.... People come to me for support with worries, mood difficulties, adjustment to life changes, identity exploration or relationship issues, and to learn ways to both change and adapt. Whatever brings you to this process at this time, it’s important that you find someone you can develop a sense of safety and trust with in order to bring your full, authentic self to the work. The therapeutic connection is a huge part of successful therapy, so my work is first and foremost relational in nature, through which I help you define your goals and together develop a plan to meet them.
Several telehealth spots open currently.... People come to me for support with worries, mood difficulties, adjustment to life changes, identity exploration or relationship issues, and to learn ways to both change and adapt. Whatever brings you to this process at this time, it’s important that you find someone you can develop a sense of safety and trust with in order to bring your full, authentic self to the work. The therapeutic connection is a huge part of successful therapy, so my work is first and foremost relational in nature, through which I help you define your goals and together develop a plan to meet them.
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![Photo of Alexandra Lomuto, MA, LCMHC, LPC, LMHC, Counselor](https://photos.psychologytoday.com/79fbc68c-5a96-4b61-8eaf-e48a7a4bd45c/2/320x400.jpeg)
Alexandra Lomuto
Counselor, MA, LCMHC, LPC, LMHC
Verified Verified
3 Endorsed
Landsdowne, Charlotte, NC 28270
My experience includes, but is not limited to, anxiety, depression, relationship/family issues, grief, trauma, OCD, self-esteem, women's issues, and life transitions/stress.
There are times in life when our struggles seem unbearable and overwhelming to deal with on our own. Therapy can be a wonderful resource to help unpack those heavy emotions and navigate the difficult times. As a trained therapist, I am here to guide and support you through those difficult times. My goal is to help you gain insight and a new perspective to your current circumstances, as well as help create effective coping skills. I am committed to providing a safe and non-judgmental space for clients to become the best version of themselves.
My experience includes, but is not limited to, anxiety, depression, relationship/family issues, grief, trauma, OCD, self-esteem, women's issues, and life transitions/stress.
There are times in life when our struggles seem unbearable and overwhelming to deal with on our own. Therapy can be a wonderful resource to help unpack those heavy emotions and navigate the difficult times. As a trained therapist, I am here to guide and support you through those difficult times. My goal is to help you gain insight and a new perspective to your current circumstances, as well as help create effective coping skills. I am committed to providing a safe and non-judgmental space for clients to become the best version of themselves.
![Photo of Matt Bartholf - The Cognitive Behavioral Therapy Center of Charlot, MS, LCMHC, LCAS, Drug & Alcohol Counselor](https://photos.psychologytoday.com/3c29c3b5-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
The Cognitive Behavioral Therapy Center of Charlot
Drug & Alcohol Counselor, MS, LCMHC, LCAS
Verified Verified
3 Endorsed
Landsdowne, Charlotte, NC 28270
You have a right to a better life, to live with less distress; to have a life with possibility, potential, and vitality. I have worked with people like you who have found that within the warm, accepting, nonjudgmental, and supportive environment of our therapeutic relationship that change becomes possible. I invite you to be courageous and to reach beyond your fears to claim the life that you want.
Utilizing established, researched, and respected therapies, I treat many emotional and behavioral disorders by helping clients face their struggles and move towards a valued life.
You have a right to a better life, to live with less distress; to have a life with possibility, potential, and vitality. I have worked with people like you who have found that within the warm, accepting, nonjudgmental, and supportive environment of our therapeutic relationship that change becomes possible. I invite you to be courageous and to reach beyond your fears to claim the life that you want.
Utilizing established, researched, and respected therapies, I treat many emotional and behavioral disorders by helping clients face their struggles and move towards a valued life.
![Photo of Tracy Masiello Brown - Reaching Resolution, PLLC, PhD, LCMHCS, Licensed Professional Counselor](https://photos.psychologytoday.com/3ceed963-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Reaching Resolution, PLLC
Licensed Professional Counselor, PhD, LCMHCS
Verified Verified
1 Endorsed
Landsdowne, Charlotte, NC 28270
We offer Parent Child Interaction Therapy and Child Parent Relationship Therapy.
Reaching Resolution is a group practice with over 25 years of experience working with children, adolescents, individuals, couples, and families to help find solutions to the problems that you or your loved ones face. We use a positive, strengths-based approach, drawing from evidence-based strategies to fit your own unique situation and needs. We use a solution-focused approach to help you find positive ways to handle situations and reach the resolution that's right for you.
We offer Parent Child Interaction Therapy and Child Parent Relationship Therapy.
Reaching Resolution is a group practice with over 25 years of experience working with children, adolescents, individuals, couples, and families to help find solutions to the problems that you or your loved ones face. We use a positive, strengths-based approach, drawing from evidence-based strategies to fit your own unique situation and needs. We use a solution-focused approach to help you find positive ways to handle situations and reach the resolution that's right for you.
![Photo of Liz Hatzispiros, MA, LCMHC, RPT, Licensed Professional Counselor](https://photos.psychologytoday.com/3e901a18-036c-49a9-abf9-9de11fab98fb/1/320x400.jpeg)
Liz Hatzispiros
Licensed Professional Counselor, MA, LCMHC, RPT
Verified Verified
12 Endorsed
Landsdowne, Charlotte, NC 28270
I believe the relationship is the most important part of therapy, and with a strong connection to your therapist (hopefully me!) real change and understanding can happen.
How would you describe yourself? Not just your interests and if you're introverted or extroverted, but what really defines who you are? It's a big question that we often don't know how to answer. That's where therapy comes in. I work with individuals who are trying to find their true self. As a child of immigrants, I understand the difficulty of working to become an individual but still keep ties with family and friends who may think differently. This may come out as feelings like anxiety, stress, depression, or confusion.
I believe the relationship is the most important part of therapy, and with a strong connection to your therapist (hopefully me!) real change and understanding can happen.
How would you describe yourself? Not just your interests and if you're introverted or extroverted, but what really defines who you are? It's a big question that we often don't know how to answer. That's where therapy comes in. I work with individuals who are trying to find their true self. As a child of immigrants, I understand the difficulty of working to become an individual but still keep ties with family and friends who may think differently. This may come out as feelings like anxiety, stress, depression, or confusion.
![Photo of Sara Trexler Vavra, MA, LCMHC-A, Counselor](https://photos.psychologytoday.com/eba6363b-94e3-4211-a160-dd7051e8800c/2/320x400.jpeg)
Sara Trexler Vavra
Counselor, MA, LCMHC-A
Verified Verified
1 Endorsed
Landsdowne, Charlotte, NC 28270
Welcome. I am a counselor associate in private practice in Charlotte, now accepting new clients. I have a passion for helping people realize their full potential to create a rich and satisfying life. I work with clients from many ages and stages of life addressing everything from relationship issues to anxiety, depression, and trauma.
Welcome. I am a counselor associate in private practice in Charlotte, now accepting new clients. I have a passion for helping people realize their full potential to create a rich and satisfying life. I work with clients from many ages and stages of life addressing everything from relationship issues to anxiety, depression, and trauma.
![Photo of Robin Marie Weaver, MA, NCC, LCMHCA, Counselor](https://photos.psychologytoday.com/9ee2614e-558b-4df0-b125-0a75599d382b/1/320x400.jpeg)
If you are struggling with a difficult season of life, need to make important decisions, or want to grow and change, establishing a therapeutic relationship can help. Through interactive counseling sessions, you can process thoughts and feelings that are hindering your quality of life. Be encouraged and believe that even in the darkest situations, restoration can occur. You are not your problems. You are a person who matters that can live with meaning and purpose.
If you are struggling with a difficult season of life, need to make important decisions, or want to grow and change, establishing a therapeutic relationship can help. Through interactive counseling sessions, you can process thoughts and feelings that are hindering your quality of life. Be encouraged and believe that even in the darkest situations, restoration can occur. You are not your problems. You are a person who matters that can live with meaning and purpose.
![Photo of Sara Skiles, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7b020d08-6dbc-4af5-8916-f8980e38d868/1/320x400.png)
I view our therapeutic relationship as the most important element.
Hello! I'm Sara Skiles, LCSW, BCD, CCTP. I had the opportunity to undergo extensive training in many modalities such as EMDR, CPT, CBT, IFS, MI, CAMS, etc. That gives you so much room to maneuver and discover the right fit for you. As a veteran who has deployed, I understand how life can be a bit hectic, to say the least. Therapy is a moment in your day to slow down, gain insight, and consider the changes in your life. You matter and are worthy of this investment. Being a LCSW in the U.S. Army, I also supported our combat veterans and emergency responders.
I view our therapeutic relationship as the most important element.
Hello! I'm Sara Skiles, LCSW, BCD, CCTP. I had the opportunity to undergo extensive training in many modalities such as EMDR, CPT, CBT, IFS, MI, CAMS, etc. That gives you so much room to maneuver and discover the right fit for you. As a veteran who has deployed, I understand how life can be a bit hectic, to say the least. Therapy is a moment in your day to slow down, gain insight, and consider the changes in your life. You matter and are worthy of this investment. Being a LCSW in the U.S. Army, I also supported our combat veterans and emergency responders.
![Photo of Doerun Stokes - Abundant Joy Counseling, PLLC, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/f514d05c-609a-40a2-b9c6-e20f457a2279/2/320x400.jpeg)
Abundant Joy Counseling, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Landsdowne, Charlotte, NC 28270
Taking NEW clients: Are you searching for healing for your marriage/relationship? Are you an individual dealing with the overwhelming stressors of life or want to reconnect to your emotions? Maybe a teen or young adult working through identity development? These specific areas, among many others, is why I'm here. I care about the health of the individual and the family unit, and believe when it's thriving and growing, all members thrive and grow and heal. It takes courage to ask for help, and I believe your courage will be rewarded. Let's take that next step together!
Taking NEW clients: Are you searching for healing for your marriage/relationship? Are you an individual dealing with the overwhelming stressors of life or want to reconnect to your emotions? Maybe a teen or young adult working through identity development? These specific areas, among many others, is why I'm here. I care about the health of the individual and the family unit, and believe when it's thriving and growing, all members thrive and grow and heal. It takes courage to ask for help, and I believe your courage will be rewarded. Let's take that next step together!
![Photo of Torri Johnson, LCMHC](https://photos.psychologytoday.com/01324883-315b-48a1-b890-cba30875ae4b/1/320x400.jpeg)
Torri Johnson
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Landsdowne, Charlotte, NC 28270 (Online Only)
Cognitive Behavioral Therapy is a goal-oriented psychotherapy that focuses on the relationship between an individual’s thoughts, feelings, and behaviors and addressing dysfunctional patterns.
Hi, my name is Torri. I am a National Board-Certified Counselor (NCC) and a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina. My goal is to help you along your journey to happiness while eradicating the mental health stigma, particularly in the Black community and other communities of color. I am a CBT and solution-focused therapist who works with my clients at their pace to help them reach their goals. I am down-to-earth and have a relaxed vibe.
Cognitive Behavioral Therapy is a goal-oriented psychotherapy that focuses on the relationship between an individual’s thoughts, feelings, and behaviors and addressing dysfunctional patterns.
Hi, my name is Torri. I am a National Board-Certified Counselor (NCC) and a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina. My goal is to help you along your journey to happiness while eradicating the mental health stigma, particularly in the Black community and other communities of color. I am a CBT and solution-focused therapist who works with my clients at their pace to help them reach their goals. I am down-to-earth and have a relaxed vibe.
See more therapy options for Landsdowne, Charlotte
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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.