Relationship Issues Therapists in Long Branch, NJ

Photo of Cheryl Nastasio, LCSW, Clinical Social Work/Therapist
Cheryl Nastasio
Clinical Social Work/Therapist, LCSW
Verified Verified
Long Branch, NJ 07740
Anxiety, depression and relationship problems in moderation are tolerable.
The goal of our work together is to enhance your self-reliance,self-trust, and your ability to enjoy life. This is accomplished in an atmosphere of mutual acceptance, trust and respect. I have been in private practice for 17 years, use a psycho-dynamic/ cognitive behavioral approach. Utilize additional therapeutic tools (if appropriate to the client and desired by the client), such as hypnosis, EMDR and Thought Field Therapy (Energy Psychology). Offering individaul, couple, or family therapy.
Anxiety, depression and relationship problems in moderation are tolerable.
The goal of our work together is to enhance your self-reliance,self-trust, and your ability to enjoy life. This is accomplished in an atmosphere of mutual acceptance, trust and respect. I have been in private practice for 17 years, use a psycho-dynamic/ cognitive behavioral approach. Utilize additional therapeutic tools (if appropriate to the client and desired by the client), such as hypnosis, EMDR and Thought Field Therapy (Energy Psychology). Offering individaul, couple, or family therapy.
(732) 523-0789 View (732) 523-0789
Photo of Kim Leatherdale, LPC, ATR-BC, NCC, BCC, Licensed Professional Counselor
Kim Leatherdale
Licensed Professional Counselor, LPC, ATR-BC, NCC, BCC
Verified Verified
2 Endorsed
Long Branch, NJ 07740
**Offering video/phone sessions for over a decade!** Relationship counseling is not about being broken, sick or wrong. It's about courage & moving forward. Maybe you fell in love with your partner, enjoyed heady days, but things changed. Maybe your relationship isn't what you want, you "can't seem to get it right", or you're afraid to take the next step. The "happily ever after" soured; however, you can have it better! Your love story can be far more interesting and fulfilling than any fairy tale. Maybe all you need is a little clarity & some skills. It is exciting to discover what makes a great relationship.
**Offering video/phone sessions for over a decade!** Relationship counseling is not about being broken, sick or wrong. It's about courage & moving forward. Maybe you fell in love with your partner, enjoyed heady days, but things changed. Maybe your relationship isn't what you want, you "can't seem to get it right", or you're afraid to take the next step. The "happily ever after" soured; however, you can have it better! Your love story can be far more interesting and fulfilling than any fairy tale. Maybe all you need is a little clarity & some skills. It is exciting to discover what makes a great relationship.
(908) 444-0205 View (908) 444-0205
Photo of Nicole Jackson Walker - Nicole Jackson LPC, LLC, EdD, MA-LPC, LCADC, BC-TMH, HS-BCP, Licensed Professional Counselor
Nicole Jackson LPC, LLC
Licensed Professional Counselor, EdD, MA-LPC, LCADC, BC-TMH, HS-BCP
Verified Verified
Long Branch, NJ 07740
Are you an insight oriented individual looking for personal growth? Are you struggling in your relationship, or simply wanting to strengthen one? Have you wondered why you may attract similar people in your life? Was the relationship with your parents less than secure? Are you looking to develop secure relationships now? Adults of all ages and backgrounds looking for someone with strong cultural competency may benefit from counseling with me.
Are you an insight oriented individual looking for personal growth? Are you struggling in your relationship, or simply wanting to strengthen one? Have you wondered why you may attract similar people in your life? Was the relationship with your parents less than secure? Are you looking to develop secure relationships now? Adults of all ages and backgrounds looking for someone with strong cultural competency may benefit from counseling with me.
(732) 795-5736 View (732) 795-5736
Photo of Diana Marinaro, LCSW, Clinical Social Work/Therapist
Diana Marinaro
Clinical Social Work/Therapist, LCSW
Verified Verified
Long Branch, NJ 07740
I have worked with and successfully helped individuals facing issues such as: anxiety, depression, trauma, relationship challenges, life transitions, grief and loss, those facing serious medical challenges and finding quality and meaning in your life again.
It is not always easy to make the decision to reach out for help, but it can make all the difference in your life. In our personal efforts to find solutions to issues we are faced with, we can find ourselves repeating patterns over and over that keep us stuck and feeling isolated despite our many efforts to improve our situation. Connecting with a skilled therapist can help you to move beyond your struggles, move beyond repeating patterns and approach life in a different, more meaningful and effective way. Licensed in NJ, NY, & FL. In network with Aetna for NY & NJ and traditional Medicare, NJ. Providing in person & online visits.
I have worked with and successfully helped individuals facing issues such as: anxiety, depression, trauma, relationship challenges, life transitions, grief and loss, those facing serious medical challenges and finding quality and meaning in your life again.
It is not always easy to make the decision to reach out for help, but it can make all the difference in your life. In our personal efforts to find solutions to issues we are faced with, we can find ourselves repeating patterns over and over that keep us stuck and feeling isolated despite our many efforts to improve our situation. Connecting with a skilled therapist can help you to move beyond your struggles, move beyond repeating patterns and approach life in a different, more meaningful and effective way. Licensed in NJ, NY, & FL. In network with Aetna for NY & NJ and traditional Medicare, NJ. Providing in person & online visits.
(848) 242-8044 View (848) 242-8044
Photo of Robert LoPresti, PhD, Psychologist
Robert LoPresti
Psychologist, PhD
Verified Verified
Long Branch, NJ 07740
In Imago Relationship therapy I coach the partners into giving and receiving love. Love is the healing force. Imago Therapy is the guiding model along with cognitive behavioral therapy, somatic experiencing, body centered approaches and mindfulness. In individual therapy the focus is on finding clients' strengths and using those strengths for healing of symptoms including insomnia, stress, anxiety, depression, trauma, ADHD and others using cognitive behavioral, somatic experiencing, hypnotherapy, mindfulness,imagery, brainspotting, EMDR, TFT, EFT, and others. Mindfulness is taught in all sessions
In Imago Relationship therapy I coach the partners into giving and receiving love. Love is the healing force. Imago Therapy is the guiding model along with cognitive behavioral therapy, somatic experiencing, body centered approaches and mindfulness. In individual therapy the focus is on finding clients' strengths and using those strengths for healing of symptoms including insomnia, stress, anxiety, depression, trauma, ADHD and others using cognitive behavioral, somatic experiencing, hypnotherapy, mindfulness,imagery, brainspotting, EMDR, TFT, EFT, and others. Mindfulness is taught in all sessions
(732) 842-4553 View (732) 842-4553
Photo of Desiree Ramos | Point Of View Counseling, LCSW, Clinical Social Work/Therapist
Desiree Ramos | Point Of View Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Long Branch, NJ 07740  (Online Only)
I will be reliable, consistent, and caring throughout our therapeutic relationship.
Whether you are ready to jump right into therapy or not sure what to expect I’m here to go at your pace. If you’re new to therapy, returning, or going through a major life change opening up and sharing parts of your life with a therapist can be a bit overwhelming; maybe you wonder what the therapeutic relationship will be like and are a little anxious about if the therapist will be a good fit. That’s totally valid and I want that for you too. I know the most important aspect of therapy is that you feel comfortable and safe, I will always be considerate of your feelings and check in with you to make sure you’re getting what you need.
I will be reliable, consistent, and caring throughout our therapeutic relationship.
Whether you are ready to jump right into therapy or not sure what to expect I’m here to go at your pace. If you’re new to therapy, returning, or going through a major life change opening up and sharing parts of your life with a therapist can be a bit overwhelming; maybe you wonder what the therapeutic relationship will be like and are a little anxious about if the therapist will be a good fit. That’s totally valid and I want that for you too. I know the most important aspect of therapy is that you feel comfortable and safe, I will always be considerate of your feelings and check in with you to make sure you’re getting what you need.
(848) 272-7207 View (848) 272-7207
Photo of Brett Kathleen Mara, MS, LPC, NCC, ACS, Counselor
Brett Kathleen Mara
Counselor, MS, LPC, NCC, ACS
Verified Verified
Long Branch, NJ 07740
Building a trusting and open relationship is my priority.
Challenges are inevitable within any individual life experience. It is my hope to work with you to improve your ability to overcome these times. Empowerment and increasing self-understanding are ever-present goals in my practice. Whether you are dealing with a mental health diagnosis, a life transition, relationship issues, or simply seeking personal growth, you deserve support along the way. I believe in working as a team to increase insight and develop practical strategies to improve your confidence and quality of life.
Building a trusting and open relationship is my priority.
Challenges are inevitable within any individual life experience. It is my hope to work with you to improve your ability to overcome these times. Empowerment and increasing self-understanding are ever-present goals in my practice. Whether you are dealing with a mental health diagnosis, a life transition, relationship issues, or simply seeking personal growth, you deserve support along the way. I believe in working as a team to increase insight and develop practical strategies to improve your confidence and quality of life.
(848) 204-0254 View (848) 204-0254
Photo of Catherine Radeschi, MSW, LCSW, Clinical Social Work/Therapist
Catherine Radeschi
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Long Branch, NJ 07740
I have been a Licensed Clinical Social Worker and a Licensed Marriage Counselor for 30 years. I create a caring and trusting environment in which we can work together. I am an active participant in your problem-solving. I use Cognitive Behavioral therapy to help you change. I also believe strongly in Positive Psychology meaning that we recognize and enhance your strengths . I work with people who are anxious and depressed, relationship issues, and people who are experiencing loss of all kinds ( ie: death, divorce etc.). It takes courage to look at oneself, but it is worth the search.
I have been a Licensed Clinical Social Worker and a Licensed Marriage Counselor for 30 years. I create a caring and trusting environment in which we can work together. I am an active participant in your problem-solving. I use Cognitive Behavioral therapy to help you change. I also believe strongly in Positive Psychology meaning that we recognize and enhance your strengths . I work with people who are anxious and depressed, relationship issues, and people who are experiencing loss of all kinds ( ie: death, divorce etc.). It takes courage to look at oneself, but it is worth the search.
(908) 521-4831 View (908) 521-4831
Photo of William Noble, DMin, PsyD, Pastoral Counselor
William Noble
Pastoral Counselor, DMin, PsyD
Verified Verified
Long Branch, NJ 07740
I work with individuals and couples whose lives have been interrupted by depression, anxiety,and trauma. Psychotherapy, like pastoral care and psychoanlysis, is "soul work" - self expression in the presence of a trusted friend and guide. In the safe space of the therapeutic relationship, thoughts and feelings, dreams and fantasies, desires and fears are spoken without judgment. Authentic verbal and emotional expression is transformative. As dysfunctional patterns of thought and behavior become clear, as shattered parts of the self are recognized and linked, health and a new wholeness can be achieved.
I work with individuals and couples whose lives have been interrupted by depression, anxiety,and trauma. Psychotherapy, like pastoral care and psychoanlysis, is "soul work" - self expression in the presence of a trusted friend and guide. In the safe space of the therapeutic relationship, thoughts and feelings, dreams and fantasies, desires and fears are spoken without judgment. Authentic verbal and emotional expression is transformative. As dysfunctional patterns of thought and behavior become clear, as shattered parts of the self are recognized and linked, health and a new wholeness can be achieved.
(704) 826-3357 View (704) 826-3357
Photo of Mary Lou Killian Searles, PhD, LCSW, LGBTQI, Clinical Social Work/Therapist
Mary Lou Killian Searles
Clinical Social Work/Therapist, PhD, LCSW, LGBTQI
Verified Verified
Long Branch, NJ 07740
Do you identify as LGBTQIA+? Is your relationship or family struggling? Do you have a child or family member who has recently come out? I would like to support you in looking at the concerns that are renting space in your thoughts and spirit. I can help you sort out your feelings, thoughts and choices in deciding what, if anything, you may wish to do. I am comfortable assisting with individuals or couples, youth or adult, parenting, family struggles, anxiety/depression, gender identity/fluidity, polyamory/ethical non-monogamy, and/or navigating any medical or social/emotional journeys related to intersex conditions.
Do you identify as LGBTQIA+? Is your relationship or family struggling? Do you have a child or family member who has recently come out? I would like to support you in looking at the concerns that are renting space in your thoughts and spirit. I can help you sort out your feelings, thoughts and choices in deciding what, if anything, you may wish to do. I am comfortable assisting with individuals or couples, youth or adult, parenting, family struggles, anxiety/depression, gender identity/fluidity, polyamory/ethical non-monogamy, and/or navigating any medical or social/emotional journeys related to intersex conditions.
(609) 917-7887 View (609) 917-7887
Photo of Sasha Alvarado, LPC, ACS, Licensed Professional Counselor
Sasha Alvarado
Licensed Professional Counselor, LPC, ACS
Verified Verified
1 Endorsed
Long Branch, NJ 07740
I believe in the importance of the therapeutic relationship and have been on the other side of the chair as a client.
Welcome! I am a wellness-based therapist that loves empowering clients to find the answers to their troubles within. I use a lot of cognitive behavioral techniques that increase awareness of your thoughts and how they might be impacting your mood. When working with you, I will help you to reconsider the way you are viewing a challenge and consider more adaptive ways of thinking.
I believe in the importance of the therapeutic relationship and have been on the other side of the chair as a client.
Welcome! I am a wellness-based therapist that loves empowering clients to find the answers to their troubles within. I use a lot of cognitive behavioral techniques that increase awareness of your thoughts and how they might be impacting your mood. When working with you, I will help you to reconsider the way you are viewing a challenge and consider more adaptive ways of thinking.
(848) 208-1622 View (848) 208-1622
Photo of Daniela Szatkowski, LCSW, Clinical Social Work/Therapist
Daniela Szatkowski
Clinical Social Work/Therapist, LCSW
Verified Verified
Long Branch, NJ 07740  (Online Only)
Whether you’re struggling with trauma, anxiety, depression, relationship issues, or other concerns, I offer an eclectic approach tailored to your unique needs.
Trauma can deeply affect our lives, but it doesn’t have to define our futures. With specialized training in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), I provide support for people of all ages who are working through traumatic experiences. My goal is to help you find your way to healing and growth, no matter where you’re starting from.
Whether you’re struggling with trauma, anxiety, depression, relationship issues, or other concerns, I offer an eclectic approach tailored to your unique needs.
Trauma can deeply affect our lives, but it doesn’t have to define our futures. With specialized training in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), I provide support for people of all ages who are working through traumatic experiences. My goal is to help you find your way to healing and growth, no matter where you’re starting from.
(848) 208-8765 View (848) 208-8765
Photo of Emma Sommers - Emma Sommers - Mind & Body CCS, LPC, Licensed Professional Counselor
Emma Sommers - Mind & Body CCS
Licensed Professional Counselor, LPC
Verified Verified
5 Endorsed
Long Branch, NJ 07740
I specialize in life transitions, anxiety, and athletic performance; but also work in addiction, personality disorders, chronic impulsivity, grief, relationship issues and codependency, emotional disturbance, gender identity, sexuality, trauma and PTSD.
I try to have an approach that is inviting, authentic, and non-judgmental. I believe that therapy should allow the clients to have autonomy within sessions while maintaining focus on their treatment goals. I typically integrate DBT, CBT, SFBT, Mindfulness Based, and Motivational Interviewing approaches; but will engage in an approach best fit to the client in front of me. My goals as a clinician are to promote a sense of autonomy and foster resilience in each individual I work with. My hope is that I can serve as a source of support and encouragement, walking alongside clients as they grow, change, and move forward in life.
I specialize in life transitions, anxiety, and athletic performance; but also work in addiction, personality disorders, chronic impulsivity, grief, relationship issues and codependency, emotional disturbance, gender identity, sexuality, trauma and PTSD.
I try to have an approach that is inviting, authentic, and non-judgmental. I believe that therapy should allow the clients to have autonomy within sessions while maintaining focus on their treatment goals. I typically integrate DBT, CBT, SFBT, Mindfulness Based, and Motivational Interviewing approaches; but will engage in an approach best fit to the client in front of me. My goals as a clinician are to promote a sense of autonomy and foster resilience in each individual I work with. My hope is that I can serve as a source of support and encouragement, walking alongside clients as they grow, change, and move forward in life.
(908) 498-9739 View (908) 498-9739
Photo of Catherine Steers, MA, LPC, NCC, Licensed Professional Counselor
Catherine Steers
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Long Branch, NJ 07740  (Online Only)
Life can include a fair number of stressors and sometimes one needs a helping hand. Seeking guidance through life’s ups and downs or feelings of being stuck are normal. I am a Licensed Professional Counselor and although I am Psychodynamic trained, I utilize an eclectic approach in my work. I truly believe that the therapeutic relationship is the cornerstone for progress and growth throughout treatment. I am dedicated to encouraging and empowering clients in a safe space and committed to working with the client to achieve their goals, create healthy boundaries, and enhance mental well-being.
Life can include a fair number of stressors and sometimes one needs a helping hand. Seeking guidance through life’s ups and downs or feelings of being stuck are normal. I am a Licensed Professional Counselor and although I am Psychodynamic trained, I utilize an eclectic approach in my work. I truly believe that the therapeutic relationship is the cornerstone for progress and growth throughout treatment. I am dedicated to encouraging and empowering clients in a safe space and committed to working with the client to achieve their goals, create healthy boundaries, and enhance mental well-being.
(609) 928-7376 View (609) 928-7376
Photo of Allison Devlin - Allison Devlin - Individuals, Recovery, Addiction, LCSW, CASAC, Clinical Social Work/Therapist
Allison Devlin - Individuals, Recovery, Addiction
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
7 Endorsed
Long Branch, NJ 07740
My specialties include: Substance Use Recovery, Trauma, PTSD, Relationship Issues, ADHD, Anger Management, Eating Disorder Recovery, and Client Focus .
My ideal client is a person who is diagnosed with both a mental health and substance abuse issue, here we can explore whether the pattern of substance abuse relates to the mental health symptoms or if the symptoms of the psychiatric issue is one of the causes for increased substance abuse. Having the ability to explore and implement evidence based clinical interventions, as well as offering support, during their early recovery process, has been rewarding to witness. I have been working in the mental health and substance abuse field for 20+ years. I provide clinical supervision to undergraduates and graduate students who are
My specialties include: Substance Use Recovery, Trauma, PTSD, Relationship Issues, ADHD, Anger Management, Eating Disorder Recovery, and Client Focus .
My ideal client is a person who is diagnosed with both a mental health and substance abuse issue, here we can explore whether the pattern of substance abuse relates to the mental health symptoms or if the symptoms of the psychiatric issue is one of the causes for increased substance abuse. Having the ability to explore and implement evidence based clinical interventions, as well as offering support, during their early recovery process, has been rewarding to witness. I have been working in the mental health and substance abuse field for 20+ years. I provide clinical supervision to undergraduates and graduate students who are
(732) 889-7283 View (732) 889-7283
Photo of Kasey Ramoth, MS, LPC, Counselor
Kasey Ramoth
Counselor, MS, LPC
Verified Verified
Long Branch, NJ 07740  (Online Only)
Feeling isolated from others and struggling to connect in a virtual and digital world? Are you conflicted about major life decisions that need to be made?  Are you in that weird place between college and "the real world"?  Whether it's anxiety, depression, transitions (marriage, college, being a new parent, new job), relationship problems, or other issues, let’s talk about it, together. You're here because life feels unmanageable and you might need some changing your negative thinking, building resilience, and increasing accountability. I'd be honored to help you with those things. Life is tough and not meant to be done alone.
Feeling isolated from others and struggling to connect in a virtual and digital world? Are you conflicted about major life decisions that need to be made?  Are you in that weird place between college and "the real world"?  Whether it's anxiety, depression, transitions (marriage, college, being a new parent, new job), relationship problems, or other issues, let’s talk about it, together. You're here because life feels unmanageable and you might need some changing your negative thinking, building resilience, and increasing accountability. I'd be honored to help you with those things. Life is tough and not meant to be done alone.
(732) 889-5331 View (732) 889-5331
Photo of Kathleen G Bishop, PhD, LMFT, Marriage & Family Therapist
Kathleen G Bishop
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Long Branch, NJ 07740
Life transitions can create extreme stress as well as profound opportunity. Relationships that we depend on; with our spouse, parents, children, colleagues inevitably change and may benefit from a fresh perspective. My expertise enables us to examine these relationships with compassion, facilitating insight that can lead to change. I received a doctorate in psychology and religion as well as formal training in individual, marriage and family therapy. I have 25+ years of experience offering relational psychotherapy to individuals, couples, families and groups.
Life transitions can create extreme stress as well as profound opportunity. Relationships that we depend on; with our spouse, parents, children, colleagues inevitably change and may benefit from a fresh perspective. My expertise enables us to examine these relationships with compassion, facilitating insight that can lead to change. I received a doctorate in psychology and religion as well as formal training in individual, marriage and family therapy. I have 25+ years of experience offering relational psychotherapy to individuals, couples, families and groups.
(201) 603-2841 View (201) 603-2841
Photo of Robert Misurell, EdD, Marriage & Family Therapist
Robert Misurell
Marriage & Family Therapist, EdD
Verified Verified
Long Branch, NJ 07740  (Online Only)
There is one Self and a shared consciousness deep within. At the same time, we live in a world of diversity and individual uniqueness. Psychotherapy now has the tools to assist in the journey to uncover the genuine “you”,that is, the person you have been looking to be all your life. Layers of conditioning have separated you from the self within. Mindfulness, trauma work and self-compassion provide the support and pathways to clear out wasteful thinking, worries, depression, obsessions and addictions which keep you unbalanced and discontent. Additionally, relational communication skills will build your connectedness and boundaries.
There is one Self and a shared consciousness deep within. At the same time, we live in a world of diversity and individual uniqueness. Psychotherapy now has the tools to assist in the journey to uncover the genuine “you”,that is, the person you have been looking to be all your life. Layers of conditioning have separated you from the self within. Mindfulness, trauma work and self-compassion provide the support and pathways to clear out wasteful thinking, worries, depression, obsessions and addictions which keep you unbalanced and discontent. Additionally, relational communication skills will build your connectedness and boundaries.
(732) 733-6795 View (732) 733-6795
Photo of Nicole Heron - Lifebulb Counseling & Therapy, LCSW, Clinical Social Work/Therapist
Lifebulb Counseling & Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Long Branch, NJ 07740  (Online Only)
We're here to help you reach your therapy goals at Lifebulb! We’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
We're here to help you reach your therapy goals at Lifebulb! We’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
(908) 498-7981 View (908) 498-7981
Photo of Rosa Gomez, LMFT, Marriage & Family Therapist
Rosa Gomez
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Long Branch, NJ 07740  (Online Only)
I have a passion for helping couples heal from infidelity and challenge patterns of miscommunication and disconnection; in empowering individuals who have experienced childhood abuse, sexual violence, and racial trauma; and in reconnecting families who are grappling with estrangement, unresolved trauma, or grief. I have experience working with diverse populations, and my approach is always culturally informed. I am also an approved supervisor for those seeking LPC licensure in the state of New Jersey.
I have a passion for helping couples heal from infidelity and challenge patterns of miscommunication and disconnection; in empowering individuals who have experienced childhood abuse, sexual violence, and racial trauma; and in reconnecting families who are grappling with estrangement, unresolved trauma, or grief. I have experience working with diverse populations, and my approach is always culturally informed. I am also an approved supervisor for those seeking LPC licensure in the state of New Jersey.
(201) 340-9178 View (201) 340-9178
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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.