Therapists in Hazel Dell, WA

Photo of Laurie Ellett - Helping Professionals Wellness Center, LICSW, LCSW, CADCII, SUDP, DVPT, Clinical Social Work/Therapist
Helping Professionals Wellness Center
Clinical Social Work/Therapist, LICSW, LCSW, CADCII, SUDP, DVPT
Verified Verified
4 Endorsed
Hazel Dell, WA 98665
Helping Professionals Wellness Center serve individuals and families who are experiencing difficulties due to substance use, mental health, and domestic violence . We offer individual, family, and group counseling, in addition to weekly Outpatient and Intensive Outpatient substance use group sessions. We are a certified as a Deferred Prosecution Treatment agency for DUI and offer Alcohol & Drug Education School (ADES) on Saturdays, in addition to drug screening. We are a certified Domestic Violence Intervention Treatment provider. We accept most insurance. We place a high value on individualized treatment and care.
Helping Professionals Wellness Center serve individuals and families who are experiencing difficulties due to substance use, mental health, and domestic violence . We offer individual, family, and group counseling, in addition to weekly Outpatient and Intensive Outpatient substance use group sessions. We are a certified as a Deferred Prosecution Treatment agency for DUI and offer Alcohol & Drug Education School (ADES) on Saturdays, in addition to drug screening. We are a certified Domestic Violence Intervention Treatment provider. We accept most insurance. We place a high value on individualized treatment and care.
(360) 529-3502 View (360) 529-3502

More Therapists Nearby

Photo of Stephanie Cahill, MA, LMHC, Counselor
Stephanie Cahill
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98685
I have experience counseling people dealing with issues such as codependence, depression, anxiety, identity formation, and shame, family of origin issues, and abuse (physical, emotional, sexual, domestic, and spiritual).
Helping people uncover truths about themselves as we work together toward your healing and wholeness is my passion. I am experienced in collaborating with clients to challenge negative self concepts by building on existing strengths. I believe processing issues such as shame, low self worth, and identity formation does not need to be done alone, and is worth every ounce of effort. With empathy, compassion, respect, humility, and a little humor along the way, it is my strong desire to help clients overcome unhealthy emotional, thought, and behavioral patterns due to family of origin issues and/or trauma.
I have experience counseling people dealing with issues such as codependence, depression, anxiety, identity formation, and shame, family of origin issues, and abuse (physical, emotional, sexual, domestic, and spiritual).
Helping people uncover truths about themselves as we work together toward your healing and wholeness is my passion. I am experienced in collaborating with clients to challenge negative self concepts by building on existing strengths. I believe processing issues such as shame, low self worth, and identity formation does not need to be done alone, and is worth every ounce of effort. With empathy, compassion, respect, humility, and a little humor along the way, it is my strong desire to help clients overcome unhealthy emotional, thought, and behavioral patterns due to family of origin issues and/or trauma.
(360) 703-9072 View (360) 703-9072
Photo of Kessa Stephenson Taylor, MA, Licensed Professional Counselor
Kessa Stephenson Taylor
Licensed Professional Counselor, MA
Verified Verified
Vancouver, WA 98660  (Online Only)
My ideal client would be someone who wants to work on how their attachment style, dysfunctional family roles (potentially including codependency), and/or dealing with narcissistic abuse have contributed to their current struggles with anxiety. They would want to understand the difference between assertiveness and aggression, make strides in self-advocacy, and set healthy boundaries to improve their quality of life and interpersonal relationships.
My ideal client would be someone who wants to work on how their attachment style, dysfunctional family roles (potentially including codependency), and/or dealing with narcissistic abuse have contributed to their current struggles with anxiety. They would want to understand the difference between assertiveness and aggression, make strides in self-advocacy, and set healthy boundaries to improve their quality of life and interpersonal relationships.
(503) 773-5609 View (503) 773-5609
Photo of Erik Curl - Built For Better Counseling Services, LCSW, CAGCS, CSAT-C, Clinical Social Work/Therapist
Built For Better Counseling Services
Clinical Social Work/Therapist, LCSW, CAGCS, CSAT-C
Verified Verified
1 Endorsed
Vancouver, WA 98660  (Online Only)
When I am not doing all that stuff, I love spending time with my family and my dogs and kayaking local waters.
Welcome to Built for Better Counseling, a small Veteran-owned therapy practice with a mission to improve mental health access for men in Washington and Oregon.
When I am not doing all that stuff, I love spending time with my family and my dogs and kayaking local waters.
Welcome to Built for Better Counseling, a small Veteran-owned therapy practice with a mission to improve mental health access for men in Washington and Oregon.
(360) 516-4799 View (360) 516-4799
Photo of Margaret Browning - Healthy Thoughts Counseling & Consultation, LLC, MSP, LMHC, MHP, Counselor
Healthy Thoughts Counseling & Consultation, LLC
Counselor, MSP, LMHC, MHP
Verified Verified
Vancouver, WA 98663
I encourage clients and their family members to take an active part in in their healing journey.
Are you LIVING or just EXISTING? Depression, anxiety, fatigue, a sudden inability to manage stress, can erode your quality of life. At Healthy Thoughts Counseling we help guide you toward engaging in LIFE again. In some cases a brain injury can be a precipitating factor to the feelings of emotional disconnection. Brain injuries occur from a blunt trauma to the brain or stroke,residual damage can also occur with the occurrence of frequent severe migraines. Our services are not limited to Brain Injury, we provide marital/relationship counseling. We help you rebuild communication skills necessary to keep the relationship alive.
I encourage clients and their family members to take an active part in in their healing journey.
Are you LIVING or just EXISTING? Depression, anxiety, fatigue, a sudden inability to manage stress, can erode your quality of life. At Healthy Thoughts Counseling we help guide you toward engaging in LIFE again. In some cases a brain injury can be a precipitating factor to the feelings of emotional disconnection. Brain injuries occur from a blunt trauma to the brain or stroke,residual damage can also occur with the occurrence of frequent severe migraines. Our services are not limited to Brain Injury, we provide marital/relationship counseling. We help you rebuild communication skills necessary to keep the relationship alive.
(360) 339-8830 View (360) 339-8830
Photo of Rick D. Boehm - Boehm Counseling & Consulting Services, MS, LMHC, MAC, Counselor
Boehm Counseling & Consulting Services
Counselor, MS, LMHC, MAC
Verified Verified
Vancouver, WA 98685
Therapeutic interventions include options to utilize any of the three current models: ARISE; FAMILY INVITE; or SURPRISE.
Client motivation focused;,believing personal change is possible for anyone who desires it. The human spirit is powerful and will persevere if nurtured, empowered & supported. My therapeutic approach: teaching, empower, intervene &support for the therapeutic change process with clients. Combining education + professional & personal experience I provide a safe, non-judgmental therapeutic approach conducive to healthy changes. Perspective of personal strengths vs the medical model of "sickness" clients are empowered with hope and skills for positive change.
Therapeutic interventions include options to utilize any of the three current models: ARISE; FAMILY INVITE; or SURPRISE.
Client motivation focused;,believing personal change is possible for anyone who desires it. The human spirit is powerful and will persevere if nurtured, empowered & supported. My therapeutic approach: teaching, empower, intervene &support for the therapeutic change process with clients. Combining education + professional & personal experience I provide a safe, non-judgmental therapeutic approach conducive to healthy changes. Perspective of personal strengths vs the medical model of "sickness" clients are empowered with hope and skills for positive change.
(360) 215-3885 View (360) 215-3885
Photo of Anne Towler, MS, LMHC, Counselor
Anne Towler
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98686
I provide individual, family and group therapy, with particular expertise in the areas of emotional reactivity, challenging relationships, trauma recovery and workplace stress/burnout.
At times the hurt, anger, anxiety or confusion brought on by life's challenges leaves us stuck or acting ineffectively, unable to determine our best next steps. During these times it can useful to have a guide, someone to help us identify our options, discover opportunities, provide tools for overcoming obstacles, and offer support as we heal and grow. This is my role as a therapist.
I provide individual, family and group therapy, with particular expertise in the areas of emotional reactivity, challenging relationships, trauma recovery and workplace stress/burnout.
At times the hurt, anger, anxiety or confusion brought on by life's challenges leaves us stuck or acting ineffectively, unable to determine our best next steps. During these times it can useful to have a guide, someone to help us identify our options, discover opportunities, provide tools for overcoming obstacles, and offer support as we heal and grow. This is my role as a therapist.
(360) 703-9205 View (360) 703-9205
Photo of Nannette Marie Myers - Heaven Sent Counseling, MS, CDP, LMHC, Counselor
Heaven Sent Counseling
Counselor, MS, CDP, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98665  (Online Only)
Immediate Openings in KS and WA. I have been a counselor for almost 20 years. I have worked in the addiction field and with couples and families helping them to resolve issues between couples and family members. I also have worked with people who have co-dependency issues, anxiety issues, post traumatic stress disorder, and depression. I am moved into my own private practice in June 2015. I am currently a Licensed Mental Health Counselor and a Chemical Dependency Professional, in Washington State and now am licensed in Kansas and have moved my practice to Kansas, but can continue to work with people in Washington State online.
Immediate Openings in KS and WA. I have been a counselor for almost 20 years. I have worked in the addiction field and with couples and families helping them to resolve issues between couples and family members. I also have worked with people who have co-dependency issues, anxiety issues, post traumatic stress disorder, and depression. I am moved into my own private practice in June 2015. I am currently a Licensed Mental Health Counselor and a Chemical Dependency Professional, in Washington State and now am licensed in Kansas and have moved my practice to Kansas, but can continue to work with people in Washington State online.
(785) 384-4896 View (785) 384-4896
Photo of Tiffany Halpin, MS, LMHCA, Counselor
Tiffany Halpin
Counselor, MS, LMHCA
Verified Verified
Vancouver, WA 98685
Your anxiety diminishes, self-esteem improves, you communicate differently with family members and all relationships feel healthier, you understand yourself on a deeper level and you feel empowered to be YOU.
Remember when life seemed so much easier? Your responsibilities and pressures didn’t used to feel so overwhelming, and you felt carefree! Relationships with friends and family felt untouchable. Thoughts didn’t swirl out of control, and you could focus on what needed to be done. And feeling lonely wasn’t something you felt often because you felt seen and heard. You have tried to "fix" things on your own but you are still struggling! You feel more lonely and more isolated than ever, and friendships feel unhealthy, and your family doesn’t understand you.
Your anxiety diminishes, self-esteem improves, you communicate differently with family members and all relationships feel healthier, you understand yourself on a deeper level and you feel empowered to be YOU.
Remember when life seemed so much easier? Your responsibilities and pressures didn’t used to feel so overwhelming, and you felt carefree! Relationships with friends and family felt untouchable. Thoughts didn’t swirl out of control, and you could focus on what needed to be done. And feeling lonely wasn’t something you felt often because you felt seen and heard. You have tried to "fix" things on your own but you are still struggling! You feel more lonely and more isolated than ever, and friendships feel unhealthy, and your family doesn’t understand you.
(360) 614-4390 View (360) 614-4390
Photo of Dayna Schroeder, Pre-Licensed Professional
Dayna Schroeder
Pre-Licensed Professional
Verified Verified
1 Endorsed
Vancouver, WA 98685
I enjoy helping individuals, couples, and families find pathways to achieve well-being individually and within the systems they interact in, such as family, school, work, or the community. Whether you are in the discovery of your self-relationship, contending with anxiety or depression, moving through a significant life transition, feeling something is missing in your life, struggling with a life-altering trauma, or hurting in a way you can’t identify and alleviate on your own; I intend to support you, where you are.
I enjoy helping individuals, couples, and families find pathways to achieve well-being individually and within the systems they interact in, such as family, school, work, or the community. Whether you are in the discovery of your self-relationship, contending with anxiety or depression, moving through a significant life transition, feeling something is missing in your life, struggling with a life-altering trauma, or hurting in a way you can’t identify and alleviate on your own; I intend to support you, where you are.
(360) 564-0761 View (360) 564-0761
Photo of Alex Bardole, LICSW, Clinical Social Work/Therapist
Alex Bardole
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Vancouver, WA 98663
I use Internal Family Systems(IFS) that helps us identify and befriend the internal 'voices' or parts of us that may have their own motivations.
Life is stressful; especially as a teen or young adult! So many life changes, school pressure is hard, and relationships with friends and parents can feel overwhelming. As a queer, neurodivergent therapist, I have the lived experience and know how hard it can be to constantly worry, feel shame about making small mistakes like forgetting important dates, and wonder if you are 'enough'. Luckily, I have designed my practice to help those with ADHD/ASD, Anxiety, and those in the LGBTQIA+ community overcome life's challenges. I would love to talk with you more about what YOU need! Reach out today!
I use Internal Family Systems(IFS) that helps us identify and befriend the internal 'voices' or parts of us that may have their own motivations.
Life is stressful; especially as a teen or young adult! So many life changes, school pressure is hard, and relationships with friends and parents can feel overwhelming. As a queer, neurodivergent therapist, I have the lived experience and know how hard it can be to constantly worry, feel shame about making small mistakes like forgetting important dates, and wonder if you are 'enough'. Luckily, I have designed my practice to help those with ADHD/ASD, Anxiety, and those in the LGBTQIA+ community overcome life's challenges. I would love to talk with you more about what YOU need! Reach out today!
(360) 215-2826 View (360) 215-2826
Photo of Katie Schmitten, CSWA, LSWAIC, Pre-Licensed Professional
Katie Schmitten
Pre-Licensed Professional, CSWA, LSWAIC
Verified Verified
Vancouver, WA 98660
I am trained in Dialectical Behavioral Therapy, Trauma Informed Therapy, Internal Family Systems, ACT, and Motivational Interviewing.
Hello my name is Katie and it is nice to meet you. I am currently taking new patients, teens 14 and older, and adults in Oregon and Washington. I have served in the field for 12 years and welcome populations of all demographics, ethnicities and cultures. I have extensive experience in school based settings assisting with issues such as complex trauma, self harm, addiction, anxiety, depression, grief, loss, life transitions, divorce, adoption, children in the foster system, parent coaching, and other issues. I look forward to meeting you and helping you achieve healing and permanent change.
I am trained in Dialectical Behavioral Therapy, Trauma Informed Therapy, Internal Family Systems, ACT, and Motivational Interviewing.
Hello my name is Katie and it is nice to meet you. I am currently taking new patients, teens 14 and older, and adults in Oregon and Washington. I have served in the field for 12 years and welcome populations of all demographics, ethnicities and cultures. I have extensive experience in school based settings assisting with issues such as complex trauma, self harm, addiction, anxiety, depression, grief, loss, life transitions, divorce, adoption, children in the foster system, parent coaching, and other issues. I look forward to meeting you and helping you achieve healing and permanent change.
(206) 593-3834 View (206) 593-3834
Photo of Rebecca Mayer, MS, LMHC, Counselor
Rebecca Mayer
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Vancouver, WA 98685
**Waitlist** Living authentically can be scary, rather intimidating. With support of a therapist, individuals can learn to accept, even embrace, the vulnerability that the process towards authenticity requires. Within a supportive therapeutic relationship, clients can explore personal beliefs and develop their identity. Many individuals struggle with processing life events but it doesn't have to be done alone or involve constant suffering. Life events can be difficult, even "positive" ones such as the birth of a child; postpartum depression and postpartum anxiety are real and it doesn't have to ruin your experience as a parent!
**Waitlist** Living authentically can be scary, rather intimidating. With support of a therapist, individuals can learn to accept, even embrace, the vulnerability that the process towards authenticity requires. Within a supportive therapeutic relationship, clients can explore personal beliefs and develop their identity. Many individuals struggle with processing life events but it doesn't have to be done alone or involve constant suffering. Life events can be difficult, even "positive" ones such as the birth of a child; postpartum depression and postpartum anxiety are real and it doesn't have to ruin your experience as a parent!
(360) 526-6354 View (360) 526-6354
Photo of Katie Schefter Sheron Harmony Counseling, MA, LMHC, Counselor
Katie Schefter Sheron Harmony Counseling
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98685
Everything feels hard right now doesn't it? Realizing that maybe, things are not fine and you are not ok. Maybe even coming to the hard conclusion that some of the things that you have experienced are impacting you in ways that you know are not healthy or helpful. You want to be better, but don't know how. Most of my practice is working with those in the helping field...First responders, medical professionals and fellow therapists. It is HARD to seek support when you are the one typically supporting and helping. It is normal to feel alone, but I will work with you as we find your path back to health and hope.
Everything feels hard right now doesn't it? Realizing that maybe, things are not fine and you are not ok. Maybe even coming to the hard conclusion that some of the things that you have experienced are impacting you in ways that you know are not healthy or helpful. You want to be better, but don't know how. Most of my practice is working with those in the helping field...First responders, medical professionals and fellow therapists. It is HARD to seek support when you are the one typically supporting and helping. It is normal to feel alone, but I will work with you as we find your path back to health and hope.
(360) 564-5885 View (360) 564-5885
Photo of Karyn Andriesen, MA, LMHCA, Counselor
Karyn Andriesen
Counselor, MA, LMHCA
Verified Verified
4 Endorsed
Vancouver, WA 98660  (Online Only)
Sometimes in life we all need a “companion on the journey,” someone to partner with us and help make sense of our experience, ease our pain, and support our goals. As a therapist, I am committed to providing a safe environment where individuals can identify their strengths, recognize unhelpful patterns, and live into their goals. Working from an integrative, client-centered approach, I seek to support individuals wherever they are on their journey and my approach is holistic, collaborative, and non-judgmental. I value cultural humility and look forward to working with people of all backgrounds, identities, and walks of life.
Sometimes in life we all need a “companion on the journey,” someone to partner with us and help make sense of our experience, ease our pain, and support our goals. As a therapist, I am committed to providing a safe environment where individuals can identify their strengths, recognize unhelpful patterns, and live into their goals. Working from an integrative, client-centered approach, I seek to support individuals wherever they are on their journey and my approach is holistic, collaborative, and non-judgmental. I value cultural humility and look forward to working with people of all backgrounds, identities, and walks of life.
(206) 752-3471 View (206) 752-3471
Photo of Kristine Kemp, LCSW, Clinical Social Work/Therapist
Kristine Kemp
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver, WA 98663  (Online Only)
Stress and anxiety manifest in various ways, from persistent worry and restlessness to physical symptoms like headaches and sleep disturbances. These conditions can significantly impact daily life, making tasks feel insurmountable. I specialize in helping individuals understand these symptoms, offering a supportive space to address their root causes. By acknowledging these experiences, we can work together towards managing their effects, aiming for a more balanced and fulfilling life.
Stress and anxiety manifest in various ways, from persistent worry and restlessness to physical symptoms like headaches and sleep disturbances. These conditions can significantly impact daily life, making tasks feel insurmountable. I specialize in helping individuals understand these symptoms, offering a supportive space to address their root causes. By acknowledging these experiences, we can work together towards managing their effects, aiming for a more balanced and fulfilling life.
(360) 516-2952 View (360) 516-2952
Photo of Wendy Biss, PhD, Psychologist
Wendy Biss
Psychologist, PhD
Verified Verified
1 Endorsed
Vancouver, WA 98660  (Online Only)
Offering Telehealth psychological counseling services to adults age 18 and older. Licensed and serving clients in Montana, Hawaii, and Washington. Over 17 years experience providing outpatient therapy to a wide range of clients. Therapy is a mirror that reflects our emotional lives; demanding emotional vulnerability, courage, motivation, and active collaboration by both the client and therapist. Therapy is most effective when the learned insights and skills help one enact changes in daily life that foster adaptability in an increasingly stressful and demanding world.
Offering Telehealth psychological counseling services to adults age 18 and older. Licensed and serving clients in Montana, Hawaii, and Washington. Over 17 years experience providing outpatient therapy to a wide range of clients. Therapy is a mirror that reflects our emotional lives; demanding emotional vulnerability, courage, motivation, and active collaboration by both the client and therapist. Therapy is most effective when the learned insights and skills help one enact changes in daily life that foster adaptability in an increasingly stressful and demanding world.
(406) 359-6827 View (406) 359-6827
Photo of Sabra P. Larsen, LCSW, Clinical Social Work/Therapist
Sabra P. Larsen
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver, WA 98663
Life's challenges may overwhelm your ability to cope and leave you confused and distressed. As a skilled therapist, I can assist to make this time fruitful rather then just a time to get through. I provide a safe comfortable place to focus on your experience of life. You will receive kindness, respect and genuine caring. My approach is client directed,with compassionate inquiry and creative exploration, using collaborative problem-solving to assist you in restoring your balance and moving in a positive direction; often with deeper insight and a greater capacity for joy and contentment.
Life's challenges may overwhelm your ability to cope and leave you confused and distressed. As a skilled therapist, I can assist to make this time fruitful rather then just a time to get through. I provide a safe comfortable place to focus on your experience of life. You will receive kindness, respect and genuine caring. My approach is client directed,with compassionate inquiry and creative exploration, using collaborative problem-solving to assist you in restoring your balance and moving in a positive direction; often with deeper insight and a greater capacity for joy and contentment.
(360) 525-9073 View (360) 525-9073
Photo of Dr. Kathleen R Gillis, PsyD, Psychologist
Dr. Kathleen R Gillis
Psychologist, PsyD
Verified Verified
Vancouver, WA 98660
Psychotherapy is a time devoted to you. With over 20 years of experience, I can provide support, perspective, and guidance; and help you recognize life’s joys and navigate through life’s struggles in a balanced, effective, and healthy way. I enjoy providing adult individual and couples therapy; as well as parenting plan mediation and serving as a divorce coach and child specialist in Collaborative Divorce cases.
Psychotherapy is a time devoted to you. With over 20 years of experience, I can provide support, perspective, and guidance; and help you recognize life’s joys and navigate through life’s struggles in a balanced, effective, and healthy way. I enjoy providing adult individual and couples therapy; as well as parenting plan mediation and serving as a divorce coach and child specialist in Collaborative Divorce cases.
(503) 447-7816 View (503) 447-7816
Photo of Tessa Love, LCSW, Clinical Social Work/Therapist
Tessa Love
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver, WA 98685
Life is sometimes overwhelming and we all need support at times. Starting therapy is a big step and finding a therapist can be challenging, so I am glad that you are here! If you're grappling with the weight of trauma, anxiety, depression, or facing challenges managing stress it can feel isolating and overwhelming. These emotions can disrupt your daily life, relationships, and sense of self. Whether it's trauma from past events, constant anxious thoughts, feelings of hopelessness, or stress that is impacting your daily life, I'm here to help. Together, we will explore these emotions, understand their impact, and work towards healing
Life is sometimes overwhelming and we all need support at times. Starting therapy is a big step and finding a therapist can be challenging, so I am glad that you are here! If you're grappling with the weight of trauma, anxiety, depression, or facing challenges managing stress it can feel isolating and overwhelming. These emotions can disrupt your daily life, relationships, and sense of self. Whether it's trauma from past events, constant anxious thoughts, feelings of hopelessness, or stress that is impacting your daily life, I'm here to help. Together, we will explore these emotions, understand their impact, and work towards healing
(360) 585-0207 View (360) 585-0207

See more therapy options for Hazel Dell

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.