Valerie Kuykendall-Rogers

Refers relationship issues with a partner or spouse. Can include issues related to relationship distress, relationship satisfaction, communication, intimacy, etc.

Abuse includes any significant mistreatment along the lines of psychical, emotional, sexual, verbal, and neglect. Survivors of abuse may experience negative thoughts and feelings, flashbacks, distrust of others, social withdrawal, self-harm, and increased likelihood of developing mental health and substance abuse issues.

Children that experience parents and/or guardians that are avoidant, ambivalent, or resistant from an early age, may develop attachment issues. This can manifest as difficulty forming or maintaining friendships, romantic relationships and empathetic bonds throughout life, as well as other issues.

Trauma is the result of experiencing a perceived, extremely distressful event. Although the stress threshold for each person differs, meaning that each person considers and experiences trauma differently, it is an event that tops one’s threshold. It exceeds one’s ability to cope or emotionally process. Symptoms may include shock, anxiety, confusion, hopelessness, feeling disconnected, mood swings, nightmares, and intrusive thoughts.

Issues within a marriage. Can include issues related to trust, intimacy, communication, infidelity, parenting, or conflict. Can also include discussion related to separation or divorce.

Depression often causes people to feel sad, empty, or hopeless, and can cause a lack of interest in life. It can also affect a person's thinking patterns and physical health.

Anxiety can mean nervousness, worry, or self-doubt. Anxiety disorder is a mental health disorder that entails excessive, repeated bouts of worry, anxiety, and/or fear.

Workplace issues are a common source of stress and can include interpersonal conflict, communication problems, gossip, harassment, discrimination, low motivation and job satisfaction, performance issues, and poor job fit.

Self-esteem is the degree to which a person feels confident, valuable, and worthy of respect. Feeling low self-esteem can influence overall well-being and be linked to anxiety and/or depression.

Challenges around race and cultural identity vary enormously, including issues related to discrimination, racism, and intergenerational trauma.