Ya they never come alone they will lead to many others in few seconds. Same happens with our thoughts one negative thought will lead to many other negative thoughts. ANTS means here Automatic Negative Thoughts.
We mostly start with a 40 min to 1 hour introduction session. The focus here is to establish rapport and understand the issue, history and relationships of an individual. Once there is clarity on what is to be addressed and goodwill is established between the two, the counselor attempts to help to formulate a goal that works for him/her.
Abuse either physical or emotional both can affect a family in obvious ways.
Small misunderstandings lead to big conflicts.
Confused communication pattern
Addiction to any substance. It will manifest by making family members unable to communicate.
Lack of boundaries
Rigid boundaries
Perfectionism tendency
These all above things can lead to dysfunctional family system.