After a lifetime of conflict, a son faces the question of what he owes his mother.

By Barry Jacobs - For those who've spent their lifetimes taking pride in giving generously to others, suddenly being on the receiving end of care because of illness or age-related infirmity can be tormenting. For many, rejecting help is regarded as a measure of one's courage and determination in battling family crises brought on by old age or disease. Here are some ways of overcoming this common tendency to refuse help.

By Barry Jacobs - Nothing reveals the fault lines in sibling relationships like the seismic shift caused by an aging parent's sudden decline. Brothers and sisters can quickly become locked in conflict about what's best for Mom and Dad. Here's how to help them forget their old rivalries and cooperate with one another.

By Barry Jacobs - A lot of blended families don’t really blend: the new “relatives” at first try to join together, but then they quietly distance themselves, however awkwardly, as differences and conflicts emerge, even as they try to pretend otherwise. My stepfather, Steve, and I made no such pretense—we were enemies from the start.

A stepson reconsiders a long-held resentment.

By Barry Jacobs and Julia Mayer - The bedraggled, beleaguered, and bereft family caregivers who come to us for therapy have a common litany of complaints. They feel overburdened by caregiving tasks, unacknowledged by those they’re caring for, and unsupported by family members who take their herculean efforts for granted. Here's how to help them approach the caregiving experience more positively.

How to help beleaguered caretakers of elderly parents find meaning and purpose in a challenging task.

For 17 years, managing responses to death has become part of my work, whether originally my intention or not. I’ve aspired to helping families hang tough through medical crisis, but now spend some of my time hanging crepe. I’ve now accepted the variety of ways people react to their dying. All of these ways of facing death are utterly ordinary and human. Throughout it all, I've learned that as difficult and awkward as confronting death can be, this work also gives me a richer sense of my client, the cast of characters in their world, and the drama of their life.

I understand and relate to the passion that many men have for sports. At the same time, I'm aware of a counternarrative held by many of my psychotherapist colleagues: sports breeds competition, which causes decreased empathy, which foments injustice. Still, there's so much more here: rich drama, with which to understand the strivings, insecurities, and identities of many of our male clients. Sports can teach us about trust, relationships, teamwork, and our power to regulate feelings.