The signs are not always obvious, but some distress signals to look for are:

• Persistent feelings of dissatisfaction with your marriage or family life
• Problems with a child's behavior, school adjustment or performance
• Sexual problems or concerns
• Emotional distance from loved ones
• Feelings of loneliness, moodiness, depression, failure, anxiety
• Problems with alcohol or drugs
• Sense that talking no longer helps
• Unmanageable anger, hostility, or violence
• Pain in your head, neck, or stomach
• More emphasis placed on performance, accolades, and status, than on your own well being
• Discipline based on pampering or coercing a child