is adults or adolescents who were/are routinely exposed to substance abuse, direct abuse (verbal, emotional, physical, or sexual), or poor mental health/ ineffectively treated mental disorders by their parents/ guardians/ or immediate family members. Other factors could include familial rejection or strong disapproval based on the individual's sexual orientation, gender identity, spiritual beliefs, or other behaviors deemed inexcusable by family. This definition also encompass poverty, incarceration of immediate family members, and/ or continued and normalized illegal activities of any kind. Other considered factors are repeated traumatic life events such as experiencing or viewing rape, assault, general violence, or death. Many of these conditions overlap and no single factor alone is enough to characterize a family situation as dysfunctional.