1. Marital conflict - significant arguments, disagreements, and tension in relationship
2. Dysfunction in one spouse - one spouse has significant emotional, mental, or behavioral issues that cause distress for the other spouse and children
3. Impairment of one or more children - same as above
4. Emotional distance - feeling disconnected emotionally
5. Tension/anxiety - lead to experience emotional tension/stress, impairs ability (functional—work, school, decision-making etc.), and moves through system (one to another through communication/interaction; dangerous cycle)