Guest Meme English, a former family therapist and consultant in the legal system, discusses family dynamics with hosts Kayla and Laurie. When it comes to substance use, family dynamics are complicated. There are many layers of trauma, from generational to personal, and competing  needs among family members. Balancing all these factors and personal  situations means deciding whose needs get most clearly met. Trauma  therapy also requires time and commitment, and is harder to find since the pandemic.