You need to post an image with it, this is much too vauge without it.
The changes that Sarah is experiencing is climacteric because the changes that she is experiencing are all physical and this happens when she is to undergo menopause. That is why it is called climacteric, an event that is happening or simply the symptoms that she is having because of her undergoing to menopause.
The quality of family relationships, including social support (e.g., providing love, advice, and care) and strain (e.g., arguments, being critical, making too many demands), can influence well-being through psychosocial, behavioral, and physiological pathways.
Is there a given word box to choose from?
