The most pressing is obviously work-related stress (Matteson & Ivancevich, 1987). The pressure of managing more and more people has made David more prone to anxiety and his sleep problems. Another risk factor is his large mixed family. David must provide, at least to some extent, for all five children and his wife. Additionally, there are some family dynamics that are more challenging for David's family than for a non-blended family. For example, having to deal with his ex-wife and having two stepchildren who have severe learning difficulties. Factors that could worsen David's living conditions include sleep, back pain and drinking habits. The less you sleep, the more difficult it will be to find a balance between work and family. Additionally, his drinking can potentially turn into a problem since he does it every day so he can go to sleep. Information that may be helpful in determining other risk factors includes whether or not you pay child support, your annual salary, and your family's health