Kutcher was raised in a "relatively conservative" Catholic family. He has an older sister named Tausha and a fraternal twin brother named Michael, who had a heart transplant when the brothers were young children. Michael also has cerebral palsy and is a spokesperson for the advocacy organization Reaching for the Stars. Michael's cardiomyopathy caused Kutcher's home life to become increasingly stressful. He has said he "didn't want to come home and find more bad news" about his brother, stating, "I kept myself so busy that I didn't allow myself to feel."