Drug Abuse Therapists in Los Altos, CA

Judy H Smith
Psychologist, PhD
Verified Verified
Los Altos, CA 94024
I aspire to create a safe, structured and warm therapeutic environment to facilitate the patient's personal growth while helping patients develop more insight, explore the history of their problems, and recognize unhealthy patterns. My therapeutic process has developed over 25 years of practice and training. Some of the areas of psychology from which I draw are psychodynamic, attachment theory, object relations and family systems. My goal is that through therapy, my patients feel understood, supported and comfortably challenged. During our first meeting we explore together what brought you to therapy..what is occuring in your life that is causing difficulties, and where perhaps you may be hindering yourself. For the most part therapy is a guided process where you learn more deeply about yourself and develop better coping skills with an improved capacity to handle emotional difficulties in a healthy, fulfilling manner.
I aspire to create a safe, structured and warm therapeutic environment to facilitate the patient's personal growth while helping patients develop more insight, explore the history of their problems, and recognize unhealthy patterns. My therapeutic process has developed over 25 years of practice and training. Some of the areas of psychology from which I draw are psychodynamic, attachment theory, object relations and family systems. My goal is that through therapy, my patients feel understood, supported and comfortably challenged. During our first meeting we explore together what brought you to therapy..what is occuring in your life that is causing difficulties, and where perhaps you may be hindering yourself. For the most part therapy is a guided process where you learn more deeply about yourself and develop better coping skills with an improved capacity to handle emotional difficulties in a healthy, fulfilling manner.
(650) 864-4518 x650208 View (650) 864-4518 x650208
Photo of Rik Rusovick, Marriage & Family Therapist in Los Altos, CA
Rik Rusovick
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Los Altos, CA 94024
Wrestling depression, anxiety, complex PTSD, relationship problems, or alcohol and drugs? Do others see you're at odds with yourself or your circumstances? Inner conflict, harsh self-criticism, rigid thinking, and refusal to accept yourself are blocking a life you want. Therapy doesn't need to last years nor require endless focus on the past. You can decide what to work on and have a say in the direction of that work. There are solutions for what's happening, and sometimes just seeing and keeping focused on these brings change without attention to much else. At other times it's more complicated. Give yourself room to explore.
Wrestling depression, anxiety, complex PTSD, relationship problems, or alcohol and drugs? Do others see you're at odds with yourself or your circumstances? Inner conflict, harsh self-criticism, rigid thinking, and refusal to accept yourself are blocking a life you want. Therapy doesn't need to last years nor require endless focus on the past. You can decide what to work on and have a say in the direction of that work. There are solutions for what's happening, and sometimes just seeing and keeping focused on these brings change without attention to much else. At other times it's more complicated. Give yourself room to explore.
(415) 323-0498 View (415) 323-0498
Photo of Ziba Taghipour, Marriage & Family Therapist in Los Altos, CA
Ziba Taghipour
Marriage & Family Therapist, MS, MFT
Verified Verified
Los Altos, CA 94024
For more than a decade, I have successfully helped individuals, couples, and families find greater clarity about what they want their life to stand for and how to pursue that life. Within a supportive therapeutic relationship, I help my clients attain the vibrant and valued life they desire. My approach in therapy is active. I work based on the assumption that clients are able to achieve rapid and significant changes in their behaviors. The interventions used in this approach help clients access alternative ways of "problem solving" that utilize the resources beyond the "common-sense" mind. https://effective-therapy.com/
For more than a decade, I have successfully helped individuals, couples, and families find greater clarity about what they want their life to stand for and how to pursue that life. Within a supportive therapeutic relationship, I help my clients attain the vibrant and valued life they desire. My approach in therapy is active. I work based on the assumption that clients are able to achieve rapid and significant changes in their behaviors. The interventions used in this approach help clients access alternative ways of "problem solving" that utilize the resources beyond the "common-sense" mind. https://effective-therapy.com/
(408) 384-9959 View (408) 384-9959
Photo of Karen Wride, Clinical Social Work/Therapist in Los Altos, CA
Karen Wride
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Los Altos, CA 94024
In many ways good psychotherapy is like a successful remodel, frequently resulting in a stronger and more spacious sense of one's self, lovely new rooms, remarkable views and better access to the world outside (and in). The journey of self-discovery takes courage, but increasing one's awareness of old limitations and obstacles, and developing the ability to gently and carefully dismantle and rebuild where necessary is incredibly rewarding -- often beyond what we can imagine. I believe that it's a collaborative journey on which we embark, moving together towards creating a more fulfilling and rewarding life for you.
In many ways good psychotherapy is like a successful remodel, frequently resulting in a stronger and more spacious sense of one's self, lovely new rooms, remarkable views and better access to the world outside (and in). The journey of self-discovery takes courage, but increasing one's awareness of old limitations and obstacles, and developing the ability to gently and carefully dismantle and rebuild where necessary is incredibly rewarding -- often beyond what we can imagine. I believe that it's a collaborative journey on which we embark, moving together towards creating a more fulfilling and rewarding life for you.
(650) 668-4089 View (650) 668-4089
Photo of Darin A Conway, Clinical Social Work/Therapist in Los Altos, CA
Darin A Conway
Clinical Social Work/Therapist, LCSW, PPSC
Verified Verified
2 Endorsed
Los Altos, CA 94022
Working with individuals who feel they need some extra support to tackle challenges that life throws at them is my passion. I believe that through the relationship and work between client and therapist, behaviors can be adjusted, relationships can be mended, unhealthy coping skills can be identified and reworked, and healthy change can occur. I create a safe, comfortable therapeutic environment where individuals can succeed in making positive growth in their lives. Taking a straightforward, honest, relaxed and empathetic approach to supporting clients frees clients to open up, discover their strengths and make the most of therapy.
Working with individuals who feel they need some extra support to tackle challenges that life throws at them is my passion. I believe that through the relationship and work between client and therapist, behaviors can be adjusted, relationships can be mended, unhealthy coping skills can be identified and reworked, and healthy change can occur. I create a safe, comfortable therapeutic environment where individuals can succeed in making positive growth in their lives. Taking a straightforward, honest, relaxed and empathetic approach to supporting clients frees clients to open up, discover their strengths and make the most of therapy.
(650) 646-3309 View (650) 646-3309
Photo of Dr. Kevin Brock Phd, Psychologist in Los Altos, CA
Dr. Kevin Brock Phd
Psychologist, PhD
Verified Verified
1 Endorsed
Los Altos, CA 94024
I have worked with a variety of populations doing individual, couples, and group psychotherapy as well as psychological testing. My theoretical approach is based on a variety of methods, techniques and philosophies based upon both research and my clinical experience. I believe no one method of therapy can meet everyone's needs, so I employ a variety of behavioral, cognitive, interpersonal interventions, and problem solving strategies based upon your individual needs and goals. I take the approach that the most empathetic thing I can do for you is to help bring you closer to your personal goals.
I have worked with a variety of populations doing individual, couples, and group psychotherapy as well as psychological testing. My theoretical approach is based on a variety of methods, techniques and philosophies based upon both research and my clinical experience. I believe no one method of therapy can meet everyone's needs, so I employ a variety of behavioral, cognitive, interpersonal interventions, and problem solving strategies based upon your individual needs and goals. I take the approach that the most empathetic thing I can do for you is to help bring you closer to your personal goals.
(650) 276-4673 View (650) 276-4673
Photo of Andrea Robicheau, Marriage & Family Therapist in Los Altos, CA
Andrea Robicheau
Marriage & Family Therapist, MFT
Verified Verified
Los Altos, CA 94022
Stress, worry, and sadness are all too common for many driven individuals in the Bay Area. In the safe environment of therapy, we work together to develop hope and a way out of challenges, using a personalized approach of empirically based techniques as well as creative tools. Together and in your own pace, we unpack the emotions and challenges you're facing, and create insight around patterns and thoughts that no longer serve you. Through Cognitive Behavior Therapy and Mindfulness, we develop coping skills to manage the inevitable challenges of life in a way that builds your confidence and resiliency.
Stress, worry, and sadness are all too common for many driven individuals in the Bay Area. In the safe environment of therapy, we work together to develop hope and a way out of challenges, using a personalized approach of empirically based techniques as well as creative tools. Together and in your own pace, we unpack the emotions and challenges you're facing, and create insight around patterns and thoughts that no longer serve you. Through Cognitive Behavior Therapy and Mindfulness, we develop coping skills to manage the inevitable challenges of life in a way that builds your confidence and resiliency.
(650) 492-6696 View (650) 492-6696
Photo of Judy H. Smith, Psychologist in Los Altos, CA
Judy H. Smith
Psychologist, PhD
Verified Verified
Los Altos, CA 94024
Dr. Smith is a licensed clinical psychologist whose patients include adolescents, adults, and families. She uses insight-oriented and supportive techniques to help patients work through difficult events and feelings. While Dr. Smith defines herself as a generalist in the field of psychology, she does have areas of further experience, including but not limited to the following: Depression, Anxiety, Anger Management, Drug and Alcohol Treatment, Academic or Work Difficulties, Parent/Adolescent Conflicts, Family Conflicts and Resolution of Grief Issues. Dr.Smith also works with Transgender and Gender Diverse Children and Adolescents.
Dr. Smith is a licensed clinical psychologist whose patients include adolescents, adults, and families. She uses insight-oriented and supportive techniques to help patients work through difficult events and feelings. While Dr. Smith defines herself as a generalist in the field of psychology, she does have areas of further experience, including but not limited to the following: Depression, Anxiety, Anger Management, Drug and Alcohol Treatment, Academic or Work Difficulties, Parent/Adolescent Conflicts, Family Conflicts and Resolution of Grief Issues. Dr.Smith also works with Transgender and Gender Diverse Children and Adolescents.
(650) 383-3388 View (650) 383-3388
Photo of Chen Bentov-Hamam, Marriage & Family Therapist in Los Altos, CA
Chen Bentov-Hamam
Marriage & Family Therapist, MA, LMFT
Verified Verified
Los Altos, CA 94023
In my role as your therapist, I listen, think , propose, explore, teach, and challenge. My approach to therapy is best described as caring, and compassionate. I am committed to providing depth-oriented psychotherapy for you and your loved one. I bring a warm, non-judgmental approach that provides a safe environment and opportunities to address both short and long terms goals. Grief, loss, trauma, depression, anxiety, substance abuse, ADHD, Asperger, divorce, postpartum depression, cultural diversity and adjustment, are among the different issues I have experience working with. I work with adult, couples, school-age children, pre-teens, adolescents, and their families.
In my role as your therapist, I listen, think , propose, explore, teach, and challenge. My approach to therapy is best described as caring, and compassionate. I am committed to providing depth-oriented psychotherapy for you and your loved one. I bring a warm, non-judgmental approach that provides a safe environment and opportunities to address both short and long terms goals. Grief, loss, trauma, depression, anxiety, substance abuse, ADHD, Asperger, divorce, postpartum depression, cultural diversity and adjustment, are among the different issues I have experience working with. I work with adult, couples, school-age children, pre-teens, adolescents, and their families.
(650) 489-9650 View (650) 489-9650
Photo of Quyen Tiet, Psychologist in Los Altos, CA
Quyen Tiet
Psychologist, PhD
Verified Verified
1 Endorsed
Los Altos, CA 94022
I was trained at Yale and Columbia University. I was a professor at Columbia University and Stanford University (15 years). Currently, I am a Distinguished Professor at the California School of Professional Psychology. I am a licensed Clinical Psychologist in CA and NY and I have over 20 years of experience working with individuals and families from diverse backgrounds and on extremely challenging issues. In addition to my clinical experiences, my knowledge from many years of teaching also enables me to work with your unique preferences and personality. I focus on your strengths to maximize your gains in therapy.
I was trained at Yale and Columbia University. I was a professor at Columbia University and Stanford University (15 years). Currently, I am a Distinguished Professor at the California School of Professional Psychology. I am a licensed Clinical Psychologist in CA and NY and I have over 20 years of experience working with individuals and families from diverse backgrounds and on extremely challenging issues. In addition to my clinical experiences, my knowledge from many years of teaching also enables me to work with your unique preferences and personality. I focus on your strengths to maximize your gains in therapy.
(650) 822-0885 View (650) 822-0885
Photo of Ross E. Farley III, Marriage & Family Therapist in Los Altos, CA
Ross E. Farley III
Marriage & Family Therapist, MA, LMFT
Verified Verified
Los Altos, CA 94024  (Online Only)
**100% ONLINE TELE-HEALTH/VIDEO THERAPY** I have spent many years working with a number of different populations, from Autism Spectrum Disorders to Eating and Feeding Disorders. The beauty of working in mental health for almost half my life is that I truly believe in the power of the therapeutic process and how we address the things in life that are no longer functional. The root cause of the distress is my focus because it demands such intricate and tactful navigation.
**100% ONLINE TELE-HEALTH/VIDEO THERAPY** I have spent many years working with a number of different populations, from Autism Spectrum Disorders to Eating and Feeding Disorders. The beauty of working in mental health for almost half my life is that I truly believe in the power of the therapeutic process and how we address the things in life that are no longer functional. The root cause of the distress is my focus because it demands such intricate and tactful navigation.
(831) 264-1817 View (831) 264-1817
Photo of Robert M Freitas, Clinical Social Work/Therapist in Los Altos, CA
Robert M Freitas
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
3 Endorsed
Los Altos, CA 94024
A client should feel empowered to express their current symptoms, needs and goals. A person's identity is not defined by a clinical diagnosis and subsequent treatment plan. An ideal client comes with some awareness and willingness to expose vulnerability and work toward their goals. At first, that task can be frightening and daunting. A client must be courageous and vigilant in the pursuit of their goals and on the path to healing. They do not walk that path alone, but lean on the support of a trustworthy, experienced and professional therapist that lights up a path.
A client should feel empowered to express their current symptoms, needs and goals. A person's identity is not defined by a clinical diagnosis and subsequent treatment plan. An ideal client comes with some awareness and willingness to expose vulnerability and work toward their goals. At first, that task can be frightening and daunting. A client must be courageous and vigilant in the pursuit of their goals and on the path to healing. They do not walk that path alone, but lean on the support of a trustworthy, experienced and professional therapist that lights up a path.
(408) 909-2665 View (408) 909-2665
Photo of Kathryn Hedjasi, Marriage & Family Therapist in Los Altos, CA
Kathryn Hedjasi
Marriage & Family Therapist, MA, MBA, LMFT
Verified Verified
Los Altos, CA 94022  (Online Only)
Do you find yourself struggling? Hurting? I can help you feel better! You have the ability to THRIVE regardless of your circumstances armed with my support & many new tools in your arsenal. I can help you tap into your own resilience & ability to heal. Wherever you are at in life, whether satisfied but looking to improve, struggling daily & feeling as if the floor is about to fall out, in crisis-mode, on a journey of self-discovery, or simply looking for support from a fully present empathetic skilled partner in your personal, interpersonal & professional goals. I AM HERE FOR YOU!
Do you find yourself struggling? Hurting? I can help you feel better! You have the ability to THRIVE regardless of your circumstances armed with my support & many new tools in your arsenal. I can help you tap into your own resilience & ability to heal. Wherever you are at in life, whether satisfied but looking to improve, struggling daily & feeling as if the floor is about to fall out, in crisis-mode, on a journey of self-discovery, or simply looking for support from a fully present empathetic skilled partner in your personal, interpersonal & professional goals. I AM HERE FOR YOU!
(650) 262-4006 View (650) 262-4006
Photo of Dr. Jayn Rajandran PsyD / Jayn.Org, Marriage & Family Therapist in Los Altos, CA
Dr. Jayn Rajandran PsyD / Jayn.Org
Marriage & Family Therapist, PsyD, LMFT, IO, Psych, CGE
Verified Verified
Los Altos, CA 94022
Concierge therapy offered in Palo Alto, Rockridge & SF locations. You decide on the day, time, location, in-person or online. This modality is for busy professionals/students who want to graduate psychotherapy fast. Sessions are fun and focused. Most clients can graduate from therapy within 3-6 months for life transition problems. For severe trauma and mental health cases, it can a little longer. Specializing in teens, couples and individuals struggling with trauma, sexual abuse, substances abuse, depression, anxiety, grief, suicide, trust, abandonment, severe mental health and anger.
Concierge therapy offered in Palo Alto, Rockridge & SF locations. You decide on the day, time, location, in-person or online. This modality is for busy professionals/students who want to graduate psychotherapy fast. Sessions are fun and focused. Most clients can graduate from therapy within 3-6 months for life transition problems. For severe trauma and mental health cases, it can a little longer. Specializing in teens, couples and individuals struggling with trauma, sexual abuse, substances abuse, depression, anxiety, grief, suicide, trust, abandonment, severe mental health and anger.
(650) 727-1761 View (650) 727-1761
Photo of Palo Alto Teen And Adolescent Solutions, Marriage & Family Therapist in Los Altos, CA
Palo Alto Teen And Adolescent Solutions
Marriage & Family Therapist, LMFT, PPSC
Verified Verified
1 Endorsed
Los Altos, CA 94024  (Online Only)
Are You or Your Teen Struggling? Let's Navigate This Together! Is your teen struggling to find their footing? Is anxiety, apathy, or perfectionism taking over their life? Does it feel like you're speaking different languages? At Palo Alto Teen and Adolescent Solutions, I help teens navigate the choppy waters of adolescence. I'm Jeff Gielow, a licensed Marriage & Family Therapist who works hard to connect with teens. We'll work together to empower them, improve relationships, and build a brighter future.
Are You or Your Teen Struggling? Let's Navigate This Together! Is your teen struggling to find their footing? Is anxiety, apathy, or perfectionism taking over their life? Does it feel like you're speaking different languages? At Palo Alto Teen and Adolescent Solutions, I help teens navigate the choppy waters of adolescence. I'm Jeff Gielow, a licensed Marriage & Family Therapist who works hard to connect with teens. We'll work together to empower them, improve relationships, and build a brighter future.
(650) 603-5868 View (650) 603-5868
Photo of Lorretta J. Abbott, Psychologist in Los Altos, CA
Lorretta J. Abbott
Psychologist, PsyD
Verified Verified
Los Altos, CA 94022  (Online Only)
Welcome to my practice! Are you feeling anxious, depressed, overwhelmed, or frustrated? Unhappy with your relationships? Challenges at work or school? Feeling like something needs to change? You've come to the right place. Find your inner strength and discover your true potential through therapy. It takes courage to reach out when you need help. Call me for a 15-minute complimentary consultation to determine your options.
Welcome to my practice! Are you feeling anxious, depressed, overwhelmed, or frustrated? Unhappy with your relationships? Challenges at work or school? Feeling like something needs to change? You've come to the right place. Find your inner strength and discover your true potential through therapy. It takes courage to reach out when you need help. Call me for a 15-minute complimentary consultation to determine your options.
(650) 399-7388 View (650) 399-7388
Photo of Lawrence Compagnoni, Marriage & Family Therapist in Los Altos, CA
Lawrence Compagnoni
Marriage & Family Therapist, MA, LMFT
Verified Verified
Los Altos, CA 94022
Are you looking to improve your relationship with yourself and others in your life? If so, then perhaps I can help. I work with adults, couples, and families wanting healthier, stronger relationships, and an overall better life. I enjoy working with people who want to transform their lives and their relationships; those who are ready to release the past and live more fully in the present in order to create a better future. I work with people on issues of trauma, spirituality, and grief resulting from death, a lost relationship and/or lost opportunities. I also work with people with process and substance addictions and recovery.
Are you looking to improve your relationship with yourself and others in your life? If so, then perhaps I can help. I work with adults, couples, and families wanting healthier, stronger relationships, and an overall better life. I enjoy working with people who want to transform their lives and their relationships; those who are ready to release the past and live more fully in the present in order to create a better future. I work with people on issues of trauma, spirituality, and grief resulting from death, a lost relationship and/or lost opportunities. I also work with people with process and substance addictions and recovery.
(650) 285-4823 View (650) 285-4823
Photo of Jill V (Tompkins) Garcia, Marriage & Family Therapist in Los Altos, CA
Jill V (Tompkins) Garcia
Marriage & Family Therapist, MA, MFT, LPCC
Verified Verified
Los Altos, CA 94024
Humans are social beings. In the caveman days, those who were separated from the pack were not able to survive. A primitive part of our brain longs to stay connected to others. Unsuccessful relationships can feel like death. Sometimes we repeat relationship mistakes. Other times, we withdrawal but isolation can feel like a vast dessert with no end in sight. Luckily there is another way. Being in a healthy relationship with another human being is often a vital component to happiness. As your therapist, I would like to walk with you on your journey towards becoming more connected.
Humans are social beings. In the caveman days, those who were separated from the pack were not able to survive. A primitive part of our brain longs to stay connected to others. Unsuccessful relationships can feel like death. Sometimes we repeat relationship mistakes. Other times, we withdrawal but isolation can feel like a vast dessert with no end in sight. Luckily there is another way. Being in a healthy relationship with another human being is often a vital component to happiness. As your therapist, I would like to walk with you on your journey towards becoming more connected.
(408) 831-7789 View (408) 831-7789
Photo of Peter J Young, Psychologist in Los Altos, CA
Peter J Young
Psychologist, PsyD
Verified Verified
Los Altos, CA 94024  (Online Only)
If life were simple, there would be less need for confessional booths, principals' offices and psychotherapy. Things happen along the way, get set aside, accumulate and catch up. Some "stuff" gets passed from one generation to the next. Many people delay indefinitely effectively dealing with difficulties, pass them on to others or deny they exist entirely. When you are ready to sort through such matters give me a call. I am curious, patient and enjoy helping others move forward. I share observations and clarify situations while clients work to increase enjoyment of life. It might be easier than you think.
If life were simple, there would be less need for confessional booths, principals' offices and psychotherapy. Things happen along the way, get set aside, accumulate and catch up. Some "stuff" gets passed from one generation to the next. Many people delay indefinitely effectively dealing with difficulties, pass them on to others or deny they exist entirely. When you are ready to sort through such matters give me a call. I am curious, patient and enjoy helping others move forward. I share observations and clarify situations while clients work to increase enjoyment of life. It might be easier than you think.
(650) 248-9958 View (650) 248-9958
Photo of Alexa Enyart, Marriage & Family Therapist Associate in Los Altos, CA
Alexa Enyart
Marriage & Family Therapist Associate, AMFT
Verified Verified
Los Altos, CA 94024
Do you feel as though your anxiety and depression are unmanageable? How about feelings of sadness, hopelessness, or helplessness like you’ve hit rock bottom and are struggling to find hope for tomorrow? Once we start to unravel the details of our past and trauma we give ourselves the ability to process feelings that we have long suppressed. I aim to collaborate with you and provide tools to decrease the challenging feelings you are currently facing and achieve a more integrated and balanced sense of self, leading to emotional healing and personal growth.
Do you feel as though your anxiety and depression are unmanageable? How about feelings of sadness, hopelessness, or helplessness like you’ve hit rock bottom and are struggling to find hope for tomorrow? Once we start to unravel the details of our past and trauma we give ourselves the ability to process feelings that we have long suppressed. I aim to collaborate with you and provide tools to decrease the challenging feelings you are currently facing and achieve a more integrated and balanced sense of self, leading to emotional healing and personal growth.
(650) 910-4282 View (650) 910-4282
Drug Abuse Therapists

How do substance and drug recovery or rehabilitation programs work?

In inpatient programs, individuals live in a facility with other clients in recovery; in outpatient programs, individuals reside at home. These facilities are staffed with healthcare professionals including physicians, nurses, psychologists, counselors, and psychotherapists. Staff often also includes people who have recovered themselves, serving as mentors and guides. These programs may use abstinence, harm reduction, detoxification, psychotherapy, and other methods.

How do 12-step programs combined with psychotherapy work?

Members of 12-step programs help each other reach abstinence and work to maintain it. These programs promote complete change in the individual’s emotional, mental, physical, and even spiritual perspectives. Some programs require that new members attend 90 meetings in 90 days. Many people do attend these programs in conjunction with their work in psychotherapy; the combination of therapy along with 12-step can be extremely effective.

How does harm reduction combined with psychotherapy work?

According to the Substance Abuse and Mental Health Services Administration, harm reduction prevents death, injury, disease, overdose, and substance misuse. People who choose harm reduction for substance use reduce the amount of drugs they consume. It is not abstinence-based like a 12-step program, but combining harm reduction with psychotherapy proves to be effective for many people.

Are there specific medications for substance and drug use?

There are medications approved to treat substance use disorder—such as buprenorphine, methadone, naltrexone, and acamprosate. These medications do help people cope with substance use as well as avoid the problem of relapse. Naltrexone can help reduce cravings, methadone is an opioid medication used to treat severe pain, and acamprosate may help ease symptoms like poor sleep and anxious feelings.