Photo of Lisa Medina, Drug & Alcohol Counselor in Austin, TX
Lisa Medina
Drug & Alcohol Counselor, MA, LCDC
Verified Verified
4 Endorsed
Austin, TX 78731
Waitlist for new clients
I specialize in serving adults living with Substance Use Disorders, trauma and/or mental illness.
My mission is to create hope where there is none and to empower the individuals I work with to find healing. Healing will be defined by YOU - I will operate as an active guide throughout the process. I offer private counseling to individuals and their family members/significant others who are struggling with alcohol and/or drug use. I am able to help craft safety plans, moderation plans or abstinence plans based on your goals. I will assist you to create balance in your mental, emotional, physical and spiritual health.
I specialize in serving adults living with Substance Use Disorders, trauma and/or mental illness.
My mission is to create hope where there is none and to empower the individuals I work with to find healing. Healing will be defined by YOU - I will operate as an active guide throughout the process. I offer private counseling to individuals and their family members/significant others who are struggling with alcohol and/or drug use. I am able to help craft safety plans, moderation plans or abstinence plans based on your goals. I will assist you to create balance in your mental, emotional, physical and spiritual health.
(512) 271-4304 View (512) 271-4304
Photo of Dr. Monique Rodríguez, Licensed Professional Counselor in Austin, TX
Dr. Monique Rodríguez
Licensed Professional Counselor, PhD, NCC, LPC-S, LPCC
Verified Verified
4 Endorsed
Austin, TX 78748
I specialize in helping those facing substance use challenges and emotional regulation.
You’re someone who values connection and meaningful relationships but still finds yourself struggling to manage your emotions without turning to substances, feeling increasingly isolated from loved ones and social activities. The weight of guilt and shame weighs heavy on your shoulders, making it difficult to reach out for help. But you’re ready to make a change. You’re ready to regain control over your emotions and rebuild your social support network. You’re ready to experience inner peace and authentic connections. Most of all, you’re ready to embrace a life free from the grip of addiction. I want to help you get there.
I specialize in helping those facing substance use challenges and emotional regulation.
You’re someone who values connection and meaningful relationships but still finds yourself struggling to manage your emotions without turning to substances, feeling increasingly isolated from loved ones and social activities. The weight of guilt and shame weighs heavy on your shoulders, making it difficult to reach out for help. But you’re ready to make a change. You’re ready to regain control over your emotions and rebuild your social support network. You’re ready to experience inner peace and authentic connections. Most of all, you’re ready to embrace a life free from the grip of addiction. I want to help you get there.
(505) 588-5182 View (505) 588-5182
Photo of Ilicia Balaban, Clinical Social Work/Therapist in Austin, TX
Ilicia Balaban
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Austin, TX 78759
My clients often turn to substance use, negative self-talk, avoidance, and impulsivity to deal with intense emotions and they spiral from there.
We all begin the therapeutic journey with our own set of strengths and needs. Sometimes our uniqueness promotes creativity, new perspectives, and collaboration. Other times our uniqueness can be terminal; leading to emptiness, feeling disconnected from self and others, and beliefs that mental health treatment may work for other people, but it won’t work for you. Therapy is not about “getting over” events and issues; it’s about understanding your triggers and learning how to manage your thoughts, emotions, and behaviors so that you can move forward and continue to build a fulfilling life.
My clients often turn to substance use, negative self-talk, avoidance, and impulsivity to deal with intense emotions and they spiral from there.
We all begin the therapeutic journey with our own set of strengths and needs. Sometimes our uniqueness promotes creativity, new perspectives, and collaboration. Other times our uniqueness can be terminal; leading to emptiness, feeling disconnected from self and others, and beliefs that mental health treatment may work for other people, but it won’t work for you. Therapy is not about “getting over” events and issues; it’s about understanding your triggers and learning how to manage your thoughts, emotions, and behaviors so that you can move forward and continue to build a fulfilling life.
(512) 764-0744 View (512) 764-0744
Photo of Martha Ballesteros, Clinical Social Work/Therapist in Austin, TX
Martha Ballesteros
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78753
My name is Martha Ballesteros. I am a Licensed Clinical Social Worker. My focus in practice is primarily on substance use, addiction, codependency, co-occurring disorders, cultural identity, and family systems. My clinical practice experience is primarily with individuals dealing with substance abuse issues and with mental health issues such as depression and anxiety. My approach in proving therapy is to provide a judgement-free and safe zone for others. Seeking therapy can be a challenging step and I would like for you to feel comfortable. I primarily focus on Cognitive Behavioral Therapy and Motivational Interviewing.
My name is Martha Ballesteros. I am a Licensed Clinical Social Worker. My focus in practice is primarily on substance use, addiction, codependency, co-occurring disorders, cultural identity, and family systems. My clinical practice experience is primarily with individuals dealing with substance abuse issues and with mental health issues such as depression and anxiety. My approach in proving therapy is to provide a judgement-free and safe zone for others. Seeking therapy can be a challenging step and I would like for you to feel comfortable. I primarily focus on Cognitive Behavioral Therapy and Motivational Interviewing.
(737) 250-6596 View (737) 250-6596
Photo of Heather M. Allen, Licensed Professional Counselor in Austin, TX
Heather M. Allen
Licensed Professional Counselor, MS, LPC, LCDC
Verified Verified
1 Endorsed
Austin, TX 78705  (Online Only)
Are you ready to take charge of your life and embark on a journey of self-improvement? If so, you've come to the right place. I specialize in guiding individuals who are determined to make positive changes and overcome challenges including anxiety, depression, and the lingering effects of substance use or addiction. If you've tried counseling before but didn't feel understood or supported, I'm here to provide the compassionate and non-judgmental environment you deserve.
Are you ready to take charge of your life and embark on a journey of self-improvement? If so, you've come to the right place. I specialize in guiding individuals who are determined to make positive changes and overcome challenges including anxiety, depression, and the lingering effects of substance use or addiction. If you've tried counseling before but didn't feel understood or supported, I'm here to provide the compassionate and non-judgmental environment you deserve.
(737) 520-7438 View (737) 520-7438
Photo of Lirio Ohlson, Marriage & Family Therapist in Austin, TX
Lirio Ohlson
Marriage & Family Therapist, LMFT , LPCC
Verified Verified
Austin, TX 78731  (Online Only)
I am passionate about helping couples craft deeply nourishing and caring relationships. In our meetings we learn the skills required for loving another person well: good communication, problem solving and repair. We explore what it means for each person to feel loved and cared for and work toward a dance that honors each members unique preferences. I also help couples have important conversations about crafting a mutually satisfying shared vision of what a meaningful life is as romantic partners, parents and community members. We work on healing from painful past ruptures such as infidelity, substance use and frequent fighting.
I am passionate about helping couples craft deeply nourishing and caring relationships. In our meetings we learn the skills required for loving another person well: good communication, problem solving and repair. We explore what it means for each person to feel loved and cared for and work toward a dance that honors each members unique preferences. I also help couples have important conversations about crafting a mutually satisfying shared vision of what a meaningful life is as romantic partners, parents and community members. We work on healing from painful past ruptures such as infidelity, substance use and frequent fighting.
(512) 856-9706 View (512) 856-9706
Photo of Angela Kehm in Austin, TX
Angela Kehm
MA, LPC, ATR, LCDC-I
Verified Verified
2 Endorsed
Austin, TX 78741
Beginning therapy is an act of self-compassion, and that requires courage and vulnerability. The journey of self-discovery can be daunting, yet unearthing subconscious drivers can encourage change. If you're feeling bogged down by a sense of being stuck, struggling in your relationships due to heightened reactivity, finding your old coping mechanisms ineffective in the face of intrusive thoughts or hopelessness, or noticing an uptick in substance use or drinking, it's time to take action and transform your life. Together, we'll work to help you create joy and fulfillment by cultivating a life that truly resonates with you.
Beginning therapy is an act of self-compassion, and that requires courage and vulnerability. The journey of self-discovery can be daunting, yet unearthing subconscious drivers can encourage change. If you're feeling bogged down by a sense of being stuck, struggling in your relationships due to heightened reactivity, finding your old coping mechanisms ineffective in the face of intrusive thoughts or hopelessness, or noticing an uptick in substance use or drinking, it's time to take action and transform your life. Together, we'll work to help you create joy and fulfillment by cultivating a life that truly resonates with you.
(512) 598-9311 View (512) 598-9311
Photo of Carl Coccaro, Licensed Professional Counselor in Austin, TX
Carl Coccaro
Licensed Professional Counselor, MS, LPC, LCDC, NCC
Verified Verified
Austin, TX 78736
My specialties include: Identity and Purpose, Self-Actualization, Addictions/Substance Use, Thought Control, Anxiety, Depression, Relationships/Couples, Family, and Trauma.
My focus is on meeting the client from a holistic and integrative approach to therapy. There are many avenues to find motivation to achieve optimal health, as well as maintaining gains through recovery efforts. I find great passion in assisting the client to find their true sense of self (authentic self) through self-actualization, which includes self-image, self-esteem, and the ideal self. There's also a desire for positivity and purpose, healthy balanced thoughts, grounding and breathing through mindfulness, replacement of negative behaviors for positive, identifying strengths/solutions, and rewriting the story of their lives.
My specialties include: Identity and Purpose, Self-Actualization, Addictions/Substance Use, Thought Control, Anxiety, Depression, Relationships/Couples, Family, and Trauma.
My focus is on meeting the client from a holistic and integrative approach to therapy. There are many avenues to find motivation to achieve optimal health, as well as maintaining gains through recovery efforts. I find great passion in assisting the client to find their true sense of self (authentic self) through self-actualization, which includes self-image, self-esteem, and the ideal self. There's also a desire for positivity and purpose, healthy balanced thoughts, grounding and breathing through mindfulness, replacement of negative behaviors for positive, identifying strengths/solutions, and rewriting the story of their lives.
(512) 270-7112 View (512) 270-7112
Photo of Keith E Hampton, Licensed Professional Counselor Associate in Austin, TX
Keith E Hampton
Licensed Professional Counselor Associate, MA, LCDC
Verified Verified
1 Endorsed
Austin, TX 78723
Areas of focus may include depression, anxiety, dealing with change, substance use recovery, career shifts and searches, spiritual or existential concerns, conflict resolution, relationships, identity, grief, and more.
My goal as a counselor is to offer a safe space for you to be heard, understood, and respected. In addition to counseling and psychotherapy, I have a background in education and performing arts. I enjoy approaching your unique situation in a creative way, in order to help you to meet your goals while gaining new learning and understanding.
Areas of focus may include depression, anxiety, dealing with change, substance use recovery, career shifts and searches, spiritual or existential concerns, conflict resolution, relationships, identity, grief, and more.
My goal as a counselor is to offer a safe space for you to be heard, understood, and respected. In addition to counseling and psychotherapy, I have a background in education and performing arts. I enjoy approaching your unique situation in a creative way, in order to help you to meet your goals while gaining new learning and understanding.
(512) 548-7937 x12 View (512) 548-7937 x12
Photo of James Aron Hunter, Licensed Professional Counselor in Austin, TX
James Aron Hunter
Licensed Professional Counselor, LPC, LCDC
Verified Verified
Austin, TX 78759  (Online Only)
My name is James Hunter MS, LPC, LCDC: I am 52 years old and I have over 22 years of experience as a Licensed Professional Counselor in the State of Texas and I am also a Licensed Chemical Dependency Counselor. I have worked in various levels of care from intensive inpatient, supported residential, and outpatient treating a wide range of mental health symptoms and behaviors. I Specialize in Cognitive & Behavioral Psychotherapy, Mental Health/Wellness Counseling, and Substance Use Disorders/Addictive related behaviors & disorders counseling, and other modalities modified to your needs.
My name is James Hunter MS, LPC, LCDC: I am 52 years old and I have over 22 years of experience as a Licensed Professional Counselor in the State of Texas and I am also a Licensed Chemical Dependency Counselor. I have worked in various levels of care from intensive inpatient, supported residential, and outpatient treating a wide range of mental health symptoms and behaviors. I Specialize in Cognitive & Behavioral Psychotherapy, Mental Health/Wellness Counseling, and Substance Use Disorders/Addictive related behaviors & disorders counseling, and other modalities modified to your needs.
(361) 315-7740 View (361) 315-7740
Photo of Lisa McGee, Clinical Social Work/Therapist in Austin, TX
Lisa McGee
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Austin, TX 78705
Lisa McGee is a Licensed Clinical Social Worker from Midland, Texas who works with adults and teens. She provides care to individuals who live with trauma, depression, anxiety, grief, substance use, and life stresses. Lisa has extensive experience with Eye Movement Desensitization Reprocessing (EMDR) and has received EMDR training and certification. Lisa’s treatment approach is rooted in evidence-based practices that focus on directly targeting the stressful event or memory and reprocessing it to provide a sense of peace and resolution.
Lisa McGee is a Licensed Clinical Social Worker from Midland, Texas who works with adults and teens. She provides care to individuals who live with trauma, depression, anxiety, grief, substance use, and life stresses. Lisa has extensive experience with Eye Movement Desensitization Reprocessing (EMDR) and has received EMDR training and certification. Lisa’s treatment approach is rooted in evidence-based practices that focus on directly targeting the stressful event or memory and reprocessing it to provide a sense of peace and resolution.
(432) 255-5082 View (432) 255-5082
Photo of Charlotte Crary, Licensed Professional Counselor in Austin, TX
Charlotte Crary
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Austin, TX 78751
If you or your child are experiencing trauma-related symptoms such as anxiety, depression, substance use, nightmares we can help.
Charlotte is an experienced trauma therapist specializing in the treatment of children and families with special needs who have suffered trauma, children in foster care, and adoptive families. Charlotte has developed trauma-informed clinical programs for treatment centers and non-profit organizations across the country. Building trust and rapport with children and their families is the first step to effective treatment. Charlotte uses an integrated family approach to include the entire family in the treatment process.
If you or your child are experiencing trauma-related symptoms such as anxiety, depression, substance use, nightmares we can help.
Charlotte is an experienced trauma therapist specializing in the treatment of children and families with special needs who have suffered trauma, children in foster care, and adoptive families. Charlotte has developed trauma-informed clinical programs for treatment centers and non-profit organizations across the country. Building trust and rapport with children and their families is the first step to effective treatment. Charlotte uses an integrated family approach to include the entire family in the treatment process.
(833) 747-0072 View (833) 747-0072
Photo of Dr. Cameron L Ortega, Licensed Professional Counselor in Austin, TX
Dr. Cameron L Ortega
Licensed Professional Counselor, PhD, LPC-S, LCDC
Verified Verified
2 Endorsed
Austin, TX 78702  (Online Only)
I am a Rio Grande Valley native that is currently living in the Texas Hill Country. I have been in providing therapy services over 17 years working with people with substance use disorders, dual diagnosis, mood disorder, and persons who have disabilities.
I am a Rio Grande Valley native that is currently living in the Texas Hill Country. I have been in providing therapy services over 17 years working with people with substance use disorders, dual diagnosis, mood disorder, and persons who have disabilities.
(830) 623-5941 View (830) 623-5941
Photo of Talk. Listen. Grow. , Marriage & Family Therapist in Austin, TX
Talk. Listen. Grow.
Marriage & Family Therapist, LMFT
Verified Verified
Austin, TX 73301  (Online Only)
I bring the skills I have developed working in Community Mental Health, Residential Treatment, Substance Use Treatment, Child Protective Services, Child & Family Treatment, Vocational Rehabilitation, and Employee Assistance Programs.
I am Licensed Marriage & Family Therapist with active licenses in Ohio, Hawai'i, & Texas. I am a trauma informed practitioner with 9 years of experience in Zen and Integral Psychotherapy, and training in Cognitive Behavioral Therapy and Internal Family Systems. I am Safe Zone trained and affirming of all gender identities & expressions. I am experienced in supporting the LGBTQ+ community, and other communities of diverse relational norms. I am skilled in healing religious trauma and renewing spiritual connection.
I bring the skills I have developed working in Community Mental Health, Residential Treatment, Substance Use Treatment, Child Protective Services, Child & Family Treatment, Vocational Rehabilitation, and Employee Assistance Programs.
I am Licensed Marriage & Family Therapist with active licenses in Ohio, Hawai'i, & Texas. I am a trauma informed practitioner with 9 years of experience in Zen and Integral Psychotherapy, and training in Cognitive Behavioral Therapy and Internal Family Systems. I am Safe Zone trained and affirming of all gender identities & expressions. I am experienced in supporting the LGBTQ+ community, and other communities of diverse relational norms. I am skilled in healing religious trauma and renewing spiritual connection.
(380) 204-9444 View (380) 204-9444
Photo of Bethel Moges, Licensed Professional Counselor in Austin, TX
Bethel Moges
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
Austin, TX 78703  (Online Only)
With a Bachelor’s in Psychology and a Master’s in Counseling, I believe in the work of this field. Whether this includes group therapy, addiction psychoeducation, or pre-marital counseling, it is my honor to walk with you as you seek to recover or grow. Life can be heavy and emotions difficult to regulate. Throughout your journey, I recognize that it can be life-changing to add a non-judgmental support with tools to your team as you work to reach your goals by using your own strengths. Just as hurt and betrayal often take place in relationship, so do healing and change. In a session with me, you matter and you are safe.
With a Bachelor’s in Psychology and a Master’s in Counseling, I believe in the work of this field. Whether this includes group therapy, addiction psychoeducation, or pre-marital counseling, it is my honor to walk with you as you seek to recover or grow. Life can be heavy and emotions difficult to regulate. Throughout your journey, I recognize that it can be life-changing to add a non-judgmental support with tools to your team as you work to reach your goals by using your own strengths. Just as hurt and betrayal often take place in relationship, so do healing and change. In a session with me, you matter and you are safe.
(512) 714-3403 View (512) 714-3403
Photo of Firoozeh Tuller, Clinical Social Work/Therapist in Austin, TX
Firoozeh Tuller
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78746
I view treatment as a safe space where healing can occur through the process of unpeeling multiple layers of mental and emotional patterns (conscious and unconscious), leading individuals to discover their strengths, true potential and authentic self. In this process, one can feel empowered and inspired to integrate all parts of self, even those hidden from the conscious mind. This delicate work is only possible when trust and alliance are established between therapist and client. The principles guiding this work are unconditional acceptance, compassion and non-judgment.
I view treatment as a safe space where healing can occur through the process of unpeeling multiple layers of mental and emotional patterns (conscious and unconscious), leading individuals to discover their strengths, true potential and authentic self. In this process, one can feel empowered and inspired to integrate all parts of self, even those hidden from the conscious mind. This delicate work is only possible when trust and alliance are established between therapist and client. The principles guiding this work are unconditional acceptance, compassion and non-judgment.
(512) 675-1395 View (512) 675-1395
Photo of Granyon Perry-Wooden, Drug & Alcohol Counselor in Austin, TX
Granyon Perry-Wooden
Drug & Alcohol Counselor, LCDC, LPC, MA
Verified Verified
Austin, TX 78745
​ I am a Licensed Professional Counselor (LPC) and a Licensed Chemical Dependency Counselor (LCDC). I have worked closely with adults, children and families in need of social services for the past 24 years. Professionally, I advise and counsel parents, teens, various spiritual organizations, and agencies regarding mental, and spiritual health. My philosophy is that everyone, regardless of age, culture, identity, and economic background, has the ability to be their best self. In our sessions we will explore your experiences good bad or indifferent that make you live the best life for you!
​ I am a Licensed Professional Counselor (LPC) and a Licensed Chemical Dependency Counselor (LCDC). I have worked closely with adults, children and families in need of social services for the past 24 years. Professionally, I advise and counsel parents, teens, various spiritual organizations, and agencies regarding mental, and spiritual health. My philosophy is that everyone, regardless of age, culture, identity, and economic background, has the ability to be their best self. In our sessions we will explore your experiences good bad or indifferent that make you live the best life for you!
(512) 961-4677 View (512) 961-4677
Photo of Yolanda Diana Johnson Affiliated With Deeper Connection Llc, Drug & Alcohol Counselor in Austin, TX
Yolanda Diana Johnson Affiliated With Deeper Connection Llc
Drug & Alcohol Counselor, MA, LCDC, LPC-A, CTTS, CAMS
Verified Verified
1 Endorsed
Austin, TX 78754  (Online Only)
Waitlist for new clients
This practice is ideal for people struggling with alcohol or other drug addiction and prefers to start their recovery in individual sessions with a drug and alcohol counselor rather than by entering treatment in a formal rehab setting. It is also indicated for those who have alcohol and drug addiction assessments and could use the help of a counselor to build sober support. Counseling is typically combined with 12-step or other mutual support group attendance.
This practice is ideal for people struggling with alcohol or other drug addiction and prefers to start their recovery in individual sessions with a drug and alcohol counselor rather than by entering treatment in a formal rehab setting. It is also indicated for those who have alcohol and drug addiction assessments and could use the help of a counselor to build sober support. Counseling is typically combined with 12-step or other mutual support group attendance.
(512) 856-1329 View (512) 856-1329
Photo of Melanie Somerville, Licensed Professional Counselor in Austin, TX
Melanie Somerville
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
Austin, TX 78704
I bring compassion, curiosity, and sensitive expertise to my work with adults. A mindful approach allows for attention to the present moment as the foundation for insight and change. Are you finding it difficult to prioritize or care for your mental health? Do you have a history of trauma? Encountering overwhelming life changes? Struggling with chronic pain? My broad experience can be the key to making sense of your world and regaining your equilibrium. In addition, I bring my life experience and work as a professional counselor to offer supervision to LPC interns using the Integrated Development Model and a Psychodynamic approach.
I bring compassion, curiosity, and sensitive expertise to my work with adults. A mindful approach allows for attention to the present moment as the foundation for insight and change. Are you finding it difficult to prioritize or care for your mental health? Do you have a history of trauma? Encountering overwhelming life changes? Struggling with chronic pain? My broad experience can be the key to making sense of your world and regaining your equilibrium. In addition, I bring my life experience and work as a professional counselor to offer supervision to LPC interns using the Integrated Development Model and a Psychodynamic approach.
(512) 960-3591 View (512) 960-3591
Photo of Leonard Manzella, Clinical Social Work/Therapist in Austin, TX
Leonard Manzella
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 73344
Anxiety, Depression and Substance Abuse have reached epidemic proportions in today's world. They have become a way of life for many, causing undue anguish and pain, and jeopardizing the well-being of millions as well as the significant relationships in their lives. For over 25 years I have been helping people find a way back to themselves and on a path to living healthier and happier lives. It would be an honor to help you.
Anxiety, Depression and Substance Abuse have reached epidemic proportions in today's world. They have become a way of life for many, causing undue anguish and pain, and jeopardizing the well-being of millions as well as the significant relationships in their lives. For over 25 years I have been helping people find a way back to themselves and on a path to living healthier and happier lives. It would be an honor to help you.
(805) 214-6619 View (805) 214-6619

Substance Use 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.