Substance Use Therapists in Leonia, NJ

Photo of Andrea Winters, MA, MEd, LPC, Licensed Professional Counselor
Andrea Winters
Licensed Professional Counselor, MA, MEd, LPC
Verified Verified
Leonia, NJ 07605
Thank you for your interest in my practice. I work primarily with older adolescents and adults who seek help in dealing with stress, challenging relationships and life transitions, including loss. I work collaboratively with my clients toward reducing symptoms of anxiety and depression. I believe that within the context of a supportive therapy relationship individuals can develop insight into the roots of their struggles and effective strategies for change. In addition, I specialize in the use of a harm reduction approach in the treatment of young adults who struggle with alcohol or other drugs. See WWW.THE-DRINKING-GAME.COM
Thank you for your interest in my practice. I work primarily with older adolescents and adults who seek help in dealing with stress, challenging relationships and life transitions, including loss. I work collaboratively with my clients toward reducing symptoms of anxiety and depression. I believe that within the context of a supportive therapy relationship individuals can develop insight into the roots of their struggles and effective strategies for change. In addition, I specialize in the use of a harm reduction approach in the treatment of young adults who struggle with alcohol or other drugs. See WWW.THE-DRINKING-GAME.COM
(201) 252-4913 View (201) 252-4913
Photo of Ahylzabeth Giannantonio, MSW, Clinical Social Work/Therapist
Ahylzabeth Giannantonio
Clinical Social Work/Therapist, MSW
Verified Verified
Leonia, NJ 07605  (Online Only)
Whatever feelings or difficulty you are experiencing that that have brought you to your current standing position, I hope to help you to gain insight to the following: relationship dynamics, gain more effective communication tools, conflict identification/management, gain accountability, explore areas of vulnerability, clarify expectations, identify triggers, enhance decision making process and problem solving skills. The process will not be linear but the journey will provide you with skills, connections and inner growth.
Whatever feelings or difficulty you are experiencing that that have brought you to your current standing position, I hope to help you to gain insight to the following: relationship dynamics, gain more effective communication tools, conflict identification/management, gain accountability, explore areas of vulnerability, clarify expectations, identify triggers, enhance decision making process and problem solving skills. The process will not be linear but the journey will provide you with skills, connections and inner growth.
(201) 676-8636 View (201) 676-8636
Photo of Lina Mendez - Footprints to Feel Better, LMHC, Pre-Licensed Professional
Footprints to Feel Better
Pre-Licensed Professional, LMHC
Verified Verified
Leonia, NJ 07605
Rize-Up Together was started by three women of The Bronx who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities where confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Rize-Up Together began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
Rize-Up Together was started by three women of The Bronx who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities where confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Rize-Up Together began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
(718) 550-8535 View (718) 550-8535
Photo of John Gesumaria, LSW, LMSW, Clinical Social Work/Therapist
John Gesumaria
Clinical Social Work/Therapist, LSW, LMSW
Verified Verified
1 Endorsed
Leonia, NJ 07605
Feeling overwhelmed by life's complexities? I understand. With a unique blend of therapeutic expertise & a ten-year career in business for those dealing with the workplace, I offer a fresh perspective on your challenges. Whether you're battling depression, anxiety, or navigating life transitions, I provide a safe, supportive space to explore your deepest thoughts and feelings. I believe in looking beyond surface-level symptoms to uncover the root causes of your struggles. By combining evidence-based therapies with genuine empathy, I empower you to build resilience, foster healthier relationships, and unlock your full potential.
Feeling overwhelmed by life's complexities? I understand. With a unique blend of therapeutic expertise & a ten-year career in business for those dealing with the workplace, I offer a fresh perspective on your challenges. Whether you're battling depression, anxiety, or navigating life transitions, I provide a safe, supportive space to explore your deepest thoughts and feelings. I believe in looking beyond surface-level symptoms to uncover the root causes of your struggles. By combining evidence-based therapies with genuine empathy, I empower you to build resilience, foster healthier relationships, and unlock your full potential.
(973) 791-7032 View (973) 791-7032

More Therapists Nearby

Photo of Hudson Robinson, MPsy, LCADC, CCS, Drug & Alcohol Counselor
Hudson Robinson
Drug & Alcohol Counselor, MPsy, LCADC, CCS
Verified Verified
1 Endorsed
Cliffside Park, NJ 07010
Most of my clients have a substance use disorder that is co-occurring with other conditions. These disorders manifest as severe behavioral issues that lead to biopsychosocial impairments. Some clients had problems with the criminal justice system, state and local agencies, schools, employers, family, and the community due to undesirable behavior. They need help turning their lives around. As Person-centered, solution-focused Licensed Clinical Alcohol & Drug Counselor, I establish therapeutic relationships anchored in cultural diversity to provide individualized treatment to help my clients make the change they desire.
Most of my clients have a substance use disorder that is co-occurring with other conditions. These disorders manifest as severe behavioral issues that lead to biopsychosocial impairments. Some clients had problems with the criminal justice system, state and local agencies, schools, employers, family, and the community due to undesirable behavior. They need help turning their lives around. As Person-centered, solution-focused Licensed Clinical Alcohol & Drug Counselor, I establish therapeutic relationships anchored in cultural diversity to provide individualized treatment to help my clients make the change they desire.
(201) 654-4086 View (201) 654-4086
Photo of Sarah Gwen Martyn - Sarah Martyn, LCSW,CASAC, Serenity Walk Counseling, LCSW , CASAC, Clinical Social Work/Therapist
Sarah Martyn, LCSW,CASAC, Serenity Walk Counseling
Clinical Social Work/Therapist, LCSW , CASAC
Verified Verified
Hackensack, NJ 07601
Depression, Anxiety, Substance Use, Depression, and Grief, are some of the most common and uncomfortable emotions that we can experience at some point in our lives.
Hello, Book with me now by clicking on my website. I am Sarah. I am a Licensed Clinical Social Worker (LCSW), Master Credentialed Alcohol and Substance Abuse Counselor (CASAC), and I have applied for the Certified Sex Therapist (CST) (any day now). I really enjoy learning, helping, connecting, & facing challenges. I also love animals, music, nature, tattoos, & food. I am Native Hawaiian, raised in San Diego. I have been here in the Finger Lakes for 14 years. I consider myself warm, casual & intelligent. I would love to meet to see if I can be of help. Learn more: www.SerenityWalkCounseling.com
Depression, Anxiety, Substance Use, Depression, and Grief, are some of the most common and uncomfortable emotions that we can experience at some point in our lives.
Hello, Book with me now by clicking on my website. I am Sarah. I am a Licensed Clinical Social Worker (LCSW), Master Credentialed Alcohol and Substance Abuse Counselor (CASAC), and I have applied for the Certified Sex Therapist (CST) (any day now). I really enjoy learning, helping, connecting, & facing challenges. I also love animals, music, nature, tattoos, & food. I am Native Hawaiian, raised in San Diego. I have been here in the Finger Lakes for 14 years. I consider myself warm, casual & intelligent. I would love to meet to see if I can be of help. Learn more: www.SerenityWalkCounseling.com
(585) 207-3641 View (585) 207-3641
Photo of Leah Rosen, MS, LAC, Counselor
Leah Rosen
Counselor, MS, LAC
Verified Verified
1 Endorsed
Edgewater, NJ 07020
My ideal client is someone facing challenges like anxiety, depression, mood disorders, personality disorders, or relationship issues. They may be dealing with life transitions, trauma, grief, family conflict, or substance use. They seek meaningful, positive change and are motivated to improve their mental health. They want a compassionate, person-centered therapist who can guide them through their journey with tailored support, helping them achieve self-actualization and well-being.
My ideal client is someone facing challenges like anxiety, depression, mood disorders, personality disorders, or relationship issues. They may be dealing with life transitions, trauma, grief, family conflict, or substance use. They seek meaningful, positive change and are motivated to improve their mental health. They want a compassionate, person-centered therapist who can guide them through their journey with tailored support, helping them achieve self-actualization and well-being.
(908) 332-0680 View (908) 332-0680
Photo of Devin Rubin-DeSimone, LMHC, LPC, Counselor
Devin Rubin-DeSimone
Counselor, LMHC, LPC
Verified Verified
Edgewater, NJ 07020  (Online Only)
My areas of expertise include, but are not limited to: sexual orientation, gender identities, friends/family with personality disorders, body image, kink, depression, anxiety, substance use, incarceration/reentry, grief and loss, trauma, living with HIV, and harm reduction along with the various ways in which these topics may intersect in your life.
Finding a therapist you will be able to trust with your feelings, thoughts, and goals can be a difficult process. Whatever journey brought you here, we will build that trust so that our work together leads to an improvement in your overall health and wellness. My work centers around our relationship and begins with us forging a safe, comfortable, and non-judgemental space for you to share openly.
My areas of expertise include, but are not limited to: sexual orientation, gender identities, friends/family with personality disorders, body image, kink, depression, anxiety, substance use, incarceration/reentry, grief and loss, trauma, living with HIV, and harm reduction along with the various ways in which these topics may intersect in your life.
Finding a therapist you will be able to trust with your feelings, thoughts, and goals can be a difficult process. Whatever journey brought you here, we will build that trust so that our work together leads to an improvement in your overall health and wellness. My work centers around our relationship and begins with us forging a safe, comfortable, and non-judgemental space for you to share openly.
(718) 865-2492 View (718) 865-2492
Photo of John Peter Pasagiannis, PhD, Psychologist
John Peter Pasagiannis
Psychologist, PhD
Verified Verified
Fort Lee, NJ 07024
In addition to my work as a general practitioner, I specialize in the treatment of substance use issues utilizing harm reduction psychotherapy.
I understand the decision to seek help can be a daunting one as there are many kinds of treatments for different kinds of issues. Successful treatment depends upon the relationship between you and your therapist. The quality of the alliance will contribute to improvement in your emotional well-being, relationships, career, and decrease in problematic behaviors. We will work towards developing coping skills that offer relief from anxiety, depression and other difficult emotions. I will also assist you to understand and work through patterns that contribute to difficulties.
In addition to my work as a general practitioner, I specialize in the treatment of substance use issues utilizing harm reduction psychotherapy.
I understand the decision to seek help can be a daunting one as there are many kinds of treatments for different kinds of issues. Successful treatment depends upon the relationship between you and your therapist. The quality of the alliance will contribute to improvement in your emotional well-being, relationships, career, and decrease in problematic behaviors. We will work towards developing coping skills that offer relief from anxiety, depression and other difficult emotions. I will also assist you to understand and work through patterns that contribute to difficulties.
(917) 746-8653 View (917) 746-8653
Photo of Pauline Bergstein, PhD, Psychologist
Pauline Bergstein
Psychologist, PhD
Verified Verified
Englewood, NJ 07632
In the over twenty years that I have been in the clinical practice of psychotherapy, I remain amazed by the tenacity and resilience of the human spirit. I respect the human capacity to survive and adapt to challenges - big and small, acute and chronic - but also the ability to make change given the right circumstances. It has been an honor to witness and be part of many individuals’ journeys to a better and more satisfying life using psychotherapy. Sometimes peoples’ ability to change has seemed miraculous. Through my training, many modalities have been embedded into my practice including cognitive-behavioral techniques.
In the over twenty years that I have been in the clinical practice of psychotherapy, I remain amazed by the tenacity and resilience of the human spirit. I respect the human capacity to survive and adapt to challenges - big and small, acute and chronic - but also the ability to make change given the right circumstances. It has been an honor to witness and be part of many individuals’ journeys to a better and more satisfying life using psychotherapy. Sometimes peoples’ ability to change has seemed miraculous. Through my training, many modalities have been embedded into my practice including cognitive-behavioral techniques.
(201) 824-6954 View (201) 824-6954
Photo of Vincent Vaccaro, PhD, CCS, Psychologist
Vincent Vaccaro
Psychologist, PhD, CCS
Verified Verified
Englewood, NJ 07631  (Online Only)
I am a clinical psychologist with over 30 years experience as a therapist, clinical supervisor and teacher. I work with adults and adolescents as individuals, couples and families. You can come for 6 sessions of problem focused treatment, work on relationship issues or explore issues related to long term recovery from addictive disorders. The goal is to find a way to be your true self.
I am a clinical psychologist with over 30 years experience as a therapist, clinical supervisor and teacher. I work with adults and adolescents as individuals, couples and families. You can come for 6 sessions of problem focused treatment, work on relationship issues or explore issues related to long term recovery from addictive disorders. The goal is to find a way to be your true self.
(201) 669-4589 View (201) 669-4589
Photo of Salvador Reyes, LPC, LCADC, ACS, CCS, ICGC-I, Licensed Professional Counselor
Salvador Reyes
Licensed Professional Counselor, LPC, LCADC, ACS, CCS, ICGC-I
Verified Verified
5 Endorsed
Ridgefield, NJ 07657
Everyone’s mental health and wellness journey is different. We, at the North Jersey Wellness Center take your experiences, background, beliefs, and lifestyle to help you navigate through your life. We will work together to create a treatment plan based on your unique needs, challenges, and goals. Finding the right care for our clients is our primary goal. We focus on what matters to you, to achieve the results you want.
Everyone’s mental health and wellness journey is different. We, at the North Jersey Wellness Center take your experiences, background, beliefs, and lifestyle to help you navigate through your life. We will work together to create a treatment plan based on your unique needs, challenges, and goals. Finding the right care for our clients is our primary goal. We focus on what matters to you, to achieve the results you want.
(551) 239-1297 View (551) 239-1297
Photo of Jeane Rajacic-Poppe, PhD, LMHC, CASAC, Psychologist
Jeane Rajacic-Poppe
Psychologist, PhD, LMHC, CASAC
Verified Verified
1 Endorsed
Teaneck, NJ 07666
Dr. Jeane Rajacic-Poppe is a licensed Clinical Health Psychologist in private practice who provides psychological services for general mental health concerns, in addition to, specializing in Substance-Related Disorders. Dr. Poppe provides Cognitive Behavioral Therapy to individual, couples' and families. Dr. Poppe holds faculty appointment at Ferkauf Graduate School of Psychology and is a Clinical Supervisor to doctoral level Psychologists in training. She holds a M.A. degree from Columbia University, a Ph.D degree from Yeshiva University, a mental health counseling license and CASAC certification for Substance Related Disorders.
Dr. Jeane Rajacic-Poppe is a licensed Clinical Health Psychologist in private practice who provides psychological services for general mental health concerns, in addition to, specializing in Substance-Related Disorders. Dr. Poppe provides Cognitive Behavioral Therapy to individual, couples' and families. Dr. Poppe holds faculty appointment at Ferkauf Graduate School of Psychology and is a Clinical Supervisor to doctoral level Psychologists in training. She holds a M.A. degree from Columbia University, a Ph.D degree from Yeshiva University, a mental health counseling license and CASAC certification for Substance Related Disorders.
(201) 693-4513 View (201) 693-4513
Photo of Vanessa Gourdine - Specialized Therapy Associates, PsyD, APN-C, CFMP, Psychologist
Specialized Therapy Associates
Psychologist, PsyD, APN-C, CFMP
Verified Verified
Fort Lee, NJ 07024
Where special concerns deserve special care, Specialized Therapy Associates has been in operation since 1994 with a staff of psychologists, psychiatrists, and therapists in Hackensack, Ramsey, Short Hills, & Fort Lee. STA provides the full range of psychological services: individual, couples, family & group therapy. We also provide a full range of psychological testing services for all age ranges.STA offers specialized programs which includes but not limited to eating disorders, substance abuse, trauma, academic success, child and parenting. We are staffed with Board certified adult & child psychiatrists & psychiatric nurse practitioners, clinical social workers, licensed clinical alcohol & drug counselors & licensed professional counselors.
Where special concerns deserve special care, Specialized Therapy Associates has been in operation since 1994 with a staff of psychologists, psychiatrists, and therapists in Hackensack, Ramsey, Short Hills, & Fort Lee. STA provides the full range of psychological services: individual, couples, family & group therapy. We also provide a full range of psychological testing services for all age ranges.STA offers specialized programs which includes but not limited to eating disorders, substance abuse, trauma, academic success, child and parenting. We are staffed with Board certified adult & child psychiatrists & psychiatric nurse practitioners, clinical social workers, licensed clinical alcohol & drug counselors & licensed professional counselors.
(201) 366-7096 View (201) 366-7096
Photo of Latoya Thomas, LMSW
Latoya Thomas
LMSW
Verified Verified
Fort Lee, NJ 07024  (Online Only)
My goal is to provide quality therapeutic services to those of the BIPOC community through a person centered, trauma informed, and holistic approach by creating an affirming and safe space.
My goal is to provide quality therapeutic services to those of the BIPOC community through a person centered, trauma informed, and holistic approach by creating an affirming and safe space.
(929) 366-7302 View (929) 366-7302
Photo of Erica Balch, LPC, LCADC, Licensed Professional Counselor
Erica Balch
Licensed Professional Counselor, LPC, LCADC
Verified Verified
Teaneck, NJ 07666
I am dual licensed as both a Licensed Professional Counselor (LPC) and as a Licensed Clinical Alcohol and Drug Counselor (LCADC) and work with adults, adolescents and couples. I am experienced counseling individuals with depression, anxiety, self-esteem, interpersonal issues including personality disorders, relationship issues and social phobias. Among those I serve are individuals also affected by chemical addiction. I've worked with individuals, spouses, parents and Adult Children of Alcoholics/Addicts (ALCOA) who wish to recover from their direct or indirect experiences with addiction. I also work with people with a history of physical, emotional and/or sexual abuse.
I am dual licensed as both a Licensed Professional Counselor (LPC) and as a Licensed Clinical Alcohol and Drug Counselor (LCADC) and work with adults, adolescents and couples. I am experienced counseling individuals with depression, anxiety, self-esteem, interpersonal issues including personality disorders, relationship issues and social phobias. Among those I serve are individuals also affected by chemical addiction. I've worked with individuals, spouses, parents and Adult Children of Alcoholics/Addicts (ALCOA) who wish to recover from their direct or indirect experiences with addiction. I also work with people with a history of physical, emotional and/or sexual abuse.
(201) 472-0928 View (201) 472-0928
Photo of Anthony F. Breit - Psychoanalytic Clinic/ Affordable Psychotherapy , LCSW, Clinical Social Work/Therapist
Psychoanalytic Clinic/ Affordable Psychotherapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Teaneck, NJ 07666
The Psychoanalytic Clinic Inc., located in Teaneck, NJ, has been providing affordable therapy and psychoanalysis for over 50 years. Our mental health services are delivered by licensed and certified professionals, allowing patients to progress at their own pace. Clinic fees are based on the patient's ability to pay, offering psychotherapy rates significantly below the industry standard. Additionally, we provide a special rate for thrice-weekly analysis sessions. For a free assessment and to explore treatment options, please call or email today. We currently accept new patients, including adults, adolescents, children, and couples.
The Psychoanalytic Clinic Inc., located in Teaneck, NJ, has been providing affordable therapy and psychoanalysis for over 50 years. Our mental health services are delivered by licensed and certified professionals, allowing patients to progress at their own pace. Clinic fees are based on the patient's ability to pay, offering psychotherapy rates significantly below the industry standard. Additionally, we provide a special rate for thrice-weekly analysis sessions. For a free assessment and to explore treatment options, please call or email today. We currently accept new patients, including adults, adolescents, children, and couples.
(201) 870-4061 x1 View (201) 870-4061 x1
Photo of Ansimon Rezk, MA, LPC
Ansimon Rezk
MA, LPC
Verified Verified
Edgewater, NJ 07020  (Online Only)
If you are a person experiencing interpersonal conflicts and/or mental health diagnoses, such as, anxiety, depression, bipolar disorder, personality disorders and a variety of other diagnoses. I can be of great assistance to you. I believe that everyone deserves the best quality of life. I will work with individuals, couples, and families to develop a tailored treatment plan designed to provide a healthy lifestyle through effective healthy coping skills that we will work on together. Our sessions will be focused on achieving client's objectives, improving quality of life, easing day to day interactions and healthy lifestyle.
If you are a person experiencing interpersonal conflicts and/or mental health diagnoses, such as, anxiety, depression, bipolar disorder, personality disorders and a variety of other diagnoses. I can be of great assistance to you. I believe that everyone deserves the best quality of life. I will work with individuals, couples, and families to develop a tailored treatment plan designed to provide a healthy lifestyle through effective healthy coping skills that we will work on together. Our sessions will be focused on achieving client's objectives, improving quality of life, easing day to day interactions and healthy lifestyle.
(973) 798-1904 View (973) 798-1904
Photo of Thomas Blake Hollenbach, PhD, Psychologist
Thomas Blake Hollenbach
Psychologist, PhD
Verified Verified
1 Endorsed
Fort Lee, NJ 07024
Hi, my name is Dr. Thomas Hollenbach, and I'm a licensed clinical psychologist and also the founder and Director of the Integrative Therapy Institute of New Jersey. I have a Ph.D. in Clinical Psychology from Columbia University and did my undergraduate work at Brown University. I've been practicing for over twenty years, and I do individual therapy with adults and adolescents and also couples therapy.
Hi, my name is Dr. Thomas Hollenbach, and I'm a licensed clinical psychologist and also the founder and Director of the Integrative Therapy Institute of New Jersey. I have a Ph.D. in Clinical Psychology from Columbia University and did my undergraduate work at Brown University. I've been practicing for over twenty years, and I do individual therapy with adults and adolescents and also couples therapy.
(201) 771-9885 View (201) 771-9885
Photo of Mildred Adrianna Simplicio, LCSW, CASAC-M, CCATP, CSAM, Clinical Social Work/Therapist
Mildred Adrianna Simplicio
Clinical Social Work/Therapist, LCSW, CASAC-M, CCATP, CSAM
Verified Verified
3 Endorsed
Ridgefield Park, NJ 07660  (Online Only)
Meet me! I am a multi-cultural professional offering both English & Spanish services in New York and New Jersey. Providing support to adults of all ages, who are interested in developing increased self-awareness and understanding of those life experiences, trauma that may stand in the way to reach their life goals, life aspirations. As a driven, motivated, and compassionate professional that seeks to extend support to each client through their journey toward healing, personal growth, and well-being. In my many years of experience, I have worked with clients with personality, mood, anxiety disorders and addiction recovery.
Meet me! I am a multi-cultural professional offering both English & Spanish services in New York and New Jersey. Providing support to adults of all ages, who are interested in developing increased self-awareness and understanding of those life experiences, trauma that may stand in the way to reach their life goals, life aspirations. As a driven, motivated, and compassionate professional that seeks to extend support to each client through their journey toward healing, personal growth, and well-being. In my many years of experience, I have worked with clients with personality, mood, anxiety disorders and addiction recovery.
(914) 430-4342 View (914) 430-4342

See more therapy options for Leonia

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.