Outpatient Psychiatric Clinic 
  Child, Adolescent, Adult


   Medication Management


 Specializing in the Treatment
  of Anxiety, Mood Disorder,
  Panic Disorder, Social Anxiety




Adel Eldahmy, MD,MBA

Adult Psychiatrist

Joseph Simpson, MD,PhD

Adult Psychiatrist

Michael Ferguson, PsyD, LCSW


Enas Elshiwick,MFT, PsyD

Therapist - Psychologist

Catherine Speckmann, LCSW


Mary-Louise Henson, LMFT


Aram Amini Nejad, Psy.D.


Adrienne Pasek. Psy.D.
Psychological Testing

Orange County

Laguna Behavioral

28281 Crown Valley Parkway

Suite 140

Laguna Niguel, CA 92677

949. 367.1200


  • Testing & Treatment for ADHD
  • Neuropsychological testing
  • Learning Disability Evaluation

Dr. Adrienne Pasek

We accept:


Master Card

America Express


Blue Cross

Blue Shield

Pacific Care

United Healthcare (UBH)



Health Net PPO


Aetna PPO



Treatment for :

  • Depression
  • Anxiety
  • Phobia
  • Panic Disorder
  • Bipolar Disorder
  • OCD
  • Eating Disorders
  • Binge Eating Disorder
  • Compulsive Overeating
  • Sleep Disorder
  • ADD/ADHD Testing
  • ADD/ADHD Treatment
  • PTSD
  • Alcohol & Drug Dependency

Adel Eldahmy, MD, MBA completed his residency in Psychiatry at the University of California –Irvine in 1984, after which he went to private practice in Southern California. His fellowship in Psychiatry included the Eating Disorders program at the University of California, Irvine.

In 1997, Dr Eldahmy received his HealthCare MBA from the University of California, Irvine.

Dr Eldahmy is a Medical Director of MD Laguna, Intensive outpatient program in Laguna Niguel, CA.

Medical Director of Laguna Behavioral and Long Beach Behavioral.

Dr Eldahmy has served as a Medical Director at Long Beach Eating Disorder Clinic, Long Beach Psychiatric Center, Medical Director of Eating Disorders program at Charter Hospital of Long Beach, Medical Director of Charter out-patients Clinics in Los Alamitos, CA, He also served as chief of staff at Los Altos Hospital, Long Beach, CA.

Dr Eldahmy founded Telemed Foundation in 2012, a Telemedicine non- profit Organization.


Member of the American Telemedicine Association.

Joseph R. Simpson, MD, PhD received his undergraduate degree in biology magna cum laude from Harvard University.  He received his M.D. and Ph.D. from Washington University in St. Louis.  His thesis work focused on neuroimaging in mood disorders and the functional neuroimaging of cognition-emotion interactions.


After completing his adult psychiatry residency at the University of California Los Angeles Neuropsychiatric Institute/West Los Angeles VA Medical Center, he completed a forensic psychiatry fellowship at the University of Southern California.  He is board-certified in psychiatry and forensic psychiatry.  He has published several peer-reviewed articles in neuroimaging and in forensic psychiatry.  Most recently he edited the book Neuroimaging in Forensic Psychiatry: From the Clinic to the Courtroom, published by Wiley-Blackwell in April 2012.


Dr. Simpson is a Clinical Assistant Professor of Psychiatry at the University of Southern California and the University of California, Irvine.  He is currently a Councilor for the Southern California Psychiatric Society, a District Branch of the American Psychiatric Association, and is also an active member of the American Academy of Psychiatry and the Law.


Michael B. Ferguson, LCSW has been working with Mental Health patients for more than 25 years, and has specialized with Chemical Dependent patients with co-existing disorders, i.e. anxiety and depression.  He received his Bachelors’ Degree in Psychology from Long Beach State University where he graduated with honors, and completed his Masters’ Degree in Social Work at the University of Southern California.


He served his internships at UCLA Harbor General Hospital in Torrance, Ca., where he worked with adolescent children and their families.  He also trained at L.A. County USC Psychiatric Hospital where he worked with bipolar and schizophrenic populations, and other related psychiatric illnesses.


During his current practice at Long Beach Behavioral and Laguna Behavioral he serves a broad and diverse population who frequently present with depression, anxiety and chemical dependency. 


Mr. Ferguson has served as Clinical Director for several drug and alcohol recovery facilities.  He is certified by the Department of Probation to teach Domestic Violence Classes while currently serving as the Clinical Director of a Domestic Violence Agency in South Orange County.  He also provides treatment for this population in his private practice.



Enas Elshiwick, Psy.D., M.F.T., is a licensed psychologist and a licensed marriage family therapist.. She has experience working with a variety of clients, including, issues of relationships, marriage and family, personality, obsessions, compulsions, drug and alcohol addictions, schizophrenia and other psychotic disorders, depressive disorders, anxiety, paranoia, and other issues that effect daily lives.


She has had experience working with children, adolescents, adults, couples and families, in a variety of settings, including private practice, agencies and clinics, and with inpatients (where she was the head of the psychology department of the hospital). She is bilingual (Arabic and English), and understands and has experience dealing with issues of adjustments in terms of culture and religion. She is eclectic in her approach, taking into consideration the client's best interest and welfare.



Catherine L Speckmann, LCSW

Change-even good change can be difficult. My personal philosophy toward change is based on empowerment. I like to help people recognize and utilize the tools that are available to them. My background is diverse. I began my career in 1989 as an addictions counselor. The connection between addictions and mental health disorders is strong. Dual diagnosis has always been an area of interest for me. I attended the University of Wisconsin where I received my Masters Degree. I graduated with honors on the Children and Family track. Licensed to practice as a psychotherapist in both California and Wisconsin, I have experience in both an outpatient and an acute hospital setting. For many years, I was the Director of the Child and Adolescent program at a Milwaukee clinic. I do, however, work with all age groups. I have experience in the following areas:




Adjustment Disorders

Anxiety Disorders

Behavior Disorders

Dual Diagnosis

Grief and Loss

Mood Disorders (Depression/Bipolar)


Trauma and PTSD.


I have successfully planned and implemented community support groups that address the needs of: children in foster care, parents of children with a mental illness, social skills for children with ADHD, teens and substance abuse, and women in recovery with a dual diagnosis. My practice includes integrating proven, effective clinical treatment methods

along with extensive life experience. I will meet you where you are at and assist you in getting to where you want to be.


April Murray, RD is a registered dietitian specializing in nutrition counseling for eating disorders as well as weight loss, diabetes, disease prevention and cardiac health. 

Ms Murray graduated from the University of California Davis with a Bachelor of Science in clinical nutrition. She then attended Stony Brook University in New York where she completed an ADA accredited Dietetic Internship. April is a member of the American Dietetic Association and the Orange County district of the California Dietetic Association where she stays connected with the latest research.

Ms Murray has worked successfully with a wide variety of clients. In her experience she has found that a non-dieting, intuitive eating approach has been most successful in helping her clients reach their goals.

Danielle Organista, LMFT has been practicing since she graduated from CSU, Dominguez Hills in 1997. She specializes in helping individuals in their twenties transition through the often tumultuous stages of early adulthood. She offers strategies to help 20 to 30 somethings discover what it is they want and don’t want at this stage in their life. Her clients work with her as a team to develop a plan of action for their life is reflective of their needs, wants and true passions. When someone has a solid understanding of who they are, opportunities and answers to the most anxiety-provoking questions will present themselves when you least expect it.


Her areas of expertise include: adoption, anxiety or fears, depression, divorce, eating disorders, infertility, loss or grief, quarter-life issues, parenting, as well as relationship issues. She sees children, adolescents and adults.


Mary-Louise Henson, MFT is a licensed Marriage and Family therapist who has maintained a private practice in Laguna Niguel, CA since 1992. Prior to receiving her Master’s Degree in Clinical Psychology from Pepperdine University, she taught elementary school, raised two children to successful adulthood, worked in the fitness industry and co-owned a business.


Her clinical training combined with rich life experience continues to provide her with a unique and evolving perspective on how people can heal, make positive changes, healthier decisions and lead more fulfilling lives. She is able to address a wide range of clinical issues including personal growth, relationship challenges in a technology driven world, infidelity, parenting “stress”, divorce, depression, anxiety, weight management, the fear of aging and health changes.


From 1998 to 2011 Mary-Louise worked with Mission Hospital, Mission Viejo, as a behaviorist in Mission’s Sports and Wellness Weight Management Program. She currently teaches behavioral classes in Stress Management and the Psychology of Weight Loss for Mission’s Cardiac Rehab Program. In September 2011, she began teaching behavioral classes for WellDatrix, a medically supervised weight management program based in Irvine, CA.


Mary-Louise has been a dedicated Iyengar yoga practitioner for the past 15 years and has recently begun Pilates classes.


























What is Depression?

Depression is a serious medical illness; it’s not something that you have made up in your head. It’s more than just feeling "down in the dumps" or "blue" for a few days. It’s feeling "down" and "low" and "hopeless" for weeks at a time.

Signs & Symptoms

  • Persistent sad, anxious, or "empty" mood
  • Feelings of hopelessness, pessimism
  • Feelings of guilt, worthlessness, helplessness
  • Loss of interest or pleasure in hobbies and activities that were once enjoyed 


A variety of treatments including medications and short-term psychotherapies have proven effective for depression. 

What are the different forms of depression?

There are several forms of depressive disorders. The most common are major depressive disorder and dysthymic disorder.

Major depressive disorder, also called major depression, is characterized by a combination of symptoms that interfere with a person's ability to work, sleep, study, eat, and enjoy once–pleasurable activities. Major depression is disabling and prevents a person from functioning normally. An episode of major depression may occur only once in a person's lifetime, but more often, it recurs throughout a person's life.

Dysthymic disorder, also called dysthymia, is characterized by long–term (two years or longer) but less severe symptoms that may not disable a person but can prevent one from functioning normally or feeling well. People with dysthymia may also experience one or more episodes of major depression during their lifetimes.

Some forms of depressive disorder exhibit slightly different characteristics than those described above, or they may develop under unique circumstances. However, not all scientists agree on how to characterize and define these forms of depression. They include:

Psychotic depression, which occurs when a severe depressive illness is accompanied by some form of psychosis, such as a break with reality, hallucinations, and delusions.

Postpartum depression, which is diagnosed if a new mother develops a major depressive episode within one month after delivery. It is estimated that 10 to 15 percent of women experience postpartum depression after giving birth.

Seasonal affective disorder (SAD), which is characterized by the onset of a depressive illness during the winter months, when there is less natural sunlight. The depression generally lifts during spring and summer. SAD may be effectively treated with light therapy, but nearly half of those with SAD do not respond to light therapy alone. Antidepressant medication and psychotherapy can reduce SAD symptoms, either alone or in combination with light therapy.

Bipolar disorder, also called manic-depressive illness, is not as common as major depression or dysthymia. Bipolar disorder is characterized by cycling mood changes-from extreme highs (e.g., mania) to extreme lows (e.g., depression).

What is Generalized Anxiety Disorder?


Generalized Anxiety Disorder, GAD, is an anxiety disorder characterized by chronic anxiety, exaggerated worry and tension, even when there is little or nothing to provoke it.



Signs & Symptoms


People with generalized anxiety disorder can't seem to shake their concerns. Their worries are accompanied by physical symptoms, especially fatigue, headaches, muscle tension, muscle aches, difficulty swallowing, trembling, twitching, irritability, sweating, and hot flashes.




Effective treatments for anxiety disorders are available, and research is yielding new, improved therapies that can help most people with anxiety disorders lead productive, fulfilling lives. 

What is Panic Disorder?


Panic disorder is an anxiety disorder and is characterized by unexpected and repeated episodes of intense fear accompanied by physical symptoms that may include chest pain, heart palpitations, shortness of breath, dizziness, or abdominal distress.


Signs & Symptoms

People with panic disorder have feelings of terror that strike suddenly and repeatedly with no warning. During a panic attack, most likely your heart will pound and you may feel sweaty, weak, faint, or dizzy. Your hands may tingle or feel numb, and you might feel flushed or chilled. You may have nausea, chest pain or smothering sensations, a sense of unreality, or fear of impending doom or loss of control.



Effective treatments for panic disorder are available, and research is yielding new, improved therapies that can help most people with panic disorder and other anxiety disorders lead productive, fulfilling lives.

What is Social Phobia?


Social Phobia, or Social Anxiety Disorder, is an anxiety disorder characterized by overwhelming anxiety and excessive self-consciousness in everyday social situations. Social phobia can be limited to only one type of situation — such as a fear of speaking in formal or informal situations, or eating or drinking in front of others — or, in its most severe form, may be so broad that a person experiences symptoms almost anytime they are around other people.


Signs & Symptoms

People with social phobia have a persistent, intense, and chronic fear of being watched and judged by others and being embarrassed or humiliated by their own actions. Their fear may be so severe that it interferes with work or school, and other ordinary activities. Physical symptoms often accompany the intense anxiety of social phobia and include blushing, profuse sweating, trembling, nausea, and difficulty talking.



Effective treatments for social phobia are available, and research is yielding new, improved therapies that can help most people with social phobia and other anxiety disorders lead productive, fulfilling lives.

What Are Eating Disorders?

An eating disorder is marked by extremes. It is present when a person experiences severe disturbances in eating behavior, such as extreme reduction of food intake or extreme overeating, or feelings of extreme distress or concern about body weight or shape.

Types of eating disorders

  • Anorexia Nervosa
  • Bulimia Nervosa
  • Binge-Eating Disorder


Researchers are unsure of the underlying causes and nature of eating disorders. Unlike a neurological disorder, which generally can be pinpointed to a specific lesion on the brain, an eating disorder likely involves abnormal activity distributed across brain systems. With increased recognition that mental disorders are brain disorders, more researchers are using tools from both modern neuroscience and modern psychology to better understand eating disorders.

Anorexia nervosa is characterized by emaciation, a relentless pursuit of thinness and unwillingness to maintain a normal or healthy weight, a distortion of body image and intense fear of gaining weight, a lack of menstruation among girls and women, and extremely disturbed eating behavior. Some people with anorexia lose weight by dieting and exercising excessively; others lose weight by self-induced vomiting, or misusing laxatives, diuretics or enemas.

Many people with anorexia see themselves as overweight, even when they are starved or are clearly malnourished. Eating, food and weight control become obsessions. A person with anorexia typically weighs herself or himself repeatedly, portions food carefully, and eats only very small quantities of only certain foods. Some who have anorexia recover with treatment after only one episode. Others get well but have relapses. Still others have a more chronic form of anorexia, in which their health deteriorates over many years as they battle the illness.

According to some studies, people with anorexia are up to ten times more likely to die as a result of their illness compared to those without the disorder. The most common complications that lead to death are cardiac arrest, and electrolyte and fluid imbalances. Suicide also can result.

Many people with anorexia also have coexisting psychiatric and physical illnesses, including depression, anxiety, obsessive behavior, substance abuse, cardiovascular and neurological complications, and impaired physical development.

Other symptoms may develop over time, including:

  • thinning of the bones (osteopenia or osteoporosis)
  • brittle hair and nails
  • dry and yellowish skin
  • growth of fine hair over body (e.g., lanugo)
  • mild anemia, and muscle weakness and loss
  • severe constipation
  • low blood pressure, slowed breathing and pulse
  • drop in internal body temperature, causing a person to feel cold all the time
  • lethargy

TREATING ANOREXIA involves three components:

1.  restoring the person to a healthy weight;

2.  treating the psychological issues related to the eating disorder; and

3.  reducing or eliminating behaviors or thoughts that lead to disordered eating, and preventing relapse.

Some research suggests that the use of medications, such as antidepressants, antipsychotics or mood stabilizers, may be modestly effective in treating patients with anorexia by helping to resolve mood and anxiety symptoms that often co-exist with anorexia. Recent studies, however, have suggested that antidepressants may not be effective in preventing some patients with anorexia from relapsing. In addition, no medication has shown to be effective during the critical first phase of restoring a patient to healthy weight. Overall, it is unclear if and how medications can help patients conquer anorexia, but research is ongoing.

Different forms of psychotherapy, including individual, group and family-based, can help address the psychological reasons for the illness. Some studies suggest that family-based therapies in which parents assume responsibility for feeding their afflicted adolescent are the most effective in helping a person with anorexia gain weight and improve eating habits and moods.

Shown to be effective in case studies and clinical trials, this particular approach is discussed in some guidelines and studies for treating eating disorders in younger, nonchronic patients.

Others have noted that a combined approach of medical attention and supportive psychotherapy designed spe-cifically for anorexia patients is more effective than just psychotherapy. But the effectiveness of a treatment depends on the person involved and his or her situation. Unfortunately, no specific psychotherapy appears to be consistently effective for treating adults with anorexia. However, research into novel treatment and prevention approaches is showing some promise. One study suggests that an online intervention program may prevent some at-risk women from developing an eating disorder.

Bulimia nervosa is characterized by recurrent and frequent episodes of eating unusually large amounts of food (e.g., binge-eating), and feeling a lack of control over the eating. This binge-eating is followed by a type of behavior that compensates for the binge, such as purging (e.g., vomiting, excessive use of laxatives or diuretics), fasting and/or excessive exercise.

Unlike anorexia, people with bulimia can fall within the normal range for their age and weight. But like people with anorexia, they often fear gaining weight, want desperately to lose weight, and are intensely unhappy with their body size and shape. Usually, bulimic behavior is done secretly, because it is often accompanied by feelings of disgust or shame. The binging and purging cycle usually repeats several times a week. Similar to anorexia, people with bulimia often have coexisting psychological illnesses, such as depression, anxiety and/or substance abuse problems. Many physical conditions result from the purging aspect of the illness, including electrolyte imbalances, gastrointestinal problems, and oral and tooth-related problems.

Other symptoms include:

  • chronically inflamed and sore throat
  • swollen glands in the neck and below the jaw
  • worn tooth enamel and increasingly sensitive and decaying teeth as a result of exposure to stomach acids
  • gastroesophageal reflux disorder
  • intestinal distress and irritation from laxative abuse
  • kidney problems from diuretic abuse
  • severe dehydration from purging of fluids

As with anorexia, TREATMENT FOR BULIMIA often involves a combination of options and depends on the needs of the individual.

To reduce or eliminate binge and purge behavior, a patient may undergo nutritional counseling and psychotherapy, especially cognitive behavioral therapy (CBT), or be prescribed medication. Some antidepressants, such as fluoxetine (Prozac), which is the only medication approved by the U.S. Food and Drug Administration for treating bulimia, may help patients who also have depression and/or anxiety. It also appears to help reduce binge-eating and purging behavior, reduces the chance of relapse, and improves eating attitudes.

CBT that has been tailored to treat bulimia also has shown to be effective in changing binging and purging behavior, and eating attitudes. Therapy may be individually oriented or group-based.

Binge-eating disorder is characterized by recurrent binge-eating episodes during which a person feels a loss of control over his or her eating. Unlike bulimia, binge-eating episodes are not followed by purging, excessive exercise or fasting. As a result, people with binge-eating disorder often are overweight or obese. They also experience guilt, shame and/or distress about the binge-eating, which can lead to more binge-eating.

Obese people with binge-eating disorder often have coexisting psychological illnesses including anxiety, depression, and personality disorders. In addition, links between obesity and cardiovascular disease and hypertension are well documented.

TREATMENT OPTIONS FOR BINGE-EATING DISORDER are similar to those used to treat bulimia. Fluoxetine and other antidepressants may reduce binge-eating episodes and help alleviate depression in some patients.

Patients with binge-eating disorder also may be prescribed appetite suppressants. Psychotherapy, especially CBT, is also used to treat the underlying psychological issues associated with binge-eating, in an individual or group environment.

What is Bipolar Disorder?


Bipolar Disorder, also known as manic-depressive illness, is a serious medical illness that causes shifts in a person's mood, energy, and ability to function. Different from the normal ups and downs that everyone goes through, the symptoms of bipolar disorder are severe.

What are the symptoms of bipolar disorder?

Bipolar disorder causes dramatic mood swings from overly "high" and/or irritable to sad and hopeless, and then back again, often with periods of normal mood in between. Severe changes in energy and behavior go along with these changes in mood. The periods of highs and lows are called episodes of mania and depression.

People with bipolar disorder experience unusually intense emotional states that occur in distinct periods called "mood episodes." An overly joyful or overexcited state is called a manic episode, and an extremely sad or hopeless state is called a depressive episode. Sometimes, a mood episode includes symptoms of both mania and depression. This is called a mixed state. People with bipolar disorder also may be explosive and irritable during a mood episode.

Extreme changes in energy, activity, sleep, and behavior go along with these changes in mood. It is possible for someone with bipolar disorder to experience a long-lasting period of unstable moods rather than discrete episodes of depression or mania.

A person may be having an episode of bipolar disorder if he or she has a number of manic or depressive symptoms for most of the day, nearly every day, for at least one or two weeks. Sometimes symptoms are so severe that the person cannot function normally at work, school, or home.

Symptoms of bipolar disorder are described below.

Symptoms of mania or a manic episode include:

Symptoms of depression or a depressive episode include:

Mood Changes

  • A long period of feeling "high," or an overly happy or outgoing mood
  • Extremely irritable mood, agitation, feeling "jumpy" or "wired."

Behavioral Changes

  • Talking very fast, jumping from one idea to another, having racing thoughts
  • Being easily distracted
  • Increasing goal-directed activities, such as taking on new projects
  • Being restless
  • Sleeping little
  • Having an unrealistic belief in one's abilities
  • Behaving impulsively and taking part in a lot of pleasurable,
    high-risk behaviors, such as spending sprees, impulsive sex, and impulsive business investments.

Mood Changes

  • A long period of feeling worried or empty
  • Loss of interest in activities once enjoyed, including sex.

Behavioral Changes

  • Feeling tired or "slowed down"
  • Having problems concentrating, remembering, and making decisions
  • Being restless or irritable
  • Changing eating, sleeping, or other habits
  • Thinking of death or suicide, or attempting suicide.



Most people with bipolar disorder can achieve substantial stabilization of their mood swings and related symptoms over time with proper treatment. A strategy that combines medication and psychosocial treatment is optimal for managing the disorder over time.

What are alcohol abuse and alcohol dependence?


Alcohol abuse means having unhealthy or dangerous drinking habits, such as drinking every day or drinking too much at a time. Alcohol abuse can harm your relationships, cause you to miss work, and lead to legal problems such as driving while drunk ( intoxicated). When you abuse alcohol, you continue to drink even though you know your drinking is causing problems.

If you continue to abuse alcohol, it can lead to alcohol dependence. Alcohol dependence is also called alcoholism. You are physically or mentally addicted to alcohol. You have a strong need, or craving, to drink. You feel like you must drink just to get by.

You might be dependent on alcohol if you have three or more of the following problems in a year:

  • You cannot quit drinking or control how much you drink.
  • You need to drink more to get the same effect.
  • You have withdrawal symptoms when you stop drinking. These include feeling sick to your stomach, sweating, shakiness, and anxiety.
  • You spend a lot of time drinking and recovering from drinking, or you have given up other activities so you can drink.
  • You have tried to quit drinking or to cut back the amount you drink but haven't been able to.
  • You continue to drink even though it harms your relationships and causes you to develop physical problems.

You might not realize that you have a drinking problem. You might not drink every day, or you might not drink large amounts when you drink. You might go for days or weeks between drinking episodes. You might say you're a "social drinker."

But even if you don't drink very often, it's still possible to be abusing alcohol and to be at risk for becoming addicted to it.

Symptoms of alcohol abuse in children and teens sometimes are different from adult symptoms.

Signs of alcohol abuse

Watch for the following signs of alcohol abuse:

  • You have problems at work or school because of your drinking. These may include being late or absent, being injured at work, and not doing your job or schoolwork as well as you can.
  • You drink in dangerous situations, such as before or while driving a car.
  • You have blakouts. This means that after a drinking episode you cannot remember what happened while you were drinking.
  • You have legal problems because of your drinking, such as being arrested for harming someone or driving while drunk (intoxicated).
  • You get hurt or you hurt someone else when you are drinking.
  • You continue to drink despite health problems that are caused or made worse by alcohol use, such as liver disease (cirrhosis).
  • Your friends or family members are worried about your drinking.

Signs of alcohol dependence or addiction

Watch for the following signs of alcohol dependence or addiction:

  • You cannot quit drinking or control how much you drink. You drink more often than you want to, or you drink larger amounts than you want to.
  • You need to drink more to get the same effect.
  • You have withdrawal symptoms when you stop drinking. These include feeling sick to your stomach, sweating, shakiness, and anxiety.
  • You spend a lot of time drinking and recovering from drinking, or you have given up other activities so you can drink.
  • You have tried unsuccessfully to quit drinking or to cut back the amount you drink.
  • You continue to drink even though it harms your relationships and causes you to develop physical problems.

Other signs of possible trouble with alcohol include the following:

  • You drink in the morning, are drunk often for long periods of time, or drink alone.
  • You change what you drink, such as switching from beer to wine because you think that doing this will help you drink less or keep you from getting drunk.
  • You feel guilty after drinking.
  • You make excuses for your drinking or do things to hide your drinking, such as buying alcohol at different stores.
  • You worry that you won't get enough alcohol for an evening or weekend.
  • You have physical signs of alcohol dependence, such as weight loss, a sore or upset stomach(gastritis), or redness of the nose and cheeks.

What is Obsessive-Compulsive Disorder?

Obsessive-Compulsive Disorder, OCD, is an anxiety disorder and is characterized by recurrent, unwanted thoughts (obsessions) and/or repetitive behaviors (compulsions). Repetitive behaviors such as handwashing, counting, checking, or cleaning are often performed with the hope of preventing obsessive thoughts or making them go away. Performing these so-called "rituals," however, provides only temporary relief, and not performing them markedly increases anxiety.


Signs & Symptoms

People with OCD may be plagued by persistent, unwelcome thoughts or images, or by the urgent need to engage in certain rituals. They may be obsessed with germs or dirt, and wash their hands over and over. They may be filled with doubt and feel the need to check things repeatedly.



Effective treatments for obsessive-compulsive disorder are available, and research is yielding new, improved therapies that can help most people with OCD and other anxiety disorders lead productive, fulfilling lives.

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