Addiction Counselors, addiction group therapy, addiction counseling online, addiction Psychotherapy services in Metairie, LA

Northshore & Southshore Counseling and Wellness offering Counseling and Therapy in Mandeville and Metairie

Northshore & Southshore Counseling and Wellness has a second location in Metairie to provide individual, family and group therapy for New Orleans, Metairie, Kenner and the surrounding areas. Our office on Metairie Road is easy to reach from Uptown, Downtown, or Metairie.

Appointments are available for new clients as well as for the convenience of existing clients from our Mandeville location who work or are frequently in the Metro New Orleans area. Looking at a lender to help your financing check this out

If you are a resident of the Greater New Orleans area seeking counseling for marriage, family, relationships, addiction, bipolor disorder, collaborative divorce, medication management, assessment for ADHD, ADD or PTSD, schedule an appointment by calling or contacting our therapy office today. check it here

Northshore and Southshore Counseling & Wellness, Metairie Location:

433 Metairie Road
Suite 309
Metairie, LA 70005
(504) 717-4043

Social drinking question

Dr Andre,

When is it time to seek help with a social drinking question? I do not share the same opinion of my wine with dinner as other members of my family?


Since there is a conflict of opinion it would probably be helpful for both parties(all) to be fully heard. Often in a neutral setting each side can actually speak and be heard without interruptions. Sometimes this is the first time people actually truly listen to each other!  From there, a decision could be made by you for guidance, suppport, or general reassurance , or any other goals that may be discovered in session. If you would like more specific information regarding your family communication please call our office for an appointment. We’re located in Metairie (504) 717-4043 or Mandeville (985) 624-2942.


-Dr. Andre Sagrera Judice, Ph.D., LPC, LMFT, DCEP

Does overeating escalate to eating addiction?

Dr Andre,  How do I know if overeating has escalated into an eating addiction?


Many addictions of any sort are ways to distance pain or ignore and disregard feelings that we may fear. Also , many people do not have the skills or knowledge to work through these often overwhelming feelings. We could help use to use your feelings as guideposts to lead you to healthier, more beneficial and productive choices for yourself. A plan (with your goals) could be made to include figuring out what you may be really “hungry” for, and learning behavioral choices that support confidence, strength and the ability to freely choose. Check out

Also nutritionally, foods that increase hunger could be discussed, as well as a comprehensive health plan to help you feel in control of your eating, visit for more information about food. Journaling  or at least becoming aware of what you are feeling emotionally before you eat is a good place to start. If you would like more specific information on how you can overcome eating addiction, please call our office for an appointment. We’re located in Metairie (504) 717-4043 or Mandeville (985) 624-2942


-Dr. Andre Sagrera Judice, Ph.D., LPC, LMFT, DCEP

What is Addiction

The process of addiction..

…begins with the use of a substance (alcohol, marijuana, cocaine, etc.) to feel good or at least better, until ultimately we must use it just to feel normal and to function. We lose the ability to feel pleasure except through use of the drug. We start off thinking we will stop before it gets out of control. But, in addiction, we stop feeling good a long time before we stop using. According to Dr. Nora Volkow, one of the nation’s leading experts on drug addiction and its effects on the brain, “addiction is a result of adaptations in the brain that leads to changes in behavior.  That translates…in the inability to control the intake of the drug”. It can cost us everything – our children, our relationships, and our employment.  We lose the ability to regulate our own behavior, and we do things almost as a reflex rather than out of free will. In addiction, the area of the brain that allows us to make free choices is not working properly.

All drugs of abuse activate dopamine

.. a naturally occurring chemical in the brain that plays a major role in motivating behavior by producing the sensation of pleasure. These drugs “hijack” the brain’s pleasure system, and they reward more efficiently than our brains do naturally. However, they ultimately reduce the amount of naturally produced dopamine in our brains. Thus, we become less able to feel good without the drug of abuse. In this process, the brain becomes “hardwired” to the change, and addiction results. Lack of the drug puts the addict in a state of deprivation, and craving takes over the body. Procuring our drug of addiction becomes the primary focus of our lives.

Experts have pondered whether addiction is a psychological disease or a physical disease. Dr. Volkow’s opinion is that addiction is a disease of the brain that translates into abnormal behavior. It is an interaction between genes and environment. Some of us are born genetically vulnerable to addiction, or to depression or other problems. Likewise, there are some environments that put us at a higher risk for addiction, while other environments are protective. Adolescents who are unsupervised, situations with high levels of stress, high levels of abuse, and high levels of access to drugs are situations that put us at high risk for addiction.  People are more likely to become addicted if they start taking drugs in adolescence or childhood.

Brain imaging has taught us much about how the brain changes in addiction. Often, by staying “clean” the brain can recover completely or at least significantly. What is the process to getting clean? Recovery always begins with detox – getting the drug out of one’s system. Then an individual should be assessed for co-occurring disorders such as depression or anxiety. Medications, therapies, and services are treatment modes for attaining recovery. Once a person is in recovery, AA, NA, church groups, and other support groups can assist in maintaining one’s sobriety. The best outcome is achieved when one continues a period of supervised normalcy for at least a year.

Source: HBO Addiction Series in conjunction with National Institute on Drugs Abuse and National Institute on Alcohol Abuse and Alcoholism. read the full post here..


Janis Caserta, LPC, LAC