Therapists in District of Columbia
Nicole Twaalfhoven
Counselor, LCPC-S, NCC
Verified Verified
Washington, DC 20001 (Online Only)
Waitlist for new clients
Thank you for your interest in my profile. I work with clients who need support, a clearer understanding of themselves and their environment, and are ready for change. Clients struggling with depression, anxiety, self-esteem, PTSD, grief, schizophrenia, bipolar, and personality disorders, as well as relationships, career support, aging, and other daily life issues are great candidates for therapy with me. I see individual clients of any age (however under the age of 16, parent/caregiver collaboration is required), families, and couples. I offer a kind, supportive approach, with plenty structure and self-empowerment.
Thank you for your interest in my profile. I work with clients who need support, a clearer understanding of themselves and their environment, and are ready for change. Clients struggling with depression, anxiety, self-esteem, PTSD, grief, schizophrenia, bipolar, and personality disorders, as well as relationships, career support, aging, and other daily life issues are great candidates for therapy with me. I see individual clients of any age (however under the age of 16, parent/caregiver collaboration is required), families, and couples. I offer a kind, supportive approach, with plenty structure and self-empowerment.
See more therapy options for District of Columbia
Alzheimer's Therapists
What are the first-line treatment options for Alzheimer’s disease?
The first-line treatment for Alzheimer’s disease is often medication, which may be prescribed based on the severity of the disease. These include cholinesterase inhibitors, memantine, or a combination of the two. Behavioral treatments can help people cope with emotional distress, such as anxiety or anger, and explore lifestyle changes related to housing, caregiving, sleep, and finances.
When to seek treatment for Alzheimer’s?
It’s best to seek treatment at the first signs of dementia. Early warning signs of Alzheimer’s include memory problems, such as forgetting appointments or directions, as well as trouble concentrating, paying attention, retrieving words, and carrying out daily household tasks. An early diagnosis can help people slow the progression of the disease with treatment and plan for the future in terms of housing, support, finances, and legality.
Are there specific medications to treat Alzheimer’s?
Medications approved by the FDA to manage symptoms of Alzheimer’s include galantamine, rivastigmine, and donepezil for mild to moderate Alzheimer’s, and memantine, donepezil, and the rivastigmine patch for moderate to severe Alzheimer’s. These drugs can help manage the disease, but no drug currently cures the disease. Medications recently approved by the FDA, such aducanumab and lecanemab may slow the disease course, but aspects of their effectiveness are still debated.
Are there natural treatments for Alzheimer’s?
Alzheimer’s disease cannot be cured via natural remedies (nor via medication), but some lifestyle habits can help forestall it or slow its progression. Lifestyle activities that can help prevent Alzheimer’s disease include regular exercise, a healthy, well-rounded diet, stimulating cognitive activity, time spent socializing, adequate sleep, and stress management as needed.