Photo of Nicole Twaalfhoven, Counselor in Baltimore, MD
Nicole Twaalfhoven
Counselor, LCPC-S, NCC
Verified Verified
Baltimore, MD 21210  (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.
(240) 201-2371 View (240) 201-2371

Sleep or Insomnia Therapists

How effective is treatment for insomnia?

The most effective treatments for insomnia are behavioral techniques that reduce anxiety, including anxiety about falling asleep, and allow the body’s natural cycles to be recalibrated. The most common treatment is cognitive behavioral therapy for insomnia (CBT-I), which researchers have found to be more useful than medication, with rates of success as high as 80 percent.

Are there specific medications for sleep problems?

There are many medications, both over-the-counter and prescription that treat sleep problems. Supplements such as melatonin are popular and may help, though there is little evidence that it is more effective than a placebo. Prescription medications such as zolpidem are sometimes prescribed.

Are there natural treatments for sleep problems?

There are many natural treatments for everyday sleep problems. Reducing blue-light emitting screens, setting a regular bedtime, regular exercise, reducing caffeine and nicotine consumption, and keeping the bedroom dark and cool at night are all lifestyle changes that can help those who struggle with sleep but may not reach the level of an insomnia diagnosis.

What’s the difference between having trouble falling asleep and insomnia?

Life events, stress, and anxiety can lead to sleepless nights for everyone from time to time. To be diagnosed with insomnia, a patient must experience trouble falling asleep, trouble remaining asleep, waking up too early, or non-restorative sleep at least three nights per week for at least one month. Sleep problems affect one-third to one-half of the population, while chronic insomnia affects about 10 to 15 percent of people.