New Office Location!

Amy Hooper and Sara Rothleder's Office

Like many people, we have recently been in a transitional period. Our office has moved to a new location! Not only do have have more therapy rooms, but we also have recently hired another new therapist, Simone Bramble, to join our team. Now we can help even more people find balance and happiness in their lives! Please check out our website (www.HealingLLC.com) for more information about our practice, more pictures and stay tuned to our blog for more healthy living tips! Feel free to email me with any questions/comments to AnotherLook@HealingLLC.com.

Waiting Room

Lev Grotel and Simone Bramble's Office

12 Tips for Successful Sleep

Tips for better sleep - try out a few of these techniques and find out which ones work for you!

1. Turn off all electronics one hour before bedtime. This includes computer, TV’s and cell phones. The blue light from the LCD or laptop screen suppresses your body’s natural sleep chemical, Melatonin. Also, the action and engagement on the TV or computer makes your body’s daytime stress chemicals such as adrenaline spike making it difficult to sleep.
2. Establish a night time routine. The last 30-45 minutes before bed should be the same each night. Establishing a routine helps your body know what to expect when bedtime is approaching. This routine will cue your circadian, internal clock, to get ready for sleep.
3. Increase the amount of self-care and relaxation activities in your life. Make sure you are relaxing and taking care of yourself. That might be reading a good book, taking a warm bubble bath or doing some light stretching as you get ready for bed.
4. Exercise early in the day. Getting your heart rate up each day can help improve sleep at night. Try to avoid exercising a few hours before bed, and try to get your work out in the morning or early afternoon. Not only is exercise good for your mood because it boosts the feel good chemicals such as Seratonin, it also decreases stress. Exercising will help your body use its extra energy during the day so you don’t have to lie awake at night.
5. Avoid putting chemicals in your body, especially the chemicals that are stimulants or depressants. This includes alcohol, caffeine, nicotine and other drugs. You might think alcohol will help you sleep because it is a depressant, but while you might fall asleep faster, the quality of sleep is decreased as the alcohol metabolizes.
6. Create the perfect environment. Make sure the bedroom is dark at night, and let light in when morning comes. You may have to turn your alarm clock around so the lights are not facing you or block blinking lights by covering them. Use soft, comfortable sheets and maintain a temperature that is comfortable for you. Creating the proper environment will help you sleep better.
7. Eat, Drink and be sleepy! Be sure to eat small meals throughout the day, the last one a few hours before bed. Also remember to drink water throughout the day and into the evening, just not too much right before bed or you will wake up to use the bathroom.
8. Try some Deep Breathing. Taking even 10 long, deep breaks helps decrease your heart rate and blood pressure, helping to prepare your body for sleep.
9. Practice a Progressive Muscle Relaxation exercise, which incorporates Deep Breathing and working each of the muscles of your body then releasing the tension. You can find step by step guides online or check out the following youtube video: http://www.youtube.com/watch?v=HFwCKKa--18.
10. Stop pressuring yourself to go to sleep, focus on the process of relaxing and winding down, the sleep will come. If you push yourself too hard to sleep, for example saying to yourself, “I have to go to sleep in the next 10 minutes or I will be tired tomorrow” it is too much pressure and you will have more trouble sleeping. Try reframing your thought to “I am feeling good, relaxing and getting tired now, and I will fall asleep when it is time to sleep.”
11. If you still find yourself unable to sleep, talking to a counselor can help you alleviate the stressors and anxieties that contribute to your not sleeping. If you would like to set up an appointment with one of our therapists, call 240-274-5680 for more information.
12. Medication can help. If you have tried all these options and still can not sleep, medication can help. There are a range of medications, from more natural options such as Melatonin to prescription medications that can help you get the sleep you need to feel rested and awake during the day.

Try out a few of these techniques and find out which ones work for you!

If you are looking to connect with one of the therapists at our center, we have three wonderful counselors at our practice who specialize in different areas. If you want help individually or as a couple, if you are feeling overwhelmed, anxious or depressed and want support managing all of those feelings, and getting help figuring out what to do, call us today for a free consultation. You can call Amy directly at 240-274-5680 or by email at AnotherLook@HealingLLC.com and we can get you set up with a therapist who will be the best fit for you.

Trouble Sleeping?

Do you have trouble falling asleep or staying asleep? Do you often lie awake at night, thinking about and worrying about everything you have to do? If so, you are one of many people who has sleep troubles. Because sleep is so important to living a healthy life, we decided to devote the Winter edition of Healing Times to helping you get more sleep! Rest assured, there are many remedies to sleeplessness. The key is finding out which ones work for you.

In this blog, we will get down to basics and discuss the topic of sleep and in the next blog 12 solutions to your sleep problems. If you have a friend or family member who you think could benefit from learning about getting better sleep, please feel free to forward this newsletter to them.

We hope the information in this blog will help empower you to have the courage to change what is not working for you and embrace what is. This will, in turn help you live your life in a more fulfilling and meaningful way.

Remember: "May sleep envelop you as a bed sheet floating gently down, tickling your skin and removing every worry. Reminding you to consider only this moment." -Jeb Dickerson

While sleeping, the body is able to reenergize and recuperate. In addition, sleep helps your immune system stay strong. When you are asleep, your brain can process the events and stressors of the day, leaving you less overwhelmed with life if you get the proper amount of sleep. On the other hand, getting too little sleep can cause irritability, and/or a diminished capacity to handle stress, which can in turn lead to both physical and emotional issues.

Stayed tuned for 12 Tips for Improved Sleep, posted in February! If you have any comments or suggestions for what you want to see in our next blog, please send them to AnotherLook@HealingLLC.com.

Take Good Care,
Amy L. Hooper
Director, Another Look at Healing, LLC

Quiz: How much do you know about sleep?

Quiz published by: NIH Medline Plus Summer 2007 Issue: Volume 2 Number 3 Pages 18 - 19. http://www.nlm.nih.gov

Use this brief, time-saving questionnaire to help determine how much you know about sleep and to learn a few new facts.

TRUE OR FALSE ?

_____1. Sleep is a time when your body and brain shut down for rest and relaxation.

_____2. If you regularly doze off unintentionally during the day, you may need more than just a good night's sleep.

_____3. If you snore loudly and persistently at night and are sleepy during the day, you may have a sleep disorder.

_____4. Opening the car window or turning the radio up will keep the drowsy driver awake.

_____5. Narcolepsy is a sleep disorder marked by "sleep attacks."

_____6. The primary cause of insomnia is worry.

_____7. One cause of not getting enough sleep is restless legs syndrome.

_____8. The body has a natural ability to adjust to different sleep schedules such as working different shifts or traveling through multiple time zones quickly.

_____9. People need less sleep as they grow older.

_____10. More people doze off at the wheel of a car in the early morning or midafternoon than in the evening.

Snooze You Can Use—
Sleep Quiz Answers

1. False is correct. Although it is a time when your body rests and restores its energy levels, sleep is an active state that affects both your physical and mental well being.

2. True is correct. Many people doze off unintentionally during the day despite getting their usual night of sleep. This could be a sign of a sleep disorder.

3. True is correct. Persistent loud snoring at night and daytime sleepiness are the main symptoms of a common and serious sleep disorder, sleep apnea. Another symptom is frequent long pauses in breathing during sleep, followed by choking and gasping for breath.

4. False is correct. Opening the car window or turning the radio up may arouse a drowsy driver briefly, but this won't keep that person alert behind the wheel. Even mild drowsiness is enough to reduce concentration and reaction time. The sleep-deprived driver may nod off for a couple of seconds at a time without even knowing it—enough time to kill himself or someone else.

5. True is correct. People with narcolepsy fall asleep uncontrollably—at any time of the day, in all types of situations—regardless of the amount or quality of sleep they've had the night before. Narcolepsy is characterized by these 'sleep attacks,' as well as by daytime sleepiness, episodes of muscle weakness or paralysis, and disrupted nighttime sleep.

6. False is correct. Insomnia has many different causes, including physical and mental conditions and stress. Insomnia is the perception that you don't get enough sleep because you can't fall asleep or stay asleep or get back to sleep once you've awakened during the night. It affects people of all ages, usually for just an occasional night or two, but sometimes for weeks, months, or even years.

7. True is correct. Restless legs syndrome (RLS) is a medical condition distinguished by tingling sensations in the legs—and sometimes the arms—while sitting or lying still, especially at bedtime. The person with RLS needs to constantly stretch or move the legs to try to relieve these uncomfortable or painful symptoms. As a result, he or she has difficulty falling asleep or staying asleep and usually feels extremely sleepy and unable to function fully during the day. Good sleep habits and medication can help the person with RLS.

8. False is correct. The human body's biological clock programs each person to feel sleepy during the nighttime hours and to be active during the daylight hours. So people who work the night shift and try to sleep during the day are constantly fighting their biological clocks. This puts them at risk of error and accident at work and of disturbed sleep. Sleeping during the day in a dark, quiet bedroom and getting exposure to sufficient bright light at the right time can help improve daytime alertness.

9. False is correct. As we get older, we don't need less sleep, but we often get less sleep. That's because our ability to sleep for long periods of time and to get into the deep restful stages of sleep decreases with age. Older people have more fragile sleep and are more easily disturbed by light, noise, and pain. They also may have medical conditions that contribute to sleep problems. Going to bed at the same time every night and getting up at the same time every morning, getting exposure to natural outdoor light during the day, and sleeping in a cool, dark, quiet place at night may help.

10. True is the correct answer. Our bodies are programmed by our biological clock to experience two natural periods of sleepiness during the 24-hour day, regardless of the amount of sleep we've had in the previous 24 hours. The primary period is between about midnight and 7:00 a.m. A second period of less intense sleepiness is in the midafternoon, between about 1:00 and 3:00. This means that we are more at risk of falling asleep at the wheel at these times than in the evening--especially if we haven't been getting enough sleep.

If you are looking to get some help with your sleeping or other issues but are not sure where to start, call us today for a free consultation. You can call Amy directly at 240-274-5680 or by email at AnotherLook@HealingLLC.com and we can get you set up with a therapist that will be the best fit for you.

What to do when the holidays suck.

This is a wonderful article posted by a fellow therapist about taking care of yourself this holiday season - it was too good not to pass along. So, if you ever find yourself less than jolly during the holiday season, read on...

It’s the most wonderful time of the year (insert holiday tunes here)… unless you have experienced loss, trauma, neglect, moved suddenly, lost a job, separated, or divorced, experienced physical illness, volatile behaviors of a family member, substance abusing behaviors of a loved one, or mental illness.

So what happens when you or your child experiences losses and changes beyond your control and the holiday season arrives? Everyone appears so jolly and excited, and your experiences have left you feeling like you want to curl up and hibernate through the holiday season.

Here are 7 ways to honor yourself and help your child transition through difficult times during the holidays:

1. Allow yourself to express your feelings- You may feel like you don’t want to be a downer at the holiday party when people ask you how you’re doing, so you put on a happy face and pretend everything is okay, and reply “I’m fine”. Yes, opening up your emotional floodgates at a party may not be the best way to communicate your feelings; however, you can honor yourself, and your feelings and let others know “it’s been a difficult time”. Model this behavior with your children, so they know that they don’t have to mask their feelings and pretend to be happy in order to make others feel okay.

2. Listen to yourself- Take time to hear and listen to what you need. That may mean saying no thank you to invitations and spending an evening at home reading a book. You may need to quite down the busyness in order to hear what you need. You can use the art making process to ask yourself what you need right now, and then allow yourself to express that through the art. Art making can help your child to become quite and connect with their inner voice so they can honor their needs too.

3. Find ways to honor your loss- Put together a photo album honoring memories, create a memory box, use glass paint and paint a glass candleholder in honor of your experiences. Take time to be with your feelings and help your child find ways to honor and express their grief and loss.

4. Create a new story- Grief and losses often involve letting go of how things used to be. Take the time to acknowledge and honor what was, and then look at how you choose to create a new story. Get creative with a blank journal or art paper and create images and words of what you are welcoming into your life.

5. Seek out support- Being alone in your pain often amplifies the feelings of being disconnected and unsupported. Find close friends, support groups, or a therapist to help you during difficult times. You will go through a period of “new normal” where things will never be as they were before; surrounding yourself with support will help you and your child navigate this transition.

6. Let go of other people’s stuff- When you are honest with your feelings or when problems arise in your home good intentioned family and friends may jump in to offer unsolicited advice or comments. Realize that their response is their stuff; perhaps they feel uncomfortable, or they want you to feel better, and move on, or they want to fix it. Thank them for their concern, and let them know what you need, “sometimes I just need talk things through, or someone to just listen, or I just need to express that I feel upset”. If they are unable to support you in the way you would like or continue to give unsolicited advice let them know how you feel and seek out support from those who will respect your process.

7. Be gentle with yourself- You may want to push through the pain or you may become overly critical of yourself and others. Model being kind with yourself and teach your children to be compassionate with their own feelings and behaviors, this will be a life-long gift you will share with your child.

If you want help getting through the holiday season, and are interested in finding out more information about talking to a counselor, contact us at AnotherLook@HealingLLC.com or by phone 240-274-5680.

Take Good Care,
Amy Hooper
Director, Another Look at Healing, Counseling and Wellness Center

Article By:
Dr. Laura Dessauer’s mission is to teach children, parents, and professionals creative ways to connect and communicate with respect and compassion, so children feel happier and more confident. As the founder of the Creativity Queen, LLC, Laura’s a Board Certified Creative Arts Therapist offering individual and family art therapy sessions and professional trainings. Visit www.thecreativityqueen.com to receive your free audio mini-course Secrets Your Kids Really Don’t Want You to Know: A Child Art Therapist Tells All (*except for the confidential stuff)
© 2011 Laura Dessauer, Creativity Queen LLC

Thanksgiving Tips – Food for Thought!

Each year, we look at why the holiday season is such a difficult time for many people. A few of the reasons we over viewed were: Family Time, including the in-laws, Traveling Issues, Long To Do Lists and of course Holiday Meals. In this blog, we will look more specifically into a few of these topics and discuss some specific steps to help relieve holiday stress.

“I always overeat during the holidays, how can I stop?"

1. Mindfulness! During the meal, be present and pay attention to yourself.
Are you filling your plate to the brim just because that’s what everyone else does? Are you drinking alcohol to “loosen up”, if so, identify what is making you feel uncomfortable and address it directly. Are you actually tasting each bite, or just the first few and then you slip into robotic eating mode? Do you eat to quickly to even give yourself time to feel full?

2. Treat Yourself! Allow yourself permission to feel good both before and after the meal. If you always end up feeling so stuffed it is painfully uncomfortable, or you feel guilty afterwards, treat yourself to the gift of feeling good. Know that you can eat a wonderful meal, and even have dessert without completely filling yourself until you want to pop! Take less food – you can always go back for seconds if you are still hungry. You earned the right to feel good.

3. Enjoy Nature! Take a Walk. After the meal, get the family together or a special relative to take a walk with. This will give you some time to talk, get some fresh air, use your muscles and energize.

4. Match Making! If you feel like eating cassarole, don’t eat salad and expect to feel satisfied. If you want a slice of pie, don’t restrict yourself from doing so or you could end up eating the whole pie 2 hours later! It helps to check in with yourself and your body to see what you are hungry for – does your body feel like it needs carbs, protein, sweets? If you eat what your body wants you to eat – make matches between what you want and what you have – then you are more likely to feel satisfied after each meal.

Have a wonderful Thanksgiving! Meanwhile, I would LOVE to hear your feedback! Send an email to AnotherLook@HealingLLC.com with any questions or comments, and let me know what helps you de-stress over the holiday season. All communication will remain confidential.

Thanks for checking in!
–Amy L. Hooper, LCSW-C, CEAP
Director, Another Look at Healing, LLC

Free Screening for Anxiety and Depression in Gaithersburg, MD! Sign Up Today

Do you ever worry that you have anxiety, or feel more depressed than the people around you? A Free Screening for Anxiety and Depression is available to you this week. Depression and anxiety affects many people around the world and often goes untreated. In a given year, depressive disorders affect approximately 18.8 million American adults or about 9.5% of the U.S. population age 18 and older. However, due to stigma and other factors, fewer than half of those suffering actually seek treatment.

To help fight the stigma around depression and help identify the problem, Another Look at Healing, LLC is conducting free National Depression Screening Days in October starting Thursday 10/6/2011. As part of the program, participants will have the opportunity to complete a brief, anonymous screenings for depression, bipolar disorder, generalized anxiety disorder, posttraumatic stress disorder and postpartum depression. Participants will be able to learn about the symptoms of depression, and how to help a friend or family member who may be at risk. Participants will also have the option of talking to a health care professional about any concerns they may have and they will receive multiple referrals to local treatment services.

Screenings will be offered from 9am to 8pm, Monday through Saturday, by appointment during the month of October in Gaithersburg, MD. For more information about the event or to set up an appointment, contact Amy L. Hooper at 240-274-5680 or AnotherLook@HealingLLC.com.