Get your boat ready …

In practice this means comprehensive diagnostics. Pre-existing conditions and a variety of other possible causes must be recorded in order to assess the possible impact on your current difficulties. Basic diagnostics usually require an imaging procedure, specific laboratory diagnostics, or even an examination in another medical field. In this case, you will be referred to cooperating specialists and clinics. Only then do we draw up a summary of your state of health and talk about possibilities of psychotherapeutic or psychiatric treatment.

There are various types of psychotherapy. A crisis intervention comprises a few hours to deal with an acute problem. Short-term therapy focuses on dealing with a specific problem in a limited number of hours. Depth-psychologically oriented psychotherapy belongs to the group of long-term therapies. In addition to current significant difficulties, the focus is also on individual personality traits which, in conjunction with inadequate coping strategies, mean that difficulties have so far not been independently solvable. In the case of serious or chronic illnesses, more extensive long-term therapies are available in the form of modified analytical treatment or “classical” psychoanalysis. The recommended procedure depends on the indications, scientific guidelines, and individual preferences. This includes a referral for behavioral, systemic, or group therapy.

Assistance in coping with physical illnesses, counseling for relatives and families, couples therapy, supervision, and professional coaching round out the therapeutic offer. I am authorized to conduct advanced training in depth-psychological psychotherapy over a period of two years.

Constantly updated scientific guidelines generally recommend a combination of psychotherapy and drug treatment for more serious illnesses. This can shorten the period of acute mental suffering, help the person regain mental stability as quickly as possible, and intensify the effect of psychotherapy.

Es)Ketamine is a well-established medication that has been in use for more than 50 years, offering therapeutic benefits with minimal side effects for a wide variety of conditions. These include chronic pain disorders, migraines, polyneuropathies, post-traumatic stress disorder, unipolar and bipolar disorders, anxiety disorders, eating disorders, and addictions, among others. Recently, it has also proven effective in the treatment of long COVID.

In scientific guidelines for the treatment of severe depression, (Es)Ketamine ranks second alongside mood stabilizers such as aripiprazole, olanzapine, and quetiapine. Under certain conditions, the treatment cost is covered by statutory health insurance. This applies to emergencies as well as treatment-resistant depression. Should these conditions not apply, treatment can be carried out as so-called „off-label“ use, which simply means that the patient has to carry medication, infusion equipment and medical supervision costs themselves. Private insurance providers generally cover all costs.

A slow ketamine infusion over two to three hours can induce a psychedelic experience, which is medically supervised and can have psychotherapeutic value. In general, a person’s mental state begins to improve during the first infusion. When psychotherapy begins with the experience of the immediate effectiveness of a medication, the course is set for change.