Loans in Granada

Related image

To apply for quick loans from Granada or fast loans in Granada, you just have to enter the corresponding categories from this website, since you can request them from home, without having to leave.

Asking a quick credit, online is very simple, but it is possible that like any person, you are interested or interested in looking for other alternatives to online credits, so below, we will tell you some of the options you have to be able to borrow fast in Granada.

Search for private lenders in Granada .

Search for private lenders, it’s easy if you’re in a place with as much population as Granada, to find private lenders you only need to look at the business section of the newspaper or the business section of the ad portals.

Search for financial quick loans in Granada .

Financial and private lenders, work in a similar way, however, some financial can bring much more confidence, as some are very serious, have more staff and have a reputation to defend.

CgCreditGranada : it is a company that offers solutions for individuals and for companies, in Granada and also in other parts of Andalusia. Besides having financing services they also have a real estate service. Where is CG Credit Granada? The address is: Avenida Blas de Otero, 25. Maracena.

To find financial companies in Granada , it is only necessary to look in the yellow pages or through the list of companies provided by Google Maps, where you can find the exact location of the office and the contact information.

Go to the banks of Granada and compare quick credits .

The solutions offered by the big banks should not be ruled out, although you can be on a list of defaulters or on the Asnef list , if it is a small amount, you may be able to give a loan or a card with which be able to ask for money in advance.

To treat depression: new therapeutic ways?

Image result for depressed

In many cities, FondaMental researchers have been studying the biological factors of chronic depression, which is one of the most common psychiatric illnesses. The results of this work, published in the scientific journal Nature Medecine on May 7, 2018, represent an unprecedented step forward concerning the 30% of depressive people who are resistant to existing antidepressants.

A biological marker spotted

The study highlights a protein, Elk-1, as a “prognostic marker of depressions resistant to conventional treatments” and as “target of new therapeutic strategies,” explain the authors of the study in a statement. “Regulating the expression of many genes directly within the cell” , this protein plays an important role in modifying emotions and behavior. In France, more than two million people are affected by depression each year. “Although the pathology is treated well in the vast majority of cases, therapeutic strategies remain ineffective for one in three patients, causing risks of relapses and severe complications , ” the researchers continue. The identification of new therapeutic strategies is therefore a key issue for patients with chronic depression who do not see improvement in standard treatments.

Meticulous research

Concretely, this discovery results from a collaboration between clinical and fundamental research teams of the Institute of Biology Paris-Seine (IBPS) (CNRS-Inserm-Sorbonne University), Public Assistance Hospitals of Marseille, the Timone Neuroscience Institute (Aix-Marseille University / CNRS), Douglas Mental Health University Institute (McGill University) and Paris-Descartes University. The originality of the study and the reliability of the results obtained are also due to the methodology used, “which combines three successive approaches: clinical studies, post-mortem brain tissue analyzes and animal models , ” the statement said. Two independent clinical studies were conducted initially in Montreal and Marseille. In patients suffering from depression, they measured, over time (two samples over 8 weeks), the presence of Elk-1 marker in the blood. Identical results, associating poor prognosis with high Elk-1 levels, were found in both studies.

A new treatment under study

Why are these results important? “Beyond the identification of a biological marker implicated in depression, this work has tested, at a preclinical stage, the efficacy of a new patented treatment” , announces the Foundation.

Understanding, recognizing and treating depression

Image result for depression

More than four million people in Germany suffer from depression. Yet often neither sufferers and relatives nor employers know what to do in case of illness. Depression is easy to treat. Prof. Dr. Hegerl of the Foundation German Depression Aid shows how an optimal treatment of the disease would look like.

The prevalence of depressive illness in Germany is about five percent. It is all the more astonishing that there are still many prejudices and stigmata about the disease . According to Prof. dr. Ulrich Hegerl, the chairman of the Deutsche Depression Aid Foundation, sometimes believes that depression is often downplayed in the population. This is reflected, for example, in private life. It is much easier for sufferers, friends and family to recognize diseases that have clear symptoms, such as fatigue and depression as depression.

Hegerl wants to fight the stigma with education through counseling services and is committed to recognize depression as a real disease and to name it. At the Research Center for Depression in Leipzig, he is also researching new therapeutic approaches to develop improved and individualized therapies . With finanzen.de Prof. Hegerl has now talked about his work.

Depression: more than stress, overwork and grief

A big problem Recognizing depression as a disease lies in the symptoms that many people know about their everyday lives in a weakened form . These include exhaustion, sadness, stress and listlessness . However, when stress and overwork lead to a longer break from working life, it is often referred to as “burnout” – ie being burnt out – rather than depression, Hegerl said.

“A large proportion of these people are suffering defacto from a depressive illness . This mix of stress, burnout and depression leads to a trivialization of depression. Stress, occasional stress or grief are part of the often bitter and difficult life and do not need medical treatment. Depression, on the other hand, is a serious, often life-threatening disease that is very different from the feeling of fatigue that every person sometimes knows every morning before getting up and after a long day at work. “

“The trivialization of depression intensifies the incomprehension of depressed patients. The best way to get the most out of depression is to call depression depression.”

How should sufferers and relatives react to depression?

Those who suffer from depression themselves can often no longer care about professional help because they are too hopeless and exhausted or blame themselves or fear the stigma, Hegerl said. In such situations relatives should intervene . But before they make a diagnosis, they must, according to Hegerl well informed about the disease. “If you do not know what depression is, you may misinterpret behaviors. People suffering from depression see reality as though wearing black glasses . They perceive negative things magnified or retire from their partners. “

Helping relatives is so important because even doctors often overlook depression . This happens, for example, when affected persons report only on the physical symptoms . In addition “there is a tendency to underestimate the severity of depressive illnesses or to regard them as a comprehensible reaction to difficult living conditions rather than as independent illnesses. Since effective treatments are available with antidepressants and psychotherapy , this is an unacceptable condition. “

Information helps to understand and recognize depression

Books on the subject, the Germany-wide information phone (0800 3344533) or websites such as www.deutsche-depressionshilfe.de can help to better understand the disease and its course. Relatives can also share their experiences in the foundation’s online discussion forum.

“Depression is a disease and can be treated well”

In his fight for the social recognition of depression Hegerl is also concerned with a suitable treatment. According to Hegerl, this standard consists of two components: drug treatment with antidepressants and psychotherapy . Since antidepressants do not make them dependent, but normalize functional processes in the brain, they can bring the depressive phase to subside and significantly reduce the risk of relapses. “They make sure that you can be yourself again. Psychotherapy can be useful for the acute treatment of mild to moderate depression and also reduce the risk of relapse . The best efficacy records are available for the so-called cognitive behavioral therapy. For example, this is about avoiding self-excessive demands or negative mindsets. Often it makes sense to combine medication and psychotherapy . “

New Research Center Depression: Sleep deprivation as a therapy

In addition to treatment with drugs and psychotherapy Hegerl researches in the 2014 opened research center in Leipzig therapeutic approaches for depression . One approach is sleep reduction . More than 60 percent of patients with depression feel that their mood suddenly lightens after a night of sleep early in the morning. In order to be able to maintain sleep deprivation independently at home, Hegerl is currently developing a new app called “GetUp!” . It helps sufferers to document the relationship between sleep duration and mood and possibly to perform a slight sleep reduction outside the clinic.

Virtual humans to diagnose depression

At a time when everyone is consulting their smartphone for any medical question, where it is possible to download health applications, to monitor the quality of their sleep … Recent studies have shown that Apple’s Siri type of conversation agents or Google now , respond poorly to questions about illness or psychic suffering. If these agents can provide information on the weather or a precise location, health issues lead to limited responses that do not meet the expectations of patients in default. Another problem is the weak empathic power of vocal agents lacking physical interactions (facial emotions, etc.).

More empathic interactions

Researchers at the Sanpsy laboratory (Sleep – Addiction – Neuropsychiatry, CNRS unit and University of Bordeaux) have therefore decided to develop new digital tools based on medical scenarios mimicking a clinical interview with empathic interactions. They created the first virtual animated or human conversational agent capable of conducting a smart interactive interview to diagnose depressive disorders. This interview between a virtual human and a patient is built from a validated medical reference (DSM-5), enriched by turns of sentences and body and facial gestures that strengthen the patient’s engagement in the interaction.

The virtual human well tolerated

This study, conducted on 179 patients and published in March 2017 in Nature’s open-source journal , Scientific Reports, was used to test the diagnostic performance for the characterized depressive disorder. The experience was based on the animated conversational agent’s identification of specific symptoms (described in DSM 5) in out-patient patients. The results indicated that the diagnostic capacity of this tool increased with the level of severity of depressive symptoms. Second interesting result: the good acceptability by patients of this conversational agent similar to a virtual human female named “Julia”. The researchers were able to show that these tools are working and that they are promising to conduct standardized clinical interviews in support of consultations provided by doctors and carers.

Towards a digital hospital

The challenge is not to replace the doctor, but to assist the doctor to more quickly diagnose unidentified patients as depressed and possibly, in the future, provide quality medical care at the patient’s home. This research is part of a digital hospital idea that will ensure a continuum of care of hospital services to the home of patients to increase the autonomy of the latter.

Why executives dive into a relative depression

44% of them believe that the standard of living will deteriorate in France within a year. A pessimism that is nevertheless less important than that of other socio-professional categories who think 63% that their purchasing power will deteriorate further. Same gap with regard to unemployment prospects. It will increase according to 40% of the decision-makers and 56% of the other assets.

A stalled financial situation

But it is by examining the personal situation of the two categories that we perceive the greatest gap between the frames and the others. When asked whether their financial situation will improve in the next few months, 45% believe that it will remain stable, while the “general public” – as it is called in the study – thinks 57% that it will degrade.

Professional opportunities: white-collar workers do not believe it

As we can see from this survey, the morale of the lower ranks is more related to a global situation than personal. Yet there is one point in the Viavoice study that goes against all the numbers, all the other surveys and all the analyzes of HR professionals. Low unemployment in their category? Recruitment difficulties? Functions in shortage of candidates? They do not believe in it, or do not feel concerned. 75% believe that opportunities to advance their careers in the coming months are low.

An impressive figure, barely less important than the 76% of other categories who think that their future will not be brighter than their present. Result of professional depression all-out: it largely affects the motivation of employees at work. 49% of decision makers believe that their employees are not.

A depression to relativize

Demotivation, depressed: autumn succeeds summer. However, it is necessary to relativize the moods of the frames. Their morale is certainly lower than in the two previous barometers of July and May. But this index of satisfaction of their professional and personal life is at the same level as that of 2004. Meanwhile, there was the financial crisis and its consequences that have plunged this morale deep down. Much lower than it is today.

* Barometer conducted online from 7 to 9 November 2018 according to the quota method (sex, age, public sector or private sector), with a sample of 400 decision-makers, representative of the executive population living in metropolitan France; and a public sample of 1,000 people representative of the population aged 18 and over residing in metropolitan France according to the quota method (sex, age, occupation of interviewee, region and category of agglomeration).

Top 10: Tips to overcome post-holiday depression

Holy Week is over. With Resurrection Sunday we say goodbye to the days of rest, and we return to the routine, to the work day, to the early mornings and the stress of the day to day. Post holiday stress affects us all and it is very likely that these days.you feel weak and low spirits, that your work performance decreases and that your level of concentration is much lower.

  1. Leisure plans with friends

Making fun plans when leaving work is the simplest and most effective way to maintain the energy and happiness of the holidays. On the one hand, you will keep your free time occupied and will not give you time to think about fatigue, stress, work issues and on the other you can have fun with your friends, develop social skills, maintain friendships or even discuss your work problems with a friend while you drink something on a terrace. Take advantage of the good weather is already coming! When your working day is over … Do not stay at home! Go out for a drink with your best friends, go to the movies to watch a good movie and eat popcorn or have dinner at a good restaurant. There are a thousand plans you can do!

  1. Extra activities (exercise, languages, courses …)

The best way to keep your mind busy to avoid thinking about the negative and forgetting work stress is to do more activities. But try to carry out activities that keep you active but at the same time have fun, if these activities overwhelm you will only increase your stress. Another valid option is the training courses or languages. You will cultivate the mind, learn new things and improve your concentration.

  1. Make a list of daily work

The best thing to not get overwhelmed when returning from vacations is to have everything organized. Make lists of daily activities. At work you can use post-it or notes on the computer or on your mobile phone. The important thing is that you put the most urgent at the beginning of the list and that at the end of the day you have eliminated at least two of those activities. When contemplating the phrase crossed out you will feel much better.

Image result for music and movies

  1. Listen to music and watch movies at home.

Leisure is very important these days. Although you have returned from vacation and it seems that nothing shines the same and everything has lost its color … the fun continues to exist and leisure is the best way to get there. Listen to music constantly, even if you do not feel like it. The melodies should be cheerful, no ballads or sad songs. And, if one day you do not have a plan, go watch a movie at home. Movies, series … any story that can keep your mind clear and entertained for at least an hour and a half. Thus time will fly by and the weekend will arrive sooner than expected!

  1. Sleep more than usual.

The hours of sleep are very important. If you arrive at your workplace with sleep, the day will cost you up and everything will cost twice as much. You will lose the capacity for concentration and desire to advance in your work. Respect the recommended 8 hours of sleep and, if not possible, at least not late nights. Oblígate to sleep at least 6 hours and avoid naps, then at night it will be more difficult to get to sleep and your work performance will decrease.

  1. Avoid chopping between hours

It is common that in times of stress we turn to food. The same thing happens with depression. Chopping between hours is not only not good for our organism but can also be detrimental to our work performance. The ingestion of food causes heaviness in our stomach and swelling and this makes us feel heavier and tired, less eager to work and more sleepy.

  1. Make some weekend trip

To combat post-holiday stress, there’s nothing better than going on a trip again. Plan a new trip for the weekend following the return of Easter holidays. If you do not unpack your suitcase you will save this step! The change of scene is very good, since it helps to clear our mind and return to coexisting with relaxation and rest outside the home. Take a look at weekend travel deals and do not think twice. Go back to escape to escape the routine.

Image result for weekend trip

  1. Go shopping

Another very interesting option that can be very entertaining and rewarding is to go shopping. Any excuse is good to approach a department store and spend the money you earn working. Many times we work too much and then we do not have time to give us those whims that make us so happy. What are you waiting for? Stay with your friends or go with the family. Shopping is much more fun in company!

  1. Go back to the daily routine calmly

You have to keep in mind that Rome was not built in a day. And, for that, you should take the return to work as calmly as possible. If you are still on vacation and it is possible to return before, do it. This will benefit your work adaptation, you will have time to be at home and rest a few days before joining your job. And, later, when you have reincorporated, try to go little by little. Encourage friendship with your co-workers and if possible, delegate some activity to them. Serves only urgent mail for a while and spends a few days to make schemes, to have a higher productivity days later.

  1. Have positive energy

Positive energy is very important. If you manage to maintain the positive energy of the holidays, the return to work will be a piece of cake for you. It is demonstrated that energy is a very important aspect in the life of the human being. If the situations are faced with positivity and encouragement, the solutions will arrive sooner than expected. Try to keep your mind and body in activity. Keep good thoughts and eliminate bad ones. Think about the activities you will do after leaving work and consider yourself fortunate to have a job in these times. Everything can be looked at from the positive side. Think that you have been able to enjoy a few days of vacations and that soon the following ones will arrive.

Williams and Beuren Syndrome – Mental Disability

Image result for Williams and Beuren Syndrome

What is it?

It is a genetic disease caused by the loss of 28 genes on one of the two chromosomes 7. It is a genetic accident, non-hereditary. Parents are not at the origin of this anomaly which is present from birth and reaches as many girls as boys. Its incidence is reported to be one in 7500. Williams syndrome was first described in 1961. Since 1991, its diagnosis has been confirmed by chromosome analysis (FISH test).

SYMPTOMS

The symptoms of this disease are numerous and vary in intensity from one patient to another. Most do not have all the symptoms, which makes diagnosis more difficult. There are cases of people who have discovered their disease in old age.
The main symptoms are:
– A cardiac malformation, moderate to very serious
– Infant hypercalcemia
– Mild to moderate mental retardation
– Common physical characteristics (modification of facial features) and behavioral characteristics
– A delay in psychomotor and language development
– Difficulties of reference in time and space
– Hypersensitivity to noise
– Difficulties to feed, to sleep.

People with this syndrome have a hypersociable type of behavior, easily going to others. They have a hypersensitivity to noise and music, great language skills, and good auditory memory.

origin

Microdeletion (loss of a chromosome fragment less than 4 million base pairs) from one area of ‚Äč‚Äčchromosome 7 is the leading cause of Williams and Beuren syndrome (95% of cases).

Treatment and follow-up

At present, no treatment can cure him. On the other hand, many specialists are familiar with this syndrome and accompany people with it, especially young children, with practices that promote learning.
As this syndrome is a rare genetic disorder characterized, in particular, by an anomaly of development, the educational care of affected children must be done in a multidisciplinary framework involving pediatrician, orthodontist, psychomotor, speech therapist and psychologist. A child well accompanied in his various learning, supported by educational and medical teams as well as by the family, has every chance of becoming an adult capable of assuming a job and an independent life.

Psychodon: breaking taboos on psychic handicap

This is a first in France: the Psychodon! This event will take place on June 12, 2018 in Paris. His ambition? Fight taboos around psychic illness and disability and highlight the daily lives of those living with these disorders. It is estimated that between 10 and 12 million people are affected in France!

The last taboo?

This evening is organized on the initiative of Didier Meillerand (photo opposite), at the same time president of the association Psychodon, economic journalist and author of the book The wooden pear, to grow up with a schizophrenic brother . “Disease poorly known to the general public, a source of fantasy, when it is treated and that, in most cases, we can live with if it is detected early and well supported,” written in the preface of this book Philippe D’Ornano, CEO of Sisley, whose sister, Laetitia, was “swept away” by schizophrenia. Could this be “the last taboo in France?” Asks Didier Meillerand. So, let’s talk about it! For our loved ones who are suffering, for us the caregivers ” . He is calling for a “great cause of national health” as early as 2018.

With the support of the President of the Republic

A glimmer of interest from the government? This evening is indeed placed under the high patronage of Emmanuel Macron. It will be punctuated by many interventions, including associative leaders involved in the field of psychic disability but also business leaders. In particular, Philippe D’Ornano (Sisley), Stéphane Roussel (Vivendi) and Benoît Miribel (President of the French Center for Funds and Foundations) … To “rise to the challenge of psychic illness” , his organizers opted for a festive spirit. It is the singer Olivia Ruiz, godmother of the event, who will perform on stage. Other personalities (Faustine, Artmengo or Monsieur Lune) will be present around the humorist Didier Gustin, the loyal Mr. of this evening.

Gather donations

But in Psychodon there is also “gift”; one of the major challenges will be fundraising to finance four very concrete objectives: support projects for the accommodation of people with psychic disabilities, create workshops for those affected by these disorders to animate their places of life, increase respite times for caregivers and promote innovative research that offers pragmatic solutions. This call “aims to bring together sponsors and associations, health professionals and business leaders, as well as project leaders who act on the territories and innovate by giving them the financial means to act as actors on the ground” , explain organizers.

Hashtag # psychodon2018

This first edition will benefit from a relay set up by AssoConnect, a digital platform that supports more than 2,000 associations, including the management of ticketing and the management of a dedicated website. On Twitter, the hashtag # psychodon2018 will allow everyone to take part in this collective challenge. The Psychodon opens its doors on June 12 at 8:30 pm at the Théâtre de l’oeuvre (Paris 9th). Participation is free upon registration (link below). Like other diseases that have their “day”, this initiative promises to be renewed every year. See you every 12th of June?

Psychodon: Olympia in the colors of mental health

“Psychodon, living with a psychic illness ” in red letters on the mythical facade of Olympia, it is the crazy bet that Didier Meillerand, journalist and president of the association of the same name, has launched. On June 12, 2019, many artists will give voice to fight against the taboos around illness and psychic disability. Several names have been unveiled exclusively: Olivia Ruiz, Yannick Noah, Pascal Légitimus … A great evening that promises to be more ” spectacular ” than the previous one.

A second ” spectacular ” edition

On June 12, 2018, the 1st Psychodon was sold out at the Théâtre de l’oeuvre (Paris 9th); so for this second edition, you had to hit hard and see even bigger. Didier Meillerand makes a phone call to his partner, Stéphane Roussel, a member of the executive board of the Vivendi group and shares his ambitions. That’s good, Vivendi owns the Olympia! This evening will be punctuated by testimonials from business leaders, presidents of associations involved in the field of psychic disability and especially those concerned. In order not to miss anything, the concert will be broadcast on the local channels of France Televisions. A golden opportunity for Didier Meillerand who wants to install mental illness in the French audiovisual landscape. The event being placed under the high patronage of the President of the Republic, its organizers hope the presence of Brigitte Macron.

The last taboo

The idea? Make Psychodon a ” unifying brand like the Telethon and Sidaction “. ” This cause needs a strong initiative to overcome stigma .” This fight, he thinks he can win because the Sidaction has already led before him. Thirty years ago, the taboos around AIDS were overwhelming, ” people would die in silence because they were ashamed ” but, as the association progressed, ” through a miraculous path “, to sensitize the general public. ” Psychic disability, one of the last taboos, needs a standard-bearer, ” says Didier Meillerand. Its new challenge: make mental health a ” great national cause in 2020 “, after a first vain attempt in 2018 (article in link below). This battle is particularly close to his heart because he grew up with a schizophrenic brother. His book The Wooden Pear recounts the story of a family, his own, who lives to the rhythm of ” delirious puffs ” and stays in the psychiatric hospital of the eldest son. Morality: ” Dare to talk about it ! “.

Psychic disability in employment

On November 27, 2018, a conference-debate on the employment of people with a psychic disability was organized on the initiative of the Psychodon in the premises of the Vivendi group, in the presence of Messidor , Clubhouse France, Handicap International … All are unanimous: ” We must break these taboos because psychic disorders are still scary . For Stéphane Roussel, ” diversity is a wealth, not a handicap. Hiring psychic disabled people should not be a societal endeavor but a desire to diversify their talents . Xavier Ducrest, France Director of Handicap International underlines the ” chance ” to be able to mobilize on this theme whereas, ” everywhere in the world, it is hidden and certainly not declared “. It also makes a clean sweep of stereotypes: ” People with intellectual disabilities are not necessarily violent; conversely, they are 2.5 times more likely to be abused . “

Work is health?

Olivier Callet, from the Paris Society for Mental Health Support , advocates ” working first “, a supported employment program. The objective: an intensive follow-up individualized by a ” job coach “, access to maintenance in employment in ordinary environment. Work is health ? Sophie Chrizen, author of The Strange Universe of the Schizophrenic is convinced: ” When I’m at work, I do not think about my illness, I focus on the tasks to be done. “. According to Olivier Callet, a job allows, in any case, to ” develop one’s own resources “. Business leaders who mobilize themselves are often personally concerned. But ” when you are passionate about the HR function (human resources), you can not ignore this audience, ” said Lucie Caubel, co-founder of Hello Disability, an online recruitment fair dedicated to disabled workers . The objective of the Psychodon – and the collection of donations as the name suggests – is to raise awareness of the general public to this ” major issue “, in a context where one in five assets presents a risk of developing mental disorders (Article link below).

Innovations in psychotherapy endanger therapy places in the long-term

Image result for psychotherapy

Depression, burnout or addictions – Mental problems like these are no longer uncommon. However, those seeking help with a psychotherapist often have to wait months for an appointment. To change this, numerous new regulations have been in effect since the beginning of April. But for the psychological psychotherapist, Andrea Benecke is not enough.

People with mental health problems should be helped faster in the future. Therefore, since 1 April 2017, psychotherapists must, inter alia, offer regular consultations and advise patients in an initial interview. In addition, further new regulations came into force, such as a simplified application procedure and the introduction of an acute treatment.

For Dr. Andrea Benecke of the LandesPsychotherapeutenKammer Rheinland-Pfalz is indeed a first step in the right direction. In an interview with finanzen.de, however, she explains that the innovations for long-term therapy should also bring disadvantages. In order to fundamentally improve the treatment as well as to avoid months of waiting time, in her opinion the obsolete needs planning for psychotherapy has finally to be adopted.

Miss Dr. Benecke, do the months of waiting for psychotherapeutic treatment for patients in your view put an end to these changes?

Dr. Andrea Benecke: First, one has to distinguish whether patients are waiting for an appointment for the psychotherapeutic consultation, ie the first contact with a psychotherapist, or for a long-term therapy place. As a result of the new obligatory consultation hours, patients will at least get an initial interview with a psychotherapist, sometimes even faster. In this context, they receive an assessment of their complaints or even a diagnosis, if one exists. Serious mental illnesses can be detected earlier.

Despite the quick feedback, however, it may be that those affected then wait months for a suitable therapy place. Because many practices are overcrowded and the office hours do not create more treatment capacity.

What do you think will change with the new guidelines for treating psychotherapists? Does the number of therapy places possibly go back because of the additional burden?

Dr. Andrea Benecke: From a purely mathematical point of view, I think, yes. For example, suppose a psychotherapist offers approximately 30 therapy sessions per week, treating 30 patients. Due to the new regulations, this psychotherapist now has to be available at least 100 minutes a week for the consultation. His original therapy time is reduced to around 28 hours. If he does not work more every week that he has done so far, in the long run, he will be able to treat fewer patients.

How could the care of patients be guaranteed and expanded in the long term?

Dr. Andrea Benecke: Basically, we need a different requirements planning. For the current planning is based more or less on data from the year 1999. At that time, simply the previously existing therapist seats were accepted as a requirement. That may have been reasonably plausible at the time. Now this bill is obsolete.

About 20 years ago, becoming a psychotherapist was a taboo for many people. Instead of seeking help, many sufferers have played down their complaints and hoped that they will pass. Thus, the need for treatment should already have been higher than assumed in the planning. Today, sufferers are much more likely to seek help, so the number of patients admitted is greater. From the “Study on adult health in Germany” of the Robert Koch Institute shows that the prevalence of mental illnesses has remained virtually the same. From the reports of the health insurance companies, however, it is known that more and more people visit a psychotherapist and take treatment.

In addition, the current distribution of committed cash register seats for psychotherapists still depends on where they worked in 1999. Thus, disproportionately many seats were created in larger cities, since there were hardly any therapists in the country. We at the LandesPsychotherapeutenKammer Rheinland-Pfalz have long been calling for planning instead to focus on morbidity. Most seats should be fixed where the actual need is greatest.

According to the Rhineland-Palatinate Association of Radiation Physicians (KVRLP), the number of psychotherapists in the state increased sharply from 2005 to 2015. Why do many patients still have massive problems getting an appointment?

Dr. Andrea Benecke: The results of the KVRLP refer to the number of psychotherapists, but not to the corresponding cash register seats. So there are now many colleagues who share a seat in pairs to reduce their own burden. For example, some do not want to work full time due to family planning or their age. Although there are more psychotherapists, the number of cash registers is not enough to meet the need for treatment.

So the psychotherapists are just badly distributed, as criticized, for example, the GKV-Spitzenverband?

Dr. Andrea Benecke: The GKV-Spitzenverband makes it a bit easy here. It is true that a certain distribution problem cannot be denied. However, this is not caused by the psychotherapists but is due to the established seats. If one of these cashier seats becomes free, psychotherapists can apply for it. In Rhineland-Palatinate, as in many other regions, however, only a re-occupation takes place. New seats do not arise.

Even if more psychotherapists are being redistributed to rural areas, there is still an imbalance. Because the need remains the same. Even in the cities, where currently many psychotherapists work, the practices are usually fully utilized. There is again a lack of therapy offers when a cash register seat is relocated.

The KVRLP also concludes that more than half of the psychotherapists in Rhineland-Palatinate are at least 55 years old. Is there a young talent problem here?

Dr. Andrea Benecke: Fortunately, we do not have any problem with junior psychotherapists. Despite the high demands, many young people are choosing this profession. However, a majority of them are waiting to be given a free seat after completing their training. The committed seats are usually filled with age. This means that young psychotherapists often cannot settle until an older colleague retires.

Thank you for the interview, Dr. med. Benecke.