Clinic for Psychiatry and Psychotherapy - Nuremberg Hospital

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Senior Physician: Dr Günter Niklewski, MD
Phone: +49 911 398 3691

Nursing Service Management: Rita Meder
Phone: +49 911 398 3961

Range of services
	Stress induced disorders (burnout syndrome)
	Sleeping disorders
	Depression and anxiety
	Drug and alcohol addiction

Treating stress induced disorders (burnout syndrome)

Professional demands and the associated long-term burdens or excessive burdens can cause burnout syndrome or fatigue. The mental, psychic or physical strength then no longer recuperates during work breaks or leisure. Burnout has a major personal and social effect and is also of economic significance because of the possible long-term inability to work.

We help you to clarify inner and outer factors and to develop active strategies to prevent burnout.

Clarifying sleeping disorders

Scientific studies show that about 10% of the population suffer from major sleeping disorders in need of treatment. Nearly every organic illness can affect sleep, but one in five cases of sleeping disorder in need of treatment has no medical cause. People with sleeping disorders suffer greatly, and frequently become weary of their whole life, particularly because their environment is unable to understand.
As well as treating the sleeping restrictions, we also provide you with necessary basic knowledge about sleep, we teach you relaxation methods and other techniques for cognitive behaviour therapy.

Treatment of depression and anxiety

• 4 - 7% of the German population currently suffers from depression.
  This is expressed by a lack of joy, interest and energy.
  It is frequently accompanied by sleeping disorders, lack of appetite, withdrawal, tendency to brood and manifold physical ailments.
  Since 1998, our ward has developed a disorder-specific treatment concept which takes particular account of the needs of people suffering from depression.
  Our work is based on a bio/psycho/social approach to the disease. This means that consideration has to be given to many factors involved in the development of depression, i.e. the patient's life story, current life situation, accompanying physical illnesses and biological disposition.
• Whom does this service address?
  The specialised service addresses that group of patients suffering from depression primarily as a disease in its own right. It does not matter whether the depression is registered as being caused primarily by biological reasons, i.e. endogenous in the classical meaning, or psycho reactive reasons. Patients whose depression is an element of another condition, such as schizophrenic psychosis, Alzheimer's disease, addiction or personality disorders, usually need a different treatment concept. In ICD 10 the depression diagnoses that we treat include the chapter on affective disorders F3, and longer depressive reaction, F43.21. We treat patients aged 18 years and more, without any upper age limit.
• Our therapy aims to achieve the following:
  Patients are admitted for full in-patient treatment to relieve them of their daily stress by putting a distance between them and the situations that they cannot cope with any more.
  Reduction of the depressive symptoms
  Motivation and encouragement of the patient to play an active role in the therapy process
  Encouragement to actively challenge conflicts contributing to the disease
  Reflection on previous patterns of thought, action and relationships, insofar as these can be attributed a causal role in the depressive symptoms.
  Enhancing the patient's ability to deal with his illness
  Elaborating new prospects for those patients who have fallen victim to depression in a difficult threshold situation in their lives. Enhance the ability of family members to deal with the patient's illness
• What forms of therapy are available?
• By specialising in the treatment of depression, we are able to offer a wide range of suitable therapies. The range of treatment includes differentiated therapy with anti-depressants, behaviour therapy, group therapy, one-to-one therapy, patient seminars on depression, family member groups, ergotherapy, music therapy, art therapy, sociotherapy, a running group, a relaxation group and a communications group. We also offer other biological treatment methods, such as sleep restriction therapy, light therapy, adjusting the sleeping phases and repetitive transcranial magnetic stimulation.
  While in the first phase of treatment the focus is on relief, recuperation and acceptance of the illness's restrictions, as the symptoms improve attention is also give to gradual activation and trying out new forms of behaviour to counteract depression. The great advantage of therapy on a depression ward is that many depressive patients meet here and can help each other by providing mutual support and activation during the healing process.
• Our treatment team consists of male and female nursing staff, specialists in ergotherapy, music therapy and art therapy, social education workers, doctors and psychologists.

Detox treatment for drug or alcohol addiction.

The therapy team in the clinic for psychiatry and psychotherapy, consisting of psychologists, ergotherapists, music therapists and dance therapists is also available to the "medizinplus" wards.

We also work together on an excellent basis with various rehabilitation and convalescence clinics where patients can be referred to after their treatment in our hospital.