When is therapy necessary?

The sight of a spider makes the woman cringe. Because in their apartment but little spiders to get lost, it has virtually no contact with them. Your work can you run good, and your everyday life is not affected. She is now neurotic? Probably. She needs a therapy? If you don’t feel encumbered: no.

Many people show any abnormalities. Determine whether you should seek treatment, are other things.

The popularly still used the term neurosis is among experts now controversial. Earlier psychiatrists between neuroses and psychoses are distinguished.

  • As a neuroses, a whole range of behavioural problems in connection with the early child were referred to community conflicts.
  • In contrast, the psychoses, serious mental disorders, among which about delusions or manias.

Among psychiatrists, both terms have been replaced now, says Isabella Heuser, chief of psychiatry at the Berlin Charité. Today, they speak of mental disorders. Not everyone needs to be treated with a disorder.

About the therapy the doctor and the Patient decide together

“About 30 percent of the people do not meet any Diagnostic criteria of a mental disorder, for a long time but all need treatment,” says Henning Schauenburg, psychosomatic specialist and psychoanalyst at the University hospital in Heidelberg. At the same time there are symptoms, for which the common criteria are difficult to, the burden on the patient and daily limit.

It is the suffering is, therefore, pressure is involved, at least, whether the therapy should be. “Who does not suffer from its problems, will go hardly in treatment. And also good without,” says Heuser. Without diagnostic criteria, it doesn’t work anyway. There has to be a kind of set of rules to determine what is to be regarded as not normal. Only this allows for a treatment financing by health insurance companies.

Whether a therapy is out of the question, decisions are ultimately made by the doctor or therapist and Patient together. Professional advice should, who can no longer cope with his everyday life or to significantly impair feels. When more relationships fail, friendships only remain at a superficial level and in the Job, great difficulties arise.

Anyone who feels emotionally charged, can consult as a first point of contact to the family doctor or a psychotherapist or a specialist in psychiatry or psychosomatics attention.

Sensitive is not the same as sick

That someone is a bit sensitive – emotionally unstable, as they say in the jargon – must, however, be a bad sign. Psychologists associate this personality trait called Neuroticism. “The Neuroticism indicates how sensitive people react to Stress,” explains Eva Asselmann, a Postdoc at the Institute for psychology at the Humboldt-University in Berlin. “You are on the scale far above, sensitive: nervous, irritable and anxious,” says the psychologist.

This is associated both with an increased risk for depression and anxiety disorders. It does not mean, however, that one gets necessarily a mental disorder. “Also, who is close to the top of the scale, can be healthy,” says Asselmann. A high value might even be of advantage, added Heuser. These people have usually also strong social skills such as empathy.

To prevent that from sensitivity, but the Problem is, it is important to create a good environment. “What keeps us stable, we know all,” says castle: “A fill at the end of employment, a sustainable partnership and good friends.” The really difficult question is: “How do I get there?” A universal answer to it.