Sanatorium-Kilchberg DE EN Seite Drucken
  
 
Sanatorium Kilchberg

Special consultations/special offers

Sanatorium Kilchberg offers various special consultations in connection with its two outpatient clinics in Kilchberg and Horgen.

To register for a special consultation, please call our main desk at 044 716 42 75 (8:00 am – 5:00 pm). Outside of these hours, please contact our on-call physician at 044 716 42 42.

Special consultation depression
Medical condition

Depression is one of the most common psychological illnesses of all. One out of every five people suffers from depression at some point in their life.
Depression manifests itself in downcast moods, sadness, feelings of inner emptiness and the inability to be happy about things that used to be meaningful. Due to a diminished drive and marked lack of energy, many people affected with this condition withdraw and struggle to manage their everyday life. People who suffer from depression complain about problems falling or staying asleep and quickly become exhausted during the day. This can impair their concentration and performance at work. At the same time they experience a tendency to brood. Depressed people worry excessively about the future and their own health. They feel inferior and helpless and often experience feelings of guilt. Some people even have thoughts of hopelessness and become tired of life. In terms of physical effects, an increase in headaches and back pain is reported as well as lack of appetite and weight loss, or the exact opposite, ravenous hunger.

The course of depression varies. It can be mild, moderate or severe. In many instances, there is only a single episode. Some patients experience recurring bouts of depression, either in the form of unipolar depression, which is characterised by repeated occurrence of depression, or in the form of bipolar depression, during the course of which both depression and mania are experienced. Delusional depression is complicated by psychotic symptoms, for example by the irrational fear of becoming poor or of having committed a sin. Winter depression is a seasonal disorder that is linked with a decrease in sunlight during the winter months. Pregnant women can develop depression during their pregnancy as a result of the adjustments that are necessary in this period of their life. Around 10% to 15% of women experience postpartum depression after giving birth.

The causes of depression are multifaceted. It is presumably triggered by a combination of biological, social and psychological factors. The illness can occur at any age but is most prevalent during late adolescence or early adulthood/the second half of life. Bipolar depression usually begins during early adulthood.
 
Treatment options at Sanatorium Kilchberg
At Sanatorium Kilchberg treatment of depression is based on an individualised therapy plan that includes modern psychotherapeutic procedures and biological methods. Specialised therapies are used as well. Depending on the individual patient’s situation, the treatment can be carried out on an outpatient, semi-residential or residential basis.

Our psychotherapeutic methods, which are based on cognitive behavioural therapy, focus on encouraging patients to engage in positive activities, improving their daily routine and teaching them skills for coping with negative feelings, thoughts, outlooks and expectations. We want to create an environment of self-care in which patients actively use their own resources again and are given assistance when it comes to resolving and processing internal and external conflicts. Depending on the individual case, the following options are available:
Our biological treatment methods include the use of appropriate medication in the form of modern antidepressants based on the latest scientific findings. Should the desired effect not be achieved, a combination treatment – for example, with mood-stabilising medication – may be considered. We make sure that effectiveness and tolerance are regularly checked.

 The biological treatment methods include
  • Treatment with specific medication
  • Infusion treatments with antidepressants
  • Sleep restriction therapy
  • Light therapy
  • In the case of treatment-resistant depression: electroconvulsive therapy

Special consultation offerings
  • Diagnosis
  • Counselling on appropriate psychotherapeutic and medicinal treatment options
  • Consulting work for registered general practitioners, psychiatrists and psychotherapists
  • Placement into appropriate treatment programmes at Sanatorium Kilchberg (inpatient, day care and outpatient) or at external facilities


Management for special consultation depression and contact persons

Dr. Christine Poppe
Senior Consultant for Psychotherapy and Outpatient Psychiatry
Telephone: 044 716 40 62
c.poppe@sanatorium-kilchberg.ch

Dr. Katja Cattapan
Senior Consultant for Private Units
Telephone: 044 716 42 42
k.cattapan@sanatorium-kilchberg.ch

Special consultation for chronic depression
Medical condition

In around one-third of all cases, a rate that is higher than previously thought, depressive disorders may assume a chronic course which then leads to marked psychosocial and work impairments as well as to higher demands on the healthcare system. Depressive disorders are often accompanied by further mental illnesses – especially anxiety disorders, alcohol and substance abuse, personality disorders and boredom with life.
A chronic depression means
  • a depression which lasts for a period of more than 2 years
  • recurring depressions which are not completely cured between the phases
  • a depressed general mood since adolescence and low energy and drive (dysthymia)
  • a lifelong general mood of depression, which is complicated by recurring phases of depressions (double depression)

Cognitive Behavioral Analysis System of Psychotherapy (CBASP)
Chronic depressions are treated in Sanatorium Kilchberg through drug therapy and psychotherapy. Use is made of the "Cognitive Behavioral Analysis System of Psychotherapy (CBASP)" which was developed by James McCullough in the United States of America. CBASP is an integrated psychotherapeutic model which combines learning theory and developmental psychology findings as well as cognitive behavioural therapy and interpersonal therapy techniques. It is assumed that with chronically depressed people, early traumatisation, experience of loss, or chronic neglect hinder the development of self-confidence and curiosity. Chronically depressed people develop avoidance strategies, an anxious lifestyle and consistently fail in coping with development tasks and psychosocial stress as a result of problematic thought patterns and social skill deficits.
CBASP is a specific psychotherapy aimed at changing interpersonal and situation-specific behaviour. With the help of situational analysis, patients learn the relationship between their own behavioural and thought patterns and the link to their consequences in real life, develop desirable alternatives and finally to try these out. The specific design of the therapeutic relationship acts as a support in all of this.
 
Treatment in Sanatorium Kilchberg
Patients who have a chronic depression receive an individually planned therapy programme in Sanatorium Kilchberg which is based on a medically guided drug therapy and an individual CBASP therapy given by an experienced psychological therapist. In addition, patients can avail of a specific CBASP group therapy offered by specially trained medical professionals in the unit the patients are cared for. Specialised therapies are also offered and supplement the treatment programme. Treatment can take place in an inpatient, day care or outpatient setting.
 
The following is available in the special consultations
  • Diagnostic work-up
  • Counselling on appropriate psychotherapy and psychopharmacology treatment options
  • Screening related to possible treatment using the Cognitive Behavioral Analysis System of Psychotherapy (CBASP)
  • Placement in appropriate treatment programmes at Sanatorium Kilchberg (inpatient, day care and outpatient) or at external facilities


Management special consultations for chronic depression

Dr. Christine Poppe
Senior Consultant for psychotherapy and outpatient psychiatry
Telephone 044 716 40 62
c.poppe@sanatorium-kilchberg.ch


Special consultation bipolar disorders
Medical condition

Bipolar affective disorders are medical conditions with specific causes, symptoms, progression and prognosis which, in respect of their treatment possibilities and treatment methods, clearly differ from unipolar depressions. Bipolar disorders are common illnesses which affect about 2% of the population.

In general, bipolar affective disorders can be recognized by depressive episodes, which typically are accompanied by subdued moods and a lack of drive but may also be characterized by hypomania or manic episodes in which mood and energy levels are elevated.

In the context of depressive episodes, the person affected often complains of:
  • Depressed moods
  • Loss of interest or enthusiasm
  • Increased levels of fatigue
  • Reduced concentration and attentiveness
  • Lower self-esteem and self-confidence 
  • Feelings of guilt and worthlessness
  • Fear of the future
  • Boredom with life and thoughts of suicide
  • Disturbed sleep patterns
  • Loss of appetite


Manic episodes are often accompanied by symptoms such as:

  • Inflated self-esteem or grand ideas/schemes
  • Elevated or irritated frame of mind
  • Less need for sleep
  • Increased need to talk
  • Flight of ideas
  • Distractibility
  • Exaggerated preoccupation with pleasurable activities


Hypomanic episodes are characterised by:

  • An elevated frame of mind, which is often infectious and thrilling for outsiders
  • Lack of a feeling of illness, rather a feeling that they are in a particularly successful, cheerful or positive phase of life
  • A person’s state during a hypomanic episode is clearly different from the individual's usual non-depressed mood
  • In milder forms, all symptoms typical of manic episodes may be present
  • Relatives and those close to the affected person may well be able to recognize hypomanic episodes and to motivate them to seek treatment


Due to the nature of the illness, bipolar disorders have a significant impact on the individual’s social situation and social environment. Just like in the context of depressive episodes, as well as in manic or hypomanic conditions, the individual’s behaviour is so changed that it can have a grave impact on their relationships, employment, financial situation, health care and many other areas.    

Treatment in Sanatorium Kilchberg
Bipolar disorders are chronic diseases. The chance of a spontaneous healing without medical and psychological treatment is extremely unlikely.
However, the prognosis within a specialised and individual treatment setting is favourable.
Following a biopsychosocial model of disease, treatment is primarily composed of three main pillars:

  • Biological: establishing a mood stabilising medication which can treat current episodes of illness and prevent future ones.
  • Psychological: interdisciplinary psychotherapy with the goal of making the patient an expert in their own illness. This can include cognitive behavioural procedures, social rhythm measures , use of mood diaries, psychoeducation in the strict sense of the word, relaxation techniques and much more.          
  • Social: recognition, counteraction and prevention of social problems caused by the illness.


We are convinced that treatment which only uses medication is not enough for a successful and sustainable therapy. It is important and necessary that an individualised therapy is planned and offered to each and every patient. In this way personal deficits and problems, but also in particular the patient's resources (strengths) can be selectively integrated into the treatment. 

Available in the special consultations:

  • Diagnostic work-up
  • Counselling on appropriate medication, psychotherapeutic treatment options, and further support measures
  • Referrals to registered general practitioners, psychiatrists and psychotherapists
  • Placement into appropriate treatment programmes at Sanatorium Kilchberg (inpatient, day care and outpatient) or at external facilities


Management special consultations for bipolar disorders

Stephanie Krebs
Consultant, general psychiatry
Telephone 044 716 42 52
s.krebs@sanatorium-kilchberg.ch
Special consultation for anxiety disorders
Medical conditions

Panic disorder
  • Panic attacks are characterised by sudden, unexpected and unbearably strong feelings of anxiety without any particular cause. They are accompanied by unpleasant bodily symptoms such as heart palpitations, shortness of breath, dizziness, shaking, nausea, numbness or blurred vision. Those affected are afraid of dying, suffering a heart attack, going 'crazy' or losing control. Because of their fear of further attacks, those affected by panic attacks often avoid certain situations, something which can adversely affect their daily life.

Agoraphobia
  • With agoraphobia or claustrophobia there is a clear and long-lasting fear of crowds, open spaces, travelling alone or leaving your own home. This is often accompanied by simultaneous panic attacks. Those affected avoid these types of situations or seek the close support of relatives, something which restricts their own personal freedom and makes completing daily tasks even more difficult.

Specific phobia
  • Anxiety with specific phobias is caused by being confronted with a specific yet harmless situation such as blood, high altitudes, flies or spiders, which are accompanied by bodily symptoms of fear.
     
Social phobia 
  • People with a social phobia are afraid of situations in which they are the focus of attention. They are scared they may say or do something that could be embarrassing or humiliating. They believe that others will judge them as incompetent or weak once their symptoms of anxiety like shaking or blushing are noticed. For these reasons they avoid giving speeches, attending public events or meeting new people. Some people try to help themselves using alcohol and tablets which provide only short-term relief and long-term can even increase the anxieties and lead to addiction. 
     
Generalized Anxiety Disorder
  • A Generalized Anxiety Disorder manifests itself in an enduring, excessive, and excruciating anxiety. The anxieties relate to the patient’s own health, close relatives or the future. The constant brooding can result in physical tension, lapses in concentration, irritability and nervousness as well as increased exhaustion and other physical symptoms.

Treatment options in Sanatorium Kilchberg
Anxiety disorders are treated in Sanatorium Kilchberg with the use of well-established cognitive behavioural therapies. People suffering from anxiety disorders learn to realistically assess their anxieties with the aid of targeted information and specific strategies. As part of exposure training, patients are confronted with anxiety-inducing situations in a gradual fashion. In this way they learn that they can endure the anxiety, and that it can reduce of its own accord  without anything bad happening. Support in the form of medication can also be taken into consideration. Patients who have social anxiety disorders can avail of social competency training and a specially designed group therapy programme. The treatment can take place in an outpatient, day care or inpatient setting.

 The following is available in the special consultations:
  • Diagnostic work-up
  • Counselling on appropriate psychotherapy and medication treatment options
  • Consulting work for registered general practitioners, psychiatrists and psychotherapists
  • Placement in appropriate treatment units at Sanatorium Kilchberg (inpatient, day care and outpatient) or at external facilities


Management special consultations for anxiety disorders

Dr. Christine Poppe
Senior Consultant for psychotherapy and outpatient psychiatry
Telephone 044 716 40 62
c.poppe@sanatorium-kilchberg.ch

Special consultation for perfectionism, compulsion und obsessive-compulsive disorders
Medical condition: perfectionism
Perfectionists set very high standards for themselves and their self-esteem tends to be contingent on achievement and success. They strive for approval and are afraid of criticism and rejection. Despite their best efforts, they are often unsatisfied with their achievements and eventually give up in the face of their own standards. A pronounced inclination towards perfectionism can compromise your quality of life and become a risk factor for the development and perpetuation of psychological disorders (e.g. anxieties, compulsions, eating disorders, depression).

Treatment
Therapy involves the patients setting more realistic standards for themselves, testing these in behavioural experiments and developing a broader basis for their own self-esteem.

Medical condition: compulsion
Compulsive people exhibit pronounced perfectionist traits in all areas of life, seek structure and order, and demand from themselves – and others – compliance with rigid rules and high moral standards. Non-compliance gives rise to resentment and can lead to relationship problems as well as long-term negative effects on their quality of life and mental well-being.

Treatment
The goal of the treatment is to make patients aware of the disadvantages of compulsion and to help them become more flexible when dealing with their standards in order to promote enjoyment of life as well as access to their own emotions and needs.

Medical condition: obsessive-compulsive disorders
Patients with obsessive-compulsive disorders suffer from recurring thoughts, impulses and images that they cannot fend off and that they perceive as unpleasant and pointless. They also engage in compulsive behaviours. These are actions that were originally purposeful and are repeated in a ritualised manner in order to reduce inner tension, avoid damage or create good feelings. The most common compulsive behaviours have to do with washing, cleaning, “checking” and hoarding.

Treatment
The main treatment component is exposure therapy with reaction management, integrated into an overall treatment plan. The idea is for patients to learn how to face dreaded situations again so that they can make a realistic reassessment of their fears as well as of their options to respond. In combination with such treatment, a class of antidepressants, selective serotonin reuptake inhibitors (SSRIs), can also be prescribed.

Special consultation offerings

  • Differential diagnosis
  • Counselling on appropriate treatment options
  • Consulting work for registered general practitioners, psychiatrists and psychotherapists
  • Outpatient, semi-residential and residential treatment
  • Cognitive behavioural-based individualised psychotherapy
  • Differential drug therapy
  • Group therapy for obsessive-compulsive disorders
  • Awareness class on obsessive-compulsive disorders
  • Specialised couple and family sessions


Management and contact persons

Dr. Christine Poppe
Senior Consultant for psychotherapy and outpatient psychiatry
Telephone: 044 716 40 62
c.poppe@sanatorium-kilchberg.ch


Dr. Batya Licht, FSP
Specialist psychologist for psychotherapy
Telephone: 044 716 42 86
b.licht@sanatorium-kilchberg.ch

Special consultation eating disorders
Sanatorium Kilchberg treats patients with anorexia nervosa, bulimia nervosa and binge eating disorder within the scope of cantonal service obligations.

Medical conditions

 Anorexia nervosa
  • Anorexia nervosa or anorexia is characterised by those affected being significantly underweight with a Body Mass Index (BMI) below 17.5 kg/m2 (BMI = weight (kg) ÷ height (m)2) and a fear of gaining weight. Anorexics bring about the weight loss themselves by, on the one hand, avoiding high-calorie foods such as chocolate or fatty foods and/or, on the other hand, applying countermeasures such as vomiting after meals, taking laxatives or excessive physical activity. At the same time, they have a distorted perception and opinion of their own body and weight. Self-esteem is disproportionately influenced by their body image. Malnutrition can have multiple physical consequences such as hormonal disorders, loss of menstruation and an inability to conceive, electrolyte imbalance, cardiac arrhythmia or osteoporosis.
  • There are two types of anorexia nervosa: one is a restricting type in which the person restricts food intake but does not take other active measures to lose weight, and the other is a bulimic type in which the person experiences hunger attacks and takes compensatory measures such as vomiting.
     
Bulimia nervosa
  • In the case of bulimia nervosa, there are recurring hunger attacks during which excessive amounts of food are consumed. People suffering from this condition feel like they cannot stop eating and that they have no control over the type and quantity of food they eat. Fearing weight gain, they resort to countermeasures like self-induced vomiting, taking laxatives and engaging in excessive physical exercise. Between hunger attacks they reduce the amount of food they eat. In contrast to anorexia nervosa, people with bulimia nervosa are usually only slightly underweight or even of normal weight. For them, their body and weight also greatly influence their self-esteem. Some of the physical consequences referred to in connection with anorexia nervosa can also arise in the case of bulimia nervosa.

Binge eating disorder
  • People with a binge eating disorder report recurring episodes of binge eating during which they eat large amounts of food and experience a loss of control. They eat considerably faster than normal and until they are uncomfortably full, even when they are not hungry. Afterwards they are often disgusted with themselves, and experience feelings of sadness and guilt. In contrast to bulimia nervosa, people with binge eating disorder do not take countermeasures, meaning that most of them tend to be overweight. They suffer as a result of their unhealthy eating behaviour.

Treatment at Sanatorium Kilchberg
Patients with eating disorders receive treatment at Sanatorium Kilchberg in accordance with a specially developed and individualised programme based on cognitive behavioural therapy. The individual therapy provided by experienced doctors and psychologists is effectively enhanced by a group therapy programme specifically aimed at treating eating disorders. The programme includes an eating disorder group, body image therapy, cooking lessons and nutritional counselling as well as additional general psychotherapeutic and other treatment options. These components are closely linked with care provided by internal specialists.
The most important aims of the treatment are normalising weight and eating behaviour as well as addressing underlying issues (perfectionism, self-esteem issues or interpersonal conflicts) to sustain the success of the therapy. It is very important to us to preserve the patients’ autonomy and to improve their self-management skills.
Depending on the patient’s individual situation, we offer inpatient, day care and outpatient treatment.

Special consultation options
  • Psychiatric/psychological evaluation
  • Medical evaluation of possible secondary complications of the eating disorder
  • Counselling on appropriate treatment options involving psychotherapy and medication
  • Consultation work  for registered general practitioners, psychiatrists and psychotherapists
  • Placement into appropriate treatment programmes at Sanatorium Kilchberg (inpatient, day care and outpatient) or at external facilities


Flyer-Spezialsprechstunde-Essstoerung-A5-8Seiten-2016 (PDF-Datei/162KB)
Special consultation attention deficit disorders (ADHD)
Medical condition

The various forms of attention deficit hyperactivity disorder (ADHD) can already be seen in childhood. This condition often has a negative effect on school performance and can manifest itself in behavioural problems and difficulties managing day-to-day tasks. Approximately half of people with ADHD experience symptoms right up to adulthood. However, the difficulties referred to can also have different causes, which can be identified by means of a specialist evaluation in the special consultation ADHD.

 The main symptoms of ADHD are:
  • Attention deficits and problems concentrating. People with ADHD tend to be inattentive, forgetful and often seem distant. The concentration-related problems can be seen in a shortened attention span and difficulties performing monotonous tasks for a longer period of time without making mistakes. However, if they are particularly interested in something, many people with ADHD are able to concentrate well and for a longer period of time (so-called hyper-focusing).
  • Impulsivity: People with ADHD often act impulsively and make hasty decisions. Afterward, they often view such behaviour as rash.
  • Hyperactivity: The visible restlessness of childhood usually diminishes or vanishes altogether in adulthood. However, in some cases adults continue to exhibit restlessness by jiggling their feet or drumming their fingers. People with ADHD often report internal uneasiness and chronic tension. If the symptom of hyperactivity is absent, the disorder is referred to as ADD (i.e. attention deficit disorder without hyperactivity).
  • Disorganisation: Planning and taking on activities are often very difficult. Work is frequently started at the last minute, and bills are not paid until multiple reminders have been received. Working style/household often appear chaotic to outsiders.
  • Emotional instability: People with ADHD frequently report rapid mood swings.
  • Resources: People affected are often characterised by special abilities such as creativity, energy, imagination, flexibility, adaptability and the ability to multitask.

Other psychological illnesses are often additionally present, in particular behavioural disorders, anxiety disorders, depression, addictive disorders and specific learning disabilities (e.g. reading and spelling disabilities) which require careful evaluation.

Treatment at Sanatorium Kilchberg
Where ADHD-related issues in adulthood are concerned, we offer thorough psychiatric – and if necessary – diagnostic evaluations. A diagnosis of ADHD in adulthood does not always mean treatment is necessary. The decision to prescribe treatment depends on the severity of the ADHD/on the degree of suffering caused by it. If necessary, we will provide medication and psychotherapeutic treatment.

Behavioural psychotherapy is a recognised method for treating the symptoms described as well as the common secondary problems such as relationship stress, problems at work, self-esteem issues and even depression. In addition, it is also possible to participate in an ADHD coaching group at the sanatorium. Information sessions on Attention Deficit (Hyperactivity) Disorder take place in a group setting. Creative coping techniques for improving the organisation of day-to-day tasks are taught as well as strategies for dealing with limiting thoughts.

Special consultation options
The ADHD evaluation involves a clinical interview, external assessments as well as the administration of self-assessed and external-assessment questionnaires. If appropriate, a neuropsychological examination is also carried out. In addition, a physical examination is required in order to rule out an organic cause of the symptoms.

Management and contact persons for special consultation ADHD

Dr. med. Andrea Oberheinricher
Consultant, Outpatient Clinic Kilchberg
Telephone: 044 716 43 34
andrea.oberheinricher@sanatorium-kilchberg.ch

Frau Sandrine Lehmann
Psychologist, Outpatient Clinic Kilchberg
Telephone: 044 716 42 89
sandrine.lehmann@sanatorium-kilchberg.ch

Flyer-ADHS-A5-4Seiten-2015-GzD (PDF-Datei/189KB)
Special consultation memory clinic
Medical condition dementia

Dementia is an illness that predominately affects the elderly and is characterised by memory impairment in possible conjunction with speech impairment (e.g. difficulties remembering words), problems with basic everyday tasks (e.g. getting dressed, personal hygiene), difficulties recognising faces and objects or general difficulties in connection with planning and organisation.

It is currently estimated that approx. 125,000 persons in Switzerland suffer from dementia. Due to demographic changes and increasingly better medical care in old age, a significant increase in the number of people in Switzerland with dementia is expected in the coming years.

Dementia can have many causes. The most common ones are Alzheimer’s disease and circulatory disorders as a result of existing vascular risk factors (e.g. smoking, diabetes, high blood pressure, etc.). In addition, however, there are also many rare neurodegenerative diseases such as, for example, frontotemporal dementia or Lewy body dementia. Higher brain function disorders can also arise in connection with many physical illnesses such as thyroid dysfunction, psychiatric illnesses like depression, brain damage caused by accidents or resulting from early childhood development disorders.


Diagnosis in the memory clinic
Examination, advice and treatment require several outpatient consultations and, if necessary, check-ups. If possible, patients should be accompanied to the consultations by a family member or a different caregiver.
The examination includes the following:
  • Inquiry into history of the illness with patient. Involvement of family members and caregivers.
  • Psychiatric diagnostic interview
  • Physical and neurological examination
  • Laboratory tests
  • Neuropsychological examination
  • Magnetic resonance imaging (MRI) of the brain
  • If necessary, additional tests are performed


Treatment options in the memory clinic

  • Sharing of materials and information about the medical condition
  • Assessment of retained abilities and resources to develop an individual therapy plan
  • Medication if necessary
  • Optional treatment of psychiatric accompanying symptoms such as depressive moods, using medication and psychotherapy
  • One-on-one and/or family counselling on individual support and relief, e.g. for caregiving relatives of persons with dementia
  • Cooperation with various aid organisations and self-help organisations in the region
  • Information and counselling on illness-related questions concerning the following areas: living, employment/daily routine, finances, insurance, legal issues with assistance from our social counselling team
  • Ärztlich geleitetes Gedächtnistraining in der Gruppe

The memory clinic is part of the geriatric psychiatry outpatient clinic. The psychologists and doctors at the latter perform psychiatric evaluations and prescribe treatment for persons 60 years and older in the outpatient clinic itself as well as in the retirement and nursing homes of the region. Depression in old age is the most common diagnosis.


Management of the geriatric psychiatry outpatient clinic and memory clinic

Iris Zemlitz, Consultant
Telephone +41 44 716 41 41
memoryclinic@sanatorium-kilchberg.ch 
Electroconvulsive therapy (ECT)
As a centre for the treatment of mood disorders, Sanatorium Kilchberg, in cooperation with the department of anaesthesia at the See Spital Hospital in Kilchberg, is pleased to now offer electroconvulsive therapy (ECT).

ECT is mainly used as a form of treatment for severe or manic depression (possibly even bipolar) as well as certain forms of schizophrenic illnesses.
The therapy consists of short controlled bursts of electricity which, thanks to an anaesthetic, cause an epileptic convulsion which cannot be seen. This convulsion causes the brain to set off a chain of biochemical changes which relieve the symptoms of illness or could even cause them to disappear altogether. In general six to fifteen sessions are required in order to achieve a therapeutic outcome.


Management and contact people for ECT treatment

Dr. Nurith J. Jakob, Consultant
Associate Specialist for Neurology, Psychiatry and Psychotherapy

Telephone 044 716 42 73
n.jakob@sanatorium-kilchberg.ch

Special consultation for sleep disorders and chronotherapy
Healthy sleep is an important requirement for our well-being as well as our physical and mental performance. Disturbed sleep has many causes. Longer-term sleep disturbance constitutes a risk factor for related physical or psychological illnesses and should not go untreated. In such cases it is important to identify the specific sleep disorder and to apply the corresponding treatment which, depending on the type of sleep disorder at issue, can differ greatly. A detailed case history, physical examination and the use of sleep medicine measurement devices allow for a differentiated view of the individual situation and a corresponding diagnosis.

The specialist outpatient clinic for sleep disorders and chronotherapy at the Centre for Stress Related Illnesses at Sanatorium Kilchberg offers diagnostic and therapeutic services. The diagnostic work-ups, which are carried out by a doctor or designated specialist, include a detailed case history, laboratory tests as well as a physical examination by an internist and neurologist. Depending on the problem, actometer analyses, sleep diaries, questionnaire surveys, resting-waking EEGs, Multiple Sleep Latency Tests, nightmare histories or individual chronotype analyses are utilised.

In addition to individualised treatment with medication, the therapies offered include one-to-one consultation on sleep disorders based on psychiatric and neurological expertise. The problem-oriented psychotherapeutic treatment of insomnia is based on the principles of cognitive behavioural therapy and mindfulness methods. Individual nightmare therapy as well as individualised chronotherapeutic counselling and treatment are also among the various components of the services we provide.

Management and contact person for sleep disorders and chronotherapy

Christian Seeher
Associate Specialist for Neurology, Psychiatry and Psychotherapy
 
Administration office at the Centre for Stress Related Illnesses
Telephone +41 44 716 40 46
belvedere@sanatorium-kilchberg.ch
Special offerings for women
Psychological illnesses are equally prevalent among women and men. However, gender-specific differences can be observed when it comes to frequency distribution and causes. For example, women exhibit a particular physical and psychological susceptibility to – and are at an increased risk of – developing psychosomatic disorders in connection with typical life transitions and during times when major and far-reaching life changes take place.

As part of a new special offering for women with gender-specific psychosomatic illnesses, we provide differentiated psychiatric and psychological assessments, consultations and treatments.

The special offerings for women at Sanatorium Kilchberg include the following:

  • Diagnostic work-ups of psychological problems in connection with illnesses in the areas of gynaecology and obstetrics
  • Consultative support in cooperation with obstetricians and gynaecologists
  • Consultations and second opinions
  • Psychiatric-pharmacological treatment taking into account the special circumstances during pregnancy and breastfeeding
  • Psychotherapeutic treatments
  • Counselling for couples and families
  • Social counselling and support
  • Possibility of outpatient or inpatient treatment
  • Premium offers for patients with supplementary insurance


For additional information please contact

Stefan Huber
Administration office at the Kilchberg Day Clinic
Telephone: +41 44 716 42 73
ambulatorium@sanatorium-kilchberg.ch



Flyer-FrauenspezifischeAngebote-A5-4Seiten-2016-scree (PDF-Datei/113KB)
 
Sanatorium Kilchberg AG
Alte Landstrasse 70
CH-8802 Kilchberg
Telefon +41 44 716 42 42
Telefax +41 44 716 42 14
info@sanatorium-kilchberg.ch

For registration / assignments
Telefon +41 44 716 42 75
Telefax +41 44 716 43 43
aufnahme-sk@hin.ch

Zentrum für Psychosomatik
Selnaustrasse 6
CH-8001 Zürich
Telefon +41 44 716 38 38
Telefax +41 44 716 38 40
zentrum@sanatorium-kilchberg.ch
 
© Sanatorium Kilchberg Imprint  To top