We treat anxiety and obsessive-compulsive disorders using cognitive behavioural methods. Medication is offered in a supplemental capacity. The treatment involves understanding situations that trigger anxiety and obsessive-compulsive behaviour as well as learning new strategies for dealing with these. In addition to individual therapy, we offer training on coping with anxiety, a group therapy programme for obsessive-compulsive disorders, group training on social phobia and social skills training.
We treat patients with eating disorders in a specially designed and individualised therapy programme. The one-on-one care provided by experienced doctors and psychologists is effectively supplemented by a group therapy programme created especially for people with eating disorders. It includes body image therapy, cooking lessons and nutrition counselling.
The most important objectives of the treatment are normalising a patient's weight and eating habits as well as addressing background issues (perfectionism, self-esteem problems or interpersonal conflicts) to ensure the long-term success of the therapy.
When people regularly stretch themselves beyond their limits due to enthusiasm and a sense of obligation, physical and emotional exhaustion will eventually take their toll. It becomes more and more difficult to recover, and the feeling of exhaustion grows. This can lead to a withdrawal from social contact as well as feelings of resentment and burnout. We provide patients with individualised treatment to help them recognise and strengthen their own resources, as well as structure their life in a less stressful manner. Our treatments include psychotherapy, medicine, fitness and physical therapy as well as programmes to promote creative expression.
In January 2013 Sanatorium Kilchberg opened a Centre for Stress Related Illnesses.
The centre features the Belvedere private unit, which specialises in treating burnout. The treatment is based on “SymBalance”, a therapy concept developed by a team of experts at Sanatorium Kilchberg in accordance with the latest scientific findings.
One of our main specialities is the treatment of depressive disorders. In addition to differential pharmacotherapy, we offer various cognitive behavioural psychotherapies. In the case of chronic depression, we use a specific psychotherapy called “Cognitive Behavioural Analysis System of Psychotherapy (CBASP)” in both one-on-one and group settings. We also offer this on an outpatient and semi-residential basis. Our psychotherapies are supplemented by light therapy and sleep restriction therapy. Many patients ask that family members be involved in the treatment and we are happy to accommodate them.
Early detection of dementia syndromes is critical. This is important since evidence of the existence (or not) of a treatable primary disease plays a key role in determining whether a therapy will be successful or not. Our clinic offers patients and their families a comprehensive evaluation and individual therapies. In addition, the persons affected are given extensive information and expert advice about the subject of dementia. We also provide assistance when it comes to finding outpatient care or searching for suitable facilities should it no longer be possible for the patient to return home due to their illness.
The individual treatment programme is based on differential diagnosis (e.g. investigation into history of illness, geriatric assessment including laboratory diagnostics, brain examination using imaging methods, neuropsychological testing) and the identification of personal resources.
Addictive disorders require a thorough diagnosis in order to determine the type and seriousness of the addiction, its effects, as well as possible accompanying illnesses (e.g. ADHS , depression, etc.). The simultaneous treatment of a possibly existing, additional psychiatric disorder has a significant influence on the success of the addiction treatment. The beginning of the acute treatment focuses on counselling and clarification of the patient’s motives. This stage normally takes place on an outpatient basis – either with a general practitioner or a registered psychiatrist.
In the subsequent long-term treatment phase, there are different approaches according to the individual situation and therapy plans: Outpatient withdrawal treatment/outpatient long-term care, self-help group meetings or placement in an inpatient treatment facility. All of the treatment phases are accompanied by motivational therapy. Crisis interventions (e.g. in the case of intoxication or suicidal tendencies) and withdrawal treatments are generally carried out on an inpatient basis.
At Sanatorium Kilchberg we only offer acute withdrawal treatments and crisis interventions. The withdrawal treatment must be planned on an individual case-by-case basis and carried out at a different facility.
AD(H)D in adults
Where adult AD(H)D is at issue, we offer in-depth psychiatric and neurological diagnoses and, if necessary, provide medication and psychotherapeutic treatment. Within the framework of specialised AD(H)D workshops, patients learn creative coping techniques to help them better manage their day-to-day lives.
People with a borderline personality disorder take part in an individually designed treatment programme based on dialectical behaviour therapy (DBT) which was originally developed by Marsha M. Linehan. In addition to individual therapy, we offer skills training in which patients are taught strategies to deal with inner tension and unpleasant feelings, as well as to promote better self care and developing fulfilling social contact.
Individual acute therapy with drugs and prevention form the basis for treatment of bipolar disorder. During the acute manic phase, a residential stay is advisable, since this will help shield the patient from triggering factors. In addition to treatment with drugs, behavioural interventions are used. In particular, we organise disorder-specific psychoeducation groups in which patients can learn strategies for improving self-observation and to develop their own early warning system. If requested to by bipolar patients, we think it is particularly important to involve family members in the treatment.
The symptoms and course of schizophrenias and psychoses can generally be effectively treated by a combination of carefully prescribed medication and psychotherapy. It is very important to find an effective medication that is well tolerated and has few side effects, since many patients have to take psychiatric drugs for a longer period of time. Psychiatric-psychotherapeutic treatment is supplemented by individual support with respect to the patient’s social situation (e.g. living, work and leisure activities) and by available specialised therapies (e.g. cognitive training, PC training, and arts and crafts activities). As a complement to individual therapy, Sanatorium Kilchberg organises psychoeducational group therapies that increase knowledge of the condition as well as helping patients to come to grips with the illness and to learn coping strategies.
Pain disorders often arise as illnesses in isolation or in connection with psychiatric disorders. The causes of pain are wide-ranging and cannot always be traced back to a physical ailment. Pain can also appear as a symptom of depression or anxiety or be a contributing factor to such an illness.
We offer a careful and extensive pain evaluation and are supported in this task by neurological and internal medicine specialists. Our goal is to identify physical and psychological triggers, as well as symptom-related factors contributing to the pain, and to observe them in differing conditions in order to be able to apply the best treatment method possible.