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Old 11-07-18, 08:34 AM
yentzee yentzee is offline
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What are the steps of a behavioural therapy ?

Hi,
I am 41 and was diagnosed about 18 months ago. I am on medication since then. Unfortunately it is nearly impossible to find a therapist with experience in treating adults with adhd in Germany.
I found someone who claims to to be experienced and I have a good feeling but then my insurance refuses to pay as the necessary qualifications are missing (just a dr and not specialized in psychotherapy or psychiatry).
Now I am completely insecure in what is right and what is wrong. There is literally nobody who can be asked when it comes to this topic. Is there like a rough guide on how a behavioural therapy should work / what "steps" are included etc.
Just so I can check if thi gs are going the right way.
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Old 11-07-18, 09:14 AM
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Re: What are the steps of a behavioural therapy ?

Just come here and talk to us. You'll identify the issues and work out which ones are adhd and which are not. If you get stuck on an issue then seek extra help but in the meantime coming here us free.
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Old 11-08-18, 02:42 PM
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Re: What are the steps of a behavioural therapy ?

I think its hard for anyone to find an adhd specific therapist. I think a solid family or addictions even therapist might be good. If you are able to see their degrees (or what the letters after their names mean) you will get a better idea of what will be good for you.
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Old 11-08-18, 08:48 PM
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Re: What are the steps of a behavioural therapy ?

If Germany requires a psychiatrist who specializes in adult ADHD, that would be hard. Is it okay to just find one who specializes in general ADHD (required because of the meds, I assume)? Are there any where you live that meet that requirement? I've heard that Europe is harder for ADHD patients than it is here, stricter on which meds can be prescribed.
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Old 11-10-18, 09:55 AM
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Re: What are the steps of a behavioural therapy ?

Quote:
Originally Posted by yentzee View Post
Hi,
I am 41 and was diagnosed about 18 months ago. I am on medication since then. Unfortunately it is nearly impossible to find a therapist with experience in treating adults with adhd in Germany.
I found someone who claims to to be experienced and I have a good feeling but then my insurance refuses to pay as the necessary qualifications are missing (just a dr and not specialized in psychotherapy or psychiatry).
Now I am completely insecure in what is right and what is wrong. There is literally nobody who can be asked when it comes to this topic. Is there like a rough guide on how a behavioural therapy should work / what "steps" are included etc.
Just so I can check if thi gs are going the right way.

Grüsse aus der Schweiz :-)


I would consider to visit a doctor in a clinic, thats what i do, theyre at least half way specialized. Maybe thats a start here https://www.uke.de/ or somewhere in your local mental hospital.
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Old 11-12-18, 07:31 AM
yentzee yentzee is offline
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Re: What are the steps of a behavioural therapy ?

Thanks for your answers. Actually I live about 500 meters from the UKE but the also just offer first diagnosis.
Unfortunately nearly all psychiatrists just diagnose and prescribe but do not offer any therapy.
I am diagnosed already and getting medication as well but I think that just taking the meds is not going to sort out issues that exists due to reactions from the people around me reacting not the way I expected due to me behaving differently than most other people.
Anyway, I am having a person who specializes in ADHD but is "just" a Doctor without any official specialisation in psychiatry which is the reason I have to pay the therapy myself.
My impression is that she is very highly skilled in the subject of adhd but then I am not a psychiatris or therapist and can't really tell if that what we are talking about etc is the "proper" way of doing therapy for people with adhd which is the reason for me asking about a rough guiline how a therapy would look like etc.
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Old 11-12-18, 11:30 AM
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Re: What are the steps of a behavioural therapy ?

You do not need a doctor for therapy. You need a psychologist, counselor or therapist. Docs handle the meds.

Quote:
Originally Posted by yentzee View Post
Thanks for your answers. Actually I live about 500 meters from the UKE but the also just offer first diagnosis.
Unfortunately nearly all psychiatrists just diagnose and prescribe but do not offer any therapy.
I am diagnosed already and getting medication as well but I think that just taking the meds is not going to sort out issues that exists due to reactions from the people around me reacting not the way I expected due to me behaving differently than most other people.
Anyway, I am having a person who specializes in ADHD but is "just" a Doctor without any official specialisation in psychiatry which is the reason I have to pay the therapy myself.
My impression is that she is very highly skilled in the subject of adhd but then I am not a psychiatris or therapist and can't really tell if that what we are talking about etc is the "proper" way of doing therapy for people with adhd which is the reason for me asking about a rough guiline how a therapy would look like etc.
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Old 11-12-18, 09:26 AM
kilted_scotsman kilted_scotsman is offline
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Re: What are the steps of a behavioural therapy ?

I don't know what it is like in Germany, but in the UK the diagnosis process is separate from therapy. This is because, to diagnose you either have to be a psychiatrist, which means being a medical Dr _ Psych specialisation, or a Clinical psychologist. Both of these are high grade qualifications, meaning and hourly rate of £100+.

Given that counselling is a long term process, particularly with ADHD, it's more cost effective to go for a psychotherapist/counsellor specialising in ADHD, who would cost £30-£60/hour.

Behavioural Therapy.... which in the UK means CBT, is given in 6-10 sessions. In my view is is highly unlikely that this low number of sessions will result in significant change.

Good CBT can be effective, however research indicates that the type of therapy is less significant in the outcome than the relationship with the therapist. My personal view is that ADHD therapy is most effective when the therapist is integrative and specialises in ADHD and similar AS type clients.

In short.... if you're looking for a diagnosis your insurance is probaby right, you need someone with a Dr qualification... if you're looking for therapy, it's better to look for someone who understands ADHD and you get on with.... and forget the insurance..... in my view good therapy delivered well is worth paying for....... plus you are in control of the process is you pay.
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Old 11-12-18, 04:19 PM
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Re: What are the steps of a behavioural therapy ?

Quote:
Originally Posted by kilted_scotsman View Post
I don't know what it is like in Germany, but in the UK the diagnosis process is separate from therapy. This is because, to diagnose you either have to be a psychiatrist, which means being a medical Dr _ Psych specialisation, or a Clinical psychologist. Both of these are high grade qualifications, meaning and hourly rate of £100+.

Same in switzerland. My diagnosis was made in a mental hospital, apart from further therapy. If I were you, I would call the UKE or a near psychiatric clinic or visit their homepage and check if they do diagnosis on this. Ive received a 5 pages long diagnosis.


Quote:
Originally Posted by sarahsweets View Post
You do not need a doctor for therapy. You need a psychologist, counselor or therapist. Docs handle the meds.

Sarah's also right in this. I want to add here that the diagnosis only can be given by a psychiatric (doctor) and not a psychologist. Its the law in switzerland and im pretty sure that it is too in germany.
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