<p>The number of people seeking help for mental illness is increasing. Women in particular suffer more often. <span><span class="ILfuVd" lang="de"><span class="hgKElc"><b>Graduate psychologist</b></span></span> Robert Hohe</span> explains the reasons and why psychotherapy is so important.</p>

<h4 style="text-align: justify;"><strong>Every second person suffers from a mental illness in their lifetime. To what extent has psychotherapy developed in recent years and how successful is it?</strong></h4>
<p style="text-align: justify;">Robert Hohe: "In recent years there have always been more active psychotherapists, 25% more than in 2015. I think this is an absolutely important development, which also shows that politicians have recognized the importance of psychologists and Psychotherapists are in our current time. The number of mental disorders has also increased significantly due to Corona. Of course, there is still a lot that needs to be improved, especially if you consider the sometimes inhumanly long waiting times for a therapy place [if financed by health insurance, note. ] knows. But at least it's a step in the right direction."</p>
<h4 style="text-align: justify;"><strong>What can you say about the effect of psychotherapy?</strong></h4>
<p style="text-align: justify;">Robert Hohe: "The success and effectiveness of psychotherapy has been proven. Overall, one can say that up to 80% of clients experience an improvement in symptoms or complete healing. So it's always worth it to go to therapy."</p>
<h4 style="text-align: justify;"><strong>Women are more likely to suffer from mental illness. Why is that? What are risk factors that lead to this?</strong></h4>
<p style="text-align: justify;">Robert Hohe: "That is indeed the case for the majority of mental disorders. It has long been known that women have a higher probability of developing a mental disorder. This is particularly the case with eating disorders, anxiety disorders or depressive illnesses "Women often have a twice as high prevalence as men, sometimes even more. <strong>There are various theories as to why there are such large differences between men and women. One reason is a learned role behavior in society, which woman is taught from an early age. Young women or girls, for example, often have a different relationship to their bodies than men.</strong> Then there are biological differences, differences in hormones play a role. It is interesting that boys, when they are still small , are more susceptible to stress than girls This is the case up to the age of 12, and <strong>it is also known that boys up to E more mental disorders than girls at the end of primary school.</strong> This then reverses into adulthood."</p>
<h4 style="text-align: justify;"><strong>What does this mean for the development of depression in women?</strong></h4>
<p style="text-align: justify;">Robert Hohe: "This means that in women, stressful events in adolescence or young adulthood are more decisive for the development of mental disorders than events that happen in childhood. However, there is still a lot of work that needs to be done on the part of the Research, especially when it comes to things like prevention, etc. Public education about depression on the part of politicians also plays an important role."</p>

<p>&quot;Men are more likely to have substance use disorders or dissocial or antisocial personality disorders.&quot;</p>

<h4 style="text-align: justify;"><strong>What is the significant difference of men from women in mental disorders?<br /></strong></h4>
<p style="text-align: justify;">Robert Hohe: "Men are more likely to show substance use disorders or dissocial or <a href="https://www.msdmanuals.com/de/profi/psychische-st%C3%B6rungen/pers%C3%B6nlichkeitsst%C3%B6rungen/antisoziale-pers%C3%B6nlichkeitsst%C3%B6rung-asp" title="antisocial dissocial personality disorder" target="_blank" rel="noopener">antisocial personality disorders</a> . These are people who disregard social rules, norms or morals in order to achieve a certain goal that is advantageous to them without feeling great emphatic feelings. Some psychologist :Insiders claim that ex-US President Donald Trump suffers from such a disorder. Other examples are mafia bosses, but also someone like Russian President Vladimir Putin, for example, I think meets these criteria. I think you can do it that way too well observed in our society. These are also people who are quickly frustrated, colloquially have a short fuse and, for example, become aggressive towards their partner: inside or children. After that, there is often no sense of guilt."</p>
<h4 style="text-align: justify;"><strong>What does successful treatment</strong> <strong>for depression or other mental illnesses in women look like?</strong><strong></strong></h4>
<p style="text-align: justify;">Robert Hohe: "<strong></strong> The first thing to consider when treating depression is the severity of the depression. If depression is severe, there is sometimes no other way than to start with drug treatment - with antidepressants - in order to get the patient out of the worst. Only then can talk therapy begin. In general, talk therapy is always recommended. There are different approaches here, such as <a href="https://de.wikipedia.org/wiki/tiefenpsychologie" title="Definition depth psychology" target="_blank" rel="noopener">depth psychology</a> or <a href="https://www.oegvt.at/" title="Society for Behavioral Therapy" target="_blank" rel="noopener">behavioral therapy</a> , the latter being the type of therapy that is closest to me. But each person has to find that out for themselves."</p>

<p>&quot;The most important thing is to get therapy as early as possible! Even if you don&#39;t think you have a real problem yet.&quot;</p>

<h4 style="text-align: justify;"><strong>When should you seek help and turn to a psychotherapist?</strong></h4>
<p style="text-align: justify;">Robert Hohe: "The most important thing is to get therapy as early as possible! Even if you don't think you have a real problem and you think you can deal with your depressive mood yourself, a negative outcome can be avoided . <strong>Clients are often amazed at how quickly they get better or how talk therapy is a lot more enjoyable and a lot less alienating than they expected.</strong> I always say it's like a little box that you put all of your Throws problems in and then leaves them there for the time being, so that I can continue working on them next time.I can't say that often enough, even if fortunately in our society the taboo on psychotherapy is becoming less and less frequent - at this point I would like to express my gratitude also America, social media and <a href="https://lofficiel.at/tags/netflix" title="Netflix" target="_blank" rel="noopener">Netflix</a> , which have certainly contributed to this de-stigmatization, although social media is of course responsible for the spread of some is jointly responsible for psychological problems and, above all, in adolescents there is a health-psychological risk."</p>

<h4 style="text-align: justify;"><strong>What are behavioral strategies for women to promote mental health</strong> <strong>and</strong> <strong>avoid depression?<br /></strong></h4>
<p style="text-align: justify;">Robert Hohe: "Here it is important to break the vicious circle of depression. A depressive mood or a depressive thought usually leads to negative expectations or a negative self-image. This can lead to people starting to withdraw or even canceling plans . You quickly no longer meet up with your friends and no longer maintain social contacts. This leads to fewer and fewer positive experiences in everyday life. You just sit or lie on the couch and your negative mood is - in the truest sense Meaning of the word - home alone, to throw in a little dad joke here. This lack of positive experiences then leads to a further deterioration of the already bad mood. Then there are more and more depressive thoughts and further withdrawal."</p>
<h4 style="text-align: justify;"><strong>So what helps with depression quickly?</strong></h4>
<p style="text-align: justify;">Robert Hohe: "One suggested behavior would be to take action to try to prevent depression or to break out of it yourself. That means overcoming yourself, going out, doing and experiencing beautiful things. Even if you prefer to be quiet at the moment Stayed home and wanted to watch all seasons of <em>Friends</em> for the 7th time."</p>

<h4 style="text-align: justify;"><strong>What are the topics that are currently being researched more intensively in your area?</strong></h4>
<p style="text-align: justify;">Robert Hohe: "What I personally find very interesting is the inclusion of animals in therapy, such as trained therapy dogs. That these have positive effects on clients, such as increasing the self-confidence of people with a mental disability - There are now quite good <a href="https://www.tandfonline.com/doi/abs/10.2752/175303713X13795775536138" target="_blank" rel="noopener">studies</a> on this. <strong>It is also known, for example, that the mere presence of a therapy dog in a room leads to a reduction in blood pressure and has an anxiolytic effect.</strong> Patients who suffer from anxiety disorders or traumatized people in particular benefit from this This effect, of course, very much. But also in older people, or people suffering from dementia, positive effects have already been found through working with four-legged friends, which, for example, can even lead to less medication being needed. You can see, I love Dogs: Of course, an exclusion criterion would be a dog allergy, then it is likely for the person less pleasant. But fortunately there are also dogs with hypoallergenic fur, such as the poodle."</p>

<p><em>Dipl. Psych. Robert Hohe, M.Sc. (TUM), psychologist and economist, worked as a research assistant at <a href="https://hms.harvard.edu/">Harvard Medical School</a> in Boston and is currently a neuropsychologist at the <a href="https://www.vitanas.de/einrichtungen/klinisches-centrum/berlin/klinik-tagesklinik-fuer-geriatrie-maerkisches-viertel/">Vitanas Clinic</a> in Berlin.</em></p>

Dipl.-Psych. Robert Hohe, M.Sc. (TOM)

<h3 style="text-align: justify;">If something is bothering you and you need help, don't hesitate to get it by phone.</h3>
<p></p>
<ul>
  <li style="text-align: justify;">Ibiza <a href="https://www.samaritansinspain.com" target="_blank" rel="noopener"><strong>Samaritans In Spain</strong></a> are available on<strong> +34900525100</strong></li>
  <li style="text-align: justify;">In <strong>Austria</strong> this is possible under the toll- <a href="http://telefonseelorge.at" title="Telephone Counseling Austria"><strong>free number 142</strong></a> . Here you have the opportunity to speak to someone 24/7.</li>
  <li style="text-align: justify;">In <strong>Germany</strong> you can also speak to someone on the <strong><a href="http://telefonseelorge.de" title="German telephone counseling">free number 0800/1110111</a></strong> .</li>
  <li style="text-align: justify;">In <strong>Switzerland</strong> , you can tell the organization <strong><a href="https://www.143.ch/" title="Telephone counseling in Switzerland">Die Dargebotene Hand</a></strong> about your worries and fears by calling 143.</li>
</ul>
<p><strong>If you don't want to speak:</strong> The telephone counseling centers also offer help via chat functions on their websites.</p>

Depression - and what to do about it

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