Depression is a common mental disorder. Globally, more than 264 million people of all ages suffer from depression.
Depression is a leading cause of disability worldwide and is a major contributor to the overall global burden of disease.
More women are affected by depression than men.
Depression can lead to suicide.
There are effective psychological and pharmacological treatments for moderate and severe depression.
WHO January 2020
Depression prevalence and treatment success
Point prevalence in Europe 6-8%
Lifetime prevalence more than 20%Hinzpeter, Sass, Ziese (2019)
Sales of antidepressants in Europe are more than 3.7 billions per year
More than 6% of the population in Europe regularly take antidepressants. OECD (2015)
About 60% of all depressed patients do not react properly to initial antidepressant treatmentsDold, Kasper (2017)
30% of depression is related to treatment-resistant depressive disorders that do not react properly to the usual treatment with antidepressants (no or inadequate response to at least two different types of antidepressants in a sufficiently high dosage over a sufficiently long time span).
„We found that all antidepressants which were included in the meta-analysis, were more efficacious than the placebo in adults with mayor depressive disorders and the summary effect sizes were predominantly modest“ Cipriani (2018) in The Lancet
Treatment resistant depression was not taken into the account.
3 of 4 people suffering from major depression do not receive adequate treatment – WHO (2017)
Depression treatment with psychotherapy – facts
Psychotherapy ist effective in the treatment of depression
The availability is limited and usually only one hour per week or less
In German S-3 guidelines psychotherapeutic treatment is always recommended for light to moderate depression
“As far as the intensity and concentration of therapeutic influencesare concerned, psychotherapy may need to be reevaluated…The possibility exists, that many of today’s therapeutic efforts to change persistent problematic behaviors, are unsuccessful because of these influences. While, in theory they are correct, they are not intense or vigorous enough.“ Grawe (2004)
The “weekly therapy hour”—in many cases, absent of any quality assessment ensuring reliance of evidence-based approaches—remains the practical default“.Schleider (2020)
Depression treatment with brain stimulation – facts:
A strong, pulsating magnetic field stimulates certain parts of the brain
Level A evidence (definite efficacy) was reached for … HF-rTMS of the left dorsolateral prefrontal cortex (DLPFC) using a figure-of-8 or a H1-coil for depression (Lefaucheur et al (2020)
But: There are few treatment places and most psychiatrists do not know the procedure, even though it is recommended in the treatment guidelines
Combining Ketamine infusions with rTMS and high-frequent psychotherapy
Ketamine leads to immediate improvement of symptoms and improves neuroplasticity
rTMS also improves neuroplasticity and leads to longer lasting antidepressive effects
Intensive psychotherapy (including hypnosis) benefits from the cognitive abilities improved by ketamine and rTMS and leads to long-lasting improvements
Ketamine is on the market since 1970 as a dissociative anesthetic
Ketamine is safe (ld 50 > factor 300 of therapeutic dose)
Ketamine has few side-effects and no irreversible side-effects
Ketamine has few contraindications: Uncontrolled hypertension, hyperthyroidism, intracranial pressure, severe heart failure, acute glaucoma, acute psychosis
Ketamine has a short half-time
No permanent intake of Ketamine is required: hit and go – effect
The effects of Ketamine are extremly fast (within hours)
Ketamine has fast anti-suicidal effects
“This is a game changer“ – John Krystal, MD, chief psychiatrist, Yale Medicine:
The drug works differently than those used previously, he notes, calling ketamine “the anti-medication” medication. “With most medications, like valium, the anti-anxiety effect you get only lasts when it is in your system. When the valium goes away, you can get rebound anxiety. When you take ketamine, it triggers reactions in your cortex that enable brain connections to regrow. It’s the reaction to ketamine, not the presence of ketamine in the body that constitutes its effects.”
How does ketamine work as depression treatment?
Mechanisms of action:
Blocks the NMDA receptor and inhibits it allosterically
Modulates and activates GABA A receptors of the α6β2δ and α6β3δ types.
Weak agonistic effect at opioid receptors
Inhibits reuptake of catecholamines at synaptic endplate
Inhibition of NMDA receptors in lateral habenula with disinhibition of downstream reward centres (likely responsible for immediate effect)
Micro RNAs expression of miR-29b-3p in the prefrontal cortex is increased, thereby positive effect on metabotropic glutamate receptor type 4
Metabolite hydroxynorketamine probably has its own antidepressant potency
Via glutamate AMPA receptor in the medial prefrontal cortex release of brain-derived neurotrophic factor
Increase in neuroplasticity
Chronic stress and depressive behaviours are associated in neuroscience research with impairments in neuroplasticity, such as neuronal atrophy and synaptic loss in the medial prefrontal cortex (mPFC) and hippocampus. Ketamine increases connectivity and restores synaptic structures in the frontal brain and hippocampus
Ketamine administration is associated with the restoration of markers involved in molecular neuroplasticity, such as. Glutamate, AMPA (α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid) receptors, mTOR (mechanistic target of rapamycin), BDNF (brain-derived neurotrophic factor), TrkB (tropomyosin receptor kinase B), VGF, eEF2K (eukaryotic elongation factor 2 kinase), p70S6K (p70 ribosomal S6 kinase), GSK-3 (glycogen synthase kinase 3), Erk, and microRNAs. M. Kang (2021)
Administration of Ketamine
All the effects during the administration disappear usually within 20 to 30 minutes after infusion
In few cases some effects can persist until the next day
The patient must always maintain a sense of control. In case of undesirable side effects, the drip rate is reduced or the infusion is temporarily stopped
The infusion must be administered in a quiet, safe environment
The patient must be able to communicate with the therapist at all times. Blood pressure and oxygen are continuously monitored
Immediate effects of ketamine infusions
Improvement of depressive symptoms on the next day, sometimes already during or shortly after the infusion.
Reduction or disappearance of suicidal thoughtsReduction in anxiety, compulsions and pain
These effects last for days to weeks, in rare cases even permanently. Some patients experience significant effects after the first infusion, some patients require a series of up to six infusions, very rarely more. We usually administer an infusion every second day, in severe cases initially daily.Longer intervals are also possible.
Possible side effects of ketamine infusions
Feeling of being drunk
Change in colour and shape perception, double vision
Change in body perception
Memorizing forgotten experiences
Dreams, mild hallucinations
Feeling of merging with the environment
Increased sensitivity to sound
Panic attacks due to the experience of dissociation
Increase in blood pressure
IV Ketamine Treatment or Esketamine nasal spray?
The patent on racemic ketamine has long expired. So intravenous ketamine for treatment of depression cannot be patented, and the pharmaceutical industry has therefore no incentive to undertake costly clinical trials to obtain a marketing permit. This is why it remains an off-label treatment
Esketamine nasal-spray was patented by Janssen and is approved for treatment resistant depression.
Esketamine nasal spray is less safe, less controllable and less effective than racemic ketamine – Bahji, Vazquez, Zarate (2021)
The price of esketamine nasal spray is about 500 euros per dose. It may only be given under inpatient conditions by healthcare professionals.
So the nasal spray is a good business!
What is Transcranial magnetic stimulation?
When a strong alternating magnetic field is directed on parts of the brain, the neurons are forced to depolarize. The magnetic field makes them release the neurotransmitters that regulate brain functions. Unlike depression medications, TMS does not have systemic effects such as weight gain, sexual dysfunction, nausea, tremors, dry mouth, diarrhea, headaches, constipation, sweating, sleepiness or anxiety. It also does not generate any cognitive impairment that was observed in ECT treatment such as memory impairment and no anesthesia or muscle relaxant medication are needed.
1995 first studies about depression treatment with rTMS (George et al)
2008 FDA approved for patients with MDD who failed one medication
RTMS for depression treatment
A series of 20 stimulations 10 Hz over the left dorsolateral prefrontal cortex reduces robustly depressive symptoms
In patients with unipolar depression effects are the same or better than with pharmacotherapy. -Lefaucheur (2020)
Modern, more intensive treatment programs (Stanford Accelerated Intelligent Neuromodulation Therapy SAINT) show remission rates of almost 90% with 10 stimulations daily for 5 days -Cole et al (2020)
Effects sustain over months – Donse et al (2017)
How to target the correct stimulation area with rTMS:
Orientation to the scalp via anatomical calculation models are unreliable because there are large interindividual deviations in the exact position of the DLPFC. MRI-guided neuronavigation is costly and does not necessarily provide a reliable additional benefit in terms of efficiency. We use a neuro-cardiac-guided TMS that measures the effect of probatory stimulation on heart rate deceleration. – Iseger et al (2020)
Possible side effects of rTMS:
Rare and harmless:
Seizures (usually in patients with pre-existing epilepsy)
EEG Neurofeedback Training for depression treatment
In EEG neurofeedback, EEG patterns are linked in real time with animations on a screen. Through operant conditioning, brain activities in certain areas can be strengthened or weakened. The procedure is non-invasive and safe. Neurofeedback training is well established and proven effective for ADD/ADHD There is certain evidence of the effectiveness of neurofeedback training in the treatment of depression (Barlas, 2021).
Studies on the combination with ketamine are not yet known.
Psychotherapy for depression treatment
There are hundreds of different psychotherapy methods. Even in the application of the individual procedures, there are great differences in the training of the therapists and the implementation of the treatment. The intensity and frequency of application differs considerably. Treatments are carried out individually or in groups
There are therefore considerable methodological problems in comparing the effect of the procedures with regard to their effectiveness in depression.
Cognitive Behaviour Therapie (CBT) shows generally positive effects in the treatment of depression (Lopez et al, 2019)
Psychodynamic Therapy seems to have comparable effects to CMB (Steinert et al, 2017)
EMDR (eye-movement-desensitisation-and-reprocessing), a procedure developed for the treatment of trauma patients, also seems to be effective (Wood et al, 2018)
Hypnosis also seems to be effective (Milling et al, 2019)
Gestalt-Therapy seems to be effective, but not as effective as hypnosis (Gonzalez-Ramirez, 2017)
Combination rTMS and Ketamine for depression treatment
Combination therapy with transcranial magnetic stimulation and ketamine for treatment-resistant depression: A long-term retrospective review of clinical use (Best et al. 2019)
Ketamine therapy combined with repetitive transcranial magnetic stimulation (rTMS) for major depressive disorder at a suburban tertiary clinic (Davila et al, 2021)
Various studies, not only for the treatment of depression, show clear evidence of a synergistic effect of rTMS and ketamine, as well as good tolerability and safety.
Combination Psychotherapy and Ketamine for depression treatment
Krupitsky E.M. & Grinenko, A.Y (1997) Ketamine psychedelic therapyThe positive role of spiritual experiences for the treatment of alcohol dependence is reported here
Samuel Wilkinson (2018):Cognitive Behavior Therapy May Sustain Antidepressant Effects of Intravenous Ketamine in Treatment-Resistant Depression.Cognitive behaviour therapy (CBT) after i.v. ketamin-infusions
Raquel Bennett (2019): i.m. or sublingual Ketamine 0,5mg/kg leads to consolidation of psychological material in a psychotherapy. 1,0-2,0 mg/kg i.m. induces a psychedelic Ketamine journey. In both cases, ketamine is ultimately used as a kind of catalyst for psychotherapeutic processes
Dore, J et al (2019) Ketamine assisted psychotherapy (KAP): Patient demographics, clinical data and outcomes in three large practices administering ketamine with psychotherapy This article is the first to explore KAP within an analytical framework examining three distinct practices that use similar methods. Especially in elderly patients and patients with severe symptoms, lasting improvements are achieved.
In addition, we offer – depending on the indication and location – sports therapy, physiotherapy, biofeedback and other relaxation methods.
At the beginning, an intensive psychiatric and psychological assessment takes place, including EEG and psychological test diagnostics. This is followed by a common therapy plan in which the individual elements are combined depending on the patient’s problems and resources.
On average, each patient receives between four and six ketamine infusions at intervals of one to two days. In addition, there are around 10 (sometimes more) hours of psychotherapy per week. 10, in special cases up to 50 units of rTMS per week, and additionally daily neurofeedback other relaxation procedures (depending on whether it is inpatient or outpatient treatment)
Follow-up survey 116 patients between April 2017 and February 2021:
26 patients responded
Age between 19 and 82 years
Average of two and a half years after treatment (3 to 49 months)
Average of 5 ketamine infusions (0.5mg/kg)
Ketamine only 19%, ketamine plus other procedures 81%
Die technische Speicherung oder der Zugang ist unbedingt erforderlich für den rechtmäßigen Zweck, die Nutzung eines bestimmten Dienstes zu ermöglichen, der vom Teilnehmer oder Nutzer ausdrücklich gewünscht wird, oder für den alleinigen Zweck, die Übertragung einer Nachricht über ein elektronisches Kommunikationsnetz durchzuführen.
The technical storage or access is necessary for the legitimate purpose of storing preferences that have not been requested by the subscriber or user.
The technical storage or access, which is carried out exclusively for statistical purposes.Technical storage or access used solely for anonymous statistical purposes. Without a subpoena, the voluntary consent of your Internet service provider, or additional records from third parties, information stored or accessed for this purpose alone generally cannot be used to identify you.
Technical storage or access is necessary to create user profiles, to send advertisements, or to track the user on a website or across multiple websites for similar marketing purposes.
Specialist in psychiatry and psychotherapy
Languages: German | Turkish | English
2021 Senior physician at the Center for Transcultural Psychiatry
2020 Specialist in Psychiatry and Psychotherapy
2018-2019 Asisstence physician in neurology at TWW Hospital Berlin- focus on Parkinson's disease and pain therapy
2015- 2020 Training in depth psychological psychotherapy
2014 German license to practice
2013- 2020 Resident in psychiatry and psychotherapy in Germany
2012 Specialist in anesthesia and intensive care medicine
2008-2012 Residency in anesthesiology in Istanbul
1997-2005 Faculty of Medicine, Istanbul Cerrahpasa
Comparison of actual mortality and morbidity with predicted modified APACHE-II and risk scoring prism in pediatric patients after arterial switch surgery (2012).
Comparison of neostigmine and sugammadex to assess the effect of rocuronium on neuromuscular blockade in patients undergoing pulmonary resection surgery (2011)
Poster presentation at the 45th National Congress of the Turkish Society of Anesthesiology and Critical Care Medicine (2011).
Psychologist (M.Sc.) | Brain stimulation methods (NFB, rTMS) | Relaxation methods
languages: German | English | Spanish
Studies of psychology at the Julius-Maximilians University of Würzburg with focus on clinical psychology, intervention psychology and clinical neuroscience.
Erasmus semester at the Universitat de les Illes Balears, Spain
Research assistant at the Department of General Psychology in the area of motivation and emotion, University of Würzburg, Germany
Internship at the Milton Erikson Institute, Rottweil, Germany
Internship at the Practice for Forensic Psychology, Würzburg
Short internship at the Bürgerhospital, Klinikum Stuttgart, Center for Mental Health, Department: Addictive Disorder
Since 2018 member of the team Dr. Scheib
Repetitive transcranial magnetic stimulation
Systemic consultant in further education
"You have to keep finding your way through the little thoughts that annoy you to the big thoughts that strengthen you." (Dietrich Bonhoeffer)
Human Medicine Languages: German | English
2009 - 2015 Study of human medicine at the LMU Munich
Since 19.11.2015 Approbation granted by the government of Upper Bavaria
2010-2015 Student assistant in the area of telephone coordination of organ donations in Bavaria South, German Foundation for Organ Transplantation Bavaria South, Munich
2011-2015 Promoter in the field of organ donation, Fürs Leben e.V.
2012 - 2016 Working student in the field of OR organization and coordination of organ offers, Transplant Center Munich of the Ludwig-Maximilians-University.
06/2016 - 05/2019 Resident in internal medicine within the framework of further training in general medicine, Ebersberg District Hospital
08/2019 - 07/2020 Resident physician in further training to become a general practitioner, Practice for General Medicine, Dr. med. Stephanie
Since 2018 advanced training in basic psychosomatic care.
Dr. med. Maksym Yarmolenko
Specialist in psychosomatic medicine and psychotherapy Languages: German, Russian, Ukrainian, English
2014 University Hospital Erlangen, Department of Psychosomatic Medicine
2017 Psychiatric work at the Center for Affective Disorders and Center for Transcultural Psychiatry (Humboldt-Klinikum Vivantes)
2019 Internal Medicine (Clinics at the Theodor-Wenzel-Werk)
2020 Specialist in psychosomatic medicine and psychotherapy, functional senior physician at the psychosomatic day clinic Sonnenallee (Vivantes Neukölln). Clinical focus: Affective disorders, anxiety and obsessive-compulsive disorders, trauma sequelae disorders, pain disorders, eating disorders, transcultural psychotherapy.
Scientific activity, studies
2006-2013 Medical studies at the University of Duisburg-Essen
2010-2014 Research in neuropathology (University of Essen), PhD on the topic: "Running during pregnancy attenuates neuroinflammation and oxidative stress of the offspring in a transgenic mouse model of Alzheimer's disease"
2015 Junior Researcher Support Program "Posttraumatic Disorders" (Lindau Psychotherapy Weeks).
Daniel Regalado Castillo
Paramedic | Health care worker | Chaplain Languages: German | English |Spanish
My name is Daniel Regalado Castillo, born in 1992 in Mülheim an der Ruhr.
I have been part of the Red Cross community in Germany since I was 11 years old. It quickly became clear to me that I wanted to work in prehospital emergency medicine as my future profession. I could already acquire there first resources for my later work.
In 2012, I completed my training as a paramedic.
During my training period, I also acquired additional qualifications as a volunteer in the Red Cross community. These include the care of young people as well as my pastoral work, which I was able to expand and develop during my professional career until 2018.
Subsequently, I participated in the vaccination campaign In North Rhine-Westphalia until the end of 2020.
In addition, I was on a vaccination mission with the International Committee of the Red Cross in Africa in 2017, and also helped to expand the supply of drinking water to villages.
During my professional career, I noticed that working with people in mental crisis situations suited me particularly well. And that is why I am very happy to be able to do my work now in the position of manager in a psychological practice.
"Every difficult situation that you master,
you will be spared in the future "
Dr. med. Notger Brustle
General surgeon, visceral surgeon, special visceral surgeon & proctology physician. Languages: German | English | Czech
Since 03/2018 Retired, temporary duty physician at Prosomno Sleep Clinic
03/2003 – 03/2018 Medical director at St. Barbara-Hospital, Gladbeck
10/2001 – 03/2018 Chief Physician at the Clinic for General, Visceral and Vascular Surgery at St. Barbara Hospital, Gladbeck
08/1988 – 09/2001 Senior physician at the Alfried Krupp Hospital for general surgery, trauma surgery and vascular surgery, Essen
Senior physician until 1990: Prof Dr. J. Kort
Senior physician from 1991: Prof. Dr. M. Betzler
04/1986 – 03/1987 Resident physician at the Lutherhaus gGmbH Protestant Hospital, Essen, surgical department
Senior physician: Prof. Dr. F. Beersiek
04/1987 – 07/1988 & 04/1982 – 03/1986 Resident physician at the Clinic for General Surgery, Trauma Surgery and Vascular Surgery, Essen, Germany
Senior physician: Prof Dr. J. Kort
10/1980 – 09/1981 Practical year at the Marien-Hospital Gelsenkirchen, Academic Teaching Hospital of the University Hospital Essen
Recognitions, Doctorate, Study & School
30.08.2008 Additional training in proctology
26.06.2000 Additional training in special visceral surgery
11.09.1996 Recognition as a physician specializing in visceral surgery
23.06.1988 Recognition as a doctor of surgery
09.12.1985 Doctorate (Dr. med.) at the medical faculty of the University of Essen
10/1976 – 06/1980 Study of medicine at the University of Essen
10/1972 – 07/1976 Study of chemistry at the University of Münster
09/ 2011 - 01/ 2014: Studies at the medical school in Pecs, Hungary
10/ 2015 - 11/ 2019: Studies of human medicine at the Otto-von-Guericke University, Magdeburg, Germany
From 03/ 2017: PhD at the Otto-von-Guericke University, Magdeburg on the topic: "Acute liver damage after cardiac surgery
Further professional training:
08/ 2010 - 11/ 2010: Training as a paramedic at the DRK in Goslar.
01/ 2011 - 04/ 2011: Internship at the Alka Hospital in Kathmandu (Nepal)
02/ 2014 - 05/ 2014: Internship in the orthopedics/ trauma surgery of the military hospital in Pecs (Hungary)
09/ 2014 - 04/ 2015: Collaboration in the family practice of Dr. Leschke in Pankow (Germany)
04/ 2015 - 08/ 2015: Student assistant in the pathology department of the hospital Vivantes Neukölln
2015 - 2019: clinical clerkships in different departments in Germany and abroad
12/ 2019: Obtaining the license to practice medicine
11/ 2018 - 11/ 2019: 1st tertial of the practical year at the Clinica de alta especialidad in Mérida (Mexico), surgery
2nd tertial at the Havelhöhe Clinic in Berlin, internal medicine
3rd tertial at the Charité Berlin, Psychiatry
From 06/2020: Physician in advanced training for internal medicine at the hospital Hedwigshöhe, Berlin
2020 - 2021: Volunteer work at Mindful Doctor in Berlin
Graduate Psychologist Jörg Böttcher
Licensed as a psychological psychotherapist (depth psychologically based psychotherapy) | registered as a physician with the Berlin Association of Statutory Health Insurance Physicians | member of the Berlin Chamber of Psychotherapists | certificate in trauma therapy (training with Oliver Schubbe, Berlin) | EMDR | clinical hypnosis and hypnotherapy (DGH)
Study of human medicine at the University of Ulm 2002-2009
Master studies Global Public Health with degree M.Sc. 2012-13
Doctorate in human medicine 2013
Training in cognitive behavioral therapy at the Institute for Behavioral Therapy (IVB) since 2019.
Anesthesiology from 2010 to 2012 and 2016 to 2019, including at the University Hospital of the Technical University of Munich and the University Medical Center Göttingen
Psychiatry (addiction, general psychiatry) from 2019 to 2021
Psychosomatics since 2021
Mateo Verd Vallespir, MD
Surgeon and general practitioner, specialist in resuscitation and anaesthesia, forensic medicine
Languages: Spanish | English
Trained Akaido teacher
Training with Ikutschi Sensei 10º dan
Anno Sensei 8º dan
Japanese martial art
Art of Peace
If a conflict is unavoidable, Akaido always tries to overcome it, to reduce it.
If it still cannot be avoided, the aim is to direct the attack in ways that do not hurt me and that do not hurt the opponent.
Thursday 13:00 - 14:00
For patients also by appointment
Languages: German | Lithuanian | Russian | English | Spanish | Catalan
Núm. Colegiado: B-02812
Active in the fields of internal medicine, general medicine and psychiatry, as well as an emergency physician.
1984 GP practice in Frankfurt with psychosomatic orientation.
1988 Practice for psychotherapy in Frankfurt am Main.
Organization and realization of training doctors in the area of transcultural psychosomatic and traditional medicine in Sri Lanka and Peru. Scientific work on the South American psychoanalysis history.
Education as leader of “balintguppen” and lecturer in autogenic training.
Since 1995, courses for basic psychosomatic care for doctors
with recognition by the medical associations in Germany and the Ministry of Health of the Balearic Islands.
Since 2001 practice and beds for psychotherapy treatment and addiction treatment in Palma de Mallorca, associated with Palmaclinic and the Hospital Quirón Palmaplanas
Organization and management of medical training in Spain, Germany and the United Arab Emirates,
inter alia, in the areas of Psychotherapy and Psychosomatics, Addiction Medicine, Pain Therapy, relaxation techniques, hypnosis, sexual medicine.
International College of Psycosomatic Medicine (ICPM)
Deutsche Gesellschaft für psychosomatische Medizin (DGPM)
Deutsche Gesellschaft für ärztliche Hypnose und Autogenes Training
01/2000 - 10/2000 mediator and couple counselor at the Institute for Dispute Culture, Berlin
09/1998 - 09/1999 behavioral talk therapist at the trainer and therapist community, Berlin
Since 2018 until today: Psychological therapist, Clinica Dr. Scheib/ Clinica Luz Mallorca
Since 2017 until today: Lecturer and equine therapist with own therapy horse, Centro Hipico, Oberkrämer
From 2011 to 2018: Psychological therapist in her own practice, Institut Aus-Zeit
Since 2011 - 2017: Lecturer for stress management, resilience, PMR and AT, IEK-Berlin
Since 2011 - 2020: Individual case assistant at the Social Psychiatric Service Berlin
1/2003 - 12/2011: Head of Personnel Development Department at Regiocom GmbH, Halle
Since 2001 continuously until today: Business partner of graduate business economist Kaj-Arne-Hennig from Phone Service, focus on management training, Hanover
07/2003 - 05/2004: Evaluation of network projects in cooperation with Prof. Dr. Rolf U. Sprenger, Ifo Institute Munich
08/2001 - 04/2002: research assistant with teaching activity at the Freie Universität Berlin, in the field of economic and organizational psychology, Prof. Dr. Detlev Liepmann
05/2001 - 5/2006: Conception and moderation of the start-up workshops of the Association of Young Entrepreneurs
07/1999 - 01/2001: personnel and organisational developer, ÖKOTEC Management GmbH, Berlin, Dr. Zschocke
1998 - 2001: Work and organizational psychologist at the Institute for Personnel Development, Prof. Dr. Hans Gerhard Sack
Specialist in rehabilitative and physical medicine
Languages: German | Spanish | French | English
Study of modern foreign languages and philologies
Study of human medicine 1989-1998 at the Freie University of Berlin
Practical doctor in neurology, Sophie and Hufeland Clinic Weimar
Doctorate at the University of Marburg on RTMS on the premotor dorsal cortex to improve motor hand function after a stroke
Completion of the specialist examination for rehabilitative and physical medicine
Knowledge of radiation protection and teleradiology
Basic course autogenic training
In training for manual therapy
Assistant doctor in the Bavaria Clinic for Neurorehabilitation Dresden / Kreischa
Activity in a life insurance risk assessment Assistant doctor in orthopedics, LVA Klinik Hohenelse / Rheinsberg
Assistant doctor in orthopedics, Rehabilitation Clinic Bad Heilbrunn
Resident in Neurologie und Orthopädie Rehazentrum Ingolstadt
Assistant doctor at the Neurologie Klinikum Ingolstadt
Assistant doctor in geriatrics, orthopedics and neurology, Passauer Wolf Bad Gögging
Resident physician in the geriatrics KMG Klinikum Pritzwalk
Activity in traffic medicine and video consultation
Since 2021: Freelance employee in the practice of Dr Scheib Berlin
Treat others as you wish to be treated
Childhood Educator | Apparative methods (rTMS, qEEG, Neurofeedback, HRV) | Scientific Associate Languages: German | English
● Studied psychology and psychoanalysis in Berlin and childhood education, as well as early childhood educational research (M.A.) in Potsdam, both with a focus on psychoanalysis
● Consultation assistant in the ophthalmological practice of Dr. Frank
● Internship in the psychiatric sanatorium SHG Klinikum Sonnenberg in Saarbrücken; closed station
● Work as an individual case helper and integration helper for hard of hearing children (CI) with a focus on learning to hear and use sign language (Jugendamt & Albert-Schweitzer-KiTa Reinickendorf)
● Internship in the Trilingual Crèche & KiTa Cheburashka Prenzlauer Berg
● Internship in the emergency accommodation for refugees Cyclopstraße, Wittenau
● Internship at the Trenkle organization for the ,, 3rd Parts Therapy Conference ”in Heidelberg
● Seminar assistant at Conflict House e.V.
● Since 2018: Pedagogical and psychological care for young adults with diagnoses from the schizophrenic group of forms (transitional residence of the support group for mental health e.V.)
● Since 2020: Research internship at SKKIPPI, the effectiveness study on psychodynamic / psychoanalytic parent-infant-toddler therapy (International Psychoanalytic University)
● Privatpraxis Dr. Scheib
● Training in hypnosis, hypnotherapy and hypnosis coaching (96 hours; TherMedius Institute)
● Training in mediation & conflict management (120 hours; Conflict House e.V. & FH Potsdam)
● Advanced training in ketamine hypnosis based on the Sophie Adler approach (Instituto Dr. Scheib)
● Repetitive transcranial magnetic stimulation (rTMS) for obsessive-compulsive disorder and depression (neuroCare Group)
● SCP-Neurofeedback (neuroCare Group)
● In further training: Assessment method Emotional Availability Scale for quantitative assessment of the quality of dyadic relationships (International Center for Excellence in Emotional Availability in Boulder, USA)
● Certified rater for the Attachment-Q-Sorts method for determining attachment styles (University of Vienna) ● In further training: Metacognitive training in psychosis (MKT +) (University Hospital Hamburg-Heppenheim)
Research interests & memberships
● Consciousness and hypnosis research
● Psychosis and schizophrenia research
● Parent-Infant-Toddler Therapy
● Member of the MIND European Foundation for Psychedelic Science
"If you touch the emptiness in your life, flowers will bloom in its place. " -Buddhist wisdom
Psychologic Psychotherapist | vast experience in Neuropsychology | Practice Management
Languages: Italian, German, English
01.01.2021-01.02.2021: Licence to practice repetitive Transcranial Magnetic Stimulation (rTms)
18.11.2020: Master's degree in Advanced Studies Psychotherapy with focus on behaviour therapy MASPTVT from the University of Bern
18.11.2020: License to practice as a psychological psychotherapist specialising in behavioural therapy
10.03.2018 - present: Further training as a clinical neuropsychologist GNP-School for clinical Neuropsychology.
01.04.2016-17.09.2020: DGVT - Training Center Munich / Bad Tölz - 4 Year education in psychological psychotherapy with focus on behaviour therapy.
10.07.2013: License to practice as a psychologist-University of Turin.
29.10.2012: Master's Degree in Clinical Psychology with 110/110 points- University of Turin- Italy
01.10.2010 - 29.10.2012: Master’s Studies in clinical psychology and neuropsychology. - University of Turin, Italy.
14.07.2010: Bachelor's Degree in neuropsychology (Faculty of Psychology) with 105/110 points.
01.10.2007 - 14.07.2010: Bachelor Degree Studies in Neuropsychology (Faculty of Psychology) - University of Turin, Italy.
01.01.2021- present: Private practice Dr. Scheib: Practice for hypnosis, neurofeedback, biofeedback, virtual reality, psychotherapy with a focus on behavior therapy, rTMS, ketamine infusions to treat depression, anxiety, obsessive-compulsive disorder, burn-out, neurological disorders, trauma-related disorders, addictions, etc. Part-time psychotherapist 20 hours / week
01.07.2017 - 20.04.2020: DGVT Psychotherapy School in Munich: 600 hours of patient treatment as a Psychotherapist in education.
01.10.2016 - 31.05.2017: District Hospital Landshut - Clinic for Psychiatry, Psychotherapy, Psychosomatic Psychologist MSc in internship.
01.06.2014 - 30.09.2016: Asklepios Klinik Schaufling - Rehabilitation Center for patients with neurological, orthopedic, geriatric, cardiological and psychosomatic diseases. MSc psychologist in the neurological department full-time
10.03.2014 - 30.05.2014: Klinikum Bogenhausen- Munich- Neurocenter Clinic for Neurology and Neuropsychology. Internship.
02.09.2013 - 28.02.2014: Schön Klinik Bad Aibling- Specialized hospital for neurology. Internship
18.07.2011 - 03.06.2013: Klinik „Puzzle“, Rehabilitation center for people with acquired brain damage- Turin (Italy). Internship.
Dipl.- Psychologist | Person-Centered Psychotherapy (GwG, HPG) | Psychodynamic Imaginative Trauma Therapy (PITT according to Reddemann) | Attachment-Based Therapy (Brisch, Munich) | "Traumatic Stress Studies" with Bessel van der Kolk in Boston | Clinical Hypnosis and Hypnotherapy (DGH) | Inner Parts Work IFS (Internal Family System, Schwartz, USA, in advanced training Ketamine Assisted Therapy (Polarisinsight, San Francisco) | Certified Practitioner with AIN (Applied Improvisation Network) | Lecturer | Trainer | Coaching
Languages: German, English, Spanish
She is also an experienced improvisation actress, tango dancer and clown.
Since 2008 she has been giving workshops in further education institutes as well as at congresses for psychotherapists, psychologists and doctors with elements of improvisational theater, acting and tango on the topics of resilience, change processes, creativity, humor.
Conception and leadership of professional excursions to Argentina, Cuba and Colombia on the topic of psychology/psychotherapy in the context of history and politics.
For many years her second center of life was in Buenos Aires. She combines in a unique way the analytical and empathic skills of a psychologist with the power of improvisation and her intercultural experience.
Nees, F. (2019). Self-strengthening: 80 creative experiential exercises for psychotherapy. With 20-page booklet. Beltz Verlag, Weinheim.
10/2014 - 02/2016 Medical coordinator, Health attaché of the Saudi Embassy in Berlin
10/2009 - 02/2012 Scientific Associate, University of Khartoum, Pathology program part 1
01/2007 - 01/2008 Assistant doctorOmdurman Military Hospital, Hematology and oncology
04/2005 - 10/2006 Medical intern Internal Medicine- Chest Center- Khartoum Learning Hospital Internal medicine-Soba Hospital Pediatric Academy Learning Hospital Obstetrics and Gynecology- Omdurman Saudi hospital Orthopedic Omdurman Military Hospital
04/1998 - 04.2004Study of Human Medicine Ahfad University for Women, Faculty of Medicine,Omdurman / SudanMajor fields of study: Human Medicine, Surgery Degree: MBBs
Pedagogue | Child and Adolescent Psychotherapist | Behavioral Therapist Language: English | German
My name is Bibi Zazai.
I completed my license as a psychotherapist for children and adolescents at the
Academy in Osnabrück.
I am a behavioral therapist and work in a resource- and solution-oriented way.
The learning processes are in the foreground for me.
"Roads appear while walking them"
The main focus of my work as a psychotherapist for children and adolescents is to
to analyze behavioral patterns and, if necessary, to change or optimize them.
to work actively on the problems, to examine to what extent personal attitudes, such as "I am only worth something if I do everything perfectly" are useful and meaningful, and how they can be changed in order to actively tackle the problems.
Improving self-esteem or self-efficacy and improving one's perception of feelings are central themes in therapy.
Focus of treatment :
My treatment specialties include diagnosis and treatment of childhood and adolescent mental illnesses up to age 21, AD(H)S, anxiety disorders, depression, eating disorders, somatoform disorders, tic-compulsive disorders, and adjustment disorders.
Training as a group therapist : social skills training, parent training, ADHD-group.