Depression - symptoms and treatment

Depression: symptoms and treatment at the private practice for psychosomatic medicine Dr. Scheib.

Recognising and treating symptoms of depression

About one in four people will experience a depressive episode at least once in their life, or suffers from permanent depression. There are many symptoms of depression. The illness not only means a loss of quality of life, but it is also linked to the development and progression of risk factors for other diseases, such as coronary heart disease and cancer. About 9000 people take their own lives every year due to depression and its symptoms in Germany alone. Treatment is often exclusively with medication, usually serotonin reuptake inhibitors (SSRIs), sometimes with additional psychotherapy.

Our innovative therapy concept for the treatment of depression consists of a combination of ketamine therapy with hypnosis, repetitive transcranial magnetic stimulation (rTMS), neurofeedback and intensive psychotherapy. Ketamine promotes neuroplasticity, and thus the brain’s ability to absorb and process new information. This increases the effectiveness of psychotherapy and other therapeutic treatments. With this treatment we achieve long-term success in a relatively short period of time. This intensive therapy can be compressed into a period of between 10 days and 3 weeks, but can also be spread over a longer periods for outpatients. Even in the case of therapy-resistant depression, the treatment with our combined ketamine therapy is very successful.

Even after only one ketamine infusion, a clear improvement in symptoms of depression can often be seen. Ketamine is the only known substance that immediately makes suicidal thoughts disappear. A permanent intake of medication is often no longer necessary after undergoing our treatment.

Since the effect of ketamine often does not last, the combination with other therapies is particularly important in the treatment of depression. At our therapy centres we have the possibility of using a combination of all the effective methods.

Specialized treatments for depression

Postpartum Depression

Postpartum depression is a serious illness. More than 10% of all mothers develop depressive symptoms after giving birth. In some cases, this even leads to a significantly increased risk of suicide.

The following symptoms can occur with postpartum depression:

depressed mood
Loss of interest
Loss of appetite
sleep disturbances
increased fatigue
feelings of worthlessness
feelings of guilt
reduced concentration
suicidal thoughts or attempts
problems establishing an emotional relationship with the child

Conventional antidepressants pass into breast milk and are therefore problematic. Repetitive transcranial magnetic stimulation however, is a very effective, non-invasive treatment for postnatal depression. It does not affect breast milk. We combine this treatment with Hypnosis and / or an intensive psychotherapy.

Therapy-resistant depression

We also specialise in treating therapy-resistant depression. Our treatment with ketamine therapy in combination with hypnosis, intensive psychotherapy and brainwave techniques achieve a rapid but long-term improvement in therapy-resistant depression. Many patients who had already previously given up, leave our clinic with new hope of a normal life. Our ketamine therapy is now even recommended by the ‘’Central Institute for Mental Health’’ in Mannheim as a treatment option for therapy-resistant depression. Many health insurance companies contribute to the costs in individual cases given that at least two different antidepressants have been trialled over a sufficiently long period of time and with a sufficient dosage, but have been unsuccessful in treating the depression.

Depression: Treatment in Berlin, Munich, Mallorca and Andalusia

The treatment of depression in all our locations begins with a comprehensive diagnosis, in which existing findings are evaluated. Other important psychological and medical examinations are also carried out. Depending on the type and severity of the symptoms, the following examinations are carried out before therapy begins in order to combat the depression.

Detailed medical history

The patient’s biography is examined for possible life history causes of the depression, but also for details that could be important for the further treatment of the depression.

Psychological test diagnostics

There are various psychological test procedures that can be used to test the severity of a depression, as well as accompanying symptoms. These findings serve not only for planning the therapy, but also to monitor the course and success of the therapy.

Sleep laboratory

One of the common symptoms of depression is sleep disorders. Sometimes, however, undiagnosed sleep apnoea can also lead to depressive symptoms. Therefore, as part of our treatment for depression, our patients are connected to a small device for one night which records breathing, heart rate, EEG, muscle tone and snoring,

Quantitative EEG (brain mapping)

The activity of the different regions of the brain is measured at different frequencies and displayed as a kind of map of the brain. In the case of depression typical changes in activity can often be seen. These results are evaluated and can then be used as starting points for Neurofeedback training. The quantitative EEG also provides information about which further therapy methods are particularly likely to be successful for each patient.

HRV measurement

Reduced heart rate variability is also a symptom of depression. Depression also increases the risk of various heart diseases. In the course of therapy HRV usually improves significantly.

ECG, MRI, CCT, blood tests

Depending on the severity of the depression and its symptoms, additional medical examinations may be considered. In particular, underlying diseases that may be associated with depressive symptoms. For this purpose we work closely with other specialised practices and clinics.

Therapy concept for Depression: innovative & multimodal

After an intensive medical and psychological diagnosis at the start of our therapy for depression, our innovative, multimodal therapy concept uses the following treatment elements:

Ketamine infusions

Ketamine infusions promise an immediate antidepressant effect, the response rate is 80-90%. Depressive symptoms like anxious tension and suicidal ideation disappear, neuroplasticity improves, which makes treatment with rTMS, hypnosis and psychotherapy more efficient. Providing that there is no untreated high blood pressure or severe heart disease, ketamine infusions are safe and harmless. For decades the substance has been used in much higher doses as a safe anaesthetic. Ketamine is broken down in the body after only a few hours. The effect, however, lasts for weeks or sometimes months. This is called a “hit and go” effect. The advantage: regular medication is not necessary, which makes the treatment more suitable for certain occupational groups, such as airline pilots.

Hypnosis

Hypnosis is another main component of our therapy for depression. In combination with the ketamine infusions, the hypnosis sessions can improve the effect of the ketamine. Hypnosis uses the dissociative effect of the ketamine to quickly gain insights and new ways of thinking. We have combined this mutual effect in our ketamine-hypnosis package to form a unique treatment concept over several appointment sessions.

Psychotherapy

We use the improved learning ability provided by the ketamine treatment for an intensive Psychotherapy, which is usually two hours daily. This leads to rapid cognition and cognitive restructuring. Both behavioural therapy and psychodynamic therapy are effective in the treatment of depression. If needed, and extension can be reached by adding EMDR.

Repetitive transcranial magnetic stimulation (rTMS)

Another important instrumental method used in our therapy for depression is repetitive transcranial magnetic stimulation. In rTMS, certain parts of the brain are stimulated or subdued by strong, pulsating magnetic fields. The procedure also improves neuroplasticity and has a clear antidepressant and anxiety-relieving effect. It is FDA approved for the treatment of depression and compulsions and is included in the German S3 guidelines for the treatment of depression.

Transcranial direct current stimulation (tDCS)

In transcranial direct current stimulation, a weak current is passed through the brain via two electrodes which are placed on the head. This changes the sensitivity of the nerve cells and their activity. The strength of the current is very weak. The procedure is non-invasive and free of any dangerous side effects. It can be used in the treatment of depression, addiction, eating disorders, but also in competitive sports, to improve high-speed power performance. Compared to repetitive transcranial magnetic stimulation, one advantage of the tDCS method is that it is less expensive and the device is smaller. If the treatment is successful, patients can purchase smaller devices and continue treatment at home to maintain the therapeutic effect.

HRV biofeedback

The length of a heartbeat is controlled by the autonomic nervous system, especially the vagus nerve. In patients with depression or coronary heart disease, the heart’s controllability is limited. Through biofeedback, which is based on the change in the pulse fluctuation range (HRV), the heart’s capabilities can be expanded again, which also has an antidepressant effect.

Neurofeedback

In depressive patients, certain parts of the brain are underactive, while others are overactive. These states of activity can be measured in a quantitative EEG and then trained to increase or decrease with a biofeedback system. Neurofeedback has a particularly positive effect on sleep disturbances that exist in most depressive patients. If the results of neurofeedback training during inpatient therapy for depression are positive, we provide our patients with amobile device, on a loan basis, with which the therapy programme can be continued at home. They are accompanied by us telemetrically.

Sports therapy

One of the quickest and simplest treatments for depression is physical activity. However, depressive patients are usually difficult to motivate. In sports therapy, we work with the patient to develop activities that help reduce aggression and lead to relaxation.

Relaxation techniques

Autogenic training, yoga, progressive relaxation and Mindfulness Based Stress-relief lead to relaxation, improve stress management, promote sleep and thus have a clear antidepressant effect.

Sleep deprivation

In some cases, complete sleep deprivation for one or two nights can bring about a significant improvement in depression. Sleep deprivation should always be carried out as an inpatient.

At present, we are not able to offer all the therapies at all of our therapy centres but we will be happy to advise you in which of our centers you can best be helped.

If you suspect that you are suffering from depression or have already undergone one orunsuccessful treatments, simply make an online appointment now, for an initial consultation with one of our therapists:

Book an appointment for a psychotherapeutic evaluation with one of our therapists:

All procedures

Ketamine therapy
Hypnosis
Behavioral therapy
Psychodynamic psychotherapy
Neurofeedback
HRV biofeedback and peripheral biofeedback
Repetitive transcranial magnetic stimulation (rTMS)
Transcranial direct current stimulation (tDCS)
Yoga

F.A.Q. Ketamine treatment

Frequently asked questions about our Ketamine treatment

Does my health iscurance cover the treatment costs?

For privately insured patients, treatment is usually covered – depending on the contract. For patients with statutory german health insurance, the decision is often made on a case-by-case basis. If a depression has already been treated several times without success, it is called therapy-resistant depression. In this case, the chances are good of the costs being covered or at least a contribution to the costs is approved.
We are currently the only center in Europe where ketamine therapy, rTMS and intensive psychotherapy are offered simultaneously.

Is Ketamine a drug?

Ketamine is also used in the drug scene – but in a much higher dosage and not as a continuous infusion, but as a single dose. At this dosage, the depth of the trance cannot be controlled. Continuous use of high doses can cause chronic bladder infections.

Is Ketamine addictive?

There is no potential for dependence at the dosage used to treat depression and other conditions.

Is treatment with Ketamine legal?

Ketamine has been an approved drug since 1970. When used for the treatment of depression, compulsions, etc., it is a so-called “off label” treatment. These therapies are common and legal, but are not always covered by health insurance.

Contact Dr. Scheib Munich:

Tel: +49 89 277 97888

E-mail: muenchen@psychosomatik.com

Contact Dr. Scheib Berlin:

Tel: +49 30 634 28 891
E-mail: berlin@psychosomatik.com

Contact Clinic Dr. Scheib Mallorca:

Tel: +34 971 969 530

E-mail: mallorca@psychosomatik.com

Feel free to contact us, we are happy to answer all your questions personall:

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Data protection information according to Art. 13 DSGVO
Name and address of the responsible party
The responsible party within the meaning of the General Data Protection Regulation (DSGVO) and other data protection regulations is:

Private Practice Dr. Mario Scheib

Lützenstr, 3-4
10711 Berlin, Germany

Phone:
Berlin: +49 30 63428891
Munich: +49 89 45670607
E-mail: berlin@psychosomatik.com
muenchen@psychosomatik.com

General information on data processing
Legal basis for the processing of personal data
In accordance with Art. 13 DSGVO, we inform you of the legal basis for our data processing activities. If the legal basis is not specified in the data protection notice, the following applies:
The legal basis for obtaining consent is Art. 6 para. 1 lit. a in conjunction with. Art. 7 DSGVO. The legal basis for processing for the fulfillment of our services and implementation of contractual measures, as well as answering inquiries is Art. 6 para. 1 lit. b DSGVO. The legal basis for processing for the fulfillment of our legal obligations is Art. 6 para. 1 lit. c DSGVO. If the processing of your data is necessary to protect a legitimate interest of our company or a third party and the interests, fundamental rights and freedoms of the data subject do not override the former interest, Art. 6 (1) (f) DSGVO serves as the legal basis for the processing. In the event that vital interests of the data subject or another natural person make processing of personal data necessary, Art. 6 (1) lit. d DSGVO serves as the legal basis.

Data deletion and storage period
We adhere to the principles of data minimization according to Art. 5 para. 1 lit. c DSGVO and storage limitation according to Art. 5 para. 1 lit. e DSGVO. We store your personal data only for as long as is necessary to achieve the purposes stated here or as provided for by the retention periods stipulated by law. After the respective purpose ceases to apply or after these retention periods have expired, the corresponding data will be deleted as quickly as possible.

Note on data transfer to third countries
Our website also includes tools from companies based in third countries (including, in particular, the USA). If these tools are active, your personal data may be transmitted to the servers of the respective companies. The level of data protection in third countries generally does not correspond to EU data protection law. This means that there is a risk that your data will be passed on to authorities in these countries. We have no influence on these processing activities.

External links
This website may contain links to websites of third parties or to other websites under our responsibility. If you follow a link to one of the websites outside our responsibility, please note that these websites have their own data protection information. We do not assume any responsibility or liability for these third-party websites and their privacy notices. Therefore, before using these websites, please check whether you agree with the data protection statements there.

You can recognize external links either by the fact that they are displayed in a different color from the rest of the text or underlined. Your cursor will show you external links when you move it over such a link. Only when you click on an external link will your personal data be transferred to the target of the link. In doing so, the operator of the other website receives in particular your IP address, the time at which you clicked on the link, the page on which you clicked on the link, as well as further information, which you will find in the data protection notices of the respective provider.

Please also note that individual links may lead to data transfer outside the European Economic Area. This could give foreign authorities access to your data. You may not be entitled to any legal remedies against these data accesses. If you do not want your personal data to be transferred to the link destination or even undesirably exposed to access by foreign authorities, please do not click on any links.

Rights of the data subject
As a data subject within the meaning of the GDPR, you have the opportunity to assert various rights. The data subject rights resulting from the GDPR are the right to information (Article 15), the right to rectification (Article 16), the right to erasure (Article 17), the right to restriction of processing (Article 18), the right to object (Article 21), the right to lodge a complaint with a supervisory authority and the right to data portability (Article 20).

Right of withdrawal:

Some data processing can only take place with your express consent. You have the option to revoke your consent at any time. However, the legality of the data processing until the revocation is not affected by this.

Right of objection:

If the processing is based on Art. 6(1)(e) or (f) DSGVO, you, as the data subject, may object to the processing of personal data relating to you at any time for reasons arising from your particular situation. You also have this right in the case of profiling based on these provisions iSd Art. 4 Z 4 DSGVO. If we cannot demonstrate a legitimate interest for the processing that overrides your interests, rights and freedoms, or if the processing serves the assertion, exercise or defense of legal claims, we will refrain from processing your data after the objection has been made.

If the processing of personal data serves the purpose of direct marketing, you also have the right to object at any time. The same applies to profiling associated with direct advertising. Here, too, we will no longer process personal data as soon as you raise an objection.

Right to lodge a complaint with a supervisory authority:

If you believe that the processing of personal data concerning you infringes the GDPR, you have the right to lodge a complaint with a supervisory authority, in particular in the member state of your residence, workplace or the place of the alleged infringement, without prejudice to any other administrative or judicial remedy.

Right to data portability:

If your data is processed automatically on the basis of consent or performance of a contract, you have the right to receive this data in a structured, common and machine-readable format. In addition, you have the right to request that the data be transferred and made available to another controller, insofar as this is technically feasible.

Right of access, rectification and deletion:

You have the right to obtain information about your processed personal data regarding the purpose of the data processing, the categories, the recipients as well as the duration of the storage. If you have any questions on this topic or on other topics regarding personal data, you can of course contact us using the contact options provided in the imprint.

Right to restriction of processing:

You can assert the restriction of the processing of your personal data at any time. To do so, you must meet one of the following requirements:

You dispute the accuracy of the personal data. For the duration of the verification of the accuracy, you have the right to request a restriction of processing.
If processing is carried out unlawfully, you may request restriction of the use of the data as an alternative to erasure.
If we no longer need your personal data for the purposes of processing, but you need the data for the assertion, exercise or defense of legal claims, you may, as an alternative to erasure, request restriction of processing.
If you object to the processing pursuant to Art. 21 (1) DSGVO, a balancing of your and our interests will be carried out. Until this balancing has taken place, you have the right to request the restriction of processing.
The consequence of a restriction of processing is that, apart from storage, the personal data may only be processed with your consent or for the assertion, exercise or defense of legal claims or for the protection of the rights of another natural or legal person or for reasons of important public interest of the Union or a Member State.

Provision of the website (web host)
When you access our website, we automatically collect and store information in so-called server log files. Your browser automatically transmits this information to our server or to the server of our hosting company.

These are:

IP address of the end device of the website visitor.
Device used
Host name of the accessing computer
Operating system of the visitor
Browser type and version
Name of the retrieved file
Time of the server request
Amount of data
Information whether the retrieval of the data was successful
This data is not merged with other data sources.

The legal basis for the processing of this data is Art. 6 para. 1 lit. f DSGVO. Our legitimate interest is the technically error-free presentation and optimization of this website.

Instead of operating this website on our own server, we can also have it operated on the server of an external service provider (hosting company). In this case, the personal data collected on this website will be stored on the servers of the hosting company. In addition to the data mentioned above, this may include, for example, contact requests, contact data, names, website access data, meta and communication data, contract data and other data generated via a website.

As a further legal basis, the purpose of pre-contract or contract performance vis-à-vis the data subject is cited. (Art. 6 para. 1 lit. b DSGVO). In the event that we have commissioned a hosting company, there is an order processing contract with this service provider.

Use of cookies
Our website uses "cookies". Cookies are pieces of information that a web server (server that provides web content) stores on your terminal device in order to be able to identify this terminal device. They are either stored temporarily for the duration of a session (session cookies) and deleted at the end of your visit to a website or permanently (permanent cookies) on your end device until you delete them yourself or until they are automatically deleted by your web browser.

Cookies can also be stored on your terminal device by third-party companies when you enter our site (third-party requests). This enables us, as the operator, and you, as a visitor to this website, to use certain services provided by third parties installed on this website. Examples of this are cookies for the processing of payment services or cookies for the display of videos.

Cookies have a variety of uses. They can improve the functionality of a website, control shopping cart functions, increase the security and comfort of website use, and perform analyses regarding visitor flows and behavior. Depending on the individual functions, cookies must be classified in terms of data protection. They are necessary for the operation of the website and intended to provide certain functions (shopping cart function) or serve to optimize the website (e.g. cookies to measure visitor behavior), then their use is based on Art. 6 (1) lit. f DSGVO. As a website operator, we have a legitimate interest in storing cookies for the technically error-free and optimized provision of our services. In all other cases, cookies are only stored with your express consent (Art. 6 para. 1 lit. a DSGVO).

Insofar as cookies are used by third-party companies or for analysis purposes, we will inform you about this separately within the scope of this data protection notice. Your required consent will be requested and can be revoked at any time.

Use of external services
External services are used on our website. External services are services from third-party providers that are used on our website. This can be done for various reasons, for example, for embedding videos or for the security of the website. When using these services, personal data is also passed on to the respective providers of these external services. If we do not have a legitimate interest in using these services, we will obtain your consent as a visitor to our website, which can be revoked at any time, before using them (Art. 6 para. 1 lit. a DSGVO).

Consent Management
In order to comply with data protection requirements, we use a consent management tool on our website. With this tool, we obtain necessary consents for the setting of cookies or the use of external services. The consents are stored.

The processing is necessary for the fulfillment of a legal obligation to which the controller (operator of the website) is subject. Therefore, Art. 6 (1) lit. c DSGVO is used as the legal basis for the processing.

Complianz GDPR/CCPA Cookie Consent

We use the Complianz GDPR/CCPA Cookie Consent service on our website. The provider of the service is Complianz B.V., Kalmarweg 14-5,9723 JG Groningen, The Netherlands.

As this service is hosted locally on the web server, no data transfer to third parties takes place.

Display optimization
We use tools that serve to optimize the presentation of our website. These tools help, among other things, to be able to present the website in other languages or more handicapped accessible.

The processing of the data is based on the legal basis of consent (Art. 6 para. 1 lit. a DSGVO). As a website visitor, you have consented to the processing of your personal data with your voluntary, explicit consent given in advance. Without separate consent, the personal data will not be processed by us in the manner described above, provided that there is no other legal basis within the meaning of Art. 6 para.1 DSGVO on which we base the processing. We proceed in the same way if you revoke your consent. The lawfulness of the processing carried out until the revocation remains unaffected.

Polylang

We use the service Polylang on our website. The provider of the service is WP Syntex, 28, rue Jean Sébastien Bach, 38090 Villefontaine, France.

As this service is hosted locally on the web server, there is no data transmission to third parties.

Data protection software
In order to better comply with data protection requirements, we use appropriate software. This software supports us in complying with data protection regulations.

The processing of data is based on the legal basis of consent (Art. 6 para. 1 lit. a DSGVO). As a website visitor, you have consented to the processing of your personal data with your voluntary, explicit consent given in advance. Without separate consent, the personal data will not be processed by us in the manner described above, provided that there is no other legal basis within the meaning of Art. 6 para.1 DSGVO on which we base the processing. We proceed in the same way if you revoke your consent. The lawfulness of the processing carried out until the revocation remains unaffected.

ALFRIGHT data protection information

We use the ALFRIGHT data protection notice service on our website. The provider of the service is Lukmann Consulting GmbH, Packerstraße 183, A-8561 Söding, Austria.

We base this processing on a legitimate interest (Art. 6 para. 1 lit. f DSGVO).

This service supports us in keeping our privacy notices up to date and legally compliant. Therefore, we rely on the legal basis of legitimate interest.

Forms and surveys
We use tools on our website that allow us to create surveys and forms and integrate them on our website. These tools are used to be able to conduct surveys on various topics on our website. Through the forms, we can create requests and information on any topic and integrate them into the website. These forms and surveys can be filled out or answered by you as a website visitor. In the course of visiting the website and filling out or answering the surveys or forms, personal data of you as a website visitor will be processed. This is in particular your IP address, as well as other data entered by you as a website visitor in the forms or in the context of surveys. This personal data is processed by the website operator and by the provider of the survey or form tool (our order processor) and stored on its servers.

The processing of the data is based on the legal basis of consent (Art. 6 para. 1 lit. a DSGVO). As a website visitor, you have consented to the processing of your personal data with your voluntary, explicit consent given in advance. Without separate consent, the personal data will not be processed by us in the manner described above, provided that there is no other legal basis within the meaning of Art. 6 para.1 DSGVO on which we base the processing. We proceed in the same way if you revoke your consent. The lawfulness of the processing carried out until the revocation remains unaffected.

ALFRIGHT Services

We use the service ALFRIGHT Services on our website. The provider of the service is Lukmann Consulting GmbH, Packerstraße 183, A-8561 Söding, Austria.

We base this processing on a legitimate interest (Art. 6 para. 1 lit. f DSGVO).

This service supports us in keeping our data protection information up-to-date and legally compliant at all times. Therefore, we rely on the legal basis of legitimate interest.

Map service
We use on this website for a map service. In order for the map to be used and displayed on the website, the map must be loaded from the provider's server. This involves the transmission of your IP address to the provider's server. Depending on the provider, cookies and other technologies up to fonts are loaded. You can find more details on this in the provider's privacy policy.

The processing of the data is based on the legal basis of consent (Art. 6 para. 1 lit. a DSGVO). As a website visitor, you have consented to the processing of your personal data with your voluntary, explicit consent given in advance. Without separate consent, the personal data will not be processed by us in the manner described above, provided that there is no other legal basis within the meaning of Art. 6 para.1 DSGVO on which we base the processing. We proceed in the same way if you revoke your consent. The lawfulness of the processing carried out until the revocation remains unaffected.

Google Maps

We use the Google Maps service on our website. The provider of the service is Google Ireland Ltd, Gordon House, Barrow Street Dublin 4, Ireland.

The use of the service may result in data transfer to a third country (USA).

Further information can be found in the provider's data protection information at the following URL: https://policies.google.com/privacy.

Interface software
Business processes run more cheaply, faster and with fewer errors if they are automated using software via interfaces. In this way, they can be efficiently integrated into company processes via the company's own website or via social networks. We use interface software on our website to link different applications and to transfer personal data securely from one application to another.

The processing of the data is based on the legal basis of consent (Art. 6 (1) a DSGVO). As a website visitor, you have consented to the processing of your personal data with your voluntary, explicit consent given in advance. Without separate consent, the personal data will not be processed by us in the manner described above, provided that there is no other legal basis within the meaning of Art. 6 para.1 DSGVO on which we base the processing. We proceed in the same way if you revoke your consent. The lawfulness of the processing carried out until the revocation remains unaffected.

Google APIs

We use the Google APIs service on our website. The provider of the service is Google Ireland Ltd, Gordon House, Barrow Street Dublin 4, Ireland.

The use of the service may result in data transfer to a third country (USA).

Further information can be found in the provider's privacy information at the following URL: https://policies.google.com/privacy.

Social media
We use social media plugins to connect our website with our social media channels. The integration of the plugins is intended to make it easier for visitors to our website to follow our social media channels, share, like or comment on content. Some social media plugins allow analyzing the user behavior of visitors to the website in terms of their behavior on social networks. The use of plugins is intended to increase awareness and followers of our channels.

Personal data is also processed through the plugins and data is transferred to these social networks. This transmission occurs as soon as the website is accessed. Processed data are for example: Name, address, e-mail address, telephone number, access time, device information, IP address.

The processing of the data is based on the legal basis of consent (Art. 6 para. 1 lit. a DSGVO). As a website visitor, you have consented to the processing of your personal data with your voluntary, explicit consent given in advance. Without separate consent, the personal data will not be processed by us in the manner described above, provided that there is no other legal basis within the meaning of Art. 6 para.1 DSGVO on which we base the processing. We proceed in the same way if you revoke your consent. The lawfulness of the processing carried out until the revocation remains unaffected.

Facebook

We use the Facebook service on our website. The provider of the service is Meta Platform Ireland Ltd, 4 Grand Canal Square, Grand Canal Harbour, Dublin 2, Dublin, D02x525,, Ireland.

The use of the service may result in a data transfer to a third country (USA).

Further information can be found in the provider's privacy information at the following URL: https://de-de.facebook.com/policy.php.

Facebook Connect

We use the Facebook Connect service on our website. The provider of the service is Meta Platform Ireland Limited (Marketplace), 4 Grand Canal Square Grand Canal Harbour Dublin 2, Ireland.

The use of the service may result in a data transfer to a third country (USA).

Further information can be found in the provider's data protection information at the following URL: https://de-de.facebook.com/policy.php.

Appointment booking
You have the option of making appointments with us directly on our website. If you enter the requested data and the desired date in the mask provided, our system will suggest free appointments. The data you enter (name, e-mail address and optionally telephone number) will be used by us for the planning, execution and, if necessary, follow-up of the appointment.

The processing of the data is based on the legal basis of consent (Art. 6 para. 1 lit. a DSGVO). As a website visitor, you have consented to the processing of your personal data with your voluntary, explicit consent given in advance. Without separate consent, the personal data will not be processed by us in the manner described above, provided that there is no other legal basis within the meaning of Art. 6 para.1 DSGVO on which we base the processing. We proceed in the same way if you revoke your consent. The lawfulness of the processing carried out until the revocation remains unaffected.

Jameda

We use the service Jameda on our website. The provider of the service is jameda GmbH, Balanstr. 71a, 81541 Munich, Germany.

Further information can be found in the provider's data protection information at the following URL: https://www.jameda.de/info/datenschutz.

Web fonts
This site uses so-called web fonts for the uniform display of fonts, which are provided by an external provider and loaded by the browser when the website is called up. In doing so, the provider of the web font becomes aware that our website has been accessed from your IP address, as your browser establishes a direct connection to the provider of the web font.

The processing of the data is based on the legal basis of consent (Art. 6 para. 1 lit. a DSGVO). As a website visitor, you have consented to the processing of your personal data with your voluntary, explicit consent given in advance. Without separate consent, the personal data will not be processed by us in the manner described above, provided that there is no other legal basis within the meaning of Art. 6 para.1 DSGVO on which we base the processing. We proceed in the same way if you revoke your consent. The lawfulness of the processing carried out until the revocation remains unaffected.

Google Fonts

We use the Google Fonts service on our website. The provider of the service is Google Ireland Ltd, Gordon House, Barrow Street Dublin 4, Ireland.

The use of the service may result in data transfer to a third country (USA).

Further information can be found in the provider's data protection information at the following URL: https://policies.google.com/privacy.

Websecurity
On our website we use tools that protect against unauthorized access, spam or other attacks. This increases the security of our website.

We base this processing on a legitimate interest (Art. 6 para. 1 lit. f DSGVO).

Our legitimate interest is to be able to guarantee the security of our website as well as to protect ourselves from unauthorized access, spam and other attacks.

hCaptcha

We use the hCaptcha service on our website. The provider of the service is Intuition Machines, Inc, 350 Alabama St, San Francisco, CA 94110, USA.

The use of the service may result in data transfer to a third country (USA).

Further information can be found in the privacy information of the provider at the following URL: https://www.hcaptcha.com/privacy.

Payment service provider
We integrate payment services of a company specialized in these services on our website. When you make a purchase from us, your payment data (e.g. name, payment amount, account details, credit card number) are transmitted to our payment service provider and processed by them for the purpose of payment processing. The contractual and data protection provisions of the provider selected by us apply to these transactions.

The processing of the data is based on the legal basis of consent (Art. 6 para. 1 lit. a DSGVO). As a website visitor, you have consented to the processing of your personal data with your voluntary, explicit consent given in advance. Without separate consent, the personal data will not be processed by us in the manner described above, provided that there is no other legal basis within the meaning of Art. 6 para.1 DSGVO on which we base the processing. We proceed in the same way if you revoke your consent. The lawfulness of the processing carried out until the revocation remains unaffected.

PayPal

We use the PayPal service on our website. The provider of the service is PayPal (Europe) S.à r.l. et Cie, S.C.A., 22-24 Boulevard Royal, L-2449, Luxembourg.

The use of the service may result in data transfer to a third country (USA).

Further information can be found in the provider's data protection information at the following URL: https://www.paypal.com/myaccount/privacy/privacyhub?locale.x=de_AT.

Contact form
On our website, you have the option of contacting us via a contact form. For contacting us via this form, your contact data in particular is required.

As a legal basis, reference is made here to processing for the purpose of contract performance or pre-contractual measures pursuant to Art. 6 (1) lit. b DSGVO. In addition, there may be a legitimate interest to maintain business relationships or to respond to your inquiry for other reasons.

In this case, the legal basis for processing your data would be Art. 6 (1) lit. f DSGVO.

The data will be deleted when we have conclusively answered your inquiry and no other retention obligations prevent this.

Telephone or e-mail contact
In accordance with legal requirements, we have provided a telephone number and e-mail address on our website. The data transmitted in these ways are automatically stored by us in order to process corresponding inquiries or to be able to contact the inquiring person. This data will not be passed on to third parties without our consent.

If contact is made by telephone or via our e-mail address for pre-contractual or contractual purposes, the processing of personal data is based on the legal basis of Art. 6 (1) lit. b DSGVO. For all other contacts on your part, the processing of personal data by us is based on our legitimate interest pursuant to Art. 6 (1) lit. f DSGVO.

Handling of applicant data
It is possible to send us an application (e.g. by mail, online application form or by e-mail). The personal data received as a result will be stored and processed by us for the application process.

The basis for the processing is Art. 6 (1) lit. b DSGVO as well as Art. 6 (1) lit. a DSGVO, provided that consent has been given. Insofar as German law is applicable, Section 26 BDSG in particular is used as the legal basis for processing. You can revoke your consent at any time. The lawfulness of the processing carried out until the revocation remains unaffected.

If an employment relationship results from the application, the collected data will be stored for the processing of the employment relationship on the basis of Art. 6 (1) lit. b DSGVO. Insofar as no employment relationship results, the data will be stored on the basis of Art. 6 para.1 lit. f DSGVO for the duration of legal claims, in particular due to discrimination in the application process. This is necessary for the defense against any lawsuits or accusations. If consent has been given, the data will be stored longer on the basis of Art. 6 para. 1 lit. a DSGVO. You can revoke your consent at any time. The lawfulness of the processing carried out until the revocation remains unaffected.

If no employment relationship is established, the person applying may be included in our applicant pool. In this case, all details of the application are stored in order to be able to contact the relevant person in the event of suitable job vacancies.

The storage of data in the applicant pool takes place exclusively after consent has been given on the basis of Art. 6. para. 1 lit. a DSGVO. This consent can be revoked at any time, whereupon the corresponding data will be deleted, unless there are legal reasons for retention. Deletion takes place automatically no later than two years after consent has been given. The lawfulness of the processing carried out until the revocation remains unaffected.

Applicant pool
If no employment relationship is established, the applicant can be included in our applicant pool. In this case, all details of the application are stored in order to be able to contact the corresponding person in the event of suitable job postings.

The storage of data in the applicant pool takes place only after consent has been given on the basis of Art 6. para.1 lit.a DSGVO. This consent can be revoked at any time, whereupon the corresponding data will be deleted, unless there are legal reasons for retention. Deletion will take place no later than two years after the consent was given. The lawfulness of the processing carried out until the revocation remains unaffected.

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