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Psyche & Sucht

Sozialängstliche Menschen sollten sich ihrer Angst stellen

Menschen, die unter einer sozialen Phobie leiden, haben eine übersteigerte oder unangemessen starke Angst, unangenehm aufzufallen,  sich ungeschickt anzustellen oder zu versagen. Sie fürchten eine negative Beurteilung durch andere und neigen in der Folge dazu, sich zurückzuziehen und gemeinschaftliche Aktivitäten zunehmend zu meiden. „Für Betroffen ist es enorm wichtig, dass sie sich nicht von ihren Ängsten leiten lassen, sondern sich ihnen stellen. Wie jede Angst kann auch eine soziale Phobie nur dadurch überwunden werden, indem man der angstauslösenden Situation gegenübertritt und das ungünstige Vermeidungsverhalten ablegt“, meint Christa Roth-Sackenheim, Vorsitzende des Berufsverbandes Deutscher Psychiater (BVDP) in Krefeld. Eine soziale Angst ist eine erworbene oder gelernte Angst. Weil sie erlernt ist, kann sie jedoch auch gut überwunden werden, wenn Betroffene daran arbeiten. „Ängste verliert man, wenn man das tut wovor man Angst hat und dabei erlebt, dass das Befürchtete nicht eintritt und die Sorgen unbegründet waren. Diese Konfrontation mag für Betroffene zwar zunächst schwer vorstellbar sein, ist jedoch ein wesentlicher Bestandteil der Behandlung“, so die Psychiaterin.


Bei der Therapie haben sich neben angstlösenden Medikamenten verhaltenstherapeutische Maßnahmen und das Erlernen von Entspannungstechniken bewährt. Ausschlaggebend für die Entstehung und Ausprägung sozialer Ängste ist oft die subjektiv empfundene Bedrohung des eigenen Selbstwertgefühls. „Für Betroffene ist es wichtig, dass sie lernen, Ihr Selbstwertgefühl zu stärken. Je mehr sie sich selber annehmen, umso weniger Angst haben Sie vor anderen und deren möglicher Kritik oder Ablehnung“, fügt Dr. Roth-Sackenheim hinzu. Ziel einer Therapie ist es, dass die soziale Phobie verschwindet oder wenigstens so in den Griff zu bekommen ist, dass der Patient souverän damit umgehen kann und die Störung sein Leben nicht weiter negativ beeinflusst. Eine soziale Phobie ist gut therapierbar.


Unbewältigte soziale Ängste können enorme persönliche und berufliche Einschränkungen nach sich ziehen. So werden oftmals wichtige Entscheidungen im Leben, wie etwa berufliches Weiterkommen, von der Phobie abhängig gemacht und beeinflusst, um die problematischen Situationen zu vermeiden. Auch kann es zunehmend zur sozialen Isolation kommen, wenn Betroffene von familiären und beruflichen Feierlichkeiten fernbleiben und ihre privaten Kontakte einschränken. „Können sie derartigen Situationen nicht aus dem Weg gehen, sind sie oft extrem angespannt und verspüren in Folge ihrer psychischen und körperlichen Anspannung eine Reihe organischer Beschwerden. Deutliche Symptome - wie Schwindel, Verkrampfung, Herzrasen oder Übelkeit - sind zugleich ein Unterscheidungsmerkmal zu „bloßer“ Schüchternheit“, ergänzt die Psychiaterin und aus Andernach. „Letztlich zählt jedoch der persönliche Leidensdruck, also wie sehr man durch seine Angst eingeschränkt ist, ob eine behandlungsbedürftige Störung vorliegt“. Ein Facharzt für Psychiatrie und Psychotherapie ist der richtige Ansprechpartner bei entsprechenden Beschwerden.

Die Sozialphobie ist neben der Agoraphobie und den Panikattacken die häufigste Form der Angststörungen - bis zu 10 Prozent der Deutschen leiden darunter.


Die Pressemeldung des BVDP ist zur Veröffentlichung freigegeben.

Bitte weisen Sie bei Verwendung im Printbereich auf das Informationsportal des BVDP, www.psychiater-im-netz.de, hin. Bei Online-Veröffentlichung erbitten wir eine Verlinkung auf die Website.

http://www.npin.de/npin/npinaktuell/show.php3?id=1580&nodeid=4

Ja keine Ratschläge geben – das hört man schon beinahe Mantra-mäßig von allen, die irgendwie mit dem Thema Ratgeber, Therapie, Seelsorge oder was auch immer zu tun haben. Gutgemeinte Ratschläge hören die Leute genug, man solle ihnen lieber helfen, selbst auf Änderungsvorschläge zu kommen, Ratschläge sind nur eigene Erfahrungen, da will sich nur einer selber reden hören usw. – alles Argumente, die hierfür herhalten sollen.

Prinzipiell ist das ja auch alles richtig – irgendwie. Natürlich ist es gut, wenn Menschen selbst drauf kommen, wie sie ihr leben ändern können. Natürlich beruhen viele Ratschläge auf eigenen Erfahrungen und manch einer mag sich gerne selbst reden hören. Und natürlich beruhen viele dieser Ratschläge manchmal auch auf einer „Alltagspsychologie“ oder auch „Hobbypsychologie“.

ABER:

Nicht jeder kommt selbst drauf – auch mit der besten Begleitung nicht. Nicht jeder will auch selbst drauf kommen und muss zum eigenen Besten vielleicht das zu hören bekommen, was er hören sollte – nicht das, was er hören oder tun will.

Auch mancher Ratgeber, Seelsorger oder Therapeut hört sich selbst gerne reden. Und greifen wir nicht alle auf eigene Erfahrungen zurück? Niemand kann in die Haut des anderen schlüpfen.

„Das Herz freut sich an Salbe und Räucherwerk, und süß ist der Freund, der wohlgemeinten Rat gibt.“

(Sprüche 27,9 Luther 1984)

Einem wahren Freund geht es nicht darum, mich mit irgendwelchen billigen Sprüchen abzuspeisen. Er will mein bestes und somit ist sein Rat für mich Gold wert und ich werde mir bei wichtigen Angelegenheiten immer zuerst den Rat eines meiner besten Freunde einholen.

Auch im therapeutischen oder seelsorgerischen Verhältnis kann es durchaus Situationen geben, wo ein Rat von Nöten ist – gefragt oder ungefragt.

Mit Vorgaben, was als Ratgeber/Seelsorger/Therapeut zu tun und zu lassen ist, ist es so eine Sache: Viele davon sind zwar oft begründet, aber manchmal auch Mode-Erscheinungen. Sie sind nicht pauschal zu verwenden, da sonst vieles, das wertvoll gewesen wäre, verloren gehen kann.


Entwicklungsbedingungen für eine gesunde Persönlichkeit (Prof. Dr. Dr. Gerhard Roth)


Are You Feeling Suicidal?


Even though your pain may seem overwhelming and permanent at the moment, there are ways to deal with suicidal thoughts and feelings and overcome the pain.

I’m having suicidal thoughts, what do I need to know?

No matter how much pain you’re experiencing right now, you’re not alone. Many of us have had suicidal thoughts at some point in our lives. Feeling suicidal is not a character defect, and it doesn’t mean that you are crazy, or weak, or flawed. It only means that you have more pain than you can cope with right now. But with time and support, you can overcome your problems and the pain and suicidal feelings will pass.

Some of the finest, most admired, needed, and talented people have been where you are now. Many of us have thought about taking our own lives when we’ve felt overwhelmed by depression and devoid of all hope. But the pain of depression can be treated and hope can be renewed. No matter what your situation, there are people who need you, places where you can make a difference, and experiences that can remind you that life is worth living. It takes real courage to face death and step back from the brink. You can use that courage to face life, to learn coping skills for overcoming depression, and for finding the strength to keep going. Remember:

Your emotions are not fixed – they are constantly changing. How you feel today may not be the same as how you felt yesterday or how you’ll feel tomorrow or next week.
Your absence would create grief and anguish in the lives of friends and loved ones.
There are many things you can still accomplish in your life.
There are sights, sounds, and experiences in life that have the ability to delight and lift you – and that you would miss.
Your ability to experience pleasurable emotions is equal to your ability to experience distressing emotions.

Why do I feel suicidal?

Many kinds of emotional pain can lead to thoughts of suicide. The reasons for this pain are unique to each one of us, and the ability to cope with the pain differs from person to person. We are all different. There are, however, some common causes that may lead us to experience suicidal thoughts and feelings.

Why suicide can seem like the only option

If you are unable to think of solutions other than suicide, it is not that other solutions don’t exist, but rather that you are currently unable to see them. The intense emotional pain that you’re experiencing right now can distort your thinking so it becomes harder to see possible solutions to problems, or to connect with those who can offer support. Therapists, counselors, friends or loved ones can help you to see solutions that otherwise may not be apparent to you. Give them a chance to help.

A suicidal crisis is almost always temporary

Although it might seem as if your pain and unhappiness will never end, it is important to realize that crises are usually temporary. Solutions are often found, feelings change, unexpected positive events occur. Remember: suicide is a permanent solution to a temporary problem. Give yourself the time necessary for things to change and the pain to subside.

Even problems that seem hopeless have solutions

Mental health conditions such as depression, schizophrenia, and bipolar disorder are all treatable with changes in lifestyle, therapy, and medication. Most people who seek help can improve their situation and recover. Even if you have received treatment for a disorder before, or if you’ve already made attempts to solve your problems, know that it’s often necessary to try different approaches before finding the right solution or combination of solutions. When medication is prescribed, for example, finding the right dosage often requires an ongoing process of adjustment. Don’t give up before you’ve found the solution that works for you. Virtually all problems can be treated or resolved.

Take these immediate actions

Step #1: Promise not to do anything right now

Even though you’re in a lot of pain right now, give yourself some distance between thoughts and action. Make a promise to yourself: “I will wait 24 hours and won’t do anything drastic during that time.” Or, wait a week.

Thoughts and actions are two different things—your suicidal thoughts do not have to become a reality. There is no deadline, no one’s pushing you to act on these thoughts immediately. Wait. Wait and put some distance between your suicidal thoughts and suicidal action.

Step #2: Avoid drugs and alcohol

Suicidal thoughts can become even stronger if you have taken drugs or alcohol. It is important to not use nonprescription drugs or alcohol when you feel hopeless or are thinking about suicide.

Step #3: Make your home safe

Remove things you could use to hurt yourself, such as pills, knives, razors, or firearms. If you are unable to do so, go to a place where you can feel safe. If you are thinking of taking an overdose, give your medicines to someone who can return them to you one day at a time as you need them.

Step #4: Don’t keep these suicidal feelings to yourself

Many of us have found that the first step to coping with suicidal thoughts and feelings is to share them with someone we trust. It may be a family member, friend, therapist, member of the clergy, teacher, family doctor, coach, or an experienced counselor at the end of a helpline. Find someone you trust and let them know how bad things are. Don’t let fear, shame, or embarrassment prevent you from seeking help. And if the first person you reach out to doesn’t seem to understand, try someone else. Just talking about how you got to this point in your life can release a lot of the pressure that’s building up and help you find a way to cope.

Step #5: Take hope – people DO get through this

Even people who feel as badly as you are feeling now manage to survive these feelings. Take hope in this. There is a very good chance that you are going to live through these feelings, no matter how much self-loathing, hopelessness, or isolation you are currently experiencing. Just give yourself the time needed and don’t try to go it alone.

Reaching out for help

Even if it doesn’t feel like it right now, there are many people who want to support you during this difficult time. Reach out to someone. Do it now. If you promised yourself 24 hours or a week in step #1 above, use that time to tell someone what’s going on with you. Talk to someone who won’t try to argue about how you feel, judge you, or tell you to just “snap out of it.” Find someone who will simply listen and be there for you.

It doesn’t matter who it is, as long as it’s someone you trust and who is likely to listen with compassion and acceptance.

How to talk to someone about your suicidal thoughts

Even when you’ve decided who you can trust to talk to, admitting your suicidal thoughts to another person can be difficult.

Tell the person exactly what you are telling yourself. If you have a suicide plan, explain it to them.
Phrases such as, ‘I can’t take it anymore’ or ‘I’m done’ are vague and do not illustrate how serious things really are. Tell the person you trust that you are thinking about suicide.
If it is too difficult for you to talk about, try writing it down and handing a note to the person you trust. Or send them an email or text and sit with them while they read it.

What if you don’t feel understood?

If the first person you reached out to doesn’t seem to understand, tell someone else or call a suicide crisis helpline. Don’t let a bad experience stop you from finding someone who can help.

If you don’t know who to turn to:

In the U.S. – Call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or IMAlive at 1-800-784-2433.

In the UK and Ireland – Call Samaritans UK at 116 123

In Australia – Call Lifeline Australia at 13 11 14

In other countries – Visit IASP or Suicide.org to find a helpline in your country.

How to cope with suicidal thoughts

Remember that while it may seem as if these suicidal thoughts and feelings will never end, this is never a permanent condition. You WILL feel better again. In the meantime, there are some ways to help cope with your suicidal thoughts and feelings.

If You Have Suicidal Thoughts and Feelings

Things to do:

Talk with someone every day, preferably face to face. Though you feel like withdrawing, ask trusted friends and acquaintances to spend time with you. Or continue to call a crisis helpline and talk about your feelings.
Make a safety plan. Develop a set of steps that you can follow during a suicidal crisis. It should include contact numbers for your doctor or therapist, as well as friends and family members who will help in an emergency.
Make a written schedule for yourself every day and stick to it, no matter what. Keep a regular routine as much as possible, even when your feelings seem out of control.
Get out in the sun or into nature for at least 30 minutes a day.
Exercise as vigorously as is safe for you. To get the most benefit, aim for 30 minutes of exercise per day. But you can start small. Three 10-minute bursts of activity can have a positive effect on mood.
Make time for things that bring you joy. Even if very few things bring you pleasure at the moment, force yourself to do the things you used to enjoy.
Remember your personal goals. You may have always wanted to travel to a particular place, read a specific book, own a pet, move to another place, learn a new hobby, volunteer, go back to school, or start a family. Write your personal goals down.

Things to avoid:

Being alone. Solitude can make suicidal thoughts even worse. Visit a friend, or family member, or pick up the phone and call a crisis helpline.
Alcohol and drugs. Drugs and alcohol can increase depression, hamper your problem-solving ability, and can make you act impulsively.
Doing things that make you feel worse. Listening to sad music, looking at certain photographs, reading old letters, or visiting a loved one’s grave can all increase negative feelings.
Thinking about suicide and other negative thoughts. Try not to become preoccupied with suicidal thoughts as this can make them even stronger. Don’t think and rethink negative thoughts. Find a distraction. Giving yourself a break from suicidal thoughts can help, even if it’s for a short time.

Recovering from suicidal thoughts

Even if your suicidal thoughts and feelings have subsided, get help for yourself. Experiencing that sort of emotional pain is itself a traumatizing experience. Finding a support group or therapist can be very helpful in decreasing the chances that you will feel suicidal again in the future. You can get help and referrals from your doctor or from the organizations listed in our Recommended reading section.

5 steps to recovery

Identify triggers or situations that lead to feelings of despair or generate suicidal thoughts, such as an anniversary of a loss, alcohol, or stress from relationships. Find ways to avoid these places, people, or situations.
Take care of yourself. Eat right, don’t skip meals, and get plenty of sleep. Exercise is also key: it releases endorphins, relieves stress, and promotes emotional well-being.
Build your support network. Surround yourself with positive influences and people who make you feel good about yourself. The more you’re invested in other people and your community, the more you have to lose—which will help you stay positive and on the recovery track.
Develop new activities and interests. Find new hobbies, volunteer activities, or work that gives you a sense of meaning and purpose. When you’re doing things you find fulfilling, you’ll feel better about yourself and feelings of despair are less likely to return.
Learn to deal with stress in a healthy way. Find healthy ways to keep your stress levels in check, including exercising, meditating, using sensory strategies to relax, practicing simple breathing exercises, and challenging self-defeating thoughts.

Suicide crisis lines in the U.S.:

National Suicide Prevention Lifeline at 1-800-273-8255 or IMAlive at 1-800-784-2433.

The Trevor Project offers suicide prevention services for LGBTQ youth at 1-866-488-7386.

SAMHSA’s National Helpline offers referrals for substance abuse and mental health treatment at 1-800-662-4357.
Suicide crisis lines worldwide:

In the UK and Ireland: Call Samaritans UK at 116 123.

In Australia: Call Lifeline Australia at 13 11 14.

In Canada: Call Crisis Services Canada at 1-833-456-4566.

In other countries: Find a helpline near you at Befrienders Worldwide, IASP, or International Suicide Hotlines.

(Source: https://www.helpguide.org/articles/suicide-prevention/are-you-feeling-suicidal.htm. December 13th, 2019)

Links Psyche allgemein national

Caritasverband der Erzdiözese München und Freising e.V.

Tagklinik Westend (Psychosomatische Medizin und Psychotherapie in München)

Atriumhaus Psychiatrischen Krisen- und Behandlungszentrum München-Süd

Krisendienst Psychiatrie München

Max-Planck-Institut für Psychiatrie in München

Klinik und Poliklinik für Psychiatrie und Psychotherapie des Klinikums rechts der Isar (München)

Psychosomatische Klinik Windach

Clemens-August-Erwachsenenklinik (Neuenkirchen-Vörden)

de'ignis (Psychotherapie, Psychiatrie und Psychosomatik. Auf christlicher Basis.)

Deutsche Gesellschaft Zwangserkrankungen e.V.

Angst-Hilfe e.V. München

Panik-Attacken.de - Hilfe zur Selbsthilfe

Stiftung Deutsche Depressionshilfe

Burnout Zentrum e.V.

IGNIS Akademie für Christliche Psychologie

Association of Christian Counselors

Der Beratungsführer

Herzogsägmühle

Christliches Krankenhaus Quakenbrück

St. Josef-Hospital (Oberhausen)

Katholische Kliniken Essen-Nord-West gGmbH

Religiosität in Psychiatrie und Psychotherapie (RPP Institut)

Immanuel Diakonie

Albertinen-Krankenhaus

Die Arche - Suizidprävention und Hilfe in Lebenskrisen e.V.

Deutsche Gesellschaft für Suizidprävention


Dr. med. R. Febres Landauro

http://dr-richi.com/german/index.php/de/

Kontaktdaten

Ich freue mich auf Ihren Anruf oder Ihre E-mail. Sie brauchen keine Überweisung.

In Österreich erreichen Sie meine Ordination unter +43 662 84 53 25.

In Deutschland erreichen Sie die Praxis unter +49 8651 979 38 29.

Nonntaler Hauptstraße 1
A-5020 Salzburg


Links Sucht National

Links Sucht International

New Jerusalem Now (USA): Recovery from drug and alcohol addictions for the marginalized

Global Teen Challenge

S.A.F.E. Alternatives

Teen Challenge USA

In The Rooms - A Global Recovery Community

National Addiction Rehab Locator
http://www.recoveryconnection.org/state-drug-rehabs/

Addiction Recovery: Procedures Covered by Medicare Part B
https://www.ehealthmedicare.com/ehi/medicare/about-medicare/medicare-part-b/covered-services

Addiction Psychiatrist Search by Location
http://www.zocdoc.com/psychiatrists 

Links Psyche international

RSA Shorts - The Power of Empathy


You don't need to bring us Jesus!

Yes, we've been gone for so long. We've been outsiders - and still are. "The marginalized" you call us - and you use us to knock off your loving the unlovable off the list. You want to bring Jesus to us hookers, pimps, inmates, gays, drug addicts, homeless and what not. We don't need you to bring us Jesus so you feel better and can tap yourselves on your shoulders. Jesus is already here. Yes, we left our old lives behind, but we are still "we" - and that's alright with God. We went to those nice and fancy church buildings where they all asemble - all those nicely dressed people, some of which we knew too well from their double lives. They "welcome" us, but all the time they let us feel they are something better - and we are not.
Oh, they certainly know how to hide that behind spiritually or wanna-be-psychologically sounding phrases - "You might want to pray about...", "Don't take it personal, but...", "A Christian does not say/wear/do this/does not listen to this music...", "This looks like you're still gay/a hooker/a drug addict/a criminal..." - you get the point.

Then you wonder why so many call Christians hypocrite. Because many of you are. We sure don't need churches and Christians like these and we can smell your true attitude a mile away. This is why we feel much better among our own. Yes, we are Christians now - and certainly not worse ones than you are - and this is why our folks love us like we are. No "but" attached. And vice versa. We do not have to look like a middle class American John Doe in his suit and tie to worship the Lord. We dress up for Him - but that might look different than what you know. Who are you to tell us we should pray about our behavior - meaning to say you are standing on your hill, pretending to be God and having all the truth in the world. You are a sinner like the rest of us, not better, not worse.

When we follow Jesus, we are dead serious about it. We see you spreading much "wisdom" on facebook and telling everybody what should be done - but when we ask you to join us going out on the street to all those wild places where you find those people Jesus loves so much, you give us a trillion excuses why you cannot come along. Teary-eyed snowflakes, that's what you are. Chicken. Your house is not built on a rock and your seed fell among thorns.

So with all of our heart we tell you: Keep on doing whatever you think you should be doing, but leave us and our likes alone. We don't need you. We need Jesus - and we assemble for and with Him and we go to meet Him. Actually, it is pretty easy. He assembled twelve simple men called apostles and told them on the Sermon of the Mount the basics of what a believer in God is all about. This is what we go by.

We have two words for you:

Bless you.

Rob