Behavioral therapy for cardiovascular system disorders in Hohwacht Plön Ostsee Holstein and Hamburg Altona Ottensen

High blood pressure = arterial hypertension Its consequences: Stroke, heart attack, heart and kidney failure. Diagnosis: ICD-10: F54 Psychological factors or behavioral factors in I10.0 High blood pressure Strategic psychotherapeutic measures with regard to cardiovascular disorder and risk: Body-system-regulatory goals:

• Adjust nutrition
  • Reduce overweight
  • Reduce salt intake
• Stop smoking and alcohol consumption:
  • Daily physical aerobic exercise and endurance training:
  • Swimming
  • Hiking
  • Cycling
  • Nordic walking
  • Cross-country skiing
  • Golf
  • Jogging
  • Running
  • Walking.
• Breaks during the course of the day Psychotherapeutic goal: Compliance promotion Instruments from psychotherapy and coaching:
• Self-management training
  • with use of:
  • Self-verbalization techniques
  • Goal achievement coaching strategies
  • Calendar and project management strategies.
  • Lifestyle change strategies
• Behavioral therapeutic self-regulation strategies. Target-specific instruments: SLEEP:
• Sleep hygiene:
  • Psychoeducation on psychological stimulus control.
  • Restructuring of activity and rest times.
• STRESS: Goal: Reduction of psychosocial stress. Stress component:
  • Hostility
  • Conflicts
  • Mobbing
  • Impatience
  • Time pressure
• Reactive feelings:
  • HELPLESSNESS: Reduce helplessness:
    • Empowerment strategies.
    • Empowerment techniques.
  • AGGRESSION:
    • Reduce aggression triggers
    • Restructuring of psychosocial networks.
  • ANGER:
    • Reduce anger triggers
    • Instrument: Anger management strategies ANXIETY: Goals: Reduce/desensitize/eliminate anxiety triggers Instruments:
• Conditional analyses.
  • Clear termination of avoidance and repression strategies.
• Intelligent, mindful, system-reflecting, sensitive, gradual emotion- and body-focused (= emotion-focused) confrontational in-situ exposure + in-sensu imaginative techniques from Integrative (= depth psychology-integrating)
• Cognitive Behavioral Therapy with practicing inclusion of emotion-focused and cognition- (= meaning/evaluation) -processing including body psychotherapeutic strategies. Important: Pure confrontation is not enough! Intensive authentic work on inner life is required! Increase success perception:
• Cognitive behavioral therapy with increase of self-efficacy.
  • De facto increase success experiences. Reduce failure perception:
  • Cognitive restructuring.
  • Negativity reduction (compulsive depression).
• TRAUMA: Process and integrate traumatic experiences in a specialized psychotraumatological manner.

• REAL-PRACTICING group psychotherapy with practical inclusion of Humanistic Psychotherapy in the here and now. Assertiveness training. Important:
  • pure intellectualized group talk therapy is not enough!
  • Insight and understanding is not enough!

TENSION 1:

• Goal:
  • Release muscular and body-organic tension.
  • Increase relaxation
• Instruments:
  • Relaxation techniques
  • Breathing relaxation techniques
  • AT Autogenic Training according to Schulz
  • PMR Progressive Muscle Relaxation according to Jacobson
  • Hatha Yoga
  • Qi Gong

TENSION 2:

• Goals:
  • Reduce/release mental tension
  • Reduction of:
    • Performance pressure
    • Overload: see Burnout
    • Underload: see Boreout
• Instruments:
  • Conditional analytical conversations.
  • Behavioral analyses.
  • Problem-solving training.
  • Delegate tasks.
  • Psychoeducation and practice of goal achievement strategies.
  • Psychotherapeutic and coaching accompaniment for practice of reality testing.
  • Stress management training
  • Cognitive behavioral therapy
  • Clinical hypnosis
  • Reframing = Reevaluation (cognitive restructuring) of stress-triggering situations.
  • Problem and conflict resolution strategies.
  • Attitude change (inner posture).
  • Attention direction.
  • Strategies for ending the mobbing situation
  • Overcoming relationship problems:
  • Couples therapy
  • Communication training.
  • Mindfulness training
  • Biofeedback.
  • Change of physiological and mental processes through rest-promoting
• MEDITATION TECHNIQUES. These require the following components:
  • physical posture
  • concentration exercise
  • attention focusing
  • repetitive trance state-inductive strategies
  • slow rhythm
  • structured abdominal breathing-regulative rituals
  • suggestive strategies
  • imaginative strategies
  • sound or word stimuli NOISE: Reduce noise PAIN: Reduce pain Instruments:
• Cognitive and hypnotherapeutic pain management techniques.