Psychosomatic rehab indications procedure costs

Psychosomatic rehabPsychosomatic illnesses are increasingly developing into a widespread disease. Stress, overload, underload, lack of or inadequate coping strategies, as well as misdirected psychological processes lead to physical suffering. The diagnosis is often difficult, the therapy lengthy and the rehabilitation comprehensive. The reason is that extremely complex interrelationships are involved. Psychosomatic rehabilitation aims at your physical recovery and psychological stability, in order to alleviate or permanently exclude secondary disorders or relapses.

Those who are under negative stress for a longer period of time, who tend to hyperstress or are even affected by burnout will physical symptoms develop. Abdominal pain, back pain, irritable bowel syndrome or headaches are only the most common. Doctors and affected persons rarely think of psychosomatics in such cases, but rather look for physiological causes.

If, however, a significant connection between psyche and physique has been identified, comprehensive therapy is required to eliminate the causes of the disorders. Rehabilitation helps to alleviate physical symptoms, increase the quality of life and positively influence psychological determinants, so that there is also prevention for the future.

Indications for psychosomatic rehabilitation

The main indications of psychosomatic rehabilitation are:

– ADHS – burnout and chronic fatigue syndrome – immune deficiency and post-traumatic stress disorder – diseases of the gastrointestinal tract – orthopedic diseases such as back problems, – respiratory diseases such as asthma – pain symptoms without organic causes – skin disorders – heart conditions such as broken-heart syndrome.

Psychosomatic illnesses are common in the population with ca. 5 to 10 percent represented.

Before the physical disorder, there is usually a longer phase marked by grief, anger, dissatisfaction, stress, resignation or insecurity. The affected usually fall into a crisis, if in this phase still another small thing is added, which cannot be processed any longer. The task of the therapy is to alleviate the physical problems. The decoupling of the mental or. psychological blockades from the physical ones, in order to be able to treat all of them appropriately.

Procedure, costs and co-payment in rehabilitation clinics

According to the law, a psychosomatic rehab lasts three weeks. However, since these are complex disorders, extensions are possible, or. even necessary. The practice provides four to six weeks before. However, longer treatment does not necessarily mean more effective treatment.

The rehab costs are usually borne by the cost bearers, i.e. primarily the health insurance companies and pension insurances. If no cost absorption is approved, one must pay privately, which can become very expensive, since the daily rates often lie with 500 euro. In order for health and pension insurances to cover the costs, there must be a medical finding with a corresponding diagnosis and need for rehabilitation.

No matter if psychotherapy or a combination of Psychotherapy and physiological therapiesA co-payment of 10 euros per day must be paid by all insured persons who have not yet reached the age of 18. You must have reached the age of 65. In the case of a pension insurance institution, however, you only have to pay an additional charge for a maximum of 42 days. In the case of a follow-up treatment, the health insurance company will pay for 28 days. With the pension insurance agency 14 days. You are exempt if you have already paid co-payments for a medical service such as a hospital stay in the calendar year.

Employers are obliged to continue to pay wages during the rehabilitation period. The continued payment of wages is limited to six weeks. If this window of opportunity is closed, the social services or social insurance agencies take over the services. In the case of follow-up treatment, the social services of the hospitals take over the registration for rehab. Usually you will be assigned a rehab place within two weeks. Outside of this measure, a rehab must be ordered via own application, whereby the waiting times can be very long and an approval is strictly examined. You must give proper reasons for the rehab application and explain, preferably with medical findings, why rehab is necessary for you. If you have recently undergone rehabilitation, there is a waiting period of four years for a renewed application. If your application is rejected, you may file an appeal.

A psychosomatic rehab with a child or a dog?

With a Reha it is possible to take along the own children or also the dog. However, not all clinics grant this, so that you should ask before – also about possible additional costs.

All in all, a psychosomatic rehab is an important measure to support sufferers of psychologically caused complaints. It serves to alleviate the symptoms and psychotherapeutic work with the aim of making the patients resilient in the long term.

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