Dr. Alexander Spauschus
Psychiatry and Psychotherapy
Are you in an acute emergency situation or a life crisis? Or are you struggling with constantly recurring illnesses? If you need long-term treatment, you are in the right place in our Psychiatry Department in Hamburg. We will support you and your relatives when dealing with psychological illnesses, psychosocial problems and stressful situations, and we will help you to regain more independence and quality of life. Our treatment depends on your personal resources. This includes your social living conditions. You will receive a treatment offer that is tailor-made for you, consisting of individual and group therapy sessions. Of course, as a patient’s relative, you will also get support from us, among other things, in regular relatives’ groups. In addition, we offer outpatient and part-time inpatient treatment.
Many people suffer from psychological problems in their lives. If your own strength is exhausted in a crisis and your own attempts at a solution fail, you need professional help. Listening, organising, sorting, being sympathetic, putting the crisis into words and giving hope - that is what we do right from the beginning to reduce the tension and the pressure that burdens you and often your relatives.
The multi-professional treatment concept in our Psychiatry Department integrates psychotherapy, sociotherapy, occupational therapy and physiotherapy as well as psychiatric and rational psycho-pharmacological treatment methods.
Our department consists of the following units:
Adaptation disorder and reactions to stress
Chronic states of fatigue
Personality disorders, in particular, borderline personality disorders with addiction
Affective disorders, e.g. depression, obsessions, bipolar disorders
Anxiety and obsessive-compulsive disorders
Acute and chronic psychosis, e.g. schizophrenia, delusional disorders, schizo-affective disorders
Disorders associated with age, e.g. life crises at an old age, incipient dementia
Alcohol and drug dependence, qualified withdrawal
Increasing numbers of people go through a serious crisis, often with severe depression at the end. We have been specialising in the treatment of depression for many years. That is why we know that immediate help is required in a serious crisis. Sometimes, we can admit you to our specialised ward, which is run in an open way, as soon as the following day. During the course of your treatment, a team of multi-professional specialists is available, consisting of consultants, psychologists, patient-centred care staff, social workers, occupational therapists and physiotherapists as well as carers. Your progress, treatment goals and plans are discussed with you during regular team meetings. The top priority of this treatment is to noticeably alleviate your problems. This works if you understand your condition and its triggers better. At the same time, our specialists develop flexible coping strategies with you. In the treatment phase after your inpatient stay, we offer support with continuing outpatient psychiatric and psycho-therapeutic treatment or arrange part-time inpatient treatment as well as rehab, visiting services or alternative types of housing.
For those with a substance dependency (mainly alcohol and pharmaceuticals) who may also suffer from another psychological illness, we set up a specialist ward which is run in an open way. You will be treated medically, psycho-therapeutically and socio-therapeutically by a specially trained team.
If you suffer from an emotionally unstable personality disorder and an addiction at the same time, we will treat you in accordance with Dialectical Behaviour Therapy (DBT) created by Marsha Linehan. This concept has been expanded for the treatment of addicts using modern psycho-therapeutic methods (e.g. motivational interviewing, self-management according to Kanfer) - DBT-S.
This specialist ward has been certified as a recognised DBT-S Ward by the DBT umbrella organisation.
The protected, closed ward specialises in treating highly acute and seriously ill psychiatric patients. Patients who need protection and whose behaviour temporarily endangers themselves and others, are also treated here. Those patients need intensive psychosocial supervision and monitoring. Despite the structure and boundaries that need to be provided in daily contact, the treating team attaches great importance to an atmosphere of understanding, of developing prospects and of safety. One of the main goals in our multi-modular treatment concept is to meet your individual needs. This concept includes medical and socio-therapeutic treatments as well as modern, tailor-made pharmacotherapy. Another important point is the use of psycho education: You will become an expert on your disorder and learn how to assess progress as well as different treatment options. The goal of all treatment is for you to return to an independent life.
Disorders with behaviour endangering the patient and others
Acute life crises
The Psychiatric Institutional Outpatients' Department (PIA) in our psychiatric hospital in Hamburg has been set up for patients who, based on the particular kind, severity or duration of their illness, require multi-professional treatment close to a hospital. The Institutional Outpatients' Department helps to avoid inpatient treatment or to shorten its duration. In addition to outpatient psychiatric and psycho-therapeutic treatment, an evaluation of inpatient treatment requirements and, if necessary, organisation of suitably continuing inpatient treatment takes place for acute psychological illnesses. Furthermore, we work in close co-operation with resident colleague and psychosocial facilities outside the hospital.
Severe chronic and constantly recurring psychological problems (e.g. psychosis, depression, personality disorders)
Acute life crises
Necessary psychosocial support beyond psychiatric treatment
Severe psychological states of stress that require time-intensive, comprehensive psychiatric treatment
Our day clinics in Hamburg cover an extensive range of psychological treatments. With their part-time inpatient treatments, they bridge the gap between outpatient treatment and full-time hospital admission.
Our part-time inpatient treatments are available to all patients - no matter whether you have private or statutory health insurance.
Das Fachzentrum für Psychiatrie und Psychotherapie bietet Angehörigen von Patienten regelmäßig die Möglichkeit sich miteinander auszutauschen. Die Angehörigengruppe trifft sich jeweils um 17:30 Uhr im Raum E 2 B 44 (Haus 2, EG).
We closely work with all facilities in Hamburg’s complementary area, such as with Gemeindepsychiatrischen Dienste Hamburg-Nordost GmbH (GDP Nordost), offering community mental health services.
We also work in close co-operation with self-help groups. Some meetings take place on our premises.