What does a psychotherapist actually do?

Mönchengladbach. Almost 30 percent of all adults in Germany suffer from mental illness each year. There is a similar request for help and support from psychotherapists.

In Job History, Sasha Belkadi explains that the road to work is not at all easy. The 31-year-old psychotherapist works in Mönchengladbach and participates in the German Association of Psychotherapists (DPtV).

The method of work

It’s not a bed of roses, it’s training. I studied psychology at first and then added theoretical and practical training. I had to take care of this myself, get an overview of psychiatric institutions and state-recognized training centers.

Then I did training exercises during the week and theory on the weekends. After you have demonstrated 1,800 working hours in psychiatric institutions, completed at least 600 hours of supervised outpatient treatment and followed 600 hours of theoretical instruction, you can take care of your state post-examination license, i.e. license to work in the healthcare profession.

In the end, there is also a look for a cash desk if you also want to treat people who have statutory health insurance. Depending on the region, this is a long and expensive pleasure.

Intensive Study

There is a high demand for studying psychology and admission is restricted in most universities. Since I did not get an A level, I applied to Nijmegen in Holland. I got lucky there. My BA was in Dutch, so I completed a language course previously. mr was in english.

The course was very intense to learn, so it requires a lot of determination. In Nijmegen he was very scientifically oriented. You have a lot to do with math, and you deal a lot with stats. The stages are tightly scheduled, you really need stamina.

Education after graduation

Because I wanted to work in the medical profession, I had to get my university degree from Holland recognized in Germany. There is a lot of paperwork involved. Actually a good exercise, because the organizational and administrative work is part of the job.

After graduation, there is further theoretical and practical training. It was stressful, you are looking for the training yourself, it is – if any – poorly paid. I no longer receive student loans and have to take care of Social Security myself.

When I finally got my license to practice medicine passed, I started collecting stamps again to get to practice GKV. I graduated from high school when I was 19 and got my KV license when I was 27. So I was one of the people who was able to solve all of that very quickly.

accompany the mentally ill

People come to my clinic for a variety of reasons. Everyone has their own story, personality, and own way of dealing with mental illness. The way psychotherapy develops always depends on individual factors. As psychotherapists, we support you in tracing the causes of depression or anxiety disorders.

We can help in a very tangible way, for example through techniques from behavioral psychology that can be used to break disruptive patterns. Our profession has huge creative potential and it is satisfying to support people. You can see how things change, and how those affected improve. I have great respect for what people can tolerate and handle.

mental shield

Anyone who works in our profession should care about people and show them empathy. You need a lot of flexibility in terms of content: I might talk to a victim of sexual violence on Monday and the perpetrator on Wednesday. In addition to mental illness, it is often related to existential life issues. There are many answers to the question of what a good healthy life is.

You should be able to tolerate some ambiguities, as well as phases of stagnation when the progress of treatment is slower than you would like. Last but not least, it is important that you establish a balance in your job, as you hear a lot of frustrating things. Meeting friends, drawing and sports is my way of taking my mind off things. In my view, supervision is also essential to the professional development of an individual.

Monthly income

Part of the fact is that we are the least profitable medical group. It’s mainly up to you how many hours per week you work and whether you take care of the administrative work yourself or hire someone to do it.

In addition to training costs from 20,000 to 40,000 euros, interested parties must take into account the waiting time after applying for a cash register seat and acquisition costs. Depending on the region, amounts will be calculated between 20,000 and 100,000 euros. Transfer fees are high, especially in urban areas.

Anyone who has a GKV practice and works at a maximum capacity of 51 hours per week, ie 36 sessions per week, nets about €5,500 per month after tax deductions. The average professional group 24.5 sessions per week and net 3,325 euros per month is more realistic. 24.5 sessions correspond to approximately 42 hours of work per week.

For comparison: a psychiatrist working in North Rhine-Westphalia starts from 4,418 euros in total depending on the tariff, after his first year of work he gets a total of 4,752 euros. Salary increases with years of experience and upon assumption of management duties.

© dpa-infocom, dpa: 220404-99-792887 / 4

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