First Physical and Neurologial Examination
It is crucial to any medical diagnosis and therapy to have precise knowledge of a patient’s current health status. After having talked about your latest and former or chronic complaints we will start with a thorough medical examination. Your brain nerves, muscles and reflexes, blood pressure, and parameters such as the ability to walk straight, balance problems, etc., are checked to result in a basical medical evidence, which will be necessary for medical opinions in pension or rehabilitation cases, as well.
Nerves working in the cortex of brain produce electricity. This electricity can be lead from the head’s surface and shown as a graph. This is a totaly harmless procedure. There will be no radiation, no electro-magnetic fields, etc. In order to make the electricity visible as an oscillation, the lead will have to be amplified with a factor of about 200,000 by the measurement device, so the oscillation can by printed or stored as a graph, Results found here are the basics of diagnosis and provide a first glance for the exclusion of organic causes, when looking for the reasons of physical, psychic, or physical-psychic complaints. By the same procedure, pathological mutations in a patient’s brain can be excluded, like tumors, a disorder of blood flow, or further inflammatory processes.
Acoustically Evoked Potentials (AEP)
Acoustically evoked potentials will be used to check the nerve fibers of the auditory pathways running through your brain stem. Via headphones, each ear one by one as well as both ears at the same time will be acoustically stimulated by a constant short clicky noise. The nerve fibers’ electric reaction on this stimulation will be lead from your head’s surface behind the ears.
Somatosensory Evoked Potentials (SEP)
With the help of these potentials the transmission of emotions through the nerves of your arms and legs to your brain is tested by applying entirely harmless electric stimulation to your arms and legs. The reactions to this stimulation can be measured from your back (vertrebal canal) or from your head’s surface.
Visually Evoked Potentials (VEP)
These potentials offer information about the function of the visual nerves from your eye’s retina backwards to the nerves inside your head being responsible for the ability to see, visually stimulated by a checkerboard pattern quickly changing the boxes’ brightness. Both eyes at the same time as well as single eyes only will be tested. Results found here will help to record inflammatory processes of probably not registered complaints so far.
Sonography makes it possible to visualize your body from inside. Sonar waved back from body tissue is monitored. Various differences in the brightness of the displayed embodiment will provide reliable hints to include or exclude sickness. Doppler sonography uses two sonar signals within a defined rate of time that enable recording a movement by the difference between the two signals, e. g. blood flow, to register arteriosclerotic changes of the blood vessels sustaining the brain, changing blood flow in case of tumors, or so-called functional bumps. Additionally, blood flow sounds are shown to give hints about pathological changes in the blood flow, and - in accordance with further thorough examinations - might be the basics of a high quality cerebral vascular therapy.
In order to qualify (“What kind of disorder is bothering?”) and to quantify (“How much disorder is bothering?”) testing psychology provides useful procedures and examinations. The Doctors’ Association barth domke - ärzte und psychologen® uses traditional procedures, which ask the patient to write down answers to testing questions himself, and modern IT systems as well. Especially, the testing computer will immediately mirror the patient’s current mental state. Results found here are significant for further treatments (e. g. medication, psychotherapy, etc.), and for medical opinions in legal cases, such as pension issues, rehabilitation matters, at social courts, and concerning traffic medicine.
According to the psychonanalytic theories (as founded by Sigmund Freud, and others) the question of health or sickness is determined by a man’s story of life. Early childhood is supposed to be crucial. Over-intense care as well as willful neglect can consequence in sickness. Often, mental conflicts are repressed to the unconscious mind. Failing resistance will cause in physic or psychic disorder. Medical or psychotherapeutic guidance will become necessary. Events causing sickness have to be gone through over and over again, as they have had a deep impact on the patient’s behavior. This process needs time. The Doctor’s Association barth domke - ärzte und psychologen® offers various kinds of therapy, as follows:
Analytically and Depth Psychologically Grounded Psychotherapy
In one-on-one conversation, experiences interfering and stressing a patient are worked through over and over again, setting up relations between the present and the patient’s very personal past experiences, focussed on the age of childhood. The patient will learn that current health problems will probably be caused by circumstances back in his childhood. Under guidance and with the help of a doctor or psychologist the patient will learn to reflect on these circumstances, place them in an optimized order, and gain an understanding how to overcome his current disorders. Durability and intensity of this guidance relate to the intensity or severity level of the concrete disorder.
Short Term Therapy
A short term therapy (with a maximum of 25 therapeutic conversations) aims to overcome a current crisis or treating a mental disorder that is manageable already in the beginning. By starting to resolve or change the main conflicts or behaviors, symptoms are supposed to improve.
Compared to a single therapy, the social power of any of the group members is considerably boosted. Usually, one group is set up with nine females and males. Some members are belonging to this group rather long, others have joined it recently. Experienced group members appear as deputy therapists who, as equal among equals, are able to show attitudes and conflicts to the newcomer in a more direct way, Usually, a group therapy will last one to three years, but they are offered as a short term therapy, as well.
The Doctors’ Association barth domke - ärzte und psychologen® will render medical opinions in cases of pension issues, rehabilitation or guardianship manners, at civil or social courts, at road traffic departments in cases of a External Link: MPA - WikipediaMedical-Physical Assessment, and on an individual patient’s behalf.
As we are obliged to check and record a test person’s identity, when you are appointed for a medical opinion, you will have to proove your identity by showing your ID card, passport, etc. Depending on the kind of the medical opinion required, different examinations or tests are necessary which will be thoroughly explained. If there are any questions, just ask our staff members. Examinatons will last about 2 – 2 ½ hours.
Please, don’t forget your glasses, etc., and the special questionnaire form thoroughly filled in.
The Doctors’ Association barth domke - ärzte und psychologen® offers additional services to prevent from disease, additional support to help yourself, and medical useful completion with extra assistance for best success in treatment. These services will probably not be payed by public health insurance companies, so you will have to cover the costs by yourself. Nevertheless what kind of health insurance you are a member of, always the insurance (company) may decide which kind of additional service will be payed for. As these conditions undergo permanent changes, we are not able to give you any specific information on this issues; please, contact your health insurance.
We offer the following additional services:
• How to Prevent From a Cerebral Vascular Accident
• Brain Performance Check
• Health Check for Commercial Drivers