Specialised Therapy Centre GEDEON MEDICA
05-501 Piaseczno, ul. Anny Jagiellonki 6a
Contact: +48 532 609 527
Stationary unit with 24h medical care is situated in luxurious mansion in beautiful, forest area of Zalesie Dolne. Bedrooms, due to safety reasons and therapeutic programme have 2-3 beds each. Each bedroom has it’s personal bathroom. Patients may use all of common parts of residence such as: therapeutic rooms, consultation rooms, dining room, kitchen – with possibility of making their own dishes as part of exercises with dietician, and big living room. Outside patients can relax in beautiful big garden.
Qualification to day or 24h unit of Specialised Therapy Centre.
We invite everyone between 15-60 yo to make use of our complex yet personalised offer in Specialised Therapy Center GEDEON MEDICA.
We treat patients with diagnosed mental disorders such as:
- neurosis disorders and disorders caused by stress;
- personality disorders;
- emotion disorders – (depression, dysthymia);
- behavioural issues connected to physiological disorders (nutrition disorders) and with autism disorders (Asperger’s syndrome etc.)
We treat patients without clinical diagnose who:
- are experiencing difficulties in family relations;
- have problems with interpersonal communication (they are shy, backed out, they have low – esteem etc.) in professional of sociable life;
- feel helpless, lonely, who have feeling of guilt or loose sense of life;
- have problems with solving life crisis;
- have difficulties in handling with loss of family member etc;
- can’t handle stressful situations and are experiencing stress effects;
- are struggling with self – destructing behaviours and emotional emptiness
- are after hospitalisation and have difficulties with coming back to every day functioning after staying at 24h unit;
Qualification of patients with nutrition disorders (anorexia nervosa, bulimia nervosa, compulsive eating syndrome, orthorexia, diabulimia etc.)
Necessary condition is BMI ≥ 13,5 and relatively stable somatic state.
- We may not qualify patients with:
- serious somatic illnesses
- addiction to alcohol and/or other addictive substances (abstinence for at least 6 months),
- organic brain syndrome,
- significant sight/hearing disorders which are not being corrected
CAUTION! Patients involved in court proceedings will not be qualified to Specialised Therapy Centre!
Qualification to our Specialised Therapy Centre is standard psychiatric consultation, physical consultation and psychotherapeutic consultation led by psychiatrist and internist Doctor. During qualification, patient is becoming familiar with Specialised Therapy Centre’s statute and feeding contract for patients with nutrition disorders.
STAFF AND ORGANIZATIONAL STRUCTURE
Staff consists of: psychiatrists, internists, certified psychotherapists or psychotherapists during certification, psychologists, dieticians, nurses and helping staff.
Every week we organise society meetings where our patients meet with staff and discuss how to improve our Specialised Therapy Centre. They also can discuss their therapy, what they like and what they don’t like about it.
Day time is filled with wide range of therapeutic activities which are compulsory because they are main pillar of patient’s therapy. Treatment in our Specialised Therapy Centre requires following rules of rights and obligations, which are connected to process and target of whole therapy.
During the first week of our stay, our patients do not receive any passes, but the nearest family may come and visit them. It is an adaptation period that allows us to make an initial assessment of the mental and somatic condition with a risk assessment. After this period there is a possibility to go for weekend „home trainings". Patients with nutrition disorders sign a therapeutic contract.
The stay in the 24-hour unit lasts from 4 to 12 weeks with the possibility to extend the therapy if it is therapeutically advisable. After being discharged from the centre, a follow-up care is carried out with the support group.
Nutritional treatment offer
Dietary therapy for nutrition disorders include:
- conducting a nutritional interview (getting acquainted with preferences and eating habits of a sick person and his/her family, history of body mass changes, current and previous diet, rituals related to food, composition of meals, ways of limiting meals)
- estimation of the current energy, mineral and vitamin requirements
- Determination of physical activity
- education and solving misconceptions about the food of patients and their families (workshops on the principles of nutrition)
- development of an individual dietary plan in accordance with the demand for nutrients; the dietary plan will be adjusted to the nutritional preferences of the patient (including vegetarianism)
- discussion of the function of food - e. g. how food influences social relations, showing feelings
- eating together - learning how to determine portion sizes
- joint shopping, preparation of meals and trips to favourite restaurants - learning and supporting patients and their families in making the right choice of food, overcoming the so-called food fears
- Diet workshops for families within the Maudsley Model, to prepare the closest ones for effective involvement in the patient healing process
Nutritional rehabilitation for people with eating disorders or symptoms of eating disorders
Contract for persons with eating disorders (with BMI on admission ≥ 13. 5)
The aim of nutritional rehabilitation is to acquire proper eating habits and to obtain BMI in the range of 18. 5 - 24. 9 kg/m2. Common meals are an obligatory part of the daily schedule. Patients are obliged to eat all five meals (breakfast, second breakfast, lunch, afternoon tea and dinner) in the canteen at the shared table and to stop eating outside the canteen. In the initial period of treatment he receives meals with a lower calorific value, determined individually, due to the threat of realimento syndrome. The nutritionist, in consultation with the nutritionist, decides to use more or less intensive reimpositioning, however, in the therapeutic process the calorie content of the diet is negotiated with the patient. It is also possible to strengthen the diet by using liquid nutrients. Patients with BMI below 18. 5 are required to systematically increase their body weight, which will range from 0. 5 kg to 1 kg per week.
The centre is forbidden to overeat and use laxatives and diuretics and self-destructive behaviours (e. g. self-destruction).
Psychotherapy at the Therapy Centre is integrative because it draws on scientifically supported approaches (cognitive-behavioural, dialectical-behavioural, psychodynamic, etc. ).
Motivation interview - This is an effective therapeutic effect in the initial phase of treatment, aimed at improving motivation, awareness and insight into the disease.
Individual psychotherapy - thanks to the bond between the patient and the therapist, it is possible to react emotionally, learn and develop an insightful attitude - 1 hour a week.
Group psychotherapy - in a group the patient, through interactions with other patients and through modelling by the therapist, has the opportunity to actively discuss his problems and take up new behaviors - three 2-hour group meetings.
Biographical and reparative psychodrama - simple psychodramatic scenes (playing roles by patients), as well as complex psychodrama scenes such as Moreno. A very helpful method in trauma repair - two sessions of 2 hours each.
Psycho-drawing - with the help of crayons, paints and plasticine, patients speak on a given topic, which refers to problems from the past or difficulties in current functioning - one 2-hour session per week.
Music therapy - consists of a receptive part, consisting of listening to musical pieces and active part, consisting of playing simple instruments - one 2-hour session a week.
Choreotherapy - working with the body - is based on various forms of movement expression accompanied by rhythm and music; the aim is to develop the ability to influence the relaxation and relaxation of the body and its acceptance.
Psychoeducation - a talk about the nature of the workshop conducted by a therapist. It provides patients with knowledge on the etiology and pathogenesis of eating disorders and dietetics.
Body Image Therapy - the program is based on the assumption that people who have a negative image of their own body or its elements and negative personal relations with their own body are subjected to strong self-criticism leading to reduced mood, feeling unattractive and in extreme cases to obsession with their own body. A prolonged state of distorted perception of one's own body can lead to or sustain illness. It is a short-term therapy model consisting of 12 60-minute therapy sessions conducted in cotherapy by psychotherapists in the dominant cognitive-behavioural current. During the first meetings, the patient's deformities are determined. Then the liberating thoughts, beliefs, assumptions, judgments and consequences following such thoughts are analysed. The outline of the program includes an introduction to the training, changing existing habits that make it difficult to accept oneself, learning techniques that help to develop attitudes that do not evaluate, making the distorted image of oneself real by performing contour lines of one's body, discussion on the influence of media. Techniques used in this therapy include: work cards, body image logbook, expressive writing and establishing personal plans for change - 1 session 2 hours a week.
Training of Social Cognition and Neurocognition (TSP and NP) - TSP concerns complex processes of social cognition (perception of emotions, style of attribution, theory of mind). TN is a metacognitive work focused on the therapy of information processing deficits and improvement of cognitive processes.
Pharmacotherapy - The application of pharmacotherapy is a part of a complex treatment procedure that includes: nutritional rehabilitation for people with eating disorders with realimento syndrome prophylaxis, somatic status monitoring with regard to medical management (for all patients) and treatment of concomitant mental disorders.
Advantages of the GEDEON MEDICA Specialist Therapy Centre
- humanism in approach to patients
- comprehensiveness of the diagnostic and therapeutic offer
- individual approach
- high professionalism of the staff
- high standard of the boarding house
Art therapy classes
Art therapy is a form of therapeutic work supporting the process of learning about oneself and self-acceptance, helping to deal with one's own emotions. It gives the possibility of symbolic expression of difficult experiences, experiencing emotions in safe conditions, in the form of speaking ‘not directly’.
We encourage you to develop your artistic skills. Handmade fancy vases, avant-garde dishes or delicate cups will delight everyone with their unique form and original shape.
Schultz autogenic training - a set of relaxation exercises constructed by Johannes Schultz in the 1950s. The effect of proper performance of this workout is full relaxation and relaxation of the body.
Jacobson Muscle Relaxation - a technique developed in the 1930s by Edmund Jacobson. It is based on the assumption that mental relaxation should naturally result from physical relaxation. It is a stress management approach that allows learning how to experience natural deep relaxation in the form of anxiety and muscle tension reduction.
What do we treat at the Specialised Therapy Centre
- Compulsive overeating
- Neurosis of obsessions
- Anxiety disorders
- Asperger syndrome
- Bipolar affective disease
- Professional crisis
- Emotional disorder
- Disturbances of concentration
- Addiction to work - workaholism
- Behavioural addiction
- Personality disorders
- Neuroses of obsessions
- Crisis in pairs
- Life crisis
- DDA - adult children of alcoholics
- School phobia
- Low self-esteem
- Nervous tics
- Self-destructive behaviour
Overweight and obesity dietary treatment offer
The problem of overweight and obesity
Excessive body weight is nowadays considered to be a civilization disease associated with an abnormal lifestyle. The prevalence of this disease is constantly increasing and is one of the most common lifestyle-related health problems.
Unfortunately, the occurrence of overweight and obesity is accompanied by a deterioration in the quality of life and a reduction in survival time.
Nutritional therapy is carried out by qualified nutritionists.
Our dieticians are based on reliable knowledge, which is supported by scientific research and many years of experience.
Dietary therapy for overweight and obesity includes:
- conducting a nutritional interview (getting acquainted with dietary preferences and habits, history of body weight changes, diet, composition of meals, health condition of the client)
- an assessment of diet and nutritional status
- estimation of the current demand for energy, minerals and vitamins on the basis of age, gender, physiological status, health status
- Determination of physical activity
- education and addressing misconceptions about food and nutrition
- development of an individual dietary plan in accordance with the demand for nutrients; the dietary plan will be adjusted to the dietary preferences of the customer (including vegetarianism, gluten intolerance)
- shopping with a dietician (learning how to plan purchases, read labels, learn what functional and organic food is)
The first visit will allow you to get to know the client better. During the interview, which includes nutritional, health and psychological aspects of the current diet, detailed information will be collected on the basis of which the dietitian will develop a nutrition plan.
During the first visit, anthropometric measurements will be made, BMI and WHR indices will be calculated and interpreted.
The existing diet will be analysed and the dietician will point out dietary mistakes made by the customer. An insight into the daily schedule will help the dietitian to determine the optimal dietary treatment for the client.
During the first visit, the initial assumptions of the nutritional plan will be established.
The first visit is worth taking with you the current test results (including total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, blood count, TSH).
The purpose of control visits is to monitor the effects of diet. During each control visit anthropometric measurements are made, the dietician answers the questions; doubts of the client.
Control visits are also a form of health education - the customer learns how to maintain proper body weight and health after the end of therapy in a dietitian.