Treating depression in Vienna

Psychotherapy for depression

Depression is one of the most common mental health problems. Almost one in five people suffer from depression at least once in their lives for a prolonged period of time. Depression changes the physiological processes of those affected, as well as their thoughts, feelings and behavior. If depression is recognized early, it can be treated well with psychotherapy and medication. Most people are familiar with sadness, despair and low mood as a result of an upset or experience of loss. In the case of depression, however, the symptoms are much more pronounced and persist without treatment.

JUVENIS meeting room Psychotherapy for depression

Treatments & therapies

At the JUVENIS Medical Center, competent psychotherapists and psychologists are available to assist you in the treatment of depression. Our range of therapies covers this field:

Depression & depressive disorders

What is depression?

A depression (depressive episode) is present when several of the following characteristics are consistently present for more than two weeks: depressed mood, low spirits, feelings of sadness, hopelessness, loss of interest, joylessness, inner emptiness, reduced drive, loss of activity, irritability, inner restlessness, reduced concentration and attention, reduced self-esteem and self-confidence, feelings of guilt, feelings of worthlessness, negative, pessimistic outlook on the future, suicidal thoughts, self-harm or suicidal acts, tiredness, difficulty falling asleep and staying asleep, early morning awakenings, reduced appetite (weight loss), lack/loss of sexual interest, social withdrawal.

If left untreated, the symptoms reinforce each other. Depending on the number and severity of the symptoms, a depressive episode can be classified as mild, moderate or severe. Various physical symptoms can also occur, such as pain (head, back, arms, legs, etc.), heart problems, digestive problems, a feeling of pressure in the chest, nausea, etc. The type, frequency and severity of the individual symptoms can vary greatly from patient to patient.

Please contact JUVENIS by phone at +43 1 236 3020by e-mail to empfang@juvenismed.at or via the contact formto make an appointment for a consultation or treatment.

Depressive episode or depressive disorder?

If the symptoms occur for the first time, this is referred to as a depressive episode. If, on the other hand, depressive symptoms have already occurred in the past, a recurrent depressive disorder is diagnosed. If the symptoms are only mild and last for years, they are referred to as dysthymia.

Possible triggers for depression include family stress, deaths, divorces, separations, etc. However, whether stressful life events trigger depression also depends on the biological constitution (especially brain metabolism) and personality of the person affected.

Depression can occur in conjunction with numerous other mental illnesses such as anxiety disorders, addictions, personality disorders, compulsions or eating disorders. A mental illness may be the result of the depression (e.g. an attempt at self-treatment with alcohol) or the depression may be the result of another illness (e.g. an untreated anxiety disorder or personality disorder).

Treatment methods of behavioral therapy

Treatment methods in behavioral therapy (VT) by Hilde Winkler and Dorothea Bertram

Each treatment is preceded by a detailed medical history and diagnostics (differential diagnostics). Medical examinations are useful in order to rule out possible organic causes (e.g. hypothyroidism or other hormonal disorders). As part of psychotherapy, an individual explanatory model is created which provides insight into the development of the disorder. This takes into account pre-existing risk factors (e.g. stressful family environment, learned helplessness or early experiences of loss) as well as triggers (e.g. death, job loss or separation) and maintaining factors (e.g. persistent interpersonal conflicts, unfavorable coping behavior or personality disorders) of the illness, which receive special attention during treatment.

  • Therapeutic relationship: The relationship between client and psychotherapist is an important factor in treatment. Within this framework, problems from the entire lifespan, i.e. stresses from childhood, difficulties in current life and fears/anxieties about the future, can be dealt with. The therapist provides support in coping and tries to maintain a balance between change and stabilization. The better the therapeutic relationship, the more trust the client gains in the therapist over time, the more successful the therapy will be.

Hilde Winkler at JUVENIS
Dorothea Bertram at JUVENIS
  • Psychoeducation: The patient is given information about depression, its development, possible progression and maintenance of symptoms, as well as treatment options. An individualized model of the disorder is created to promote the patient's understanding of the problem. The patient should become an expert on her illness. It has been proven that the patient's knowledge of the disorder has a positive influence on the healing process.

  • Cognitive therapy: Most depressed patients experience changes in perception and thinking. Their own person ("I'm worthless", "I can't do anything", "I'm a failure"), the environment ("my job is just stressing me out", "my friends don't contact me anymore either") and the future ("nothing will get better", "it's hopeless") are evaluated negatively. Positive things are hardly noticed, negative things are over-interpreted. These negative thoughts, catastrophic thoughts and negative evaluations are identified and questioned using cognitive (cognition = thought) techniques, checked for their reality content and "restructured" (i.e. replaced by reality-based thoughts).

  • Dealing with the background problems: Particular attention must be paid to the circumstances that triggered and perpetuated the depression, e.g. job loss, dispute, death, divorce or separation.

  • Relaxation methods: Learning a relaxation method can also prove helpful for depressed patients, especially if anxiety or physical tension is the main issue.

  • Increase in activity: Social withdrawal and a decrease in activity or neglect of hobbies can be observed in most of those affected. Together with the patient, we discuss which activities they used to enjoy and what social contacts they have. These activities need to be incorporated back into everyday life. The therapist motivates the patient to implement them. Positive activities have been shown to have a positive effect on thoughts and mood. In addition, so-called euthymic methods are used to promote the patient's ability to enjoy themselves.

  • Other methods: Depending on the individual problem (e.g. personality problems, severe anxiety), other psychotherapeutic methods may be used in specific cases.

  • Drug therapy: Severe depression must also be treated with medication in any case. A combination therapy consisting of psychotherapy and pharmacotherapy is most successful. Drug therapy is carried out by a specialist in psychiatry.

Please contact JUVENIS by phone at +43 1 236 3020by e-mail to empfang@juvenismed.at or via the contact formto make an appointment for a consultation or treatment.

Treatment methods of behavioral therapy

Treatment methods in behavioral therapy (VT) by Hilde Winkler and Dorothea Bertram

Each treatment is preceded by a detailed medical history and diagnostics (differential diagnostics). Medical examinations are useful in order to rule out possible organic causes (e.g. hypothyroidism or other hormonal disorders). As part of psychotherapy, an individual explanatory model is created which provides insight into the development of the disorder. This takes into account pre-existing risk factors (e.g. stressful family environment, learned helplessness or early experiences of loss) as well as triggers (e.g. death, job loss or separation) and maintaining factors (e.g. persistent interpersonal conflicts, unfavorable coping behavior or personality disorders) of the illness, which receive special attention during treatment.

Hilde Winkler at JUVENIS
Dorothea Bertram at JUVENIS
  • Therapeutic relationship: The relationship between client and psychotherapist is an important factor in treatment. Within this framework, problems from the entire lifespan, i.e. stresses from childhood, difficulties in current life and fears/anxieties about the future, can be dealt with. The therapist provides support in coping and tries to maintain a balance between change and stabilization. The better the therapeutic relationship, the more trust the client gains in the therapist over time, the more successful the therapy will be.

  • Psychoeducation: The patient is given information about depression, its development, possible progression and maintenance of symptoms, as well as treatment options. An individualized model of the disorder is created to promote the patient's understanding of the problem. The patient should become an expert on her illness. It has been proven that the patient's knowledge of the disorder has a positive influence on the healing process.

  • Cognitive therapy: Most depressed patients experience changes in perception and thinking. Their own person ("I'm worthless", "I can't do anything", "I'm a failure"), the environment ("my job is just stressing me out", "my friends don't contact me anymore either") and the future ("nothing will get better", "it's hopeless") are evaluated negatively. Positive things are hardly noticed, negative things are over-interpreted. These negative thoughts, catastrophic thoughts and negative evaluations are identified and questioned using cognitive (cognition = thought) techniques, checked for their reality content and "restructured" (i.e. replaced by reality-based thoughts).

  • Dealing with the background problems: Particular attention must be paid to the circumstances that triggered and perpetuated the depression, e.g. job loss, dispute, death, divorce or separation.

  • Relaxation methods: Learning a relaxation method can also prove helpful for depressed patients, especially if anxiety or physical tension is the main issue.

  • Increase in activity: Social withdrawal and a decrease in activity or neglect of hobbies can be observed in most of those affected. Together with the patient, we discuss which activities they used to enjoy and what social contacts they have. These activities need to be incorporated back into everyday life. The therapist motivates the patient to implement them. Positive activities have been shown to have a positive effect on thoughts and mood. In addition, so-called euthymic methods are used to promote the patient's ability to enjoy themselves.

  • Other methods: Depending on the individual problem (e.g. personality problems, severe anxiety), other psychotherapeutic methods may be used in specific cases.

  • Drug therapy: Severe depression must also be treated with medication in any case. A combination therapy consisting of psychotherapy and pharmacotherapy is most successful. Drug therapy is carried out by a specialist in psychiatry.

Please contact JUVENIS by phone at +43 1 236 3020by e-mail to empfang@juvenismed.at or via the contact formto make an appointment for a consultation or treatment.

Costs

Treatment Price
1 therapy session for depression (50 minutes) with Hilde Winkler or Dorothea Bertram € 110

The usual frequency is one therapy session per week. The costs of "clinical psychological treatment" are not reimbursed by health insurance. Some private supplementary insurance policies often cover part of the costs—however, patients should check with their supplementary insurance provider. It is also possible to deduct clinical psychological treatment from your taxes as an extraordinary expense. 

Integrative therapeutic approach to depression

Integrative therapy approach with Mag. Sonja Knefel

Integrative psychotherapy for depression takes a holistic approach to treatment, combining methods from different schools of therapy such as behavioral therapy, depth psychology, and Gestalt therapy to provide a tailor-made therapy for the patient.

Key aspects of integrative treatment

  • Biopsychosocial model: The illness is not understood exclusively as a psychological problem, but is viewed holistically, taking biological, psychological, and social dimensions into account.

  • Diversity of methods: Therapists use a wide range of methods, including cognitive strategies for modifying dysfunctional thought patterns.

  • Psychodynamic approaches to processing biographical experiences

  • Focus on the "body": A central concept is the understanding of the body as a place of self-experience. In this context, depression is often described as "physical numbness."

Sonja Knefel at JUVENIS

Effectiveness and status in 2025

Research indicates that integrating different therapeutic methods achieves greater effectiveness than monotherapeutic approaches. Accordingly, integrative methods, such as interpersonal psychotherapy, are recognized as evidence-based treatment options for depression.

Advantages over conventional methods:

  • Tailored therapy: Instead of a "one-size-fits-all" approach, treatment is individually tailored to the patient's current stage of life.

  • Resource activation: The focus is on the patient's strengths rather than just their deficits.

  • Holistic approach: integration of nutrition, exercise, and social network

The biopsychosocial model

The biopsychosocial model does not view depression as an exclusively biological or psychological illness, but rather as the result of a complex interaction between biological, psychological, and social factors. These levels influence each other and can both create self-reinforcing problem dynamics ("vicious circles") and be interrupted by protective factors. This highlights the need for a holistic, multidimensional treatment approach.

The three levels at a glance:

  • Biological factors: These include genetic predispositions, neurobiological changes (e.g., imbalances in neurotransmitter levels), hormonal fluctuations, chronic somatic illnesses, and the use of psychoactive substances.

  • Psychological factors: These include dysfunctional thinking patterns, perfectionism, low self-efficacy expectations, traumatic experiences, certain personality traits with limited stress management, and emotional and cognitive processes.

  • Social factors: Stressful living conditions such as poverty or unemployment, lack of social support, family conflicts, cultural conditions, social isolation, and traumatic social events (e.g., war or natural disasters) play a central role here.

Interaction and vicious circle formation

A social stressor can activate an existing biological vulnerability, which in turn promotes negative cognitive evaluations. These negative thoughts intensify the individual's stress response and encourage social withdrawal. The resulting social isolation hinders adaptive coping strategies, intensifies feelings of hopelessness, and leads to further activation of biological stress mechanisms.

Significance for treatment

The biopsychosocial model highlights the need for a holistic therapeutic approach that takes biological, psychological, and social factors into account in equal measure. Accordingly, effective treatment usually involves a combination of medication, psychotherapy, and social support measures. The aim is to break existing dysfunctional interactions and vicious circles while strengthening protective factors at all levels.

Please contact JUVENIS by phone at +43 1 236 3020by e-mail to empfang@juvenismed.at or via the contact formto make an appointment for a consultation or treatment.

Integrative therapeutic approach to depression

Integrative therapy approach with Mag. Sonja Knefel

Integrative psychotherapy for depression takes a holistic approach to treatment, combining methods from different schools of therapy such as behavioral therapy, depth psychology, and Gestalt therapy to provide a tailor-made therapy for the patient.

Sonja Knefel at JUVENIS

Key aspects of integrative treatment

  • Biopsychosocial model: The illness is not understood exclusively as a psychological problem, but is viewed holistically, taking biological, psychological, and social dimensions into account.

  • Diversity of methods: Therapists use a wide range of methods, including cognitive strategies for modifying dysfunctional thought patterns.

  • Psychodynamic approaches to processing biographical experiences

  • Focus on the "body": A central concept is the understanding of the body as a place of self-experience. In this context, depression is often described as "physical numbness."

Effectiveness and status in 2025

Research indicates that integrating different therapeutic methods achieves greater effectiveness than monotherapeutic approaches. Accordingly, integrative methods, such as interpersonal psychotherapy, are recognized as evidence-based treatment options for depression.

Advantages over conventional methods:

  • Tailored therapy: Instead of a "one-size-fits-all" approach, treatment is individually tailored to the patient's current stage of life.

  • Resource activation: The focus is on the patient's strengths rather than just their deficits.

  • Holistic approach: integration of nutrition, exercise, and social network

The biopsychosocial model

The biopsychosocial model does not view depression as an exclusively biological or psychological illness, but rather as the result of a complex interaction between biological, psychological, and social factors. These levels influence each other and can both create self-reinforcing problem dynamics ("vicious circles") and be interrupted by protective factors. This highlights the need for a holistic, multidimensional treatment approach.

The three levels at a glance:

  • Biological factors: These include genetic predispositions, neurobiological changes (e.g., imbalances in neurotransmitter levels), hormonal fluctuations, chronic somatic illnesses, and the use of psychoactive substances.

  • Psychological factors: These include dysfunctional thinking patterns, perfectionism, low self-efficacy expectations, traumatic experiences, certain personality traits with limited stress management, and emotional and cognitive processes.

  • Social factors: Stressful living conditions such as poverty or unemployment, lack of social support, family conflicts, cultural conditions, social isolation, and traumatic social events (e.g., war or natural disasters) play a central role here.

Interaction and vicious circle formation

A social stressor can activate an existing biological vulnerability, which in turn promotes negative cognitive evaluations. These negative thoughts intensify the individual's stress response and encourage social withdrawal. The resulting social isolation hinders adaptive coping strategies, intensifies feelings of hopelessness, and leads to further activation of biological stress mechanisms.

Significance for treatment

The biopsychosocial model highlights the need for a holistic therapeutic approach that takes biological, psychological, and social factors into account in equal measure. Accordingly, effective treatment usually involves a combination of medication, psychotherapy, and social support measures. The aim is to break existing dysfunctional interactions and vicious circles while strengthening protective factors at all levels.

Please contact JUVENIS by phone at +43 1 236 3020by e-mail to empfang@juvenismed.at or via the contact formto make an appointment for a consultation or treatment.

Costs

Treatment Price
1 therapy session for depression (50 minutes) with Mag. Sonja Knefel € 180

The usual frequency is one therapy session per week. The costs of "clinical psychological treatment" are not reimbursed by health insurance. Some private supplementary insurance policies often cover part of the costs—however, patients should check with their supplementary insurance provider. It is also possible to deduct clinical psychological treatment from your taxes as an extraordinary expense. 

Team

Hilde Winkler

Hilde Winkler

Psychotherapist (behavioral therapy), clinical and health psychologist, occupational psychologist

Dorothea Bertram

Clinical and health psychologist, psychotherapist (behavioral therapy)

Sonja Knefel, MA

Clinical and health psychologist

Contact us

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