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What I explain in a first appointment, here, to read in your own time.

Here I write down what I explain in a first appointment anyway, so that someone can read it at three in the morning too.

No advice handed down from above and no promises: just the questions people actually ask me, answered as clearly and as honestly as I can.

In preparation

These questions come up often, and I am writing the answers now.

ADHD in women: why the diagnosis often takes thirty years. Why ADHD looks different in girls and women, is noticed less often, and is frequently treated for years as depression, anxiety or exhaustion.

Obsessive thoughts: why your worst thoughts say nothing about who you are. About the intrusive thoughts people feel deeply ashamed of: what they are, why they are so persistent, and how treatment works with them.

Burnout or depression? Why the difference matters. What separates work-related exhaustion from a depressive illness, and why that answer decides both the treatment and the billing.

If things are acute right now, please do not wait for an article: call 112, where you can speak English, or go to the emergency department of the nearest psychiatric hospital. Telefonseelsorge, 0800 111 0 111, counsels in German.

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Your question is not here? Then write it to me.

What reaches me more than once eventually becomes an article here. In the meantime I will answer your question directly.

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