[{"data":1,"prerenderedAt":237},["ShallowReactive",2],{"psychoterapie-psychoterapie-en":3},{"id":4,"title":5,"body":6,"description":128,"extension":129,"faq":130,"meta":221,"navigation":222,"path":223,"seo":224,"stem":225,"toc":226,"__hash__":236},"psychoterapieEn\u002Fen\u002Foffers\u002Fpsychoterapie.md","Psychotherapy",{"type":7,"value":8,"toc":124},"minimark",[9,28,42,52,77,118],[10,11,13,17,21,25],"route-section",{"id":12},"element1",[14,15],"route-image",{"src":16},"psychoterapie\u002Fimg04",[18,19,5],"h1",{"id":20},"psychotherapy",[22,23,24],"p",{},"A person's life is like a journey through a mountain landscape. Sunsets, when we stand on mountain summits, alternate with spells of gales, storms, and bitter frosts with zero visibility. Moments when we don't know which way to go next are the critical points of our journey. Stepping onto an unstable snow slope, or a poorly bridged glacier, can mean falling into a crevasse or triggering an avalanche. It isn't the therapist's job to decide which direction our path should take next. Their fundamental purpose is to be with us when we don't know what to do next - when, utterly exhausted, we stand at a crossroads of mountain trails, or when we've completely lost our bearings. When we doubt our own climbing partner, or when that partner is no longer there. Night is falling, and alone, we're afraid of the freezing mountain night. Nights like that tend to be very hard, and often seem endless. That's when it's good to have someone beside us who understands our situation and stays there with us. Then, when morning comes and we feel the first rays of sun on our face and the landscape around us comes alive with colour, the direction and trace of our lost path often reappears too.",[22,26,27],{},"In our organization, I (Martin Murár) am the only one who does psychotherapy and counselling. Let me try to explain the way I work.",[10,29,31,36,39],{"id":30},"element2",[32,33,35],"h4",{"id":34},"a-century-old-case-study","A century-old case study",[22,37,38],{},"Perhaps William Brevoort Coolidge went through something similar. He was a weak, sickly boy. Doctors recommended mountain air to improve his health. At fourteen, his caring aunt Meta took him to the Alps. There the two of them started taking trips into the mountains. The boy gradually grew stronger, and after a while he was able to start climbing in the mountains too. He gained courage, endurance, a healthy self-image, and maturity. He studied at Oxford and wrote several books. He completed more than six hundred ascents, thirteen of them first ascents - several together with Aunt Meta, who started climbing at 40 and later became the first woman to climb the Matterhorn. Willi became one of the most successful mountaineers of his time. He died at 76 in Grindelwald, Switzerland.",[22,40,41],{},"In the High Tatras we can also find certain elements of adventure-based therapy in the approaches of Dr. Mikuláš Szontagh and Dr. Michal Guhr.",[10,43,45,49],{"id":44},"element3",[32,46,48],{"id":47},"adventure-based-therapy","Adventure based therapy,",[22,50,51],{},"as it's known internationally, is the way I work in our organization. I've developed it further and enriched it with my own experience. Everyone who sets out on this path with me experiences it in their own individual way. Together we set the direction and pace, taking into account the situation and needs of that particular person.",[10,53,55,59,62,65,68,71,74],{"id":54},"element4",[32,56,58],{"id":57},"land-of-inspiration","Land of Inspiration",[22,60,61],{},"One of the defining features of my approach is going all the way into a space that a person, from the standpoint of how they perceive their own abilities, considers to be their limit - a space they might never have dared enter on their own. Yet it's an area that holds an immense degree of appeal, lying in the possibility of uncovering a significant source of purely personal, inner strength.",[22,63,64],{},"With every single situation a person experiences on this path, they're confronted with themselves. Many of these they perceive as life-threatening, and face their own doubts about whether they can handle them. In that state they have to mobilize all of their psychological as well as physical strength. It's precisely in moments like these that they discover hidden reserves of both. This isn't about coping with one short-term strain, but rather a sequence of events of escalating difficulty, whose successive mastery is reflected in a steady growth of strength.",[22,66,67],{},"It's a path of gathering strength and belief in oneself - of discovering a different perspective, a different angle of view: on oneself, on the space one finds oneself in, and on what one considers to be the problem. A person learns to identify, and gradually tear down, the walls of their own prison, and to discover the vastness of the landscape lying beyond this \"safe,\" but often confining, zone.",[22,69,70],{},"Living through this permanently shapes a person's character. The therapeutic intention is for this process to produce changes that support personal development - changes that, even though the experience behind them is intense, are accepted and understood in keeping with that particular person's own nature.",[22,72,73],{},"I consider applying the findings of contemporary neuroscience and evolutionary psychiatry to be key to my work. In developing my approach I was inspired above all by Milton H. Erickson, V. E. Frankl, A. Maslow, M. Csikszentmihalyi, H. J. Eysenck, C. G. Jung, and Erik Erikson.",[22,75,76],{},"The mountains have enormous potential for shaping a person. But the mountains alone are sometimes not enough. Here too the rule applies that what matters isn't only where a person is and what they're doing, but above all with whom, and how, they're doing it. Despite the philosophy I apply in my approach, the actual level of risk in my programs doesn't exceed the level of risk in everyday life. In other words, you'll usually be taking on more risk driving home from the Tatras than during the program itself.",[10,78,80,84,87,115],{"id":79},"element5",[32,81,83],{"id":82},"indications","Indications",[22,85,86],{},"Experience confirms that the way I work helps especially with:",[88,89,90,94,97,100,103,106,109,112],"ul",{},[91,92,93],"li",{},"relationship, partnership, and family problems",[91,95,96],{},"work-related problems and excessive work-related exhaustion",[91,98,99],{},"depression",[91,101,102],{},"psychosomatic problems",[91,104,105],{},"problems touching on self-image and identity crises",[91,107,108],{},"complications in the child-parent relationship, or the child-social environment relationship",[91,110,111],{},"substance and behavioural addictions",[91,113,114],{},"psychological self-care for helping professions (doctors, psychotherapists, healthcare workers...)",[22,116,117],{},"The times and the space we live and work in provide most of us with sufficient existential security. Often, though, as this outer comfort grows, a sense of lacking or missing inner comfort grows right along with it, in direct proportion. For a meaningful life, we need to feel that, just as we're developing our outer reality, the strength and clarity of our inner reality is growing too. On the path of self-discovery, we often don't need to \"admit\" (to ourselves or to anyone else) that this is an act of psychotherapy. Because what is it, really, at its core? For a certain time, openly welcoming into our space someone who observes, thinks, and inspires alongside us - someone who helps us in our individual effort to seek out and fulfil the meaning of our existence.",[10,119,121],{"id":120},"element6",[14,122],{"src":123},"psychoterapie\u002Fimg03",{"title":125,"searchDepth":126,"depth":126,"links":127},"",2,[],"Adventure-based therapy and counselling in the mountain environment of the High Tatras - Martin Murár.","md",[131,136,140,145,149,153,157,161,165,169,173,176,180,184,188,192,196,200,204,209,213,217],{"question":132,"answer":133},"What does the first meeting look like?",[134,135],"Based on a phone call or conversation, we usually agree on whether we'll meet in the office, directly in the mountains, or whether I'll travel to you.","If it's more appropriate, I also work in a standard way, without an outdoor setting.",{"question":137,"answer":138},"Where is your office located?",[139],"In the High Tatras, in a quiet, beautiful spot at an elevation of 1,000 metres. We have our own parking space as well as excellent access by public transport - it's a five-minute walk from the train and bus stops. The journey here alone can already have a healing effect.",{"question":141,"answer":142},"How long does a typical session last?",[143,144],"The initial session usually takes around three hours. Sessions in the mountains are usually full-day, depending on physical fitness and the demands of the chosen activity. Sometimes they can run over 12 hours.","Sessions are always either full-day or half-day. I don't watch the clock - if it's needed, I simply stay with you longer within that window.",{"question":146,"answer":147},"I'm not from the High Tatras area - can you arrange accommodation for me?",[148],"Yes, we can arrange pleasant, affordable accommodation with its own kitchen. It's often best to arrive and have the initial session that same day. After an overnight stay we can then continue out in the field.",{"question":150,"answer":151},"What languages can the therapy be conducted in?",[152],"Slovak, English, Russian and Czech. With some limitations, I can also work in Polish and Ukrainian.",{"question":154,"answer":155},"Which activities are used most often?",[156],"I most often use hiking, rock climbing, mountaineering, and ski mountaineering. Less often ice climbing, caving, diving, watersports, mountain biking, and skating. As a complement, art therapy, music therapy, and drama therapy. On rare occasions, paragliding and skydiving.",{"question":158,"answer":159},"Can I choose what I'd like to do as part of the therapy?",[160],"Yes - except in isolated cases, you can always choose what you like best.",{"question":162,"answer":163},"Do I need to travel to the Tatras, or are you able to come to me?",[164],"Both are possible. It depends on the overall context. I work outside the Tatras for a few days almost every month.",{"question":166,"answer":167},"Is trance part of the therapy?",[168],"Yes. Trance can be part of the therapy.",{"question":170,"answer":171},"Can I see another psychotherapist or a psychiatrist at the same time?",[172],"Yes. What matters is that I'm kept informed about this and how it's going.",{"question":174,"answer":175},"Can I take medication at the same time, for example antidepressants?",[172],{"question":177,"answer":178},"I have a physical limitation - can I take part in your program?",[179],"Yes. I can adapt the program to your needs - I have extensive experience with that. Unfortunately, though, the office itself doesn't have wheelchair-accessible access.",{"question":181,"answer":182},"Can you work with a whole family?",[183],"Yes, I also do family therapy and counselling. Out in the field I often work together with both children and parents.",{"question":185,"answer":186},"Are your services covered by health insurance?",[187],"No. The whole process is paid for out of pocket by each person. Sometimes it can be partly or fully covered by an employer.",{"question":189,"answer":190},"Is adventure-based therapy more expensive than standard therapy?",[191],"Adding up the total costs, not necessarily. The process out in the field often accelerates certain changes.",{"question":193,"answer":194},"Can an adventure-based approach be an alternative to coaching?",[195],"Definitely yes - but not the other way around. Coaching is not an alternative to psychotherapy.",{"question":197,"answer":198},"How long until I see a change?",[199],"That's individual. Sometimes a single counselling conversation in one session is enough. But from a psychotherapeutic standpoint, longer, continuous work is more suitable.",{"question":201,"answer":202},"Can an expedition be part of the therapy?",[203],"Yes, a multi-day expedition can be part of the therapeutic program.",{"question":205,"answer":206},"Does medical confidentiality apply to information shared during counselling and therapy?",[207,208],"In my view, unquestionably yes - though that's really a question for lawyers. In the whole history of my work there has never been a single leak. I don't keep any form of records of my work. I don't maintain files. Whatever we create together during the therapy (notes, drawings, paintings, clay pieces...) goes home with you. I don't even need to know your surname or address.","In cases of cooperation with certain legal entities, especially when an employer is covering the cost of therapy, this may be addressed in a contract.",{"question":210,"answer":211},"Where can I meet you outside the context of psychotherapy?",[212],"You'll find me at nearly all of our climbing and ski mountaineering school's courses. If you first want to find out whether I'm the right therapist for you, sign up for one of our introductory courses. Occasionally you can also meet me at mountain festivals or film screenings, as well as at educational events for other organizations. On rare occasions I also attend professional conferences and workshops.",{"question":214,"answer":215},"Can I come to you for a psychotherapy practicum\u002Finternship?",[216],"Unfortunately not. The way I work doesn't allow for that.",{"question":218,"answer":219},"I'd like to train in adventure-based therapy. Can you help me with that?",[220],"Yes, partially. Get in touch. Keep in mind that it's usually ideal to start by taking one of our courses first.",{},true,"\u002Fen\u002Foffers\u002Fpsychoterapie",{"title":5,"description":128},"en\u002Foffers\u002Fpsychoterapie",[227,228,229,231,232,233],{"id":12,"label":5},{"id":30,"label":35},{"id":44,"label":230},"Adventure based therapy",{"id":54,"label":58},{"id":79,"label":83},{"id":234,"label":235},"faq","Frequently Asked Questions (FAQ)","KemWW6UbYwwLBX5p5qaRUwh4-fGeGriqMD6VOBcSaSo",1794135415329]