conSenso® Practice

Bodypsychotherapy

When strain remains in the body

Complimentary introductory consultation Wilmersdorf practice

Initial orientation

When strain remains in the body

Emotional strain is not expressed only in thoughts and feelings. The body responds as well.

Breathing becomes shallower. The jaw keeps holding. The abdomen remains tense. Sleep becomes restless. Some people feel constantly on alert. Others withdraw or barely feel certain areas of their body.

Conversely, physical symptoms can also become emotionally burdensome. Persistent pain, endometriosis, a difficult fertility journey or repeated medical treatment can change trust in one’s own body.

In body psychotherapy, we therefore work not only with words. Awareness, breathing, posture, movement and therapeutic touch may also form part of treatment.

The aim is not to explain every physical symptom psychologically. What matters is what genuinely plays a role in the individual concern.

Anxiety · depression

Anxiety and panic

Anxiety can be expressed very clearly in the body.

The heart beats faster. Breathing becomes short. Muscles tense. Dizziness, trembling, pressure in the chest or abdominal symptoms may follow.

During a panic attack, these sensations themselves are often experienced as threatening. Fear of the next physical reaction can then create additional tension.

We work on noticing these signals earlier without being overwhelmed by them. Orientation in the room, calmer breathing and a safer connection with the body can help.

The aim is not to suppress anxiety. The body can gradually experience that tension is allowed to ease and that unconscious reactions can become more consciously influenceable.

Anxiety and panic in Berlin

Depression and exhaustion

Depression can make the body feel heavy and without strength.

Movement becomes difficult. Posture collapses. Breathing becomes shallow. Some people feel very little, feel empty inside or far removed from their body.

Treatment does not demand strength that is not currently available. It begins where awareness and contact are still possible.

Calm body-psychotherapeutic touch, breathing or small, carefully chosen movements can help the body become more clearly perceptible again and support a return towards strength, sensation and vitality.

This is not about rapid activation. Initially, it is about making some sense of support and stability, calm and bodily aliveness accessible again.

Depression, exhaustion and burnout in Berlin

Overload · protection

Stress and burnout

After prolonged overload, the body often remains tense even when life outwardly becomes quieter.

Thoughts continue. Sleep remains light. Shoulders and jaw keep holding. The abdomen becomes sensitive, and even small demands may feel like too much.

Over time, many people lose a clear sense of when they are exhausted or where their limits lie. They continue functioning although the body has long been signalling otherwise.

In treatment, these signals become perceptible again. We notice where the body holds, how breathing changes and what helps to slow the inner pace.

Gradually, the difference between tension and rest can become clearer again.

Depression, exhaustion and burnout in Berlin

Trauma and bodily protective responses

After a traumatic or deeply distressing experience, the body may continue to react even though the original situation has passed.

It remains vigilant, holds the breath or tenses muscles. Closeness may create uncertainty. Some people freeze or withdraw. Others feel parts of the body only faintly.

These reactions were, or still are, forms of protection. They are not fought or changed against your will in treatment.

Treatment begins with safety, orientation and clear boundaries. A detailed account of what happened or direct confrontation with difficult memories is not initially required.

We work with what emerges in the present moment. The pace follows what is genuinely possible.

Effects of trauma and bodily protective responses

Body and mind

When physical symptoms become emotionally burdensome

Persistent pain often changes more than the area that hurts.

Sleep worsens. Movement is avoided. Concern about new symptoms grows. Sometimes the trust that it is possible to feel safe or at ease in one’s own body is also lost.

This may occur with chronic back or pelvic pain as well as with endometriosis, vaginismus, vulvodynia or a prolonged fertility journey.

Body psychotherapy can help physical strain and the feelings connected with it to be considered together rather than separately.

The focus is not on searching for a psychological cause. It is about developing a different relationship with pain, tension and uncertainty, and experiencing the body as more reliable again.

Attention · sensory input · autonomy

ADHD, ADD and neurodivergent sensory processing

With ADHD or ADD, thoughts, sensory impressions and bodily activation may move at different speeds. Concentration can be intensely sustained at times and break away quickly in other situations.

Body psychotherapy makes early signs of overload, movement needs and exhaustion easier to access. Breathing, posture, small movements and differentiated perception support a clearer understanding of the current state.

A particular focus lies on girls and women whose profile often appears quieter, internally restless and compensated for over long periods.

ADHD, ADD and neurodivergence in Berlin

Choice with a PDA profile and a strong need for autonomy

Direct demands, time pressure or a fixed sequence can trigger strong counter-regulation in some teenagers and adults.

Treatment uses predictability, comprehensible steps and genuine choices. Personal agency remains available and regulation can grow from participation rather than pressure to conform.

High sensitivity, giftedness, autism and changing sensory needs are also considered in their individual form.

Therapeutic pathway

On its own or together with osteopathy

Body psychotherapy can take place in its own right or be combined with osteopathic treatment.

For some people, emotional strain is central from the beginning. For others, it becomes apparent only over time that stress, anxiety or difficult experiences also influence physical symptoms.

Not every osteopathic treatment includes body-psychotherapeutic work. The two fields are connected only when this is meaningful for the individual concern.

The appropriate emphasis is considered together in the introductory consultation and as treatment progresses.

Assessment and treatment

Before beginning, we discuss the current concern, previous treatment, existing diagnoses, medication and any relevant strains or pressures.

Treatment may take place in conversation, sitting or lying down. Depending on the concern, we may include body awareness, breathing, posture and small movements.

Touch may be part of treatment, but it is never automatic. It is discussed beforehand and used only if it continues to feel appropriate in the moment.

You remain responsive and involved in every decision. Every step can be changed, paused or ended.

Where appropriate, hypnotherapeutic approaches may also be included. Attention turns more inward, while you remain awake, responsive and in control of what is happening.

Treatment does not follow a rigid sequence. It is adapted to what emerges and to what is genuinely possible in the moment.

Protection, boundaries and self-determination

Closeness is not assumed. Touch is not expected.

Body psychotherapy requires a clear and protected setting.

This is especially important after experiences involving violated boundaries, shame, intimacy or uncertainty in contact with other people.

Closeness is not assumed. Touch is not expected. A subject that should not be discussed at that moment does not have to be opened.

Treatment takes place in a calm, focused and particularly protected atmosphere. Self-determination is maintained throughout the process.

Kurfürstendamm location

Ketamine-assisted body psychotherapy

A distinctive part of conSenso® Practice is ketamine-assisted body psychotherapy at the Kurfürstendamm location.

There, intravenous ketamine infusions are medically supervised and embedded within body-oriented and/or talking psychotherapy.

Before treatment, there is a detailed consultation with Marek Kalbus and a separate medical consultation. The physician provides medical information, establishes the infusion and supervises its safe administration.

Before, during and after the infusion, support is provided through body psychotherapy or talking psychotherapy. Where appropriate, hypnotherapeutic approaches may also be included.

This option is primarily intended for people with depressive symptoms. In individual cases involving anxiety or the effects of distressing experiences, it can also be considered whether this form of treatment may be suitable.

Questions about the process, requirements and reimbursement are discussed in the personal introductory consultation.

conSenso® Practice 2 · Kurfürstendamm

Collaboration and acute crises

Existing medical, psychiatric or psychotherapeutic treatment is taken into account.

Any exchange with other treating professionals takes place only with explicit consent.

conSenso® Practice is not a psychiatric or psychotherapeutic emergency service. Acute psychological crises require medical or psychiatric help.

Complimentary introductory consultation

Begin with a personal conversation.

A complimentary introductory consultation can help clarify whether body psychotherapy is appropriate for your particular concern.

In approximately 20 minutes, we discuss what brings you to the practice, which strains are present and whether body psychotherapy alone or together with osteopathy may suit you.

Telephone 030 2928111 · WhatsApp Business 0176 23441172 · contact@marek-kalbus.de

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