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<p>The current state of psychotherapeutic care in Austria is in crisis. High-frequency and long-term treatment options in the psychoanalytic-psychodynamic field are particularly at risk, even though they are indicated and effective for severe mental disorders. Declining services, along with insufficient indication-based planning, have led to significant undersupply, as confirmed by studies and stakeholder surveys.</p><p>For analysis, data from a&#xa0;survey conducted by the Tiefenpsychologisch-Psychoanalytischen Dachgesellschaft (tpd), as well as model examples of outpatient facilities, were used. These illustrate how psychoanalytic outpatient clinics—partly publicly, partly privately funded—have been providing differentiated and quality-assured services for years. They offer initial consultations, high- and low-frequency therapies, research, and training, but face financial and structural limitations.</p><p>Key challenges include inadequate funding, the concentration of services in urban centers, and insufficient training structures, especially in rural areas. The new Psychotherapy Act opens opportunities to link care and training more closely but requires sustainable investment in teaching clinics and regional care facilities. Only then can indication-based, solidarity-driven, and long-term effective psychotherapeutic care be ensured.</p>

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Psychoanalytische Versorgungsarbeit

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月30日

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  • Henriette Löffler-Stastka,
  • Ela Hornung-Ichikawa,
  • Anne Laimböck,
  • Johanna Muckenhuber,
  • Katharina Stigler,
  • Christian Wachter

摘要

The current state of psychotherapeutic care in Austria is in crisis. High-frequency and long-term treatment options in the psychoanalytic-psychodynamic field are particularly at risk, even though they are indicated and effective for severe mental disorders. Declining services, along with insufficient indication-based planning, have led to significant undersupply, as confirmed by studies and stakeholder surveys.

For analysis, data from a survey conducted by the Tiefenpsychologisch-Psychoanalytischen Dachgesellschaft (tpd), as well as model examples of outpatient facilities, were used. These illustrate how psychoanalytic outpatient clinics—partly publicly, partly privately funded—have been providing differentiated and quality-assured services for years. They offer initial consultations, high- and low-frequency therapies, research, and training, but face financial and structural limitations.

Key challenges include inadequate funding, the concentration of services in urban centers, and insufficient training structures, especially in rural areas. The new Psychotherapy Act opens opportunities to link care and training more closely but requires sustainable investment in teaching clinics and regional care facilities. Only then can indication-based, solidarity-driven, and long-term effective psychotherapeutic care be ensured.