Our Services

Gynecological preventive examinations
(including cervical cancer screening and breast examination)

Vaccinations (HPV and vaccinations before pregnancy)

Contraception and protection against sexually transmitted diseases

Counseling for adolescents and young women

Family planning for women and men

Preparation for a planned pregnancy

Prenatal care including ultrasound diagnostics

Prenatal diagnostics (first trimester screening, NIPT / PraenaTest)

Fertility concerns and infertility

Unintended pregnancy and medical abortion

Lower abdominal, bladder, and genital complaints (including ultrasound of the uterus and ovaries)

Urinary incontinence

Breast conditions (including breast ultrasound)

Follow-up care after gynecological cancers and breast cancer

Pain during sexual intercourse
(e.g., due to birth injuries, scarring, vaginal dryness, or pelvic floor problems)

Reduced sexual desire
(due to hormonal changes, fatigue, stress, and adjustment to the new life situation)

Changes in body image and insecurity
(which can affect sexual well-being and intimacy within the relationship)

Menstrual cycle disorders

Menopausal symptoms

Hormonal changes and related symptoms

Questions and concerns about sexuality (for women and men)

Pain related to sexual activity

Sexuality in the context of gynecological conditions, cancer, and disabilities

Sometimes, just a few conversations with a specialist are enough to find a way out of an acute, difficult situation. Sometimes a single conversation is enough to view your situation from a different perspective.

At other times, a crisis is the expression of a deeper underlying issue that is now emerging and needs to be addressed. In an initial assessment session, we explore your concerns and support you in planning your next steps.

In couples therapy and relationship counseling, we address relationship problems and conflicts of all kinds. Sometimes, only one clarifying conversation is needed; at other times, longer-term support may be helpful.

If sexuality within the relationship is an issue, couples therapy can, if needed, be combined with sex therapy, which may include joint sessions as well as individual sessions depending on the situation.

The range of issues we address at ZiSMed spans from stressful events in relationships and domestic violence to processing early childhood trauma and complex post-traumatic stress.

In addition to physical and sexual violence, psychological and generally more “hidden” aspects of violence are also a key focus. We offer individual sessions, couples sessions, and sessions with other significant others and family members.

All anxiety disorders (e.g., panic attacks, specific phobias, social anxiety), compulsions and obsessive-compulsive disorder, depression, burnout, and depressive moods are addressed in various ways depending on the individual’s needs: through cognitive-behavioral therapy, body-oriented therapy, and relationship-focused therapy.

These include issues such as problematic rumination about food, dieting, anorexia, bulimia (binge eating and purging), and binge eating. We also focus on atypical forms of eating disorders, as well as orthorexia (compulsive healthy eating).

Our therapeutic approach examines the causes and maintaining factors. We work with you specifically on how you can influence these so that the eating disorder no longer has to exist—and is no longer necessary. Depending on your needs, nutritionists and physicians are consulted.

You can come to us for help with any type of addiction or compulsive behavior—unless you have an acute drug or alcohol problem that prevents you from attending regular therapy sessions.

In cases of compulsive sexual behavior, our approach will also include sex therapy.

Whether it’s aggression, grief, fear, shame, or guilt—no one experiences emotions for no reason. Dealing with them is often difficult and can sometimes lead to problems.

Whether those emotions are suppressed and then overwhelm you uncontrollably in difficult situations, or whether they manifest in behaviors that you or those around you find problematic.

We offer individual and couples therapy for adults with ADHD.

ZiSMed does not conduct ADHD evaluations.

We work with you to address issues related to self-esteem and self-discovery, as well as problems with body image and body awareness, and with masculinity and femininity.

We also focus on problematic personality styles that cause difficulties.

We can help you with all kinds of physical problems, such as pain or sleep disorders. You can also contact us if you are struggling with a long-term illness.