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Psychocardiology and PSE

An article from Dr.med. Birgitt Holschuh-Lorang

Approximately 50% of patients with cardiac complaints have no history of traditional risk factors such as hypertension, diabetes, obesity, hyperlipidemia, or physical inactivity. However, the assumption that psychological and psychosocial factors could influence the development of cardiac diseases has been confirmed by more than 22 studies involving over 50,000 participants. Psychocardiology, the field that investigates these connections, has identified the following factors as having a potentially negative impact on heart health:

  • Depression and feelings of sadness
  • Anger and hostility
  • Anxiety and worry
  • Stress, bullying and burnout

Depression, sadness, anger, and hostility often affect individuals with high professional demands and little room for maneuver. This is frequently linked to a lack of self-confidence, as they often have to suppress their emotions and internalize stress – an archetype referred to as the inward-looking "loser" personality (type D). In contrast, type A personalities are constantly under pressure, perpetually short on time, and, as so-called extroverted fighter types, are characterized by ambition, a hectic pace, and competitiveness.

Studies have shown that negative emotions trigger the continuous release of stress hormones such as adrenaline, noradrenaline, and cortisol. Additionally, dopamine and serotonin levels are adversely affected. These hormonal imbalances can lead to symptoms such as chest pressure, cardiac arrhythmias, and, over time, the development of coronary heart disease (CHD) or even myocardial infarction.

Treatment approaches

Typical psychocardiological or cardiopsychosomatic treatments involve psychotherapeutic discussions, behavioral therapies, socio-medical interventions, compliance support, and, if needed, crisis intervention. The goal of these measures is to foster a change in the patient's thinking and behavior, ultimately promoting relaxation and improved well-being.

To achieve these goals, I have relied on Psychosomatic Energetics (PSE) in my practice for many years.

According to the principles of Psychosomatic Energetics (PSE), the aspect of life energy, or energetics, plays a crucial role in maintaining a stable psyche and physical well-being, as it is a key factor in the interaction between psyche and soma. PSE theory suggests that an adequate supply of vital energy regulates the autonomic nervous system, ensuring proper cellular function, while simultaneously providing psychological stability. The PSE method allows for an assessment of a patient's energetic state using percentage values, measured with the help of the Reba test device. Typically, individuals who are unwell display lower measured values.

Case study

The 49-year-old patient had been experiencing retrosternal pressure for several months and described a persistent "lump" sensation in her chest. Despite thorough examinations, there was no indication of coronary heart disease (CHD). She was living in a challenging family conflict situation, leaving her feeling constantly exhausted and overwhelmed.

During the initial assessment, her vital energy level was significantly reduced at 25% (target value: 100%), and her emotional energy was similarly low at 20% (target value: 100%). The PSE testing revealed conflict themes such as "Panic," "Anger," and "Experiencing life as a struggle." These were energetically addressed using the complex remedies Chavita 4/Emvita 16, Chavita 3/Emvita 9, and Chavita 7/Emvita 26 (all from Rubimed).

After three therapy sessions, her energy values improved markedly, with vital energy rising to 75% and emotional energy to 70%. The patient reported feeling significantly better: the retrosternal "lump" sensation had disappeared, her inner resilience was strengthened, and she felt more capable of managing her family and professional challenges.

It is entirely understandable that the patient was very satisfied with this treatment outcome and chose to end the therapy. From the perspective of Psychosomatic Energetics (PSE), however, it would be advisable to aim for target values of 100% in both the vital and emotional levels. Experience shows that the higher the energetic charge, the more stable and long-lasting the treatment outcome tends to be.

Conclusion

Experience has shown that the root cause of lowered vital and emotional energy often lies in repressed emotional conflicts, the nature of which can be identified through targeted testing. These conflicts, buried in the unconscious, not only deplete vital energy but also hinder its replenishment. Through PSE treatment, patients typically experience a noticeable increase in energy levels, which positively affects the autonomic regulatory system while simultaneously enhancing emotional resilience. As a result, physical and emotional complaints often improve or resolve entirely.