Read the answers to frequently asked questions here.
Registration and the choice for Kindt Clinics
You can register by the self test you will know right away whether the Memrec method is right for you.
You can also register by us mail, dial or send a message via Whatsapp. We will then schedule a no-obligation intake. In the meantime we will send you to us standard referral formthat you will need if you decide to do the treatment.
No, for the time being the treatment is only offered at Kindt Clinics. This has to do with the fact that the method is relatively new. The method stems from the scientific research of Prof. Merel Kindt and colleagues from the University of Amsterdam. Merel Kindt is closely involved with Kindt Clinics and has personally trained the practitioners. Their practical experiences are used to advance the research, and vice versa.
No, Memrec is not a self-help method. Although the media sometimes refers to the 'forgetfulness pill', this is too blunt. The confrontation with the fear is important and close; the point is not that you are very anxious, but that you do something different than usual. Our psychologists are trained to determine what the confrontation should look like, how far you should go, how long it should take, and when it's enough.
Costs and insurance
In almost all cases, the treatment of a phobia, panic or PTSD falls under the insured care. Kindt Clinics has no contracts with health insurers. Which part of your treatment is reimbursed therefore depends on your insurance policy. Check out our page about costs and insurance For more information.
Contact your insurer to be sure what you will be reimbursed. You may need the following information:
- We treat within Basic Mental Healthcare (treatment codes 180001, 180002 and 180003).
- We have no contracts with health insurers.
- The main practitioners are GZ psychologists.
- The practitioners and our doctor are BIG registered.
- Our AGB code is 94064298.
- The Memrec treatment is in line with the state of science and practice.
- Our quality statute is registered on zorginzicht.nl.
Sometimes yes, sometimes not
The treatment is part of the basic insurance package. We have no contracts with health insurance companies. It therefore depends on the conditions of your basic insurance (not the additional insurance) whether you will be reimbursed for everything (applies to 'free-choice' / refund policies) or whether you have to contribute part (applies to budget / in-kind policies ). The percentage that is reimbursed varies between 60% and 100%, depending on your policy.
The total costs depend on the severity of your complaints. Many of our clients fall within Basic GGZ in the Medium category. The costs are then € 853,38, of which you will be reimbursed the largest part. After the intake we know into which category we have to classify your treatment and therefore what the total costs are.
If you want to pay for the treatment yourself, you pay an hourly rate of € 110,27.
See our page about costs and insurance For more information.
We will send the invoice to you (by email), and you submit it to your health insurer. The health insurance company pays you the amount you are entitled to, and you pay us the entire invoice.
In most cases not; the rate you pay in Basic GGZ is a total price; it doesn't matter how often you come, for example. Even if you want to practice again after the treatment, we do not charge anything for that.
In some cases we incur extra costs for a treatment, for example if we have to purchase or rent special things for it. In that case we will charge this at cost price. This concerns, for example, the costs of a car in case of fear of driving, or an access card if we treat somewhere on location. Before we incur these costs, we will of course discuss this with you.
Suitability of the Memrec method
A prerequisite for successful treatment is that we can briefly and powerfully confront you with your fear. This is not possible, for example, with the fear of death or insomnia; these are fears that we cannot treat with the Memrec method.
No, unfortunately the Memrec method is only suitable for adults at the moment. This has to do with the pill we use (Propranolol), which cannot be prescribed to children just like that. Their metabolic system works differently from that of adults.
This depends. No scientific research has yet been conducted into the effect of Memrec on compulsive complaints, but when fear is an important part of the complaints, and we can trigger this fear in a targeted manner, Memrec appears to be effective.
We are currently hiring a few clients with a fear of contamination. Depending on the results of the treatments, we consider offering this as standard.
No, unfortunately the Memrec method is usually not suitable for Complex PTSD.
In the self-test we ask about a number of areas: the suitability of the complaint (see for whom), and medical fitness. Because of the pill we use, some syndromes and medicines are unfortunately a reason for not being able to use the Memrec method. Even if you are not yet 18 Memrec is not yet suitable.
Yes, that's possible. If you have several unrelated fears, such as fear of spiders and thunder, we can treat them separately.
If it is phobias that ultimately revolve around one and the same fear, for example fear of (being stuck in) an elevator and a toilet, then it is likely that the fear of all these situations will be reduced in one go.
During the test session, we try out different situations to see to what extent the effect of the treatment generalizes, in other words, spreads to other situations.
Comparison with other treatments
Based on scientific research, three treatment methods are suitable for anxiety, panic and PTSD: cognitive behavioral therapy (and for phobias in particular exposure in vivo), EMDR and Memrec.
Cognitive Behavioral Therapy (CBT)
CBT is all about it change your mind, and as a result also feelings and behavior. Conversations are an important part of this method. In exposure treatment, a form of cognitive behavioral therapy, someone becomes gradually exposed to his fear. By doing this until the fear has subsided sufficiently, habituation occurs, which reduces the fear.
EMDR stands for Eye Movement Desensitization and Reprocessing and has been proven effective for processing traumatic experiences. EMDR combines elements of other therapies, whereby a distracting stimulus takes place at the same time, usually following a light with the eyes. The treatment neutralizes the emotional memory of the traumatic experience. Thus, a fearful experience is remembered and the distraction diminishes the 'charge' (fear) of the memory.
At the Memrec method we activate the fear by actually confronting you with what you fear. By guiding you in such a way that you go a step further than normal when you are anxious, the fear becomes modifiable. Before the memory trace is stored again in the brain, we give the beta-blocker (propanolol). This ensures that the memory is saved, but without the anxiety that comes with it. In principle, the 'fear charge' of the memory is gone after an effective Memrec treatment.
In addition to these three, there are also other treatment methods, such as hypnotherapy, for which there is no scientific basis, but which can benefit people.
Most people choose Memrec because of the short duration in combination with the high success rate. The fact that you only have to confront it once makes it clear. And although it is never a guarantee, the chances of success (83%) are real. The fact that the effect of the treatment is permanent also has a motivating effect; the chance of relapse is nil.
The Memrec method is fast, but not easy. Even if the confrontation with the fear lasts only for a short time, the fear must arise to a great extent. To knowingly enter into this confrontation is unnatural and therefore very difficult.
Taking a pill as part of the treatment can also be perceived as a disadvantage, despite the fact that it is a one-time pill, and that these beta blockers have been used safely for decades (usually on a daily basis).
A limitation of the Memrec method is that it is not suitable for everyone. For example, the method is not suitable when there are medical contraindications to the use of propranolol, or if it is practically impossible to evoke the fear during treatment.
Practical matters regarding the treatment
In principle, you will come to our clinic in Amsterdam twice for the treatment (or another location if necessary for the treatment).
The intake interview is without obligation and we often do this via video calling.
It depends a bit on the type of fear, but the confrontation with the fear takes less than half an hour. Then you have two more hours of rest in a separate room (bring a book and / or music), and then you can go home.
The day you return for the test session you will be with us for about an hour, we would like to take the time with you to experience the treatment effect.
Of course someone can take you to the clinic, but it is important that you really do the treatment yourself, without someone you know. This is because the presence of the other person can dampen the fear, because you may feel safer, and that is not beneficial to the treatment.
The clinic is in a neighborhood with many shops, lunch places and the Albert Cuyp market so probably plenty to do for whoever brings you. After the rest period you can of course go back home together.
We often recommend it Savoy hotel On. That is close to the clinic and works well. Prices vary widely. There are several hotels and B & Bs in the area, and the public transport connections in Amsterdam are good.
Parking in our street is usually possible, but the parking rate is high (approx. 6 euros per hour).
De P + R garage at the RAI is convenient for parking, after 10 in the morning the cheap rate of 1 euro per day applies (and 10 euros for 8 hours). A condition for this is that you must then travel to and from the garage by public transport. That would be one stop by metro to De Pijp and then another 5 minutes walk.
Yes, you can travel back independently, you can also just drive a car yourself, etc. The pill (beta blocker) you received may have dropped your heart rate and blood pressure a bit, but it doesn't make you drowsy. The pill is often even prescribed for driving exam stress.
On the day of treatment you can sometimes go to work. That depends on your work and the time of day when you are treated.
After the treatment, it is wise to take it easy and to set your mind. It is important that the fear is no longer aroused that day. Therefore, it is wise not to discuss the treatment with others and to avoid confronting the fear.
Our experience is that clients are often tired after the treatment, so it is good to take this into account.
On the day of the test you can often go to work before and / or afterwards. If, as a result of the test, it is decided that this moment will be used for a second treatment, the same applies as on the day of treatment, but this is not necessary in most cases.
To ensure that the pill works as quickly as possible, you should not eat or drink with the exception of water for two hours before the treatment. After taking the pill you can drink water or tea and after the rest period of two hours you can eat and drink everything again.
Because the testing session can be used to try the treatment again if necessary and the pill may be given again, it is wise not to eat or drink (except water) for 2 hours before the test.
In 80% of the treatments at Kindt Clinics, the anxiety is greatly reduced or completely disappeared after one session. The treatment is successful if someone is no longer hindered in any way by the fear in daily life.
Determining the effect
The only way to determine the effect of the treatment is to experience it. That is why we do a test session one or a few days after the treatment to see how you react when you are again confronted with what you feared.
You may experience so-called 'anticipation anxiety' during the test session, and sometimes afterwards. Because you are so used to the fear coming, your body is preparing for it, with some mild 'normal' anxiety symptoms as a result. By confronting the (former) fear and experiencing that this tension does not spill over into panic, the anticipation fear automatically diminishes. Therefore, the testing session is also an important part of the treatment.
No, that would not be explainable. After all, a successful Memrec treatment permanently weakens the memory trail that was responsible for the excessive anxiety.
In the period after the treatment it is good to practice occasionally with the (former) fear, to get used to the fact that the fear is gone after it has been taken for granted for so long - so build trust. What this practice entails, of course, differs per treated fear; for example looking back at the photos of the test session, or looking up situations that you used to experience. Once you have noticed a number of times that the fear is disappearing and confidence has grown, no more practice is required.
In the period after the treatment it is good to practice with the (former) fear from time to time, to get used to the fact that the fear is gone after it has been taken for granted for so long - so build trust.
What this practice entails, of course, differs per treated fear; for example looking back at the photos of the test session, or looking up situations that you used to experience. Once you have noticed a number of times that the fear is disappearing and confidence has grown, no more practice is required.