The reception of a therapist is traditional for many peoplePasses in an exciting and alarming expectation. But in developed countries it has long been a habit to visit a psychotherapist's doctor. Often this is due to the fact that almost every individual needs help in certain life stages. People in these countries are aware of the need to visit such specialists, since seeking counseling speaks about a realized urgent need to change their lives and take responsibility for their own health. Therefore, if a person decides to go to an appointment with a psychotherapist, this is the first step towards his recovery and the main condition for success in treatment.
Address to a specialist is an important eventAnd it always raises the question of which specialist is best to ask for help and why. In the presence of any manifestations of painful sensations and experiences associated with the psyche, as well as a decrease in the quality of life due to incomprehensible manifestations of the psyche associated with the nervous system, it is necessary to contact a doctor-psychotherapist, since this is a person who has received a special education and has Experience in solving problems of this focus.
When should I go to see a therapist?
Consultation of a specialist is necessary for various mental disorders:
- Depressive and anxious conditions, neuroses,
And so on;
- with addictions (tobacco smoking, narcotic, alcoholic, game, etc.);
- for behavioral disorders, as a result of overwork, stress, poisoning, exposure to chemical and physical factors, diseases of internal organs and other conditions.
How to find a psychotherapist that will help? The choice of a doctor-psychotherapist is not an easy matter. At the moment, the Internet and the press are overwhelmed with suggestions for the provision of psychotherapeutic assistance.
Before consulting a specialist, it is necessaryRead the documents of the doctor who offers the necessary service. It must necessarily be a person who has a complete higher medical education and a diploma should indicate a higher medical institution, and in the line "specialization" - a medical case.
You should make sure that the specialist has a doctorate in psychiatry or a certificate of completion of residency in psychiatry, and he must also have a separate diploma of a doctor-psychotherapist.
Therefore, make an appointment with a therapistIt is necessary to have someone who has a higher medical education in psychiatry, worked as a psychiatrist at the clinic for at least 5 years, and underwent refresher courses in psychotherapy. The psychotherapist's competence includes everything that concerns the psychiatrist's doctor, and also this specialist has the right to conduct psychotherapy in the treatment of mental disorders.
Admission from a therapist, what to say
People often have questions, how to behave at a reception with a therapist? How is the reception and what questions does the therapist ask at the reception?
Do not worry at the reception for whatThe therapist will not understand the patient. With the right selection of a doctor, he will understand in any case, then he is an expert. But this will happen only when mutual understanding and trust between the patient and the doctor are established. A person should fully trust the specialist and accurately follow all his instructions, as well as recommendations, since without this treatment will be useless.
What does the therapist do at the reception? The doctor-psychotherapist fully assesses the situation,Clarifies the features of the development of the higher nervous system, as well as the causes of manifestation of those symptoms to which the patient has complaints. This takes approximately one hour. From the doctor, you can not hide anything or distort the truth, because a specialist can make the wrong decision, which will affect the quality of the treatment.
The first appointment with a therapist Includes acquaintance with the patient. At the first consultation the doctor will most of the time is spent on it, to assess the emotional state of the patient and to orient his life situation (past, present, future plans). There is a kind of "compatibility check" between the patient and the doctor, psychoemotional contact is formed and the doctor-therapist's task is the ability to properly "adjust" to the patient.
On reception at the doctor-psychotherapist all aspects of a current and disease formation, individual parameters of development of an organism, features of adaptation and social functioning are found out.
During the first appointment, the therapist tries to establish true psychic reactions, as well as possible violations in the patient's mental processes and behavior.
Finishing the first consultation, a specialistDetermines the state of the higher nervous activity of a person and already by results sends him home with recommendations for the normalization of the regime of the day, if necessary, sends a detailed examination to related specialists.
If at the reception the therapist discoversHis specialization is any violation, he decides to initiate therapy, while he informs the patient in detail about the proposed treatment plan and the use of medication if necessary, receiving written consent from him.
The approximate scheme or plan of treatment at the doctor of the psychotherapist looks or appears so:
- Drug therapy;
- The appointment of a diet;
- Setting the mode of the day;
A doctor-psychotherapist can perform all functionsEither alone or together with a clinical psychologist or an ordinary psychologist, but with the obligatory condition that the latter has a higher psychological education. If the doctor prescribed medication after the first consultation, the patient is assigned the day of the next visit. This is done for the purpose of a more detailed examination, as well as for preparation for psychotherapy sessions. This will require 2-3 more visits, which are usually appointed in 2-3 days. During these days of visits, the therapist conducts an active examination using medical technologies. He also controls the effect of medications, if necessary, corrects the medication and prepares himself for psychotherapy.
The patient should understand that if a specialistDecides to conduct drug therapy, then he is guided by specific reasons. And in view of the fact that the treatment is selected individually, it is impossible to know the reaction of the body to the drugs at once, so time is needed to track their actions so that the patient does not harm them. On the other hand, if medication is required, then this means that the human body is not yet ready to take psychotherapeutic treatment, and it takes time to start positive action of the drugs.
Psychotherapy can help the patient whenIt is performed against the background of improvement of the condition, and this is achieved medically and not always quickly. In parallel, the therapist monitors and corrects the clarity and correctness of the implementation of his recommendations on diet and day regimen. In the treatment of a patient, it is very important to take responsibility for one's health. A person who wants to receive a guaranteed result must fully trust the doctor-psychotherapist and clearly follow all his recommendations.
Treatment with a therapist is sufficientA complex process that not all patients survive. It includes daily, hourly, minute-by-minute, painstaking control over oneself. It is often difficult for patients to change their habits and the course of the usual rhythm of life. But, if the patient wants to be cured, then for a period of treatment forget about some desires and habits.
So, it's worth to sign up for an appointment with a therapist if:
- there were various problems (personal, emotional, social);
- if a person needs psychological support;
- if there is a desire to get rid of a feeling of psychological discomfort and uncertainty;
- If you need help in solving psychological problems;
- if a person is suffering from fatigue,
, Internal tension, feelings
The main directions of the therapist's activity at the reception are:
- psychosomatic disorders;
- Depressive conditions;
- problems in communication;
So, the therapist at the reception by the method of conversation,Having established personal contact with the patient, finds out the problem, its cause and begins treatment, applying various cognitive, behavioral, medicamental and other techniques.
If necessary, special studies are carried out in each specific case. Often this is:
- pathopsychological examination;
- laboratory tests of blood, urine, electrocardiography, electroencephalography;
- with the alleged possible organic brain damage or with the purpose of confirming the diagnosis, complex hardware examination methods are performed - MRI, CT of the brain;
- on the basis of the individual survey data obtained, the specialist prescribes complex therapy;
- during the first consultation, the therapistEstablishes a "working diagnosis", which is taken as the basis, which is not accepted for the final diagnosis. As a rule, the final diagnosis to the patient is established by a specialist within 10-15 visits, which for out-patient treatment is carried out within one month;
- reception of the psychotherapist on periodicConsultations consist of monitoring the patient's condition during the entire treatment period and, if necessary, correcting therapy, both psychotherapeutic and medicamentous;
- on the admission of a doctor-psychotherapist treatment is notShould include only one-way nature. Different methods of psychotherapy, varying in quantity (4-7), should be used, which will be sufficient to achieve a therapeutic and persistent effect;
- The psychotherapist can resort to the help of a psychologist, who helps him to obtain additional, necessary information. To this end, the therapist directs the patient to
It is important for all people to remember that psychotherapy helps in the treatment of not only mental disorders, but also many different physical illnesses.