A psychiatrist for whom and for what?

No one today can ignore this recourse. Small sorrow or deep depression, inexorably comes the moment when one wonders: "And if I went there? "But beware of the excesses, the psys are not magicians. It is in us that are the answers.

Laurence Lemoine

A few years ago, a landslide occurred in the Swiss Alps. Immediately, we sent a team of emergency psychologists. When they saw them arrive, the peasants went to their homes. Interrupted, the psys addressed the village priest to understand why his flock did not want to talk to them. "When someone goes wrong," said the priest, "I sit next to him and say nothing. "With this story, it is therapeutic excess that François Roustang, hypnotherapist, intends to denounce." The reaction of the peasants was full of common sense, argues he. They knew they would have to cry their dead, with or without psys. "

At a time when moral suffering is often seen as an injustice, it would seem that the psys are called every time a cloud appears in our sky.This obviously applies to the pathology (major depression, psychotic disorders, phobias ...), but also, and this is what is new, for the sorrows or anxieties more "ordinary", related to ruptures, unemployment ... As if these experiences and these tests were not "normal" and required the intervention of professionals to be able to be supported.

Therapy, to find the direction of its life

In thirty years of profession, the psychoanalyst Jean-Marie Jadin has witnessed the progressive trivialization of therapeutic support. " I have seen the shift from a symptom-based demand to a request from less sick than unhappy subjects, he says. Today, one consults more and more for a diffuse existential malaise, with the concern to know better to take again its life in hand. "

An evolution which signs the democratization of the culture psy, admits the psychoanalyst, but especially "a Malaysian crescent related to the" technicization "of the society in which we live". " I feel empty ", these are the words that the psychotherapist Rauda Jamis hears most frequently in the mouths of her patients." They have the feeling that they do not belong anymore, to stifle in a too restrictive framework, to be on rails from which they can no longer escape, "she says.

Crushed by speed and the imperatives of profitability, lack of benchmarks but also of social links, many are turning to the psys as one seeks a shoulder to be comforted, a mentor to give a meaning to its existence.Consulting is (almost) no longer a taboo, so much the better. "But we are about to fall into the opposite excess," said psychoanalyst Philippe Grimbert. That is, to push for the consumption of psychological care when they are not always necessary. As if therapies could - and should - solve everything. As if we could not manage otherwise.

When to consult?

"I would never have gone to see a psychiatrist if, around me, my friends had not told me about their therapy or analysis as a necessary way to get to know each other better," says Carole, 36. to hear, I felt like I was missing something major, everything was going pretty well in my life, but I wanted to know more about myself. I "let go" after six months, I was bored too much to hear me tell trivialities ... I will perhaps put it back if I go through something painful one day, but only in this case. "

Should one suffer to look at one's history in the context of an analysis or psychotherapy? How to know if this or that difficulty could be solved with a shrink? Are there good and bad reasons for consultation? "We can not say things like that, nuance psychiatrist and family therapist Sylvie Angel.It is not the nature of the test that we a cross that determines whether or not to consult, but rather how it is felt. "

The feeling of being stuck, of being overwhelmed by emotion or disabling functioning, and of having no more resources to get better are serious indicators that can advocate for a therapeutic approach. But the psys can also be solicited for a punctual advice. "A dad who wonders how to prepare his children for divorce, a mother who is worried about what her adopted daughter is looking for one day to reconnect with her biological mother ...: the work The psychiatrist then becomes more of a guide, says Sylvie Angel Sometimes, my intervention is limited to a session that simply shows that everything is fine and everyone leaves feeling reassured. do not go to see the psychiatrist if the situation is serious, or that we take necessarily for ten years. "

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