{"id":36954,"date":"2025-11-12T14:56:04","date_gmt":"2025-11-12T13:56:04","guid":{"rendered":"https:\/\/blog-monpsy.hellocare.net\/blog\/?p=36954"},"modified":"2025-11-12T14:56:04","modified_gmt":"2025-11-12T13:56:04","slug":"comment-se-deroule-une-consultation-chez-un-psy","status":"publish","type":"post","link":"https:\/\/blog-monpsy.hellocare.net\/blog\/patients\/comment-se-deroule-une-consultation-chez-un-psy\/","title":{"rendered":"Comment se d\u00e9roule une consultation chez un psy ?"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><p><span style=\"font-size: regular;\"><span style=\"font-size: 18px; line-height: 1.6em; letter-spacing: 0px;\"><span class=\"fusion-dropcap dropcap\">U<\/span><span style=\"font-weight: 400;\">ne fois la <strong>consultation psy<\/strong> r\u00e9serv\u00e9e se pose toujours la question des <strong>modalit\u00e9s du rendez-vous<\/strong>. Vais-je faire face \u00e0 mon th\u00e9rapeute ? Vais-je devoir m\u2019allonger sur un divan ? Il n\u2019existe en fait pas de <strong>s\u00e9ance type<\/strong>, mais des <strong>types de s\u00e9ances<\/strong> qui varient essentiellement en fonction de <strong>l\u2019approche du professionnel<\/strong>.<\/span><\/span><\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:36;line-height:1.25;\">Allong\u00e9 sur le fameux divan<\/h2><\/div><div class=\"fusion-text fusion-text-2\"><p>Utilis\u00e9 pour favoriser la r\u00e9gression, ce meuble est une des pi\u00e8ces ma\u00eetresses de l\u2019approche psychanalytique. Le patient s\u2019installe sur le divan, le th\u00e9rapeute assis dans son dos pour favoriser la libre association d\u2019id\u00e9es et ne pas appara\u00eetre dans le champ de vision du patient. Cette m\u00e9thode, d\u00e9riv\u00e9e des travaux de Freud, part du principe que l\u2019humain a un inconscient qui rec\u00e8le parfois (souvent) des conflits intrapsychiques refoul\u00e9s. Pour les d\u00e9celer, le th\u00e9rapeute laisse le patient parler et associer ses pens\u00e9es. Le psy est extr\u00eamement \u00e9conome en mots. Cette th\u00e9rapie est tr\u00e8s longue et intensive&nbsp;: il faut pr\u00e9voir trois \u00e0 quatre s\u00e9ances par semaine, \u00e0 payer en liquide et sans demander \u00e0 \u00eatre rembours\u00e9. Elle est recommand\u00e9e aux personnes qui souffrent de probl\u00e9matiques relationnelles, qui d\u00e9veloppent un go\u00fbt pour l\u2019introspection et qui n\u2019ont pas peur de s\u2019engager pour des ann\u00e9es.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:36;line-height:1.25;\">Assis, en face du th\u00e9rapeute<\/h2><\/div><div class=\"fusion-text fusion-text-3\"><p>C\u2019est le cas de figure le plus souvent rencontr\u00e9&nbsp;: les entretiens dans les PIP, psychoth\u00e9rapies d\u2019inspiration psychanalytique \u2012 une m\u00e9thode plus souple que la pr\u00e9c\u00e9dente \u2012, se d\u00e9roulent comme une discussion normale, face au psy. Le psy laisse parfois des \u00ab&nbsp;blancs&nbsp;\u00bb pour favoriser les libres associations d\u2019id\u00e9es. Cette th\u00e9rapie psychodynamique consid\u00e8re que le psychisme est d\u00e9termin\u00e9 par les traumas, le pass\u00e9. En le \u00ab&nbsp;diss\u00e9quant&nbsp;\u00bb gr\u00e2ce \u00e0 la parole, il est possible de d\u00e9samorcer des r\u00e9flexes psychiques et de faire de meilleurs choix dans sa vie.&nbsp;<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:36;line-height:1.25;\">En mouvement<\/h2><\/div><div class=\"fusion-text fusion-text-4\"><p align=\"justify\">Certaines s\u00e9ances sont plus \u00ab&nbsp;mobiles&nbsp;\u00bb et\/ou interactives. C\u2019est le cas des TCC&nbsp;: les th\u00e9rapies comportementales cognitives, en ne s\u2019int\u00e9ressant plus au pourquoi mais au comment, poussent le patient \u00e0 \u00ab&nbsp;d\u00e9sapprendre&nbsp;\u00bb, gr\u00e2ce \u00e0 des exercices, des mises en situation, des m\u00e9canismes psychiques qui engendrent syst\u00e9matiquement les m\u00eames comportements. Les TCC sont particuli\u00e8rement efficaces en cas de troubles anxieux. Par exemple, en cas d\u2019arachnophobie, le th\u00e9rapeute va d\u2019abord demander au patient de s\u2019exposer par la pens\u00e9e, puis par l\u2019image, puis par la plastique, puis en vrai \u00e0 l\u2019animal, quitte \u00e0 l\u2019accompagner hors cabinet pour le confronter \u00e0 ses peurs. Le th\u00e9rapeute augmente petit \u00e0 petit l\u2019intensit\u00e9 des angoisses pour d\u00e9samorcer, d\u00e9dramatiser ces derni\u00e8res.&nbsp;<\/p>\n<p align=\"justify\">Diff\u00e9rente dans son approche, l\u2019EMDR, recommand\u00e9e en cas de sympt\u00f4mes post-traumatiques, invite le patient, sur stimulation du th\u00e9rapeute, \u00e0 r\u00e9aliser des mouvements oculaires&nbsp;:&nbsp;ce balayage rapide des yeux de droite \u00e0 gauche a pour effet de<strong>&nbsp;stimuler la zone du cerveau o\u00f9 sont stock\u00e9es les \u00e9motions&nbsp;<\/strong><strong>et o\u00f9 sont retenus<\/strong><strong>&nbsp;les souvenirs des traumatismes v\u00e9cus<\/strong><strong>.<\/strong><strong>&nbsp;<\/strong><strong>Les mouvements oculaires vont activer<\/strong><strong>&nbsp;<\/strong><strong>le travail de cicatrisation psychique<\/strong><strong>.<\/strong><br \/>Les th\u00e9rapies de \u00ab&nbsp;troisi\u00e8me vague&nbsp;\u00bb, qui se concentrent sur le moment pr\u00e9sent, la pleine conscience et l\u2019acceptation de ses \u00e9motions, invitent \u00e0 se concentrer sur la voix du th\u00e9rapeute, pour s\u2019approcher d\u2019un \u00e9tat m\u00e9ditatif.<\/p>\n<p><strong>Enfin, les th\u00e9rapies de groupe s\u2019effectuent\u2026 \u00e0 plusieurs et peuvent aboutir \u00e0 des s\u00e9ances tr\u00e8s interactives comme dans l\u2019exercice du psychodrame.&nbsp;<\/strong><\/p>\n<p>En cas d\u2019angoisses quant au d\u00e9roulement de la s\u00e9ance et de la m\u00e9thode utilis\u00e9e, il ne faut pas h\u00e9siter&nbsp;\u00e0 se renseigner aupr\u00e8s du professionnel et \u00e0 poser la question \u00ab&nbsp;comment travaillez-vous&nbsp;?&nbsp;\u00bb lors de la prise de contact.&nbsp;<\/p>\n<p><a href=\"https:\/\/monpsy.psychologies.com\/Psys?filtre%5Bencounter_online%5D%5B%5D=oui\" target=\"_self\">Prendre rendez-vous avec un psy en ligne<\/a><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":47,"featured_media":36956,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[899,897],"tags":[885,886],"class_list":["post-36954","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-questions-avant-de-consulter","category-patients","tag-landing","tag-preprod"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Comment se d\u00e9roule une consultation chez un psy ?<\/title>\n<meta name=\"description\" content=\"Quels sont les 5 motifs de t\u00e9l\u00e9consultation les plus courants qui am\u00e8nent \u00e0 prendre un rendez-vous avec un m\u00e9decin en vid\u00e9o 7j\/7.\" 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