{"id":36974,"date":"2025-11-12T15:10:07","date_gmt":"2025-11-12T14:10:07","guid":{"rendered":"https:\/\/blog-monpsy.hellocare.net\/blog\/?p=36974"},"modified":"2025-11-13T12:19:49","modified_gmt":"2025-11-13T11:19:49","slug":"consulter-un-psy-en-ligne-est-il-aussi-efficace-quen-face-a-face","status":"publish","type":"post","link":"https:\/\/blog-monpsy.hellocare.net\/blog\/patients\/consulter-un-psy-en-ligne-est-il-aussi-efficace-quen-face-a-face\/","title":{"rendered":"Consulter un psy en ligne est-il aussi efficace qu\u2019en face \u00e0 face ?"},"content":{"rendered":"

A<\/span>vant m\u00eame la pand\u00e9mie de Covid-19<\/strong>, les consultations en ligne<\/strong> se multipliaient. Devenues incontournables depuis le d\u00e9but de la crise sanitaire, les psychoth\u00e9rapies en visioconf\u00e9rence<\/strong> sont-elles aussi efficaces qu\u2019en face \u00e0 face<\/strong> ?<\/span><\/span><\/span><\/p>\n<\/div>

Si la pand\u00e9mie de Covid-19 les a popularis\u00e9es, les th\u00e9rapies en ligne foisonnent sur la Toile, notamment depuis 2017 et l\u2019\u00e9mergence de plateformes de psychologie en ligne. N\u00e9anmoins, sans le cocon du cabinet du psy et assis dans son salon, est-on aussi bien pris en charge qu\u2019en pr\u00e9sentiel ?<\/p>\n<\/div>

<\/div><\/div><\/div><\/div><\/div>

Une m\u00e9thode pertinente pour soigner la d\u00e9pression et les troubles anxieux<\/h2><\/div>

Les th\u00e9rapies en ligne, et les \u00e9tudes men\u00e9es depuis une dizaine d\u2019ann\u00e9es le soulignent, fonctionnent particuli\u00e8rement bien dans le traitement de la d\u00e9pression et des troubles anxieux pris en charge en TCC (th\u00e9rapies comportementales et cognitives). D\u2019autres troubles ne peuvent, en revanche, \u00eatre trait\u00e9s en visioconf\u00e9rence. La psychanalyse, par exemple, est beaucoup trop codifi\u00e9e (le divan du th\u00e9rapeute est pi\u00e8ce essentielle de la th\u00e9rapie, le paiement se fait forc\u00e9ment en liquide\u2026) pour \u00eatre v\u00e9cue en ligne. L\u2019EMDR, qui traite les syndromes post-traumatiques et s\u2019appuie sur le toucher, ne peut non plus se faire \u00e0 distance. Enfin, ce type de consultation est \u00e0 d\u00e9conseiller aux patients pr\u00e9sentant des id\u00e9es suicidaires ou des d\u00e9lires.<\/p>\n<\/div>

<\/div><\/div><\/div><\/div><\/div>

Une bonne connexion internet<\/h2><\/div>

C\u2019est le pr\u00e9alable \u00e0 toute consultation en ligne. La parole, et le contact visuel (non verbal et paraverbal) sont capitaux dans le processus th\u00e9rapeutique. Pour permettre que le travail psy et les \u00e9changes entre le th\u00e9rapeute et le patient soient fluides, il est essentiel de ne pas \u00eatre coup\u00e9, ni de voir l\u2019image se bloquer ou d\u2019\u00eatre d\u00e9connect\u00e9 de la consultation.<\/p>\n<\/div>

<\/div><\/div><\/div><\/div><\/div>

Pas de compromis sur la qualit\u00e9 des soins<\/h2><\/div>

Le th\u00e9rapeute, en visio, utilise exactement la m\u00eame m\u00e9thode qu\u2019en pr\u00e9sentiel. Le psy souhaite utiliser la m\u00e9thode de la libre association d\u2019id\u00e9es ? Il rebondira ou laissera des \u00ab blancs \u00bb de la m\u00eame fa\u00e7on que si vous \u00e9tiez en face \u00e0 face. Il souhaite vous aider \u00e0 \u00ab d\u00e9sapprendre \u00bb, gr\u00e2ce des mises en situation, des m\u00e9canismes psychiques qui engendrent syst\u00e9matiquement les m\u00eames comportements ? Il vous donnera les m\u00eames exercices, avec la m\u00eame pertinence, et pourra m\u00eame s\u2019aider de la r\u00e9alit\u00e9 virtuelle.<\/p>\n<\/div>

<\/div><\/div><\/div><\/div><\/div>

De meilleurs r\u00e9sultats ?<\/h2><\/div>

Il arrive que la th\u00e9rapie en ligne donne des r\u00e9sultats plus probants qu\u2019en cabinet. C\u2019est ce qu\u2019a d\u00e9montr\u00e9 une \u00e9tude de Wagner & Collaborateurs (2014) : la th\u00e9rapie en ligne \u00e9tait plus efficace que la th\u00e9rapie en pr\u00e9sentiel chez les personnes souffrant de d\u00e9pression s\u00e9v\u00e8re<\/strong> <\/strong>(53 % d\u2019am\u00e9lioration en ligne contre 50 en pr\u00e9sentiel). L\u2019\u00e9cran et la distance peuvent en effet provoquer un effet d\u00e9sinhibiteur1<\/sup>, qui permet au patient d\u2019aller plus loin dans cette th\u00e9rapie en osant aborder ou approfondir certains sujets qu\u2019il aurait tus en face \u00e0 face.<\/p>\n

Si elle pr\u00e9sente de nombreux avantages (fin des d\u00e9serts m\u00e9dicaux, rem\u00e8de au confinement), la th\u00e9rapie en ligne est affaire de personnalit\u00e9s. Certains patients pourront ne pas y trouver leur compte.<\/p>\n

Prendre rendez-vous avec un psy en ligne<\/a><\/p>\n

 <\/a><\/p>\n

    \n
  1. Suler, J. The Online Disinhibition Effect. CyberPsychology & Behavior, 2004<\/em>
    http:\/\/drleannawolfe.com\/Suler-TheOnlineDisinhibitionEffect-2004.pdf<\/a><\/em><\/li>\n<\/ol>\n<\/div>
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