[Psychological trauma of the adolescent]

[Psychological care for combatants psychotraumatized by armed conflict]

The treatment of psychotrauma is based on two main aspects, pharmacological and psychotherapeutic, in accordance with national and international recommendations on psychotherapy, which recommend the use of different techniques, depending on the time frame of the psychotraumatic event or events. The principles of psychological support are based on three phases: immediate, post-medical and long-term. Therapeutic patient education brings added value to the psychological care of psychotraumatized people.

[Risks and Opportunities of Reproducing with HIV]

The war in Ukraine is a major and long-lasting polytraumatic event which has deleterious psychological consequences on a very large number of people in the country (combatants, civilians of all ages), or outside the country. These psychological disorders can have a lasting effect on the lives of children, adolescents and adults who are direct or indirect victims.

[Psychological impact of the COVID-19 pandemic on children and adolescents and treatments]

Les enfants et les adolescents ont été particulièrement touchés par les conséquences psychologiques de la crise sanitaire liée à la pandémie de COVID-19. Les confinements successifs, le port du masque, la perte de leurs repères et de leur environnement social habituel à la suite des fermetures des écoles et à l’arrêt des activités extra-scolaires ont été autant d’adversités auxquelles ils ont été confrontés et qui ont fragilisé leurs stratégies de coping et leurs ressources. Dans cet entretien avec Jean-Pierre Bouchard, Olivier Sorel, Juliane Tortes Saint-Jammes et Sandie Meillerais discutent des modifications mises en place dans leur clinique de l’enfant dans le cadre de cette pandémie. Dans un deuxième temps, ils mettent en évidence les modalités de prise en charge spécifiques afin de développer, renforcer ou relancer les ressources des enfants et des adolescents pendant la thérapie au moyen de vignettes cliniques. Enfin, ils abordent la notion même de l’accompagnement clinique, en laissant une grande place à la thérapie EMDR et à une approche centrée sur la famille.

[Epidemiology of suicide and suicide attempts]

France has recently recorded approximately 9,000 to 10,000 suicides and 200,000 suicide attempts per year with regional, age and gender disparities. Men commit suicide more than women, while women make more attempts than men.

[COVID-19: risks of psychological trauma for patients in intensive care or for their families]

For serious cases of COVID-19, with severe respiratory failure due to damage to the lungs by SARS-CoV-2, hospitalisation in intensive care with intubation is often essential. What psychotraumatic risks does this episode present for these patients? Are these sudden, complex treatments, sometimes with fatal outcomes and frequently reported in the media, also a factor in the appearance of psychological trauma for families? These questions are the subject of this clinical reflection.

[PSYCOVID-19, psychological support device in the fields of mental health, somatic and medico-social]

In December 2019 the World Health Organization (WHO) recorded the first cases of an infectious disease that appeared in China in November of the same year. Generated by the new coronavirus SARS-CoV2, it is quickly named COVID-19 for COronaVirus Infectious Disease 2019. The spread of this unknown disease will soon have worldwide consequences: the contagiousness of the virus is extremely high and potentially lethal. In France, the population initially reacted with disbelief until the disease reached Europe and the first cases appeared on French territory, at the end of January. A few weeks later, on 16 March 2020, President Macron declared the country "at war" against COVID-19. The next day the population was placed in lockdown. At the present time, the country's activity is at a standstill. Schools, businesses and shops are closed. The French citizens are astounded. They suddenly have to face fear: fear of falling ill or that a close relative may fall ill, fear of being locked up and experiencing restrictions of liberties, fear of economic precariousness. And, above all, fear of uncertainty. In order to prevent the mental consequences of this crisis, psychological support units have been created with urgency at national scale. These units are intended to support the healthcare professionals as well as the patients and more broadly, the general population. The unit responsible for the department of Gironde has been set up quickly, over the weekend of March 21, 2020. The COVIDPSY33 listening unit has thus been created in Bordeaux by the Charles Perrens Hospital with support from the Agence Régionale de Santé Nouvelle-Aquitaine (ARS). Simultaneously, the PSYCOVID-19 unit was created. This additional unit works in collaboration with the COVIDPSY33 platform and offers psychological assistance to the general population and caregivers in the sectors of Bordeaux Rive Droite, Bordeaux Gare, Rives de Garonne, Rives d'Arcins and Sud Gironde. It thus covers an area equivalent to approximately half of Gironde, the largest department in metropolitan France. In the present interview, Samantha Al Joboory and Florence Monello, psychiatrist and psychologist coordinating PSYCOD-19, present this psychological support unit.

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Covid-19: psychological support programmes. The spread of Covid-19 in France, the confinement of the population and the changes to our way of life as a result of the health crisis have caused psychological distress to many people of all ages and conditions. In response to these problems, numerous remote psychological support programmes have been set up through teleconsultations. PsyCovid-19, created at Cadillac psychiatric hospital, is one such example.

[Psychological traumas in adults (2/2)]

When they are exposed to potentially traumatic events, adults can develop psychological trauma of varying degrees of severity. For preventive and therapeutic purposes, this psychological trauma must be assessed and treated by psychologists and/or psychiatrists with adequate training and experience in dealing with these complex cases.

[Psychological traumas in adults (1/2)]

When subjected to potentially traumatic events, adults can develop psychological trauma with varying levels of severity. For preventive and therapeutic purposes, these psychological traumas must be assessed and managed by psychologists and/or psychiatrists who are well trained and experienced in performing these complex professional acts.