{"id":2664,"date":"2024-07-15T22:48:54","date_gmt":"2024-07-15T22:48:54","guid":{"rendered":"https:\/\/damianruiz.eu\/?p=2664"},"modified":"2024-12-17T11:39:45","modified_gmt":"2024-12-17T11:39:45","slug":"une-approche-realiste-du-traitement-des-dependances","status":"publish","type":"post","link":"https:\/\/damianruiz.eu\/fr\/une-approche-realiste-du-traitement-des-dependances\/","title":{"rendered":"Une approche r\u00e9aliste du traitement des d\u00e9pendances"},"content":{"rendered":"

Dami\u00e1n Ruiz<\/span>
\n<\/span><\/p>\n

<\/span><\/p>\n

Lorsqu’un patient me contacte en vue d’une th\u00e9rapie individuelle, en face \u00e0 face ou en ligne, le premier facteur \u00e0 prendre en compte est le niveau de consommation d’une certaine substance car, honn\u00eatement, s’il est excessivement \u00e9lev\u00e9, je consid\u00e8re qu’il n’est pas appropri\u00e9 de le traiter. Dans ce cas, il est pr\u00e9f\u00e9rable d’\u00eatre admis dans des centres priv\u00e9s ou publics de d\u00e9sintoxication et, par la suite, une fois que le programme th\u00e9rapeutique \u00e9tabli par ces cliniques a \u00e9t\u00e9 men\u00e9 \u00e0 bien, il est possible de mettre en \u0153uvre un type de th\u00e9rapie plus personnalis\u00e9 et individuel.<\/span><\/p>\n

Si nous parlons d’une consommation maximale d’une ou deux fois par semaine, nous pouvons alors envisager d’entamer une th\u00e9rapie.<\/span><\/p>\n

Ma proc\u00e9dure n’est pas cognitivo-comportementale, je me concentre donc principalement sur deux aspects : les raisons de la consommation et le niveau de d\u00e9pendance, c’est-\u00e0-dire les raisons du d\u00e9but de la consommation et les raisons actuelles, et dans quelle mesure le patient est plus li\u00e9 psychiquement \u00e0 la substance qu’il ne le pense.<\/span><\/p>\n

<\/span><\/p>\n

J’ajouterais que lors des premi\u00e8res s\u00e9ances th\u00e9rapeutiques, qui constituent une nouveaut\u00e9 et un nouveau stimulus, le patient \u00e9prouve un certain degr\u00e9 de satisfaction, d’abord parce qu’il \u00ab\u00a0s’est mis en traitement\u00a0\u00bb et ensuite parce qu’il \u00ab\u00a0est convaincu que cette fois-ci, il va le surmonter\u00a0\u00bb.<\/span><\/p>\n

Il n’est pas n\u00e9cessaire qu’il en soit ainsi, ou il en est ainsi, mais cela ne peut certainement pas \u00eatre per\u00e7u de mani\u00e8re triviale.<\/span><\/p>\n

Vaincre une d\u00e9pendance est un travail difficile, pers\u00e9v\u00e9rant, constant, avec des hauts et des bas, parfois en acceptant des rechutes et en allant de l’avant. Dans la plupart des cas, il s’agit d’une lutte permanente jusqu’\u00e0 ce que l’on y parvienne, ce qui est alors beaucoup plus cr\u00e9dible et fiable que si l’on avait abandonn\u00e9 facilement, m\u00eame s’il se peut que dans certains cas, tr\u00e8s rares, on y parvienne \u00e9galement.<\/span><\/p>\n

Au cours du processus, il sera n\u00e9cessaire de prendre en compte tous les \u00e9l\u00e9ments qui vont de pair avec l’addiction, je vous donne quelques exemples : succ\u00e8s, s\u00e9duction, frustration, faible estime de soi, performance au travail, insatisfaction cach\u00e9e, etc.<\/span><\/p>\n

Et il peut \u00eatre n\u00e9cessaire d’op\u00e9rer des changements substantiels dans sa vie, certains impliqueront des renoncements et d’autres de nouvelles opportunit\u00e9s, mais tous auront un sens.<\/span><\/p>\n

<\/span><\/p>\n

Il sera essentiel d’acc\u00e9der \u00e0 l’essence de la personne, \u00e0 ses \u00e9motions les plus significatives, celles qu’elle exprime et celles qu’elle n’exprime pas, et de surmonter ou d’int\u00e9grer les traumatismes ou les situations qui rendent difficile l’arr\u00eat de la consommation.<\/span><\/p>\n

<\/span><\/p>\n

Remarque importante : je ne poursuis g\u00e9n\u00e9ralement pas les patients, c’est-\u00e0-dire que je laisse la continuit\u00e9 de la th\u00e9rapie \u00e0 leur volont\u00e9, au-del\u00e0 du fait de les contacter s’ils ne se pr\u00e9sentent pas \u00e0 une s\u00e9ance et je suis disponible, principalement pendant les heures de travail, pour parler si une sorte de crise appara\u00eet, mais je comprends que c’est la personne qui doit avoir la maturit\u00e9 et la volont\u00e9 suffisante pour continuer le traitement au-del\u00e0 de ce qui se passe dans sa vie.<\/span><\/p>\n

D’autre part, je ne confie pas le succ\u00e8s th\u00e9rapeutique \u00e0 la volont\u00e9 du patient mais, comme je l’explique dans mon livre sur le sujet, au fait de l’amener \u00e0 ne pas avoir besoin de consommer, \u00e0 ressentir un rejet absolu de la substance et \u00e0 comprendre la n\u00e9cessit\u00e9 de s’en d\u00e9barrasser compl\u00e8tement.<\/span><\/p>\n

C’est un long chemin et beaucoup de travail des deux c\u00f4t\u00e9s, du c\u00f4t\u00e9 du patient et du mien, mais c’est possible.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Dami\u00e1n Ruiz Lorsqu’un patient me contacte en vue d’une th\u00e9rapie individuelle, en face \u00e0 face ou en ligne, le premier […]<\/p>\n","protected":false},"author":4,"featured_media":2652,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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