In the first article I touched on questions that have to do with the economic aspects of psychotherapy. I'll discuss some differences that we encounter in public and private, began to speak in this post of public services.

If for some reason you want to choose the public services:

First, we know that the Department of Mental Health of the NHS at least on paper provide a service of psychotherapy and the presence of psychologists in staff. From this point of view (but not only this one), the Italian reality consists of many local realities that are very diverse and as such offer that kind of treatment.

For there are mental health centers that have activities of the excellent services of psychotherapy, sometimes even targeted (for example you can find in certain areas of specific services for illness, eating disorders, anxiety disorders, and so on). In other psychotherapy practice, though, is left entirely in the hands of the personal initiative of individual professionals and not a specific organization in this regard.

Another place where you can sometimes get some psychotherapies are family counseling (yes, those organized by Act 194): it is provided within this structure the shape of the psychologist, who deals primarily to tackle problems of family type and age-related to parenthood. In some cities these services are organized by family therapy counseling.

Ask at the regional centers closer to home on how to access and organization on the psychotherapies. Find out if it comes to services that require payment of ticket (in many regions because it is subject to performance fee expense), and especially how much is the ticket. If you can, find out about therapists who perform this service.

The pros of public service:

Are free services or, if subject to a ticket, they are still much lower than the average parcel of therapists.

The therapist has no interest in prolonging indefinitely your therapy: are paid the same, that you're there or not.

If you also need drug therapy will be suggested a psychiatric interview that you can do in the same venue.

The centers of the territorial Department of Mental Health (the MSM, or whatever they are called) also provide services for emergencies.

Professionals who work there have an experience behind robust both quantitatively and qualitatively, and are used to treat severe cases.

The cons of public service:

Your choices are very limited compared to the therapist, the choice of the therapist than patients are virtually nil. This means that if there is that feeling you will hardly need to choose a different therapy unless you address private.

You may be subject to setting little predictable, with varying hours or days in appointments, and are subject to delays and long waits before the session, especially if the therapist is also a psychiatrist.

If the place of psychotherapy in common with other services, the waiting room will be occupied by people suffering from serious illnesses: you might be witnesses of behaviors of users in crisis and this is not pleasant (this happens, of course, the MSM but not in consulting).

It 'more difficult to maintain privacy in a public place, where the high influx of users.

Aspects that can be positive or negative:

Often psychotherapy in the public are necessarily temporary in nature: on the one hand this may be a limit, because after a certain number of sessions, willy-nilly, you must quit. On the other hand have an expiry date has the advantage of both the therapists who induce people to avoid "cazzeggio" (excuse the French) and has subsequently been going quickly in search of the real problem and its possible solution.

A speech by itself is that which concerns the psychiatric university.

As in all universities, this type of structure is characterized by the presence of students in schools of specialization and trainees. It 's less likely that you require tickets, but it is highly likely that relies on a professional in training, under supervision of a tutor. It is not certain that this is a bad thing, as professionals in training have very high attention to what they do. On the other hand, the lack of experience often results in rigidly applying the "techniques" of psychotherapy or even those of the interview. The quality of what happens in university structures depends critically on the accuracy of the supervision is done internally. A major limitation of this type of service is the turnover of operators, because once the graduate school and / or period, the therapist (psychiatrist or psychologist) will no longer present.

The next installment will cover the private practitioners.

See also:

Addressing psychotherapy - 1st practical aspects and expectations

Addressing psychotherapy - 3 ° The world of private

Psychotherapy as an unequal relationship - Addressing psychotherapy 4 ° parte

Other items that might interest you:

• Addressing psychotherapy - 3 ° The world of private
• Addressing psychotherapy - 1st practical aspects and expectations
• Psychotherapy as an unequal relationship - Addressing psychotherapy 4 ° parte
• The sweet Alexia - the blog of an escort - reflections on the voluntary prostitution
• Compulsory medical treatment: what is it and what is NOT

Five places I picked at random:

• Vatican's homophobia?
• Hypocrisy to the depths of the mind. Or the perfidy of good faith. Part one: defense mechanisms
• Around the "path in stages"
• Small Thoughts very personal - the habit of Marriage
• Behold

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