From arrival, the patient is looked after by a psychiatrist and care team, who will follow the patient throughout the stay.
Depression is above all a source of intense suffering and has a number of painful consequences. However, it is a reversible and curable condition. It is also a condition that is subject to relapse in a high percentage of cases.
Treatment involves both drugs and psychotherapy.
The objective is to relieve suffering, cure the depression and prepare the return to active life.
From admission, the psychiatrist informs the patient of the diagnosis and of the treatment programme. It largely depends on the patient’s specific characteristics and also on their requirements. The treatment programme is continuously reassessed. Each day, the patient meets with their doctor to assess the medical treatment, and at the same time to discuss the appropriate psychological support.
In some situations (confirmed resistance to medical treatments, extremely severe depressive state), electrical stimulation therapy (electroconvulsive therapy) may be advised when the patient (and/or their family) has been informed and has consented to it.
Nightingale Hospitals Paris – Clinique du Château is the preferred partner of the qualified technical ECT platform at Clinique de Bellevue. Patients remain at Clinique du Château and have 2 to 3 outpatient sessions a week.
The medical team includes 8 psychiatrists for 44 patients.
They devote significant time to medical consultations on a daily basis, enabling close monitoring but also preparing patients for discharge under the best possible conditions.
Drugs are dispensed in the morning, at midday, at 4 p.m. and in the evening in the patient’s room. The patient has a copy of the prescription and may ask for any further information from the nurses, who are also highly involved in the treatment programme.
The meetings aim to teach patients about their disease, about the best way of treating it and especially about how to prevent it.
With this in mind, a weekly personalised treatment programme is devised at the start of the stay with the doctor, the patient and the coordinating nurse. It notably involves participation:
- Information meetings on depression, open to patients but also to their family, also involved in the patient’s treatment (meeting led by Dr L. Waintraub);
- In relaxation, sophrology, mindfulness (group or individual);
- In psychomotricity sessions for reducing muscle tension and rediscovering the enjoyment of bodily expression;
- In art therapy and music therapy workshops for arousing enjoyment and creativeness;
- In physical fitness sessions with the personal trainer (group or individual).
During the stay, patients are looked after by a team of doctors and nurses, working closely together on a permanent basis for a successful partnership.
All carers (doctors, nurses) meet daily to exchange information, and to mutually improve care. As the notion of collegiality is one of the core values of the Clinique du Château, the doctor in charge of the patients continuously refers to the patient’s referring physician, and may request an opinion from another member of the medical team at any time.
The families can become involved as far as the patient wishes. They can meet with the doctors and nurses as many times as they need to and they can participate in the information meetings on depression. They can get involved in preparing the patient’s discharge, in order to adopt the appropriate attitude and to provide the patient with the necessary support.
From admission, discharge is planned according to the patient and their constraints, to their family and related condition. Preparation involves meetings with the psychiatrist and the carers, who are well-trained in the matter, during various meetings. The quality of the preparation is measured by the ability to return to normal life and for detecting any negative effects of the condition, and for preventing relapse and recurrence as far as possible.Bipolar disorders