Who am I ?
Holding a Master Degree in Clinical Psychology and Integrative Psychology from the University Paris Descartes, I worked in perinatal care and adult psychiatric services in public hospitals as well as with children and adolescents suffering from autistic disorders.
Having an integrative background, I take into account different theoretical approaches of psychology and psychopathology to understand the functioning of the person and help him/her best with therapeutic interventions adapted to his/her needs and bio-psycho-social specificities. Personally, I am particularly influenced by the cognitive-behavioral, attachment, familial and psychodynamic approaches I was trained in during my university studies. I give a great importance to updating my knowledge and I train regularly.
I developed my private activity with the objective of practicing in the field of perinatality, childhood and adolescence in which I specialized. I also propose different types of psychological assessments, in particular diagnostic assessments of Autism Spectrum Disorders (ASD), Attention Deficit Disorder with or without Hyperactivity (ADHD), Oppositional Defiant Disorder (ODD) and identification of Giftedness in children and adults. I will soon be able to offer you some assessments reimbursed under the early 0-6 autism plan. I can also propose assessments with a therapeutic perspective in order to gain a better knowledge of oneself.
Trained in the cognitive-behavioral therapies, I also opened my practice to adults for the treatment of anxiety, depressive, addictive and obsessive-compulsive disorders.
Finally, having had a career in private firms in different companies in France and abroad (Hong Kong, USA, UK), I also wanted to make the most of this experience in my clinic and offer consultations related to life at work. So I can accompany you in terms of professional growth but also for any difficulties encountered at work. Being bilingual in English, I can also accompany expatriates and their families in situations of integration in a new country or return to their country of origin. In these contexts, teleconsultations can be adapted to pursue the psychological work.
For more details, go to the Services tab.
Therapeutical Approaches
THE COGNITIVE-BEHAVIORAL APPROACH
A Cognitive-Behavioral Therapy (CBT) is a therapy that focuses on the connection between emotions, thoughts and behaviors. It is a brief, educational, interactive and collaborative therapy that focuses on the person's current difficulties while taking into account his / her story. It is based on different techniques that help to understand the mechanisms at the root of the difficulties and then to implement new behaviors, thoughts and emotions. Generally, the first sessions are to specify the patient's request, his/her history and problematic situations through a functional analysis. Then, once the origin of the suffering is identified, objectives are set in collaboration with the patient and different techniques can be proposed according to the type of difficulties to bring to the desired change: relaxation, systematic desensitization, exposure techniques, training in social skills, emotional regulation, cognitive restructuring, problem-solving techniques, alternative behaviors ... The patient usually has exercises to perform between sessions. Progress is assessed regularly to decide whether to continue or terminate CBT.
CBT is a scientifically validated therapy whose effectiveness is demonstrated (see INSERM Report / HAS guidlines) in children, adolescents and adults in:
- anxiety disorders (social phobia, specific phobia, generalized anxiety disorders, agoraphobia and panic disorder), whether or not associated with medication,
- depressive disorders: only for mild forms and associated with drug treatment (mood stabilizers or antidepressants) for more severe forms (see HAS guidelines in adolescents, HAS in adults),
- obsessive-compulsive disorders, post-traumatic stress disorder, eating disorders (see HAS guidelines for bulimia / hyperphagia, HAS guidelines for anorexia nervosa),
- addictive disorders (alcoholism, drug addiction, cyberaddiction ...),
- neurodevelopmental disorders, such as autism spectrum disorders, cognitive remediation, social skills acquisition, and emotion management (see HAS guidelines for ASD).
THE ATTACHEMENT APPROACH
The theory of attachment was developed by the psychiatrist and psychoanalyst John Bowlby. For Bowlby, attachment is an innate behavioral system of seeking and maintaining proximity with a specific person. It corresponds to a primary need to relate to others and has an adaptive function of protection and exploration. According to this theory, a young child needs to develop a relationship of attachment with at least one person who takes care of him/her in a consistent and continuous way, called "caregiver", in order to have a harmonious socio-emotional development. When the "caregiver" is sensitive to the needs of the child, responds appropriately and in a timely manner, the child develops a sense of security in relation to this "caregiver". He/she is then able to explore his environment safely and knows that when needed his/her "caregiver" will be available to him/her. Conversely, if the "caregiver" does not meet his/her needs, lack of consistency or has fearful behavior, the child develops an insecure attachment. Through this relationship of attachment, the child will build a representation of himself, others and the world that will guide his/her future behavior and relationships (partner, friend, family).
The attachment theory has many implications, particularly in the protection of children, the hospitalization or institutionalization of children, and adoption by favoring a continuous and consistent early parent-child relationship.
The attachment-oriented psychotherapist works with families and focus on supporting the early parent-child relationships. With adults, he/she will be able to revisit the attachment relationships of childhood to explain the current difficulties and work to develop a corrective emotional experience.
THE FAMILY APPROACH
The family therapy considers the psychological and behavioral difficulties of a family member as a symptom of the dysfunction of this family. It therefore implies a treatment of the family and a participation of all its members. There are two historical variants of family therapy corresponding to different theoretical currents: systemic and psychoanalytic. Other therapies have developed in recent decades to address specific issues, especially in adolescents. Family-based approaches are particularly indicated in eating disorders, addictive disorders (cannabis, video games, etc.) or risky behavior in adolescence. Special protocols exist and are scientifically validated, for example multi-dimensional family therapy (see website MDFT).
THE PSYCHOANALYTIC / PSYCHODYNAMIC APPROACH
The origin of this approach comes from the contributions of Freud, the founder of psychoanalysis. Psychoanalysis is both a theory of normal and pathological psychological functioning and a therapeutic method. The Freudian theory is based on the existence of the unconscious and impulses that can guide our actions, feelings and thoughts and that are at the root of certain internal conflicts that can create anxiety and symptoms. In terms of therapeutic method, psychoanalysis consists of a multi-year treatment consisting of unconscious conflicts being updated and a reconstruction of the patient's history thanks to a spontaneous expression of the speech, called free association.
Since Freud, psychoanalytic theory and practice have continued to develop with many contributions and extensions of practice, now called psychoanalytic or psychodynamic psychotherapies. Although the approaches vary from therapist to therapist, they all rely on a process of personal introspection for the purpose of a better understanding of oneself and others. The past is often explored in order to better understand the present.
The different psys
THE PSYCHOLOGIST
The French Psychologist studied Psychology for 5 years at the university and holds a Master degree in Psychology with a major (clinical, social, cognitive psychology ...). The title of psychologist is protected since 1985 when it has been legally recognized.
The Clinical Psychologist is trained to various psychological tests, psychopathologies and one or more types of therapies (cognitive-behavioral therapy, systemic, psychoanalytic ...). His/her knowledge of psychotherapy is often complemented by training after his initial degree and throughout his career. These guide his practice.
The Clinical Psychologist in France practices in public or private health organisation or has his/her own private practice, called 'libéral". Not being a doctor, he can not prescribe medication. Its consultations are not supported by the French Health System, called CPAM, except in the public sector where the care is free for patients (ex: CMP, CMPP ...). The effectiveness of therapies being more and more recognized (see INSERM Report, 2004), some private insurance now partially support the cost of consultations. In addition, various initiatives are underway with the CPAM in relation with the reimbursement of psychotherapies (treatment of anxiety and depressive disorders, autism plan).
THE PSYCHIATRIST
The Psychiatrist is a doctor who specialized in mental illnesses (or psychopathologies). He diagnoses and treats patients with psychopathologies. As a doctor, he is the only one among the psys who can prescribe medication. The psychiatrist often practices in public or private health organisations but also privately on his own, and receives patients often suffering from more severe pathologies requiring a medical treatment. His consultations are reimbursed by the French Health System, called CPAM.
Some Psychiatrists are trained in psychotherapeutic techniques and become psychotherapists. Thus, they can sometimes provide therapeutic care like other psys. Otherwise, they refer their patients to psychologists or psychoanalysts for psychotherapies.
THE PSYCHOANALYST
The Psychoanalyst is a therapist whose theoretical and therapeutic orientation is psychoanalytic. He is often a member of a society of psychoanalysis (in France: SPP, SFP ...) because it is now the necessary condition for his practice as a psychotherapist. There is no official recognition of the status of psychoanalyst in France. Nevertheless, psychoanalysts can be psychologists or psychiatrists.
A psychoanalytic therapy, classically called analytic cure, takes place in a specific setting (lengthened, 2-3 sessions per week, few interventions of the psychoanalyst). Nevertheless, current therapies have adapted to the society evolution with more distant and face-to-face sessions, while still maintaining a greater relational distance than in other therapies. The work is focused on the inconscious and the underlying drives rather than the symptoms. The psychoanalyst has himself done an analytical work before practicing and he is supervised for several years.
THE PSYCHOTHERAPIST
The psychotherapist is a person who practices psychotherapies. It can be a psychologist, a psychiatrist or a psychoanalyst. The latter can avail themselves of this title by registering with the Regional Agency for Health.
For a long time, this title was not regulated and was sometimes used by people with dubious practices or not having the skills in psychopathology. Henceforth, this title is framed by a law of 2004 modified in July 2009, as well as decrees (May 20, 2010, and May 7, 2012).
Code of Ethics
Meta-Code of Ethic - European Federation of Psychologist's Association
1. Preamble
Psychologists develop a valid and reliable body of knowledge based on research and apply that knowledge to psychological processes and human behaviour in a variety of contexts. In doing so they perform many roles, within such fields as research, education, assessment, therapy, consultancy, and as expert witness to name a few.
They also strive to help the public in developing informed judgements and choices regarding human behaviour, and aspire to use their privileged knowledge to improve the condition of both the individual and society.
The European Federation of Psychologists Associations has a responsibility to ensure that the ethical codes of its member associations are in accord with the following fundamental principles which are intended to provide a general philosophy and guidance to cover all situations encountered by professional psychologists.
National Associations should require their members to continue to develop their awareness of ethical issues, and promote training to ensure this occurs. National Associations should provide consultation and support to members on ethical issues.
The EFPA provides the following guidance for the content of the Ethical Codes of its member Associations. An Association's ethical code should cover all aspects of the professional behaviour of its members. The guidance on Content of Ethical Codes should be read in conjunction with the Ethical Principles.
The Ethical Codes of member Associations should be based upon - and certainly not in conflict with - the Ethical Principles specified below.
National Associations should have procedures to investigate and decide upon complaints against members, and mediation, corrective and disciplinary procedures to determine the action necessary taking into account the nature and seriousness of the complaint.
2. Ethical Principles
2.1 Respect for a Person's Rights and Dignity
Psychologists accord appropriate respect to and promote the development of the fundamental rights, dignity and worth of all people. They respect the rights of individuals to privacy, confidentiality, self-determination and autonomy, consistent with the psychologist's other professional obligations and with the law.
2.2 Competence
Psychologists strive to ensure and maintain high standards of competence in their work. They recognise the boundaries of their particular competencies and the limitations of their expertise. They provide only those services and use only those techniques for which they are qualified by education, training or experience.
2.3 Responsibility
Psychologists are aware of the professional and scientific responsibilities to their clients, to the community, and to the society in which they work and live. Psychologists avoid doing harm and are responsible for their own actions, and assure themselves, as far as possible, that their services are not misused.
2.4 Integrity
Psychologists seek to promote integrity in the science, teaching and practice of psychology. In these activities psychologists are honest, fair and respectful of others. They attempt to clarify for relevant parties the roles they are performing and to function appropriately in accordance with those roles.
3. Content of Ethical Codes of Member Associations
In the following Meta-Code the term 'client' refers to any person, patients, persons in interdependence or organisations with whom psychologists have a professional relationship, including indirect relationships.
Professional psychologists' ethical codes must take the following into account:
-
Psychologists' professional behaviour must be considered within a professional role, characterised by the professional relationship.
-
Inequalities of knowledge and power always influence psychologists' professional relationships with clients and colleagues.
-
The larger the inequality in the professional relationship and the greater the dependency of clients, the heavier is the responsibility of the professional psychologist.
-
The responsibilities of psychologists must be considered within the context of the stage of the professional relationship.
Interdependence of the Four Principles
It should be recognised that there will always be strong interdependencies between the four main ethical principles with their specifications. This means for psychologists that resolving an ethical question or dilemma will require reflection and often dialogue with clients and colleagues, weighing different ethical principles. Making decisions and taking actions are necessary even if there are still conflicting issues.
3.1 Respect for Person's Rights and Dignity
3.1.1 General Respect
i) Awareness of and respect for the knowledge, insight, experience and areas of expertise of clients, relevant third parties, colleagues, students and the general public.
ii) Awareness of individual, cultural and role differences including those due to disability, gender, sexual orientation, race, ethnicity, national origin, age, religion, language and socio-economic status.
iii) Avoidance of practices which are the result of unfair bias and may lead to unjust discrimination.
3.1.2 Privacy and Confidentiality
i) Restriction of seeking and giving out information to only that required for the professional purpose.
ii) Adequate storage and handling of information and records, in any form, to ensure confidentiality, including taking reasonable safeguards to make data anonymous when appropriate, and restricting access to reports and records to those who have a legitimate need to know.
iii) Obligation that clients and others that have a professional relationship are aware of the limitations under the law of the maintenance of confidentiality.
iv) Obligation when the legal system requires disclosure to provide only that information relevant to the issue in question, and otherwise to maintain confidentiality.
v) Recognition of the tension that can arise between confidentiality and the protection of a client or other significant third parties.
vi) Recognition of the rights of clients to have access to records and reports about themselves, and to get necessary assistance and consultation, thus providing adequate and comprehensive information and serving their best interests and that this right to appropriate information be extended to those engaged in other professional relationships e.g. research participants.
vii) Maintenance of records, and writing of reports, to enable access by a client which safeguards the confidentiality of information relating to others.
3.1.3 Informed Consent and Freedom of Consent
i) Clarification and continued discussion of the professional actions, procedures and probable consequences of the psychologist's actions to ensure that a client provides informed consent before and during psychological intervention.
ii) Clarification for clients of procedures on record-keeping and reporting.
iii) Recognition that there may be more than one client, and that these may be first and second order clients having differing professional relationships with the psychologist, who consequently has a range of responsibilities.
3.1.4 Self-determination
i) Maximisation of the autonomy of and self-determination by a client, including the general right to engage in, and to end the professional relationship with a psychologist while recognising the need to balance autonomy with dependency and collective actions.
ii) Specification of the limits of such self-determination taking into account such factors as the client's developmental age, mental health and restrictions set by the legal process.
3.2 Competence
3.2.1 Ethical Awareness
Obligation to have a good knowledge of ethics, including the Ethical Code, and the integration of ethical issues with professional practice.
3.2.2 Limits of Competence
Obligation to practise within the limits of competence derived from education, training and experience.
3.2.3 Limits of Procedures
i) Obligation to be aware of the limits of procedures for particular tasks, and the limits of conclusions that can be derived in different circumstances and for different purposes.
ii) Obligation to practise within, and to be aware of the psychological community's critical development of theories and methods.
iii) Obligation to balance the need for caution when using new methods with a recognition that new areas of practice and methods will continue to emerge and that this is a positive development.
3.2.4 Continuing Development
Obligation to continue professional development.
3.2.5 Incapability
Obligation not to practise when ability or judgement is adversely affected, including temporary problems.
3.3 Responsibility
3.3.1 General Responsibility
i) For the quality and consequences of the psychologist's professional actions.
ii) Not to bring the profession into disrepute.
3.3.2 Promotion of High Standards
Promotion and maintenance of high standards of scientific and professional activity, and requirement on psychologists to organise their activities in accord with the Ethical Code.
3.3.3 Avoidance of Harm
i) Avoidance of the misuse of psychological knowledge or practice, and the minimisation of harm which is foreseeable and unavoidable.
ii) Recognition of the need for particular care to be taken when undertaking research or making professional judgements of persons who have not given consent.
3.3.4 Continuity of Care
i) Responsibility for the necessary continuity of professional care of clients, including collaboration with other professionals and appropriate action when a psychologist must suspend or terminate involvement.
ii) Responsibility towards a client which exists after the formal termination of the professional relationship.
3.3.5 Extended Responsibility
Assumption of general responsibility for the scientific and professional activities, including ethical standards, of employees, assistants, supervisees and students.
3.3.6 Resolving Dilemmas
Recognition that ethical dilemmas occur and responsibility is placed upon the psychologist to clarify such dilemmas and consult colleagues and/or the national Association, and inform relevant others of the demands of the Ethical Code.
3.4 Integrity
3.4.1 Recognition of Professional Limitations
Obligation to be self-reflective and open about personal and professional limitations and a recommendation to seek professional advice and support in difficult situations.
3.4.2 Honesty and Accuracy
i) Accuracy in representing relevant qualifications, education, experience, competence and affiliations.
ii) Accuracy in representing information, and responsibility to acknowledge and not to suppress alternative hypotheses, evidence or explanations.
iii) Honesty and accuracy with regard to any financial implications of the professional relationship.
iv) Recognition of the need for accuracy and the limitations of conclusions and opinions expressed in professional reports and statements.
3.4.3 Straightforwardness and Openness
i) General obligation to provide information and avoid deception in research and professional practice.
ii) Obligation not to withhold information or to engage in temporary deception if there are alternative procedures available. If deception has occurred, there is an obligation to inform and re-establish trust.
3.4.4 Conflict of Interests and Exploitation
i) Awareness of the problems which may result from dual relationships and an obligation to avoid such dual relationships which reduce the necessary professional distance or may lead to conflict of interests, or exploitation of a client.
ii) Obligation not to exploit a professional relationship to further personal, religious, political or other ideological interests.
iii) Awareness that conflict of interest and inequality of power in a relationship may still reside after the professional relationship is formally terminated, and that professional responsibilities may still apply.
3.4.5 Actions of Colleagues
Obligation to give a reasonable critique of the professional actions of colleagues, and to take action to inform colleagues and, if appropriate, the relevant professional associations and authorities, if there is a question of unethical action.