Inserção da psicologia em equipe multiprofissional numa clínica odontológica: relato de experiência / Insertion of psychology in a dental clinic: experience report
AUTOR(ES)
Ligia Mitsuko Furusawa
DATA DE PUBLICAÇÃO
2010
RESUMO
This is a report on an experience with the insertion of Psychology in the Occlusion and TMA Service of the Faculty of Dentistry of the University of Sao Paulo, a dental clinic specialized in temporomandibular disorder treatment. Arriving at the clinic, the author verifies some situations that might help patients if dentists exchanged more information in a dialogue showing more interest in the patients report and observation. Also verified is the relation between the condition treated and the patients complaints commented in chats at the dental clinic waiting room; these complaints are very frequent in the psychology clinic, especially in the psychosomatic area. It is noticed that psychiatric/psychological conditions found have to be treated for a patients improvement and discharge. As from the moment the author is invited to participate in the health team of that dental clinic, a reduction in the permanence time of patients who receive psychological counseling is observed, differing from patients who only receive attention from dentists. The health team at the time counted on a physiotherapist, speech therapist, dentists and a psychologist (the author). Later, hypnotherapists and chiropractors were also invited, besides a team that made laser applications specifically for algic conditions. In our observation, patients generally presented signs and symptoms characteristic of depression and its co-morbidities, such as fibromyalgia, obsessive-compulsive disorder, panic disorder. Characteristics were also common among patients: excess responsibilities, exaggerated availability to family and colleagues at work, difficulty in delegating tasks, difficulty in accepting aid and guilt towards any pleasurable activity or one of non-medical personal care. A discussion is made on the adhesion to the treatment provided by the psychologist, who conducted psychological and pedagogical interventions, once the patient failed to notice the relations between the recommendations by the health professionals and the temporomandibular disorder problem. As from the moment the psychologist intervened and the patient understood this relation, there was adhesion to the multidisciplinary treatment and a consequent improvement in the condition, with discharge from the clinic. The actuation and counseling specificities, the analysis of the psychologists role and the importance of her insertion in the multiprofessional team are described
ASSUNTO(S)
atuação do psicólogo dentistry interdisciplinaridade interdisciplinarity odontologia psicologia psychologist performance psychology
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