Quando realizo uma Avaliação Psicológica em contexto escolar procuro perceber, mais do que realizar um diagnóstico, as dificuldades que a criança apresenta, não só no plano cognitivo como emocional. O trabalho com os professores e os pais é essencial de forma a definir um projecto (terapêutico ou não) adequado aquela criança.
O sintoma mais frequentemente apresentado como o motivo da ida ao Psicólogo é a diminuição do rendimento escolar. Se a criança esteve ausente da escola, por motivos de saúde por exemplo, poderemos pensar que essa ausência será a explicação mais óbvia. No entanto, é necessário ter presente o seu percurso escolar, se anteriormente manifestou dificuldades e em que plano estas se expressaram. Outros sintomas apresentados pelos pais são problemas de comportamento, conduta agressiva, aparecimento de tiques, logorreia, períodos de mutismo, entre outros. Gostaria ainda de salientar que existem manifestações somáticas cujo trabalho em simultâneo com um médico é essencial: problemas de sono, enurese, encoprese, dores abdominais ou de cabeça. A maioria dos pais realiza uma demanda para encontrar as suas próprias soluções, quando trabalho com crianças com estes sintomas procuro, sempre que possível, utilizar as capacidades parentais como um complemento ao processo psicoterapêutico.
Uma questão que me colocaram recentemente era se existiria uma sobreposição no campo de acção dos Psicólogos Clínicos e dos Psiquiatras. A investigação aponta que, em variadas situações (por exemplo, em depressões graves, ataques de pânico entre outras situações) o sucesso é obtido através da junção de uma psicoterapia conjugada com apoio medicamentoso. Por vezes, ocorrem situações nas quais o indivíduo encontra-se de tal forma angustiado, agitado, delirante que se torna necessária medicação para ajudar a gerir a ansiedade. Quando estiver mais calmo, o indivíduo poderá, então, beneficiar de uma psicoterapia de forma a modificar a sua forma de pensar, de reagir, sentir e assim, conhecer-se. Penso que, e alguns estudos vão nesse sentido, não deverá ser a mesma pessoa a gerir a parte medicamentosa e a parte psicoterapêutica de forma a não se confundirem os papeis, cada especialista irá desempenhar uma função e um papel essencial neste processo.
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