title: [Psychiatry].
abstract: The novelties in clinical psychiatry are close to somatic medicine adaptation. The clinical staging concept in psychiatry (as in cancerology) is the result of an early intervention strategy in psychotic disorders. A differentiated mode of understanding of the phases of psychiatric disorders allows a prevention oriented approach. Individualized therapeutic programmes in accordance with specific problematics favors the orientation towards focalised follow-ups, for instance CBT programmes on Internet may be proposed to patients motivated and rather autonomous. Others, on the contrary, less accessible to health care should benefit of the support of a mobile team and specific coaching to return to vocational services. Systematic follow-up of the metabolic syndrome, often induced by atypical antipsychotics, belongs to those basic adjustment processes.
authors.affiliation: Département de psychiatrie, CHUV, Lausanne. patrice.guex@chuv.ch
authors.forename: Patrice
authors.initials: P
authors.lastname: Guex
authors.forename: Philippe
authors.initials: P
authors.lastname: Conus
authors.forename: Valentino
authors.initials: V
authors.lastname: Pomini
authors.forename: Ueli
authors.initials: U
authors.lastname: Kramer
authors.forename: Charles
authors.initials: C
authors.lastname: Bonsack
authors.forename: Chin
authors.initials: C
authors.lastname: Eap
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000639:trends*; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*