{"id":107443,"date":"2023-05-05T12:47:05","date_gmt":"2023-05-05T09:47:05","guid":{"rendered":"https:\/\/urbeamea.ro\/albaiulia\/?p=107443"},"modified":"2023-05-05T13:01:27","modified_gmt":"2023-05-05T10:01:27","slug":"laura-precup-medic-psihiatru-la-clinica-prevent-inapoi-acasa-dupa-9-ani-de-specializare-si-munca-in-germania-gata-sa-ne-ajute-sa-intelegem-si-sa-tratam-afectiunea-mintala-ca-pe-orice-alt","status":"publish","type":"post","link":"https:\/\/urbeamea.ro\/albaiulia\/laura-precup-medic-psihiatru-la-clinica-prevent-inapoi-acasa-dupa-9-ani-de-specializare-si-munca-in-germania-gata-sa-ne-ajute-sa-intelegem-si-sa-tratam-afectiunea-mintala-ca-pe-orice-alt\/","title":{"rendered":"Dup\u0103 9 ani de specializare \u0219i munc\u0103 \u00een Germania, Laura Precup a venit acas\u0103! Este medic psihiatru la Clinica Prevent"},"content":{"rendered":"\n

Un leu \u0219i o banan\u0103, oferite de o b\u0103tr\u00e2nic\u0103 \u00een liftul spitalului, \u201e\u0219paga\u201d care a umplut paharul unei tinere rezidente din Alba Iulia, acum mai bine de zece ani<\/strong><\/h3>\n\n\n\n

De ce se duc rom\u00e2nii, c\u00e2nd se duc, departe de cas\u0103, \u00een \u021b\u0103ri str\u0103ine, \u0219tim deja. De lehamite, slei\u021bi de neputin\u021b\u0103! Pleac\u0103 urm\u0103rind confortul unei certitudini, s\u0103tui de promisiunea incert\u0103 a unui viitor decent, \u00een propria \u021bar\u0103. Caut\u0103 un trai mai bun, condi\u021bii mai bune de lucru, mai binele. De ce se \u00eentorc, cei care se \u00eentorc? Acela\u0219i r\u0103spuns valabil: de dorul unei anumite st\u0103ri de bine, pe care o sim\u021bi numai acas\u0103, \u0219i pe care, de cele mai multe ori, vor s\u0103 o ofere, ca experien\u021b\u0103, copiilor ce li s-au n\u0103scut peste hotare. O senza\u021bie pe care nu o po\u021bi cump\u0103ra cu bani. Se \u00eentorc pentru un alt tip de confort, unul, s\u0103-i spunem, afectiv.<\/p>\n\n\n\n

A\u0219a au stat lucrurile \u0219i \u00een cazul Laurei Precup<\/strong>, n\u0103scut\u0103 la Alba Iulia, crescut\u0103 la Bucerdea, la bunici, \u0219i care, dup\u0103 ce a luat calea str\u0103in\u0103t\u0103\u021bii la trei s\u0103pt\u0103m\u00e2ni dup\u0103 nunt\u0103, cu so\u021b cu tot, a revenit acas\u0103. Au plecat doi, au venit trei, \u0219i \u00een scurt\u0103 vreme au fost patru. Pentru copila\u0219ii lor, Laura a decis s\u0103 se \u00eentoarc\u0103, indiferent c\u00e2t de bine s-au adaptat la via\u021ba \u0219i munca \u00een Germania, pentru ca b\u0103ie\u021bii lor s\u0103 creasc\u0103 \u00een s\u00e2nul familiei extinse, s\u0103 se bucure de iubirea bunicilor, s\u0103 zburde cu copiii pe strad\u0103, numai s\u0103 treac\u0103 drumul \u0219i s\u0103 fie deja acas\u0103 la vre-un prieten.<\/p>\n\n\n\n

Medic primar psihiatrie \u0219i psihologie, Laura a intrat recent \u00een echipa Clinicii Prevent din Alba Iulia, \u0219i nu v\u0103 ascund c\u0103, \u00eent\u00e2lnind-o, i-am invidiat entuziasmul, lic\u0103rirea aceea din privirea omului pasionat, neap\u0103sat de griji pecuniare \u0219i nici de ziua de salariu, mai mereu marcat\u0103 \u00een calendarele noastre, de perete, electronice, sau mai \u0219tiu eu de care. Laura Precup este specialistul care a absorbit tot ce a avut sistemul medical nem\u021besc de oferit, ca informa\u021bie \u0219i mod de implementare, \u0219i care vrea s\u0103-\u0219i pun\u0103 acum cuno\u0219tin\u021bele \u0219i experien\u021ba la b\u0103taie, pentru satisfac\u021bia dat\u0103 de reu\u0219it\u0103. \u00cen cazul ei, de reabilitarea pacientului!<\/p>\n\n\n\n

Mai jos, un mini-interviu cu cea \u00een care eu \u00eemi pun toat\u0103 n\u0103dejdea c\u0103 ne va ajuta s\u0103 ne schimb\u0103m mentalitatea, s\u0103 ne scutur\u0103m de prejudec\u0103\u021bi, \u0219i s\u0103 ne raport\u0103m la tulburarea \u0219i afec\u021biunea mintal\u0103, ca pe orice alt\u0103 boal\u0103!<\/p>\n\n\n\n

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Urbea Mea: Care a fost momentul \u00een care ai decis s\u0103 p\u0103r\u0103se\u0219ti Rom\u00e2nia \u0219i care a fost realitatea din Germania, fa\u021b\u0103 de proiec\u021biile de acas\u0103?<\/strong><\/p>\n\n\n\n

Laura Precup: <\/strong>Am plecat din sistemul medical rom\u00e2nesc \u00een 2012, de la un salariu de 800 de lei \u0219i \u00eenc\u0103 200 \u00een bonuri. Lucram atunci pe sec\u021bia de cadiologie a Spitalului Jude\u021bean Alba c\u00e2nd, \u00eentr-o zi, o b\u0103tr\u00e2nic\u0103 s-a urcat cu mine \u00een lift \u0219i mi-a \u00eentins un leu \u0219i o banan\u0103. De \u0219oc \u0219i de ru\u0219ine, nu am avut nicio reac\u021bie. Cu ele spera, s\u0103rmana, s\u0103 cumpere bun\u0103voin\u021ba unui cadru medical, \u00eentr-un spital din Rom\u00e2nia, pentru c\u0103 \u0219tia c\u0103 la medic trebuie s\u0103 dai. At\u00e2t a avut ea. Mi s-a rupt sufletul pentru ea, \u0219i pentru mine! Nu voiam s\u0103 ajung s\u0103 tr\u0103iesc din plicuri, pentru c\u0103 din salariu era aproape imposibil, a\u0219a c\u0103, da, am plecat. Ini\u021bial acas\u0103, unde am \u00eenceput s\u0103 \u00eenv\u0103\u021b intensiv limba german\u0103, \u00eemi amintesc c\u0103 au fost scumpe, mergeam de dou\u0103 ori pe s\u0103pt\u0103m\u00e2n\u0103 la ore, iar dup\u0103 ce am ob\u021binut certificarea de limb\u0103 B2, \u00eempreun\u0103 cu so\u021bul, am plecat \u00een Germania. Se \u00eent\u00e2mpla \u00een noiembrie 2013, la trei s\u0103pt\u0103m\u00e2ni dup\u0103 nunt\u0103.<\/em><\/p>\n\n\n\n

Germania, dincolo de \u00eencerc\u0103rile de \u00eenceput, \u0219i dormitul pe canapeaua fratelui meu, a corespuns \u00eentru totul a\u0219tept\u0103rilor noastre. Bine, nu am \u00eenv\u0103\u021bat perfect limba, pentru c\u0103 eram o comunitate mare de rom\u00e2ni, chiar \u0219i la serviciu aveam mul\u021bi colegi din Rom\u00e2nia, a\u0219a c\u0103, de comunicat, comunicam preponderent tot \u00een limba matern\u0103. Dar sistemul medical german mi-a permis s\u0103 m\u0103 specializez at\u00e2t \u00een psihiatrie c\u00e2t \u0219i \u00een psihologie, \u0219i s\u0103 le practic concomitent, \u00eentr-o abordare holistic\u0103 a nevoilor unui pacient. Da, psihiatrul este medic, \u0219i doar el poate stabili \u0219i prescrie medica\u021bie specific\u0103, dar pastilele sunt doar un adjuvant la terapie. Rezolv\u0103 simptomatic, precum un antitermic, problema cu febra, dar nu \u0219i cauza ei, nu vindec\u0103 boala. \u0218i aici este nevoie de cuno\u0219tin\u021bele psihoterapeutului. Un tratament corect \u00eenseamn\u0103 at\u00e2t medica\u021bie, c\u00e2t \u0219i terapie.<\/em><\/p>\n\n\n\n

Urbea Mea: Care au fost pozi\u021biile ocupate \u00een sistemul medical din Germania \u0219i care este, practic, experien\u021ba ta de lucru acolo?<\/strong><\/p>\n\n\n\n

Laura Precup: <\/strong>\u00centre 2014 \u0219i 2019, am lucrat ca medic rezident psihiatrie \u0219i psihoterapie la Spitalul Clinic de Psihiatrie \u0219i Psihoterapie Luedenscheid. Aici, 2,5 ani i-am petrecut pe sec\u021bia de acu\u021bi, timp \u00een care am acumulat mult\u0103 experien\u021b\u0103 \u00een situa\u021biile de criz\u0103, prin g\u0103rzile de 24 de ore, \u00een prima linie. Totodat\u0103, eram responsabil\u0103 de un complex de locuin\u021be externe, pentru oameni cu boli psihice, dar \u0219i de un centru pentru seniori cu demen\u021b\u0103. Restul anilor i-am petrecut pe sec\u021bia de cronici, \u00een ambulator \u0219i \u00een clinica de zi, unde accentul se punea pe psihoterapie individual\u0103 \u0219i de grup.<\/em><\/p>\n\n\n\n

Din 2019 p\u00e2n\u0103 \u00een 2021, am lucrat ca medic rezident neurologie, la Clinica de recuperare neurologic\u0103 \u0219i ortopedic\u0103 Rhein Sieg, Nuembrecht, unde am \u0219i absolvit un stagiu de un an \u0219i jum\u0103tate pe sec\u021bia de reabilitare neurologic\u0103 intensiv\u0103. Aici am avut ocazia s\u0103 tratez pacien\u021bi cu diferite patologii, multimorbizi, aprofund\u00e2nd procesul Weaning \u2013 recuperarea respiratorie a pacien\u021bilor asista\u021bi mecanic, \u0219i nu numai. Experien\u021ba a fost una intens\u0103 \u0219i intensiv\u0103, clinica av\u00e2nd peste 300 de paturi. Iar \u00een ultimul an, \u00eenainte s\u0103 ne \u00eentoarcem \u00een Rom\u00e2nia, am activat ca medic primar psihiatrie \u0219i psihoterapie la acela\u0219i Spital Clinic de Psihiatrie \u0219i Psihoterapie Luedenscheid, unde am devenit responsabil\u0103 pentru o sec\u021bie mixt\u0103 de pacien\u021bi cronici, cu 16 paturi, un medic rezident, un psiholog, dar \u0219i pentru sec\u021bia de intensiv acu\u021bi \u00eenchi\u0219i, cu 12 paturi, 2 reziden\u021bi \u0219i un psiholog.<\/em><\/p>\n\n\n\n

Urbea Mea: \u00ce\u021bi aminte\u0219ti de un caz deosebit, \u00eentre reu\u0219itele tale profesionale?<\/strong><\/p>\n\n\n\n

Laura Precup: <\/strong>Da, a fost un b\u0103rbat, de 37 de ani, cu tulburare borderline, una dintre cele mai dificil de stabilizat afec\u021biuni, care a venit prin sistemul de urgen\u021b\u0103 la noi \u00een spital, \u00een plin\u0103 criz\u0103. De\u0219i avea domiciliul \u00een alt\u0103 localitate, iar \u00een Germania nu te po\u021bi trata dec\u00e2t la spitalele din zona \u00een care ai re\u0219edin\u021ba, a r\u0103mas la noi. Inteligent \u0219i manipulant, reu\u0219ea s\u0103 g\u0103seasc\u0103 punctul slab \u00een sistem, de exemplu la schimbarea g\u0103rzilor, \u0219i atunci \u00eencerca tot felul de gesturi auto-mutilante, devenind violent at\u00e2t cu el c\u00e2t \u0219i cu cei din jur. Gravita de pe o sec\u021bie pe alta, ajung\u00e2nd invariabil la \u00eenchi\u0219i. Acuza sistemul \u0219i cadrele medicale de rea voin\u021b\u0103, de lipsa implic\u0103rii \u00een cazul s\u0103u, p\u00e2n\u0103 c\u00e2nd, \u00eentr-o zi, dup\u0103 un alt episod violent, lovindu-m\u0103 de refuzul colegilor de a-l mai primi pe vreuna dintre sec\u021bii, l-am \u00eentrebat ce are de g\u00e2nd. Ori accept\u0103 tratamentul \u0219i face terapie, ori vrea s\u0103 se sinucid\u0103. S\u0103 se decid\u0103. Surprins de faptul c\u0103 nu l-am externat, cum se a\u0219tepta \u0219i \u0219tia c\u0103 ar fi meritat. A semnat un contract de tratament, pe care l-a \u0219i urmat, iar la externarea ce a urmat dup\u0103 c\u00e2teva luni, ca un pas firesc a reabilit\u0103rii lui, mi-a mul\u021bumit, cu lacrimi \u00een ochi, pentru c\u0103 i-am dat o \u0219ans\u0103, ultima, c\u00e2nd sistemul nu mai voia s\u0103 i-o dea. A ie\u0219it stabil, iar c\u00e2nd l-am rev\u0103zut la 4 luni, era \u00een continuare \u00een regul\u0103, urma tratamentul \u0219i se bucura de o via\u021b\u0103 lini\u0219tit\u0103, al\u0103turi de cei dragi.<\/em><\/p>\n\n\n\n

Urbea Mea: De ce nu merg rom\u00e2nii la psihiatru? Parc\u0103 cu psihologul ne-am mai obi\u0219nuit, dar cu psihiatrul, \u00eenc\u0103 nu.<\/strong><\/p>\n\n\n\n

Laura Precup: <\/strong>Suferim, \u00eenc\u0103, de o ru\u0219ine \u00eentip\u0103rit\u0103 \u00een mentalul colectiv. Cum s\u0103 te duci la psiholog, dar\u0103mite la psihiatru, ce, tu esti nebun? Apoi e vorba de medica\u021bie, care, ca orice alt medicament, are efecte secundare. Dar la ibuprofen nu cite\u0219te nimeni cear\u0219aful prospectului, pentru c\u0103, tot la nivel de mental colectiv, e bun, verificat, trece durerea de cap. Orice pastil\u0103 ar prescrie medicul psihiatru, studiem efectele secundare cu mare aten\u021bie, \u0219i nici nu am luat bine pastila, c\u0103 parc\u0103 deja ne ia cu vertij. \u00cen unele cazuri, schemele de tratament medicamentos, la fel ca la orice afec\u021biune cronic\u0103, dac\u0103 vre\u021bi, trebuie luate a la long. \u00cenc\u0103 un prag psihologic pentru noi! P\u0103i, la diabet, sau \u00een bolile cardiace, nu avem tratament de lung\u0103 durat\u0103, pe via\u021b\u0103? Acolo de ce nu mai e o problem\u0103 s\u0103 ne lu\u0103m medica\u021bia? Eu spun a\u0219a: nu v\u0103 fie fric\u0103! Ave\u021bi \u00eencredere \u00een medici! Tulbur\u0103rile \u0219i afec\u021biunile mintale, ca orice alt\u0103 boal\u0103, luate din timp, se vindec\u0103, ori se amelioreaz\u0103 mai repede, cu pastile mai pu\u021bine, deci mai pu\u021bine nepl\u0103ceri de la ingerarea lor. Dac\u0103 nu \u021bi-e bine, de ce s\u0103 nu vii s\u0103 prime\u0219ti ajutor, s\u0103 redevii func\u021bional, adaptat, fericit?<\/em><\/p>\n\n\n\n

Urbea Mea: Care sunt primele sau cele mai comune semne care ar trebui s\u0103 ne dea de g\u00e2ndit, cum c\u0103 exist\u0103 o suferin\u021b\u0103 la nivel mintal, \u0219i c\u0103 ar trebui s\u0103 c\u0103ut\u0103m ajutor pentru a o rezolva?<\/strong><\/p>\n\n\n\n

Laura Precup: <\/strong>Boala mintal\u0103 este determinat\u0103 de anumite schimb\u0103ri de natur\u0103 chimic\u0103 care au loc la nivelul creierului. Printre cele mai comune semne c\u0103 ne putem \u00eendrepta spre a\u0219a ceva, se num\u0103r\u0103: insomnia, \u00eengrijorarea constant\u0103 fa\u021b\u0103 de viitor, lipsa bucuriei \u0219i triste\u021bea permanent\u0103, trezirea la orele mici ale dimine\u021bii, f\u0103r\u0103 a mai adormi, anxietatea, fie c\u0103 ne e fric\u0103 s\u0103 vorbim \u00een public, teama de unele locuri, ori frica de a fi criticat \u0219i g\u00e2ndurile de suicid. Aten\u021bie, nu e vorba despre planificarea unui asemenea act, ci \u0219i de g\u00e2nduri precum: \u201eDac\u0103 a\u0219 muri, a\u0219 sc\u0103pa de toate grijile!\u201d, \u201eMai bine n-a\u0219 mai fi, \u0219i toat\u0103 lumea ar fi fericit\u0103!\u201d. Este foarte important s\u0103 cunoa\u0219tem aceste aspecte \u0219i s\u0103 le verbaliz\u0103m \u00een fa\u021ba specialistului. Am constatat, \u00een cazul majorit\u0103\u021bii pacien\u021bilor mei, o eliberare instantanee, odat\u0103 verbalizate, recunoscute, aceste g\u00e2nduri.<\/em><\/p>\n\n\n\n

Un semn la fel de \u00eengrijor\u0103tor \u0219i care poate duce la agravarea unei afec\u021biuni este consumul de alcool \u0219i\/sau droguri, care duce la dependen\u021be \u0219i mai greu de tratat.<\/em><\/p>\n\n\n\n

Psihozele, categoria cea mai p\u0103c\u0103toas\u0103 dintre simptome, caz \u00een care este dificil pentru individ s\u0103 discearn\u0103 \u00eentre ce este real \u0219i ce nu: aude voci, se simte urm\u0103rit, vede oameni care nu exist\u0103, se crede altcineva, chiar Dumnezeu.<\/em><\/p>\n\n\n\n

\u0218i nu \u00een cele din urm\u0103, demen\u021bele, care apar, \u00een general, cu v\u00e2rsta \u00eenaintat\u0103.<\/em><\/p>\n\n\n\n

Cele mai frecvente afec\u021biuni, at\u00e2t \u00een r\u00e2ndul rom\u00e2nilor c\u00e2t \u0219i al europenilor, r\u0103m\u00e2n depresiile, anxietatea \u0219i consumul de alcool \u0219i stupefiante. \u0218tia\u021bi, de exemplu, c\u0103 o singur\u0103 doz\u0103 de drog, pe un fond genetic de care nu putem fi con\u0219tien\u021bi, este suficient\u0103 pentru a declan\u0219a o psihoz\u0103 cu episoade repetitive? Din fericire se pot trata rapid \u0219i definitiv, dar asta nu \u00eenseamn\u0103 c\u0103 nu pot avea consecin\u021be dintre cele mai nefaste, dac\u0103 nu se renun\u021b\u0103 la consum.<\/em><\/p>\n\n\n\n

Urbea Mea: Cum putem ajuta o persoan\u0103 despre care avem b\u0103nuiala c\u0103 are nevoie de ajutor de specialitate?<\/strong><\/p>\n\n\n\n

Laura Precup<\/em><\/strong>: Empatia este primul ajutor. \u201eSunt aici, te ascult, te \u00een\u021beleg, nu te judec!\u201d Aceasta trebuie s\u0103 fie abordarea ini\u021bial\u0103 cu orice persoan\u0103 aflat\u0103 \u00eentr-o suferin\u021b\u0103 de care e con\u0219tient\u0103, sau nu. \u00cendrumarea c\u0103tre o programare la medicul specialist, \u0219i \u00eenso\u021birea persoanei la consulta\u021bie, p\u00e2n\u0103 la u\u0219a cabinetului \u0219i \u00eenapoi acas\u0103, poate fi de real ajutor. Apoi, r\u0103bdarea \u0219i consecven\u021ba. Medicamentele func\u021bioneaz\u0103 diferit de la o persoan\u0103 la alta, poate dura pu\u021bin p\u00e2n\u0103 se g\u0103se\u0219te schema optim\u0103, dar pentru cazurile depistate la timp, odat\u0103 identificat\u0103, simptomele se pot ameliora \u0219i \u00een termen de 10 zile, iar \u00een 4-6 s\u0103pt\u0103m\u00e2ni pot disp\u0103rea definitiv, desigur, \u00een func\u021bie de afec\u021biune.<\/em><\/p>\n\n\n\n

\u0218i eu am mers la psiholog, \u00een facultate! Nu reu\u0219eam s\u0103 fac fa\u021b\u0103 examenelor orale, nu m\u0103 puteam aduna s\u0103 vorbesc \u00een public. Am mers, am rezolvat, de atunci nu m-am mai confruntat cu acest impediment.<\/em><\/p>\n\n\n\n

Boala mintal\u0103 sau tulbur\u0103rile de natur\u0103 psihic\u0103 nu trec de la sine, nu sunt o indigestie! Este important s\u0103 realiz\u0103m la timp c\u0103 trebuie s\u0103 intervenim!<\/em><\/p>\n\n\n\n

Pe Laura Precup o g\u0103si\u021bi la Clinica Prevent din Alba Iulia, \u00een baza unei program\u0103ri telefonice anterioare. Merge\u021bi s\u0103 deveni\u021bi bine! Cu voi, cu ceilal\u021bi! <\/p>\n","protected":false},"excerpt":{"rendered":"

Un leu \u0219i o banan\u0103, oferite de o b\u0103tr\u00e2nic\u0103 \u00een liftul spitalului, \u201e\u0219paga\u201d care a umplut paharul unei tinere rezidente din Alba Iulia, acum mai bine de zece ani De ce se duc rom\u00e2nii, c\u00e2nd se duc, departe de cas\u0103, \u00een \u021b\u0103ri str\u0103ine, \u0219tim deja. De lehamite, slei\u021bi de neputin\u021b\u0103! Pleac\u0103 urm\u0103rind confortul unei certitudini, …<\/p>\n","protected":false},"author":5,"featured_media":107444,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[255],"tags":[18477,24810],"class_list":["post-107443","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sanatate","tag-clinica-prevent","tag-laura-precup"],"yoast_head":"\nDup\u0103 9 ani de specializare \u0219i munc\u0103 \u00een Germania, Laura Precup a venit acas\u0103! 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