Psychomotrician: what is his role? Where and when to consult it?

The psychomotrician, or the psychomotrician, has the mission of evaluating and treating disorders of psychomotor development. In other words, it restores harmony between body and mind to overcome adaptation or behavioral difficulties, coordination disorders, orientation problems in time and space, etc. So she can take several forms, depending on the issues: body expression, relaxation, spatial structuring games, etc. We take stock of this little-known paramedical discipline.

Definition: what is a psychomotrician?

Psychomotricity is a paramedic: psychomotor therapists work within a well-defined framework, in collaboration with a medical team, to adapt each therapeutic approach. It is aimed at children, adolescents, adults and the elderly with motor, behavioral, relational or emotional difficulties. Goals :

  • make them aware of their psychomotor organization (interactions between our perception, our feelings, our thoughts, our movements and our behavior);
  • reduce dysfunctions, whether of mechanical or psychological origin;
  • and improve the coordination of motor, psycho-affective and cognitive functions to enable patients to better integrate into everyday life.

Training: what course to be a psychomotrician?

The psychomotor therapists hold a State diploma issued by the Ministry of Health. Only this document allows you to exercise this profession in France: it is obtained after three years of study in one of the eleven approved training institutes (ten in France and one in Reunion).

Some institutes require an entrance examination, others are accessible on file, or after a first year of health studies and a motivational interview. Tuition fees vary according to the type of establishment (private or public): between 1,000 euros for the university and up to 8,000 euros for certain private schools.

After obtaining the DE of (bac+3), it is possible to specialize via a university degree or a master’s degreefor example in psychiatry, addictology, palliative care, perinatal care, geriatrics, etc.

What is the difference between a psychologist and a psychomotor therapist?

Psychomotricity consists in part in rehabilitating disorders linked to psychological disturbances experienced and expressed through the body. The practitioner seeks to understand how each subject invests his body (we can speak of psychotherapy with body meditation), while the psychologist is more focused on the way the person thinks about his body.

Why go to see a psychomotor therapist? What is his role ?

psychomotricity can be envisaged at all ages of life: in babies, children, adolescents, adults and the elderly. Support generally concerns:

  • The children whose parents worry about development (walking, cleanliness, etc.) or behavior;
  • People who present a neurodevelopmental disorder or some learning difficulties (dyspraxia, etc.);
  • People who present with adjustment difficulties related to an accident or disability (mental, motor or psychic);
  • People who present with so-called “tonico-emotional” disorders (nervousness, aggressiveness or, on the contrary, inhibition, passivity, slowness, etc.);
  • The stressed, depressed peoplehaving personal or professional adjustment difficulties;
  • The badly lateralized peoplepoorly organized in time and/or space;
  • And the elderly concerned about the decline in their autonomy.

The main disorders treated:

  • tics;
  • stuttering;
  • temporo-spatial disorientations;
  • behavioral problems (oppositional manifestations, aggressiveness or relational withdrawal);
  • attention deficit/hyperactivity disorder (ADHD);
  • coordination problems and extreme clumsiness;
  • disorders of muscle tone and its regulation;
  • communication and emotion management disorders;
  • etc

Psychomotor therapists can also accompany the consequences of a accident / trauma or a significant life event (stroke, burnout, etc.).

Diagnosis: what does the psychomotor assessment consist of?

The psychomotor assessment is carried out on medical prescription. It is based on an interview, several scenarios, tests and standardized tests that allow the practitioner to draw up an assessment of acquisitions, delays, lack or psychomotor dysfunctions. Once the balance sheet has been drawn up, he can:

  • referral to another specialist for further examinations;
  • schedule a second psychomotor assessment a few months later to follow the evolution of the patient ;
  • implement collaborative care ;
  • propose recommendations to better support the person and their entourage on a daily basis.

Moreover, the psychomotor assessment is essential in the construction of a file for recognition of disability with the Departmental House for the Disabled (MDPH), which opens the right to compensatory benefits.

The psychomotrician intervenes on medical prescription. He always begins by drawing up a psychomotor assessment to detect the probable origins of his difficulties. Then comes the stage of care, which can take several forms of exercises / activities:

  • relaxation exercises,
  • body expression sessions,
  • coordination and balance exercises,
  • orientation games,
  • skill exercises with hoops, balls, musical instruments, modeling clay, puzzles,
  • etc

So many techniques adapted to the age and the capacities of each one, which allow people to better understand how they workto limit or even eliminate the factors that hinder their functioning and to make full use of their resources to adapt to their environment.

To note : Sessions can be individual or groupwith or without a specific mediator or family member.

Where to find a psychomotor therapist?

As a reminder, psychomotor care is exercised on medical prescription and must be practiced by a state-certified practitioner.

Psychomotor therapists can exercise in hospitals, rehabilitation centers, work assistance centers, PMI centers (maternal and child protection) or even retirement homes. Some also choose to practice in private practice.

Price and reimbursement of a psychomotricity session?

The price of a session of about 40 minutes varies between 40 and 50 euros. But it can vary depending on the location of the structures, the notoriety of the expert, etc.

Currently, psychomotor care are not reimbursed by Social Security. Funding can be considered on a case-by-case basis, upon specific request to the CPAM (primary health insurance fund). Some mutuals can also cover part of the cost of the sessions.

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Psychomotrician: what is his role? Where and when to consult it?

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