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The physicians general practitioners are confronted more and more often to the illnesses consecutive to the psychological constraints to work: psychosomatic pathologies, musculo-skeletal unrests (that are often the first physical expression of a psychological suffering) or psychic illnesses: post-traumatic neuroses and syndromes anxiodépressifs. The physician is in first line to note the unrests and to decide a hold in medical and psychological charge, in tie with the medicine of work.
The professional depression is thus one of the emergent professional illnesses. She gets settled slowly and develop himself on a big length. His diagnosis is difficult. It is necessary to eliminate a depressive reaction first of all following a personal event (mourning, separation...). Then, the depressive person doesn't immediately realize that these are his conditions of work that are in reason.
The first exam takes place the most often in a state of emergency. He permits to evoke the diagnosis and to value the importance of the depression. The immediate work stop is the physician's first decision. As soon as the diagnosis of professional depression is carried, the declaration in professional illness must be evoked. The recognition cannot be gotten that by the appraisal of the regional Committee of recognition of the professional illnesses (CRRMP).
The second consultation must allow the depressive person to begin to understand his situation. The cross-examination permits to recover the evolution of the depression the most often. A treatment is proposed then as well as a psychological help. The stop of work, the care and the hold in psychiatric charge must be pursued so much that the psychological state is not re-established. A visit by the physician of work allows the salaried employee to evoke the continuation of his professional career: planning of station, reclassifying or inaptitude to the station.
In the particular case of the harassments (state of mind, sexual), the victims can turn toward the justice to carry complaint against the author, by the conciliation courts or in criminal court.
With a hold in adequate medical and psychological charge, and a modification of the work conditions, to heal the depression and to recover a normal professional life are quite possible.
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