The advances of medicine are more often the result of chance or of a technological advance. I New neuroimaging methods give representations of the normal functioning of the brain where it was necessary to wait until a tumor, a lesion, a trauma come to illuminate the functioning of the different brain areas. Our feelings, our behaviors, our sufferings are translated visible transformations (neuro-imagery) and readable in the duration.
The fixed mapping of the brain’s territories has given way to the animated representation of neuro-functional perturbations associated with mental illnesses. Today we can compare the “normal” with the “pathological”, the psychological suffering with the depression. A new definition of depression has emerged.
The biochemical vision that limited the field of research to a disturbance of neurotransmitters gave way to a global and functional definition of depression. It is a disruption of communication between the affective and cognitive structures of the brain, between active or inhibited territories, visible at MRI. Ultimately, the depressive is no longer able to get rid of his sadness, his suffering and the various symptoms.
This new knowledge stems from new treatments that are alternative or complementary to medicines. Magnetic stimulation is the very example of these treatments that affect brain function without altering it, unlike antidepressants. It is thus without side effects, without alteration of the psychic life and perfectly adapted to the prescription in ambulatory.
Sometimes the search for the causes of pathology is neglected, which can lead to a chronicization of the disease and relapses.
New forms of multidisciplinary care are emerging, which, in addition to their therapeutic interests, humanize doctor-patient relations. They feel better understood and heard about several aspects of the disease. Management is no longer only oriented towards manifestations of the symptom.
This approach combines neurosciences, behavioral and cognitive therapies and psychoanalysis.