As a foreigner, I would like to know if the psychotherapist will have a psychotherapy report? If my

20 risposte
As a foreigner, I would like to know if the psychotherapist will have a psychotherapy report? If my situation is serious, will I be referred to a psychiatrist? I don't like medicine too much
Dott.ssa Liliana Todini
Psichiatra, Psicoterapeuta
Roma
Hi,

There are no psychotherapy report. If needed your psychotherapist will eventually suggest a psychiatric consultation, but it's just yout decision to attend it or not, no worries,get a psycotherapeutic help, if you think you need one

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Dott.ssa Dafne Zikos De Santis
Psicologo, Psicoterapeuta, Psicologo clinico
Roma
Good evening, I confirm what my colleague said in the previous answer as there isn't any psychotherapy report. Ofcourse if you would need one, a psychotherapist could produce a report for you.
You don't have to get a psychiatric consult if don't want to, so feel free to start a theray session.
Kind regards,
Dott.ssa Dafne Zikos
Dott. Diego Ferrara
Psicologo, Psicoterapeuta, Psicologo clinico
Quarto
Good morning,
It depends on the type of problem you are dealing with. Psychotherapy is not always combined with pharmacological treatment.
Best regards
Dr. Diego Ferrara
Dott.ssa Eleonora Carola
Psicologo, Psicoterapeuta, Psicologo clinico
Napoli
Based on my experience in the field: if you have insurance, and said insurance includes any form of psychotherapy, a report is necessary to justify their covering a percentage of its cost (partial or complete). A psychiatric referral might be optional, depending on who requested the treatment. In the absence of an insurance a report is generally unnecessary, unless specifically requested by the client for self knowledge, and possibly for a future referral. In any case, starting from a psychotherapeutic treatment is a valid option, and the need for a pharmaceutical support might be evaluated together with the client. Hope this helps, and best of luck!
Dott.ssa Maria Betteghella
Psicologo, Psicoterapeuta, Psicologo clinico
Salerno
Dear customer,
I'd be interested in learning about your idea of a psychotherapy report.
I'm aware that there's many professionals in the U.S. who need to report their job to medical insurance companies, but producing a report is not an activity you should expect from a therapist.
As for psychiatric assistance, it is something that the psychotherapist should evaluate during the first few sessions, and I do hope you will find a good professional.
Dott.ssa Elena Izard
Psicologo, Psicoterapeuta, Psicologo clinico
Torino
Good evening, the relationship between patient and psychotherapist is protected by the confidentiality agreement, so what you say in the sessions won't be disclosed by your therapist to anyone. Even if the therapist suggests a psychiatric consultation, your consent is necessary, and you can't be forced to do it.
However, in a good therapy relationship it's possible to talk about different scenarios and to decide together the best course of action, including a referral to other professionals.

Dott. Marco Di Campli
Psicologo, Psicoterapeuta, Psicologo clinico
Verona
In psychotherapy, it is common practice to maintain a record of the therapy sessions. This is often referred to as a psychotherapy report. It typically includes details about the therapy sessions, progress made, and any significant observations. However, the specifics can vary depending on the therapist and the therapeutic approach used, and the related access is limited to the psychotherapist and his client.

If during the sessions, it becomes apparent that your situation is serious and may benefit from psychiatric intervention, a referral to a psychiatrist could be considered. However, it’s important to note that psychiatrists and psychotherapists often work together to provide comprehensive care, and a referral does not necessarily mean you will need to take medication. The decision to use medication is always made with the client’s consent and is based on a thorough discussion of the benefits, risks, and alternatives.

Remember, the goal of therapy is to help you, and all decisions are made with your well-being in mind.
Dott.ssa Tiziana Vecchiarini
Psicologo, Psicoterapeuta
Pozzuoli
To answer your inquiry, I'll pretend you asked me directly for consultation, using this method as an example.
Thank you for reaching out. Yes, as part of our therapy process, I do provide progress reports periodically. These reports help us track your progress and make any necessary adjustments to our treatment plan.
Regarding your concerns about medication, I completely understand. While medication can sometimes be helpful, it's not the only approach to treatment. If, during our sessions, we determine that medication may be beneficial for your situation, I will discuss this option with you in detail and refer you to a psychiatrist for further evaluation and prescription.
However, please be assured that our primary focus is on therapy and finding solutions that work best for you. We will explore various therapeutic techniques and strategies to address your concerns and improve your well-being.

Please feel free to ask if you have any further questions or concerns. I'm here to support you.

Best regards
Dott. Tiziana Vecchiarini
Dott. Alessio Antonucci
Psicoterapeuta, Psicologo, Psicologo clinico
Pozzuoli
No report is needed. You could decide with your psychotherapist that you need a psychiatric consultation too, if there is some reason. Medicines are necessary just in some cases. Usually, for most issues, a good psychotherapy is enough. Dott. Alessio Antonucci
Dott.ssa Maristella Bini
Psicologo, Psicoterapeuta
Napoli
Hi, I would like to start by saying that I understand your concern, it can't be easy to live with suffering in a foreign country. However, If your psychotherapy is with a private therapist, generally a report of your sessions will not be written. In some cases it may be necessary temporarily to have the consultation of a psychiatrist, the psychotherapist will advise you, but no one will force you to go against your will. I can understand that it's hard to rely on someone who can guide you at this time, but it may be the right path to rebirth for you. I wish you the best of luck!!

Dott. Antonio Cozzi
Psicologo, Psicoterapeuta, Psicologo clinico
Padova
Due to the privacy policies, psychotherapists are not allowed to share informations about you without your consent unless you have any kind of agreement. Anyway, only public mental health departments may do it in some cases and you will never be forced to take medications unless you put in danger yourself or others.
Dr. Vittorio Caponcello
Psicologo, Psicoterapeuta, Psicologo clinico
Catania
As already been told in former answers, the relationship between patient and psychotherapist is protected by the confidentiality agreement. Nothing you say can be reported, you if don't give consent. Any referral to a psychiatrist will be discussed with you, and cannot be done without you willing so. Anyway, in most serious cases drugs are needed, and you should consider accepting them.
Dott.ssa Monika Elisabeth Ronge
Psicologo, Psicoterapeuta, Psicologo clinico
Verona
In addition to professional secrecy and patient choice, it should be added that with the Integrated Structural Model the use of drugs (only 1. generation tranquilizers) is closely related to a support for psychotherapy. So the real cure is through the restructuring psychotherapy that tries to avoid the seizures with tranquilizers , when you have to touch painful contents for the patient.
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Dr. Katiuscia Melato
Psicoterapeuta
Monza
Hi! Italia is the country that first closed the asylums and this philosophy continues in the work of public and private structures. sometimes a psychiatric consultation is necessary but it depends on the training of the professional. transcultural training is perhaps the most suitable for those from another country and culture.
Dott.ssa Sandra Petralli
Psicologo, Psicoterapeuta, Psicologo clinico
Pontedera
Hello dear user.
Your description is very brief and makes it difficult to understand what you need.
If you need to follow a path with a psychotherapist, then look for the one that meets your needs.
If the drug is necessary, you will have to rely on a psychiatrist, who will also be able to determine it in comparison with the chosen psychologist.
Greetings Sandra Petralli
Dott.ssa Silvia Ragni
Psicologo, Psicoterapeuta, Psicologo clinico
Roma
Hello, the psychotherapist is not required to give a report on psychotherapy. As you know, we are bound by professional secrecy. Referral to the psychiatrist depends on the situation. However it is shared with the patient. Best regards Dr. Silvia Ragni
Dott.ssa Violeta Raileanu
Psicologo, Psicologo clinico, Psicoterapeuta
Torino
Hi, as a foreigner seeking psychotherapy, it's common to wonder about the process. Yes, many psychotherapists will keep a psychotherapy report or notes on your sessions, but these are kept confidential and used to track your progress. If your situation is more serious or the therapist believes that medication might be beneficial, they may refer you to a psychiatrist for further evaluation. However, this doesn't necessarily mean you'll have to take medication—it would depend on your specific needs and personal choice.

You can always discuss your preferences openly with your therapist, including your concerns about medication. There are many therapeutic approaches that focus on non-medical interventions, and a good therapist will respect your comfort level and work with you to find the best path forward.

Feel free to ask the therapist any questions before starting so you feel comfortable with the process.


Regards,
Dr. Raileanu
Dott.ssa Adriana Vicario
Psicologo, Psicologo clinico
Lusciano
Dear Patient, without a professional consultation we cannont know how your situation is. Medicine can be really helpful in some situtations but it's not always the solution. My advice is to find a specialist so you can have answers based on what you are going on at the moment. With a good specialist and a relationship based on trust and respect it will be easier for you to improve your mental health. If you need any help, I am here for further information. Kindest Regards, Doctor Adriana Vicario.
Dott.ssa Cristina Bernucci
Psicologo clinico, Psicoterapeuta, Psicologo
Velletri
Good evening,
thank you for your questions. It's understandable that you may have concerns about the therapeutic process and potential referrals.
Psychotherapy Report
Yes, a psychotherapist typically maintains a record of your sessions. This report includes details about your therapeutic goals, the progress you're making, and any significant events or observations noted during your sessions. These records are confidential and are kept to ensure that the therapist can provide you with the best possible care.
Referral to a Psychiatrist
If the psychotherapist assesses that your situation is serious and believes that you would benefit from medical intervention, they may refer you to a psychiatrist. Psychiatrists are medical doctors who specialize in mental health and can prescribe medication. However, this referral is based on your specific needs and is made with your consent and collaboration.
Concerns About Medication
It's important to communicate your concerns about medication to your psychotherapist. They will take your preferences into account and explore other therapeutic options that may be beneficial for you. Psychotherapy itself can be very effective, and there are various approaches that do not involve medication.
Conclusion
Your therapist is there to support you and help you navigate through your mental health journey. Open communication about your concerns and preferences will ensure that you receive the most appropriate and personalized care.
Warm regards.
Dott. Marco De Fonte
Psicologo, Psicoterapeuta
Bari
Those are very good and important questions.

Yes — when you start psychotherapy in Italy (or in most European countries), your psychotherapist will keep clinical notes or a psychotherapy report, but these are private and confidential. They’re not shared with anyone (including employers, universities, or family) unless you give explicit written consent. The report is mainly for the therapist’s own reference — to monitor progress, goals, and key elements of your sessions.

If, during therapy, your psychotherapist believes your symptoms might have a biological or psychiatric component (for example, severe depression, psychosis, or other conditions that may need medication or closer monitoring), they may suggest that you also meet a psychiatrist. But this is only a recommendation, not an obligation. The final decision is always yours.

It’s also completely fine that you “don’t like medicine too much.” Many people prefer to start with psychotherapy alone, and in many cases that’s sufficient. If your therapist ever feels that medication could help, they will discuss it openly and respectfully, explaining why they think it might be useful and what alternatives exist.

In short:

Your psychotherapy report stays private.

Referral to a psychiatrist only happens if clinically necessary.

You always have a say in whether to take medication.

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