Terapeut za depresiju: kome da se obratiš

Depresija ume da ubedi čoveka da pomoć nema smisla ili da je ne zaslužuje. Ako čitaš ovo, deo tebe se s tim ne slaže. Ovde piše kome možeš da se obratiš, kako se bira terapeut i šta da uradiš ako je hitno.

Depression can convince a person that help is pointless or undeserved. If you are reading this, part of you disagrees. This page covers who you can turn to, how to choose a therapist and what to do if it is urgent.

Ukratko: Sa depresijom radi 157 terapeuta na Koraku, 77 u Beogradu, gotovo svi i online. Medijana cene je 40 EUR po seansi. Psihoterapeut ne propisuje lekove: za to se javljaš izabranom lekaru ili psihijatru, a jedno i drugo često idu zajedno. U kriznoj situaciji pozovi 112.

In short: 157 therapists on Korak work with depression, 77 of them in Belgrade, almost all online too. The median price is 40 EUR per session. A psychotherapist does not prescribe medication: for that you see your GP or a psychiatrist, and the two often go together. In an emergency call 112.

Ako je hitnoIf it is urgent

Ako razmišljaš o tome da sebi naudiš, ako ne možeš da brineš o sebi ili osećaš da ne možeš da izdržiš, ne čekaj zakazivanje terapije. Pozovi 112 ili idi u najbližu zdravstvenu ustanovu; psihijatrijska pomoć postoji i noću i vikendom. Brojevi linija za podršku po državama (Srbija, Crna Gora, Hrvatska, Bosna i Hercegovina, Slovenija, Severna Makedonija) nalaze se u aplikaciji Korak. Psihoterapija zakazana preko Koraka nije hitna služba.

If you are thinking about harming yourself, if you cannot look after yourself or feel you cannot go on, do not wait for a therapy appointment. Call 112 or go to the nearest health facility; psychiatric help is available at night and at weekends. The support helplines for each country (Serbia, Montenegro, Croatia, Bosnia and Herzegovina, Slovenia, North Macedonia) are listed in the Korak app. Therapy booked through Korak is not an emergency service.

Psihoterapeut, psiholog ili psihijatarPsychotherapist, psychologist or psychiatrist

Psihijatar je lekar. Postavlja dijagnozu, propisuje lekove i prati njihovo dejstvo. Do psihijatra dolaziš preko izabranog lekara u domu zdravlja ili privatno.
A psychiatrist is a medical doctor. They diagnose, prescribe medication and monitor how it works. You reach a psychiatrist through your GP at the health centre or privately.
Psihoterapeut radi razgovorom, u redovnim seansama, na onome što depresiju održava: načinu razmišljanja, odnosima, gubicima, iscrpljenosti. Ne propisuje lekove. Terapeuti na Koraku su psihoterapeuti sa završenom edukacijom ili u edukaciji pod supervizijom.
A psychotherapist works through conversation, in regular sessions, on what keeps the depression going: ways of thinking, relationships, losses, exhaustion. They do not prescribe medication. The therapists on Korak are psychotherapists who have completed their training or are in training under supervision.
Psiholog bez psihoterapijske edukacije može da uradi procenu i savetovanje, ali psihoterapiju vodi psihoterapeut.
A psychologist without psychotherapy training can assess and counsel, but psychotherapy is led by a psychotherapist.

Kod umerene i teške depresije smernice (npr. britanski NICE, 2022) kao prvi izbor najčešće preporučuju kombinaciju: lekovi stabilizuju, a terapija menja ono što se lekovima ne menja. Kod blaže depresije psihoterapija je često dovoljna. Odluku o lekovima donosi lekar, a terapeut ti može pomoći da odeš kod njega ako to odlažeš.

For moderate and severe depression, guidelines (for example the UK's NICE, 2022) most often recommend the combination as a first choice: medication stabilises, and therapy changes what medication cannot. For milder depression psychotherapy is often enough. The decision about medication is the doctor's, and a therapist can help you get to one if you keep putting it off.

Kako da počnešHow to start

U pretrazi aplikacije Korak u filteru Teme izaberi Depresija. Ako se javljaju i gubitak, trauma ili anksioznost, dodaj i te teme.In the Korak app's search in the Teme (Topics) filter pick Depression. If loss, trauma or anxiety come with it, add those topics too.
Izaberi online ili svoj grad. Online ima smisla kada ti je teško da izađeš iz kuće; uživo kada ti prija da negde odeš.Choose online or your city. Online makes sense when it is hard to leave the house; in person when going somewhere does you good.
Pogledaj profile: cena, edukacija, pravac i lična poruka terapeuta. Pošalji zahtev jednom terapeutu; termin prve seanse dogovarate u aplikaciji.Look at the profiles: price, training, approach and the therapist's personal note. Send a request to one therapist; you agree the time of the first session in the app.
Na prvoj seansi ne moraš ništa da objašnjavaš savršeno. Dovoljno je da kažeš kako ti je.In the first session you don't need to explain anything perfectly. It is enough to say how you are.

Svakom terapeutu su pre odobrenja profila provereni dokumenti o psihoterapijskoj edukaciji. Kako to radimo, piše na stranici kako proveravamo terapeute.

Every therapist's psychotherapy training documents are checked before their profile is approved. How we do that is on the page how we check therapists.

Koji pravci rade sa depresijomWhich approaches work with depression

Smernice britanskog NICE-a (2022) među prvim izborima kod depresije navode kognitivno-bihejvioralnu terapiju, koja radi na obrascima mišljenja, i bihejvioralnu aktivaciju, koja postepeno vraća aktivnosti, a među mogućnostima i kratku psihodinamsku terapiju, koja traži šta depresija nosi iz ranijih iskustava. Dobre rezultate daju i integrativni, geštalt i sistemski pristup, naročito kada je depresija vezana za gubitak, iscrpljenost ili odnose. Važnije od pravca je da terapeut ima iskustva sa depresijom i da osetiš da te razume.

The UK's NICE guidelines (2022) list cognitive-behavioural therapy, which works on thinking patterns, and behavioural activation, which gradually brings activity back, among the first choices for depression, with short-term psychodynamic therapy, which looks at what the depression carries from earlier experiences, among the options. Integrative, Gestalt and systemic therapy also give good results, especially when the depression is tied to loss, exhaustion or relationships. More important than the approach is that the therapist has experience with depression and that you feel understood.

Koliko koštaHow much it costs

Seansa kod terapeuta koji rade sa depresijom košta od 20 do 80 EUR, medijana je 40 EUR, isto online i uživo. Cena piše na profilu pre zakazivanja. Povoljnije opcije su na stranici povoljna psihoterapija.

A session with a therapist who works with depression costs from 20 to 80 EUR, with a median of 40 EUR, the same online and in person. The price is on the profile before you book. Lower-priced options are on the page affordable therapy.

Besplatne i javne mogućnostiFree and public options

Ako privatna terapija nije moguća, podrška postoji i u javnom sistemu: izabrani lekar u domu zdravlja može da te uputi psihijatru ili psihologu, a u većim gradovima rade i centri za mentalno zdravlje i psihijatrijske klinike. Linije za podršku, na koje možeš da se javiš anonimno, navedene su u aplikaciji. Nijedna od ovih mogućnosti ne isključuje drugu.

If private therapy is not possible, support exists in the public system too: your GP at the health centre can refer you to a psychiatrist or psychologist, and the larger cities have mental health centres and psychiatric clinics. The helplines, which you can call anonymously, are listed in the app. None of these options rules out another.

Često postavljana pitanjaFrequently asked questions

Kome da se obratim u Srbiji ako se borim sa depresijom?Who do I turn to in Serbia if I'm struggling with depression?

Za procenu i lekove: izabranom lekaru u domu zdravlja ili psihijatru. Za psihoterapiju: psihoterapeutu koji radi sa depresijom; na Koraku ih je 157, a izabereš ih u pretrazi preko teme Depresija. U krizi pozovi 112 ili liniju za podršku iz aplikacije.

For assessment and medication: your GP at the health centre or a psychiatrist. For psychotherapy: a psychotherapist who works with depression; Korak has 157 of them, and you pick them in search through the topic Depression. In a crisis call 112 or a helpline from the app.

Da li mi treba psihoterapeut ili psihijatar?Do I need a psychotherapist or a psychiatrist?

Psihijatar je lekar i propisuje lekove; psihoterapeut radi razgovorom na onome što depresiju održava. Kod blaže depresije terapija je često dovoljna, kod umerene i teške najčešće se preporučuje kombinacija. Ako imaš nedoumicu, počni od izabranog lekara ili od terapeuta: i jedan i drugi će te uputiti dalje ako treba.

A psychiatrist is a doctor and prescribes medication; a psychotherapist works through conversation on what keeps the depression going. For milder depression therapy is often enough, for moderate and severe the combination is most often recommended. If you are not sure, start with your GP or with a therapist: either will refer you on if needed.

Može li depresija da se leči online?Can depression be treated online?

Psihoterapija preko video-poziva je kod depresije po istraživanjima podjednako delotvorna kao uživo (meta-analiza randomizovanih studija u časopisu Telemedicine and e-Health, 2022), a često i pristupačnija kada je teško izaći iz kuće. Lekove propisuje i prati lekar. Gotovo svi terapeuti na Koraku koji rade sa depresijom rade i online.

Research shows psychotherapy by video call is about as effective for depression as in-person therapy (a meta-analysis of randomised trials in Telemedicine and e-Health, 2022), and often more accessible when leaving the house is hard. Medication is prescribed and monitored by a doctor. Almost all therapists on Korak who work with depression also work online.

Koliko košta terapija za depresiju?How much does therapy for depression cost?

Na Koraku seansa kod terapeuta koji rade sa depresijom košta od 20 do 80 EUR, medijana je 40 EUR, isto online i uživo.

On Korak a session with a therapist who works with depression costs from 20 to 80 EUR, with a median of 40 EUR, the same online and in person.

Šta da uradim ako imam misli o samopovređivanju?What do I do if I have thoughts of harming myself?

Ne čekaj termin. Pozovi 112, javi se najbližoj zdravstvenoj ustanovi ili nekoj od linija za podršku navedenih u aplikaciji Korak. Reci nekome iz okoline kako ti je. Psihoterapija može da pomogne posle, ali u krizi je prvo potrebna hitna pomoć.

Don't wait for an appointment. Call 112, go to the nearest health facility or call one of the helplines listed in the Korak app. Tell someone around you how you are. Psychotherapy can help afterwards, but in a crisis emergency help comes first.

Terapeut za depresiju: kome da se obratišA therapist for depression: who to turn to