Psychopandemic: which are the solutions

Beyond the widespread evidence, there are now numerous surveys that show us the data of the so-called psychopandemic, with a generalized increase of mental problems in the population of all ages. Here are the main points of the issue taken from David Lazzari, President of the Italian Register of Psychologists.

  • WHO already before the pandemic had highlighted that 17 million Italians suffered from psychological disorders, more than one in four Italians and in half of the cases these problems arise around the age of 14 years (Kastel 2019).
  • The highest incidence is in at-risk groups such as people returning from intensive care, those affected by Covid, the physically ill who could not be treated for fear of contagion or limitations in access, people who have lost a relative in special situations, “caregivers” who assist patents or people with diseases or disabilities, people with greater or previous psychological fragility, health workers in burnout.
  • Independent surveys carried out in various countries have converged in saying that one person in three today would need psychological listening and support, also to avoid the development of more serious and costly disorders.
  • In a recent survey conducted by the Study Center of the Italian Register of Psychologists, 47% of parents with children 3-14 years old report emotional problems, and 62% of children report negative psychological states.
  • Among adolescents, 6 out of 10 say they feel stressed and one out of three would like psychological support (Unicef 20.11.20).
  • 7 out of 10 people in these cases prefer psychological help to medication (McHugh 2013). There is evidence of greater and longer effectiveness of psychotherapy for most of these situations (Huhn et al. 2014, Cuijpers et al. 2014, Lazzari 2020).
  • Psychological interventions have a restructuring action because they promote people’s resources and prevent from relapse. We are talking about important differences that are appreciated especially in the medium and long term (Harryotaki et al. 2014, Zhang et al. 2018).
  • A fact confirmed by economic cost-benefit analyses, which tell us that 5 years after treatment, psychotherapy saves 1481 euros per person in health and 2058 euros to society compared to drugs, proving to be economically more advantageous in 75% of cases (Rossi et al. 2019).
  • All this without counting the possible side effects of widespread drug abuse.
  • Unfortunately, the problem is structural: it is the system that feeds this situation, because while drugs are reimbursed by the SSN or free (some categories) and easily available, psychological treatments are not only not reimbursable but are rare commodities in the public. With a psychologist and psychotherapist for every 12,000 inhabitants in the Italian NHS, access to these therapies in the public is for very few and in the private sector there are now fewer who can afford treatment.
  • Psychology and psychotherapy are still designed for those who can pay for them.

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