Towards a cognitive psychiatry and rehabilitation, based on the model of physical medicine and rehabilitation

The actual but inconstant and partial efficiency of psychoactive drugs long exposed the care model to the issue of rehabilitation and treatment of patient's residual symptoms. However, for the last thirty years, improvement of our theoretical knowledge on psychiatric diseases, as in psychopathology and in pure research, has enabled to think about new therapeutics. Moreover, the Wood's model in physical medicine and rehabilitation gives psychiatry a new model for rehabilitation programs, in which patients' needs are highly regarded in order for him to get back to an optimum global functioning, and to recover from illness' trauma. This psychiatric cognitive and rehabilitation model, necessarily multidisciplinary, leads to deep change in psychiatrist's job in treating patients with serious or chronic mental illnesses. (C) 2014 Elsevier Masson SAS. All rights reserved.