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So, so you think they can tell heaven from hell, blue skies from pain, can you tell a green field from a cold steel rail, smile from a veil, do you think they can tell?

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And if they get you to trade

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Your hero is for ghosts

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Hot ashes for trees

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Hot air for a cool breeze

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Whole country for change

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Did you exchange

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A welcome party in the world

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Or really grow in a cage

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I wish, I wish you were here

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We're just cool as all

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Swimming in a fishbowl

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Year after year

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Riding over the same old ground

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What have we found?

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The same old fears

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Wish you were here

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Muchas gracias.

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Moon river, wider than a mile, I'm crossing you in style someday.

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Oh dream maker, you heart breaker, wherever you're going, I'm going your way.

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Two drifters off to see the world The sad salad of world to see

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We're after the same Rainbow sand waiting round the bend

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My Huckleberry friend

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Moon River and me

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River, wider than a mile

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I'm crossing you in style someday

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Oh dream maker

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You heart breaker

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Wherever you're going, I'm going your way.

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Two drifters off to see the world.

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The satellite of world to see.

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We're after the same

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Rainbows and

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Waiting round the bend

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My huckleberry friend

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Moon, river, and me

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Gracias a la vida

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Que me ha dado tanto

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Me dio dos luceros

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Que cuando los abro

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Perfecto distingo

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Lo negro del blanco

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Y en el alto cielo

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Su fondo estrellado

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Y en las multitudes

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La mujer que yo amo

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Gracias a la vida

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Que me ha dado tanto

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Me ha dado el oído

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Que en todo su ancho

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Cada noche y día

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Grillos y canarios

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Martillos, turbinas, ladridos, chubascos

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Y la voz tan tierna de mi bien

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Gracias a la vida que me ha dado tanto

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Me ha dado el sonido y el abecedario

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Y con él las palabras que pienso y declaro

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Madre, amigo, hermano y luz alumbrando

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La ruta del alma de la que estoy amando

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Gracias a la vida que me ha dado tanto

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Me ha dado la marcha

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De mis pies cansados

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Con ellos anduve

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Ciudades y charcos

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Playas y desiertos

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Montañas y llanos

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Y la casa tuya

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Tu calle y

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Y tu patio, gracias a la vida que me ha dado tanto,

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me dio el corazón que agita su marco.

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Cuando miro el fruto del cerebro humano,

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Cuando miro el bueno tan lejos del malo

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Cuando miro el fondo de tus ojos claros

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Gracias a la vida que me ha dado tanto

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Me ha dado la risa y me ha dado el llanto

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Así yo distingo, dicha de quebranto, los dos materiales que forjan mi canto y el canto de todos que es el mismo canto.

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y el canto de ustedes, que es mi propio canto.

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Gracias a la vida, gracias a la vida.

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Thank you very much.

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Distinguished attendees, it is an honor to welcome you to the Vistalegre farm,

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un espacio que en sus jardines invita a la calma y donde se encuentra este lugar emblemático, el Palacio Viejo,

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que alberga la sede del Instituto Superior Madrileño de Innovación Educativa.

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Permítanme comenzar con una reflexión que nos transporta a las raíces mismas del pensamiento occidental.

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Platón, el gran filósofo, enseñaba paseando y su academia se erigía en un bosque sagrado.

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Aristotle, his disciple, taught his lessons in a park, and his school, the Lyceum, owed its name to the shaded tree that housed him.

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This veneration for the gardens, for nature, was not a coincidence. It remained alive throughout all classical philosophy.

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La conexión entre los jardines y el bienestar humano es profunda. Los jardines, como fortaleza contra las distracciones, fusionan la humanidad y la naturaleza, ofreciendo un refugio donde la mente puede encontrar sosiego.

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En este sentido, la finca de Vista Alegre, declarada Bien de Interés Cultural en 2018 en la modalidad de Jardines Históricos, representa un preciado legado y un ejemplo de la armonía entre el hombre y el entorno natural.

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Hoy nos encontramos aquí para celebrar el Congreso Educar para Cuidar, Comunidad Educativa y Salud Mental, Dificultades y Retos.

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Este evento es un testimonio de nuestro compromiso con la salud mental y el bienestar de nuestra comunidad educativa.

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Quiero expresar mi agradecimiento al viceconsejero de Organización y Política Educativa, José Carlos Fernández Borreguero, y a todas las autoridades aquí presentes.

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I would also like to thank José Antonio Luengo and Raquel Llévenes for their dedication in the integration of the research unit and mental health training and the impulse of initiatives such as mental health dialogues, resources, programs, publications and research.

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A special recommendation also to the speakers for their valuable participation, to the unit of coexistence and against school harassment, and, of course, to you, the teachers, fundamental pillars of education, and to the Lismie team for their professionalism and commitment in the organization of this congress.

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I hope that this training, in this natural environment, is a space for learning and reflection,

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where they can find a breath and where nature reminds us of the importance of calm and well-being.

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Without further ado, I give the floor to our Vice-Counselor, José Carlos Fernández Borreguero,

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for the inauguration of this Congress. Thank you very much.

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Very good afternoon to all. Dear President of the School Council, who is with us, Pilar Ponce, Director of Territorial, Madrid Norte, who is also with us,

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Subdirector General of Innovations and Training Programs, Javier Sobrino, who is also with us, Subdirector General of Educational Inspection, Luis Abad,

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to the Assistant Director of Hospitals and Coordinator of the Regional Office of Mental Health and Addictions of the Community of Madrid, Doña Mercedes Navío,

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una referencia sin duda en la sanidad madrileña, directora del ISMIE, querida Eva, gracias por cuidar tanto de nuestro ISMIE

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y de coordinar este tipo de actividades, coordinador de la unidad de formación e investigación de salud mental,

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José Antonio Luengo, de la que nos sentimos tan orgullosos, Raquel Lievenes, que nos ayudas mucho también en todas estas labores,

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jefes de servicio de hospitales, otros profesionales de la psiquiatría que nos acompañáis, también de la psicología,

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y sobre todo muchos docentes de la Comunidad de Madrid

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que van a dedicar todo su fin de semana a formarse

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y por eso no podía de otra forma que venir alguien de la consejería,

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en este caso, simplemente el viceconsejero,

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a acompañaros y agradeceros de corazón

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que un viernes por la tarde os metáis en el ISMIE

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y el fin de semana, gran parte del fin de semana,

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que lo dediquéis a esto.

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They say a lot about you, a lot about your vocation, and a lot about the quality of the educational system in Madrid.

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Thank you very much.

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On behalf of the Education, Science and Universities Council, which is sent to me by Emilio Viciana,

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and on my own behalf, I convey to you the enormous satisfaction that it produces to participate in this opening of this Congress.

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A meeting whose objective is to raise awareness and mobilize the educational community

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on the importance of care and emotional and psychological well-being.

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For this reason, we congratulate all of us and congratulate the Mental Health Training and Research Unit of ISMIE,

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coordinated, as I said, by Don José Antonio Luengo, a reference in the psychology of Madrid,

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and the entire team of the Superior Institute of Educational Innovation of Madrid for the impeccable organization of this act.

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Thank you for promoting the enriching debate on a topic that is fundamental for the Community of Madrid and the Consejería de Educación, which is mental health.

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And also my recognition, of course, to the General Directorate of Bilingualism and Quality of Education for its constant work in front of the training of teachers and families, an essential task for the quality of our educational system.

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Javier, I ask you to transfer this to our dear Director Beatriz.

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Your unbreakable commitment to innovation is what allows our teachers and teachers to always be at the forefront.

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The promotion of emotional and psychological well-being cannot be addressed only with workshops.

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It implies a paradigm shift in which we make an effort and create friendly and safe environments,

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we promote the creation of links with and among students, and we devote time to teaching self-care and mutual care.

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Our role as teachers, as teachers, is to transform the educational context into an ecosystem of care

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where emotional and psychological well-being are as important as academic performance,

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setting the foundations for the integral development of the student.

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And, above all, in a context as difficult as it is to live in all the educational centers.

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Because it is heart-wrenching every time we receive news in the advisory office,

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Noticias como la triste noticia esta semana del fallecimiento de un niño en una localidad de Madrid,

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que por supuesto que se estaba trabajando todo el asunto del protocolo en su colegio y sus docentes lo estaban haciendo bien,

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pero aún así siguen pasando cosas muy graves, muy graves en la adolescencia y en la infancia,

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y desde los colegios algo tenemos que hacer.

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For this, multidisciplinary work is essential.

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We cannot charge all the teachers because we are all day with the children, logically.

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The attention to the minors requires collaboration between the different professionals.

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And you know that this is being worked on in recent years.

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On the one hand, education, but on the other hand, mental health.

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We are very grateful to the Ministry of Health and to the psychiatrists who accompany us today.

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That speciality has also been created recently in the community of Madrid for mental health, for children's psychiatry and for other specialists who also work.

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And, of course, we must also take into account, of course, families in the emotional education of the youngest,

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in order to seek an adequate psycho-educational and social adjustment in the different contexts in which they are involved.

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In short, the mental health of a child and an adolescent is not the responsibility of the school,

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but the educational community, in its broadest sense,

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must become a community of support for the child and, above all, for the child who has mental health problems.

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That is why I want to highlight and reiterate the coordination that has been being carried out for a few years

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and that we must continue to do, because of course we have not reached the end of the road

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with the Consejería de Sanidad, with the Consejería de Educación, Ciencia y Universidades

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and with the Consejería de Familia, Juventud y Asuntos Sociales.

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We appreciate everyone's involvement in this work.

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The Consejería de Educación, Ciencia y Universidades de la Comunidad de Madrid, as I said,

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is very aware of the crucial role that educational centers play in the lives of children.

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How can it not be like that if it is the place where children and adolescents spend most of their time?

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Sometimes they spend more time with you than with their parents.

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The classrooms are therefore and must be an ideal space for both learning, which has been throughout life,

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and for emotional skills training through overcoming challenges and continuous social interaction.

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For this reason, our priority is, and it must be every year or more, to provide the educational centers and educational teams with the necessary resources and training as is necessary today.

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And there is still a lot of work to be done. We are aware of this.

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Especially the specific training in literacy and indicators in emotional well-being and mental health that contribute to early detection of cases and to create a positive and safe school environment.

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And that is where the partners of the Ministry of Health play a very important role, in all those centres where we can already be working as a team.

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And we are doing it, putting in place very diverse actions in collaboration with health and social protection institutions,

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addressing early prevention, early detection and the promotion of mental health from a systemic and comprehensive point of view.

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Among many other actions, we are simply going to highlight that programme of which we are very proud

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y que debemos hacerle crecer cada vez más ese programa de enlace clínico de salud mental de la Comunidad de Madrid,

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que en el curso pasado llegó a 146 centros escolares, como sabéis, 119 de carácter ordinario,

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y 27 colegios de educación especial que tanto necesitaban este apoyo y que aún tenemos que seguir apostando más.

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Por otro lado, los diversos programas de formación para el profesorado sobre bienestar emocional,

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healthy use of digital environments, and prevention of suicide and self-harm, which concern us all so much.

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And also the advice and intervention of you, the team of the coexistence unit, which help the centres so much.

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And, of course, I do not want to forget that regional plan against drugs, which do so much damage to our young people.

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Just a year ago, our president announced the creation of the Mental Health Training and Research Unit as a pioneering initiative.

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Thanks to it, today we are celebrating this congress and we will continue to bet on your work.

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But all this, and I am finishing, would not be effective without the involvement and good deed of the teachers of Madrid.

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Madrid de los profesionales que intervenís en los centros educativos por eso nuestra más sincera

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gratitud en primer lugar a los equipos directivos que tanto trabajo tenéis en este sentido y no

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digo solamente con los protocolos que debemos seguir trabajando en ir desburocratizando para

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que sean un elemento no solamente de protección jurídica sino que sea un elemento pues importante

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para el centro y que nos genere tanta burocracia los maestros los profesores los tutores que

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with the children, the specialists and, very especially, a recognition to our

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community orientation network of Madrid. For their dedication, support and commitment

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when it comes to minimizing risks, we do not always achieve it, and maximizing opportunities

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to develop mental well-being. In an accelerated and saturated environment of stimuli, we must

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buscar el sosiego que nos permita reconocer en los niños y en los adolescentes detalles

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que a menudo nos pueden pasar inadvertidos en su vida cotidiana y que son tan importantes

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en su salud mental. Es condición indispensable para conseguir que la escuela sea realmente

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un espacio de aprendizaje, pero también de convivencia de forma saludable.

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Y termino como empecé. Gracias de verdad por dedicar vuestro fin de semana a formaros

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en este tema fundamental que sea muy fructífero muchas gracias

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gracias vice consejero ahora cedo la palabra a luís abad merino

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su director general de inspección educativa

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muchas gracias muchas gracias se va a directora del ism y vice consejero

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presidente del consejo escolar su director general es director directora

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I would like to first of all congratulate LISMIE for this initiative in which experts will be able to agree and debate on an issue of as much interest as mental health in the educational field.

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First of all, I would like to thank José Antonio Luengo for this initiative and for the work he is doing in the unit, as Eva was saying.

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As responsible for the educational inspection in the community of Madrid, I would like to point out that the educational inspection is entrusted with the supervision, evaluation and analysis of the coexistence in our educational centers.

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So, coexistence in a broad sense, because I think it also has to cover a very important aspect, which is the emotional aspect.

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We must not forget the very law of organic education, which tells us that one of the functions of the teacher is to watch over intellectual, psychomotor, social, moral development,

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and an aspect that we sometimes forget, affective, the affective aspect of the student.

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Therefore, in that sense, the role that prevention and training can and must play in the improvement of coexistence and the social climate of the centres must be essential.

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For this reason, initiatives such as this Congress are so relevant.

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The Community of Madrid has autonomous coexistence plans based on the Programme for the Improvement of Consistency and the Fight Against School Abuse,

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which was approved by the Government Council of the Community of Madrid on a date as distant as 2016.

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And also, all our actions have to do with the integral strategy for school coexistence.

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All these actions have a purpose, which is to create and consolidate a coexistence culture in our centres.

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A coexistence culture that is consensual, that is global, so that our educational centres can promote a change

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based on awareness, but also on training and, above all, on the active involvement of the entire community.

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in the resolution of the most peaceful way possible of the conflicts.

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I want to highlight that the Community of Madrid, since 2016, and I do not want to miss the opportunity to highlight,

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it is not an expression that I like, to highlight, to highlight a pioneer unit in Spain since 2016,

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the unit of coexistence against school harassment.

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as I say, pioneering, a unit that has worked and that works in the coordination of the different services and units that intervene in all conflicts of school coexistence.

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And in the very relevant situations, which was the beginning of the unit against school harassment.

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But notice that from the 2020-2021 course, practically at the same time as the creation and promotion of the new protection laws for childhood and adolescence,

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We have a part of the unit dedicated to counselling in socio-emotional matters.

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The Consejería de Educación, through this unit, through this team of professionals,

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is permanently attending situations related, among others, to the student's mental and emotional health.

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It is a unit that moves to the centres to carry out the appropriate counselling

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to management teams, to guidance departments, to counselors and to any teaching team

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on the planning of adequate educational responses, especially in individual training and intervention plans

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and through the development of coordination processes with families and with specialized services,

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as well as with specialized mental health services.

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Through the unit of coexistence against school harassment, we act directly in the centers.

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I give you some figures that can make you reflect on the volume of actions and the relevance of the problems that the unit is dealing with.

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Last year, the unit intervened in more than 5,000 phone calls and direct telephone attention,

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both from families and professionals, on issues related to harassment, violence or emotional health of students.

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more, he made more than 100 face-to-face visits to the facilities of the centers to

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attend, interview and deal directly with the problems that had been detected.

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Likewise, the unit, as the vice-counselor highlighted before, has been occupied with

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the design and development of the protocols aimed at detecting any type of violence in

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children and adolescents, with special attention to cases of mistreatment, and to things between

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and other behaviors, such as self-criticism,

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which affects the emotional well-being of students.

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In the same line of detection of emotional problems between students,

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we have implemented a tool called Socioescuela,

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which, in addition to working specifically on school harassment,

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also helps us to detect situations of emotional difficulties in students.

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It is very important, as the Vice-Counselor said, that congresses and training sessions such as this one, this weekend,

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must be recognized the effort that you are going to make and the importance of the work that you are going to do in training,

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because it is one of the priority lines in the improvement of coexistence and in the prevention of phenomena such as school harassment.

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The training aims to provide directives, teachers and families with the necessary strategies to address the detection, prevention and peaceful resolution of conflicts,

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both inside and outside the classrooms, because we also want to reach families. It is an essential element for coexistence.

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I would like to take this brief moment to mention just a few of the measures, initiatives and interventions that demonstrate the commitment of the Comunidad de Madrid and, in particular, of the Consejería de Educación,

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more specifically, of the Subdirección General de Inspección Educativa, of which depends the Unidad de Convivencia,

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initiatives for the constant improvement of conviviality and emotional well-being of students in educational centers.

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in a conviction that these actions and the work between all of us and these training sessions and this Congress

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will contribute to the construction of a more free, more solidary and more committed society.

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The quality of our educational system also resides in the attention to the emotional and mental health of our students.

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Les deseo un Congreso que les resulte muy productivo y que las experiencias, los conocimientos que van a adquirir en estos dos días les sean muy útiles en su vida profesional. Muchas gracias.

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Bueno, y ya para terminar, muchas gracias, Luis. Nuestro querido compañero, José Antonio Luengo, por favor.

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Vice-Chairman of Political and Educational Organization, President of the School Council of the Community of Madrid,

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Director of Area, Territorial Madrid Norte, Sub-Director General of Education, Sub-Director General of Innovative Programmes and Directorate Formation of the Superior Institute of Madrid of Educational Innovation,

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members of the LISMIE team, colleagues of LISMIE,

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thank you for your exquisite collaboration in the organization of this Congress

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and participants of this Congress Educate to Care.

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I remember the call that in July of last year

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me hizo el viceconsejero, nuestro querido viceconsejero de Política y Organización Educativa,

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anunciando la posibilidad de creación de esta unidad que él, tan amable y generosamente, ha abonderado y ha valorado.

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Ciertamente, me hizo mucha ilusión. Antes, nuestro subdirector general de inspección me había adelantado algo.

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me hizo mucha ilusión porque escuchar en voz de nuestro viceconsejero esta posibilidad de trabajar en un área como el de la investigación y la formación en materia de salud mental en contextos educativos, indudablemente, era un auténtico real. Muchísimas gracias.

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Mental health and emotional well-being have become, especially after the long experience of the pandemic, conceptual and practical references in the political agenda,

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the social debate and, of course, the reflection of all administrations on the consequences evidenced in the population and the consequent design and implementation of plans and programs for their appropriate management and response.

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It is well known that in the context in which this Congress is located,

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that is, the educational system as a whole, with the involvement of all its agents and protagonists,

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namely the administration, the educational centers, the management teams, teachers and the rest of the center staff, families and students,

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the concern for knowing the quantitative and qualitative dimensions of the preceding consequences

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de planificar y desarrollar adecuadas líneas de respuesta y ajuste a las necesidades detectadas

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representó y representa, sin atisbo de duda, un referente constante e inexcusable que requiere

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de permanente estudio, interpretación, valoración, revisión y adecuación de las medidas y acciones

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adoptadas y, por supuesto, por adoptar. Si bien, como hemos señalado lo ocurrido a partir

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since March 14, 2020, was supposed to be a before and after in the perception of mental health

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and in the consideration of the need to care for our children and adolescents,

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the research on this matter has been saying for more than 15 years

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about the pertinence of deepening in a world that we were configuring as a society

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y los efectos que esta circunstancia sistémica parecía estar provocando en el crecimiento, maduración y desarrollo de la infancia y la adolescencia.

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Cabe significar, pues, que si bien es cierto que lo acontecido hace ya más de cinco años

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marcó un punto de inflexión de especial significación como catalizador de nuevos y esperables efectos,

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What we could observe through numerous statistical indicators,

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such as the number of hospital admissions related to psychological breakdown

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and the incidence of emotional and adaptive disorders,

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the reality, almost always hazy and pragmatic,

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showed the radiography of a history already announced in the whole State,

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in all of Europe, in the whole world,

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in a notorious and explicit way by the research experts.

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We were not doing something right in the attention of our children and adolescents.

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We were configuring a world that probably left aside

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needs of high importance, of high incidence,

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especially related to growth, psychological and emotional well-being.

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Over the past few years, the measures adopted to give an adequate response to the status quo, which is of reference, have been numerous and diversified,

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all of which are the result of the involvement, commitment and responsibility of the Administrations and all their agents.

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Some of them will have space to be traveled in the current Congress.

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However, it is necessary to continue insisting, exploring, adjusting, modulating or rectifying, if necessary, the response plans.

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As our Vice-Counselor has been able to mean, all this in a context of integrated,

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transversal and systemic collaboration, and always with the participation of everyone,

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administrations, institutions, professionals, educators, teachers and, of course, families and students.

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The Congress that has today started with the words of our Vice-Counselor of Political and Educational Organization

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pretende contribuir al proceso, siempre complejo pero ineludible, de la constante reflexión y

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revisión de lo realizado, de los problemas detectados y abordados, y también de los

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impactos sobrevenidos e inesperados, y por supuesto de la toma en consideración de nuevos retos

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emergentes. Este es un Congreso que nace desde la ilusión y con esperanza, y el compromiso por

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insist to improve. This is a Congress that has essential components and

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content of absolute currentness and complicity with the objectives and

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challenges that, without a solution of continuity, show us the reality that

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every day opens the way in our environment. Educating to take care is the

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motto of this Congress, a look at the essential consideration of the

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world that we are configuring and the reflection on the necessary

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pondering of the values, the foundations and the principles that abound in the

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the heart and soul of the human being and, of course, always of our children, teenagers and also young people.

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These two days we are going to count, I insist, I am finishing now, with reference professionals

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and consequently absolutely concerned in the exploration of appropriate analyses and efficient answers

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in the matter that we are going to deal with today and tomorrow.

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Contamos con figuras implicadas en los contenidos esenciales del Congreso,

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como los especialistas en psiquiatría, Mercedes Navío, Francisco Ferre, Abigail Huertas,

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que serán adecuadamente presentados con posterioridad hoy, expertos imprescindibles y buenos amigos.

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Contamos asimismo mañana con el Catedrático de Psicología de la Personalidad

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y miembro de número de la Academia de Psicología de España, don Marino Pérez.

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Estamos con nuestra presidenta del Consejo Escolar de la Comunidad de Madrid,

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con Lucía Jalti, la directora de la Cátedra de Innovación y Salud Mental Digital de la Universidad Potificia de Comillas,

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y, por supuesto, con las coordinadoras de tres equipos de especial relevancia en la estructura de la Consejería de Educación.

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Estamos hablando de Astrid Rodríguez, la coordinadora del equipo contra el acoso escolar de Sandra Rodríguez, la coordinadora del equipo socioemocional, y también con Silvia Martín, coordinadora del equipo de salud mental para centros de educación especial, en una de las configuraciones del programa enlace al que se ha referido nuestro viceconsejero.

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Anyway, because of this, the number of applicants for assistance has exceeded the capacity announced.

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There have been almost 300 people interested in attending.

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Unfortunately, we only had 150 possibilities of attendance.

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Thank you all for your interest in being here today.

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And greetings also to those of you who are following us through the streaming.

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Thank you once again to the authorities present for their support of this initiative.

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Thank you from the bottom of my heart.

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Very well, we are going to give you approximately 10 minutes of time.

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I sincerely apologize.

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We are going to start with the inaugural speech of this congress.

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No tengo papeles aquí encima de este atril para hablar de la persona a la que vamos a escuchar durante 45 minutos en este congreso que hoy se inaugura, Mercedes Navío.

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Mercedes Navío, she is the director, manager of the hospitals of our community of Madrid,

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of the Health Council of the community of Madrid.

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She is also, for a long time, coordinator of the Regional Office of Mental Health and Addictions

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of our region as well.

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Es una psiquiatra de alto y gran y largo recorrido en la atención al sufrimiento, al sufrimiento psicológico de las personas.

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Hemos quedado con los ponentes en que no íbamos a extendernos demasiado en aspectos curriculares que podemos ver perfectamente buscando, accediendo a través de buscadores.

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Y queremos sobre todo significar los aspectos más humanos de su vida.

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Mercedes Navío is also responsible for the prevention plan of suicidal behavior in the community of Madrid.

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And she is a person with whom I have always been able to collaborate humbly in all those actions,

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all those initiatives, interventions that she has always put on top of me to manage that collaboration in some way.

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He is an endearing person, intellectually I have to say that he is a person, I would say, more than outstanding.

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We normally see people who manage positions, positions, responsibilities in the administration,

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always, well, as people who are very much in the area of management and others,

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y nos olvidamos un poco de quiénes son, la vais a escuchar,

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y vais a poder escuchar el corazón que late detrás de una persona

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que ha sufrido mucho en el abordaje también de su profesión diaria

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con el sufrimiento de las personas a las que ha tratado.

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Espero, Mercedes, que este señalamiento de aspectos puramente humanos

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y personales y no tanto del currículum hayan sido no hayan sido exagerados

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gracias por estar hoy aquí de todo corazón y este estudio

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pues pues buenas tardes buenas tardes gracias por por la invitación

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jose antonio es buen amigo de forma que sus palabras

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me han, en fin, aparte de conmovido, han superado ahora a ver quién está a la altura de las

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expectativas generadas. Bueno, que detrás de mí y de mi responsabilidad en gestión

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hay un corazón que late, eso es rigurosamente cierto. Y bueno, pues insisto, para mí es

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It is a pleasure and a privilege to be here today, and to be accompanied by people with the commitment that the fact that you are in this Congress and this weekend translates to.

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I would like to thank you for the invitation to be present.

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I would also like to mention Raquel, of course, the sub-director and the group of people who have made it possible for us to be here today,

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here, also from the School Board, in short, to the civil society articulated in the field

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of education and with our hand held from the field of health.

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Well, first I will start with the most prosaic aspects. They are ineligible and I will try

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to be as brief as possible, but they asked me to talk about prevention, among other things,

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And before we get to the most systematic interventions in which we have worked together with you,

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with the entire Consejería de Educación, and ultimately with each of those of you who are teaching

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and being what I don't know if then Dr. Abigail Huertas or Dr. Ferrer will mention,

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always in health we talk about the professional being the therapeutic instrument.

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Regardless of the organisational approaches that have also been proposed in education,

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and which I will allude to after my intervention,

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teachers, each one of you, are subject to emotional modeling and containment

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of the people, of the children, teenagers and young people with whom you work and are formed.

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This modeling has to do with the fact that, not only in education, but in any human group,

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there has to be someone who resists to behave like an adult, as Gregorio Luri said.

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and adults in the field of education, modeling subjects, the people on whom children, adolescents and young people look at each other,

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you are each one of you, and in that sense you make the difference, as I hope to be able to translate and be, I insist, at the height,

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from a more prosaic and less important field.

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The most important thing we do in management is to facilitate

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that both from the health and clinical field and from the educational field

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you are in the best conditions to be able to do what you have to do.

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That is our responsibility.

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That can be our success and that can also be our failure.

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In any case, of course, undoubtedly, and I can affirm that, it is our commitment.

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The types of prevention in general health and mental health in particular have to do with primary, secondary and tertiary prevention.

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I am going to talk today, fundamentally, about aspects that have to do with primary prevention, which is the intervention when a situation has not occurred that we could already call a risk or, in your case, a pathology, and secondary prevention when it has already manifested and we have to try to prevent it from repeating itself.

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In terms of prevention, there are also different approaches, primary, secondary and tertiary prevention, universal, selective and indicated.

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Depending on whether we are talking about prevention in an absolutely broad sense in the community, whether we are talking about when there are risk populations or whether we are talking about situations in which we have already identified a pathology.

390
00:50:32,369 --> 00:50:48,369
In terms of mental health, we always talk about the bio-psycho-social model, and the factors of these three natures are combined in such a way that it is not easy to differentiate them from each other.

391
00:50:48,369 --> 00:51:00,369
What I can tell you is that, although there are significant advances from a scientific point of view in terms of what we can modify in genetics, this is still very limited.

392
00:51:00,369 --> 00:51:13,369
In psychological interventions we have a greater development, and in what has to do with the so-called social determinants of health, we have a particularly important capacity to operate.

393
00:51:13,369 --> 00:51:23,369
I say transdiagnostics because each one of these factors, sexual abuse, physical abuse,

394
00:51:23,369 --> 00:51:27,369
adversity in childhood, understood as abuse, as emotional negligence,

395
00:51:27,369 --> 00:51:33,369
to talk about those that are more directly related to mental health,

396
00:51:33,369 --> 00:51:41,369
are subjacent to very different pathologies and also have very important risks.

397
00:51:41,369 --> 00:51:46,369
And all of these are potentially detectable and avoidable.

398
00:51:46,369 --> 00:51:49,369
I have not included here, although I will mention later,

399
00:51:49,369 --> 00:51:52,369
something that has already been mentioned in the interventions that have preceded me,

400
00:51:52,369 --> 00:51:54,369
and that is the harassment among equals.

401
00:51:54,369 --> 00:52:00,369
Any form of violence has a potential impact on people's mental health,

402
00:52:00,369 --> 00:52:06,369
and specifically in what has to do with coexistence

403
00:52:06,369 --> 00:52:15,989
and the situations of, I insist, of harassment in any of the forms, also, of course, in cyber harassment.

404
00:52:16,630 --> 00:52:24,730
And this is what I am coming to tell you about publications that are very well-known and prestigious, like Lancet.

405
00:52:25,510 --> 00:52:31,130
We know that access to substances, we know that prevention of harassment,

406
00:52:31,130 --> 00:52:43,130
We know that this type of intervention works and that it is in the hands of all, of the community as a whole and, of course, of the forms of organization.

407
00:52:43,130 --> 00:52:56,130
I was particularly interested in highlighting this because one of the things that I want to share with you is a hopeful vision of what we can do.

408
00:52:56,130 --> 00:53:07,309
to do. Not omnipotent, not guilty of where we can get, because the illusion of control is an illusion,

409
00:53:07,309 --> 00:53:14,909
we cannot control everything, no one can control everything. We are not guilty, we are, in any case,

410
00:53:15,389 --> 00:53:24,690
co-responsible of the joint task that we have ahead. But I want to transfer that hope.

411
00:53:24,690 --> 00:53:37,690
Many times what ends up transcending in the public debate, especially after the pandemic, is a vision that is sometimes a bit catastrophic or pessimistic.

412
00:53:37,690 --> 00:53:51,690
And without abandoning the realism that responsibility requires, I also want to say that there are objective data that allow us to be hopeful.

413
00:53:51,690 --> 00:54:00,190
There are also preventive interventions, as I said, all those that point to social determinants of health,

414
00:54:00,190 --> 00:54:10,190
to inequality, to inequity, to all types of violence, they are in our hands when it comes to proposing this prevention.

415
00:54:10,190 --> 00:54:18,690
The domains of mental health, here you can see them, from those that have to do with knowledge or attitude,

416
00:54:18,690 --> 00:54:21,690
to those others that have to do with meaning.

417
00:54:21,690 --> 00:54:27,690
Adolescents, and the author Huertas will surely talk about this later,

418
00:54:27,690 --> 00:54:37,690
are in the process of maturation, of incorporation, of the ability to face stress,

419
00:54:37,690 --> 00:54:42,690
in the process of construction or discovery of their identity.

420
00:54:42,690 --> 00:54:58,690
They are, in short, being very dependent on the eyes of others and, above all, and particularly, on the eyes of the equals and they are rehearsing the projection of themselves towards the future.

421
00:54:58,690 --> 00:55:07,690
Towards a future that they have to be able to visualize and project, as I say, in a hopeful way and that makes sense.

422
00:55:07,690 --> 00:55:11,690
The greatest adversities leave a mark.

423
00:55:11,690 --> 00:55:18,690
Boris Zirulnik said that all adversity is a wound that is written in our history, but it is not a destiny.

424
00:55:18,690 --> 00:55:21,690
And it is not because the destiny is not written.

425
00:55:21,690 --> 00:55:28,690
And the ability to contribute so that the teenager finds meaning in his own purpose and project

426
00:55:28,690 --> 00:55:36,690
is something that the whole community, the tribe, would say we have to contribute.

427
00:55:36,690 --> 00:55:45,570
No podemos hacer el camino por ellos, pero sí tenemos que hacer posible el que ellos puedan recorrer ese camino.

428
00:55:46,590 --> 00:55:53,309
Las intervenciones, y dentro de ellas las que más evidencia plantean, son las de la psicoeducación.

429
00:55:53,469 --> 00:55:58,030
Es la más efectiva para promover conocimientos sobre salud mental y sobre habilidades cognitivas.

430
00:55:58,030 --> 00:56:12,170
And psychoeducation is in the hands of the actors, of course, of the health workers, but also, in a joint way, of the professionals of education.

431
00:56:12,650 --> 00:56:20,369
Look, look, psychotherapy has evidence, the combined therapies, of course, have evidence, and other types of therapies have evidence.

432
00:56:20,369 --> 00:56:30,369
Psychoeducation has a very important role, we do not consider it a minor action when it comes to prevention.

433
00:56:30,369 --> 00:56:41,369
There are strategies at the European and international level that influence what I am communicating to you in a summarized manner.

434
00:56:41,369 --> 00:56:50,369
There are also instances at the national and international level, as I said.

435
00:56:50,369 --> 00:56:55,369
These are examples of prevention of mental health disorders in primary care,

436
00:56:55,369 --> 00:57:03,369
or in the case of the superior publication, a publication from Canada, this last one is Spanish,

437
00:57:03,369 --> 00:57:08,369
but there is a broad consensus in relation to the fact that this is possible.

438
00:57:08,369 --> 00:57:25,369
As I said, at the level of the Ministry's strategy, we have general health improvements in these strategies, and emotional well-being is, as it cannot be otherwise, one of the fundamentals.

439
00:57:25,369 --> 00:57:34,369
Another potentially modifiable element is access to drugs. The national plan has a broad development.

440
00:57:34,369 --> 00:57:39,369
We in the Community of Madrid have a specific plan against drugs.

441
00:57:39,369 --> 00:57:45,369
We know that, in the young population, cannabis is the most consumed drug,

442
00:57:45,369 --> 00:57:52,369
and we know this both from studies or publications called surveys,

443
00:57:52,369 --> 00:57:57,369
as well as from the studies of studies or ages,

444
00:57:57,369 --> 00:58:03,369
as well as from the data of health care activities that we have in the set of our health care services.

445
00:58:03,369 --> 00:58:14,690
We have a network of addiction centers, and one of them is specifically intended for the adolescent population.

446
00:58:14,690 --> 00:58:24,650
More than 85% of the problems of addictions, if we subtract the behavioral addictions, which I don't know if Dr. Ferrer will later comment on,

447
00:58:25,449 --> 00:58:32,710
the substance that is most consumed and that is generating mental health problems is cannabis.

448
00:58:33,369 --> 00:58:50,269
Well, there are guidelines on prevention, as you well know, we have a portfolio of services in primary care, which is our most permeable, most capitalized level of care, which affect the importance and the possibility of that prevention.

449
00:58:50,269 --> 00:58:56,269
we have actions from the General Directorate of Public Health, in the field of the Ministry of Health,

450
00:58:56,269 --> 00:59:08,269
which also talk about this promotion and prevention by hand and in the group of the educational community.

451
00:59:08,269 --> 00:59:18,269
In short, at the macro level, there is reasonable evidence and there are actions from the operational field around the possibility of this prevention.

452
00:59:18,269 --> 00:59:27,269
José Antonio has alluded to what the pandemic meant, and he has already mentioned something that we were beginning to tinker with.

453
00:59:27,269 --> 00:59:37,269
The pandemic has undoubtedly had a catalytic effect. This curve, take it as a proposal that can be illustrative.

454
00:59:37,269 --> 00:59:47,269
In terms of scientific evidence, if we are very purist, it could be critical, but I think it serves us for illustrative purposes.

455
00:59:47,269 --> 00:59:58,269
There was a disruptive increase in behavioral emergencies not in March 2020.

456
00:59:58,269 --> 01:00:05,269
We began to see it in what has to do with the need for hospital admission in October 2020,

457
01:00:05,269 --> 01:00:12,269
at the beginning of the academic year after March 2020.

458
01:00:12,269 --> 01:00:25,269
A wave that was, at that time, the third, we were in the first two epidemics, and the third, in October 2020.

459
01:00:25,269 --> 01:00:38,269
Before, we already knew that there had been a tendency to increase, especially in terms of self-harm, in this adolescent population, and in food disorders.

460
01:00:38,269 --> 01:00:55,269
These two trends, with this catalyzing effect, had a disruptive increase that forced us to duplicate both the hospitalization units and the beds available for hospitalization in children and adolescents.

461
01:00:55,269 --> 01:01:01,269
Before the pandemic, we had 52 beds in Madrid.

462
01:01:01,269 --> 01:01:11,269
After October 2020, we have more than doubled that need.

463
01:01:11,269 --> 01:01:15,269
And now we are in a situation that we could call new normality,

464
01:01:15,269 --> 01:01:19,269
in which that disruptive increase was stabilized,

465
01:01:19,269 --> 01:01:24,269
but it was not stabilized at the same basal level, but at a different basal.

466
01:01:24,269 --> 01:01:38,269
We have a network of mental health and addiction that is very stupid and that also has a history of decades of work with the Family Council,

467
01:01:38,269 --> 01:01:44,269
with the social attention network to mental disorder in the Family Council.

468
01:01:44,269 --> 01:01:52,269
It is true that in this case it is very linked to the adult population, the Social Policy Council,

469
01:01:52,269 --> 01:01:58,269
...although it also has an impact on adolescents, as we will see later.

470
01:01:58,269 --> 01:02:05,269
As I said, here you can see in the graph how the suicide attempts in adolescents increased in that period...

471
01:02:05,269 --> 01:02:10,269
...and how they maintained the curve that I have mentioned, and how we also had other behavioral emergencies...

472
01:02:10,269 --> 01:02:13,269
...such as eating disorders.

473
01:02:13,269 --> 01:02:37,269
It is true that many of them resigned because they were the exponent of a form of self-regulation in the face of a situation of acute stress that was also overcoming the anguish of adults at that time.

474
01:02:37,269 --> 01:02:51,269
And in the family groups and in any group, the emerging ones have to do with the people who have the most difficulties when it comes to having this elaboration that I was talking about.

475
01:02:51,269 --> 01:03:04,269
Adolescents were an important part of the population, but we also find it in other processes of adult life or of the elderly.

476
01:03:04,269 --> 01:03:26,269
We have been monitoring and we continue to monitor the whole phenomenon of suicidal behavior through our early warning called ARSUIC, which is a kind of early and intensive risk of attention to people who have had this problem of suicide attempts.

477
01:03:26,269 --> 01:03:35,269
In addition, we first launched a specific plan called COVID and then the 2022-2024 Mental Health Plan.

478
01:03:35,269 --> 01:03:49,269
As I said, in Plan 18-20 we had a specific line of attention for children and adolescents because we were warning that it was a line that had to be prioritized.

479
01:03:49,269 --> 01:04:01,269
We have maintained this priority in 2022-2024 and, as I will tell you now, we continue to keep it absolutely prioritized in the attention to serious mental health.

480
01:04:01,269 --> 01:04:16,269
How has this been translated? In addition to duplicating hospital resources, we have increased all the equipment for attention to serious mental health in mental health centers.

481
01:04:16,269 --> 01:04:22,269
We have also launched suicide prevention equipment and a number of other special programs,

482
01:04:22,269 --> 01:04:26,269
in addition to a considerable reinforcement of what we call intermediate resources,

483
01:04:26,269 --> 01:04:33,269
such as day care hospitals for adolescents, in which we have also had a particularly important growth.

484
01:04:33,269 --> 01:04:39,269
Four more day care hospitals were opened in this plan, and we have continued this path

485
01:04:39,269 --> 01:04:50,269
We have continued this path because we have a commitment that all general hospitals, and there are more than 20 of them in the Ministry of Health,

486
01:04:50,269 --> 01:04:56,269
all general hospitals have a day hospital for mental health adolescents.

487
01:04:56,269 --> 01:05:05,269
In addition, we had a reinforcement of home care, which had its pilot experience,

488
01:05:05,269 --> 01:05:10,269
of which we have made a balance very recently, in the Hospital of Niño Jesús,

489
01:05:10,269 --> 01:05:15,269
and which has then been extended as a reinforcement to all day-care hospitals that already exist,

490
01:05:15,269 --> 01:05:19,269
to pivot home care from there.

491
01:05:19,269 --> 01:05:31,269
Let's see, here are the ones we launched, La Paz, Getafe, Clínico San Carlos and then the home care from the same.

492
01:05:31,269 --> 01:05:43,269
And in terms of addictions, as I say, we are working on specific programs, in addition to having units like the one I mentioned in the case of Los Mesejos.

493
01:05:43,269 --> 01:05:46,269
This is the map of day care hospitals.

494
01:05:46,269 --> 01:05:50,269
Before the end of the year, there will be a day care hospital,

495
01:05:50,269 --> 01:05:54,269
the Hospital of Arganda and the Hospital of Infanta Cristina de Parla,

496
01:05:54,269 --> 01:05:58,269
and in the following year, on the 26th,

497
01:05:58,269 --> 01:06:10,269
Elenares in the north and Infanta Sofía in San Sebastián de los Reyes,

498
01:06:10,269 --> 01:06:12,269
in what we have called an intensive program.

499
01:06:12,269 --> 01:06:26,170
In addition, we are strengthening psychological attention in these populations, increasing the provision of clinical psychologists, which is one of the professional categories in which we still have a greater need for treatment.

500
01:06:26,170 --> 01:06:48,369
Well, this is not to talk about my book, this is to tell you that the plurality of which José Antonio previously talked about and that we share, the commitment that we share, is translated and encourages the strategies that are often prosaic,

501
01:06:48,369 --> 01:06:52,369
that are books, that are papers, that look like bureaucracy,

502
01:06:52,369 --> 01:06:57,369
but that behind them there are people who want,

503
01:06:57,369 --> 01:07:04,369
that we want to work together so that the attention is getting better and better.

504
01:07:04,369 --> 01:07:09,369
In parallel with these plans that I mentioned,

505
01:07:09,369 --> 01:07:13,369
we also started working on the Autonomous Suicide Prevention Plan.

506
01:07:13,369 --> 01:07:17,369
In the previous plan we had a specific suicide prevention line

507
01:07:17,369 --> 01:07:25,369
and we chose to give it the role that suicide prevention required.

508
01:07:25,369 --> 01:07:32,369
In the Community of Madrid, we have been working systematically on suicide prevention since 2011.

509
01:07:32,369 --> 01:07:35,369
That work has been going on for almost 15 years.

510
01:07:35,369 --> 01:07:43,369
This plan has just been evaluated in Ecuador.

511
01:07:43,369 --> 01:07:58,309
This plan has the participation of all the councils and, of course, and as it could not be otherwise, the Education Council, which palpitates in many of the actions that are being put in place, some of which have already been alluded to.

512
01:07:58,309 --> 01:08:06,309
This type of actions are followed by multi-level programs, which are recommended by the World Health Organization,

513
01:08:06,309 --> 01:08:12,309
in which information is put as an accent to the citizen through different campaigns,

514
01:08:12,309 --> 01:08:22,310
also training professionals, in this case mainly health professionals, cooperation with social facilitators,

515
01:08:22,310 --> 01:08:28,609
social and in this the teachers are absolutely key to reach the

516
01:08:28,609 --> 01:08:33,890
adolescent and young population and also in what we call reorganization

517
01:08:33,890 --> 01:08:38,869
our internal in the identification of people of risk within the system

518
01:08:38,869 --> 01:08:43,350
health care for access to immediate and intensive treatment in

519
01:08:43,350 --> 01:08:47,210
suicide prevention risk situations

520
01:08:47,210 --> 01:08:51,710
when we were working on the prevention plan in this confluence of

521
01:08:51,710 --> 01:09:06,710
What we found is that many, in education we already knew it, but many, I would say that the total practice, were working on suicide prevention and they were doing it to achieve…

522
01:09:06,710 --> 01:09:21,810
This is the evaluation of one of the pilot programs that we did on 12 October and the Jiménez Díaz Foundation, which has shown to be effective, to reduce risk and, in addition, to be cost-effective.

523
01:09:21,810 --> 01:09:27,010
This is the publication that I bring to you, as well as the evaluation of the ARSUIC, which we also launched.

524
01:09:27,010 --> 01:09:29,010
But, ultimately, what is it about?

525
01:09:29,010 --> 01:09:48,350
It is about the fact that the group of social facilitators, who are people who, due to their professional or social role, can be potential detectors or vehicle of the arrival to the health sector, the person at risk can end up receiving the attention he or she needs.

526
01:09:48,350 --> 01:10:10,670
I would like to point out this guide, which we work together with you, as well as with other social facilitators, but being here with you today, it seemed to me that it was especially relevant to thank you and remind you of the implementation of this guide and its dissemination.

527
01:10:10,670 --> 01:10:18,409
Los 21 equipos de prevención, casi 400 profesionales se han incorporado.

528
01:10:19,470 --> 01:10:25,229
Estamos trabajando, por ejemplo, con Metro, con Cercanías, con El Suma,

529
01:10:25,590 --> 01:10:29,949
con todo lo que tiene que ver con la limitación de acceso a métodos potencialmente letales.

530
01:10:30,689 --> 01:10:33,350
Estamos trabajando con vosotros, codo con codo,

531
01:10:33,989 --> 01:10:37,350
y os agradecemos especialmente todo lo que estáis llevando a cabo.

532
01:10:37,350 --> 01:10:43,350
Campaigns like No siempre le levantan la mano, En sus zapatos,

533
01:10:43,350 --> 01:10:49,350
all the work that is done from the unit of coexistence, the SICE protocol,

534
01:10:49,350 --> 01:10:54,350
the programs in which we are working together and that have been mentioned,

535
01:10:54,350 --> 01:11:03,350
the Interconsultor program, all this is being woven, that is our intention,

536
01:11:03,350 --> 01:11:14,350
We have to create a more and more stupid network so that none of our teenagers can escape it,

537
01:11:14,350 --> 01:11:18,350
so that they feel contented and listened to.

538
01:11:18,350 --> 01:11:25,350
In short, they feel that they matter, that we care, that we see them,

539
01:11:25,350 --> 01:11:30,850
that we are able to attend to them in the way they require,

540
01:11:30,850 --> 01:11:32,850
with the right distance.

541
01:11:32,850 --> 01:11:35,850
I suppose that Dr. Abigail Huerta will also agree on this.

542
01:11:35,850 --> 01:11:40,850
We are also working with the Consejería de Asuntos Sociales,

543
01:11:40,850 --> 01:11:41,850
Juventud y Asuntos Sociales.

544
01:11:41,850 --> 01:11:44,850
They have specific devices in the adolescent population.

545
01:11:44,850 --> 01:11:49,350
We are also working on plans with the administration of proximity,

546
01:11:49,350 --> 01:11:51,350
with the municipalities of the Community of Madrid.

547
01:11:51,350 --> 01:12:03,350
And there are more and more municipalities with their own prevention plans, articulating the set of actors in each of those areas.

548
01:12:03,350 --> 01:12:12,350
I gave you the example of Alcobendas, which I don't see here now, with specific campaigns,

549
01:12:12,350 --> 01:12:18,350
but in each one of them what is being done is to weave this network that I was talking about previously.

550
01:12:18,350 --> 01:12:30,350
and that ultimately pursues this, that each and every one of us can make a difference as anti-suicide agents.

551
01:12:30,350 --> 01:12:47,350
This is sometimes very scary and I am very aware of the urgent task that each one of you has in matters strictly of education.

552
01:12:47,350 --> 01:12:52,350
And here I come back to the first thing I said when I intervened.

553
01:12:52,350 --> 01:12:59,350
You are model agents, you are the mirror in which teenagers look at themselves,

554
01:12:59,350 --> 01:13:06,350
and we educate with what we are much more and infinitely more than what we can say.

555
01:13:06,350 --> 01:13:13,350
It is true that we also submit to that look at the contradictions and inconsistencies that all human beings have,

556
01:13:13,350 --> 01:13:24,350
But with authenticity, that can also be useful to those who are conforming at this moment.

557
01:13:24,350 --> 01:13:30,350
And I finish with something that I usually underline.

558
01:13:30,350 --> 01:13:38,350
Mental health and suicide prevention, in particular, have come out of the dark.

559
01:13:38,350 --> 01:13:43,350
and they are very present today in the public and political debate.

560
01:13:43,350 --> 01:13:46,350
That is, in general, good news.

561
01:13:46,350 --> 01:13:53,350
But I think it is especially important to note that silence killed,

562
01:13:53,350 --> 01:13:59,350
silence killed, and it can continue to be very harmful,

563
01:13:59,350 --> 01:14:02,350
especially for people who are in a situation of vulnerability,

564
01:14:02,350 --> 01:14:09,350
vulnerability, suffering violence of any kind, but noise can also do harm.

565
01:14:09,350 --> 01:14:17,350
When we make approaches that do not contemplate the possibility that, even with the best intention,

566
01:14:17,350 --> 01:14:26,350
an uncontrolled emotional ventilation can somehow favor contagion phenomena

567
01:14:26,350 --> 01:14:35,350
...and the imitative behaviours that we know can be given, that we know exist, that we have to take into account.

568
01:14:35,350 --> 01:14:42,350
With this, I do not want to give you more responsibility than you already have, which is not little.

569
01:14:42,350 --> 01:14:51,350
I want to emphasise the hand held that we will always have and will continue to have in the strategic areas...

570
01:14:51,350 --> 01:14:58,350
and also in the operations, through the direct connection with the link teams that we are going to work with to extend.

571
01:14:58,350 --> 01:15:07,350
And, ultimately, we are co-participants and co-responsible that our adolescents,

572
01:15:07,350 --> 01:15:15,350
and I emphasize adolescence, although there may also be situations of risk in youth,

573
01:15:15,350 --> 01:15:23,369
who, in fact, there are, feel that they can project themselves towards the future

574
01:15:23,369 --> 01:15:31,350
and can do so with a sense of agency recovered in which they can be who they are

575
01:15:31,350 --> 01:15:37,329
and in which the anguishes that emerge, particularly in adolescence, in the management of their ambivalences,

576
01:15:37,329 --> 01:15:46,329
find adult emotional contentment in each and every one of us who have that obligation.

577
01:15:46,329 --> 01:15:51,329
And this is an obligation that, I insist, corresponds to all of us.

578
01:15:51,329 --> 01:16:01,329
I hope I have not limited myself in time. José Antonio, I think I cannot pass this slide, but I was finishing.

579
01:16:01,329 --> 01:16:29,810
I will finish with Gregorio Luri, reminding you and reminding me of the importance that in every human group someone behaves like an adult and also thanking you all and each one of you as anti-suicide agents and, above all, as providers of meaning for this generation that is opening its way and that requires that the inheritance that we receive,

580
01:16:29,810 --> 01:16:38,810
find it, at least if not improved, at the same level as we receive it and that they can transmit,

581
01:16:38,810 --> 01:16:45,810
they can make this delegated transfer and develop their own existential project with meaning.

582
01:16:45,810 --> 01:16:48,810
Thank you very much everyone. Thank you.

583
01:16:48,810 --> 01:17:28,840
Thank you very much, Mercedes, for your presentation, for your involvement, for your love, always, and above all for the quality that you print for each one of the actions that you develop in all your responsibilities.

584
01:17:28,840 --> 01:17:33,840
Here there are people from your team that I have been able to greet from afar.

585
01:17:33,840 --> 01:17:36,840
I am delighted that you are here.

586
01:17:40,840 --> 01:17:43,840
In this life you have to be grateful.

587
01:17:43,840 --> 01:17:52,840
It is said that the saying is that you have to be grateful for being born well.

588
01:17:52,840 --> 01:17:54,840
Thank you very much.

589
01:17:54,840 --> 01:17:59,840
Here, the one who has the most responsibility, without a doubt,

590
01:17:59,840 --> 01:18:04,840
in ensuring that this goes well, that it is carefully treated and so on,

591
01:18:04,840 --> 01:18:13,840
is our CEO, Raquel Yepen, my colleague, who has done an absolutely splendid job.

592
01:18:13,840 --> 01:18:26,840
I would like to thank all the colleagues of ISMIE who have generously contributed to this work.

593
01:18:26,840 --> 01:18:33,840
The support of the Directorate, the General Directorate, of the entire General Directorate, of course.

594
01:18:33,840 --> 01:18:43,539
Well, and now we are going to give the floor to the next speaker, Francisco Ferri.

595
01:18:46,020 --> 01:18:52,420
He is a specialist in psychiatry, as we have mentioned before,

596
01:18:52,539 --> 01:18:56,979
a doctor in psychiatry, an associate professor of psychiatry

597
01:18:56,979 --> 01:19:01,479
and a diploma in health management in hospital institutions.

598
01:19:01,479 --> 01:19:13,479
I had the opportunity to meet Francisco when I had the responsibility of the General Secretary with Pedro Núñez Morgádez as defender of the minor.

599
01:19:13,479 --> 01:19:25,479
At that time, Francisco Ferre was the coordinator of the Regional Office of Mental Health and Addictions, the position of responsibility that Mercedes Bernabéu has now.

600
01:19:25,479 --> 01:19:31,720
y era siempre tan agradable estar con él, escucharle.

601
01:19:32,100 --> 01:19:35,260
Vais a ver, por encima de todo, su sonrisa.

602
01:19:35,380 --> 01:19:38,539
Él es un hombre que sonríe, que es amable, que es generoso.

603
01:19:38,680 --> 01:19:45,119
Bueno, a veces se enfada un poco, pero yo no le suelo ver en esas circunstancias.

604
01:19:45,920 --> 01:19:51,500
Podría decir de él muchas cosas, pero le quiero quedar, como antes he hecho con Mercedes,

605
01:19:51,500 --> 01:20:03,720
con alguna singularidad que no vemos normalmente en Wikipedia o en estos repositorios de Curriculum Vitae que están en nuestros buscadores.

606
01:20:05,399 --> 01:20:12,039
Él dirigió su interés siempre a aspectos psíquicos del enfermo físico,

607
01:20:12,819 --> 01:20:19,500
y su tesis doctoral versó sobre la adaptación psicosocial en la espera de un trasplante hepático.

608
01:20:19,500 --> 01:20:36,500
Well, this seems to be something, a milestone in his life, but he already pointed out the importance of marrying different aspects, the physical and the psychological.

609
01:20:36,500 --> 01:20:42,500
This thesis was awarded with the Extraordinary Prize of the Complutense University.

610
01:20:42,500 --> 01:20:54,500
Currently, his interest is directed to models of humanization of psychiatry with the implementation and analysis of an open hospitalization unit project.

611
01:20:54,500 --> 01:21:08,500
Well, he is now, it must be said, he is the head of the adult psychiatry service and director of the Institute of Psychiatry and Mental Health of the Gregorio Marañón Hospital in Madrid.

612
01:21:08,500 --> 01:21:18,500
But I'm going with the singularities, they matter to him, they interest him, they give him the professional life,

613
01:21:18,500 --> 01:21:25,500
they give him the professional life, the reflection, the permanent research in the world of behavioral addictions.

614
01:21:25,500 --> 01:21:30,500
What we are going to hear today, we have heard it from very few people,

615
01:21:30,500 --> 01:21:35,380
who is the director of one of the pioneering centers in our country,

616
01:21:35,859 --> 01:21:38,600
which is ADCOM, Center for Addictions,

617
01:21:38,760 --> 01:21:41,380
for the approach and treatment of behavioral addictions.

618
01:21:41,380 --> 01:21:49,140
It is an aspect or dimension that sometimes we read,

619
01:21:49,359 --> 01:21:55,600
sometimes we find some kind of article in El País and other press headlines,

620
01:21:55,600 --> 01:22:02,600
but we have to say that the one who knows the most about all these aspects of the new wedge,

621
01:22:02,600 --> 01:22:11,600
so to speak, in the concern of this society, where we are heading, is him.

622
01:22:11,600 --> 01:22:16,600
And he is especially interested, logically, in the processes of digitization

623
01:22:16,600 --> 01:22:21,600
and the application of artificial intelligence in the assistance process

624
01:22:21,600 --> 01:22:25,600
de la Atención de Psiquiatría y Salud Mental.

625
01:22:25,600 --> 01:22:30,600
Bueno, él ha sido, termino ya con esto, medalla del Ministerio de Sanidad

626
01:22:30,600 --> 01:22:34,600
por la Organización de la Atención en Salud Mental,

627
01:22:34,600 --> 01:22:40,600
algo que nunca se nos olvidará, a las víctimas del atentado de los 11M.

628
01:22:40,600 --> 01:22:46,600
Francisco, aquí tienes este espacio para deleitarnos.

629
01:22:46,600 --> 01:23:11,939
Thank you very much, Antonio. We have known each other for a long time.

630
01:23:11,939 --> 01:23:18,939
By the way, do you remember the time I have? Are you ready?

631
01:23:18,939 --> 01:23:22,939
Well, I say that we have known each other for a long time.

632
01:23:22,939 --> 01:23:28,939
Jorge Antonio is a person that I personally admire and appreciate very much.

633
01:23:28,939 --> 01:23:32,939
And every time he calls me for these things, the truth is that I am delighted.

634
01:23:32,939 --> 01:23:37,939
But today I am especially interested in being here today for several reasons.

635
01:23:37,939 --> 01:23:41,939
I come to talk about my book, as he has already announced.

636
01:23:41,939 --> 01:23:46,939
As Dr. Navío has been much more elegant, I am going to talk about my book and only about my book.

637
01:23:46,939 --> 01:23:53,000
my book and then I'm sure you're going to learn a lot with Dr. Abigail Huertas, but I'm going to go to

638
01:23:53,000 --> 01:24:00,199
the concrete. Why? Because I would like to take advantage of this space so that the teachers have

639
01:24:00,199 --> 01:24:06,399
knowledge, if you don't already have it, which surely you do, of a service, as Antonio has said,

640
01:24:06,399 --> 01:24:12,340
absolutely pioneering and that you can use it and that you should use it if you can help your

641
01:24:12,340 --> 01:24:20,340
You will see that it is very simple, it is very easy, it is for everyone, you do not have to ask anyone to plug in so that they can see the students.

642
01:24:20,340 --> 01:24:24,340
So, I insist that you please take us into account.

643
01:24:24,340 --> 01:24:33,340
And I also want to take advantage of this space to lend a hand or throw a glove to the director of research training.

644
01:24:33,340 --> 01:24:39,340
because I think there could be some area, in particular in primary prevention,

645
01:24:39,340 --> 01:24:44,340
in the subject of behavioral diseases, in which we could collaborate.

646
01:24:44,340 --> 01:24:49,340
And with that idea I am going to tell you first, as I say, the…

647
01:24:54,340 --> 01:25:01,340
Well, this slide, this slide that you see here is the one you would find

648
01:25:01,340 --> 01:25:05,340
if you search for Adcom Madrid on Google.

649
01:25:05,340 --> 01:25:07,340
What is the Adcom Center?

650
01:25:07,340 --> 01:25:11,340
Let's see, it is a public center, this is very important,

651
01:25:11,340 --> 01:25:15,340
and I want to underline it because until we started in 2022,

652
01:25:15,340 --> 01:25:19,340
the attention to behavioral addictions in our country in general

653
01:25:19,340 --> 01:25:22,340
and in our community in particular,

654
01:25:22,340 --> 01:25:30,340
was distributed in private devices with, sometimes, professionals who knew what they did

655
01:25:30,340 --> 01:25:35,340
and others, many times with dubious competition in those fields.

656
01:25:35,340 --> 01:25:40,340
No one looked at this, at addictions, at sex, at video games, it was not collected.

657
01:25:40,340 --> 01:25:44,340
So we considered, and I think it was an achievement of the Government of the Community of Madrid,

658
01:25:44,340 --> 01:25:48,340
to realize that this bull had to be caught by the horns.

659
01:25:48,340 --> 01:25:53,340
And that is why a center dedicated to behavioral addictions was created from the Public Service,

660
01:25:53,340 --> 01:25:57,340
to detection, prevention, treatment and research.

661
01:25:57,340 --> 01:26:06,340
What are behavioral addictions? Well, there are different definitions, but I would like to remember one.

662
01:26:06,340 --> 01:26:12,340
They are psychological disorders that have nothing else to do with the loss of control over a behavior,

663
01:26:12,340 --> 01:26:16,340
a behavior that we repeat compulsively and that we cannot escape.

664
01:26:16,340 --> 01:26:26,340
And we cannot escape in the same way that a person addicted to alcohol cannot escape.

665
01:26:26,340 --> 01:26:36,340
How does alcohol work? Well, we start drinking more, a boy with a video game starts to spend more time on the convenient, that's called abuse.

666
01:26:36,340 --> 01:26:43,340
One day we realize that to get the point with alcohol we need more and more, we need to drink more and more,

667
01:26:43,340 --> 01:26:51,340
the kid to stay, to leave the mobile or the screen, every day realizes that he has had to use more time,

668
01:26:51,340 --> 01:26:55,340
that is invading hours that should be assigned to other issues.

669
01:26:55,340 --> 01:26:57,340
It is the phenomenon of tolerance.

670
01:26:57,340 --> 01:26:59,340
Then comes the phenomenon of abstinence,

671
01:26:59,340 --> 01:27:02,340
which is the day when I do not have alcohol in hand and then I have a bad time.

672
01:27:02,340 --> 01:27:06,340
I have a bad time from a physical and psychological point of view.

673
01:27:06,340 --> 01:27:08,340
This is called abstinence.

674
01:27:08,340 --> 01:27:11,340
How many times have you seen, known, heard,

675
01:27:11,340 --> 01:27:13,340
those kids who, when they take their cell phone out,

676
01:27:13,340 --> 01:27:14,340
because they have to study today,

677
01:27:14,340 --> 01:27:16,340
have sometimes choleric reactions

678
01:27:16,340 --> 01:27:20,340
or really, at least, discomfort and protest.

679
01:27:20,340 --> 01:27:26,340
And there comes a time, which is the last phase of addiction with substance, for example, alcohol,

680
01:27:26,340 --> 01:27:33,340
which is when, knowing that it is destroying his life, he cannot stop drinking because he has lost his freedom from substance.

681
01:27:33,340 --> 01:27:38,340
And in video games, which I have taken as an example, but I can apply it to more behavioral addictions,

682
01:27:38,340 --> 01:27:43,340
that boy knows, and I say it because we see them in the most serious phases,

683
01:27:43,340 --> 01:27:49,340
that he is trapped and that he cannot live without being next to the screen.

684
01:27:49,340 --> 01:27:59,340
Well, obviously we have to say that life, and denying this is absurd,

685
01:27:59,340 --> 01:28:03,340
currently there is an offline life and an online life.

686
01:28:03,340 --> 01:28:14,340
When I was younger, I couldn't even imagine that I was going to live my life here.

687
01:28:14,340 --> 01:28:22,340
Here I have my family relationships, my emotional relationships, my health, here I have health insurance.

688
01:28:22,340 --> 01:28:27,340
I also have, if I want to do some money operation, I have it all here, in this little drawer.

689
01:28:27,340 --> 01:28:35,340
I could never imagine, and it really seems to me that it was yesterday, when I was studying medicine, that this could ever happen.

690
01:28:35,340 --> 01:28:40,340
It is obvious that life has changed, it is obvious that there is an online world, and denying that is absurd.

691
01:28:40,340 --> 01:28:44,340
and demonize the screens and the Internet, I think it is completely absurd.

692
01:28:44,340 --> 01:28:48,340
What happens is that we have to regulate it and we have to make a therapeutic use of it.

693
01:28:48,340 --> 01:28:52,340
In this context, we have to understand that, of course, there are excesses.

694
01:28:52,340 --> 01:28:54,340
These figures are tremendous.

695
01:28:54,340 --> 01:28:58,340
One in every five young people consumes the risk of tiktok.

696
01:28:58,340 --> 01:29:01,340
This is from the University of Oberta in Catalonia.

697
01:29:01,340 --> 01:29:07,340
Infocop has found that the availability of mobiles is, each time, even earlier.

698
01:29:07,340 --> 01:29:11,340
23.3% of young people under 10 years old already have a mobile phone.

699
01:29:11,340 --> 01:29:15,340
93% of children in Spain are users of a network.

700
01:29:15,340 --> 01:29:17,340
Well, this is what there is and we cannot avoid it.

701
01:29:17,340 --> 01:29:23,340
Then, there are two behavioral diseases that are genuinely online.

702
01:29:23,340 --> 01:29:27,340
I am making this reflection so that we understand that, obviously,

703
01:29:27,340 --> 01:29:31,340
the online world has brought us a new form of presentation of psychiatric pathology,

704
01:29:31,340 --> 01:29:33,340
and in this case what we are talking about today.

705
01:29:33,340 --> 01:29:36,340
Social networks and video games are obviously online.

706
01:29:36,340 --> 01:29:41,340
From video games, we can distinguish between multi-online and video console.

707
01:29:41,340 --> 01:29:47,340
And then there are three behavioral additions that have their offline version,

708
01:29:47,340 --> 01:29:54,340
which are shopping, sex and gambling, which is the most important, and that have that other online version.

709
01:29:54,340 --> 01:30:01,340
And it is that today I have to say that in these three genuinely offline,

710
01:30:01,340 --> 01:30:08,340
The online version is causing more problems.

711
01:30:08,340 --> 01:30:16,340
It is obvious that the world of screens and the world of the Internet has brought this and we cannot ignore it.

712
01:30:16,340 --> 01:30:20,340
It is very frequent. There are very different figures.

713
01:30:20,340 --> 01:30:24,340
There are many studies that are very unequal.

714
01:30:24,340 --> 01:30:30,779
But I would have to tell you something, despite the figures that some may seem large or small.

715
01:30:30,779 --> 01:30:37,100
Our experience, and we will have data as we will see later, is that really enslaved people,

716
01:30:37,100 --> 01:30:42,939
people addicted to new technologies, well, and to behavioral health services in general,

717
01:30:42,939 --> 01:30:47,060
fortunately, they are few, serious, but they are few.

718
01:30:47,060 --> 01:30:48,819
I also want this to be clear.

719
01:30:48,819 --> 01:30:56,460
This alarm, which obviously exists, and I think it is very useful and very interesting to do the prevention,

720
01:30:56,460 --> 01:31:01,880
but I assure you, if this is a reality, that really what is the serious addict,

721
01:31:01,880 --> 01:31:07,460
the case, for example, the video game of that child who is already locked up, who does not go to school,

722
01:31:07,460 --> 01:31:11,460
who almost does not eat, this is really very infrequent.

723
01:31:11,460 --> 01:31:16,560
What are our objectives? Well, on the one hand we have to do prevention,

724
01:31:16,560 --> 01:31:22,560
Preventing is not only detecting over time, it is also telling someone that they don't have something.

725
01:31:22,560 --> 01:31:29,560
Because a lot of people have tried to instrumentalize diagnostics of behavioral addictions for other purposes.

726
01:31:29,560 --> 01:31:35,560
I am an addict. This is a caricature, it is grotesque, but it is real.

727
01:31:35,560 --> 01:31:42,560
A prisoner of a prison wrote to us saying that he wanted to come to Azcón to have his sex addiction taken care of

728
01:31:42,560 --> 01:31:46,560
He was convicted of rape and he was not a rapist, he was a sex addict.

729
01:31:46,560 --> 01:31:49,560
This is an example of people who sometimes pretend…

730
01:31:49,560 --> 01:31:52,560
And of course, to tell people, no, you are not a mobile addict,

731
01:31:52,560 --> 01:31:56,560
you are an uneducated person who uses it out of place,

732
01:31:56,560 --> 01:32:00,560
or your parents have been educated in an inadequate way that we have to recycle.

733
01:32:00,560 --> 01:32:05,560
So, it is also important that these diagnoses are not abused.

734
01:32:05,560 --> 01:32:09,560
We are a network project, and in those little balls I would like to find someone from education,

735
01:32:09,560 --> 01:32:36,560
We exchange patients and we coordinate according to what moments with the mental health networks, logically, of the mental health centers, with the social services, the service of attention, technological additions, with the units of Juego Patológico Madrid, Ramón y Cajal and 12 de Octubre, and also very intensely with the entire Institute of Additions Madrid Salud, which has some drug centers.

736
01:32:36,560 --> 01:32:46,560
I don't know, because I don't know if there would be any device in education with which we could exchange patients because we could give them some kind of attention.

737
01:32:46,560 --> 01:32:57,560
We want to work in a network. There are many times that we need the support of elements, of entities that are not necessarily sanitary.

738
01:32:57,560 --> 01:33:07,560
How are they treated? This is a general vision, to give a brushstroke, because basically psychotherapy is the most effective instrument,

739
01:33:07,560 --> 01:33:13,560
cognitive-conductual in particular, as well as occupational therapies, as you will see later that I will tell you.

740
01:33:13,560 --> 01:33:19,560
Pharmacotherapy has its usefulness because, as we will see later, when there is a mental illness below

741
01:33:19,560 --> 01:33:23,560
and that illness has a response to a drug, it is very important to use the drug

742
01:33:23,560 --> 01:33:29,560
and not to waste this opportunity to correct, incidentally, the behavioural addition of psychosocial interventions.

743
01:33:29,560 --> 01:33:33,560
And digital technologies are already arriving, but we are not using them yet.

744
01:33:33,560 --> 01:33:36,560
Who is it aimed at? Who can access it?

745
01:33:36,560 --> 01:33:42,560
Ladies and gentlemen, any Madrilenian older than 12 years, we do not see less than 12 years,

746
01:33:42,560 --> 01:33:47,560
and we recommend that they have the virtual health card activated.

747
01:33:47,560 --> 01:33:53,560
No sé cuántos la tienen aquí, pero si alguno la tiene y la abre, verá que hay un apartado que pone adicciones comportamentales.

748
01:33:54,560 --> 01:33:57,500
Estamos metidos hasta en vuestro teléfono móvil.

749
01:33:58,800 --> 01:34:05,060
¿Dónde estamos? Pues este es el hospital, decían hace tiempo que era uno de los más grandes de Europa, yo no sé si lo es,

750
01:34:05,500 --> 01:34:12,060
pero aquí en aquella esquinilla, ahí estamos en la esquina de la calle Ibiza con Maikez, en la primera planta del edificio de psiquiatría,

751
01:34:12,060 --> 01:34:20,439
I was going to say, you have your own house, it's not too far away, there you can get closer.

752
01:34:21,000 --> 01:34:25,020
It is understood that I want to sell my book, but everything has a limit.

753
01:34:26,039 --> 01:34:31,220
Who do we make up this team?

754
01:34:31,220 --> 01:34:33,560
Well, you should know that there is a psychiatrist for children and adolescents,

755
01:34:34,479 --> 01:34:39,760
there is a psychiatrist for adults, a clinical psychologist, a nurse specialist in mental health,

756
01:34:39,760 --> 01:34:45,760
There is a psychologist-researcher from CSIC who helps us design research projects.

757
01:34:45,760 --> 01:34:55,760
A social worker who is doing a great job and we have many rotations to the point that we have already had to close the opening to foreign residents

758
01:34:55,760 --> 01:34:58,760
because we are completely saturated until the year almost 2028.

759
01:34:58,760 --> 01:35:02,760
Why? Because it is a topic that interests young people.

760
01:35:02,760 --> 01:35:08,760
What do we do here? Well, here I want to remember this topic.

761
01:35:08,760 --> 01:35:24,760
What is that about dual pathology? Well, the usual thing is that a person who has an addiction to the game, shopping, sex, video games, social networks,

762
01:35:24,760 --> 01:35:31,760
has a mental disorder below. It is true that a mental disorder considered not serious, such as anxiety,

763
01:35:31,760 --> 01:35:38,760
It is true that it is rare for a psychosis to appear under this, but there are pathologies that are very prevalent and very important,

764
01:35:38,760 --> 01:35:42,760
such as attention deficit disorder, obsessive-compulsive disorder,

765
01:35:42,760 --> 01:35:48,760
and we must know that if this is not treated, we will not solve the problem of behavioral addiction.

766
01:35:48,760 --> 01:35:58,199
Well, affective disorders are very common, especially in almost all cases.

767
01:35:58,199 --> 01:36:05,199
I would say that depression is especially prevalent in gambling and sex addictions.

768
01:36:05,199 --> 01:36:10,199
Impulsivity is also a shared trait in all of them.

769
01:36:10,199 --> 01:36:15,199
There are also personality disorder alterations, and in the case of shopping,

770
01:36:15,199 --> 01:36:17,199
it is very characteristic, although it is not the most frequent,

771
01:36:17,199 --> 01:36:21,199
of eating disorders, especially bulimia.

772
01:36:21,199 --> 01:36:27,199
And then there are also many people who have abuse of other addictions with substances.

773
01:36:27,199 --> 01:36:35,439
Well, what do we do? Well, then we have four phases. Access, which for us is our jewel, that is, how to access, I will explain it now.

774
01:36:35,939 --> 01:36:42,720
The private, which is where we decide who has a disorder, who is at risk and who has nothing.

775
01:36:43,779 --> 01:36:47,500
The evaluation, which is what we already do with them, and then the treatment and treatment and the high.

776
01:36:47,500 --> 01:36:55,920
Let's see. Access, and here it is what interests me the most, so that everyone knows how easy it is to access.

777
01:36:55,920 --> 01:37:01,920
It is accessed by self-cite. The self-cite of the adult is obvious, and of the minor, as it is.

778
01:37:01,920 --> 01:37:06,920
Since the minors do not yet have an individual health card, it has to be with the father's health card,

779
01:37:06,920 --> 01:37:10,920
the delegated health card, but you will see how simple it is.

780
01:37:12,920 --> 01:37:20,920
You go to Google, you type Adcom Madrid, you can also do it directly from the virtual health card,

781
01:37:20,920 --> 01:37:26,920
because there are many people who do not have it, and I do not only recommend having it, because it is very interesting.

782
01:37:26,920 --> 01:37:32,920
So, as I say there, it is as easy as booking a table in a restaurant, and look that we do not do it.

783
01:37:32,920 --> 01:37:35,920
Or a hotel. Ah, yes, well, even easier.

784
01:37:35,920 --> 01:37:46,920
We go there, you see there on the page, you put your little guitar, we click, I click and a screen appears,

785
01:37:46,920 --> 01:37:52,920
in which we have to go to our data, and then they ask us for a date, we ask for a date,

786
01:37:52,920 --> 01:37:58,920
and here we are going to choose the day, imagine what a luxury, the day is chosen.

787
01:37:58,920 --> 01:38:04,920
I can tell you that today, except for holidays, if today you ask for a date for the private,

788
01:38:04,920 --> 01:38:08,920
next week we are going to receive you.

789
01:38:08,920 --> 01:38:15,920
You choose the day, I repeat, this is important, but you do not choose the day, but also the time.

790
01:38:15,920 --> 01:38:22,920
We have two different shifts for minors and adults, but you can choose.

791
01:38:22,920 --> 01:38:32,920
And on top of that, you already have your appointment, here it tells you where you have to go, at what time, and when we wait for you.

792
01:38:32,920 --> 01:38:35,920
But if it doesn't suit you and you want to cancel it, you can cancel it.

793
01:38:35,920 --> 01:38:39,920
Ladies and gentlemen, it can't be easier.

794
01:38:39,920 --> 01:38:43,920
You don't have to ask any friend of the hospital for a recommendation.

795
01:38:43,920 --> 01:38:51,920
Nothing. You take your student's father, you sit him down, you put him in Action Madrid and you get him yourself,

796
01:38:51,920 --> 01:38:55,920
because sometimes you say, I don't know if I'll know, and you get the appointment yourself.

797
01:38:55,920 --> 01:38:58,920
That simple. And that's one of the things I wanted to take advantage of today.

798
01:38:58,920 --> 01:39:04,920
Please, know that it exists, know that it's very easy, and know that we're there for this.

799
01:39:04,920 --> 01:39:09,920
Well, and then comes the screening, which is a critical moment as well.

800
01:39:09,920 --> 01:39:15,920
The screening of adults and minors, we do two phases, I will comment on them,

801
01:39:15,920 --> 01:39:21,920
the one of the minors first and then the parents separately, but we have to do it.

802
01:39:21,920 --> 01:39:23,920
Then I will make a reflection on the issue of minors.

803
01:39:23,920 --> 01:39:29,920
So, we quote eight people at once in a specially prepared room.

804
01:39:29,920 --> 01:39:33,920
If they do not have the virtual health card activated, they are given a tablet

805
01:39:33,920 --> 01:39:39,920
And then we start, there is a social worker or a nurse who directs the session, in case anyone has a doubt.

806
01:39:39,920 --> 01:39:47,920
Then, directly, as soon as we capture the appointment, that is, you have arrived, in your virtual health card,

807
01:39:47,920 --> 01:39:53,920
all your questionnaires appear.

808
01:39:53,920 --> 01:39:58,920
Here, you see? The screen has been modernized.

809
01:39:58,920 --> 01:40:03,920
And here they give their questionnaire, these are the ones they have to fill out,

810
01:40:03,920 --> 01:40:10,920
you see there, they fill it out and when they finish they click and this appears in the corrected clinical history.

811
01:40:10,920 --> 01:40:17,920
You can't imagine the hours of work that it takes for a psychologist to have to correct those scales,

812
01:40:17,920 --> 01:40:22,920
it could be hours, hours, and this in a second, and this is thanks to digitalization,

813
01:40:22,920 --> 01:40:33,079
I have to say that it has cost a lot of money, it has cost a lot of money, the investment in being able to achieve this, it seems an obvious, simple thing that happens,

814
01:40:33,199 --> 01:40:41,739
but no, the fact that it comes out corrected, even pre-diagnosed by the patient, is really a wonder for us, because we have it, as I say, right away.

815
01:40:42,960 --> 01:40:47,539
You see, this is one of the tests that you fill in and, as I say, it ends.

816
01:40:47,539 --> 01:40:52,539
So, that result comes to the clinical history, and we, every Thursday,

817
01:40:52,539 --> 01:40:55,539
I always say about Thursdays, because sometimes there are people who want to come and visit us,

818
01:40:55,539 --> 01:40:58,539
and I say, come on Thursday, because that way you can see how the issue works.

819
01:40:58,539 --> 01:41:03,539
Every Thursday, almost until 12 in the morning, almost in the morning, the whole team gathers,

820
01:41:03,539 --> 01:41:07,539
and then we see, one by one, the cases that have occurred that week.

821
01:41:07,539 --> 01:41:09,539
What do we do?

822
01:41:09,539 --> 01:41:13,539
We not only see the results that have come out, but we also go through ORUS,

823
01:41:13,539 --> 01:41:19,539
I don't know if you know it, but it's a system that allows us to know the person's sanitary life in Madrid.

824
01:41:19,539 --> 01:41:21,539
And then you can discover things there.

825
01:41:21,539 --> 01:41:23,539
Look, they've been looking at mental health for a long time.

826
01:41:23,539 --> 01:41:28,539
Or look, this is a schizophrenia that what he wanted, these are real things, I tell you,

827
01:41:28,539 --> 01:41:31,539
that he doesn't like the diagnosis that they have put on him and he wants to come here for mental health

828
01:41:31,539 --> 01:41:35,539
and the behavioral action has nothing because it hasn't come out in the tests.

829
01:41:35,539 --> 01:41:38,539
Or the other one, this one has wanted to skip the waiting list of his mental health

830
01:41:38,539 --> 01:41:46,539
and it is believed that by saying that they have to make some purchases, we catch them all and there is no problem.

831
01:41:46,539 --> 01:41:54,539
So, in that meeting, in which we are very satisfied, we really make a very personalized prioritization.

832
01:41:54,539 --> 01:42:00,539
So, Group 1 is in those who have nothing, they are the ones who have less.

833
01:42:00,539 --> 01:42:04,539
In reality, the people who come, as you will see, are usually serious people, but there are people who say,

834
01:42:04,539 --> 01:42:10,840
Hey, you don't have any problem. I don't know, be careful, maybe you use too much of this, you buy a lot, but you don't have any problem.

835
01:42:11,359 --> 01:42:18,000
But there is another group, the one that we need all the time to have places where to derive people who are people at risk.

836
01:42:18,420 --> 01:42:24,180
People who have not yet passed the red line, but who are having an abuse of behavior, a risk consumption.

837
01:42:25,000 --> 01:42:28,899
And then there are the group 3, which are the ones who are bad and stay with us, who are the majority.

838
01:42:28,899 --> 01:42:42,899
Here you see what happens, only two are discarded, there are some that we send to the drug care centers and others are left in their mental health centers where they were already because they do not proceed to break that therapeutic relationship.

839
01:42:42,899 --> 01:42:48,899
Well, the ones with the greatest success are the ones that stay with us.

840
01:42:48,899 --> 01:42:55,899
Next, after the screening, what else is going to happen? Well, we now move on to evaluation, which we are going to see more closely.

841
01:42:55,899 --> 01:43:03,899
Yes. So, the patient, when we have decided that he is our patient, so that you can see the multidisciplinary attention that is given to him,

842
01:43:03,899 --> 01:43:12,899
he is admitted at 8.30 with the nurse, he is given an analytical diagnostic battery, because there are a number of variables that we need to control,

843
01:43:12,899 --> 01:43:18,899
apart from the fact that it is a good opportunity to evaluate the physical condition of the patient, both minor and adult,

844
01:43:18,899 --> 01:43:22,699
and then he is given an appointment with a psychiatrist and a psychologist, usually,

845
01:43:22,699 --> 01:43:28,100
to then, multidisciplinary, decide which plan is going to be followed by that patient.

846
01:43:28,100 --> 01:43:34,100
Because sometimes they are plans that are only individual, but most of the time we use group therapies.

847
01:43:34,100 --> 01:43:41,100
So, in the evaluation we use some instruments that evaluate two aspects,

848
01:43:41,100 --> 01:43:47,100
what is behavioral addiction itself and, on the other hand, what is the pathology, that is, the mental disorders.

849
01:43:47,100 --> 01:43:59,100
Well, for behavioral addictions, we have these, I put it simply so that you know that they are scales, logically, scientifically validated, demonstrated, that they exist.

850
01:43:59,100 --> 01:44:08,100
With these we evaluate behavioral addictions and with these we evaluate depression, anxiety, adult TDAH, you do not know how frequent it is,

851
01:44:08,100 --> 01:44:14,100
emotional regulation, motivation to change and personality disorder.

852
01:44:14,100 --> 01:44:19,100
This is very important because this is what I said before about dual pathology as a norm,

853
01:44:19,100 --> 01:44:21,100
not as an exception in these people.

854
01:44:21,100 --> 01:44:24,100
Well, and then what happens in the future?

855
01:44:24,100 --> 01:44:32,100
Well, usually, we already do a dual follow-up, but very often we include them in group therapies.

856
01:44:32,100 --> 01:44:37,100
We now have group therapy for both sex and compulsive buying.

857
01:44:37,100 --> 01:44:46,100
I have to tell you, because we are evaluating not only results, but also satisfaction, that patients in general are very satisfied with this approach.

858
01:44:46,100 --> 01:44:56,100
I say this because, a priori, there are many people who say, well, talking about all the shopping I spend in groups or talking about my sexual problems in groups, well, no.

859
01:44:56,100 --> 01:45:06,100
We have to say that it is probably the most accepted intervention by patients and that, of course, we are quite satisfied with this structure.

860
01:45:06,100 --> 01:45:10,100
with this structure, it is a model that is based on the control of impulses,

861
01:45:10,100 --> 01:45:15,100
what happens is that it is the same structure, but it is modulated according to whether it is a game, sex or purchase,

862
01:45:15,100 --> 01:45:19,100
or then we see in minors also the topic of video games.

863
01:45:19,100 --> 01:45:22,100
Then, if we give them the high, they can go to the Mental Health Center,

864
01:45:22,100 --> 01:45:26,100
or to the Cat of Madrid Salud, or well, this is already according to each case.

865
01:45:26,100 --> 01:45:33,100
Well, the issue of minors, we do that multidisciplinary development to see what we are going to do with them.

866
01:45:33,100 --> 01:45:40,300
I have to say that we don't have minors because of sex, games, pathology or shopping.

867
01:45:40,300 --> 01:45:47,100
We basically see boys with social media and video games problems and they usually associate with it.

868
01:45:47,100 --> 01:45:53,100
This is what we do in the shelter, the scales that we go through, simply to share it.

869
01:45:53,100 --> 01:45:59,100
As you can see, the yellow box is the largest part of the people who are cases and we have to stay.

870
01:45:59,100 --> 01:46:08,140
very few have come with a problem absence because because the young people the teenagers this

871
01:46:08,140 --> 01:46:13,020
that the father tells him hey you are all day with the mobile you have a problem of which they look at him

872
01:46:13,020 --> 01:46:18,500
from top to bottom but you what are you going to do is as if you tell me that you that I told you I started one

873
01:46:18,500 --> 01:46:23,159
that you are addicted to sports shoes that is, what are you talking about you do not understand anything you do not know

874
01:46:23,159 --> 01:46:28,619
how life is we enter this dynamic of adolescence is really I have to say that we have not

875
01:46:28,619 --> 01:46:31,619
But we haven't managed to reach the adolescents as we would like.

876
01:46:31,619 --> 01:46:35,619
What we see are extreme cases, very serious cases.

877
01:46:35,619 --> 01:46:44,619
These are cases where we are already in a limited situation, of course at the school level, at the family level, even at the physical level.

878
01:46:44,619 --> 01:46:49,619
Because the others do not have that awareness, we have not been able to reach them.

879
01:46:49,619 --> 01:46:55,619
I am willing to listen to advice, we have thought about going to schools to see if we could get there.

880
01:46:55,619 --> 01:47:01,619
We would continue, we have thought of going on social media, but it is not so easy to do it from the public administration,

881
01:47:01,619 --> 01:47:08,619
because society is alarmed by teenagers, but really teenagers are not alarmed at all.

882
01:47:08,619 --> 01:47:16,619
I remember a scene that I have told you more often, maybe on the escalator that went up,

883
01:47:16,619 --> 01:47:19,619
a mother facing the teenager and the teenager saying,

884
01:47:19,619 --> 01:47:23,619
you have deceived me, you told me that we were going to the dermatologist and you brought me this scene.

885
01:47:23,619 --> 01:47:28,619
This is the problem. When we do the evaluations, of course, it is complex.

886
01:47:28,619 --> 01:47:33,619
So, in the end, of course, what we have left, what is coming to see us as young people,

887
01:47:33,619 --> 01:47:38,619
I have to say that it is much less than adults and that they are already quite serious people.

888
01:47:38,619 --> 01:47:44,619
Well, these are the scales that we passed them. We have to say that we always work with families.

889
01:47:44,619 --> 01:47:48,619
In fact, we now have a school of parents, which is very good.

890
01:47:48,619 --> 01:48:04,619
We are already working on a primary prevention project to work with parents of children from 5 to 12 years old,

891
01:48:04,619 --> 01:48:11,619
they have not yet asked for the mobile to teach them to see if we are going to try to see if with a model that we have of intervention

892
01:48:11,619 --> 01:48:18,619
really those parents are able to teach a rational use of the screens to those kids when they think about it.

893
01:48:18,619 --> 01:48:24,619
The group of teenagers, well, it is of a psychoeducational character, it also has cognitive-conductual interventions

894
01:48:24,619 --> 01:48:27,619
and basically we address impulsivity.

895
01:48:27,619 --> 01:48:35,619
In the case of minors, many of them go to the Center for the Attention of Technological Addictions.

896
01:48:35,619 --> 01:48:42,619
In some cases, there is a comorbidity with the abuse of cannabis, and we have to support ourselves in the CAID.

897
01:48:42,619 --> 01:48:47,619
And many of them end up in the mental health center, if they need it.

898
01:48:47,619 --> 01:48:51,619
Well, I'm going to tell you a little bit about the data.

899
01:48:51,619 --> 01:48:56,619
Do you remember? Group 1, Group 2, Group 3. I have already told you this figure, I have already taught it before.

900
01:48:56,619 --> 01:49:01,619
Just to tell you that more and more people are coming, logically, according to what we have opened.

901
01:49:01,619 --> 01:49:04,619
And note that this does have more curiosity.

902
01:49:04,619 --> 01:49:10,619
Adults, the average age, 38 years. It fits, right? Of what we see.

903
01:49:10,619 --> 01:49:18,619
You do not know the number of young adults that we have, well, they are not the most, with video game problems, which is not despicable.

904
01:49:18,619 --> 01:49:25,619
Men. Men win in everything. In everything.

905
01:49:25,619 --> 01:49:28,619
In bowling, except for one thing that we will mention later.

906
01:49:28,619 --> 01:49:35,619
65% of those who come stay with us, they are very serious.

907
01:49:35,619 --> 01:49:40,619
And it is also interesting to say that 20% have several types of problems.

908
01:49:40,619 --> 01:49:46,619
Let's see. The game of betting is the most frequent and the most serious too.

909
01:49:46,619 --> 01:50:04,619
But look, online is equal to offline, but the problem in other studies in Spain is that online, to be clear, is the sports bet.

910
01:50:04,619 --> 01:50:11,619
That's the one that destroys everything, and that's basically the boys who play this.

911
01:50:11,619 --> 01:50:20,619
Sex is only 24%. What happened to us with sex is that in Madrid there were no places to attend to it.

912
01:50:20,619 --> 01:50:25,619
So, when we opened, we had an avalanche of people who were really tortured by this,

913
01:50:25,619 --> 01:50:32,619
because I would like to make it clear, although it is not the day to explain it, that there are real sex addicts and that they are people who suffer a lot.

914
01:50:32,619 --> 01:50:35,619
They are neither perverse nor hypersexual.

915
01:50:35,619 --> 01:50:42,619
I assure you that when you know a case of these, the suffering and torture of life that they have is tremendous.

916
01:50:42,619 --> 01:50:47,619
Well, these people, which fortunately are not very frequent, we have them, I think, almost all of them,

917
01:50:47,619 --> 01:50:49,619
because they come and it is a place ...

918
01:50:49,619 --> 01:50:57,619
Keep in mind that the self-cite prevents you from having to tell the family doctor and the mental health psychiatrist these kinds of things.

919
01:50:57,619 --> 01:51:03,619
That if I play, that if I don't play, that if I'm all day, I don't know, using prostitution or porn.

920
01:51:03,619 --> 01:51:10,619
So, this issue of self-quoting in this type of pathologies is one of the things that we are most grateful for in the satisfaction surveys,

921
01:51:10,619 --> 01:51:14,619
which is confidentiality or intimacy, so to speak.

922
01:51:14,619 --> 01:51:17,619
Purchases. Here, women do win, I have to say.

923
01:51:17,619 --> 01:51:22,619
In video games, men also win.

924
01:51:22,619 --> 01:51:27,619
Girls are more social media, although there are some video games that they also use,

925
01:51:27,619 --> 01:51:32,619
but this is the reality and it corresponds to the reality that…

926
01:51:32,619 --> 01:51:35,619
Although these are adults, now we are going with these.

927
01:51:35,619 --> 01:51:39,619
What things would we highlight that we have seen in adults that may be interesting?

928
01:51:39,619 --> 01:51:47,619
Well, the frequent thing that is in the bets, the association with depression, with tobacco and alcohol.

929
01:51:47,619 --> 01:51:52,619
I suppose that those who are closer to my age, when they could smoke in bars,

930
01:51:52,619 --> 01:52:05,020
I'm sure you remember people clinging to a machine, a slug, with a tube cup and a cigar.

931
01:52:05,020 --> 01:52:07,420
Tobacco, alcohol and slugs.

932
01:52:07,420 --> 01:52:10,380
This is how it is, this is what is most associated.

933
01:52:10,380 --> 01:52:15,020
In addition to sex, it is interesting to know that the compulsive disorder is very frequent.

934
01:52:15,020 --> 01:52:23,020
It is also interesting to see the relationship that I have seen in the editions of the purchases with the disorders of food taste.

935
01:52:23,020 --> 01:52:32,020
In the edition of video games, who was going to say it, it is quite frequent, not only the TDAH, but also the autism spectrum disorder.

936
01:52:32,020 --> 01:52:42,020
Here we have the doctor, plus the doctor Abigail Huertas, who is my TA, we are in the same corridor, that is, we work, we pass the patients with a certain lightness.

937
01:52:42,020 --> 01:52:46,020
In fact, the pediatric psychiatrist who works with us is also a person who works with autism,

938
01:52:46,020 --> 01:52:52,020
but this she will be able to tell why it is so frequent in these boys, but it is quite frequent, yes.

939
01:52:52,020 --> 01:52:57,020
Well, and the levels of adult ADHD are also very important, that is why we evaluate them from the beginning.

940
01:52:57,020 --> 01:53:02,020
In young people, in minors, the average age, what do we see? 14 years.

941
01:53:02,020 --> 01:53:09,020
Men win, they remain at 57% and 15% have polyaddiction.

942
01:53:09,020 --> 01:53:17,020
Well, here, as you can see, the champions are video games, obviously, 92% are boys, and the social networks are more girls.

943
01:53:17,020 --> 01:53:20,020
I have told you before that the cases that are coming are the most serious.

944
01:53:20,020 --> 01:53:25,020
They are cases, really, maybe I should tell you this one day, my partner Nacho Civeira,

945
01:53:25,020 --> 01:53:34,020
they are cases that sometimes impact, that is, we are talking about very important deteriorations in family life and in boys.

946
01:53:34,020 --> 01:53:43,020
That is why I say that in the end, of course, those who come to settle are left alone, because those who really come are already worrisome cases.

947
01:53:43,020 --> 01:53:52,020
About sex, well, it is totally anecdotal the 3% and, well, about porn and such, but there is not, I think it is a polyaddiction,

948
01:53:52,020 --> 01:53:57,020
there is not a boy in young people who says, I am only watching porn, with the damage it does.

949
01:53:57,020 --> 01:54:02,020
What is not the actual thing is that it is associated with social networks or video games.

950
01:54:02,020 --> 01:54:07,020
And the purchases, well, some start already, those who can get money, to do it.

951
01:54:07,020 --> 01:54:14,609
Well, about teenagers, what tips can we remember?

952
01:54:14,609 --> 01:54:19,609
Well, that of video game addicts, 45% suffer from attention disorders.

953
01:54:19,609 --> 01:54:27,609
That of teenagers, 20% have been diagnosed with something that has to do with depressive or anxious symptomatology.

954
01:54:27,609 --> 01:54:34,609
The 10%, as we have said before, meets the diagnostic criteria of spectro-optical disorder.

955
01:54:34,609 --> 01:54:42,609
The 70% of the patients who have intervened in social networks are women,

956
01:54:42,609 --> 01:54:48,609
that is, the women, the girls, are more involved in everything that has to do with messaging,

957
01:54:48,609 --> 01:54:51,609
communication and the boys more in what is competition.

958
01:54:51,609 --> 01:55:01,920
Well, and I'm closing the experience by summarizing that most of what we see today is adults,

959
01:55:01,920 --> 01:55:07,920
because of what I have explained, because it is very difficult, and I accept ideas of how to reach young people,

960
01:55:07,920 --> 01:55:15,920
and what message to give them so that they can say, hey, well, I still have to go to this place, right?

961
01:55:15,920 --> 01:55:17,920
That is the difficult part.

962
01:55:17,920 --> 01:55:22,920
As I just said, girls have more problems with social networks and boys with online games.

963
01:55:22,920 --> 01:55:27,920
Adults, especially, have an addition to the game and sex. Sex is the second, it is important.

964
01:55:27,920 --> 01:55:30,920
We have also seen tremendous cases there.

965
01:55:30,920 --> 01:55:36,920
One thing I wanted to say about sex is that we have a clause, that is, when there is someone who comes,

966
01:55:36,920 --> 01:55:43,920
we warn them that if any type of criminal conduct is detected, especially in pediatrics, it will be denounced.

967
01:55:43,920 --> 01:55:48,920
And this is clear from the beginning that they come and in fact we have already had to denounce a case.

968
01:55:48,920 --> 01:55:54,920
Well, in the elderly, 78% are men and 24% are...

969
01:55:54,920 --> 01:56:01,920
And well, I wanted to tell you that of all this about Adcon, it seems to me that accessibility is one of the great successes,

970
01:56:01,920 --> 01:56:06,920
which is not only valid for Adcon, it would be valid for certain pathologies.

971
01:56:06,920 --> 01:56:10,920
Logically, the self-cite cannot be universal, it cannot be, it is impossible.

972
01:56:10,920 --> 01:56:21,920
but I think there are certain pathologies in which autocyta can be, and in fact it is what I have said before, what they are most grateful for.

973
01:56:21,920 --> 01:56:30,920
The screening is important because beyond what we detect and do not detect, there are many serious cases, especially in adults,

974
01:56:30,920 --> 01:56:39,920
that we detect earlier than what would have been at another time, at another time, in other years that the adcom center did not exist.

975
01:56:39,920 --> 01:56:42,920
The multidisciplinary approach enriches us a lot.

976
01:56:42,920 --> 01:56:45,920
On Thursdays, we all see…

977
01:56:45,920 --> 01:56:48,920
Well, they do, because I'm the head of the medical department,

978
01:56:48,920 --> 01:56:51,920
and I'm not going there, but they get there,

979
01:56:51,920 --> 01:56:57,920
and they analyze and it's very enriching.

980
01:56:57,920 --> 01:57:04,920
And above all, the approach to dual pathology is very important.

981
01:57:04,920 --> 01:57:08,920
And if I'm not mistaken, that's all. Thank you very much.

982
01:57:09,920 --> 01:57:34,199
We have a few minutes in case any of you have any questions.

983
01:57:34,199 --> 01:57:36,199
Nobody's going to give me any idea how to get to the young people?

984
01:57:36,199 --> 01:57:39,199
Oh, oh, oh, oh, oh, oh, oh, oh, oh.

985
01:57:39,199 --> 01:57:41,199
Let's see, you were the fastest.

986
01:57:41,199 --> 01:57:45,199
I can't hear you, sorry.

987
01:57:45,199 --> 01:58:00,789
Hello? Yes? I am the director of a preferred center for deaf students and I have many cases of deaf students with accessibility problems to mental health.

988
01:58:00,789 --> 01:58:02,789
For deaf students?

989
01:58:02,789 --> 01:58:15,789
Yes, because I have contact, but the psychologists who are competent in sign language are very limited and not only is it an interpreter,

990
01:58:15,789 --> 01:58:20,789
that is, the interpreter helps, but it is an important barrier. Are you prepared for that?

991
01:58:20,789 --> 01:58:27,789
Let's see, maybe you don't know it, we have the mental and deaf health unit since 2005, a pioneer in Spain,

992
01:58:27,789 --> 01:58:31,789
in Spain, where the Basque Country has been formed, which is the next unit.

993
01:58:31,789 --> 01:58:34,789
So, we have signatory professionals.

994
01:58:34,789 --> 01:58:39,789
Indeed, as you say very well, attending a deaf person, I'm going to get out of hearing disability,

995
01:58:39,789 --> 01:58:47,789
it is an invisible disability that generates a lot of suffering simply by being adapted to a hearing world.

996
01:58:47,789 --> 01:58:55,789
So, what we know is that it is not only the language, but also knowing the deaf culture, the deaf community.

997
01:58:55,789 --> 01:59:02,789
The deaf community is a different world. We cannot evaluate what happens to the deaf with our own criteria.

998
01:59:02,789 --> 01:59:04,789
They have a different way of seeing life.

999
01:59:04,789 --> 01:59:09,789
There are situations, for example, with the cochlear implant, which has faced the deaf community,

1000
01:59:09,789 --> 01:59:15,789
with respect to those who consider that they have to continue being deaf to maintain that identity,

1001
01:59:15,789 --> 01:59:18,789
and those who believe that the cochlear implant is an advance.

1002
01:59:18,789 --> 01:59:24,789
Of course, we know them, we have them, we have professionals who sign.

1003
01:59:24,789 --> 01:59:45,250
What happens is that psychiatrists, I see, I see, I take care of patients, but always with the psychologist, and really we have been doing this for many years and it is not for nothing, but the patients are quite, yes, of course, but also, I mean, we are not going to make you wait a long time.

1004
01:59:45,250 --> 01:59:48,250
However, this has nothing to do with behavioral issues.

1005
01:59:48,250 --> 01:59:51,250
If it has to do with behavioral issues, we will also address it.

1006
01:59:51,250 --> 01:59:55,250
But the deaf unit is specific for that.

1007
01:59:55,250 --> 01:59:57,250
It is in Leroy Marañón.

1008
01:59:57,250 --> 02:00:00,250
And, well, it is simply to contact us.

1009
02:00:00,250 --> 02:00:15,600
In special education centers, we have a profile of students

1010
02:00:15,600 --> 02:00:20,600
who can manifest some of these types of addictions.

1011
02:00:20,600 --> 02:00:28,600
and we do not know if the fact of having intellectual disability would be an exclusionary factor to be served.

1012
02:00:28,600 --> 02:00:32,600
Well, we would have to see it, we would have to see what degree of disability and also what you are talking about,

1013
02:00:32,600 --> 02:00:39,600
if it is a compulsive behavior that even generates a certain calm at a given moment.

1014
02:00:39,600 --> 02:00:46,600
The question is, is it a problem, is it dysfunctional? I do not know what case you are thinking about.

1015
02:00:46,600 --> 02:00:49,600
Tell me about video games, social networks.

1016
02:00:49,600 --> 02:00:56,600
I have several cases. Yes, it would be like a higher profile of students in special education centers that are up to 22 years old,

1017
02:00:56,600 --> 02:01:08,600
with oral language, with a certain type of social relations, with more or less preserved cognitive capacity within the entire profile of students that we have in special education.

1018
02:01:08,600 --> 02:01:13,600
And maybe it has more to do with the subject of video games.

1019
02:01:13,600 --> 02:01:14,600
Screens.

1020
02:01:14,600 --> 02:01:15,600
Screens, yes.

1021
02:01:15,600 --> 02:01:24,600
We are not talking about money, bets or purchases, I think we should see that, in some cases it is not so dysfunctional,

1022
02:01:24,600 --> 02:01:30,600
or do you think that what they do with the screens is causing problems to those cases that you are thinking about?

1023
02:01:30,600 --> 02:01:38,600
Of course, I could not tell you exactly because I do not only have one case in mind, I would just like to know if they have the possibility.

1024
02:01:38,600 --> 02:01:43,600
Yes, if they have the possibility, but we can also tell you, hey, maybe in this case not so bad, you know?

1025
02:01:43,600 --> 02:01:53,420
mal sabes ya entiendo lo que quieres decir que dentro de la vida hay que saber no podemos ser

1026
02:01:53,420 --> 02:01:59,859
muy radicales en a veces los diagnósticos bueno según qué persona igual es mejor dejar las cosas

1027
02:01:59,859 --> 02:02:14,289
como están gracias allí hay dos a ver si alguna me da una idea y no me preguntan bueno menos mal

1028
02:02:14,289 --> 02:02:18,289
Well, two questions and an idea, and we close.

1029
02:02:18,289 --> 02:02:23,289
Good afternoon. I wanted to ask about…

1030
02:02:23,289 --> 02:02:30,289
I was thinking about the case of minors with families,

1031
02:02:30,289 --> 02:02:35,289
the parents in situations of separation, divorce,

1032
02:02:35,289 --> 02:02:44,289
There are even situations where the judges come to a very extreme situation.

1033
02:02:44,289 --> 02:02:56,289
As for the point, the moment of treatment, there has to be consent from both progenitors. How is this managed?

1034
02:02:56,289 --> 02:03:01,289
To begin with, both parents do the screening of the adult part.

1035
02:03:01,289 --> 02:03:06,289
We take into account the opinion of both parents.

1036
02:03:06,289 --> 02:03:09,289
And then the protocol is applied, and Abigail knows this better,

1037
02:03:09,289 --> 02:03:14,289
the protocol that we have in the hospital of attention to separated parents.

1038
02:03:14,289 --> 02:03:18,289
And then, well, there it is protocolized how to do it, how to notify,

1039
02:03:18,289 --> 02:03:21,289
and that does not have a major problem in our hospital.

1040
02:03:21,289 --> 02:03:24,289
In other words, things are done protocolically, they know it,

1041
02:03:24,289 --> 02:03:31,289
When it comes to behavioural issues, the peculiarity is to tell you that, whether they are in conflict or not,

1042
02:03:31,289 --> 02:03:39,289
both of them are asked to come, so that both of them fill in, because what they want are some questionnaires

1043
02:03:39,289 --> 02:03:42,289
about how they see the behavior of the child.

1044
02:03:42,289 --> 02:03:46,289
We also take the opportunity, I have to say it, to give them TDAH questionnaires,

1045
02:03:46,289 --> 02:03:50,289
because, as you know, the definition of attention is highly charitable,

1046
02:03:50,289 --> 02:03:55,289
and then we also take the opportunity to situate ourselves as is the thing in the family.

1047
02:03:55,289 --> 02:04:22,300
Minor or minor, it seems a addiction and one of the parts of the progenitors does not authorize that intervention plan or that treatment.

1048
02:04:22,300 --> 02:04:28,300
I don't know, but I suppose that there was... What is the protocol for, Micael?

1049
02:04:28,300 --> 02:04:30,300
When you don't want to...

1050
02:04:30,300 --> 02:04:32,300
That's more or less...

1051
02:04:32,300 --> 02:04:36,300
Yes, in the protocol of parents in conflict, you can't deny...

1052
02:04:36,300 --> 02:04:39,680
That, the evaluation.

1053
02:04:39,680 --> 02:04:42,680
A diagnosis, if there is a diagnosis and no recommendations,

1054
02:04:42,680 --> 02:04:45,680
and there is no agreement, they can take it to a judicial process.

1055
02:04:45,680 --> 02:04:48,680
And it is the judge who decides.

1056
02:04:48,680 --> 02:04:50,680
But that's not only in this, it's in everything, right?

1057
02:04:50,680 --> 02:04:51,680
In all of them.

1058
02:04:51,680 --> 02:04:53,680
That does not only affect them.

1059
02:04:53,680 --> 02:04:56,680
Once there is a diagnosis and an indication of treatment,

1060
02:04:56,680 --> 02:05:04,260
as in all illnesses, unless it is due on an urgent basis,

1061
02:05:04,260 --> 02:05:11,060
if there is suicide, suicide risk, perhaps...

1062
02:05:11,060 --> 02:05:14,060
Exactly, I'm telling you, it doesn't matter if they are behavioral issues or...

1063
02:05:14,060 --> 02:05:15,060
You just have to know everything.

1064
02:05:15,060 --> 02:05:16,060
Exactly.

1065
02:05:16,060 --> 02:05:19,060
Very well, one more question and we'll close with...

1066
02:05:19,060 --> 02:05:20,060
Hello, hello.

1067
02:05:20,060 --> 02:05:26,060
Look, I wanted to ask, when it comes to directing students,

1068
02:05:26,060 --> 02:05:29,060
or also with families, depending on age,

1069
02:05:29,060 --> 02:05:35,060
to some resource related to the issue of addictions, right?

1070
02:05:35,060 --> 02:05:40,060
The ADCOM, there is also the CAD, the CAI, the SAT,

1071
02:05:40,060 --> 02:05:42,060
Madrid Salud, Salud Mental, right?

1072
02:05:42,060 --> 02:05:46,060
That you also coordinate with them from the ADCOM center.

1073
02:05:46,060 --> 02:05:51,060
My question is, to which specific one do I assign the student?

1074
02:05:51,060 --> 02:05:52,060
No, no, no.

1075
02:05:52,060 --> 02:05:54,060
How do I decide to assign one to the other?

1076
02:05:54,060 --> 02:05:55,060
You don't assign it to us.

1077
02:05:55,060 --> 02:05:58,060
If it is a behavioral addiction, you sit down, if you want to help them,

1078
02:05:58,060 --> 02:06:01,060
If you want to help them, you say, come on, let's do it together.

1079
02:06:01,060 --> 02:06:05,060
You open the mobile phone, pam, pam, pam, with the ID card and it is already quoted.

1080
02:06:05,060 --> 02:06:08,060
You tell them, hey, but if you don't have anything, they will tell you.

1081
02:06:08,060 --> 02:06:15,060
I mean, you don't, I mean, try to make them see that what we are going to do for them there is not at the moment any treatment,

1082
02:06:15,060 --> 02:06:19,060
it is simply an evaluation and that it is an opportunity to know if there is a problem.

1083
02:06:19,060 --> 02:06:21,060
So, you don't have anything, forget it.

1084
02:06:21,060 --> 02:06:26,060
I mean, the fact is that we, depending on what they have, we derive them there or not.

1085
02:06:26,060 --> 02:06:29,060
but we are the front door, for behavioural reasons.

1086
02:06:29,060 --> 02:06:32,060
But we can also send it directly to the CAF, for example.

1087
02:06:32,060 --> 02:06:36,060
If you want to send it, of course, but because it has a substance problem.

1088
02:06:36,060 --> 02:06:38,060
Thank you.

1089
02:06:38,060 --> 02:06:49,000
Well, the idea that is going to start, in reality, is not an idea,

1090
02:06:49,000 --> 02:06:53,000
it is something that we are already doing and almost more to tell them.

1091
02:06:53,000 --> 02:06:57,000
I am Pilar Ponce, President of the School Council of the Community of Madrid,

1092
02:06:57,000 --> 02:07:03,399
en alguna ocasión hemos hablado estamos dando llevamos treinta y tantos municipios de la

1093
02:07:03,399 --> 02:07:10,039
comunidad de madrid con una charla sobre navegación segura para adolescentes en esta charla incluimos

1094
02:07:10,039 --> 02:07:15,600
el enlace al centro atco hemos tenido alguna ocasión en el que al finalizar la charla

1095
02:07:15,600 --> 02:07:20,779
habido alguna familia es son charlas para familias al finalizar alguna familia bueno

1096
02:07:20,779 --> 02:07:23,880
casi siempre hay alguna familia que viene y nos pregunta por el centro y lo dirigimos

1097
02:07:23,880 --> 02:07:31,880
And sometimes they have called us to the school council and said that what they told us is true and works well.

1098
02:07:31,880 --> 02:07:36,880
So, I have more than one idea, it is something that we already do and to tell them.

1099
02:07:36,880 --> 02:07:44,880
The documents that the school council has published, behavioral addictions, mental health, healthy habits, etc.

1100
02:07:44,880 --> 02:07:46,880
We always put your link.

1101
02:07:46,880 --> 02:07:54,880
I would like that all the teachers in the community of Madrid who receive the e-mails from the school council,

1102
02:07:54,880 --> 02:07:56,880
I'm going to put them on the screen if you allow me,

1103
02:07:56,880 --> 02:07:59,880
open them and see the resources that are facilitated,

1104
02:07:59,880 --> 02:08:05,880
where among other things it is linked to the Center for Behavioral Editions and how easy it is to use it.

1105
02:08:05,880 --> 02:08:13,880
So, a request please, because you have received all this in your e-mails five or six times at least.

1106
02:08:13,880 --> 02:08:23,880
And then the offer that you use us, because we are an extraordinary tool to reach families through the main federations of the FAPA,

1107
02:08:23,880 --> 02:08:29,880
make it arrive, also work with teachers and be able to take advantage of it.

1108
02:08:29,880 --> 02:08:35,880
Because indeed, Ateo, when a family, we see the situation that there is, the talk ends,

1109
02:08:35,880 --> 02:08:44,380
I told her, hey, my son has this problem. I took his cell phone off and he became violent, and it wasn't like that, and it happened, and he tells you the evolution, and you say, well, look, I don't know, but come here.

1110
02:08:45,180 --> 02:08:53,199
And when, on one occasion, it happened to us to call her afterwards and say, hey, this is really, it works phenomenal, how good, thank you for telling us, it's wonderful.

1111
02:08:53,199 --> 02:09:04,479
The resource is extraordinary and it's super important that it is known. And take advantage, it seems super important to me, the contact and the relationship with the main federations that we have in the Community of Madrid,

1112
02:09:04,479 --> 02:09:10,600
because because they arrive and because they have the trust of the families to know that if they

1113
02:09:10,600 --> 02:09:16,000
recommend it, it is something that is worth it and that is important then at your full

1114
02:09:16,000 --> 02:09:21,699
disposal as a school council to continue giving to know the resource that as I tell you we already

1115
02:09:21,699 --> 02:09:31,699
do it enough so but even so and even so I return to mine that the parents I already know that we

1116
02:09:31,699 --> 02:09:37,939
captamos a los jóvenes hay algo que pueda haber un joven que diga joven a ver si va a ser

1117
02:09:41,100 --> 02:09:48,020
porque las familias las familias ya sé que están preocupadas pero lo que lo que lo que es duro es

1118
02:09:48,020 --> 02:09:54,859
que hay chavales que cuando ya reconocen que es que ya sean dando un corte en su vida

1119
02:09:54,859 --> 02:10:02,399
Demonstrarle a los padres que no tienen un problema. Y así se lo demuestras a tus padres y se tienen que pagar.

1120
02:10:03,220 --> 02:10:08,939
Pero escucha, Abigail, que tenías que ver que no son tontos, que van a hacer el cribado y saben lo que tienen que contestar.

1121
02:10:09,619 --> 02:10:12,039
Que no mientan, pero no mientan.

1122
02:10:13,399 --> 02:10:14,439
Andrea, perdona, pero...

1123
02:10:14,439 --> 02:10:15,300
Muchas gracias.

1124
02:10:33,649 --> 02:10:33,890
Sí.

1125
02:10:33,890 --> 02:10:55,970
Yes, yes. We just rescued the wise man from the video games, a 16-year-old boy who you can't even imagine.

1126
02:10:55,970 --> 02:11:03,970
He's gone to the dark side and he's going to help us. He's a boy with a lot of contact difficulties.

1127
02:11:03,970 --> 02:11:10,010
These ambassadors are essential.

1128
02:11:10,010 --> 02:11:12,010
It's not easy to find them, but we already have one.

1129
02:11:12,010 --> 02:11:20,949
Very interesting.

1130
02:11:20,949 --> 02:11:25,649
Well, thank you very much. Thank you, Francisco.

1131
02:11:25,649 --> 02:11:30,949
We have been dragging time to time and we are doing quite well,

1132
02:11:30,949 --> 02:11:32,850
surely five minutes.

1133
02:11:32,850 --> 02:11:36,390
The next speaker is Dr. Abigail Huertas.

1134
02:11:36,390 --> 02:11:41,510
But before, well, we got in touch when we were thinking

1135
02:11:41,510 --> 02:11:48,090
about designing this congress with the one who is now the head

1136
02:11:48,090 --> 02:11:54,909
del Servicio de Psiquiatría del Hospital La Paz,

1137
02:11:55,050 --> 02:11:59,310
que ha sido responsable en el Hospital Gregorio Marañón,

1138
02:11:59,430 --> 02:12:03,710
Celso Arango, también una persona con la que mantenemos

1139
02:12:03,710 --> 02:12:07,310
una relación fantástica, y nos quiso dejar tres minutos

1140
02:12:07,310 --> 02:12:09,909
de observación en un vídeo.

1141
02:12:10,109 --> 02:12:14,550
Inmediatamente pasará la CEO Raquel Llevenes

1142
02:12:14,550 --> 02:12:17,029
a presentar a Abigail Huertas.

1143
02:12:17,029 --> 02:12:20,029
So let's put the video on if you don't mind.

1144
02:12:21,029 --> 02:12:28,560
Hello, I'm Celso Arango, Head of Child Psychiatry Services at the Hospital of the Ministry of Peace,

1145
02:12:28,560 --> 02:12:33,560
until recently Head of Child Psychiatry Services at the Marañón University.

1146
02:12:33,560 --> 02:12:40,560
And for me it is a great pleasure to be able to tell you these words in the inauguration of the course Educate to Take Care.

1147
02:12:40,560 --> 02:12:47,560
What a nice name, Educate to Take Care, to take care in a topic that includes, naturally, mental health.

1148
02:12:47,560 --> 02:12:52,060
A very short time ago, a few years ago, the World Health Organization reminded us,

1149
02:12:52,060 --> 02:12:59,560
coinciding with the visualization, the knowledge from the general population

1150
02:12:59,560 --> 02:13:04,060
that there is a problem and that problem is called mental health,

1151
02:13:04,060 --> 02:13:07,060
especially from the general population, children and adolescents,

1152
02:13:07,060 --> 02:13:10,560
and that we have to take a step forward to intervene,

1153
02:13:10,560 --> 02:13:14,560
fundamentally with measures of health promotion, primary prevention.

1154
02:13:14,560 --> 02:13:16,560
As the World Health Organization told us,

1155
02:13:16,560 --> 02:13:18,880
that we have to get out of our comfort zone,

1156
02:13:18,880 --> 02:13:22,439
that mental health professionals have to be where people are,

1157
02:13:22,439 --> 02:13:27,359
in their workplaces and, of course, in the school.

1158
02:13:27,359 --> 02:13:31,279
But, and from my own experience, I know that the grey areas,

1159
02:13:31,279 --> 02:13:34,720
and here by grey areas I mean those that are between disciplines,

1160
02:13:34,720 --> 02:13:36,880
or between administrations, or between councils,

1161
02:13:36,880 --> 02:13:40,119
for example, education and mental health,

1162
02:13:40,119 --> 02:13:44,279
have always been more complicated and have been a bit of nobody's territory.

1163
02:13:44,279 --> 02:13:55,300
Looking at the panel of speakers of these days, of the course, looking at the titles of the talks and knowing what is happening today in the community of Madrid,

1164
02:13:55,300 --> 02:14:04,359
I can say and affirm that that gray area has almost disappeared, that the daily work between people who have common objectives,

1165
02:14:04,500 --> 02:14:11,260
such as education professionals and mental health professionals, is a shared work space in this community.

1166
02:14:11,260 --> 02:14:23,260
The fact that courses are being given, partly thanks to the Maritza Koplovich Foundation for the training of educational professionals, both in ordinary and special education.

1167
02:14:23,260 --> 02:14:38,260
The fact that there are professionals working in schools directly with the directors, with the teachers, with the entire team of school centers, I think it is fundamental and it is a before and after.

1168
02:14:38,260 --> 02:14:43,260
and the one that can promote mental health, the one that can prevent eating disorders,

1169
02:14:43,260 --> 02:14:51,260
behavior disorders, substance abuse problems, substance abuse problems, etc.

1170
02:14:51,260 --> 02:14:57,260
From the first stages, primary, secondary, in the places where the minors are,

1171
02:14:57,260 --> 02:15:03,260
it is something that we have to carry marked on fire in our head and in our heart.

1172
02:15:03,260 --> 02:15:07,899
So the only thing I have to say is that I would have loved to be in this course,

1173
02:15:07,899 --> 02:15:12,699
which I cannot do because I had a commitment prior to thousands of kilometers away,

1174
02:15:12,699 --> 02:15:16,460
and that I am convinced that it will be a course that will have new editions,

1175
02:15:16,460 --> 02:15:19,500
and there you can surely count on me. Thank you very much.

1176
02:15:19,500 --> 02:15:33,420
Well, after listening to this affectionate message from Dr. Arango, we continue with Abigail Huertas.

1177
02:15:33,420 --> 02:15:40,420
She is a specialist in children's psychiatry and adolescence at the Gregorio Marañón University Hospital in Madrid.

1178
02:15:40,420 --> 02:15:47,420
She is the author of the book, I only need you to accept me, mental health in adolescence and how to detect problems in development.

1179
02:15:47,420 --> 02:15:56,420
And she is going to talk about something that worries us a lot in the educational community, which is the influence of screens on the development and well-being of our childhood and adolescence.

1180
02:15:56,420 --> 02:15:58,420
We are looking forward to listening to you, Abigail.

1181
02:15:58,420 --> 02:16:09,359
Bueno, muchas gracias. Además de agradecer a los cargos públicos que han venido a este

1182
02:16:09,359 --> 02:16:14,119
Congreso, a José Antonio por invitarme, a todos los que hay aquí presentes. Qué gusto

1183
02:16:14,119 --> 02:16:19,359
ver la cara de la gente, qué maravilla. Sé que hay gente en streaming y también agradezco

1184
02:16:19,359 --> 02:16:23,819
que un viernes estén aquí comprometidos. Estoy a la vez emocionada y orgullosa y a

1185
02:16:23,819 --> 02:16:29,060
la vez un poco abrumada porque estas dos personas que me han precedido, yo he podido presenciar

1186
02:16:29,060 --> 02:16:39,059
while I was working with them, how they have led the management and the organization of the implementation of mental health and juvenile child health programs

1187
02:16:39,059 --> 02:16:50,059
and prevention programs over many years and in two key, unfortunately, historical moments, such as the 11M and the COVID pandemic.

1188
02:16:50,059 --> 02:16:57,059
So, my colleagues have made me, my bosses have made me a constant reference and I feel a little depressed,

1189
02:16:57,059 --> 02:17:03,059
but since it's a Friday, it's late, and a lot of people have already received a lot of information and a lot of science,

1190
02:17:03,059 --> 02:17:06,059
I would say a little jokingly, I have come here to talk about my book.

1191
02:17:06,059 --> 02:17:14,059
Well, actually not, the subject that I have been invited to talk about I have not chosen, but indeed I have a book.

1192
02:17:14,059 --> 02:17:19,059
So, this is my conflict of interest, some of my conflicts of interest.

1193
02:17:19,059 --> 02:17:24,059
I have a teenage son, I use, here there are people who believe that I use social networks and screens

1194
02:17:24,059 --> 02:17:29,340
screens as a personal use and as a professional use sometimes in a way

1195
02:17:29,340 --> 02:17:34,979
a little intense and I have also had some specific collaborations with some

1196
02:17:34,979 --> 02:17:40,559
pharmaceutical laboratory because I declare my conflict of interest because

1197
02:17:40,559 --> 02:17:45,600
because we doctors always usually when we give scientific talks declare

1198
02:17:45,600 --> 02:17:50,059
our conflicts so that people know that what we are telling is true and

1199
02:17:50,059 --> 02:17:59,059
and they have not paid us to say it, but on the other hand, when an educational center acquires a tool for the management of learning resources,

1200
02:17:59,059 --> 02:18:07,059
or someone, a politician, bets on digitizing or not digitizing, no one asks him about his conflicts of interest.

1201
02:18:07,059 --> 02:18:12,059
And sometimes there are interests that, without being obscure, condition us.

1202
02:18:12,059 --> 02:18:18,059
So, I am here because I have been invited, I am very grateful, but you have to know that I use the screens.

1203
02:18:18,059 --> 02:18:21,059
So, what I'm going to say is mediated by that.

1204
02:18:21,059 --> 02:18:23,059
This next slide has...

1205
02:18:23,059 --> 02:18:25,059
Yes, it's over there.

1206
02:18:25,059 --> 02:18:27,059
Let's see.

1207
02:18:29,059 --> 02:18:31,059
There.

1208
02:18:31,059 --> 02:18:33,059
But what's the button?

1209
02:18:33,059 --> 02:18:35,059
It has worked before.

1210
02:18:35,059 --> 02:18:37,059
Ah, yes, it has been blocked.

1211
02:18:37,059 --> 02:18:41,059
This slide is almost 20 years old and, as you can see, it's not mine.

1212
02:18:41,059 --> 02:18:44,059
No, it's more than 20 years old, it's not mine.

1213
02:18:44,059 --> 02:18:47,059
We are here to improve society for all.

1214
02:18:47,059 --> 02:18:52,739
I feel a bit like those present here, because it is true that when bosses are awarded, they

1215
02:18:52,739 --> 02:18:58,200
thank them and say, this award is for everyone, but I am so naive and naive that I believe it

1216
02:18:58,200 --> 02:19:04,299
and that makes sense to my work. We are all responsible for our project to succeed,

1217
02:19:04,299 --> 02:19:10,600
for people to be healthy, for healthy adults to arrive. So, this slide is old.

1218
02:19:10,600 --> 02:19:15,840
The school is a reflection of society. All members of society necessarily go

1219
02:19:15,840 --> 02:19:22,340
by the school and the health system is also a place where the whole society passes.

1220
02:19:22,340 --> 02:19:31,440
I dream of a well-to-do marriage between health and education. And this slide means

1221
02:19:31,440 --> 02:19:36,819
that. Why are we here today? We are here today because we are worried. The doctor has already

1222
02:19:36,819 --> 02:19:44,959
put some figures that I also put here, because not in any slide. For all mental health

1223
02:19:44,959 --> 02:19:52,959
is a priority, but juvenile child mental health is a priority for adults, politicians, teachers and the whole world.

1224
02:19:52,959 --> 02:19:56,959
These figures are overwhelming. This image is from this year's American Psychiatry Congress,

1225
02:19:56,959 --> 02:20:01,959
where there was a person illustrating every day of the Congress what had been treated.

1226
02:20:01,959 --> 02:20:10,959
It is evident that in a adult psychiatry Congress, where everything is cooked and where the major scientific advances are,

1227
02:20:10,959 --> 02:20:18,459
There is concern about suicide, self-harm, everything that my colleagues have reviewed, which is of great relevance.

1228
02:20:18,459 --> 02:20:23,459
So, try to attend to the people who have come out here in the questions.

1229
02:20:23,459 --> 02:20:26,459
What do I do for a teenager to go to mental health?

1230
02:20:26,459 --> 02:20:30,459
How can a teenager from a special education center get to AZCOM?

1231
02:20:30,459 --> 02:20:35,459
All citizens are citizens of full right and we have the right to health care,

1232
02:20:35,459 --> 02:20:39,459
and health care also includes attention from mental health.

1233
02:20:39,459 --> 02:20:51,959
So, it wouldn't have to be a question, we would all have to know how to make the most vulnerable people have the right to health care, like all people.

1234
02:20:51,959 --> 02:21:01,959
And this is possible and we have to fight for it, because the delay of the consultation, once the symptoms appear, is a sign of poor prognosis.

1235
02:21:01,959 --> 02:21:09,959
and it has been estimated between 11 and 12 years, since one gets sick until it is diagnosed and given adequate treatment, and that is shocking.

1236
02:21:09,959 --> 02:21:15,959
Let's see if I can do it, because it's too late and this is a bit trolling.

1237
02:21:15,959 --> 02:21:18,959
Let's see, here, I've already got it.

1238
02:21:18,959 --> 02:21:22,959
Well, the slides are a bit shaky, the format has changed when downloading them, it must be,

1239
02:21:22,959 --> 02:21:27,959
but we are all concerned about the impact of screens on a developing brain.

1240
02:21:27,959 --> 02:21:46,959
We have to have well-being, we have to be able to develop our brain properly, we have to have healthy habits and intuitively we suspect that the screens sometimes boycott all these processes that the human being has to do.

1241
02:21:46,959 --> 02:21:51,959
These are the stages of life, that is, what we have to achieve at each age.

1242
02:21:51,959 --> 02:21:55,959
Children have to acquire skills and basic competencies.

1243
02:21:55,959 --> 02:21:58,959
Basic competencies is a very educational term.

1244
02:21:58,959 --> 02:22:05,959
Adults who live with them, we have to help them to guarantee those care without them having stress.

1245
02:22:05,959 --> 02:22:10,959
Approve, study more. No, you have to try to get it in an easy and natural way.

1246
02:22:10,959 --> 02:22:16,959
Adolescents have a moment of hormonal changes, of vital changes, of identity doubts.

1247
02:22:16,959 --> 02:22:19,959
They have to decide what kind of adult they want to be.

1248
02:22:19,959 --> 02:22:23,959
have to acquire autonomy and detach themselves from their parents and also from their teachers,

1249
02:22:23,959 --> 02:22:26,959
make their own decisions and lead their lives.

1250
02:22:26,959 --> 02:22:33,959
And sometimes I see in the consultation, I start to see teenagers who are opinion leaders

1251
02:22:33,959 --> 02:22:38,959
and they say, no, no, I don't drink anymore, I've tried what the drink is and it doesn't feel good.

1252
02:22:38,959 --> 02:22:44,959
And that's like when you throw a pebble in the center of a pond that becomes like waves

1253
02:22:44,959 --> 02:22:47,959
and other teenagers are imitating those behaviors.

1254
02:22:47,959 --> 02:22:55,959
When I have exams, I take my phone out of my room, because my concentration is disturbed and I get distracted to study, or I put it in airplane mode.

1255
02:22:55,959 --> 02:23:02,959
Adolescents who are starting to be models are starting to see themselves, because they take care of their problems, talk about mental health,

1256
02:23:02,959 --> 02:23:08,959
they are not ashamed of their vulnerabilities, and then they proudly tell how they have overcome adversity.

1257
02:23:08,959 --> 02:23:13,959
That starts to be seen and it is moving. I don't know if the teachers present here have a teenager like that in mind,

1258
02:23:13,959 --> 02:23:21,959
who have overcome very serious crises, have been hospitalized for a long time and have been able to recompose themselves and find mental stability,

1259
02:23:21,959 --> 02:23:25,959
and they begin to be as opinion leaders of their colleagues.

1260
02:23:25,959 --> 02:23:31,959
This is wonderful, but we have to not be afraid, not be afraid when someone says,

1261
02:23:31,959 --> 02:23:37,959
well, I was self-injured, or you have to know how to handle that information responsibly,

1262
02:23:37,959 --> 02:23:42,959
but you don't have to be afraid to address those issues in class, for example, if a topic arises.

1263
02:23:42,959 --> 02:23:51,959
Dr. Ferre talked about taking advantage when we detect a problem and they see that they can be quoted with the virtual health card.

1264
02:23:51,959 --> 02:23:55,959
Very few adolescents have the health card on their mobile phones, they usually have their mothers.

1265
02:23:55,959 --> 02:24:00,959
We are not going to deceive ourselves, but this also requires the collaboration of the parents,

1266
02:24:00,959 --> 02:24:08,959
who surely have expressed concern in the tutorials, and it is possible that joint tutorials with parents and children

1267
02:24:08,959 --> 02:24:13,500
parents and children are perhaps the most useful to solve these problems and avoid

1268
02:24:13,500 --> 02:24:18,719
triangulations of information between them and then when we reach adults that we have to

1269
02:24:18,719 --> 02:24:24,799
achieve serenity serenity that many times we do not have and the screens take away responsibilities

1270
02:24:24,799 --> 02:24:29,379
we have to assume I liked it a lot that the doctor had spoken that we must not be

1271
02:24:29,379 --> 02:24:34,120
guilty but we do have to assume our own part of responsibility in the things that

1272
02:24:34,120 --> 02:24:46,120
We have to have healthy habits, do physical exercise, eat healthy, sleep enough hours and find a sense for our existence, which is what teenagers are looking for.

1273
02:24:46,120 --> 02:24:53,120
That's why I often say I want to feel part of the prizes and achievements and merits, even of the administration.

1274
02:24:53,120 --> 02:24:56,120
We are all the administration, let's not forget that.

1275
02:24:56,120 --> 02:25:05,120
And I want to feel that I am part of, as a human resource, of achieving that society is better.

1276
02:25:05,120 --> 02:25:10,120
And I encourage everyone who is here and those who are streaming to reflect on this.

1277
02:25:10,120 --> 02:25:16,120
It is not about giving me a promotion, inviting me to a talk or recognizing a merit.

1278
02:25:16,120 --> 02:25:22,120
It is about what I can do to make the world a better place for the people who relate to me.

1279
02:25:22,120 --> 02:25:30,120
In this case, they are vulnerable because they are boys and girls, so it is much more relevant and valuable.

1280
02:25:30,120 --> 02:25:38,120
I want to highlight all the people here, because they already know all the resources we have, but it is very valuable that they are here to be better people.

1281
02:25:38,120 --> 02:25:48,120
And of course, that means that we ourselves have to make responsible use of the screens, of our leisure, and be present in the upbringing of our children.

1282
02:25:48,120 --> 02:25:55,879
Today there has been a convocation of doctors and one of the things that we claim as health professionals is that we don't have time to be with our children.

1283
02:25:56,239 --> 02:26:05,540
But it's that teachers can't go to the theater functions of their children, they can't go to the tutors sometimes because they are working at that time.

1284
02:26:05,760 --> 02:26:10,579
I get in a taxi and the taxi driver asks me what I do and I tell him that I am a psychiatrist and he says to me,

1285
02:26:10,659 --> 02:26:12,799
and how do you do to take care of your mental health?

1286
02:26:14,559 --> 02:26:17,239
The same thing the hairdresser asks me when she gives me the wigs.

1287
02:26:17,239 --> 02:26:19,239
How can you stand it?

1288
02:26:19,239 --> 02:26:21,239
But teachers are never asked that.

1289
02:26:21,239 --> 02:26:24,239
No one thinks about asking a teacher,

1290
02:26:24,239 --> 02:26:27,239
my God, if I only have one child and I'm up to here,

1291
02:26:27,239 --> 02:26:29,239
how can you with 20 or 25?

1292
02:26:29,239 --> 02:26:31,239
No one ever asks that.

1293
02:26:31,239 --> 02:26:33,239
So, I also want to take advantage

1294
02:26:33,239 --> 02:26:35,239
that these talks that preceded me

1295
02:26:35,239 --> 02:26:37,239
have had a lot of density of information

1296
02:26:37,239 --> 02:26:41,239
to invite the professionals who are listening to me

1297
02:26:41,239 --> 02:26:43,239
to have spaces for rest,

1298
02:26:43,239 --> 02:26:45,239
for mental health care, for digital disconnection,

1299
02:26:45,239 --> 02:26:50,739
to laugh with friends and schedule leisure because we need healthy people

1300
02:26:50,739 --> 02:26:55,239
so that the children give us less work and we can also rest and have coffee.

1301
02:27:00,239 --> 02:27:08,200
I'm sorry, we all have our own style and I empathize with all of you on a Friday afternoon

1302
02:27:08,200 --> 02:27:10,200
and so I need you to smile a little.

1303
02:27:10,200 --> 02:27:13,200
This is the mental health work that you have described very well

1304
02:27:13,200 --> 02:27:18,200
And we work with all those who are related to...

1305
02:27:18,200 --> 02:27:21,200
You're laughing, aren't you?

1306
02:27:21,200 --> 02:27:24,200
I didn't put the copyright here, but I could.

1307
02:27:24,200 --> 02:27:30,200
So, an important part of our work is with the teachers.

1308
02:27:30,200 --> 02:27:34,200
I've been working for many years, and when I worked in the Corredor de Lenares,

1309
02:27:34,200 --> 02:27:39,200
I went to the territorial area management, or to the teacher training center,

1310
02:27:39,200 --> 02:27:42,200
or to the Pablo Picasso School of Special Education,

1311
02:27:42,200 --> 02:27:45,700
I didn't have time to do the coordination with the counselors.

1312
02:27:45,700 --> 02:27:48,700
I had a child who had suddenly stopped eating and we didn't know why.

1313
02:27:48,700 --> 02:27:51,700
I said, hey, I have to know why this child has stopped eating all of a sudden.

1314
02:27:51,700 --> 02:27:54,700
And then you can only know sometimes in their environment.

1315
02:27:54,700 --> 02:27:59,700
So, when you discover that a little chubby child from a special education school

1316
02:27:59,700 --> 02:28:02,200
who doesn't have a language suddenly doesn't eat for three days,

1317
02:28:02,200 --> 02:28:06,700
and you're going to talk to the tutor, with the caretaker of the dining room,

1318
02:28:06,700 --> 02:28:08,700
and you talk to the person who puts the tray on it and says,

1319
02:28:08,700 --> 02:28:11,200
no, they have put a diet menu on it and they have removed the bread.

1320
02:28:11,200 --> 02:28:16,040
Of course, this child has his routines associated with the piece of bread with the food,

1321
02:28:16,040 --> 02:28:18,840
put a small piece of bread on it, let's see if he eats.

1322
02:28:18,840 --> 02:28:22,159
That can only be done going to school,

1323
02:28:22,159 --> 02:28:24,959
because from the consultation it is impossible to know what is happening.

1324
02:28:24,959 --> 02:28:27,440
You ask the parents, has there been any stress?

1325
02:28:27,440 --> 02:28:30,520
They ask in school if something has happened, to see if they are being bullied,

1326
02:28:30,520 --> 02:28:32,840
but you can never know if you are not present.

1327
02:28:32,840 --> 02:28:37,159
So I feel like mine, without being mine, of course,

1328
02:28:37,159 --> 02:28:40,120
the link between mental health and education,

1329
02:28:40,120 --> 02:28:50,520
Because I have a link between mental health and education that some people know and because I have always thought that it was the most valuable thing to move to the schools to see what was happening.

1330
02:28:50,520 --> 02:28:58,459
This girl has TDAH, she is very nervous. I go to the classroom, I meet her new teacher and I say, my God, if this lady is a flan.

1331
02:28:59,760 --> 02:29:06,379
I mean, now I understand why this girl is so nervous. So, nothing happens, each one is like her, I am also nervous, as you can see.

1332
02:29:06,379 --> 02:29:12,079
But sometimes, if you understand the behavior of children in the context,

1333
02:29:12,079 --> 02:29:15,079
you avoid psychotropic drugs, you avoid family anguish,

1334
02:29:15,079 --> 02:29:17,079
you avoid tensions with the school.

1335
02:29:17,079 --> 02:29:22,079
So, I think that the future is that we are siblings, or that we get married.

1336
02:29:22,079 --> 02:29:24,079
Whatever you see is better.

1337
02:29:24,079 --> 02:29:30,079
These clinical vignettes, I put them sometimes in talks, often,

1338
02:29:30,079 --> 02:29:32,079
but I have had to adapt them to the times.

1339
02:29:32,079 --> 02:29:35,079
Why? Because every time the children consult earlier

1340
02:29:35,079 --> 02:29:37,079
and they are worse.

1341
02:29:37,079 --> 02:29:39,079
Before, I was a teenager with behavior problems

1342
02:29:39,079 --> 02:29:41,079
of recent beginnings,

1343
02:29:41,079 --> 02:29:43,079
school absenteeism and insomnia,

1344
02:29:43,079 --> 02:29:45,079
and now I have had to add

1345
02:29:45,079 --> 02:29:47,079
the use of video games and harassment

1346
02:29:47,079 --> 02:29:49,079
through social networks, unfortunately.

1347
02:29:49,079 --> 02:29:51,079
I am no longer a teenager, I am a child.

1348
02:29:51,079 --> 02:29:53,079
And this is what is happening.

1349
02:29:53,079 --> 02:29:55,079
I have kept the same images

1350
02:29:55,079 --> 02:29:57,079
and I have changed the texts

1351
02:29:57,079 --> 02:29:59,079
because the problems are the same,

1352
02:29:59,079 --> 02:30:01,079
only they start before and are more relevant.

1353
02:30:01,079 --> 02:30:03,079
A teenager with an eating disorder,

1354
02:30:03,079 --> 02:30:08,079
social isolation, the use of networks, websites and forums of Ana and Mía.

1355
02:30:08,079 --> 02:30:11,079
These things complicate our lives, and even more since the pandemic.

1356
02:30:11,079 --> 02:30:15,079
A six-year-old child, Asian with hypoacusia, which has come up here,

1357
02:30:15,079 --> 02:30:19,079
the issue of deafness, a family that does not speak the language,

1358
02:30:19,079 --> 02:30:24,079
and the child spends long hours in the family business with a screen,

1359
02:30:24,079 --> 02:30:28,079
also watching content from their country of origin.

1360
02:30:28,079 --> 02:30:30,079
All these things complicate our lives.

1361
02:30:30,079 --> 02:30:38,079
Before they were in the family business, dispatching, so they had no choice but to socialize with other people.

1362
02:30:38,079 --> 02:30:43,079
Now they are watching programs from their country, so they don't even learn the language.

1363
02:30:43,079 --> 02:30:45,079
And on top of that, they are deaf, even worse.

1364
02:30:45,079 --> 02:30:48,079
A baby with a global age gap, with an autistic brother.

1365
02:30:48,079 --> 02:30:52,079
But of course, you have an autistic son, and what do you do when you take him to the doctors?

1366
02:30:52,079 --> 02:30:58,079
Well, you put the screen on the little one so that he doesn't protest in order to be able to stand in the waiting room.

1367
02:30:58,079 --> 02:31:07,079
If you don't put it on both of them, of course, it's a way to survive, I understand, but this is a problem that we didn't have in 2012, for example.

1368
02:31:07,079 --> 02:31:15,079
Well, depression, anxiety, lack of concentration, ideas of death, crying, exchange of images of self-harm.

1369
02:31:15,079 --> 02:31:20,079
This is something that has gone away from our hands, which doesn't mean that the screens are bad, good or regular.

1370
02:31:20,079 --> 02:31:27,079
It means that we have to know that the screens are in the lives of our children and our students, and this is very important not to forget it.

1371
02:31:27,079 --> 02:31:32,780
forget it the slide is the same but we have changed the context I wanted to bring

1372
02:31:32,780 --> 02:31:37,700
some science because it can't be all fun and chascarrillos then

1373
02:31:37,700 --> 02:31:42,379
this study eye being an observational longitudinal study is one of the best

1374
02:31:42,379 --> 02:31:46,459
studies that I have seen more interesting because it gives you like a

1375
02:31:46,459 --> 02:31:53,000
trajectory they have been included 18,000 and more children when they were 89 years

1376
02:31:53,000 --> 02:31:57,000
between 2016 and 2018 in different parts of the United States.

1377
02:31:57,000 --> 02:32:01,000
Of course, they have their risks because they participate voluntarily,

1378
02:32:01,000 --> 02:32:05,000
but in different regions with different cultural contexts,

1379
02:32:05,000 --> 02:32:07,000
and they have been followed up to adulthood.

1380
02:32:07,000 --> 02:32:11,000
Now publications are starting to come out of a study called HBCD,

1381
02:32:11,000 --> 02:32:15,000
which, as this study included children with nine years or so,

1382
02:32:15,000 --> 02:32:18,000
even if you ask them, I have studied this study well,

1383
02:32:18,000 --> 02:32:26,000
and they are done every year and sometimes some things every year after every two years functional image studies

1384
02:32:26,000 --> 02:32:33,000
genetic studies are done to them anxiety questionnaires depression is done to them intelligence tests

1385
02:32:33,000 --> 02:32:40,000
serials and the main caregivers are surveyed all the main caregivers who spend a long time with children

1386
02:32:40,000 --> 02:32:47,000
they have to answer if they consume toxins for example they are asked if people who spend more than X hours a day with this child

1387
02:32:47,000 --> 02:32:53,000
are toxic consumers things like that so it gives a lot of information that does not mean that the

1388
02:32:53,000 --> 02:33:00,840
results point to the fact that it is the cause, that is, that there is no cause but there are some

1389
02:33:00,840 --> 02:33:06,139
results that make us reflect there is a relationship then it is a very interesting study

1390
02:33:06,139 --> 02:33:10,879
because it has made a very long-term and meticulous follow-up and because the results

1391
02:33:10,879 --> 02:33:15,920
are open then any researcher can exploit those results and draw their own

1392
02:33:15,920 --> 02:33:18,840
conclusions and say of course this study was designed for the issue of

1393
02:33:18,840 --> 02:33:21,840
consumption of toxins but suddenly someone said well I'm going to see consumption of

1394
02:33:21,840 --> 02:33:27,059
screens and someone said well I'm going to see adverse family situation of

1395
02:33:27,059 --> 02:33:30,840
adversity and poverty and then of course as a single

1396
02:33:30,840 --> 02:33:34,440
researcher does not have to do it because they are publishing many articles about this as

1397
02:33:34,440 --> 02:33:37,420
they criticized it because of course you say if you take a nine-year-old child and

1398
02:33:37,420 --> 02:33:41,879
ask his mother if he smoked cannabis in the pregnancy and he can lie to you because

1399
02:33:41,879 --> 02:33:55,440
So now the HBCD is from pregnancy, so it has already been taken by mothers, results are already being published because they have been following pregnant women for a few years, and then the children, as they grow up, and this is very interesting.

1400
02:33:56,000 --> 02:34:06,180
So, here you can clearly see that there is already a thinning of the cerebral cortex when the children are more than seven hours with screens, which does not mean that it is the cause, but there it is.

1401
02:34:06,180 --> 02:34:15,180
So, of course, worse mental health and a worse cognitive profile the more time they spend in front of the screens.

1402
02:34:15,180 --> 02:34:23,180
This, combined, I'm not going to stop specifically because it's too late, but it has been seen that in the youngest children there is a delay in the language

1403
02:34:23,180 --> 02:34:32,180
and children whose mothers even use screens have more problems to advance in the language and problems of attention and concentration,

1404
02:34:32,180 --> 02:34:37,180
that we could call TDAH-like, because maybe it was not a thing of its own, of neurodevelopment,

1405
02:34:37,180 --> 02:34:40,180
but since we cannot go back in time and the brain is in development,

1406
02:34:40,180 --> 02:34:44,180
if you expose a brain in development to screens and it generates problems of attention,

1407
02:34:44,180 --> 02:34:49,180
even if it is a TDAH-like, the symptoms are there and we do not know what would have happened

1408
02:34:49,180 --> 02:34:52,180
if you had not exposed it to screens.

1409
02:34:52,180 --> 02:34:56,180
The elderly in school age, the period of latency that we call,

1410
02:34:56,180 --> 02:35:01,180
also affects social functioning, the family relationship with parents

1411
02:35:01,180 --> 02:35:04,180
and in adolescence I don't even want to talk about it.

1412
02:35:04,180 --> 02:35:06,180
It doesn't mean that the screens are the cause,

1413
02:35:06,180 --> 02:35:09,180
it means that in this study they have analyzed the exposure to screens

1414
02:35:09,180 --> 02:35:11,180
and they have found these results.

1415
02:35:11,180 --> 02:35:14,180
It's like to think about it a little bit.

1416
02:35:14,180 --> 02:35:20,180
So, of course, here, as my colleagues were saying,

1417
02:35:20,180 --> 02:35:24,180
girls have more impact on social networks than boys,

1418
02:35:24,180 --> 02:35:27,180
also on self-esteem, on body perception,

1419
02:35:27,180 --> 02:35:29,180
they get hooked more easily,

1420
02:35:29,180 --> 02:35:38,180
The kids get hooked more on video games, but we have also seen benefits from social media and we have all seen it in the pandemic.

1421
02:35:38,180 --> 02:35:46,180
In the pandemic you have been able to feel connected and accompanied, you have been able to have video calls with relatives who were in agony and you have been able to say goodbye.

1422
02:35:46,180 --> 02:35:49,180
And it is moving to remember it, but it is like that.

1423
02:35:49,180 --> 02:35:57,180
And there are people who have developed their creativity and who have contacted people with interests, especially the population with neurodevelopment disorders,

1424
02:35:57,180 --> 02:36:01,559
the autism spectrum disorder that sometimes have very peculiar interests apart from very

1425
02:36:01,559 --> 02:36:07,440
particular intense and I could not think when I met a boy who loved to listen and record the noise

1426
02:36:07,440 --> 02:36:13,620
of the trains when they arrive and the dino in dini of the metro stops that opened a youtube channel and

1427
02:36:13,620 --> 02:36:19,559
that he was going to find seven people with the same tastes as him to stay of different ages and adults

1428
02:36:19,559 --> 02:36:24,979
also to stay and go to the renfe to see the trains arrive I would never have thought that it was going to

1429
02:36:24,979 --> 02:36:27,979
serve to make social networks but I have seen this with my eyes in my

1430
02:36:27,979 --> 02:36:31,540
Alcalá de Henares consultation at the time

1431
02:36:31,540 --> 02:36:35,260
this is a brief summary of the most outstanding that has been found and that

1432
02:36:35,260 --> 02:36:38,719
professionals see but the important thing is this little picture that has come out

1433
02:36:38,719 --> 02:36:43,059
later it is not just about time what the evidence says is that it is not

1434
02:36:43,059 --> 02:36:46,319
just a matter of time of exposure to screens it is also at what

1435
02:36:46,319 --> 02:36:50,819
moment that exposure occurs of course if you expose a baby to screens it will be

1436
02:36:50,819 --> 02:36:57,780
much more harmful than a late teenager or a young adult and also the content and how

1437
02:36:57,780 --> 02:37:03,780
it is not the same to see porn than to see than to play with your parents an educational game or

1438
02:37:03,780 --> 02:37:10,479
play chess with another person through a screen then the educational games accompanied

1439
02:37:10,479 --> 02:37:14,440
by an adult a controlled time may not be as bad as they put you on the screen as a

1440
02:37:14,440 --> 02:37:20,440
child or that you are there they are entering videos on youtube randomly and then the design

1441
02:37:20,440 --> 02:37:24,500
of the applications, these applications with addictive patterns that I do not know if someone

1442
02:37:24,500 --> 02:37:30,219
can tell me when I have five minutes or ten to put the turbo on, because I want to talk

1443
02:37:30,219 --> 02:37:35,040
slowly because I tend to speak very fast and this is relevant, but there is a lot to say.

1444
02:37:35,040 --> 02:37:39,200
So, well, there are people more vulnerable than others, people with neurodevelopment

1445
02:37:39,200 --> 02:37:43,680
disorders, with intellectual development disorders, with autism, with ADHD, which my colleagues

1446
02:37:43,680 --> 02:37:47,760
have quoted, because it worries us a lot, because it is also a bit invisible.

1447
02:37:47,760 --> 02:37:52,760
There are professionals of education and health who believe that the TDAH is a religion and do not believe in it,

1448
02:37:52,760 --> 02:37:56,760
as if that were something possible when it is a neurodevelopment disorder.

1449
02:37:56,760 --> 02:38:02,760
So, we are concerned that these populations are the ones who suffer the most harassment by networks, for example.

1450
02:38:02,760 --> 02:38:07,760
There are more and more bad social understandings and they have problems with justice,

1451
02:38:07,760 --> 02:38:12,760
because they write in a chat and do not measure who is listening to them or what consequences they have.

1452
02:38:12,760 --> 02:38:18,459
because of the heat of the conversations on Telegram or the Alvise channel or whatever,

1453
02:38:18,459 --> 02:38:22,459
and they end up being arrested by the police because they have made some inappropriate comment.

1454
02:38:22,459 --> 02:38:28,260
They are vulnerable people who are not people with a profile of committing crimes and who have no intention of harming.

1455
02:38:28,260 --> 02:38:33,459
So, girls are also more vulnerable than boys because of this issue of the image,

1456
02:38:33,459 --> 02:38:40,760
that they are also exposed to sexual violence with images that they send them or when they steal images or ask for them,

1457
02:38:40,760 --> 02:38:42,260
and then the little ones.

1458
02:38:42,260 --> 02:38:45,260
So, well, we have to keep this in mind.

1459
02:38:45,260 --> 02:38:54,260
I had titled this slide Neurobiology of the hook, I don't know if here are the heads now to process things of neuroanatomy and neurophysiology,

1460
02:38:54,260 --> 02:39:05,260
but I also see myself obliged to explain that the profile of use of some video games and social networks is the same as addictive behaviors.

1461
02:39:05,260 --> 02:39:13,260
That is why there is a specific consultation on behavioral addictions that deals with the harmful consumption of video games, among other things.

1462
02:39:13,260 --> 02:39:18,260
It is true that few children arrive, because they are forced by their parents when they have already done a defalco,

1463
02:39:18,260 --> 02:39:26,260
or they are already there hacking the school tables and sending pornographic images to the girls, and it is already a very serious thing.

1464
02:39:26,260 --> 02:39:31,260
They arrive. I, in the Neurodevelopment consultation, sometimes I negotiate with them within a treatment plan,

1465
02:39:31,260 --> 02:39:58,600
but it is not worth telling them that this is here, we have to accompany them, and it is this, look, you say that you do not have a problem, I am a doctor, I think so, your parents are worried, let's check it, let's see what the experts say, let's see, if you can do the screening, if you want I will help you, because as I know how you consume screens, I will help you to answer with honesty, and maybe you do not remember, and I have once done the screening with them, on their side, to help them face that situation, but everyone lies, this has been told to me by Dr. Civeira,

1466
02:39:58,600 --> 02:40:07,600
who will not have told Dr. Ferrer, but the young people all lie, but that is why the questionnaire is also done to their parents and that is why their previous clinical history is looked at.

1467
02:40:07,600 --> 02:40:19,600
Most of them have ADHD or have autistic traits or have some vulnerability or have suffered bullying and have emotional discomfort and end up integrating intervention into mental health.

1468
02:40:19,600 --> 02:40:24,600
That is what happens. Very few adolescents stay at AzCom because they have only that problem.

1469
02:40:24,600 --> 02:40:30,799
That's why it's a very complex issue that we shouldn't focus on whether screens are good or bad.

1470
02:40:30,799 --> 02:40:36,239
If screens are good or bad, we can have them, just like cars.

1471
02:40:36,239 --> 02:40:42,479
Are you going to give a 14-year-old a Mercedes to drive? No, it's a great car.

1472
02:40:42,479 --> 02:40:51,000
I have a friend who bought a great car, a Mercedes, and her 14-year-old son with ADHD and a problem of behavioral addictions

1473
02:40:51,000 --> 02:40:59,000
He went down to the garage, hit the button, turned it on, and stamped it against the door of the garage.

1474
02:40:59,000 --> 02:41:07,000
You laugh because you know who it is. And I'm not going to say, that friend of mine is me, because I don't.

1475
02:41:07,000 --> 02:41:14,000
Who would think of giving the key of a Mercedes to a 14-year-old boy? Nobody, right?

1476
02:41:14,000 --> 02:41:18,000
Well, to the one who gives it to him or leaves it at hand, because she wouldn't want to give him the key,

1477
02:41:18,000 --> 02:41:24,000
I would like him not to touch it, but these things happen to him because with screens more or less the same thing can happen.

1478
02:41:24,000 --> 02:41:27,000
It is the same dynamics of addictions.

1479
02:41:27,000 --> 02:41:32,000
You do a behavior that produces a pulse of dopamine that is very softened by our companion Marian,

1480
02:41:32,000 --> 02:41:39,000
who is a wonderful broadcaster, but today a taxist has told me that he was reading this about dopamine and the balance with serotonin,

1481
02:41:39,000 --> 02:41:43,000
and I said, come on, just like the slide that I read to these people, but easily told.

1482
02:41:45,000 --> 02:41:47,000
But it's true, it's like that, you have to tell it because it's like that.

1483
02:41:47,000 --> 02:41:52,180
because it is so then the immediate gratification gives you that dopamine discharge that gives you a

1484
02:41:52,180 --> 02:41:57,620
pleasure that leads you to repeat the behavior to get that dopamine pulse again that

1485
02:41:57,620 --> 02:42:02,959
generates you a pleasure that marian says you have to find the balance between everything can be pleasure

1486
02:42:02,959 --> 02:42:08,299
no you also have to have serenity good mood because this is the same then what happens with the

1487
02:42:08,299 --> 02:42:13,219
screens sometimes is this and of course those who have problems of attention or behavior are more

1488
02:42:13,219 --> 02:42:19,120
vulnerables esto es escalofriante yo si le coges el móvil que es lo que hace mi compañero que pasa

1489
02:42:19,120 --> 02:42:23,719
lo de las horas de consumo 5 horas es poco esto está equilibrado con los que no tienen móvil o

1490
02:42:23,719 --> 02:42:29,459
sea la mayoría están entre 8 y 10 horas la mayoría de los que de los adolescentes que les cogemos el

1491
02:42:29,459 --> 02:42:33,920
móvil y les miramos que está esto se equilibra con el que no tiene el teléfono claro o que lo

1492
02:42:33,920 --> 02:42:38,420
tiene con restricción parental estricta pero comparado con el resto de personas dos horas

1493
02:42:38,420 --> 02:42:42,420
I have much more than two and a half hours, I confess, much more.

1494
02:42:42,420 --> 02:42:46,420
I try to control myself, I try not to exceed six, but also when you use it,

1495
02:42:46,420 --> 02:42:50,420
it is not the same to be organizing the photos of your gallery or with,

1496
02:42:50,420 --> 02:42:53,420
even if it is unhealthy too, because there are many hours of screens,

1497
02:42:53,420 --> 02:42:56,420
or replying to emails from work that are making the infinite scroll

1498
02:42:56,420 --> 02:42:59,420
that makes you kind of stupid and it alters your sleep.

1499
02:42:59,420 --> 02:43:04,420
Of course, it is not the same, but still you have to try that the screens do not move

1500
02:43:04,420 --> 02:43:11,420
physical exercise, face-to-face socialization, and this is what adults sometimes realize.

1501
02:43:11,420 --> 02:43:16,420
They say, I'm very tired, I'm going to go drink something with my neighbors, but I sit on the sofa,

1502
02:43:16,420 --> 02:43:20,420
I go to see social networks and time has passed and it's time to have dinner.

1503
02:43:20,420 --> 02:43:23,420
And I can't go out for a walk or go down to the pool.

1504
02:43:23,420 --> 02:43:26,420
Look, there are people who put their face like saying, it happened to me.

1505
02:43:26,420 --> 02:43:28,420
Well, imagine a developing brain.

1506
02:43:28,420 --> 02:43:40,420
So, I have put this cube with holes because sometimes we have that feeling that there is no way to stop it from being full of drops, but I think it can be repaired.

1507
02:43:40,420 --> 02:43:48,420
So, it is true that we must take into account this, that the likes, which we all look for, I also, the approval, reinforces our attitudes as more addictive.

1508
02:43:48,420 --> 02:43:53,420
Well, let's see what happens here. Well, I'm going to go over this quickly because what I wanted to highlight from here,

1509
02:43:53,420 --> 02:43:59,340
which is a draft report that you all have read, just like the studies and all these that are the ones you read, the teachers,

1510
02:44:00,000 --> 02:44:06,280
this is answered by the adolescents themselves, and 50% are aware that they have an excessive consumption of screens.

1511
02:44:06,440 --> 02:44:08,719
They are also aware that this affects their mood.

1512
02:44:09,200 --> 02:44:13,340
Some see that they have bad mental health, and they themselves realize it.

1513
02:44:13,979 --> 02:44:20,700
So, here what surprised me was that many identified themselves with some psychiatric diagnosis,

1514
02:44:20,700 --> 02:44:24,700
and that's why I wanted to put these slides, or with anxiety or depression,

1515
02:44:24,700 --> 02:44:29,700
some of them were labeled with a psychiatric diagnosis,

1516
02:44:29,700 --> 02:44:31,700
many had gotten the diagnosis on the Internet,

1517
02:44:31,700 --> 02:44:33,700
the poor were not even diagnosed.

1518
02:44:33,700 --> 02:44:39,700
So, this impacted me a lot, and they are worried about their well-being.

1519
02:44:39,700 --> 02:44:45,700
So, we can try to get hold of that healthy part that adolescents have,

1520
02:44:45,700 --> 02:44:47,700
which are the ones who make the change in life.

1521
02:44:47,700 --> 02:44:57,700
If you think about it, historical changes have been made by young people because they are unreflective, impulsive, they are ruled by their values, they do not think about the consequences in the medium term.

1522
02:44:57,700 --> 02:45:05,700
So, the fall of the Berlin Wall, if you go to Berlin and see the photos of all those who died trying to jump the wall, they were all very young.

1523
02:45:05,700 --> 02:45:16,700
So, the big social changes are made by young people who are aware that they are worried about the future,

1524
02:45:16,700 --> 02:45:19,700
about the well-being of society, about their own well-being.

1525
02:45:19,700 --> 02:45:21,700
You have to take hold of that part, which is a healthy part.

1526
02:45:21,700 --> 02:45:26,700
Well, I wanted to put some slides that I'm going to go through quickly about the TDAH,

1527
02:45:26,700 --> 02:45:29,700
because it's a very important issue, but we're going to be very late.

1528
02:45:29,700 --> 02:45:36,700
This is a plus. I mean, if you have ADHD, you have twice the risk of having a harmful screen consumption.

1529
02:45:36,700 --> 02:45:40,700
There are times that I say in the consultation, it is not known if it is caused by consequence,

1530
02:45:40,700 --> 02:45:45,700
I have put here the egg and the hen, not to put this meme because science says so,

1531
02:45:45,700 --> 02:45:49,700
but many times it is not known, but it is the same, it is there, they are a more vulnerable population.

1532
02:45:49,700 --> 02:45:54,700
Just as I say to families who have children with a high risk state of mind, with a serious mental disorder,

1533
02:45:54,700 --> 02:46:01,700
If you have three children and you only have money to send one to Ireland, or now to the United States, do not send this one, I say it like this.

1534
02:46:01,700 --> 02:46:07,700
This is not the one you have to send. Well, if you have to choose which of your children you leave screens to, this one does not.

1535
02:46:07,700 --> 02:46:11,700
So sometimes you have to do it like this, you say, look, it is the same for me that the oldest has a mobile phone.

1536
02:46:11,700 --> 02:46:17,700
It is that this one, because of his disorder, has a lot of risk and sometimes you have to use authority to say,

1537
02:46:17,700 --> 02:46:21,940
to say, no, it has been done by a very unique psychiatrist who has come to an education congress,

1538
02:46:21,940 --> 02:46:26,159
and well, sometimes yes, you have to quote me, quote me, and it has been done by Dr. Huertas.

1539
02:46:26,159 --> 02:46:31,979
Nothing happens, they are not going to criticize you because science says so, okay? So, doing sports,

1540
02:46:31,979 --> 02:46:38,459
science says so, doing sports with regularity, physical exercise, I have not done sports

1541
02:46:38,459 --> 02:46:42,540
as a child, not at all, because my parents did sports as children, I have already done it as a

1542
02:46:42,540 --> 02:46:49,540
but it is a protective factor in all children, whether they have a diagnosis or not.

1543
02:46:49,540 --> 02:46:53,540
And that their parents are present and supervise them is also a protective factor.

1544
02:46:53,540 --> 02:46:59,540
So, I know a lady who made a fake Instagram account with her puppy

1545
02:46:59,540 --> 02:47:03,540
to be able to see what her son and her friends were doing.

1546
02:47:03,540 --> 02:47:07,540
So, everyone supervises as much as they can.

1547
02:47:07,540 --> 02:47:10,540
Don't judge me, don't judge me.

1548
02:47:12,540 --> 02:47:24,540
I mean, 10-year-old children can't have an Instagram account, and if they have it and they accept a little dog that says wow, wow, thinking that it's a little dog that manages the account, the problem is with their parents.

1549
02:47:24,540 --> 02:47:32,540
But there I was as a police officer of the networks. I could have been a perverse psychopath, but no, it just so happens that not.

1550
02:47:32,540 --> 02:47:35,540
So, everyone supervises as they can, but you have to be present.

1551
02:47:35,540 --> 02:47:39,540
Well, as I have very little left, social networks also have benefits.

1552
02:47:39,540 --> 02:47:48,540
Dr. Ferre, I am very proud to be in Marañón, where tools are being developed to accompany patients with depression so that they do not abandon medication,

1553
02:47:48,540 --> 02:47:58,540
so that women with eating disorders can have better health control, so that women who suffer from violence and have to face judicial processes do not have so much stress.

1554
02:47:58,540 --> 02:48:06,540
We have a program with virtual reality glasses to minimize suffering in analytics in children with autism, in AMITEA.

1555
02:48:06,540 --> 02:48:14,540
In other words, we have incorporated technology into health, but in a mature, responsible and reasonable way and in the context of research.

1556
02:48:14,540 --> 02:48:18,540
And when we have the results of the research, that's when we can say, this works.

1557
02:48:18,540 --> 02:48:20,540
Before, it didn't.

1558
02:48:20,540 --> 02:48:26,540
In private hospitals, they tend to digitize a lot because a lot of money moves, but sometimes it hasn't been proven to work yet.

1559
02:48:26,540 --> 02:48:29,540
It's just that it's very beautiful and very attractive, which has also happened to us in education.

1560
02:48:29,540 --> 02:48:31,540
Why are we going to deceive ourselves?

1561
02:48:31,540 --> 02:48:34,540
Well, then, all this is the bad that can happen to us.

1562
02:48:34,540 --> 02:48:39,540
I have already told you the good things, but we see it in ourselves. FOMO is the fear of losing something.

1563
02:48:39,540 --> 02:48:44,540
What happens to adults? You are not replying to work emails and you don't know if something very serious is happening, right?

1564
02:48:44,540 --> 02:48:48,540
And you are left with that anguish. Well, that also happens to children, tiredness.

1565
02:48:48,540 --> 02:48:59,540
And, well, this was because if you look for ADHD, which is the English hashtag for ADHD, there are 500 million views.

1566
02:48:59,540 --> 02:49:02,540
All of these people spread TDAH on social media.

1567
02:49:02,540 --> 02:49:04,540
None of them are professionals.

1568
02:49:04,540 --> 02:49:06,540
They have a lot of visits.

1569
02:49:06,540 --> 02:49:09,540
I had linked a video, but in a version that I didn't send you.

1570
02:49:09,540 --> 02:49:14,540
Videos of broadcasters saying nonsense about TDAH.

1571
02:49:14,540 --> 02:49:19,540
But most people are fed up with this information and are confused.

1572
02:49:19,540 --> 02:49:22,540
Because, of course, if you have a little bit of TDAH,

1573
02:49:22,540 --> 02:49:24,540
and the other day I posted a meme on Instagram,

1574
02:49:24,540 --> 02:49:27,540
when they tell me, we all have a little bit of TDAH,

1575
02:49:27,540 --> 02:49:29,180
I get up and I leave, right?

1576
02:49:29,180 --> 02:49:31,520
Of course, because you say,

1577
02:49:31,520 --> 02:49:33,739
the effect you have a little bit of TDAH

1578
02:49:33,739 --> 02:49:34,899
is that someone gets up and leaves,

1579
02:49:34,899 --> 02:49:36,420
because that can't be said.

1580
02:49:36,420 --> 02:49:38,979
Well, and I'm going to finish

1581
02:49:38,979 --> 02:49:40,739
because I'm very worried about self-diagnosis,

1582
02:49:40,739 --> 02:49:43,100
which is what is making me work more lately.

1583
02:49:43,100 --> 02:49:44,840
People who suddenly without having had

1584
02:49:44,840 --> 02:49:45,879
any emotional discomfort

1585
02:49:45,879 --> 02:49:47,639
and no contact with mental health say,

1586
02:49:47,639 --> 02:49:50,040
I think I'm TEA, I think I'm TDAH,

1587
02:49:50,040 --> 02:49:52,000
I think I'm neurodivergent or PAS.

1588
02:49:52,000 --> 02:49:54,239
And then they demand that public health

1589
02:49:54,239 --> 02:49:57,520
validates their diagnosis or tests them.

1590
02:49:57,520 --> 02:50:02,520
And this also happens in education, with the over-equipment, with the high-capacity, right?

1591
02:50:02,520 --> 02:50:06,520
Of course. I'm sorry to open this melon so...

1592
02:50:06,520 --> 02:50:12,520
I think my son is of high-capacity. Is he of high-capacity or does he have high-capacity?

1593
02:50:12,520 --> 02:50:14,520
Let's see, because that's not an identity.

1594
02:50:14,520 --> 02:50:21,520
So, this is a problem that, in part, is also the fault of social networks, because they validate this.

1595
02:50:21,520 --> 02:50:24,520
I mean, if he has never given you a problem, then what else does he give you?

1596
02:50:24,520 --> 02:50:29,159
If you have problems, you will have to know how to manage this and where it comes from.

1597
02:50:29,159 --> 02:50:31,159
But if you have never consulted, now what?

1598
02:50:31,159 --> 02:50:33,159
If you have never had any discomfort.

1599
02:50:33,159 --> 02:50:38,159
So, to reflect on this and take advantage of the prevention opportunities.

1600
02:50:38,159 --> 02:50:42,159
We have to set limits, but we have to be there and we have to know where our children are.

1601
02:50:42,159 --> 02:50:46,159
It can't be that a mother says, no, I don't have a TikTok account because it scares me a lot.

1602
02:50:46,159 --> 02:50:48,159
But my daughter is a crack, she has a lot of followers.

1603
02:50:48,159 --> 02:50:50,159
But how are you going to leave your daughter in a place that scares you?

1604
02:50:50,159 --> 02:50:52,159
Are we crazy or what?

1605
02:50:52,159 --> 02:51:14,379
Of course, I encourage you, I started using social networks when I started working with teenagers, when I worked with adults in the Salamanca neighborhood, I knew the temporary exhibitions of the Thyssen Museum, the Planet Award, of course, because to relate to your patients and to be respected, you have to have more or less some knowledge of where they move, because if not, you don't know anything, as my colleagues have said.

1606
02:51:14,379 --> 02:51:20,379
I wanted to give you some strategies. You will already know this because it is very American.

1607
02:51:20,379 --> 02:51:24,379
Think before publishing, if I would say this in my class in front of my classmates,

1608
02:51:24,379 --> 02:51:31,379
if right now I feel good when I am publishing this, if tomorrow I will regret what I have published,

1609
02:51:31,379 --> 02:51:38,379
if this can be a mistake and it is not well referenced or well informed. But this is mine.

1610
02:51:38,379 --> 02:51:43,379
The network, the intervention network, checks sleep, mood and hours.

1611
02:51:43,379 --> 02:51:46,379
Do you sleep enough? Do you spend many hours with the screens?

1612
02:51:46,379 --> 02:51:49,379
Are you in a bad mood to enter X?

1613
02:51:49,379 --> 02:51:55,379
Establish limits. I have a limit of social networks of one hour a day,

1614
02:51:55,379 --> 02:52:00,379
I can skip it, but the mobile warns me and I am aware that I have exceeded the time.

1615
02:52:00,379 --> 02:52:05,379
And you set schedules and dialogue, family, school and patients.

1616
02:52:05,379 --> 02:52:15,379
So, all these little things, as well as mnemonic rules, we like very much the psychiatrists who work in neurodevelopment because the families memorize it and the kids too.

1617
02:52:15,379 --> 02:52:20,379
Make up these things! If I don't take long to make up this, social network, right?

1618
02:52:20,379 --> 02:52:29,379
So, and that's it. I'm not going to give you more stuff because the limits, that is, the recommendations of the pediatricians, you can look at them on the website of the pediatricians.

1619
02:52:29,379 --> 02:52:33,180
My recipe for today, five prescriptions.

1620
02:52:33,180 --> 02:52:38,180
Put screens out of the extreme hours of the day, neither when getting up nor when lying down.

1621
02:52:38,180 --> 02:52:44,180
Pre-check to give them a phone, what applications they are going to use and how long.

1622
02:52:44,180 --> 02:52:47,180
It's not worth everything, wide sleeve.

1623
02:52:47,180 --> 02:52:49,180
That the same rules apply to adults.

1624
02:52:49,180 --> 02:52:53,180
We had a little basket at home to leave the mobile when we got home.

1625
02:52:53,180 --> 02:52:56,180
We've had it. We've had a series of things.

1626
02:52:56,180 --> 02:53:02,180
That was Sicily in 1920, and if you have taken this reference, you are from my fifth grade.

1627
02:53:02,180 --> 02:53:10,180
And then you have to offer the kids very attractive plans B, sports, art, social things that they like a lot.

1628
02:53:10,180 --> 02:53:14,180
Not that they like the teachers or that they like their parents, but that they like them.

1629
02:53:14,180 --> 02:53:20,180
You have to make a sacrifice. And then, every now and then, I have put here quincenal because I talk about people who come to my consultation.

1630
02:53:20,180 --> 02:53:23,180
But if they don't have a problem, maybe it can be quarterly.

1631
02:53:23,180 --> 02:53:29,180
I know how to keep these rules and adjust them to the development, to the responsibility and to how things are coming out.

1632
02:53:29,180 --> 02:53:35,180
And with this I leave you. It is not about eliminating the screens, but about coexisting with them intelligently.

1633
02:53:35,180 --> 02:53:38,180
I stick with that. The screens are not prohibited, they are taught.

1634
02:53:38,180 --> 02:53:44,180
I am very pro-laws, because once they tell me this is out of the law, I already know what I have to do.

1635
02:53:44,180 --> 02:53:46,180
Fulfill the law. I like to fulfill the law.

1636
02:53:46,180 --> 02:53:50,180
So, if they legislate, great, but we are not the ones who legislate.

1637
02:53:50,180 --> 02:53:55,180
So, what we have to do is teach. That's why you are teachers.

1638
02:53:55,180 --> 02:53:59,180
Remove the environmental noise, improve sleep and reach agreements.

1639
02:53:59,180 --> 02:54:00,180
And that's it.

1640
02:54:04,059 --> 02:54:06,059
This was all I had to tell you today.

1641
02:54:08,059 --> 02:54:12,059
So much hype, so much hype that my colleagues have put me. It wasn't for much.

1642
02:54:18,059 --> 02:54:20,059
We have stolen five minutes of your presentation.

1643
02:54:20,059 --> 02:54:24,059
I have realized, I have realized that I was short of time for what I had calculated.

1644
02:54:24,059 --> 02:54:29,059
We would like all the teachers here to ask you something.

1645
02:54:29,059 --> 02:54:32,059
There are five minutes left, we will respect the time of departure,

1646
02:54:32,059 --> 02:54:36,059
but I'm sure they have some questions to ask you.

1647
02:54:36,059 --> 02:54:41,059
While they think about it and raise their hands and take the microphone,

1648
02:54:41,059 --> 02:54:45,059
I know very well from my dear companion and generous companion, José Antonio,

1649
02:54:45,059 --> 02:54:50,059
that you are part of the Control Z platform,

1650
02:54:50,059 --> 02:54:56,059
that you are now moving. Tell us a little bit about what you are defending.

1651
02:54:56,059 --> 02:55:01,059
It is true that I met José Antonio in person and more intimately, as well as with more confidence,

1652
02:55:01,059 --> 02:55:06,059
thanks to Amar España, who was the director of the Spanish Data Protection Agency.

1653
02:55:06,059 --> 02:55:11,059
So, he is a person who has done a very valuable job to protect children,

1654
02:55:11,059 --> 02:55:16,059
because he has set the priority channel of complaints, he has developed a tool,

1655
02:55:16,059 --> 02:55:21,180
a tool all within her work as a public position and with money from all

1656
02:55:21,180 --> 02:55:24,399
Spaniards but it is good that politicians use our money to do

1657
02:55:24,399 --> 02:55:28,959
the good is not a wonder then she then set up a work group in the

1658
02:55:28,959 --> 02:55:32,440
agency in which I joined as a health professional representative of a

1659
02:55:32,440 --> 02:55:36,579
scientific society and then invited us to a congress to a summer course and

1660
02:55:36,579 --> 02:55:43,059
that is where we could share true then of the most retired and then now

1661
02:55:43,059 --> 02:55:51,159
lidera esta plataforma control z y claro los que la conocemos y sabemos cómo ella lucha por mejorar

1662
02:55:51,159 --> 02:55:55,239
la sociedad y sobre todo de la infancia pues no le hemos podido decir que no entonces somos un

1663
02:55:55,239 --> 02:56:03,040
grupo de organismos a sociedades científicas plataformas ciudadanas en unicef está en la

1664
02:56:03,040 --> 02:56:09,940
sombra y como de apoyo la fundación edición no se posicionan claramente pero están ahí pero el

1665
02:56:09,940 --> 02:56:19,940
the Official Council of Psychologists, well, a large group that we are trying to see how we can raise awareness in society that we have to be responsible for this.

1666
02:56:19,940 --> 02:56:25,940
And that's all I have to tell you. We make healthy breakfasts once a month, with different topics, and we spread it in the media.

1667
02:56:25,940 --> 02:56:33,940
And at the moment we are only doing that, but we will do more things, because we are committed people and we want to improve society, so we will do more things.

1668
02:56:33,940 --> 02:56:36,940
Thank you. Any questions? Who's got the mic?

1669
02:56:40,639 --> 02:56:43,639
No one wants to ask me anything? I'll keep going, I've got a cart.

1670
02:56:45,639 --> 02:56:50,639
Maybe at home someone has a question, or a comment, or a complaint.

1671
02:56:50,639 --> 02:56:53,639
I mean, insults only on the first day.

1672
02:56:53,639 --> 02:56:56,639
So, since there are many people here who already know me, no.

1673
02:56:56,639 --> 02:57:00,639
Thank you. In one of the slides, you said you didn't have time and you went so fast.

1674
02:57:00,639 --> 02:57:03,639
Any recommended time? 30 minutes a day?

1675
02:57:03,639 --> 02:57:08,639
What slide are you referring to? I think it would be the one that was for age.

1676
02:57:08,639 --> 02:57:09,639
Talking about screens.

1677
02:57:09,639 --> 02:57:13,639
Of course. No, I cannot recommend a minimum time.

1678
02:57:13,639 --> 02:57:20,639
What I have copied in a slide were the recommendations of the Spanish Association of Pediatrics,

1679
02:57:20,639 --> 02:57:23,639
which have been recently reviewed, and they are for ages.

1680
02:57:23,639 --> 02:57:26,639
So, there are very early ages in which zero screens are recommended.

1681
02:57:26,639 --> 02:57:31,639
Then, in other ages, a very short time can be allowed, for example,

1682
02:57:31,639 --> 02:57:37,219
for video calls with grandparents, things like that that favor a little the connection.

1683
02:57:37,219 --> 02:57:41,579
And this is being reviewed, and we are reviewing it in the clinics every now and then, because

1684
02:57:41,579 --> 02:57:47,459
scientific publications are slow, that is, the research is slow, and we are reviewing

1685
02:57:47,459 --> 02:57:48,860
it and we are updating it.

1686
02:57:48,860 --> 02:57:52,760
I don't know exactly what slide you are referring to, but I imagine it would be ...

1687
02:57:52,760 --> 02:57:55,760
Oh, the TDAH, it could be.

1688
02:57:55,760 --> 02:58:05,760
Well, of course, you have to balance with the screens you have in the school, it is difficult to put recommendations, I don't remember, but it can be.

1689
02:58:05,760 --> 02:58:15,030
I don't put a specific time for my patients with ADHD, I try to use the screens as little as possible.

1690
02:58:15,030 --> 02:58:23,030
Then their parents suffer from it every day, and when they come with a mobile better than mine and an Apple Watch better than mine, I know it's going to be a difficult consultation.

1691
02:58:23,030 --> 02:58:42,030
Hello, I'm a little embarrassed to do it because I don't know if it makes much sense, but when you were talking about self-diagnosis, what came to me and that I have a serious problem and it happens to me a lot and I don't know if it happens to more people, and especially with girls, is this self-diagnosis of anxiety.

1692
02:58:42,030 --> 02:58:49,030
if you have seen it or not or indeed what I used to think it was an attack

1693
02:58:49,030 --> 02:58:54,870
of I do not know how to tell you about nerves is anxiety or not to me that is what anguish generates me the most

1694
02:58:54,870 --> 02:59:00,030
especially because also I tell you already with a daughter who is 19 years old she sees me as a person

1695
02:59:00,030 --> 02:59:05,829
like I am not empathetic at all and that I do not understand that all that is anxiety

1696
02:59:05,829 --> 02:59:09,829
Very good question, thank you very much.

1697
02:59:09,829 --> 02:59:17,829
I have really taken out the issue of self-diagnosis because sometimes it gives us work to adjust the expectations that people bring that demand things from us.

1698
02:59:17,829 --> 02:59:29,829
There are people who have information and know how to inform themselves and things resonate with them and they have dragged a discomfort, they have suffered bullying and they understand each other from a label and they ask for help and they are accurate diagnostics.

1699
02:59:29,829 --> 02:59:39,829
The issue of young people, because at 19 I still have to tell you, I'm sorry, that she is a teenager and you still have a few years of suffering left, is the search for identity and label.

1700
02:59:39,829 --> 02:59:47,829
And if the word anxiety suits her to justify what she feels and is a discomfort, maybe she has used that word for that.

1701
02:59:47,829 --> 03:00:01,549
La cuestión es si está utilizando esa etiqueta para refugiarse en su habitación y evitar enfrentarse a lo que se deben enfrentar las personas de 18 años para lograr los hitos que se esperan en esa etapa de la vida,

1702
03:00:01,709 --> 03:00:17,250
tiene que recibir ayuda y un profesional le tiene que ayudar a comprender qué siente ella cuando dice que tiene ansiedad, a qué se refiere con eso, con qué lo relaciona y cuándo fue la primera vez que sintió eso para intentar buscar un sentido a ese síntoma.

1703
03:00:17,829 --> 03:00:38,690
Yes, well, of course, because, well, I think it is true that now this of self-injuries and anxiety is a search for identity,

1704
03:00:39,170 --> 03:00:44,270
and that the scars of self-injuries already look proud because they have overcome a vital crisis,

1705
03:00:44,870 --> 03:00:52,270
and it is like before it was to wear Nike shoes or Levi's pants, which made you belong to a group, and that is a danger.

1706
03:00:52,270 --> 03:00:57,270
but we must never banalize that they call it whatever they call it, but they are suffering

1707
03:00:57,270 --> 03:01:00,270
and they are not being able to express an unpleasant emotion.

1708
03:01:00,270 --> 03:01:04,270
They are not being able to tolerate it or we are not giving them a space to manage it.

1709
03:01:04,270 --> 03:01:11,270
That before we did not have it and we have done well does not mean that they do not have to have a space now,

1710
03:01:11,270 --> 03:01:14,270
because we have gone through a pandemic, we have gone through the 11M,

1711
03:01:14,270 --> 03:01:17,270
but we have gone through a lot of historical things.

1712
03:01:17,270 --> 03:01:21,690
Okay, our parents went through the civil war, whatever you want, but they were not very well.

1713
03:01:22,010 --> 03:01:29,309
If you look back a little, the families, I mean, do we look at our parents and our grandparents,

1714
03:01:29,649 --> 03:01:31,809
we understand because we are as we are, right?

1715
03:01:32,329 --> 03:01:36,010
So, I would never take away, I mean, I would give them space to talk about it.

1716
03:01:36,430 --> 03:01:39,829
I would take away importance if we see that it is not important, that it is not a matter of life or death,

1717
03:01:39,829 --> 03:01:43,690
but that it would give validity to their suffering, because it is their way of expressing it.

1718
03:01:43,690 --> 03:01:49,690
And expressing suffering is much better than expressing it through behaviors.

1719
03:01:51,690 --> 03:01:54,690
Well, I think you could not have explained it better.

1720
03:01:54,690 --> 03:01:56,690
Well, forgive me the mess.

1721
03:01:56,690 --> 03:01:58,690
Thank you very much, Abigail.

1722
03:01:59,690 --> 03:02:11,659
Thank you very much to all the speakers who have made today's session possible.

1723
03:02:11,659 --> 03:02:16,659
We have reached the end of today. See you tomorrow at 10.

1724
03:02:16,659 --> 03:02:20,659
But thank you all for educating to take care. Thank you very much.

1725
03:02:21,659 --> 03:02:23,059
Thank you.