Professional Psychological Services Centre (Macau) Limited

The provision of psychological services using technological modalities in lieu of, or in addition to, traditional face-to-face methods (e.g., provision of psychological interventions using phone, videoteleconferencing, use of applications, email). 使用科技代替傳統的面對面方法或使用傳統的面對面方法時加以使用科技（例如，電話、視像會議、使用應用程序、電郵）來提供心理服務。

Web-conferencing platform, doxy.me, used here is safe, secure and meets the worldwide security requirements: HIPAA, GDPR, PHIPA/PIPEDA, & HITECH compliant. All you need is an internet connection and a computer with a webcam and microphone, or a smartphone. After scheduling the first appointment, a secure meeting link will be sent via email. Before you start, please find a space where the internet is unblocked, safe and private. A few minutes before the appointment time, click the link to enter a virtual waiting room. When the session begins, the worker will welcome you into our secure private meeting room where your session will take place. At the initial session, you will be asked to show your photo ID for verification. You can also ask our staff to show a valid license for you to verify the identity of the staff. Other Telepsychology will be developed in near future. 網絡會議平台將用於大多數服務中。本中心所用之網上平台doxy.me已達到國際安全的要求：HIPAA, GDPR, PHIPA/PIPEDA, & HITECH。 您所需要的是互聯網連接以及帶網絡攝像頭和麥克風的電腦或智能電話。 安排首次見面後，安全的會議鏈接將通過電郵發送。開始前請找尋一個網路暢通且安全具隱私的空間，預約時間前幾分鐘，單擊鏈接進入虛擬等候室。 見面開始時，工作員將歡迎您進入我們安全的私人虛擬會議室，在該虛擬會議室進行見面。首次見面時，工作員會請您先出示含照片之身分證明文件，以供核對身分，您亦可請工作員出示有效執業執照，供您核對工作員身分。 其他遠程心理服務將在不久的將來發展。

– Accessible & time saving – No risk of exposing yourself face-to-face in the waiting room – Effectiveness: it is a similar impact as face-to-face service * 無障礙和節省時間 * 免除等候時暴露自己的風險 * 有效: 這與臉對臉的面談有相近的效用 Reference: - Andersson, G., & Cuijpers, P. (2009). Internet-based and other computerized psychological treatments for adult depression: A meta-analysis. Cognitive Behaviour Therapy, 38(4), 196-205. http://www.ncbi.nlm.nih.gov/pubmed/20183695 - Barak, Azy, et al. (2008). A comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. Journal of Technology in Human Services, 26.2-4: 109-160. http://www.tandfonline.com/doi/abs/10.1080/15228830802094429#.VI8vaCvF_hs - Nagel, D. (2011). The future of online therapy. Psychotherapy Networker Symposium, Washington, D.C. http://dx.doi.org/10.1037/e561872012-001 - Wantland, D. J., Portillo, C. J., Holzemer, W. L., Slaughter, R., & McGhee, E. M. (2004). The effectiveness of Web-based vs. non-Web-based interventions: a meta-analysis of behavioral change outcomes. Journal of Medical Internet Research, 6(4). http://www.jmir.org/2004/4/e40/

We do not provide online emergency or crisis response service. If you are feeling suicidal, in a crisis, or in a life threatening situation, please seek help immediately: Call your local emergency services (Ambulance/Police). Or, present at your nearest hospital emergency department. 本中心不提供在線緊急或危急的服務。如果您現時想自殺、在危機中或在危及生命的情況,請立即尋求幫助:致電您當地的緊急服務(救護車/警察)。或到最近的當地醫院急診。

「心理醫生」一詞可能是翻譯時的誤會，（特別於電影電影中）「心理醫生」一詞可能是指臨床心理學家、精神科醫生或心理治療師，視乎其原意。不同地方有不同定義。精神科醫生通常是醫科畢業後再作專科進修的醫生。鄰近地區，如港台澳洲等地，臨床心理學家通常是於心理學本科畢業後，再於研究院修讀碩士或以上包括實習的臨床心理學課程，視乎當地註冊需要。於澳門，於2021年10月1日後於澳門衛生局註冊之心理治療師，需至少讀碩士或以上包括實習之臨床心理學課程。 故此，臨床心理學家/（澳門）心理治療師大多沒有處方權，處方需由醫生提供。 “Psych-Doctor (aka shrink in US)” might refer to clinical psychologist, psychiatrist, or psychotherapist, depending on content of intent. Definition varies. Psychiatrists complete specificity training after graduating from medical sciences. Clinical psychologists, in Hong Kong, Taiwan, and Australia, usually complete clinical psychology training in postgraduate level with practicum, after graduating from undergraduate degree in psychology; registration depends on local requirements. In Macau, psychotherapists, registered with the Macau Health Bureau after October 1, 2021, must complete at least a master's degree or above clinical psychology training in postgraduate level with practicum. Therefore, most clinical psychologists/(Macau) psychotherapists do not have the right to prescribe, and the prescription must be provided by the doctor.

臨床心理學家於對認知、情緒及行為，及其與環境互動關係方面受過專業訓練，運用實証的心理治療方法協助受助者。港澳的臨床心理學家沒有處方權。治療取向就視乎其培訓背景。 精神科醫生是受醫學訓練的棈神科專科醫生，他們會利用藥物治療精神病症，有些精神科醫生也會做心理治療。 Clinical Psychologists are professionally trained experts in cognitive, emotional, and behavioural functioning, and their interaction with the environment. Their intervention is based on scientific understanding of people's cognition, emotion, and behaviour, to formulate and to intervene psychological issues. Clinical psychologists in HK and Macau are not allowed to prescribe pharmaceutic medications. Approaches of psychotherapy vary depending on the training of the practitioners. Psychiatrists are medical doctors specializing in psychiatry. They make psychiatric diagnosis and prescribe medications to treat mental disorders, while some also conduct psychotherapy.

視乎你的精神狀況和各種因素。有些情況，心理治療跟藥物治療同樣有效；有些情況，兩者並用會有更佳效果；有些情況，藥物比心理治療更快更有效。一般沒有諮詢見面不能作結論，故需要跟你的家庭醫生/主診醫生商量及討論，或預約作一節諮詢，與臨床心理學家討論及闡明可行之介入方向。 Depends on your mental conditions and various factors. Psychotherapy can be as effective as pharmacological treatment for some conditions. Some people benefit more from having both psychotherapy and pharmacological treatment at the same time for some conditions. Pharmacological treatment may work better in some conditions than psychotherapy does in some conditions. It is generally not possible to answer without consultation. Therefore, please consult your family doctors/attending doctors, or make an appointment for a consultation, to discuss with a clinical psychologist for clarifying feasible interventions.

A session of psychological consultation is necessary before assessment, counseling, and/or intervention. The aim of the consultation session is to seek for direction and measures. It is similar to the medical consultation before prescription. * please bring along (medical, psychological, or school) report and medical prescription if any. 於評估、輔導和/或其他介入干預之前，諮詢節必須進行的原因及目的是尋求方向和措施。 類似於藥物處方前的醫療諮詢。 *請隨身攜帶（醫療，心理或學校）報告和醫療處方（如果有）。

During the inital consulation, which usually takes 75 to 90 minutes, in addition to expectation of the consultation, information related to current situation/condition and concern, such as psychosocial background, health history, family, other relationships, social life and interests, will be gathered. This helps a psychologist get a big picture understanding of how concerns may have developed and how they are impacting a client, in order to formulate appropriate recommendations, plan and/or strategy to proceed together for the concern. For issue about a specific child or young person, parent consultation is highly recommended to be arranged to explore a comprehensive understanding before meeting with the child and/or the young person. * please bring along with (medical, psychological, or school) report and medical prescription if any. 初次諮詢通常需要75至90分鐘，除諮詢的期望外，還會收集與當前狀況和關注有關的信息，例如：心理社交背景、健康史、家庭、其他人際關係、社交生活和興趣等。這有助於全面了解現時狀況、狀況之形成以及其影響，以制定適當的建議、計劃和/或策略。對於有關特定兒童或年輕人的問題，強烈建議在與兒童和/或年輕人會面之前安排家長諮詢，以尋求全面的了解。 *請隨身攜帶（醫療、心理或學校）報告和醫療處方（如果有）。

Parent consultation is actually a common assessment technique: clinical interview. The purpose of clinical interview is to gather information. During the session, the concern of assessment and plan of assessment (including but not limited to arranging suitable assessment tool, date, numbers of session and informing the cost of the assessment) will be discussed. Purpose of parent consultation: 1. To understand what's causing those symptoms, which is similar to medical testing. 2. To assist the development of treatment/ intervention plan. For more information, please read the article “Understanding psychological testing and assessment” at the website of American Psychological Association (https://www.apa.org/topics/psychological-testing-assessment) 家長諮詢其實是一種常見的評估技術：臨床訪談，目的是收集訪談信息，諮詢過程亦旨在找出需評估之問題及計劃（包括但不只限：安排合適的評估工具、日期、節數及令家長了解成本）。 目的： 1. 與醫學測試相似，即用作了解引起症狀/問題嘅原因 2. 有助於制定治療/介入計劃 詳細資料可參考美國心理學會發表的文章：《了解心理測試和評估》。 原文可參考 https://www.apa.org/topics/psychological-testing-assessment。

Psychological assessment is a process of testing that uses a combination of techniques to help arrive at some hypotheses about a person and their behavior, personality and capabilities. Psychological assessment is also referred to as psychological testing. Psychological testing is nearly always performed by a licensed psychologist and/or a trainned mental health profession. 心理評估是一種使用多種技術組合的測試過程，幫助得出有關一個人及其行為、性格和能力的一些假設。 心理評估也稱為心理測試。 心理測試大多由持牌心理學家和/或受過訓練的心理健康專業人士進行。

A psychological assessment generally involves four phases: 1. a pre-assessment consultation 2. session(s) of psychological testing 3. behavioral observation (whenever necessary) 4. post-assessment feedback 心理評估通常包括四個階段： 1.評估前諮詢 2.心理測驗 3.行為觀察（必要時） 4.評估後反饋

Assessment report generally includes following parts: - purpose for evaluation - assessment procedures - mental status examination/ behavioural observation - relevant background information - datas, results and interpretation of the evaluation - summary/ recommendations For any kind of assessment, consultation, counseling, therapy or intervention, a client and/or his/her legal guardian has the rights to request the “report/record". “Assessment Reports” include cognitive ability test, IQ test, integrative development assessment, attention tests, etc. And “Progress Notes/Reports” are records after each session of consultation, counseling, therapy or intervention. Service provider is responsible to interpret the results after each assessment, and provide the assessment report to the client and/or his/her legal guardian. The client retains the rights to request the “Progress Notes/Reports” via written request whenever necessary/desired. 評估報告通常包括以下部分： -評估目的 -評估程序 -心理狀態檢查/行為觀察 -相關背景信息 -評估的數據、結果和解釋 -摘要/建議 不論已接受之評估、諮詢、輔導、治療或介入種類，當時人或(/及)法定監護人都有權取回「報告/記錄」。一般評估後之書面報告稱為「評估報告」，如智力評估、綜合發展評估、專注力評估等等。而諮詢、輔導、治療或介入後之書面報告稱為「進度簡介」、「記錄」等等。 服務提供者有責任於進行評估後講解結果及將評估報告交給當時人或(/及)法定監護人。而「進度簡介」、「記錄」等一般會於當時人或(/及)法定監護人有需要時可向服務提供者心理學家書面申請後發出。