Psychiatric Inpatient Day Centre

Psychiatric Inpatient Day Centre was established in 2012.
Our aims are to establish good staff-patient relationships, respond to patient’s individual needs by applying best psychosocial rehabilitation practices. Treatment process may involve minimally restrictive regimen, adequate medical treatment as well as family participation in the therapy programme.

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Please register to the Psychiatric Inpatient Day Centre by calling (8 5) 213 9373 or contact the Psychiatric Inpatient Day Centre on weekdays from 8 am to 4 pm.

Patients are admitted from all Vilnius city outpatient clinics.

Make sure you bring:

 • Identity document;
 • Document certifying health insurance (from Lithuanian Labour Exchange, Disability Certificate);
 • Referral from a district psychiatrist, inpatient psychiatrist or general practitioner.

Psychiatric Inpatient Day Centre provides free (covered by Health Insurance Fund) and paid services.

Patients here are treated for various mental disorders:

1. Organic and symptomatic mental disorders (dementia caused by Alzheimer's disease, vascular dementia, dementia in other diseases classified elsewhere: HIV, Parkinson's disease, Huntington's disease, Creutzfeldt-Jakob disease, Pick's disease, etc.);
2. Mental and behavioural disorders due to psychoactive substance use (alcohol, medication, narcotics);
3. Schizophrenia, schizotypal disorder and delusional disorders, schizoaffective disorders, acute and transient psychotic disorders;
4. Mood (affective) disorders (manic episodes, bipolar affective disorders, depressive episodes, recurrent depressive disorder, persistent mood disorders and other mood disorders);
5. Neurotic, stress and somatoform disorders (phobic anxiety disorders, other anxiety disorders, obsessive compulsive disorder, reactions to severe stress and adaptation disorders, dissociation (conversion) disorders, other neurotic disorders);
6. Behavioural disorder syndromes related to physiological disorders and physical factors (inorganic sleep disorders, eating disorders, sexual dysfunction not related to organic disorder or disease, postpartum mental and behavioural disorders, non-addictive substance abuse);
7. Disorders of adult personality and behaviour (personality disorders, habit and addiction disorders, gender identity disorders, disorders of sexual preference);
8. Intellectual disability;
9. Disorders psychological development;
10. Behavioural and emotional disorders during childhood and adolescence.

Services are provided by a team of specialists:

1. Psychiatrist;
2. Dietitian;
3. Psychologist;
4. Psychotherapist;
5. Art therapist;
6. Movement therapist;
7. Music therapist;
8. Social worker;
9. Mental health nurse;
10. Occupational therapist.

Psychiatric Inpatient Day Centre services:

Psychiatrist. While talking to the patient the psychiatrist collects a psychiatric history, assesses the clinical mental condition, if possible, collects an objective medical history from accompanying persons, diagnoses mental disorders, suggests psychological examinations and, if necessary, consults specialists, draws up a treatment plan, prescribes medications, advises family members on the treatment of the mental patient, provides information about treatment with psychotropic drugs, explains how to deal with acute psychotic conditions, advises how to maintain healthy life style, improve work-life balance, etc.

Dietitian provides qualified information, prescribes dietary treatment for eating disorders, obese patients, or those taking antipsychotic drugs. While talking to the patient, the dietitian collects a history of nutrition, evaluates a person's nutrition status, calculates a person's nutrient and energy needs according to physiological and pathophysiological changes, evaluates the results of laboratory tests, prepares a plan of proper nutrition, dietary treatment, prepares individual daily menus, evaluates the effectiveness of dietary treatment, introduces the principles of dietary treatment to patients and their families, supervises the patient 's dietary treatment, prepares dietary recommendations, taking into account the person' s physiological condition, educates patients and their relatives. Throughout the whole inpatient treatment period at PIDC, the patients receive consultations, supervision and personalized nutrition.

Psychodiagnostics is a psychological assessment of cognitive processes (attention, memory, thinking and intellect (Wexler scale - WAIS-III, WASI)), personality and psycho-emotional state.

Individual consultations with a psychologist / psychotherapist. The goal of individual psychotherapy is to help a person understand his or her internal and external conflicts, problems that arise, and to achieve profound, personal changes in life.

Psychotherapy is recommended if you:

• Have symptoms like fear, anxiety, depression or a doctor has not identified any physical cause for your symptoms
• Personality problems;
• Problems with interpersonal relationships;
• Difficulties at work;
• Have low self-esteem;
• Are constantly getting into the same awkward situations.
Psychotherapy is a conversation between two people - a patient and a psychotherapist - about everyday experiences, feelings and their expression. In psychodynamic psychotherapy, special attention is paid to the analysis of past events, and especially the first relationships with loved ones, as these experiences have a significant impact on current life.

The patient's communication patterns as well as various personality traits, that affect interpersonal relationships in everyday life, are revealed in this process. The established relationship between the patient and the psychotherapist is very important for the exchange process. It provides supportive environment that allows the patient to safely examine his/her relationships and try to change them.

The duration of psychotherapy depends on various factors: patient’s condition, personal traits and the type of psychotherapy. A psychotherapy session typically lasts 45 to 50 minutes. 

• Group psychotherapy. Psychotherapist works with a group of patients at the same time. A session lasts about 1-1.5 hours. Group psychotherapy is used to treat various disorders and help patients deal with different problems in life (work, marriage or family problems), difficulties in interpersonal relationships, lack of self-esteem, various life crises (loss, serious illness) and emotional disorders. In group therapy it is easier to analyze person's daily relationships, discuss, learn about feelings of other group members, your own behaviour. The patient can more quickly apply new behavioural patterns acquired during the treatment in daily life. 

Family counseling. Everyone finds it very difficult to cope if a loved one develops a serious illness. And when the disease is "mental", it is even more complicated as mental processes often seem incomprehensible, "out of” common sense and, therefore, frightening. In such cases, not only the patient, but also his / her relatives should seek help of specialists in order to learn as much as possible about the disorder, treatment, rehabilitation and alternative care methods. The doctor informs the patient's family members about the patient's health, peculiarities of the disorder, treatment tactics, the necessity of anti-relapse treatment as well as peculiarities of communication with the patient. If necessary, the family can be offered a consultation with the psychologist.

Autogenic relaxation is one of the most popular forms of relaxation, in other words, it is a form of self-induced suggestion (autosuggestion). The person listens to spoken formulas and repeats them to himself. The session is led by a psychologist.
What are the benefits of relaxation?
• Helps to calm down after a lot of stress;
• Reduces emotional tension, anxiety before public appearance, exams, competitions, surgery. A relaxed person can focus better on problem solving;
• Helps you fall asleep faster and wake up more easily, improves sleep quality;
• Short rest. Relaxation eases fatigue, increases work capacity;
• Helps to concentrate, improve your performance in various life situations, to easier achieve your goals;
• Helps to understand yourself better: to discover your strengths and weaknesses, realize your full potential and improve.

Light therapy (phototherapy) is a treatment with an intense light beam, bioptron lamps. Session duration is 0.5 hours at least 5 times a week. A greater effect is achieved when used in combination with other therapies. The duration of the course is 2-4 weeks. Usually applied in the morning, less often in the evening, but no later than 8 p.m. Light therapy is used to treat depression, sleep disorders, bulimia, adaptation disorders, anxiety, as well as depression during pregnancy and lactation. Light therapy makes you feel better without causing side effects.

Art therapy is a form of psychotherapy that uses art media as its primary mode of expression and communication. It helps improve mental, physical, social and emotional wellness of the client (individually or in a group) and is suitable for children, adolescents and adults. Art therapy can be beneficial not only in the presence of mental disorders, but when dealing with difficult situations in life for better self-awareness and personal growth. This form of psychotherapy can be applied both individually and in groups. Art therapy is not an art lesson, no one here evaluates the aesthetic qualities of works. The most important thing in these classes is the experience and the creative process, not professionalism. Therefore, drawing skills are not necessary when participating in art therapy classes.

It is often not easy to express significant experiences, thoughts and feelings in words. Then images can come to the rescue - when creating, the hand unconsciously directs and draws what is significant and important. Expressing the inner state through an image makes it easier to describe it in words. Art therapy gives an opportunity to understand one’s difficulties more clearly and more maturely, and find constructive ways to address them.

“To be creative means to consider the whole process of life as a process of birth, and not to take any stage of life as a final stage E. Fromm

Movement therapy. The dance movement therapy is a dance and motion, during which a person, while dancing and moving, can creatively engage in a process that promotes his emotional, cognitive, social and physical abilities. This method is based on the principle that movement reflects patterns of thinking and feeling. It allows to learn about and expand one's personal “self”, to find out one's individual qualities, to express one's mood, feelings, and to help transfer control from the subconscious level to the conscious level.

This method is especially effective if a person feels:

• Accumulated tension in certain areas of the body;
• Constraint not only in the body, but also in thoughts and feelings;
• Constant anxiety, sadness, fear;
• Loneliness;
• Lack of communication or absence of peers;
• Existential vacuum.

Music therapy is performed by a qualified music therapist that helps people to improve, maintain, restore and strengthen their health (physical, mental). It is a collaboration between a therapist and a client or group of clients using music and building relationships to improve the client’s health and quality of life. 
The classes involve such practices as breathing, voice improvisations, body relaxation and activation, sound exploration, music making (improvisation, listening). You do not need any previous experience or training in music. The main focus here is a one’s personal development, self-esteem building, improving emotional and physical condition, discovering and promoting creativity, relieving pain, managing fears and traumatic experiences, developing communication skills, relaxation.

Communication group is beneficial for patients who have communication difficulties due to emotional and cognitive impairment, positive and negative symptoms of psychosis. The patients here learn to:
  • Listen and understand the other person;
  • Make contact with strangers;
  • Maintain a conversation;
  • Maintain and improve current mutual relationships in a safe and favourable environment;
  • Alter one’s behaviour; reduce the impact of psychotic symptoms;
  • Resolve conflict situations or problems.
This activity is intended for people with mental disorders and those currently in inpatient treatment who want to get to know themselves and others better by communicating with each other and solving problematic situations. Here you can build self-confidence, make friends, discover your potential and aspirations.

Activity planning group. The task group is designed to build patients’confidence in performing small tasks on their own. People suffering from a disease often lose the need for basic personal hygiene, day planning, or other skills they used to have. During these sessions, patients will be able to assess what problems they face in their daily activities. Patients set up individual tasks that they will be responsible for and then share with the group the results achieved. This helps build patients’ confidence (perception of “I can”).

Computer literacy training. Many patients have various questions about the computer and its application, e.g. how to find a job online, register with a doctor electronically, create a personal e-mail, write an email, etc. In the Psychiatric Inpatient Day Centre, patients learn the basic computer skills.
  • Psychoeducation.
  • Film therapy.
  • Social skills training group.
  • Writing therapy.
  • Emotion cognition group.
  • Task group.
  • Nutrition planning group.

Paid services are provided if:

• Patient does not have social insurance;
• Patient is covered by compulsory health insurance, but Centro Clinic has used up all the funds provided for in the agreement with the Territorial Health Insurance Fund;
• Patient requests other services that are not reimbursed from the HIF budget.

Psychiatric Inpatient Day Centre provides treatment of alcohol withdrawal (detoxification) for

• Patients with moderate to mild alcohol withdrawal;
• Patients with relapse symptoms;
• Patients with addiction to alcohol and sedatives.

Detoxification is a paid service.