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Image Un centre spécialisé dans les Troubles du Comportement Alimentaire (TCA)Notre centre se distingue par une approche pluridisciplinaire et individualisée, alliant détection précoce, orientation ciblée et soins spécialisés.Nous adoptons une approche globale qui combine des thérapies individuelles, familiales et de groupe. Nous intégrons des méthodes reconnues telles que la Family Based Therapy (FBT) et, prochainement, la Multi Familial Therapy (MFT), tout en offrant des soins diététiques et corporels adaptés.En cas de besoin, une prise en charge intensive peut être proposée.Notre objectif : accompagner patients et familles vers un rétablissement durable grâce à un parcours de soins structuré et coordonné.Fiche santé TCA A Erasme, la prise en charge des TCA s’adresse aux jeunes de 12 à 23 ans présentant des troubles tels que l’anorexie, la boulimie ou l’hyperphagie boulimique.A l’Hôpital des Enfants (HUDERF), la prise en charge des TCA s’adresse aux enfants et adolescents jusque 15 ans, présentant des troubles tels que l’ARFID/trouble alimentaire pédiatrique, l’anorexie, la boulimie ou l’hyperphagie boulimique.%20cpij [dot] psychiatrie [dot] erasme [at] hubruxelles [dot] be (Envoyer un mail)  De manière générale nos consultations s'adressent aux :familles souhaitant un accompagnement global, intégrant les proches comme acteurs clés de la guérison.patients nécessitant une prise en charge personnalisée, adaptée à leurs besoins psychiques et physiques. Nos expertes Pr. Veronique Delvenne, Directrice du service de psychiatrie du bébé, de l’enfant, de l’adolescent et du jeune adulte (H.U.B)Véronique Delvenne, professeure de psychiatrie de l’enfant et de l’adolescent à l’Université libre de Bruxelles (ULB), est une spécialiste reconnue en pédopsychiatrie en Belgique.Membre de l’Académie royale de Médecine de Belgique, elle a concentré ses travaux sur les troubles des conduites alimentaires et sur les enjeux spécifiques de la psychiatrie en âge de transition. Par son expertise et ses recherches, elle contribue à faire évoluer les connaissances et les pratiques dans ces domaines essentiels de la santé mentale. Dr Judith Dereau,  Pédopsychiatre référente de la prise en charge des TCA à l'H.U.BLe Dr Judith Dereau, responsable médicale du Centre ambulatoire TCA de l’H.U.B., s’impose comme une figure incontournable dans le paysage belge francophone des professionnels spécialisés dans les TCA. Experte reconnue, elle partage son expérience et ses connaissances à travers l’animation de séminaires et des interventions régulières lors de congrès.Forte d’une pratique clinique hospitalière et ambulatoire développée depuis 2003, le Dr Dereau met son expérience au service de la formation et de l’innovation des prises en charge. Notre équipe Pédopsychiatres Dr Mouna Al-Husni (HUDERF-Erasme)Pr Véronique Delvenne (HUDERF)Dr Judith Dereau (Erasme)Dr Maria Talib (HUDERF-Erasme) Au niveau somatiqueDr Jean-Charles Preiser (Erasme)Dr Celine Roman PsychologuesMme Christella di FioreMme Silvana Fuso (HUDERF-Erasme)Mme Nadia Ramsis KinésithérapeutesMme Nora El Meziani DiététiciensMme Charlotte Dupont Erasme Medical Center (EMC) Route de Lennik 900 − 1070 Bruxelles Standard EMC +32 (0)2 555 31 11 Secrétariat Pédopsychiatrie +32 (0)2 555 32 96Prendre rendez-vous  Hôpital des Enfants (Huderf) Avenue Jean Joseph Crocq 15 - 1020 BruxellesSecrétariat Pédopsychiatrie: +32 2 477 31 80Prendre Rendez-vous  Service de Psychiatrie du bébé, de l'enfant, de l'adolescent et du jeune adulte

Le service de pédopsychiatrie du H.U.B, actif à la fois sur les sites d’Erasme et de l’Hôpital des Enfants, a été reconnu par l’INAMI comme Centre de Référence Supra-Régional pour les Troubles du comportement alimentaire (TCA) chez les jeunes  de 0 à 23 ans. Troubles du comportement alimentaire chez les jeunes : une prise en charge multidisciplinaire Ce centre innovant offre une approche multidisciplinaire, coordonnée et spécialisée pour les jeunes souffrant d’anorexie, de boulimie ou d’hyperphagie boulimique, tout en assurant un accompagnement renforcé des familles.Dans cette interview, découvrez les spécificités de ce nouveau centre, les bénéfices pour les patients, et les ambitions portées par les équipes du H.U.B. (Hôpital Erasme et Hôpital des Enfants) Notre centre prend en charge toutes les tranches d’âge, du bébé jusqu’à 23 ans, avec une approche multidisciplinaire, adaptée à chaque situation Judith DEREAU Pédopsychiatre, Responsable médicale du Centre ambulatoire TCA (H.U.B) 1. En quoi le Centre TCA que vous dirigez se distingue-t-il dans la prise en charge des troubles du comportement alimentaire chez les jeunes ?Notre centre a la spécificité de prendre en charge toutes les tranches d’âge, du bébé jusqu’à l’âge de transition (23 ans), avec une longue expérience, tant au niveau de la prise en charge somatique des cas graves que psychiatrique. Nous proposons des soins adaptés à chaque situation : consultations spécialisées multidisciplinaires (avec pluralisme des approches, dont la Family-Based Therapy (FBT) et la thérapie multifamilles), ambulatoire intensif, hospitalisations de jour pour les plus jeunes, hospitalisations complètes… y compris pour les formes atypiques comme l’ARFID, qui est un trouble de l'alimentation sélective sans préoccupation du poids ou de l'image corporelle.2. Quelle est la plus-value du trajet de soins mis en place par l’INAMI pour les patients et leurs familles ?La mise en place du "trajet de soins TCA" il y a un an a permis d'offrir aux patients et aux familles une prise en charge plus lisible, coordonnée et mieux soutenue. Cela a renforcé l’accès aux soins et valorisé le travail en réseau. L'INAMI, qui a aussi prévu un soutien régional avec l’extension de l'offre de soins (équipes ambulatoires de soutien de la première ligne et équipes de traitement à temps partiel), vient maintenant compléter ces dispositifs par des centres suprarégionaux, qui seront tant au service des patients et de leurs familles que des professionnels de 1ère et 2ème ligne pour les trajets de soins complexes.3. Que signifie concrètement pour votre équipe d’être reconnue comme centre de référence suprarégional ?C’est une reconnaissance précieuse de notre expertise. Cela va permettre de clarifier les niveaux d'intervention, de donner une visibilité accrue à notre travail et de développer encore notre offre, pour mieux répondre aux besoins des jeunes, de leurs familles et des professionnels qui le demandent. Avec la désignation du centre, nous allons pouvoir renforcer l'équipe avec l'engagement de collègues.4. Quelles sont les prochaines étapes ou ambitions pour ce centre dans les années à venir ?Nous voulons contribuer à améliorer le travail en réseau, la concertation indispensable et la formation des professionnels prenant en charge les troubles des conduites alimentaires, soutenir les collègues au-delà de Bruxelles, et étoffer l'offre de soins, entre autres en y intégrant des pair-aidants dans nos dispositifs.Infos H.U.B : Centre de Référence Supra-Régional pour les Troubles du comportement alimentaire (TCA) chez les jeunes Pédopsychiatrie - Psychiatrie du bébé, de l'enfant, de l'adolescent et du jeune adulte | Hôpital Erasme  Liens: Convention INAMIBruxelles https://tca-bru.be/BWhttp://www.archipelbw.be/initiatives/trajet-de-soins-tca-et-equipe-emas/Luxembourghttps://matilda-lux.be/trajet-de-soins-tca-troubles-des-conduites-alimentaires/Liègehttps://realism0-18.be/trajet-tca/Hainauthttps://www.rheseau.be/___-emas/

Definition Cephalalgia is the medical term describing pain in the head. It is a pain felt in the head, jaw, or upper neck. They can be occasional or recurrent, mild or very intense, and affect different areas (forehead, temples, back of the head…).Headaches are not a disease in themselves: they are a symptom that may occur in many situations such as fatigue or stress, or may reflect a more specific neurological condition. Symptoms Symptoms vary depending on the type:Tension-type headache• Sensation of pressure, tightness, or a band around the head• Continuous pain, mild to moderate• Rarely associated symptoms• Often linked to stress, fatigue, or poor postureMigraineMigraine is a specific type of headache, often more severe. It is not just a bad headache: it is a neurological disorder with specific features (ICHD3 criteria):• Pulsating pain, often on one side• Duration of 4 to 72 hours without effective treatment• Sensitivity to light, sound, or smells• Nausea or vomiting• Sometimes preceded by visual, sensory, or motor disturbances called “aura”Migraine is therefore a specific type of headache requiring tailored management.Other types of headachesLess common types include trigeminal neuralgia, cluster headaches, paroxysmal hemicrania, medication-overuse headaches, and secondary headaches due to underlying conditions. Prevalence (Belgium) Headaches are very common:Most adults experience at least one headache per yearAbout 20% of adults report migraines yearly in BelgiumWomen are more affected than menMigraines and tension headaches are the most common Medical care Management depends on the type of headache, its frequency, its intensity, and its impact on daily life. It is based on:An accurate diagnosisIdentification of triggering factorsAn appropriate treatment planPrevention of recurrenceDiagnosisDiagnosis is mainly based on:Medical consultation: description of the pain, frequency, duration, and associated symptomsClinical (neurological) examinationInternational diagnostic criteria (e.g. number of attacks, duration, associated signs, etc.)In most cases of primary headaches (such as migraine or tension-type headache), no additional tests (CT scan, MRI) are required as a first-line approach.Treatment – Acute PhaseObjective: to relieve the attack when it occursFor tension-type headaches:Rest and hydrationSimple analgesics (paracetamol, ibuprofen, according to medical advice)For migraine:Specific treatment to be taken at the first signsMedications such as triptans, sometimes prescribed by a doctor depending on the situationAnti-nausea medication if nausea is presentTreatment taken too late or too frequently may sometimes worsen headaches (rebound effect).Chronic Treatment / Follow-upIf you experience frequent or disabling headaches:Keep a headache diary (date, duration, etc.)Regular medical evaluation with your general practitioner and follow-up with a neurologist if necessaryPrevention with:Lifestyle modifications (sleep, hydration, stress)Preventive medications (by prescription)Complementary techniques (physiotherapy, stress management, relaxation, physical activity, etc.)For chronic or severe migraine, specific preventive treatments may be proposed. For these, it is necessary to complete and keep headache calendars throughout the course of the condition. FAQ 1. What is a cephalalgia (headache)? A cephalalgia, also called a headache, is pain felt in the head or neck. There are different types of headaches, the most common being tension-type headache and migraine. 2. What is the difference between a headache and a migraine? Migraine is a specific type of headache. It is characterized by:Pulsating pain ("beating"), often on one side of the headModerate to severe intensityAssociated symptoms (nausea, aura, etc.)Migraines are a type of headache, but not all headaches are migraines. 3. What are the most common causes of headaches? The most frequent causes include:Stress and fatigueLack of sleepDehydrationMuscle tension in the neck, shoulders, and scalpMigraineIn most cases, headaches are not linked to a serious illness. 4. When should I see a doctor for headaches? It is recommended to consult a doctor if:Headaches are frequent or worseningPain is unusual or very severeHeadaches interfere with daily lifeUsual medication is no longer effectiveYour primary care doctor recommends specialist advice 5. What are warning signs of a serious headache? Seek urgent medical attention if the headache:Appears suddenly and is very severeIs accompanied by fever, stiff neck, or confusionIs associated with unusual neurological symptoms (vision, speech, weakness)These situations are rare but require prompt evaluation. 6. Can stress cause chronic headaches? Yes. Stress is a major trigger for tension-type headaches and can worsen migraines. Prolonged exposure to stress can lead to recurrent or chronic headaches. 7. Can painkillers cause headaches? Yes. Taking painkillers too frequently can cause medication-overuse headaches, with almost daily pain. Medical advice is recommended if treatment is taken multiple times per week or more than 10 days per month. 8. Do I need a CT scan or MRI for headaches? In most cases, imaging is not necessary. A CT scan or MRI is only recommended in specific situations, based on medical evaluation, for example when warning signs are present. 9. Is migraine a chronic disease? Migraine is a chronic neurological condition that occurs in attacks. It can be managed with appropriate treatment and regular medical follow-up. Migraine may improve or worsen over a person’s lifetime. 10. How can I prevent headaches and migraines? Prevention involves:Regular sleepAdequate hydrationStress managementIdentifying triggersPreventive treatment if necessaryMedical follow-up allows management to be adjusted as needed. 11. Who should I consult for repeated headaches? For frequent headaches, it is recommended to:First consult your general practitionerSee a neurologist if necessary, based on your doctor’s adviceErasmus Hospital (H.U.B.) offers specialized care for headaches and migraines. SecMed [dot] Neuro [dot] erasme [at] hubruxelles [dot] be (Make an appointment). Useful Resources and Links For more information or support: Belgian Headache League – information, peer support, and patient resources (FR) Headache Calendar (document to download and complete) FR

What is a stroke ? Stroke is a serious condition that occurs when the blood supply to a part of the brain is cut off. The stroke can cause a sudden loss of brain function and symptoms such as muscular weakness and speech, vision and balance problems. It is essential to respond rapidly to stroke symptoms as every minute counts in minimising brain damage and possibly saving lives. It is therefore essential to know the common signs of a stroke and to dial 112 immediately in the event of a suspected stroke.  Care Time is of the essence when treating a stroke and TIA (transient ischemic attack). This is why the Erasmus Hospital offers a specific care pathway for these patients on arrival at the Emergency Department or on hospitalisation. This pathway is  provided by a team of stroke specialists: a neurologist available on site 24/7, 6 vascular neurologists, 6 interventional neuroradiologists, specialised paramedics and    two operating theatres dedicated solely to surgery following brain damage. This exceptionally rapid intervention enables our multidisciplinary team to minimise brain damage to patients and to optimise their prospects of long-term recovery.  

Normally, the greater part of your hospitalisation costs will be paid by your mutual health insurance, provided your payments are up to date.  If a hospitalisation is scheduled we advise you to contact your insurer (other than the mutual) to find out more about what is covered.   If your compulsory health insurance is not in order or you do not have Belgian nationality, unless you can show proof that the costs are covered you will have to pay the full amount of the medical costs. You will receive an estimate of the expected costs prior to your hospitalisation and will be asked to make payment before admission. This does not apply in the case of a medical emergency.  The choice of room you make at the time of admission will determine the rate.  You have two choices: A shared room or a single room. A single room is a private room in which you will be alone. Choosing for such a room necessarily brings additional costs.  Please note: If documents (certificates, medical testimonials, private insurance documents, etc.) have to be filled out by the unit doctor, please submit these to the medical secretariat at the beginning of your hospital stay so that they can be ready on the day of your discharge at the latest. Prepare your papers before hospitalisation

Image The ZELIG CenterZELIG is an outpatient service designed for young people aged 12 to 21 living in the Brussels-Capital Region*, who are facing recent psychological and functional difficulties that have emerged within the past six months.The center’s mission is to identify early signs of psychological distress before they worsen. By ensuring timely access to care, ZELIG aims to prevent complications and the progression of mental health disorders.Our approach prioritizes swift responses to initial requests and thorough, systematic evaluations of each situation. We offer a tailored care pathway focused on addressing symptoms related to psychiatric conditions through early detection and relapse prevention.*An appropriate solution will be offered in the event of language or communication difficulties between the patient and the healthcare professional. If necessary, the patient may be referred to another specialised centre to ensure optimal understanding, which is essential for the quality and safety of care. We kindly ask you to contact us by email before making an appointment.%20%20zelig [dot] pij [at] hubruxelles [dot] be (Envoyer un message) Image The ZELIG ProjectThe program is built on evaluation, feedback, and targeted support. This support is structured around group workshops and individual follow-ups, both of which are therapeutic and psychoeducational in nature.At ZELIG, we ensure that every young person receives comprehensive and personalized support throughout their care journey.Initial information is gathered via phone or email. Following an analysis of the request, a consultation may be offered to conduct a deeper evaluation. After this preliminary meeting, a multidisciplinary team discussion is organized to determine the best course of action: either providing support at the center or referring the young person elsewhere. Evaluation scales may also be employed to enhance the assessment process.This approach is based on three key dimensions: individual, group-based, and network-focused. Individual follow-up allows for care tailored to the young person’s specific needs, while group sessions foster peer interaction and reduce isolation. Engaging key figures and external networks ensures continuity of care outside the center. Finally, psychoeducational sessions can also be offered to families and close contacts. Docteur Simone Marchini Lead Physician at ZELIGChild and Adolescent PsychiatristSpecialist in early detection and intervention for adolescents and young adultsDr. Marchini is pursuing a doctorate in science at the Faculty of Medicine, ULB. Her research focuses on developing a dimensional approach to psychiatric disorders in adolescents and young adults. Image An expert team by your side Dr. Simone Marchini: Child and Adolescent Psychiatrist, Medical DirectorDr. Edeline Clin: Child and Adolescent Psychiatrist in TrainingClinical Psychologist:Lina Regragui: Specializing in Cognitive Behavioral Therapy (CBT)Neuropsychologist: Ella Ben-ShaoolTwo Specialized Nurses:Natalia Polozova DelaitreDéborah MorchoisneSpecialized Educator: Steven Nicaise “Peer Support” Intern: A patient partner trained for two years through the Brussels Platform for Mental HealthPrendre Rendez-vous  Early Detection of Psychiatric DisordersEarly detection of psychiatric conditions is not solely the responsibility of the ZELIG Center. It also relies on the young person's daily network: parents, relatives, teachers, sports coaches, general practitioners, and others. These key figures are often the first to notice signs of distress and alert ZELIG, enabling prompt and effective intervention.Additionally, we work closely with mental health professionals already involved in the young person’s care. This collaboration ensures continuity and consistency in the support provided.Brochure ZELIG Partner Sites of ZELIGPlateforme Bruxelloise pour la Santé mentaleBru-Stars - Réseau Bruxellois en Santé Mentale pour les Enfants et AdolescentsSimiles - association pour les familles & amis Équipes liégeoises - EcoToneLe P.A.A.T.  (Pôle Ambulatoire - Age de Transition à Liège)Equipe de VRINT à LouvainEquipe mobile âge de transition à ANVERSUZ VUB à Jette  The Prodromal Questionnaire (QP-16)The QP-16 is a screening tool designed to identify young individuals who may require a more in-depth evaluation.Recommended UseThis questionnaire is intended for frontline professionals (general practitioners, psychologists, etc.) who encounter young people displaying concerning signs. They can ask the individual to complete the QP-16.Interpreting ResultsA score of 6 or more true items serves as a strong indicator to consider referring the individual to the ZELIG program.This tool supports the early detection of prodromal signs and facilitates appropriate intervention.The goal of this screening is to enable the early identification of young people in distress and promote rapid, targeted support.Questionnaire Prodromique FAQ What criteria do you use to refer a young person to your program? ZELIG is a program designed for young people aged 12 to 21 residing in the Brussels-Capital Region who are experiencing recent psychological and functional difficulties, emerging within the last six months. The goal of ZELIG is to detect the early signs of psychiatric disorders before they escalate.These signs may include, for instance, a recent withdrawal from daily life, behavioral changes, a distorted perception of reality (feeling of strangeness), the onset of psychological distress, a breakdown in peer relationships, or disturbances in sensory perceptions—such as hearing whispers, seeing objects move, or experiencing unusual bodily sensations.In some cases, these symptoms may signal the onset of an emerging psychiatric condition, requiring timely and tailored intervention. Who can refer a young person to us? Young people can make requests themselves, as can their parents and/or close contacts. Any professional can also reach out to us, provided the young person is informed and gives their consent. How can I request an evaluation? You can send us an email at ZELIG [dot] PIJ [at] hubruxelles [dot] be.We will respond as quickly as possible to gather the initial necessary information and, if appropriate, schedule an appointment. What steps are involved in the evaluation process? To ensure a prompt response, the process begins with an initial interview involving two team members. This is followed by a medical appointment with a child and adolescent psychiatrist. Additionally, other appointments may be scheduled for administering standardized assessment tools. Medical tests might also be prescribed to rule out any underlying physical conditions.At the end of this process, a feedback session is held with the involved team members to discuss the results and propose potential courses of action. What evaluation tools do you use? Our evaluations are comprehensive. They may include physical health assessments, semi-structured interviews, and standardized scales, all aimed at enriching and refining the care process. Are the services free of charge? The fees are regulated by INAMI rates. It is necessary to have valid health insurance coverage. Is there a similar program in the Flemish and Walloon regions? Walloon region(Liège) :Équipes liégeoises - EcoToneLe P.A.A.T.  (Pôle Ambulatoire - Age de Transition à Liège)Flemish Region:Equipe de VRINT à LOUVAINEquipe mobile âge de transition à ANVERS What should I do if my child or friend isolates themselves and no longer leaves their home? You can reach out to mobile teams. The appropriate mobile team to contact will depend on the young person’s age and place of residence.For example: Bru-Stars - Réseau Bruxellois en Santé Mentale pour les Enfants et Adolescents Does your center provide support for families? Yes, we offer family support. The "BREF" module (sessions focused on family psychoeducation) is an intervention designed for the caregivers of young people supported by the ZELIG program.For additional support, you can also reach out to caregiver associations:Similes - association pour les familles & amis Plateforme Bruxelloise pour la Santé mentale The evaluation… what happens next? The feedback from the assessments provides a range of tools that can benefit both the young person and their family or close contacts. Supported follow-up through individual sessions (medical, psychological, and case management) helps prevent or even avoid future deterioration.The tools include:Establishing a care network if none exists and if it is relevant for the young person.Psychoeducational and psychotherapeutic group workshops.Support for the young person’s family/close contacts (psychoeducation).Most importantly, reactivating the young person’s network to help them build a life project focused on personal growth, self-affirmation, maintaining and creating connections, and ultimately achieving self-realization.  +32(0)2 555 80 04  ZELIG.PIJ@hubruxelles.be Erasme Medical Center (EMC) Route de Lennik 900 − 1070 Bruxelles Standard +32 (0)2 555 31 11 Image