I'm afraid ...

I'm afraid to speak up in public
I'm afraid to leave my house
I'm afraid that I'll never find someone
I'm afraid of the day my parents die
I'm afraid of germs
I'm afraid of public transportation
I'm afraid of dogs
I'm afraid that I have wasted my life

I have no ...

I have no interest in anything
I have no self confidence
I have no desire to do anything
I have no desire to live

I feel like ...

I feel like life has no meaning

I don't know ...

I don't know what I want

I have trouble ...

I have trouble making decisions
I have trouble being intimate
I have trouble focusing my attention

I'm ...

I'm depressed
I'm stupid
I'm ugly
I'm irritable
I'm a failure


Behavior therapy (1st wave), based on the application of scientific methods and learning theory, emerged in the fifties. The first therapy per se was systematic desensitization for the treatment of phobias (Joseph Wolpe ). Originally behaviour therapy addressed visible and measurable behaviors. Later the notion of behaviour was extended to include thoughts and feelings (Radical Behaviorism). Having first proven useful in the treatment of anxiety, behavior therapy soon was applied in institutional settings to treat more severe problems: autism, mental retardation, and dementia using principles of reinforcement to stimulate and maintain adaptive behaviors (token economy).
Cognitive therapy (2nd wave) appeared in the 60s (Albert Ellis et Aaron Beck ). At the time researchers were approaching the human brain and its functioning through the lens of information science: the brain was thought to process information in much the same way as computers. Cognitive therapists observed the relationship among thoughts, feelings and behaviors. Negative thoughts and what a re called cognitive schemas were believed to generate psychopathology, irrational thinking being the cause of suffering. The aim of the therapist was to help the patient identify and modify thoughts and schemas (cognitive restructuring) about self and the world.
Cognitive therapy has been successful in treating anxiety, depression, personality disorders and many other disorders.

Behavior therapy (1st wave) was designed to modify the environment in order to modify behavior. Cognitive therapy (2nd wave) focused on changing thoughts as a way of changing behaviour. 3rd wave therapies, influenced by Buddhism and Oriental philosophy, target the relationship between a patient and his inner experience (thoughts and emotions).
ACT, acceptance and commitment therapy, appeared in the 90's. Unlike previous CBT therapies, ACT does not purport to reduce symptoms but to increase psychological flexibility. The patient learns to relinquish avoidance of internal experience and emotional control (creative helplessness) in favor of valued living. Techniques include opening up to emotional experience (acceptance) using exposure to painful “stuff”; identifying and detaching from thoughts and rules (defusion); being present through mindfulness meditation and identifying values or what really counts.
ACT therapy starts with behavioral or functional analysis of the problem (1st wave). ACT considers thought and more importantly language as important in human behavior (scnd wave / 2nd wave). ACT therapists understand behaviour as emerging in a context (given situation) with a given function or consequence. Patients learn to evaluate their actions through the lens of what works and not what is right or true. They learn to detach from rules: shat should be, what is right in favour of what their own experience shows is effective or workable.

Other third wave therapies
MBCT : for the prevention of recurring depression (Hanna Segal , Jon Kabat-Zinn ).
DBT : for the treatment of border line personality disorders (Marsha Linehan ).

Rosemarie Bourgault, psychologist

Portrait of Rosemarie Bourgault

Rosemarie Bourgault is a dual national, born in the US but having spent much of her adult life living in France. She studied French literature in the US hoping to become a professor. Soon after her arrival in France, she returned to university to study psychology with a particular interest in how humans learn. In so doing, she discovered traditional behaviour therapy, theories of conditioning and more recently ACT and the role of language in human behaviour.
In 1990, she began her career as a psychologist in a Parisian psychiatric unit. From there she was hired to work in a private stress and anxiety clinic. She opened her own practice in 1995 specializing in stress anxiety, depression. Shortly before the rash of terrorist attacks in Paris in the late 90's, she developed an interest in traumatic stress. Since that time, she has devoted a part of her clinical practice to traumatic stress intervening in institutions following critical incidents.
In her search for new and more innovative approaches, Rosemarie discovered ACT and Mindfulness based therapies. These approaches emphasize the search for meaning and the identification of values which contribute to a rich and meaningful existence.
In addition to her clinical work and to her training and consulting in institutions, Rosemarie teaches at the French Association for Cognitive and Behavior Therapy and she is an instructor in the clinical psychology program at the University of Paris V.
Rosemarie is a cat lover. Presently she shares part of her life with Bulle a ten-year old orange tabby.

français, anglais



  • Francophone conference on CBT / Geneva (Switzerland) / June 14-16th 2018
  • World Congress of Contextual Behavioral Science / Montreal (Canada) / July 26-29th 2018
  • International Society of Traumatic Stress, Annual Conference / Washington (USA) / November 8-10th 2018


  • Training in Coherence Therapy / Sophie Coté et Pierre Cousineau / Paris / October 18-19th 2018



  • AFTCC Site of French Association of Behavior Therapy
  • ACBS Association of Contextual Behavioral Science (informations about ACT)
  • ISTSS Site of international society of traumatic stress studies


- a -

  • ACT Acceptance and Commitment Therapy
  • Anxiety A feeling of dread; fear of what might happen.

- b -

  • Borderline
  • Bulimia Eating disorder characterized by ingestion of large quantities of food in a compulsive manner without pleasure.

- c -

  • Compassion therapy (Paul Gilbert) Emotion regulation therapy and self acceptance.

- d -

  • Depression Disorder characterized by anhedonia, loss of hope, past focus.

- e -

- f -

  • Fight or flight Stress response.

- g -

  • Generalize Learning principle, applying something learned in one context to another.

- h -

  • Harassment also mobbing: Workplace practice to discourage, demoralize and humiliate ae employee.

- i -

  • Inhibition Process of blocking action common in anxiety disorders.

- j -

  • Jealousy Emotion linked to rumination about loss of loved one to another.

- k -

  • Kleptomania Compulsive stealing.

- l -

  • Libido sexual energy

- m -

  • Melancholy serious form of depression.
  • Mindfulness

- n -

  • Narcissistic Personality disorder characterized by over inflated ego.

- o -

  • Obsessions Recurring intrusive thoughts.

- p -

  • Psychopath Personality disorder characterized by lack of empathy and feelings of guilt.

- q -

  • Questioning Socratic Form of questioning that helps the patient come to his own conclusions.

- r -

  • Rumination Circular obsessive thinking.

- s -

  • Self esteem Feeling of self worth, of having a value.
  • Shemas Unconscious cognitve structures that organize experience.

- t -

  • Trichotilomania Compulisve hair pulling.

- u -

  • Urge surging Technique that involves surfing on an urge used to treat addictions.

- v -

  • Values What matters, what provides meaning.

- w -

  • Wolpe, Joseph Father of behavior therapy known for systematic desensitization.

- x, y, z -

  • Xenophobia A specific form of psychological rigidity and the rejection of difference.
  • Young, Jeffrey Founder of schema therapy.
  • Zoloft Antidepressant used for treating PTSD.

Coming in consultation

Rosemarie Bourgault, psychologist

3 rue Lyautey, 75016 Paris

+33 6 13 50 82 60 and leave a message

Crédits, mentions légales et politique de confidentialité

Rosemarie Bourgault, psychologue

3 rue Lyautey, 75016 Paris

Editor and site publisher

Rosemarie Bourgault


Stéphanie Boisset / webdesigner
Herbert-Baum-Str. 11 - D- 13088 Berlin

Illustrations, videos and interviews

Tania Boisset


2 rue Kellermann - F-59100 Roubaix

1. Disclaimer

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2. External links

Links giving access to third party sites are available. Rosemarie Bourgault can not be held liable for the content contained therein and the consequences of their use.

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4.1. Preamble

This privacy policy applies to the site psychologues-psychotherapies.fr.

This Privacy Policy is intended to expose users of the site to:

  • All data that can identify a user should be considered as personal data. These include the first and last name, age, postal address, email address, location of the user or its IP address;
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This privacy policy supplements the legal notices and the general conditions of use.

4.2. General principles for data collection and processing

In accordance with the provisions of Article 5 of the European Regulation 2016/679, the collection and processing of site users' data complies with the following principles:

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In order to be lawful, and in accordance with the requirements of Article 6 of European Regulation 2016/679, the collection and processing of personal data may only take place if they comply with at least one of the conditions listed here below:

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4.3. Personal data collected and processed in connection with the navigation on the site

A. Collected and processed data and collection method

The personal data collected on the site Psychologists and psychotherapies are the following: location, pages viewed, IP address,

Ces données sont collectées lorsque l'utilisateur effectue l'une des opérations suivantes sur le site : consultation, navigation.

The collection and processing of the data serve the following purposes: The location and IP address data are recorded to better target the way to navigate and to be able to evolve the site.

B. Transmission of data to third parties

The data may be transmitted to the following third party listed: some data collected may be transferred to Google during the user's navigation.

C. Data hosting

The site psychologues-psychotherapies.fr is hosted by OVH, whose head office is located at the address below: 2 rue Kellermann, F- 59100 Roubaix

The data collected and processed by the site are exclusively hosted and processed in France.

4.4. Responsible for data processing

A. The Data Controller

The controller of personal data processing is: Rosemarie Bourgault. She can be contacted as follows: by e-mail contact[at]psychologues-psychotherapies.fr

B. Obligations of the data controller

The data controller undertakes to protect the collected personal data, not to transmit it to third parties without the user having been informed and to respect the purposes for which the data was collected.
The site has an SSL certificate to ensure that information and data transfer through the site is secure.
An SSL certificate ("Secure Socket Layer" Certificate) aims to secure the data exchanged between the user and the site.
In addition, the Data Controller agrees to notify the user in case of rectification or deletion of the data, unless this entails for it disproportionate formalities, costs and procedures.
In the event that the integrity, confidentiality or security of the user's personal data is compromised, the controller commits to inform the user by any means.

4.5. rights of the user

In accordance with the regulations on the processing of personal data, the user has the rights listed below.
In order for the data controller to comply with his request, the user must communicate to him: his first and last name as well as his e-mail address.
The data controller is responsible for responding to the user within a maximum of 30 (thirty) days.

A. Presentation of user rights in data collection and processing

a. Right of access, rectification and right to erasure
The user can take note, update, modify or request the deletion of the data concerning him, by respecting the following procedure stated: to contact by email.

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The user has the right to request the limitation or to oppose the treatment of his data by the site, without the site can refuse, except to demonstrate the existence of legitimate and compelling reasons that may prevail over the interests and the rights and freedoms of the user.
In order to request the limitation of the processing of his data or to oppose the processing of his data, the user must follow the following procedure contact[at]psychologues-psychotherapies.fr.

c. Right not to be the subject of a decision based exclusively on an automated process
In accordance with the provisions of Regulation 2016/679, the user has the right not to be the subject of a decision based exclusively on an automated process if the decision has legal effects on it or significantly affects it.

d. Right to determine the fate of data after death
The user is reminded that he can organize what should be the future of his data collected and processed if he dies, in accordance with the law n ° 2016-1321 of October 7th, 2016.

e. Right to seize the competent supervisory authority
If the data controller decides not to respond to the request of the user, and the user wishes to contest the decision, or if he thinks that one of the rights listed above, it is entitled to refer to the CNIL (National Commission for Computing and Freedoms, https://www.cnil.fr) or any competent judge.

B. Personal data of minors

In accordance with the provisions of Article 8 of European Regulation 2016/679 and the Data Protection Act, only minors aged 15 or over can consent to the processing of their personal data.
If the user is a minor under the age of 15, the consent of a legal representative will be required so that personal data can be collected and processed.
The publisher of the site reserves the right to verify by any means that the user is older than 15 years, or that he has obtained the consent of a legal representative before browsing the site.

4.6. Use of "Cookies" files

The site may use "cookies" techniques.
A "cookies" is a small file (less than 4 KB), stored by the site on the user's hard drive, containing information about the user's browsing habits.
These files allow it to process statistics and traffic information, facilitate navigation and improve service for the convenience of the user.
For the use of "cookies" files involving the backup and analysis of personal data, the consent of the user is necessarily requested.
This consent of the user is considered valid for a duration of 13 (thirteen) months maximum. At the end of this period, the site will request again the user's permission to save "cookies" files on his hard drive.

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It is brought to the attention of the user that he can oppose the registration of these files "cookies" by configuring his browser software.
For information, the user can find at the following addresses the steps to follow in order to configure his browser to oppose the registration of "cookies" files:

In the case where the user decides to disable the "cookies" files, he can continue his navigation on the site. However, any dysfunction of the site caused by this manipulation could not be considered as being due to the editor of the site.

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The publisher of the site draws the attention of the user to the fact that the following cookies are used during his navigation: Google Analytics, Google Fonts, Google Maps, Youtube.
By browsing the site, it is made known to the user that third-party cookies can be saved.
The user's attention is drawn to the fact that these sites have their own privacy policies and general conditions of use that may differ from the site. The site's publisher invites users to review the privacy policies and terms and conditions of these sites: https://policies.google.com/privacy

4.7. Conditions of modification of the privacy policy

This privacy policy may be consulted at any time at the following address: psychologues-psychotherapies.fr/en/index.html#mentions

The publisher of the site reserves the right to modify it to guarantee its conformity with the law in force.
Therefore, the user is invited to regularly consult this privacy policy to keep abreast of the latest changes that will be made to it.
It is brought to the attention of the user that the last update of this privacy policy occurred on: 06/21/2018.