{"id":11662,"date":"2025-11-11T16:57:36","date_gmt":"2025-11-11T15:57:36","guid":{"rendered":"https:\/\/tangerineretreat.com\/?page_id=11662"},"modified":"2026-01-29T15:28:05","modified_gmt":"2026-01-29T14:28:05","slug":"parcours-18-mois","status":"publish","type":"page","link":"https:\/\/tangerineretreat.com\/fr\/parcours-18-mois\/","title":{"rendered":"Parcours psych\u00e9d\u00e9lique 18 mois"},"content":{"rendered":"[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; content_placement=&#8221;middle&#8221; el_class=&#8221;magazine&#8221; css=&#8221;.vc_custom_1760967264804{margin-top: 0px !important;margin-bottom: 0px !important;border-top-width: 0px !important;border-bottom-width: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_column_text el_class=&#8221;blocListe&#8221;]\n<h1 style=\"text-align: left;\">Accompagnement complet sur 18 mois<\/h1>\n<p><strong>Un parcours intensif<\/strong> pour des personnes d\u00e9cid\u00e9es \u00e0 sortir du mal-\u00eatre :<\/p>\n<p><i class=\"fa fa-check-circle\"><\/i> Deux retraites (5 jours puis 3 jours),<br \/>\n<i class=\"fa fa-check-circle\"><\/i> 16 s\u00e9ances individuelles de 1h15 avec un praticien exp\u00e9riment\u00e9,<br \/>\n<i class=\"fa fa-check-circle\"><\/i> Des cercles d\u2019int\u00e9gration mensuels sur 18 mois.[\/vc_column_text][vc_btn title=&#8221;Faire une demande d&#8217;inscription&#8221; style=&#8221;flat&#8221; shape=&#8221;round&#8221; color=&#8221;default&#8221; align=&#8221;center&#8221; link=&#8221;url:%23registration|title:Rejoindre%20le%20programme&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;10017&#8243; img_size=&#8221;large&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; content_placement=&#8221;middle&#8221; el_class=&#8221;magazine&#8221; css=&#8221;.vc_custom_1760967264804{margin-top: 0px !important;margin-bottom: 0px !important;border-top-width: 0px !important;border-bottom-width: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;11713&#8243; img_size=&#8221;large&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]\n<h2>Combiner les b\u00e9n\u00e9fices de deux approches<\/h2>\n<p>Le programme associe les b\u00e9n\u00e9fices de la retraite aux truffes de psilocybine avec un suivi individualis\u00e9. Dans ce protocole, le voyage psych\u00e9d\u00e9lique intensifie les mont\u00e9es \u00e9motionnelles et les prises de recul. En parall\u00e8le, les s\u00e9ances d&#8217;accompagnement exploitent la plasticit\u00e9 c\u00e9r\u00e9brale pour favoriser le changement.<\/p>\n<p>Cette combinaison permet d&#8217;acc\u00e9l\u00e9rer le chemin vers la gu\u00e9rison et le bien-\u00eatre.[\/vc_column_text][\/vc_column][\/vc_row][vc_row content_placement=&#8221;top&#8221; css=&#8221;.vc_custom_1762873914492{padding-top: 30px !important;padding-bottom: 30px !important;}&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_empty_space][vc_column_text el_class=&#8221;superListe&#8221;]\n<h2>Les avantages du parcours<\/h2>\n<ul>\n<li>3 prises de truffes<\/li>\n<li>16 s\u00e9ances de suivi en visio<\/li>\n<li>17 cercles d\u2019int\u00e9gration mensuels Tangerine<\/li>\n<li>8 s\u00e9ances de groupe en visio avec participants et facilitateurs des deux retraites<\/li>\n<li>5 s\u00e9ances de groupe sur le lieu de retraite<\/li>\n<li>6 s\u00e9ances individuelles avec un facilitateur (visio et sur place)<\/li>\n<li>2 s\u00e9ances avec le directeur de programme<\/li>\n<\/ul>\n<p><em>Note : retraites dans un cadre l\u00e9gal aux Pays-Bas. Ce parcours rel\u00e8ve du d\u00e9veloppement personnel. Il ne remplace pas une prise en charge m\u00e9dicale.<\/em>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243; el_class=&#8221;prestations&#8221; el_id=&#8221;registration&#8221;][vc_column_text]\n<h2>Demande de devis<\/h2>\n[\/vc_column_text]<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_32' style='display:none'><div id='gf_32' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_32'  action='\/fr\/wp-json\/wp\/v2\/pages\/11662#gf_32' data-formid='32' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_page_32_1' class='gform_page ' data-js='page-field-id-74' >\n                                    <div class='gform_page_fields'><div id='gform_fields_32' class='gform_fields top_label form_sublabel_above description_below'><div id=\"field_32_69\"  class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_69\"><div class='ginput_container ginput_container_text'><input name='input_69' id='input_32_69' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='Retraite + th\u00e9rapie' \/><\/div><\/div><div id=\"field_32_41\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_41\"><label class='gfield_label gform-field-label' for='input_32_41' >Votre nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_32_41' type='text' value='' class='large'  aria-describedby=\"gfield_description_32_41\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_32_41'>Inscrivez votre pr\u00e9nom et votre nom<\/div><\/div><div id=\"field_32_2\"  class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_2\"><label class='gfield_label gform-field-label' for='input_32_2' >Votre adresse email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_32_2' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_32_45\"  class=\"gfield gfield--type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_45\"><label class='gfield_label gform-field-label' for='input_32_45' >Quel \u00e2ge avez-vous ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_45' id='input_32_45' type='number' step='any' min='20' max='90' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_32_45\" \/><div class='gfield_description instruction ' id='gfield_instruction_32_45'>Veuillez saisir un nombre entre <strong>20<\/strong> et <strong>90<\/strong>.<\/div><\/div><\/div><div id=\"field_32_42\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_42\"><h3 class=\"gsection_title\">Cr\u00e9ez votre dossier<\/h3><div class='gsection_description' id='gfield_description_32_42'><p><strong>Merci de compl\u00e9ter le questionnaire m\u00e9dical suivant.<\/strong> Votre dossier est confidentiel et ne sera utilis\u00e9 que pour \u00e9valuer votre \u00e9ligibilit\u00e9 \u00e0 la retraite.<\/p><\/div><\/div><fieldset id=\"field_32_65\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_65\"><legend class='gfield_label gform-field-label'  >Quel est votre sexe ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_65'>\n\t\t\t<div class='gchoice gchoice_32_65_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='M'  id='choice_32_65_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_32_65\"   \/>\n\t\t\t\t\t<label for='choice_32_65_0' id='label_32_65_0' class='gform-field-label gform-field-label--type-inline'>Masculin<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_65_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='F'  id='choice_32_65_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_65_1' id='label_32_65_1' class='gform-field-label gform-field-label--type-inline'>F\u00e9minin<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_32_65'>Cette information sera utilis\u00e9e pour vous affecter \u00e0 une chambre double (si vous avez choisi cette option) avec une personne du m\u00eame sexe.<\/div><\/fieldset><fieldset id=\"field_32_70\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_70\"><legend class='gfield_label gform-field-label'  >\u00cates-vous enceinte ou allaitez-vous ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_70'>\n\t\t\t<div class='gchoice gchoice_32_70_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='Oui'  id='choice_32_70_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_70_0' id='label_32_70_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_70_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='Non'  id='choice_32_70_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_70_1' id='label_32_70_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_60\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_60\"><label class='gfield_label gform-field-label' for='input_32_60' >En quelques mots, quel est votre objectif pour la retraite ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_60' id='input_32_60' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_32_74' class='gform_next_button gform-theme-button button' value='Suivant'  onclick='jQuery(\"#gform_target_page_number_32\").val(\"2\");  jQuery(\"#gform_32\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_32\").val(\"2\");  jQuery(\"#gform_32\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_32_2' class='gform_page' data-js='page-field-id-74' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_32_2' class='gform_fields top_label form_sublabel_above description_below'><fieldset id=\"field_32_17\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_17\"><legend class='gfield_label gform-field-label'  >\u00cates-vous allergique aux champignons dans l&#039;alimentation ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_17'>\n\t\t\t<div class='gchoice gchoice_32_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Oui'  id='choice_32_17_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_17_0' id='label_32_17_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Non'  id='choice_32_17_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_17_1' id='label_32_17_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_32_16\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_16\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Souffrez-vous d&#039;une des pathologies suivantes ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_32_16'><div class='gchoice gchoice_32_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='Cardiovasculaire (hypertension chronique, ant\u00e9c\u00e9dent d&#039;AVC ou d&#039;infarctus)'  id='choice_32_16_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_16_1' id='label_32_16_1' class='gform-field-label gform-field-label--type-inline'>Cardiovasculaire (hypertension chronique, ant\u00e9c\u00e9dent d'AVC ou d'infarctus)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_16_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.2' type='checkbox'  value='Neurologique (traumatisme cr\u00e2nien, \u00e9pilepsie)'  id='choice_32_16_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_16_2' id='label_32_16_2' class='gform-field-label gform-field-label--type-inline'>Neurologique (traumatisme cr\u00e2nien, \u00e9pilepsie)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_16_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.3' type='checkbox'  value='Diab\u00e8te'  id='choice_32_16_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_16_3' id='label_32_16_3' class='gform-field-label gform-field-label--type-inline'>Diab\u00e8te<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_16_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.4' type='checkbox'  value='Insuffisance r\u00e9nale chronique'  id='choice_32_16_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_16_4' id='label_32_16_4' class='gform-field-label gform-field-label--type-inline'>Insuffisance r\u00e9nale chronique<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_16_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.5' type='checkbox'  value='Asthme ou pathologie respiration chronique'  id='choice_32_16_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_16_5' id='label_32_16_5' class='gform-field-label gform-field-label--type-inline'>Asthme ou pathologie respiration chronique<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_16_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.6' type='checkbox'  value='Glaucome ou d\u00e9collement de la r\u00e9tine'  id='choice_32_16_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_16_6' id='label_32_16_6' class='gform-field-label gform-field-label--type-inline'>Glaucome ou d\u00e9collement de la r\u00e9tine<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_16_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.7' type='checkbox'  value='Aucun des \u00e9l\u00e9ments ci-dessus'  id='choice_32_16_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_16_7' id='label_32_16_7' class='gform-field-label gform-field-label--type-inline'>Aucun des \u00e9l\u00e9ments ci-dessus<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_21\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_21\"><label class='gfield_label gform-field-label' for='input_32_21' >Merci de d\u00e9tailler<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_32_21' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_32_50\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_50\"><legend class='gfield_label gform-field-label'  >Souffrez-vous d&#039;une autre pathologie ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_50'>\n\t\t\t<div class='gchoice gchoice_32_50_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Oui'  id='choice_32_50_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_50_0' id='label_32_50_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_50_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Non'  id='choice_32_50_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_50_1' id='label_32_50_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_51\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_51\"><label class='gfield_label gform-field-label' for='input_32_51' >Merci de d\u00e9tailler<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_51' id='input_32_51' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_32_52\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_52\"><legend class='gfield_label gform-field-label'  >Ces pathologies ont-elles \u00e9t\u00e9 diagnostiqu\u00e9es par un m\u00e9decin ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_52'>\n\t\t\t<div class='gchoice gchoice_32_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Oui'  id='choice_32_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_52_0' id='label_32_52_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Non'  id='choice_32_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_52_1' id='label_32_52_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_32_37' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Pr\u00e9c\u00e9dent'  onclick='jQuery(\"#gform_target_page_number_32\").val(\"1\");  jQuery(\"#gform_32\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_32\").val(\"1\");  jQuery(\"#gform_32\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_32_37' class='gform_next_button gform-theme-button button' value='Suivant'  onclick='jQuery(\"#gform_target_page_number_32\").val(\"3\");  jQuery(\"#gform_32\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_32\").val(\"3\");  jQuery(\"#gform_32\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_32_3' class='gform_page' data-js='page-field-id-37' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_32_3' class='gform_fields top_label form_sublabel_above description_below'><fieldset id=\"field_32_20\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_20\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Avez-vous souffert ou souffrez-vous d&#039;un ou plusieurs troubles suivants ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_32_20'><div class='gchoice gchoice_32_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='\u00c9pilepsie'  id='choice_32_20_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_20_1' id='label_32_20_1' class='gform-field-label gform-field-label--type-inline'>\u00c9pilepsie<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_20_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.2' type='checkbox'  value='\u00c9pisodes maniaques'  id='choice_32_20_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_20_2' id='label_32_20_2' class='gform-field-label gform-field-label--type-inline'>\u00c9pisodes maniaques<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_20_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.3' type='checkbox'  value='\u00c9pisodes psychotiques'  id='choice_32_20_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_20_3' id='label_32_20_3' class='gform-field-label gform-field-label--type-inline'>\u00c9pisodes psychotiques<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_20_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.4' type='checkbox'  value='Schizophr\u00e9nie (diagnostiqu\u00e9 par un psychiatre)'  id='choice_32_20_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_20_4' id='label_32_20_4' class='gform-field-label gform-field-label--type-inline'>Schizophr\u00e9nie (diagnostiqu\u00e9 par un psychiatre)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_20_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.5' type='checkbox'  value='Trouble bipolaire (diagnostiqu\u00e9 par un psychiatre)'  id='choice_32_20_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_20_5' id='label_32_20_5' class='gform-field-label gform-field-label--type-inline'>Trouble bipolaire (diagnostiqu\u00e9 par un psychiatre)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_20_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.6' type='checkbox'  value='Trouble de la personnalit\u00e9 borderline (diagnostiqu\u00e9 par un psychiatre)'  id='choice_32_20_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_20_6' id='label_32_20_6' class='gform-field-label gform-field-label--type-inline'>Trouble de la personnalit\u00e9 borderline (diagnostiqu\u00e9 par un psychiatre)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_20_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.7' type='checkbox'  value='Trouble dissociatif de l&#039;identit\u00e9 (diagnostiqu\u00e9 par un psychiatre)'  id='choice_32_20_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_20_7' id='label_32_20_7' class='gform-field-label gform-field-label--type-inline'>Trouble dissociatif de l'identit\u00e9 (diagnostiqu\u00e9 par un psychiatre)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_20_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.8' type='checkbox'  value='\u00c9pisode d&#039;automutilation'  id='choice_32_20_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_20_8' id='label_32_20_8' class='gform-field-label gform-field-label--type-inline'>\u00c9pisode d'automutilation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_20_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.9' type='checkbox'  value='Tentative de suicide'  id='choice_32_20_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_20_9' id='label_32_20_9' class='gform-field-label gform-field-label--type-inline'>Tentative de suicide<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_20_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.11' type='checkbox'  value='Trouble Obsessionnel Compulsif (diagnostiqu\u00e9 par un psychiatre)'  id='choice_32_20_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_20_11' id='label_32_20_11' class='gform-field-label gform-field-label--type-inline'>Trouble Obsessionnel Compulsif (diagnostiqu\u00e9 par un psychiatre)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_20_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.12' type='checkbox'  value='Autre (pr\u00e9cisez ci-dessous)'  id='choice_32_20_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_20_12' id='label_32_20_12' class='gform-field-label gform-field-label--type-inline'>Autre (pr\u00e9cisez ci-dessous)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_20_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.13' type='checkbox'  value='Aucun'  id='choice_32_20_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_20_13' id='label_32_20_13' class='gform-field-label gform-field-label--type-inline'>Aucun<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_22\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_22\"><label class='gfield_label gform-field-label' for='input_32_22' >Merci de d\u00e9tailler<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_22' id='input_32_22' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_32_53\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_53\"><legend class='gfield_label gform-field-label'  >Souffrez-vous d&#039;un autre trouble psychologique ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_53'>\n\t\t\t<div class='gchoice gchoice_32_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Oui'  id='choice_32_53_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_53_0' id='label_32_53_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Non'  id='choice_32_53_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_53_1' id='label_32_53_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_55\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_55\"><label class='gfield_label gform-field-label' for='input_32_55' >Merci de d\u00e9tailler<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_55' id='input_32_55' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_32_54\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_54\"><legend class='gfield_label gform-field-label'  >Ces troubles ont-ils \u00e9t\u00e9 diagnostiqu\u00e9s par un m\u00e9decin ou un psychologue ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_54'>\n\t\t\t<div class='gchoice gchoice_32_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Oui'  id='choice_32_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_54_0' id='label_32_54_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Non'  id='choice_32_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_54_1' id='label_32_54_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_32_23\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_23\"><legend class='gfield_label gform-field-label'  >Avez-vous un parent du premier ou second degr\u00e9 souffrant de schizophr\u00e9nie, trouble bipolaire ou autre trouble psychiatrique ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_23'>\n\t\t\t<div class='gchoice gchoice_32_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Oui'  id='choice_32_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_23_0' id='label_32_23_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Non'  id='choice_32_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_23_1' id='label_32_23_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_24\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_24\"><label class='gfield_label gform-field-label' for='input_32_24' >Merci de d\u00e9tailler<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_32_24' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_32_56\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_56\"><legend class='gfield_label gform-field-label'  >Ce parent a t-il \u00e9t\u00e9 diagnostiqu\u00e9 par un m\u00e9decin ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_56'>\n\t\t\t<div class='gchoice gchoice_32_56_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Oui'  id='choice_32_56_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_56_0' id='label_32_56_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_56_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Non'  id='choice_32_56_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_56_1' id='label_32_56_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_32_25\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_25\"><legend class='gfield_label gform-field-label'  >Avez-vous eu des id\u00e9es suicidaires au cours des 12 derniers mois ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_25'>\n\t\t\t<div class='gchoice gchoice_32_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Oui'  id='choice_32_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_25_0' id='label_32_25_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Non'  id='choice_32_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_25_1' id='label_32_25_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_32_58\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_58\"><legend class='gfield_label gform-field-label'  >\u00cates-vous suivi(e) par un psychologue ou un psychiatre ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_58'>\n\t\t\t<div class='gchoice gchoice_32_58_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='Oui'  id='choice_32_58_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_58_0' id='label_32_58_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_58_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='Non'  id='choice_32_58_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_58_1' id='label_32_58_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_47\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_47\"><label class='gfield_label gform-field-label' for='input_32_47' >Avez-vous du soutien au quotidien ? Merci de d\u00e9crire votre environnement, familial et professionnel et la mani\u00e8re dont ces id\u00e9es se manifestent.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_47' id='input_32_47' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_32_46\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_46\"><legend class='gfield_label gform-field-label'  >Avez-vous eu des comportements suicidaires au cours de votre vie ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_46'>\n\t\t\t<div class='gchoice gchoice_32_46_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='Oui'  id='choice_32_46_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_46_0' id='label_32_46_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_46_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='Non'  id='choice_32_46_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_46_1' id='label_32_46_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_48\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_48\"><label class='gfield_label gform-field-label' for='input_32_48' >Merci de d\u00e9tailler<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_48' id='input_32_48' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_32_26\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_26\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Suivez-vous l&#039;un de ces traitements ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_32_26'><div class='gchoice gchoice_32_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='Antid\u00e9presseurs : ISRS, IRSN, IMAO ou antid\u00e9presseur tricyclique'  id='choice_32_26_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_26_1' id='label_32_26_1' class='gform-field-label gform-field-label--type-inline'>Antid\u00e9presseurs : ISRS, IRSN, IMAO ou antid\u00e9presseur tricyclique<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_26_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.2' type='checkbox'  value='Lithium'  id='choice_32_26_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_26_2' id='label_32_26_2' class='gform-field-label gform-field-label--type-inline'>Lithium<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_26_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.3' type='checkbox'  value='Anti-psychotique'  id='choice_32_26_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_26_3' id='label_32_26_3' class='gform-field-label gform-field-label--type-inline'>Anti-psychotique<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_26_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.4' type='checkbox'  value='Traitement contre l&#039;\u00e9pilepsie'  id='choice_32_26_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_26_4' id='label_32_26_4' class='gform-field-label gform-field-label--type-inline'>Traitement contre l'\u00e9pilepsie<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_26_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.5' type='checkbox'  value='Traitement anxiolytique par benzodiaz\u00e9pine'  id='choice_32_26_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_26_5' id='label_32_26_5' class='gform-field-label gform-field-label--type-inline'>Traitement anxiolytique par benzodiaz\u00e9pine<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_26_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.6' type='checkbox'  value='Aucun'  id='choice_32_26_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_26_6' id='label_32_26_6' class='gform-field-label gform-field-label--type-inline'>Aucun<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_32_27\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_27\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Utilisez-vous un ou plusieurs de ces compl\u00e9ments alimentaires<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_32_27'><div class='gchoice gchoice_32_27_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.1' type='checkbox'  value='CBD'  id='choice_32_27_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_27_1' id='label_32_27_1' class='gform-field-label gform-field-label--type-inline'>CBD<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_27_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.2' type='checkbox'  value='Millepertuis'  id='choice_32_27_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_27_2' id='label_32_27_2' class='gform-field-label gform-field-label--type-inline'>Millepertuis<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_27_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.3' type='checkbox'  value='5-HTP \/ Griffonia Simplifica'  id='choice_32_27_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_27_3' id='label_32_27_3' class='gform-field-label gform-field-label--type-inline'>5-HTP \/ Griffonia Simplifica<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_27_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.4' type='checkbox'  value='Aucun'  id='choice_32_27_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_27_4' id='label_32_27_4' class='gform-field-label gform-field-label--type-inline'>Aucun<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_28\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_28\"><label class='gfield_label gform-field-label' for='input_32_28' >Merci de lister l&#039;int\u00e9gralit\u00e9 de vos traitements, y compris le dosage et la fr\u00e9quence.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_32_28' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_32_61\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_61\"><legend class='gfield_label gform-field-label'  >Avez-vous une addiction ? (alcool, tabac, cannabis, stup\u00e9fiants)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_61'>\n\t\t\t<div class='gchoice gchoice_32_61_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Oui'  id='choice_32_61_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_61_0' id='label_32_61_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_61_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Non'  id='choice_32_61_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_61_1' id='label_32_61_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_62\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_62\"><label class='gfield_label gform-field-label' for='input_32_62' >Merci de lister les substances que vous prenez, y compris la quantit\u00e9 et la fr\u00e9quence.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_62' id='input_32_62' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_32_3\"  class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_3\"><label class='gfield_label gform-field-label' for='input_32_3' >Si vous le souhaitez, donnez-nous quelques d\u00e9tails sur vous.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_3' id='input_32_3' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_32_30\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_30\"><h3 class=\"gsection_title\">Avertissement<\/h3><div class='gsection_description' id='gfield_description_32_30'><p>Les programmes Tangerine Retreat sont con\u00e7us comme une offre \u00e9ducative, exp\u00e9rientielle et de d\u00e9veloppement personnel. Ils ne doivent pas \u00eatre suivis \u00e0 la place d'un soutien m\u00e9dical.<\/p><\/div><\/div><fieldset id=\"field_32_31\"  class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_32_31\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_31.1' id='input_32_31_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_32_31\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_32_31_1' >J'accepte les conditions d'utilisation<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_31.2' value='J&#039;accepte les conditions d&#039;utilisation' class='gform_hidden' \/><input type='hidden' name='input_31.3' value='10' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_32_31'><strong>Je certifie que toutes les informations fournies ci-dessus sont vraies et compl\u00e8tes.<\/strong> Je comprends que l'admission \u00e0 une retraite s'appuie sur les informations fournies afin d'assurer la s\u00e9curit\u00e9 de tous les participants et qu'une r\u00e9ponse incorrecte pourrait entra\u00eener des risques pour moi ou les autres.<\/div><\/fieldset><div id=\"field_32_73\"  class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_73\"><div class='ginput_container ginput_container_text'><input name='input_73' id='input_32_73' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='FR' \/><\/div><\/div><div id=\"field_32_72\"  class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_72\"><div class='ginput_container ginput_container_text'><input name='input_72' id='input_32_72' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='yes' \/><\/div><\/div><div id=\"field_32_71\"  class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_71\"><div class='ginput_container ginput_container_text'><input name='input_71' id='input_32_71' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='therapie' \/><\/div><\/div><div id=\"field_32_75\"  class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_32_75\"><label class='gfield_label gform-field-label' for='input_32_75' >Phone<\/label><div class='ginput_container'><input name='input_75' id='input_32_75' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_32_75'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/div><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_32' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Pr\u00e9c\u00e9dent'  onclick='if(window[\"gf_submitting_32\"]){return false;}  if( !jQuery(\"#gform_32\")[0].checkValidity || jQuery(\"#gform_32\")[0].checkValidity()){window[\"gf_submitting_32\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_32\"]){return false;} if( !jQuery(\"#gform_32\")[0].checkValidity || jQuery(\"#gform_32\")[0].checkValidity()){window[\"gf_submitting_32\"]=true;}  jQuery(\"#gform_32\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_32' class='gform_button button' value='Valider'  onclick='if(window[\"gf_submitting_32\"]){return false;}  if( !jQuery(\"#gform_32\")[0].checkValidity || jQuery(\"#gform_32\")[0].checkValidity()){window[\"gf_submitting_32\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_32\"]){return false;} if( !jQuery(\"#gform_32\")[0].checkValidity || jQuery(\"#gform_32\")[0].checkValidity()){window[\"gf_submitting_32\"]=true;}  jQuery(\"#gform_32\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_32' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='32' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_32' value='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' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_32' id='gform_target_page_number_32' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_32' id='gform_source_page_number_32' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/div><\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 32, 'https:\/\/tangerineretreat.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_32').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_32');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_32').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_32').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_32').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_32').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_32').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_32').val();gformInitSpinner( 32, 'https:\/\/tangerineretreat.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [32, current_page]);window['gf_submitting_32'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_32').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_32').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [32]);window['gf_submitting_32'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_32').text());}, 50);}else{jQuery('#gform_32').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [32, current_page]);} );} ); \n\/* ]]> *\/\n<\/script>\n[\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h3 style=\"text-align: center;\">Les objectifs du programme<\/h3>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row content_placement=&#8221;top&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_message icon_fontawesome=&#8221;fas fa-clock&#8221; el_class=&#8221;blocListe2&#8243;]\n<h3>Guidance prolong\u00e9e<\/h3>\n<p>S\u00e9ances individuelles de 1h15, en fran\u00e7ais. Calendrier pr\u00e9cis, suivi appuy\u00e9 et progression lisible du mois 1 au mois 18.[\/vc_message][vc_message icon_fontawesome=&#8221;fas fa-money-bill&#8221; el_class=&#8221;blocListe2&#8243;]\n<h3>Alignement avec la recherche<\/h3>\n<p>Deux prises espac\u00e9es de psilocybine et un suivi long. Objectif : des r\u00e9sultats comparables aux essais cliniques, dans un cadre plus humain et immersif.[\/vc_message][vc_message icon_fontawesome=&#8221;fas fa-balance-scale&#8221; el_class=&#8221;blocListe2&#8243;]\n<h3>Exp\u00e9rience qui a du sens<\/h3>\n<p>Des retraites con\u00e7ues pour la clart\u00e9, l\u2019apaisement et la r\u00e9orientation de soi. Chaque \u00e9tape pr\u00e9pare la suivante.[\/vc_message][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_message icon_fontawesome=&#8221;fas fa-money-bill&#8221; el_class=&#8221;blocListe2&#8243;]\n<h3>Protocole l\u00e9gal et pratique<\/h3>\n<p>S\u00e9jours psych\u00e9d\u00e9liques avec Tangerine Retreat aux Pays-Bas, suivi personnalis\u00e9 avec un praticien de l&#8217;\u00e9quipe, en visio.[\/vc_message][vc_message icon_fontawesome=&#8221;fas fa-box-open&#8221; el_class=&#8221;blocListe2&#8243;]\n<h3>Exigence et s\u00e9curit\u00e9<\/h3>\n<p>Une retraite de 5 jours en premier pour apprivoiser la substance. Protocoles clairs, supervision par un facilitateur d\u00e9di\u00e9, standards haut de gamme.[\/vc_message][vc_message icon_fontawesome=&#8221;fas fa-balance-scale&#8221; el_class=&#8221;blocListe2&#8243;]\n<h3>Int\u00e9gration r\u00e9elle dans la vie<\/h3>\n<p>Cercles mensuels collectifs, \u00e9changes priv\u00e9s avec facilitateurs, application concr\u00e8te dans le quotidien.[\/vc_message][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1762869966635{background-color: #f6f6f6 !important;}&#8221;][vc_column][vc_empty_space][vc_column_text]\n<h2>Programme<\/h2>\n[\/vc_column_text][vc_column_text el_class=&#8221;tableaup&#8221;]\n<h3>Premi\u00e8re retraite (5 jours) &amp; pr\u00e9paration<\/h3>\n<blockquote><p>Ouverture et objectifs : attentes, cap personnel, mise en place de la guidance.<\/p>\n<p>Pr\u00e9paration psychologique : intentions, appr\u00e9hensions, informations sur la psilocybine et ses effets possibles.<\/p>\n<p>Int\u00e9gration initiale : relecture de l\u2019exp\u00e9rience, \u00e9motions, enseignements, d\u00e9fis.<\/p><\/blockquote>\n<p><strong>Mois 1<\/strong><\/p>\n<ul>\n<li>S\u00e9ance d\u2019ouverture avec un responsable de Tangerine Retreat;<\/li>\n<li>2 s\u00e9ances de suivi (J-30 et J-7);<\/li>\n<li>3 pr\u00e9parations de groupe (retraite 5 jours);<\/li>\n<li>Pr\u00e9paration avec le facilitateur.<\/li>\n<\/ul>\n<p><strong>Mois 2<\/strong><\/p>\n<ul>\n<li>Retraite 5 jours aux Pays-Bas;<\/li>\n<li>3 int\u00e9grations de groupe (post-retraite);<\/li>\n<li>1 s\u00e9ance de suivi;<\/li>\n<li>1 cercle d\u2019int\u00e9gration mensuel.<\/li>\n<\/ul>\n<h3>Approfondissement<\/h3>\n<blockquote><p>Ancrage des apprentissages : traduction dans la vie quotidienne.<\/p>\n<p>Explorer les sch\u00e9mas : pens\u00e9es, comportements, dynamiques relationnelles.<\/p><\/blockquote>\n<div class=\"flex-1 overflow-hidden\">\n<p><strong>Mois 3<\/strong><\/p>\n<ul>\n<li>2 s\u00e9ances de suivi;<\/li>\n<li>1 cercle d\u2019int\u00e9gration mensuel.<\/li>\n<\/ul>\n<p><strong>Mois 4<\/strong><\/p>\n<ul>\n<li>2 s\u00e9ances de suivi;<\/li>\n<li>1 cercle d\u2019int\u00e9gration mensuel.<\/li>\n<\/ul>\n<\/div>\n<h3>Seconde retraite (3 jours)<\/h3>\n<blockquote><p>Pr\u00e9paration : bilan des avanc\u00e9es, nouvelles intentions.<\/p>\n<p>Int\u00e9gration : synergie entre les deux retraites.<\/p><\/blockquote>\n<div class=\"flex-1 overflow-hidden\">\n<p><strong>Mois 5<\/strong><\/p>\n<ul>\n<li>2 s\u00e9ances de suivi;<\/li>\n<li>1 cercle d\u2019int\u00e9gration mensuel.<\/li>\n<\/ul>\n<p><strong>Mois 6<\/strong><\/p>\n<ul>\n<li>Pr\u00e9paration de groupe;<\/li>\n<li>Pr\u00e9paration avec le facilitateur;<\/li>\n<li>Retraite 3 jours aux Pays-Bas;<\/li>\n<li>Int\u00e9gration de groupe;<\/li>\n<li>1 cercle d\u2019int\u00e9gration mensuel;<\/li>\n<li>1 s\u00e9ance de suivi.<\/li>\n<\/ul>\n<h3>Consolidation<\/h3>\n<blockquote><p>Maintenance et pr\u00e9vention de la rechute.<\/p>\n<p>Gestion \u00e9motionnelle : outils pour stress, anxi\u00e9t\u00e9, tristesse.<\/p>\n<p>D\u00e9veloppement personnel : nouveaux objectifs de vie.<\/p>\n<p>Relations et connexion : effets des changements sur les liens.<\/p><\/blockquote>\n<div class=\"flex-1 overflow-hidden\">\n<p><strong>Mois 7 \u00e0 12<\/strong><\/p>\n<ul>\n<li>Chaque mois : 1 s\u00e9ance de suivi + 1 cercle d\u2019int\u00e9gration mensuel.<\/li>\n<\/ul>\n<h3>Suivi final &amp; cl\u00f4ture<\/h3>\n<blockquote><p>Poursuite des cercles mensuels.<\/p>\n<p>Bilan au mois 18 et plan durable.<\/p><\/blockquote>\n<p><strong>Mois 13 \u00e0 18<\/strong><\/p>\n<div class=\"flex-1 overflow-hidden\">\n<ul>\n<li>Chaque mois : 1 cercle d\u2019int\u00e9gration mensuel.<\/li>\n<li>S\u00e9ance bilan avec un responsable de Tangerine Retreat.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n[\/vc_column_text][vc_empty_space][vc_btn title=&#8221;Demander un devis&#8221; style=&#8221;flat&#8221; shape=&#8221;round&#8221; color=&#8221;default&#8221; align=&#8221;center&#8221; link=&#8221;url:%23registration|title:Rejoindre%20le%20programme&#8221;][vc_empty_space][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; content_placement=&#8221;middle&#8221; el_class=&#8221;magazine&#8221; css=&#8221;.vc_custom_1760967264804{margin-top: 0px !important;margin-bottom: 0px !important;border-top-width: 0px !important;border-bottom-width: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_column_text el_class=&#8221;blocListe&#8221;] Accompagnement complet sur 18 mois Un parcours intensif pour des personnes d\u00e9cid\u00e9es \u00e0 sortir du mal-\u00eatre : Deux retraites (5 jours puis 3 jours), 16 s\u00e9ances individuelles de 1h15 avec un praticien exp\u00e9riment\u00e9, Des cercles d\u2019int\u00e9gration [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"iawp_total_views":67,"footnotes":""},"class_list":["post-11662","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Parcours psych\u00e9d\u00e9lique 18 mois \u2022 L\u00e9gal Pays-Bas<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/tangerineretreat.com\/fr\/parcours-18-mois\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Parcours psych\u00e9d\u00e9lique 18 mois \u2022 L\u00e9gal Pays-Bas\" \/>\n<meta property=\"og:description\" content=\"[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; content_placement=&#8221;middle&#8221; el_class=&#8221;magazine&#8221; css=&#8221;.vc_custom_1760967264804{margin-top: 0px !important;margin-bottom: 0px !important;border-top-width: 0px !important;border-bottom-width: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_column_text el_class=&#8221;blocListe&#8221;] Accompagnement complet sur 18 mois Un parcours intensif pour des personnes d\u00e9cid\u00e9es \u00e0 sortir du mal-\u00eatre : Deux retraites (5 jours puis 3 jours), 16 s\u00e9ances individuelles de 1h15 avec un praticien exp\u00e9riment\u00e9, Des cercles d\u2019int\u00e9gration [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/tangerineretreat.com\/fr\/parcours-18-mois\/\" \/>\n<meta property=\"og:site_name\" content=\"Tangerine Retreat\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-29T14:28:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/tangerineretreat.com\/wp-content\/uploads\/logo-carre.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1125\" \/>\n\t<meta property=\"og:image:height\" content=\"1125\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/parcours-18-mois\\\/\",\"url\":\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/parcours-18-mois\\\/\",\"name\":\"Parcours psych\u00e9d\u00e9lique 18 mois \u2022 L\u00e9gal Pays-Bas\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/#website\"},\"datePublished\":\"2025-11-11T15:57:36+00:00\",\"dateModified\":\"2026-01-29T14:28:05+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/parcours-18-mois\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/parcours-18-mois\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/parcours-18-mois\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Parcours psych\u00e9d\u00e9lique 18 mois\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/\",\"name\":\"Tangerine Retreat\",\"description\":\"Legal psychedelic retreat in the Netherlands\",\"publisher\":{\"@id\":\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/#organization\"},\"alternateName\":\"Tangerine Psychedelic Institute\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/#organization\",\"name\":\"Tangerine Retreat\",\"url\":\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/tangerineretreat.com\\\/wp-content\\\/uploads\\\/tangerine-retreat-logo-4.png\",\"contentUrl\":\"https:\\\/\\\/tangerineretreat.com\\\/wp-content\\\/uploads\\\/tangerine-retreat-logo-4.png\",\"width\":185,\"height\":50,\"caption\":\"Tangerine Retreat\"},\"image\":{\"@id\":\"https:\\\/\\\/tangerineretreat.com\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Parcours psych\u00e9d\u00e9lique 18 mois \u2022 L\u00e9gal Pays-Bas","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/tangerineretreat.com\/fr\/parcours-18-mois\/","og_locale":"fr_FR","og_type":"article","og_title":"Parcours psych\u00e9d\u00e9lique 18 mois \u2022 L\u00e9gal Pays-Bas","og_description":"[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; content_placement=&#8221;middle&#8221; el_class=&#8221;magazine&#8221; css=&#8221;.vc_custom_1760967264804{margin-top: 0px !important;margin-bottom: 0px !important;border-top-width: 0px !important;border-bottom-width: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_column_text el_class=&#8221;blocListe&#8221;] Accompagnement complet sur 18 mois Un parcours intensif pour des personnes d\u00e9cid\u00e9es \u00e0 sortir du mal-\u00eatre : Deux retraites (5 jours puis 3 jours), 16 s\u00e9ances individuelles de 1h15 avec un praticien exp\u00e9riment\u00e9, Des cercles d\u2019int\u00e9gration [&hellip;]","og_url":"https:\/\/tangerineretreat.com\/fr\/parcours-18-mois\/","og_site_name":"Tangerine Retreat","article_modified_time":"2026-01-29T14:28:05+00:00","og_image":[{"width":1125,"height":1125,"url":"https:\/\/tangerineretreat.com\/wp-content\/uploads\/logo-carre.png","type":"image\/png"}],"twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/tangerineretreat.com\/fr\/parcours-18-mois\/","url":"https:\/\/tangerineretreat.com\/fr\/parcours-18-mois\/","name":"Parcours psych\u00e9d\u00e9lique 18 mois \u2022 L\u00e9gal Pays-Bas","isPartOf":{"@id":"https:\/\/tangerineretreat.com\/fr\/#website"},"datePublished":"2025-11-11T15:57:36+00:00","dateModified":"2026-01-29T14:28:05+00:00","breadcrumb":{"@id":"https:\/\/tangerineretreat.com\/fr\/parcours-18-mois\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/tangerineretreat.com\/fr\/parcours-18-mois\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/tangerineretreat.com\/fr\/parcours-18-mois\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/tangerineretreat.com\/fr\/"},{"@type":"ListItem","position":2,"name":"Parcours psych\u00e9d\u00e9lique 18 mois"}]},{"@type":"WebSite","@id":"https:\/\/tangerineretreat.com\/fr\/#website","url":"https:\/\/tangerineretreat.com\/fr\/","name":"Tangerine Retreat","description":"Legal psychedelic retreat in the Netherlands","publisher":{"@id":"https:\/\/tangerineretreat.com\/fr\/#organization"},"alternateName":"Tangerine Psychedelic Institute","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/tangerineretreat.com\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/tangerineretreat.com\/fr\/#organization","name":"Tangerine Retreat","url":"https:\/\/tangerineretreat.com\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/tangerineretreat.com\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/tangerineretreat.com\/wp-content\/uploads\/tangerine-retreat-logo-4.png","contentUrl":"https:\/\/tangerineretreat.com\/wp-content\/uploads\/tangerine-retreat-logo-4.png","width":185,"height":50,"caption":"Tangerine Retreat"},"image":{"@id":"https:\/\/tangerineretreat.com\/fr\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/tangerineretreat.com\/fr\/wp-json\/wp\/v2\/pages\/11662","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tangerineretreat.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/tangerineretreat.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/tangerineretreat.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tangerineretreat.com\/fr\/wp-json\/wp\/v2\/comments?post=11662"}],"version-history":[{"count":0,"href":"https:\/\/tangerineretreat.com\/fr\/wp-json\/wp\/v2\/pages\/11662\/revisions"}],"wp:attachment":[{"href":"https:\/\/tangerineretreat.com\/fr\/wp-json\/wp\/v2\/media?parent=11662"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}