The Therapeutic Accompaniment as a mental health care institution’s work paradigm. This text aims to explore the idea that the Therapeutic Accompaniment can be used as a paradigm to the holding concept at the clinic of psychosis within mental health institutions. Based on my personal experience as psychologist, psychoanalyst and therapeutic accompanier at one of these institutions, named CAPS-Itapeva (Psychossocial Attention Center – Itapeva), I think on how this accompaniment clinic is necessary to the institutional routine, crossing all the treatment spaces. From the idea of reference, which stands that it’s up to each professional working within the institution to accompany the route of each single patient, standing as a intermediate between him and his activities, as well as between him and what is out of there, I try to seeks where the Therapeutic Accompaniment’s clinic approaches to the psychosis institutional clinic.

Clinic of the psychosis; Mental health institution; CAPS – psychossocial attention center; Therapeutic accompaniment; Clinical holding