About eating disorders
Eating disorders such as anorexia, bulimia or binge eating are serious and treatable. Care is usually multidisciplinary: psychological therapy, medical follow-up and nutritional support. If there is significant weight loss or physical symptoms, seek medical attention promptly.
Therapist is the everyday word for a professional who offers talking therapy: depending on the country it can be a psychologist, a psychotherapist, a licensed counsellor, a marriage and family therapist or a clinical social worker. Profiles show each therapist’s actual title, training and registration.
Getting mental health care in St. Barthélemy
Public health system · French public health system (Assurance Maladie)
Saint-Barthélemy applies the French health system and residents are covered by the French Assurance Maladie. People insured with the Assurance Maladie can use the national Mon soutien psy scheme (up to 12 reimbursed sessions per year with a partner psychologist), depending on local availability of partner psychologists. More information
How to check that a professional is licensed
- French State (title protected by law; practitioners listed in the RPPS national directory). The psychologist title is protected by French law. Check that the psychologist has an RPPS (formerly ADELI) number in the Annuaire Santé.
- Ordre des médecins (French medical council). Psychiatrists are doctors who must be registered with the Ordre des médecins. Check the registration and specialty in the Ordre's directory.
- Agence régionale de santé (registration of the protected psychotherapist title). The psychotherapist title is regulated in France and requires registration; registered psychotherapists are listed in the RPPS directory.
Insurance and coverage
The Assurance Maladie reimburses psychiatrist consultations and Mon soutien psy sessions; other private psychology sessions are not reimbursed, though some complementary insurers (mutuelles) contribute.
Urgent help in St. Barthélemy
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 17 · Police / Gendarmerie
Information reviewed in November 2026 · Sources: info.gouv.fr, enseignementsup-recherche.gouv.fr
Signs to look out for
Concern about food or weight becomes worrying when it takes up a lot of thought and affects daily life: strict dieting or skipping meals, episodes of eating large amounts with loss of control, vomiting or using laxatives or excessive exercise to compensate, rapid weight changes, avoiding eating in front of others, or intense fear of gaining weight. Eating disorders affect people of all sizes, genders and ages.
What helps: treatments and professionals
Eating disorders are best treated by a team that combines psychological, medical and nutritional care. Approaches with good evidence include enhanced cognitive-behavioural therapy (CBT-E), family-based treatment for children and adolescents, and specialist supportive clinical management. Clinical psychologists, psychiatrists, doctors and dietitians with eating disorder experience usually work together. Early help tends to make recovery easier.
When to seek urgent help
Eating disorders can have serious physical effects. Contact your local emergency services or go to the nearest emergency department for fainting, chest pain, a very slow or irregular heartbeat, severe weakness, confusion, vomiting blood, or if someone is unable to eat or drink at all. Seek urgent help too for thoughts of suicide. Regular medical check-ups are important during treatment.
What you can do in the meantime
Try to eat regular meals and avoid long periods without food, even if it feels hard. Reduce exposure to content that promotes dieting or body comparison, and avoid weighing yourself frequently. Tell someone you trust. If you are supporting someone, express concern calmly, focusing on feelings rather than food or weight, and encourage them to seek professional help.
What does a therapist do?
A therapist helps you talk through what is worrying you and find practical ways to feel and cope better. In sessions they listen, ask questions, help you notice patterns in your thoughts, emotions and relationships, and agree goals with you. Depending on their training they may use cognitive-behavioural, humanistic, systemic, psychodynamic or other evidence-based approaches, with individuals, couples, families or groups.
When to see a therapist
It makes sense to look for a therapist when stress, anxiety, low mood, grief, relationship problems, a difficult change or the effects of past experiences start to weigh on your daily life, or when you simply want space to understand yourself better. If symptoms are severe, you may need medication or there are signs of a medical cause, involve your doctor or a psychiatrist as well.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in St. Barthélemy cover psychological care?
Saint-Barthélemy applies the French health system and residents are covered by the French Assurance Maladie. People insured with the Assurance Maladie can use the national Mon soutien psy scheme (up to 12 reimbursed sessions per year with a partner psychologist), depending on local availability of partner psychologists.
How do I check that a therapist is licensed in St. Barthélemy?
French State (title protected by law; practitioners listed in the RPPS national directory): The psychologist title is protected by French law. Check that the psychologist has an RPPS (formerly ADELI) number in the Annuaire Santé.