About teenagers
Adolescence brings changes in identity, relationships and emotions. Therapy offers a confidential space to talk about anxiety, low mood, self-esteem, relationships or school pressure, with the involvement of the family when appropriate.
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 Dominica
Public health system · Ministry of Health – Acute Psychiatric Unit, Dominica China Friendship Hospital
Outpatient and non-urgent care starts at the health centre in your district, which can refer you to the Acute Psychiatric Unit at the Dominica China Friendship Hospital (formerly Princess Margaret Hospital). Mental health services are being integrated into primary health care, and new mental health legislation is being drafted.
How to check that a professional is licensed
- Medical Board of Dominica / Dominica Medical Council. Doctors must be registered before practising, and registrations are published in the official gazette. A 2026 Medical Profession Act establishes the Dominica Medical Council.
Urgent help in Dominica
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 999 · Emergency (999)
Information reviewed in November 2026 · Sources: gov.uk, paho.org, dom767.com
Signs to look out for
Mood swings, wanting more privacy and clashes with parents are part of adolescence. It may be time to seek help when a teenager seems persistently sad, anxious or irritable, withdraws from friends, loses interest in activities, has big changes in sleep or eating, drops in school performance, uses alcohol or drugs, self-harms, or spends most of their time isolated online.
What helps: treatments and professionals
Approaches with good evidence for teenagers include cognitive-behavioural therapy (CBT), interpersonal therapy for depression, dialectical behaviour therapy (DBT) adapted for adolescents when there is self-harm, and family-based therapies. Child and adolescent psychologists, clinical psychologists and family therapists usually lead the work; a child and adolescent psychiatrist may be involved when symptoms are severe or medication is being considered.
When to seek urgent help
Take any talk of suicide or self-harm seriously. If a teenager has a plan, has harmed themselves seriously, has taken an overdose or is in danger, contact your local emergency services or go to the nearest emergency department immediately. Seek urgent help too for signs of severe intoxication, sexual exploitation or online extortion, and do not leave them alone if at risk.
What you can do in the meantime
Keep communication open by listening more than lecturing, and choose relaxed moments, such as car journeys or meals, to talk. Respect their growing independence while keeping clear, agreed limits. Encourage sleep routines, physical activity and time away from screens. Show interest in their friends and activities. If they are reluctant to seek help, offer options and let them have a say in choosing.
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 Dominica cover psychological care?
Outpatient and non-urgent care starts at the health centre in your district, which can refer you to the Acute Psychiatric Unit at the Dominica China Friendship Hospital (formerly Princess Margaret Hospital). Mental health services are being integrated into primary health care, and new mental health legislation is being drafted.
How do I check that a therapist is licensed in Dominica?
Medical Board of Dominica / Dominica Medical Council: Doctors must be registered before practising, and registrations are published in the official gazette. A 2026 Medical Profession Act establishes the Dominica Medical Council.