About LGBTQ+
LGBTQ+ affirmative professionals offer a safe, respectful space to explore identity, relationships, coming out, minority stress or discrimination, without pathologising sexual orientation or gender identity.
Couples therapists help partners with communication problems, frequent arguments, infidelity, crises or decisions about the future of the relationship. Sessions are usually joint, sometimes combined with individual ones.
Getting mental health care in Guinea
Public health system · Public health system - Psychiatry department, CHU Donka (Conakry)
Guinea has a single public psychiatry department, at Donka hospital in Conakry, and only about five psychiatrists; no psychologists work in the public sector. Some health centres, notably those supported by Fraternité Médicale Guinée, offer basic mental health care by trained general practitioners. Care and medicines are paid out of pocket.
How to check that a professional is licensed
- Ordre National des Médecins de Guinée. Doctors are governed by the Order and the 1996 code of medical ethics, which prohibits illegal practice of medicine. Ask for proof of registration with the Order.
Insurance and coverage
Only about 5% of the population has health insurance, and psychiatric care and medicines are not covered by any national insurance or state scheme.
Urgent help in Guinea
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 122 · Gendarmerie nationale – numéro vert d'urgence
Information reviewed in November 2026 · Sources: osar.ch, panafrican-med-journal.com, extranet.who.int, guineenews.org
Signs to look out for
Being LGBTQ+ is not a mental health problem. However, discrimination, rejection, hiding who you are or living in an unsupportive environment can create stress that affects well-being. It may help to seek support if you feel anxious or low, isolated, unsafe, conflicted about your identity, struggling with coming out, facing family rejection, or affected by harassment or violence.
What helps: treatments and professionals
Look for affirmative therapy: psychologists, psychotherapists and other professionals who respect your identity and have training in sexual and gender diversity. Evidence-based approaches such as cognitive-behavioural therapy, acceptance and commitment therapy and family therapy can be adapted to address minority stress. So-called conversion therapies are harmful and rejected by professional bodies. Peer and community groups can complement professional support.
When to seek urgent help
If you are in immediate danger, have been assaulted, or are being threatened because of your identity, contact your local emergency services. Seek urgent help too if you have thoughts of suicide or self-harm, or if you have been thrown out of your home and have nowhere safe to go. Specialised LGBTQ+ organisations in many places can offer support and guidance.
What you can do in the meantime
Connect with people and spaces where you can be yourself, whether friends, community groups or trusted online communities. You decide when, how and to whom you come out; your safety comes first. Look for reliable, affirming information sources. Look after sleep, movement and routines, and limit exposure to hostile content online. Ask potential therapists directly about their experience with LGBTQ+ clients.
What does a couples therapist do?
A couples therapist helps two people understand and improve their relationship. Day to day they work with couples on communication, recurring arguments, trust after infidelity, intimacy, life transitions such as parenthood or retirement, and decisions about continuing or separating. They stay neutral, make room for both perspectives, and teach practical skills to talk, listen and repair after conflict.
When to see a couples therapist
Couples therapy makes sense when arguments repeat without resolution, you feel distant or misunderstood, trust has been damaged, sexual or emotional intimacy has changed, or you face a big decision together. It also helps couples who want to separate respectfully. If there is violence, control or fear in the relationship, couples therapy is not appropriate; individual support and safety come first.
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 Guinea cover psychological care?
Guinea has a single public psychiatry department, at Donka hospital in Conakry, and only about five psychiatrists; no psychologists work in the public sector. Some health centres, notably those supported by Fraternité Médicale Guinée, offer basic mental health care by trained general practitioners. Care and medicines are paid out of pocket.
How do I check that a couples therapist is licensed in Guinea?
Ordre National des Médecins de Guinée: Doctors are governed by the Order and the 1996 code of medical ethics, which prohibits illegal practice of medicine. Ask for proof of registration with the Order.