About anxiety
Anxiety becomes a problem when worry, tension or panic are frequent, hard to control and start to limit daily life. Psychological therapy, especially cognitive-behavioural approaches, has strong evidence for anxiety disorders. A first session usually explores what triggers the anxiety, how it shows up in the body and thoughts, and what goals you want to work on.
Sexologists help with sexual difficulties, desire, communication about sexuality, and sexual and gender identity, individually or as a couple, in a respectful and confidential setting.
Getting mental health care in Guadeloupe
Public health system · Assurance Maladie and public psychiatry sector (CMP), French system
Public mental health care follows the French system: free consultations at public medico-psychological centres (CMP), usually with waiting lists, plus reimbursed private psychiatrists and psychologists under Mon soutien psy.
How to check that a professional is licensed
- Agence régionale de santé (ARS) registration, national RPPS directory (French system). The title of psychologist is protected by French law and practitioners must be registered (formerly ADELI, now RPPS). Check the practitioner in the national health directory.
- Ordre des médecins (French medical council). Psychiatrists are doctors who must be registered with the Ordre des médecins. Check their entry in the national health directory.
Insurance and coverage
Under the national Mon soutien psy scheme, up to 12 sessions per calendar year with a participating psychologist are reimbursed at 60% of a fixed 50 EUR fee after a doctor's referral; complementary insurance (mutuelle) may cover the rest. Psychiatrist visits are reimbursed by the Assurance Maladie under the coordinated care pathway.
Urgent help in Guadeloupe
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
Information reviewed in November 2026 · Sources: info.gouv.fr
Signs to look out for
Some anxiety is normal before an exam or a difficult conversation. It becomes worth looking at when worry feels constant and hard to switch off, when you avoid places or situations because of it, or when you notice frequent physical symptoms such as a racing heart, tight chest, dizziness, stomach upset or poor sleep. Sudden waves of intense fear, called panic attacks, are another common sign.
What helps: treatments and professionals
Cognitive-behavioural therapy (CBT) has the strongest evidence for most anxiety problems, often including gradual exposure to feared situations. Acceptance and commitment therapy (ACT) and mindfulness-based approaches can also help. Psychologists, clinical psychologists and psychotherapists usually lead treatment. A psychiatrist or family doctor may assess whether medication could be useful alongside therapy, especially when anxiety is severe or long-lasting.
When to seek urgent help
Seek medical help promptly if you have chest pain, shortness of breath or symptoms you have never had before, as these should be checked to rule out a physical cause. If anxiety comes with thoughts of ending your life or harming yourself, contact your local emergency services or go to the nearest emergency department straight away. You do not have to wait for an appointment.
What you can do in the meantime
While you look for support, try to keep regular sleep and meal times, move your body most days, and cut down on caffeine and alcohol, which can worsen anxiety. Slow breathing can help during peaks. Avoiding feared situations brings relief now but tends to make anxiety grow, so small, gradual steps are better. Talk to someone you trust and rely on trustworthy health sources.
What does a sex therapist do?
A sex therapist helps individuals and couples with concerns about sexuality in a respectful, confidential space. Day to day they talk about desire, arousal, pain, orgasm, sexual communication, body image, identity and orientation, and the impact of illness, ageing or past experiences. They use psychoeducation, talking therapy and practical exercises, and coordinate with doctors when a physical cause needs to be checked.
When to see a sex therapist
Seeing a sex therapist makes sense when a sexual difficulty causes distress or tension, when desire differs a lot within a couple, when there is pain or anxiety around sex, after illness, childbirth or menopause, or when you have questions about identity or orientation. A medical check-up is advisable first for pain or sudden changes; trauma may need trauma-focused therapy.
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 Guadeloupe cover psychological care?
Public mental health care follows the French system: free consultations at public medico-psychological centres (CMP), usually with waiting lists, plus reimbursed private psychiatrists and psychologists under Mon soutien psy.
How do I check that a sex therapist is licensed in Guadeloupe?
Agence régionale de santé (ARS) registration, national RPPS directory (French system): The title of psychologist is protected by French law and practitioners must be registered (formerly ADELI, now RPPS). Check the practitioner in the national health directory.