About depression
Persistent sadness, loss of interest, tiredness, sleep changes or difficulty concentrating for weeks can be signs of depression. Psychotherapy is an effective treatment, alone or combined with medication prescribed by a psychiatrist or doctor. If you have thoughts of harming yourself, contact emergency services or a crisis line straight away.
Psychoanalysts work with psychoanalytic or psychodynamic therapy, which explores how past experiences and unconscious patterns shape present feelings and relationships. It is usually a longer, in-depth process. Training and titles vary by country: check each professional’s background.
Getting mental health care in Guam
Public health system · Guam Behavioral Health and Wellness Center (GBHWC)
GBHWC is Guam's public agency for behavioural health and substance use treatment, offering adult counselling, child and adolescent services, psychiatric and nursing clinics, drug and alcohol treatment and a crisis hotline. Services are provided regardless of ability to pay and most medical insurance is accepted. More information
How to check that a professional is licensed
- Guam Board of Allied Health Examiners (Health Professional Licensing Office, DPHSS). Clinical psychology is one of the allied health disciplines licensed by the board. There is no online lookup found; contact the Health Professional Licensing Office to verify a licence.
Online therapy in Guam
Practitioners providing care to patients on Guam must hold a Guam licence; a licence from a US state does not automatically apply.
Urgent help in Guam
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 911 · Emergency (911)
- 988 · 988 Suicide & Crisis Lifeline (Guam Behavioral Health and Wellness Center)
Information reviewed in November 2026 · Sources: gbhwc.guam.gov, dphss.guam.gov, asppb.net
Signs to look out for
Everyone has low days, especially after a setback. It is worth seeking help when sadness, emptiness or irritability last most of the day for weeks, when you lose interest in things you used to enjoy, or when you notice changes in sleep, appetite, energy or concentration. Feeling worthless, guilty or that nothing will improve, and withdrawing from people, are also common signs.
What helps: treatments and professionals
Psychotherapy is an effective treatment for depression. Cognitive-behavioural therapy (CBT), behavioural activation, interpersonal therapy and some psychodynamic approaches have good evidence. Psychologists, clinical psychologists and psychotherapists provide therapy; a psychiatrist or family doctor can assess whether medication is appropriate, which is often considered for moderate or severe depression. Combining therapy with medical follow-up is common and can work well.
When to seek urgent help
If you are thinking about suicide, have a plan, or feel you might act on thoughts of harming yourself, contact your local emergency services or go to the nearest emergency department now. If you are worried about someone else, stay with them if it is safe and seek help immediately. Telling someone close to you how you feel is an important first step.
What you can do in the meantime
Small steps matter: try to get up at a similar time each day, go outside, move a little, eat regular meals and do one manageable activity that used to bring you some satisfaction, even if you do not feel like it. Avoid using alcohol to cope. Stay in touch with at least one person you trust, and be patient with yourself while you seek professional support.
What does a psychoanalyst do?
A psychoanalyst works with people who want to explore how early experiences, desires, conflicts and unconscious patterns influence how they feel, relate and choose today. Day to day they listen closely, help connect present difficulties with personal history, and pay attention to dreams, repetitions and the relationship with the analyst. Sessions are usually frequent and the process tends to be long-term.
When to see a psychoanalyst
Psychoanalysis or psychodynamic therapy may suit you if you notice repeating patterns in relationships, a persistent sense of emptiness or dissatisfaction, or want to understand yourself in depth and are open to a longer process. If you need quick relief for a specific symptom, such as panic attacks or a phobia, a structured approach like CBT may be more appropriate 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 Guam cover psychological care?
GBHWC is Guam's public agency for behavioural health and substance use treatment, offering adult counselling, child and adolescent services, psychiatric and nursing clinics, drug and alcohol treatment and a crisis hotline. Services are provided regardless of ability to pay and most medical insurance is accepted.
How do I check that a psychoanalyst is licensed in Guam?
Guam Board of Allied Health Examiners (Health Professional Licensing Office, DPHSS): Clinical psychology is one of the allied health disciplines licensed by the board. There is no online lookup found; contact the Health Professional Licensing Office to verify a licence.
Can I have online therapy in Guam?
Practitioners providing care to patients on Guam must hold a Guam licence; a licence from a US state does not automatically apply.