About grief
Grief after a loss is a natural process with no fixed timeline. Support can help when pain does not ease over time, when the loss was sudden or traumatic, or when it becomes very hard to carry on with daily life.
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
Grief can bring sadness, longing, anger, guilt, disbelief, tiredness and even physical aches, and it often comes in waves. There is no right timeline. It may help to seek support when the pain stays just as intense for a long time, you cannot carry out daily tasks, you feel life has lost all meaning, you avoid everything linked to the loss, or you feel stuck in guilt or anger.
What helps: treatments and professionals
Most people do not need therapy to grieve, but support can help when grief is especially difficult. Grief-focused therapies, including cognitive-behavioural approaches adapted to prolonged grief, and meaning-centred or narrative approaches, have growing evidence. Psychologists and psychotherapists with experience in bereavement are the usual professionals. Support groups and family therapy can also help, especially after the loss of a child or a sudden death.
When to seek urgent help
If the pain of loss leads to thoughts of ending your life, wanting to join the person who died, or harming yourself, contact your local emergency services or go to the nearest emergency department straight away. Seek prompt help too if you stop eating or drinking, or if alcohol or other substances have become your main way of coping.
What you can do in the meantime
Allow yourself to feel what comes, without forcing it or rushing it. Keep basic routines like sleep and meals, and accept practical help from others. Talking about the person who died, sharing memories or creating small rituals can help. Be aware that anniversaries and special dates may be harder. Reliable information about grief can reassure you that what you feel is common.
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.