About family therapy
Family therapy works with several members together to improve communication, resolve conflicts and support everyone through changes such as separations, illness or adolescence.
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 Lesotho
Public health system · Ministry of Health public health facilities and Mohlomi Mental Hospital
Mohlomi Mental Hospital in Maseru is the country's referral psychiatric institution for complex cases, and its outpatient services mainly treat depression and anxiety. Government officials state that mental health services are available free of charge through public health facilities. The sector is underfunded and short of specialised mental health professionals, and there is no modern psychiatric hospital or rehabilitation centre. More information
How to check that a professional is licensed
- Lesotho Medical, Dental and Pharmacy Council (LMDPC). Under the Medical, Dental and Pharmacy Order 1970, doctors must be registered with the Council, and practising without registration is an offence. The Council also receives complaints about misconduct or negligence by its registrants.
Urgent help in Lesotho
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 112 · Emergency services (police, ambulance, fire)
Information reviewed in November 2026 · Sources: lena.gov.ls, extranet.who.int, thereporter.co.ls
Signs to look out for
Every family goes through tension. Family therapy may help when conflict is constant or very intense, communication has broken down, a child’s difficulties are straining everyone, members feel stuck in the same patterns, or the family is struggling to adapt to a change such as a separation, a new partner, illness, migration, a loss or a child leaving home.
What helps: treatments and professionals
Systemic family therapy looks at relationships and patterns rather than blaming one person. Approaches with evidence include structural and strategic family therapy, family-based treatment for adolescent eating disorders, multisystemic and functional family therapy for behaviour problems, and parent training. Family therapists, psychologists and social workers with systemic training usually lead the work, sometimes alongside individual therapy.
When to seek urgent help
If there is violence at home, a child or adult is being harmed, or someone is afraid for their safety, contact your local emergency services or specialised protection services. Safety comes before family therapy. Seek urgent help too if any family member talks about suicide, has harmed themselves seriously, or is at risk of harming others.
What you can do in the meantime
Set aside calm times to talk, and try to listen to understand rather than to reply. Agree on a few household rules together and keep them consistent. Avoid involving children in adult conflicts. Make room for enjoyable shared moments, even short ones. If tensions run high, take breaks before continuing a discussion. Each person looking after their own well-being also helps the family.
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 Lesotho cover psychological care?
Mohlomi Mental Hospital in Maseru is the country's referral psychiatric institution for complex cases, and its outpatient services mainly treat depression and anxiety. Government officials state that mental health services are available free of charge through public health facilities. The sector is underfunded and short of specialised mental health professionals, and there is no modern psychiatric hospital or rehabilitation centre.
How do I check that a couples therapist is licensed in Lesotho?
Lesotho Medical, Dental and Pharmacy Council (LMDPC): Under the Medical, Dental and Pharmacy Order 1970, doctors must be registered with the Council, and practising without registration is an offence. The Council also receives complaints about misconduct or negligence by its registrants.