About family therapists
Family therapists work with the whole family or several of its members to improve communication, resolve conflicts and go through changes such as separations, losses or a child’s difficulties. They look at relationships rather than at one person alone.
Getting mental health care in Madagascar
Public psychiatric services exist at the university hospitals (CHU) of the six former provinces, including the psychiatry department of CHU Joseph Raseta Befelatanana in Antananarivo; mental health prevention and diagnosis centres exist only in Antsirabe, Ambositra and Manakara.
What does a family therapist do?
A family therapist works with families as a system, seeing several members together or in different combinations. Day to day they help families improve communication, manage conflict, adapt to changes such as separation, illness, migration or the arrival of a child, and support a member who is struggling. They look at roles, rules and patterns in the relationships rather than blaming one person.
What happens in the first session
In the first session the therapist usually meets everyone who is willing to come, listens to each person’s view of the problem and explains how they work. They make sure everyone can speak and feel safe. Think beforehand about who should attend, what each person hopes for, and ask about confidentiality, whether there will be individual sessions and how children take part.