About therapists
Therapist is the everyday word for a professional who offers talking therapy: depending on the country it can be a psychologist, a psychotherapist, a licensed counsellor, a marriage and family therapist or a clinical social worker. Profiles show each therapist’s actual title, training and registration.
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 therapist do?
A therapist helps you talk through what is worrying you and find practical ways to feel and cope better. In sessions they listen, ask questions, help you notice patterns in your thoughts, emotions and relationships, and agree goals with you. Depending on their training they may use cognitive-behavioural, humanistic, systemic, psychodynamic or other evidence-based approaches, with individuals, couples, families or groups.
What happens in the first session
The first session is mostly a conversation: what brings you, since when, how it affects your life and what you would like to change. The therapist will explain how they work, how often you would meet, confidentiality and fees. It is a good moment to ask about their licence, their approach and their experience with your concern, and to notice whether you feel comfortable with them.