About psychotherapists
Psychotherapists are professionals trained in one or more models of psychotherapy (psychodynamic, systemic, humanistic, cognitive-behavioural…). The protected title and requirements vary by country; profiles show each professional’s training and registration.
Getting mental health care in Sierra Leone
Public mental health care is very limited: the Sierra Leone Psychiatric Teaching Hospital in Kissy, Freetown, is the only dedicated psychiatric hospital, and WHO has reported only a handful of psychiatrists and clinical psychologists for the whole country, supported by mental health nurses.
What does a psychotherapist do?
A psychotherapist helps people understand and change emotional, relational and behavioural patterns through a structured therapeutic relationship. Their work is shaped by one or more models, such as cognitive-behavioural, psychodynamic, systemic, humanistic or integrative therapy. They meet individuals, couples, families or groups, usually in regular sessions, and spend time outside sessions on notes, preparation and their own supervision.
What happens in the first session
In the first session the psychotherapist will want to hear what is happening, what you have already tried and what you hope to get from therapy. They will usually explain their model, how sessions work, confidentiality and practical arrangements. It is a good moment to ask how they would approach your situation, how progress is reviewed, and to notice whether you feel comfortable with them.