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 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 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.