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 Sint Maarten
Public health system · Mental Health Foundation (MHF), funded mainly through SZV Social and Health Insurances
The Mental Health Foundation provides outpatient clinic care, day treatment, guided living, crisis intervention and an admission ward, with psychiatrists and psychologists on staff. It relies mainly on SZV and other insurers for funding since government subsidy ended in 2015. SZV also contracts private-practice psychologists, so SZV-insured patients can be covered for assessment and therapy.
How to check that a professional is licensed
- Ministry of Public Health, Social Development and Labour (VSA); Dutch BIG register as reference. Sint Maarten has no national register of its own yet; a draft National Ordinance on a Healthcare Professionals Registry was completed in 2026 but is not in force. Doctors have generally been required to be BIG-registered, and you can check Dutch BIG registration of psychologists, psychotherapists and psychiatrists online. Search the official register
Insurance and coverage
SZV has care contracts with private psychologists and with the Mental Health Foundation, so SZV-insured people can be covered for psychological assessment and therapy.
Urgent help in Sint Maarten
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 912 · Ambulance
Information reviewed in November 2026 · Sources: thedailyherald.sx, thedailyherald.sx, sintmaartengov.org, thedailyherald.sx
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.
When to see a family therapist
Family therapy makes sense when tension at home is constant, when a child or teenager’s difficulties affect everyone, after a separation or blended-family transition, during a loss or serious illness, or when communication has broken down between generations. If one person has a severe mental health condition, family therapy can complement, not replace, individual treatment. Couple-only problems may suit couples therapy better.
How is it different from other professionals?
A family therapist works with the whole family system, including children, parents and sometimes grandparents. A couples therapist focuses on the relationship between two partners. Individual therapists work with one person, though they may consider family influences. Many family therapists use systemic approaches, and some are also couples therapists, psychologists or social workers with additional systemic training.
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.
How long does the process take?
Family therapy sessions are often a little longer than individual ones and may be weekly, fortnightly or spaced further apart, giving the family time to try changes at home. Some families find a relatively short process enough; others with complex situations need longer. Duration depends on the problem, how many people attend, their commitment and changes in circumstances.
Online or in person?
Online family therapy can work well when members live in different places, schedules are hard to coordinate, or to include relatives who cannot travel. It requires each person to have a quiet space and good connection. In-person sessions are often better with young children, when conflict is intense, or when the therapist needs to observe interactions closely.
How to check their qualifications
Family therapist is not a protected title in many countries, so check the base qualification, such as psychology, social work or medicine, and registration in that profession. Then ask about specific training in family or systemic therapy, its length, supervised practice, membership of recognised family therapy associations, and experience with situations like yours.
What affects the price?
Prices depend on session length, the number of people attending, whether co-therapists are involved, the professional’s training and experience, the city and modality. Family sessions are usually priced per session rather than per person. Ask whether there are packages or reduced rates, and whether public services or community organisations offer family therapy in your area.
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 Sint Maarten cover psychological care?
The Mental Health Foundation provides outpatient clinic care, day treatment, guided living, crisis intervention and an admission ward, with psychiatrists and psychologists on staff. It relies mainly on SZV and other insurers for funding since government subsidy ended in 2015. SZV also contracts private-practice psychologists, so SZV-insured patients can be covered for assessment and therapy.
How do I check that a family therapist is licensed in Sint Maarten?
Ministry of Public Health, Social Development and Labour (VSA); Dutch BIG register as reference: Sint Maarten has no national register of its own yet; a draft National Ordinance on a Healthcare Professionals Registry was completed in 2026 but is not in force. Doctors have generally been required to be BIG-registered, and you can check Dutch BIG registration of psychologists, psychotherapists and psychiatrists online.