About older adults
Psychological support for older adults addresses loneliness, grief, adapting to retirement or illness, memory concerns and caring for a partner. Many professionals also offer sessions at home or online.
Psychologists assess and treat emotional, behavioural and relationship difficulties through psychological therapy. They do not prescribe medication. In many countries clinical practice requires a specific qualification and registration with a licensing body, which Therapy247 checks.
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
Signs to look out for
Ageing brings changes, but persistent sadness, loss of interest, anxiety, withdrawal or irritability are not an inevitable part of getting older. It may be worth seeking help after losses such as bereavement, retirement or loss of independence, when loneliness is weighing heavily, or when there are noticeable changes in memory, orientation or behaviour that worry the person or their family.
What helps: treatments and professionals
Psychological therapies such as cognitive-behavioural therapy, problem-solving therapy and reminiscence or life-review therapy are effective for older adults with depression or anxiety. Neuropsychologists assess memory concerns and design cognitive stimulation. Psychologists, psychiatrists with experience in older people, occupational therapists and social workers often work together, and family carers can also receive support and guidance.
When to seek urgent help
Sudden confusion, drowsiness, difficulty speaking, weakness on one side or a fall with injury need immediate medical attention: contact your local emergency services. Seek urgent help too if an older person expresses thoughts of suicide, stops eating or drinking, or if you suspect abuse or neglect. Reviewing medication with a doctor is important when behaviour changes.
What you can do in the meantime
Staying connected matters: regular contact with family, friends, neighbours or community groups helps protect mood. Keep routines with daily activity, walks, meals and sleep, and continue hobbies or learn new ones. Check hearing and vision, since difficulties can increase isolation. Carers should also look after themselves and ask for help, as caring can be exhausting.
What does a psychologist do?
A psychologist spends most of the working day talking with people about what worries them and helping them change it. That includes assessing the difficulty, agreeing goals, and using structured psychological techniques in sessions with adults, teenagers, children, couples or families. Between sessions they prepare materials, write notes, and sometimes coordinate with doctors, schools or other professionals, always with your consent.
When to see a psychologist
It makes sense to see a psychologist when anxiety, low mood, stress, relationship problems, a loss or a difficult change start to affect your sleep, work or relationships, or when you simply want to understand yourself better. If symptoms are very severe, you may need medication, or there are signs of a medical cause, a psychiatrist or your doctor should be involved too.
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 psychologist 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.