About eating disorders
Eating disorders such as anorexia, bulimia or binge eating are serious and treatable. Care is usually multidisciplinary: psychological therapy, medical follow-up and nutritional support. If there is significant weight loss or physical symptoms, seek medical attention promptly.
Psychiatrists are medical doctors specialised in mental health. They diagnose, prescribe and monitor medication and may also provide psychotherapy. They are usually the first choice when medication may be needed or symptoms are severe.
Getting mental health care in Togo
Public health system · Public health system (Ministère de la Santé)
Public psychiatric care is limited and concentrated in a few facilities: the university psychiatry clinics of CHU Sylvanus Olympio and CHU Campus in Lomé, and the psychiatric hospital at Zébé (Aného). Some regional and prefectural hospitals have small mental health units staffed mainly by psychiatric nurses. Patient costs and waiting times are not well documented.
How to check that a professional is licensed
- Ordre National des Médecins du Togo. Physicians, including psychiatrists, practising in Togo are bound by the medical code of ethics (Decree 2013-045) and subject to the disciplinary chamber of the Ordre National des Médecins. No specific law regulating the title of psychologist could be verified.
Urgent help in Togo
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 8200 · Ambulance
Information reviewed in November 2026 · Sources: hsd-fmsb.org, extranet.who.int, who.int
Signs to look out for
Concern about food or weight becomes worrying when it takes up a lot of thought and affects daily life: strict dieting or skipping meals, episodes of eating large amounts with loss of control, vomiting or using laxatives or excessive exercise to compensate, rapid weight changes, avoiding eating in front of others, or intense fear of gaining weight. Eating disorders affect people of all sizes, genders and ages.
What helps: treatments and professionals
Eating disorders are best treated by a team that combines psychological, medical and nutritional care. Approaches with good evidence include enhanced cognitive-behavioural therapy (CBT-E), family-based treatment for children and adolescents, and specialist supportive clinical management. Clinical psychologists, psychiatrists, doctors and dietitians with eating disorder experience usually work together. Early help tends to make recovery easier.
When to seek urgent help
Eating disorders can have serious physical effects. Contact your local emergency services or go to the nearest emergency department for fainting, chest pain, a very slow or irregular heartbeat, severe weakness, confusion, vomiting blood, or if someone is unable to eat or drink at all. Seek urgent help too for thoughts of suicide. Regular medical check-ups are important during treatment.
What you can do in the meantime
Try to eat regular meals and avoid long periods without food, even if it feels hard. Reduce exposure to content that promotes dieting or body comparison, and avoid weighing yourself frequently. Tell someone you trust. If you are supporting someone, express concern calmly, focusing on feelings rather than food or weight, and encourage them to seek professional help.
What does a psychiatrist do?
A psychiatrist is a medical doctor who assesses mental health problems from a medical point of view. Day to day they carry out diagnostic interviews, rule out physical causes, decide whether medication could help, prescribe it and monitor its effects and side effects. Many also offer psychotherapy or work alongside psychologists. They see adults, older people and, if specialised, children and adolescents.
When to see a psychiatrist
Consider a psychiatrist when symptoms are intense or long-lasting, when therapy alone has not been enough, when you are already taking psychiatric medication, or when there are experiences such as severe mood swings, hearing or seeing things others do not, or very disturbed sleep. If what you mainly need is talking therapy for everyday difficulties, a psychologist or psychotherapist may fit better.
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 Togo cover psychological care?
Public psychiatric care is limited and concentrated in a few facilities: the university psychiatry clinics of CHU Sylvanus Olympio and CHU Campus in Lomé, and the psychiatric hospital at Zébé (Aného). Some regional and prefectural hospitals have small mental health units staffed mainly by psychiatric nurses. Patient costs and waiting times are not well documented.
How do I check that a psychiatrist is licensed in Togo?
Ordre National des Médecins du Togo: Physicians, including psychiatrists, practising in Togo are bound by the medical code of ethics (Decree 2013-045) and subject to the disciplinary chamber of the Ordre National des Médecins. No specific law regulating the title of psychologist could be verified.