About behavioral problems
Tantrums, defiance or aggressive behaviour that are frequent and intense can strain family life. Interventions usually involve the parents, with practical strategies for routines, limits and communication, and work with the child adapted to their age.
Educational therapists (psychopedagogues) support children, teenagers and adults with learning difficulties such as dyslexia or attention problems, study techniques and school guidance, in coordination with families and schools.
Getting mental health care in the British Virgin Islands
Public health system · BVI Health Services Authority (BVIHSA) Community Mental Health and Behavioral Health Unit
The BVIHSA runs community mental health and substance abuse services and a Behavioral Health Unit at Dr. D. Orlando Smith Hospital offering psychiatry, counselling and psychotherapy. Patients can self-refer by requesting a consultation or be referred by a GP. National Health Insurance (NHI) includes mental health services in its defined benefit package. More information
How to check that a professional is licensed
- BVI Allied Health Professionals Council (Ministry of Health and Social Development). Psychologists practising in the Virgin Islands register with the Allied Health Professionals Council. Ask the practitioner for their local registration.
- BVI Medical and Dental Council. Doctors, including psychiatrists, must be registered with the Medical and Dental Council to practise in the territory.
Insurance and coverage
National Health Insurance covers mental health services as part of its benefit package, with limits that may apply; many expatriates add private cover.
Urgent help in the British Virgin Islands
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 911 · Emergency (911 / 999)
Information reviewed in November 2026 · Sources: bvihsa.vg, vinhi.vg
Signs to look out for
All children test limits and have tantrums at times. It may be worth seeking help when defiance, aggression, intense tantrums, lying, breaking rules or destructive behaviour are frequent, last for months, happen in several settings such as home and school, and cause problems with family life, learning or friendships. Sudden changes in behaviour can also signal stress, anxiety or difficulties elsewhere.
What helps: treatments and professionals
Parent training programmes based on behavioural principles have strong evidence for children’s behaviour problems. Family therapy and cognitive-behavioural approaches for the child or teenager, including emotional regulation and problem-solving skills, also help. Child and adolescent psychologists, clinical psychologists, family therapists and educational psychologists usually lead the work. An assessment can identify contributing factors such as ADHD, learning difficulties or anxiety.
When to seek urgent help
Contact your local emergency services if a child or teenager is seriously hurting themselves or others, has a weapon, is missing, or talks about suicide. Seek urgent help too if you suspect drug use with signs of intoxication. If you feel you might lose control and harm your child, step away safely and seek support immediately; asking for help is responsible.
What you can do in the meantime
Notice and praise specific good behaviour, and spend a little one-to-one time each day doing something your child enjoys. Keep rules few, clear and consistent between adults, with calm, predictable consequences. Avoid shouting and physical punishment, which tend to worsen behaviour. Look after your own stress and sleep, and talk to the school to work together.
What does a educational therapist do?
An educational therapist, known in Spanish as a psicopedagogo, helps children, teenagers and adults learn more effectively. Day to day they identify how a person learns, assess difficulties with reading, writing, maths, organisation or study skills, and design practical intervention plans. They work individually with students and coordinate closely with families and schools, adapting materials and strategies to each learner.
When to see a educational therapist
It can help when a student works hard but grades do not reflect it, struggles with reading or writing, finds it hard to organise or plan, needs support after a diagnosis such as dyslexia or ADHD, or is changing school stage. If there are significant emotional or behavioural problems, or a formal psychological diagnosis is needed, an educational or clinical psychologist should be involved.
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 the British Virgin Islands cover psychological care?
The BVIHSA runs community mental health and substance abuse services and a Behavioral Health Unit at Dr. D. Orlando Smith Hospital offering psychiatry, counselling and psychotherapy. Patients can self-refer by requesting a consultation or be referred by a GP. National Health Insurance (NHI) includes mental health services in its defined benefit package.
How do I check that a educational therapist is licensed in the British Virgin Islands?
BVI Allied Health Professionals Council (Ministry of Health and Social Development): Psychologists practising in the Virgin Islands register with the Allied Health Professionals Council. Ask the practitioner for their local registration.