There is growing awareness that mental health problems are common and there may be a need to see mental health professionals, in order to receive expert care and interventions. However, several misconceptions and questions continue to swirl around who needs to see a mental health professional, what should the expectations be? How does it work? Can’t I just be fine by myself? And so on. In today´s article, we attempt to respond to some of these questions.
Question: Who needs to see a mental health professional?
Answer: Anyone and everyone may need to see a mental health professional if they are having difficulties with their thinking, mood (emotions), behaviour, sleep, interpersonal relationships, functioning, drug abuse, and so on; which is causing them distress or causing distress to others around them. There may also be associated difficulties with their day to day functioning at work, with their families as well as their social life.
Question: But mental health professionals only see people who have mental illness or are mad?
Answer: No this is not correct. Some people come into therapy to resolve problems with anxiety, family and interpersonal functioning, marital difficulties, self esteem issues, addictive behaviours, anger management issues and so on. Of course, some people also have diagnosable mental health challenges that may require specific treatments and interventions.
Question: What is the difference between a Coach, Psychologist and Psychiatrist? Are they all doing the same thing?
Answer: No, they are not doing the same thing, though some overlap certainly exists in that they all contribute towards helping individuals live a happier and more productive life.
A Coach is not a health care or medically qualified professional, but is someone with training and certification to understand individual as well as organizational difficulties and how to guide and help them to overcome them. They serve as expert guides to help people actualize their life goals, meet their targets and be more productive. However, for a coach to be effective, it pre-supposes that the client is in good health and there are no background mental health problems. They are increasingly very important to help individuals and organizations to become more productive and happier with themselves.
A psychologist is a professional who has had a first degree in the social sciences, usually in psychology, counselling or education; and has received postgraduate training at Masters and PhD level in the specialized field of clinical psychology. Thus, they are experts at understanding human behaviour across the lifespan, understanding and detecting abnormalities in behaviour, personality or relationships. The specialization may also be in other fields of psychology, such as organizational psychology, sports psychology, developmental psychology etc. But those commonly referred to as Therapists are those that have specialized in Clinical Psychology. They are especially adept at the use of psychological assessments and instruments for evaluating personality, intelligence quotients as well as provision of specialized therapies. But they do not prescribe medications, because they are not medical doctors. Therefore, when patients are severely ill, or those who are not getting better with therapy alone, they refer them to psychiatrists for additional use of medications.
Psychiatrists are medical doctors who have undergone postgraduate specialization in the field of psychiatry. Thus, they are medical specialists whose training also incorporates basic as well as clinical psychology; in addition to studying mental disorders and how to manage and treat them. Thus, a psychiatrist is able to diagnose medical problems, identify mental health problems as well as provide treatment interventions that may include use of clinical psychology skills, as well as the prescription of medications where it is deemed necessary. Thus, they are relevant across the spectrum of mental health promotion, prevention, early identification and treatment of disorders as well as rehabilitation.
Question: Are coaches, psychologists and psychiatrists all mental health professionals?
Answer: No, coaches help with life issues and improving personal productivity and attainment of goals. Thus, they are also called Life Coaches. But they are not mental health professionals. Psychologists and Psychiatrists are mental health professionals.
Question: If I see a mental health professional for therapy, will they make all my problems to go away?
Answer: Mental health professionals (psychiatrists and psychologists) do not wield a magic wand. You need to be actively engaged as they try to help you understand issues such as previous trauma, unresolved conflicts and negative patterns of thinking and responding to situations that may be causing distress and unhappiness in the here and now. The overall goal is to gain insight into the unhelpful patterns of dealing with situations and learn better and more positive ways of thinking and responding to such situations. And where there are identifiable mental health problems, to receive specific therapies and treatments (including use of medications where necessary) to facilitate recovery and gain mastery over addictions too.
Question: What does it cost and where can one see a mental health professional?
Answer: Mental health professionals work in teaching hospitals, specialist neuropsychiatric hospitals such as Aro or Yaba, as well as in some federal medical centers and state hospitals. Others practice in private facilities. At a government (public) facility, a consultation should not cost more than N3,000 to N10,000.
Dr Jibril Abdulmalik
Tribune Article for the column “Your Mental Health & You”
Thursday, 9th June 2022