Who should I see?
Use this table as a starting point when you are not sure which door to knock on first.
|
If your situation is… |
A good first step |
Why |
|---|---|---|
|
Ongoing stress, grief, or a rough patch in life |
Counsellor, psychologist, or your family doctor |
Talk-based support is often enough |
|
Worry, fear, or panic that is hard to control |
Family doctor, then a psychologist or therapist |
CBT and similar therapies work well for anxiety |
|
Low mood for more than two weeks |
Family doctor, psychologist, or psychiatrist |
Therapy, medicine, or both may help |
|
Hearing voices, seeing things, or strong unusual beliefs |
Psychiatrist or urgent medical assessment |
Needs a medical evaluation and often medicine |
|
Mood swings with periods of very high energy |
Psychiatrist |
Bipolar disorder usually needs medical treatment |
|
Trouble paying attention or sitting still since childhood |
Psychologist, pediatrician, or psychiatrist |
A full assessment is needed for ADHD |
|
Memory loss or confusion in an older person |
Family doctor, then a neurologist or geriatric specialist |
Many causes, some of them reversible |
|
Problems with alcohol or drugs |
Family doctor, addiction service, or psychiatrist |
Withdrawal can be dangerous without supervision |
|
Thoughts of suicide or self-harm |
Emergency services or the nearest hospital |
Immediate safety comes first |
|
You are unsure |
Your family doctor |
A safe, easy place to start |
The professionals at a glance
Titles and training differ between countries, but these are the usual roles.
|
Professional |
Medical doctor? |
Can prescribe? |
Typical focus |
|---|---|---|---|
|
Psychiatrist |
Yes |
Yes |
Diagnosis, medicine, severe or complex illness |
|
Clinical psychologist |
No |
Usually no |
Assessment, psychological testing, therapy |
|
Counselling psychologist |
No |
No |
Emotional, work, and relationship issues |
|
Psychotherapist |
Varies |
No |
Longer-term talk therapy |
|
Counsellor |
No |
No |
Guidance and support for life problems |
|
Psychiatric nurse |
No |
Sometimes |
Ongoing care, medicine monitoring, support |
|
Social worker |
No |
No |
Practical help, family and community resources |
|
Occupational therapist |
No |
No |
Daily living, work, and coping skills |
|
Neurologist |
Yes |
Yes |
Diseases of the brain and nerves |
|
Peer support worker |
No |
No |
Sharing lived experience and hope |
Common conditions at a glance
Each condition below is described in more detail in Volume 2.
|
Condition |
Core experience |
Usual first treatments |
|---|---|---|
|
Generalised anxiety |
Constant, hard-to-control worry with tension |
CBT, relaxation skills, sometimes medicine |
|
Panic disorder |
Sudden waves of intense fear with body symptoms |
CBT, breathing skills, sometimes medicine |
|
Social anxiety |
Fear of being judged in social situations |
CBT with gradual exposure, sometimes medicine |
|
Phobia |
Intense fear of a specific object or situation |
Exposure therapy |
|
OCD |
Unwanted thoughts and repeated rituals |
CBT with exposure and response prevention, medicine |
|
PTSD |
Re-experiencing, avoidance, and alertness after trauma |
Trauma-focused therapy, sometimes medicine |
|
Depression |
Low mood or lost interest with changes in sleep and energy |
Therapy, medicine, or both, plus activity and support |
|
Bipolar disorder |
Episodes of depression and of elevated or irritable mood |
Mood stabilisers and other medicines, therapy |
|
ADHD |
Ongoing inattention, impulsivity, or hyperactivity |
Education, skills coaching, sometimes medicine |
|
Autism |
Differences in communication, social interaction, and sensory experience |
Support, adjustments, and skills-based help |
|
Schizophrenia |
Psychosis plus changes in motivation and thinking |
Antipsychotic medicine, therapy, family and community support |
|
Eating disorders |
Harmful patterns around food, weight, and body image |
Specialist therapy and medical monitoring |
|
Substance use disorder |
Continued use despite harm and difficulty stopping |
Medical support, therapy, mutual-help groups |
|
Insomnia |
Ongoing trouble sleeping with daytime effects |
CBT for insomnia, sleep habits, medical review |
Therapies at a glance
Many therapies overlap, and a good therapist often blends several of them.
|
Therapy |
Main idea |
Often used for |
|---|---|---|
|
CBT |
Change unhelpful thoughts and behaviours |
Anxiety, depression, OCD, insomnia |
|
Behavioural activation |
Rebuild rewarding, meaningful activities |
Depression |
|
ACT |
Accept difficult feelings and act on values |
Anxiety, depression, chronic pain |
|
DBT |
Skills for emotions, distress, and relationships |
Intense emotions, self-harm urges |
|
Psychodynamic |
Explore past experiences and hidden patterns |
Long-standing relationship and identity issues |
|
Interpersonal therapy |
Improve relationships and role changes |
Depression |
|
EMDR and trauma-focused CBT |
Process traumatic memories safely |
PTSD and trauma |
|
Family therapy |
Improve communication and support at home |
Youth problems, psychosis, relationship conflict |
|
Group therapy |
Learn and heal with others who share an experience |
Many conditions |
|
Mindfulness-based programmes |
Train attention and acceptance |
Recurrent depression, stress |
Medicine groups at a glance
This table describes groups of medicines in general terms. It does not list doses and does not replace a prescriber’s advice.
|
Group |
Used mainly for |
Good to know |
|---|---|---|
|
Antidepressants |
Depression, anxiety, OCD |
Often take several weeks to work; do not stop suddenly |
|
Anti-anxiety medicines |
Short-term relief of severe anxiety |
Some can cause dependence and are used with care |
|
Mood stabilisers |
Bipolar disorder |
May need regular blood tests |
|
Antipsychotics |
Psychosis, bipolar disorder, severe agitation |
Side effects such as weight gain and drowsiness need monitoring |
|
Stimulant and non-stimulant ADHD medicines |
ADHD |
Require careful prescribing and review |
|
Sleep medicines |
Short-term sleep problems |
Not a long-term answer; sleep habits matter more |
|
Medicines for addiction |
Alcohol, opioid, and nicotine dependence |
Work best alongside counselling and support |
Warning signs at a glance
Contact a professional soon if you notice any of these for more than about two weeks, or sooner if they are severe:
- Persistent sadness, emptiness, or irritability
- Loss of interest in things you used to enjoy
- Big changes in sleep or appetite
- Constant worry, fear, or panic
- Withdrawing from friends, family, work, or school
- Feeling worthless, guilty, or hopeless
- Difficulty concentrating or making decisions
- Using alcohol or drugs to cope
- Strange experiences, such as hearing voices or feeling watched
- Thoughts of harming yourself or others
This book is for education and general awareness. It does not replace diagnosis or treatment by a qualified professional. If anyone is in danger, contact your local emergency services.