Mental health support can be crucial to help people cope. People seek help for many reasons - the agonising loss of a child in an earthquake, the trauma of violence, or surviving a dangerous journey. Our teams can provide mental health and psychosocial support through group sessions or individual consultations. MSF’s mental health care aims primarily to reduce people’s symptoms and improve their ability to manage a difficult time so they can get on with their lives.
A natural disaster such as an earthquake or man-made disasters related to conflict and displacement, are all traumatic events. Providing psychological aid can help by recognising those in distress, by listening to them, comforting them, linking them to needed services, and encouraging them to connect with their families and communities. Educating people about psychological reactions to a traumatic event and teaching self-help techniques such as deep breathing are helpful interventions immediately post-emergency.
When people develop mental health disorders - anxiety, depression, post-traumatic reactions - that go beyond their coping skills, specialised care is needed, through group or individual consultations. Our teams work in countries where the health system is often failing, particularly in the area of mental health. Support can be done by people trained in counselling techniques, or when available by psychologists and even psychiatrists.
People with life threatening diseases, such as HIV or tuberculosis, are shocked and upset by the discovery of their disease and by the physical and psychological upheavals they face. Other chronic conditions can present symptoms related to depression or other psychological distress. Some specific treatments, such as for TB, can have side effects that include depression and psychosis. Our teams provide counselling to people on diagnosis of a serious disease, and monitor patients' mental health while on treatment, especially those taking medicines with potential psychological side effects.
People with severe mental illnesses require special attention and treatment. In contexts where health services are failing, they are neglected and often stigmatised. Psychiatric treatment in MSF is usually integrated into general medical care. In some projects specialised clinicians treat patients with severe mental illness; in others where there is a lack of specialised professionals, general practitioners are trained to diagnose and treat psychiatric disorders. Supporting and expanding the capacity of our teams to care for patients with severe mental illness is a priority.
Mental health and the work of planting hope
The less visible humanitarian crisis: Refugee mental health needs in urban Jordan
Palliative care: "Our mission is also to alleviate suffering"
Refugees' lives in danger with MSF forced to end mental healthcare activities
Occupied minds: "My son is broken inside"
Occupied minds: Dealing with one child arrested and then another
Occupied minds: Allowing people to regain control of their lives
World Mental Health Day 2018: Beyond a healthy body
Living with loneliness and trauma
MSF Mental Health Researchfieldresearch.msf.org
We produce important research based on our field experience. So far, we have published articles in over 100 peer-reviewed journals. These articles have often changed clinical practice and have been used for humanitarian advocacy. Read all our Mental Health-related articles on our dedicated Field Research website.