Private and online-first

Psychiatry and Mental Health

Most people in Nigeria who need a psychiatrist never see one. Not because treatment does not work, but because of what being seen might cost: a waiting room where someone recognises you, a file your employer might hear about, a family that would rather you prayed about it. So the first consultation here happens by private video, from wherever you feel comfortable. No waiting room, no referral letter, and nobody at work or church needs to know. A psychiatrist is a medical doctor who specialises in the mind. They can diagnose, prescribe, and stay with you until you are well.

Medically reviewed by , Founder and Chief Executive, Mezo. Last reviewed . This page is general information, not a diagnosis. Care is decided with you after an examination.

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What we treat

  • Depression and low mood that will not lift, including after childbirth
  • Anxiety, constant worry and panic attacks
  • Sleep problems that have gone on for weeks
  • Burnout and stress that has stopped you functioning
  • Bipolar disorder and severe mood swings
  • Psychosis and schizophrenia, including care after a hospital stay
  • ADHD in adults
  • Obsessive compulsive disorder
  • Trauma and post-traumatic stress
  • Reviews of psychiatric medication started elsewhere, including abroad
  • Alcohol and drug problems, with residential treatment when it is needed

How care works here

  1. 1

    Book a private video consultation

    Choose a time, pay online and receive a private link. Join from your phone or laptop, from your car or your bedroom. Your bank statement shows Paystack and Consult for Africa, nothing medical.

  2. 2

    A first consultation that is not rushed

    Ninety minutes. The psychiatrist asks what is happening and for how long, about sleep, appetite, work, family, past episodes, alcohol and drugs, and your physical health.

  3. 3

    A diagnosis in plain words

    What the psychiatrist thinks is going on and why, and what still needs ruling out. Some physical problems, such as thyroid disease, can look like depression or anxiety, and are checked when they need to be.

  4. 4

    A treatment plan you agree to

    Talking therapy, medication, practical changes, or a combination. You are told what each option involves, how long it takes to work and what the side effects can be, and you decide together.

  5. 5

    Medication managed properly

    Started at a sensible dose, reviewed two to four weeks later, adjusted until it works, and reduced slowly when the time comes. Never stopped suddenly without a plan.

  6. 6

    Follow-up until you are well

    Shorter video reviews while treatment settles, then less often. If you need to be seen in person or admitted, the psychiatrist arranges it.

Procedures, and how each is priced

Questions people ask

Will my employer, family or HMO find out?

Not from us. What you tell a psychiatrist is confidential and is not shared with your employer, your family or anyone else without your consent. If you pay yourself, your HMO is not involved and is not told, and your statement shows Paystack and Consult for Africa. The one exception, as anywhere in medicine, is a serious and immediate risk to your life or someone else's.

Do I have to be 'mad' to see a psychiatrist?

No. Most people who see a psychiatrist are working, studying, raising children and holding things together on the outside. Depression, anxiety and poor sleep are medical problems, like high blood pressure, and they respond to treatment. Seeing someone early is how you stop them getting worse.

Psychiatrist, psychologist or counsellor: who do I need?

A psychiatrist is a medical doctor who can diagnose, rule out physical causes and prescribe. A psychologist or counsellor provides talking therapy and does not prescribe. If you are not sure, or things are severe, start with a psychiatrist. If talking therapy is the right treatment, they will tell you and refer you.

Will medication change my personality or make me addicted?

Modern antidepressants are not addictive and do not change who you are. Most people say they feel more like themselves. A few medicines, such as some sleeping tablets and sedatives, can be habit forming, which is why they are used briefly and carefully. Every medicine is explained before you start, and you can always say no.

Can I pray and still take treatment?

Yes. Faith and treatment are not in competition, and many people find both help. A psychiatrist will not ask you to give up your beliefs.

What does it cost?

Each psychiatrist sets their own fee, and you see it before you book. First consultations of 90 minutes start from N100,000. Follow-ups and assessments are agreed with you at the first consultation. Medication and any tests are separate and quoted first.

What if I am in crisis right now?

If you or someone else is in immediate danger, go to the nearest emergency department or call 112. To talk to someone now, call the SURPIN suicide prevention helpline on 0800 078 7746 (free, 24 hours). Mezo does not provide emergency care. Once you are safe, a psychiatrist can see you for follow-up.