Sometimes, when potential clients feel stressed, anxious, or overwhelmed, their emotions can show up as physical symptoms instead of being talked about. For example, someone who feels really anxious might not say, “I’m worried,” but instead complain about headaches or stomachaches. These physical symptoms are real and can feel just as bad as any other illness, but they might not have a clear medical cause.

A client may come to you after resistant and uncertainty due to  beliefs

Religion and spirituality also play a significant part in how Ghanaians understand mental health issues. Often, people assume that the cause of mental health challenges is spiritual or karma and resort to seeking help from religious persons or traditional healers rather than mental health professionals.

There is also shame and stigma surrounding talking about mental health because feelings are still odd for people in Ghana. Many individuals fear being labeled as "crazy" or weak if they admit to experiencing mental health issues, which can prevent them from seeking help. For clinicians to understand their clients of Ghanaian background, they should be aware of these cultural dynamics and take them into account in their practice.