Rethinking mental health in Lebanon: Professor Wadih Naja on therapy, stigma, and lifelong care

Wellbeing & longevity 17-04-2026 | 12:51

Rethinking mental health in Lebanon: Professor Wadih Naja on therapy, stigma, and lifelong care

 Psychiatrist Wadih Naja reframes mental health as a continuous, integrated process—linking therapy, medication, and everyday functioning while challenging persistent stigma around psychiatric treatment.
Rethinking mental health in Lebanon: Professor Wadih Naja on therapy, stigma, and lifelong care
Mental health.
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For more than ten years, Professor Wadih Naja has been dedicated to the Department of Psychiatry at the Lebanese University, and he continues his educational mission today, imparting to his students the foundations and intricacies of this specialty, particularly in cases that require long-term care and follow-up.

 

In a world where many fight unseen battles, Naja chose to be on the front lines against psychological pain, supporting those burdened by mental disorders, emphasizing that these illnesses are no less important than other chronic diseases that require ongoing care.

 

 

Mental health
Mental health

 

 

Najja believes that the approach to mental health is only complete when considering three fundamental frameworks that govern one's life: family, whether the individual is single or married; community, including relationships, friendships, and emotional life; and work or educational path, depending on the age stage. Through these dimensions, psychological indicators that appear on a person can be read.

 

He points out that these signs often serve as an “alarm bell” that calls for stopping and reassessment, as the matter is no longer just a passing anxiety or natural fear accompanying difficult circumstances, such as wars, crises, losses, or illness, but could indicate a deeper disorder.

 

Thus, the decisive moment occurs when these symptoms start affecting the individual's ability to continue in daily life, whether on the family, professional, or social level. At that point, consulting a psychologist or psychiatrist becomes an essential step that cannot be postponed.

 

 

Psychological challenges in the context of war (illustrative image)
Psychological challenges in the context of war (illustrative image)

 

 

The most common question remains: Should we seek a psychologist or a psychiatrist? Many people ask this question, often confused about how to seek help.

 

 

Illustrative image (Pexels)
Illustrative image (Pexels)

 

 

In this context, Naja explains that the psychologist often represents the first step in many cases, conducting a comprehensive evaluation. If it is found that the person requires medical follow-up, they are referred to the psychiatrist, as part of an integrated cooperation between specialists. The reverse also applies, where a psychiatrist may recommend follow-up with a psychologist alongside medication therapy.

 

In reality, treatment often requires combining both approaches. To simplify, Naja compares the situation to chronic diseases, explaining that those suffering from diabetes or hypertension do not rely solely on medication but also need a balanced diet and a healthy lifestyle, including exercise, to control the disease. Similarly, mental disorders are not treated with medication alone but also require psychological follow-up to help the individual understand and adapt to their condition, ensuring real and sustainable stability.

 

In cases of anxiety, fear, and phobias not accompanied by severe depression, the individual might be satisfied with psychological therapy without drug intervention. However, the picture changes when these disorders worsen and start affecting daily life, or when anxiety is accompanied by moderate to severe depression, making joint follow-up with a psychiatrist and psychologist an essential necessity.

 

But do symptoms appear immediately after the shock? The psychiatrist explains that the psychological response to trauma does not follow a single path but may take two different courses:

 

 

 

  • Or what is known as “post-traumatic growth,” a positive psychological change that some individuals may experience after undergoing a crisis or traumatic event.

 

 

Naja notes that symptoms may appear immediately following trauma, or they may be delayed and emerge later, depending on the nature of each case. However, the most important measure is not the timing of symptom appearance, but the extent to which they affect the individual's ability to continue daily life, whether at work, study, or within the family environment.

 

When these symptoms begin to hinder productivity or undermine the ability to adapt to life's requirements, the need for therapeutic intervention, whether psychological or medical, becomes urgent, as daily details remain the clearest indicator of the depth of psychological suffering.

 

 

Psychiatric medication: A stigma

 

Naja does not hide that human competencies in Lebanon, whether in the field of psychology or psychiatry, enjoy a high level of professionalism. However, the main challenge, in his opinion, does not lie in the lack of specialists but in the quality of the drugs available in the market. The problem becomes evident when patients are forced to switch from the original drug to alternative (generic) drugs, where many notice a difference in efficacy.

 

Despite the challenges, he points out that Lebanon offers a wide range of mental health treatment options, from low to high costs, providing a broad range of services for various social groups.

 

However, the “stigma” associated with psychiatric medications remains the biggest obstacle. Despite the progress Lebanese society has made in its view of psychotherapy, many still view psychiatric drugs with suspicion, associating them with addiction.

 

Naja finds this perception surprising, stressing that dealing with mental illnesses is no different from other chronic diseases. Just as a patient adheres to diabetes or blood pressure medication to maintain stable health, a patient with mental disorders also needs continuous therapeutic follow-up. The only difference between them is society's acceptance of this truth.