Psychosocial Support
Before Departure
Mental health preparation starts before arrival in the field.
Take time to understand the context, your role, and possible stressors.
Think about how you usually cope with pressure — and what helps when things get difficult. Reflect on what helps you feel good and explore ways to maintain these activities during the mission.
Plan how you will stay in touch with people you trust.
Feeling anxious or uncertain before departure is normal — it does not mean you are unprepared.
> As part of your briefing plan, you will meet with a Staff health psychologist to discuss about stress management and how to take care of your mental well-being.
During the Mission
Life in an MSF mission can be intense.
Long days, pressure, cultural differences, difficult decisions, and limited resources can affect anyone.
You may notice tiredness, irritability, sleep problems, or emotional ups and downs. These are common and often temporary.
Self-assessing your mental health
This tool can help you self-assess your mental health.
Stress reactions are normal in this environment.
They do not mean you are weak or not coping.
Practical Coping Strategies in the Field
Small, practical actions can make a big difference.
Protect your rest time whenever possible.
Keep routines where you can — sleep, meals, and hydration matter.
Use simple management tools:
Slow breathing or grounding exercises
Short pauses between tasks
Physical movement, even brief walks
Create boundaries between work and rest — mentally and physically.
Peer support is one of the strongest protective factors in the field.
Talk with colleagues you trust. Check in on each other — especially after difficult events.
Supporting others also helps strengthen your own resilience.
Seek Support Early
Sometimes, self‑care and peer support are not enough.
If stress reactions are intense, persistent, or affecting your work or relationships — it's important to seek help early.
Reach out to colleagues, managers, or directly with SHU Psychologist when needed.
Reaching out is a responsible step — not a sign of weakness.
BURNOUT: Prevention & Management
Prolonged, poorly managed stress can lead to emotional and physical exhaustion with potential long term sick-leave (Prevention is better than cure!). Stay alert to early warning signs: increased fatigue, irritability, negative thoughts, unusual behaviors
Return from Mission
The impact of a mission does not end when you leave the field.
After return, your body and mind may still be processing what you experienced.
Strong emotions, fatigue, or delayed reactions are common.
Give yourself time and space to adjust.
Post mission talk with a Staff Health Unit psychologist will be offered at the end of your mission, this is an essential step to maintain your general well-being.
It provides a safe space to reflect, share, and make sense of your experience.
It helps identify learning, recovery needs, and whether further support would be helpful.
Preparing for a possible new mission
You may feel the urge to return to the field quickly. Before accepting a new assignment, take time to ask yourself the right questions:
Am I physically and mentally well rested?
Have I processed my past experiences with perspective and peace of mind?
What have I learned from these experiences?
Can I recognize my limits and decline a mission if it poses a risk to me?
Does my family or support network consider me ready to go again?
Do I have all the necessary information to make an informed decision?
If you have experienced psychological or psychiatric difficulties in the past, it is essential to speak with your private Doctor or therapist before considering a new mission.
The psychosocial support unit can also help you in this reflection.