In Togo, a survey by the Bluemind Foundation reveals that 30 percent of female clients turn to their hairdressers first when facing personal difficulties, compared to less than 1 percent who consult health professionals. The study, released ahead of World Mental Health Day, highlights the growing role of hair salons in a country with fewer than ten psychiatrists for a population of over eight million people. In cities like Lomé and Kara, the time spent getting braids—often several hours—creates an opportunity for conversation that can turn to personal issues such as loss, relationship problems, or emotional distress not discussed at home. The "Trust Study," conducted from April to June 2026, surveyed 576 women across four Togolese cities, including 205 clients and 371 hairdressers. Among the clients, 30 percent said they first confided in their hairdresser during difficult times, while less than 1 percent mentioned a health professional. Of those interviewed in depth, 89 percent said they shared things with their hairdresser that they would not tell anyone else. The study, however, is not meant to represent all Togolese women but focuses on personal difficulties and confidences in a broad sense, not just health-related issues. Hairdressers, who often know their clients for years, can notice changes in mood and provide a safe space for discussion. This is especially important in a culture where seeking help for mental health issues can be stigmatized, and many fear being judged. The Bluemind Foundation emphasizes the listening skills and discretion of hairdressers, noting that all those surveyed claimed to have noticed when a client was unwell before they spoke about it. The limited availability of psychiatric care in Togo further underscores the role of hairdressers in supporting mental health. According to a June 2026 report by the World Health Organization (WHO), Togo has fewer than ten licensed psychiatrists. The country’s only psychiatric hospital, located in Zébé-Aného, has 120 beds but usually treats 165 to 170 patients. The cost of consultations, distance to care, and stigma prevent many from seeking help, with some families attributing mental health issues to spiritual causes instead of medical conditions. To address these challenges, the Bluemind Foundation has launched the Heal by Hair program, which trains hairdressers in listening and psychological first aid. The program, started in 2022 in Abidjan, now operates in Togo, Cameroon, and Côte d'Ivoire. In Togo, 400 hairdressers were trained at the University of Lomé in 2025, and a new session began in June 2026 in partnership with the University of Kara. While hairdressers are not trained to provide diagnosis or treatment, they are taught to identify concerning situations and refer clients to professionals when needed. According to the study, 69 percent of clients would accept being referred by their hairdresser, while 30 percent would consider it. However, the effectiveness of such referrals depends on the availability of mental health services. The Bluemind Foundation acknowledges that trust alone is not enough and stresses the need for investment in mental health care to prevent the burden from falling solely on hairdressers.