Prayer is the best medicine for both mental and physiological afflictions, this is true: Christ our Lord is truly, as a Medieval Hymn hails Him, "Cælestis medicina Patris," and His Blessed Mother is truly "Salus infirmorum," as the Litany of Loretto lauds her.
However, there are some individuals who are in need of professional help from a trained psychiatrist or a counselor, and traditional Priests are not competent enough to adequately deal with certain interior souls whose scruples and other sorts of vexations related to the interior life have, in fact, a neuro-chemical or psychological origin, that in itself has nothing to do with the question of conscience or morality, since these individuals cannot help the various neurological and/or situational factors that cause or further exacerbate certain mental or emotional aberrations.
Traditional Priests who are called to the pastoral ministry (for not all Priests are called to such an apostolate, and, as it is painfully obvious in our days, not all of them are fit for such a life) are not necessarily trained to deal with questions of abnormal [empirical] psychology or paraphilias (since matters concerning the 6th and 9th Commandments are what takes up most of a Father Confessor's time with the penitent, and our age is the age of aberrant sɛҳuąƖ deviancy).
It is a very complex and urgent question for our times.
- Hobbles