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Finding the Right Therapist in Lisbon

Finding a therapist in Lisbon is tricky, whether you’re an expat living in Portugal or a permanent resident here. This reality is especially disheartening when considering Portugal’s sobering status as the bearer of the second-highest prevalence of mental disorders in Europe. The country stands at a concerning 22.9%, as per the Society of Psychiatry and Mental Health.

Why is it so hard to find a therapist in Lisbon?

Lisbon is a bustling city teeming with people, all of whom have their own unique mental health needs. In fact, 1 out of every 5 Portuguese experiences or has experienced mental illness. The number of people seeking therapy also equates to lengthy wait times, and available therapists may be few and far between. Despite the need for therapists, Portugal had an approximate ratio of 2.5 psychologists for every 100,000 residents in 2020.

The city requires them to complete specific education and training programs, as well as obtain professional certifications or licenses from relevant authorities. These regulations ensure that therapists meet particular standards of competence and ethical conduct. Still, they also create barriers to entry for new practitioners, which can limit the overall number of therapists available. Portugal’s strict regulations for foreign psychologists wishing to practice in the country pose another significant barrier. While an influx of therapists from abroad could help alleviate the shortage of therapists in Lisbon, these regulations discourage them from pursuing practice in Portugal.

Regulatory constraints complex the process further. Therapists in Lisbon must adhere to strict regulations and licensing requirements, which can limit the number of practitioners available to meet the city’s burgeoning demand for mental health services.

English-speaking therapists in Lisbon

English is widely spoken in Lisbon, but not all therapists are fluent. This can pose a significant obstacle for expats or non-native Portuguese speakers seeking therapy in Lisbon. Without effective communication, there cannot be meaningful therapy sessions.

Navigating the landscape of therapy in Lisbon, Portugal, can be challenging for expats, but these resources should assist you in finding an English-speaking therapist in Lisbon.

Online Directories:

Official Psychologist Registry:

Encontre Uma Saída:

Crisis helplines and emergency services

SNS24 – National Health Service Contact Centre:

São José Hospital Psychiatry Emergency Service:

Estefânia Hospital Child Psychiatry Emergency Service:

Addiction Services

Street Teams – CRESCER

Supervised Consumption Program – Médicos do Mundo and Grupo de Ativistas em Tratamentos (GAT)

How to get therapy covered by Portuguese Health Insurance

Quality mental health care often comes with a substantial price tag, so not everyone can afford to pay out of pocket for therapy sessions. If you are a resident in Portugal, you can get therapy covered by health insurance by following these steps:

  1. Expats residing in Portugal can access subsidized basic healthcare through the SNS by contributing to the Social Security System (Segurança Social de Saúde), covering the mainland of Portugal. For those in Madeira or Azores, healthcare is accessible through Serviço de Saúde da RAM or Direção Regional de Saúde, respectively.
  2. Obtain your healthcare user number (número de utente) if you are a registered resident in Portugal, whether you’re an expatriate or foreigner. This number allows access to healthcare services in any SNS institution, including hospitals and local health centers.
  3. Schedule an appointment with your general practitioner (médico de família) for an assessment and referral to a specialist or hospital if necessary.
  4. Within the primary health care system, mental health consultations and related diagnostic and therapeutic procedures prescribed by an SNS doctor are exempt from co-payment fees (taxa moderadora). This includes clinical follow-up psychiatric consultations for both adults and children, as well as all consultations and procedures under the Mental Health Law.
  5. Alternatively, you can opt for a consultation at a private clinic with a psychologist (psicólogo) or a psychiatrist (psiquiatra) to address your mental health needs. Costs associated with private care depend on your insurance coverage – you can read about finding an english-speaking therapist in Lisbon below.
  6. EU/EFTA citizens temporarily staying in Portugal can utilize the European Health Insurance Card (EHIC) for healthcare access similar to their home countries. However, EHIC should only be used for urgent medical needs, and travel insurance is recommended for comprehensive coverage.

Thinking right about finding a therapist in Lisbon

So, how can you overcome these challenges and find the right therapist in Amsterdam? Even though it could seem overwhelming at first, you can get the help you need if you have patience, persistence, and some advice. Here are some pointers to aid you with your journey:

Uncomplicating the search for a therapist

Undeniably, finding the right therapist in Lisbon can be complicated. But with the above-given factors in place, you’ll reach a safe decision. You can simple down the process with a therapist directory platform such as It’s Complicated.

The platform has access to mental health practitioners from more than 80 countries, including trained therapists in Portugal. They also offer a free online therapist matching service, completed by trained psychologists.


Advantages of Discovering Your Therapist via It’s Complicated

It’s Complicated is a therapy platform that not only helps clients find their perfect therapist but also supports therapists in their craft of helping others. Featuring over 2,000 mental health professionals from 80+ countries, counselling is available in almost 100 languages, both online and in person. A GDPR-compliant video solution, encrypted messaging, and easy invoicing guarantee a private and seamless counselling experience for therapists and clients alike. If you are in a serious crisis and need urgent help, please use one of these resources instead.

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