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    1. Psychiatry
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    Learn more about psychiatry

    Psychiatry is a medical specialty concerned with the diagnosis, treatment, and management of mental health conditions. Psychiatrists are qualified medical doctors who have completed specialist training in mental health. They are the only mental health professionals who can prescribe medication in most countries. Psychiatry differs from psychotherapy and psychology in scope and function. A psychiatrist assesses the biological, psychological, and social dimensions of a mental health condition and may use medication, therapy, or a combination of both as part of a treatment plan. They often work alongside therapists and psychologists as part of a broader care team.

    A consultation with a psychiatrist typically begins with a thorough assessment. The psychiatrist gathers a detailed picture of the presenting symptoms, personal and family history, and current circumstances before reaching a formulation or diagnosis. Following assessment, the psychiatrist may:
    • Provide a formal diagnosis for a mental health condition
    • Prescribe and monitor medication, adjusting dosage and type based on response
    • Recommend a course of therapy, either delivered by themselves or by another practitioner
    • Coordinate care with a GP, therapist, or specialist team
    • Conduct or arrange further investigations where a physical cause needs to be ruled out
    Some psychiatrists also deliver psychological therapy alongside medication management. Others focus primarily on psychiatric assessment and pharmacological treatment, with therapy provided separately. Private psychiatry is generally accessible without a referral, while publicly funded psychiatric services in most European countries require a GP referral. Wait times for public services vary significantly by country.

    Psychiatry covers the full range of mental health conditions. The following are among the most common reasons people seek a psychiatric consultation. Depression Depression is one of the most common reasons for a psychiatric referral. A psychiatrist can assess severity, rule out contributing physical factors, and prescribe antidepressant medication where appropriate, alongside or instead of psychological therapy. Bipolar disorder Bipolar disorder requires careful psychiatric management, including mood stabilising medication, monitoring of episodes, and coordination of care across different phases. Psychiatry is central to the treatment of bipolar disorder, with therapy playing a complementary role. ADHD: Attention deficit hyperactivity disorder ADHD (Attention Deficit Hyperactivity Disorder) assessment and diagnosis often involves a psychiatrist, particularly when medication is being considered. Stimulant and non-stimulant medications for ADHD require a prescription, which only a psychiatrist or other qualified medical doctor can provide. Dementia Dementia assessment and management falls within psychiatric and neurological medicine. Psychiatrists specialising in older adults assess cognitive function, provide diagnosis, manage behavioural and psychological symptoms, and coordinate the broader care plan alongside medical and social services. Choosing an approach isn't something you have to do alone. IC's matching can pair you with a therapist whose approach suits your situation. Get matched

    It's Complicated is a therapist-founded mental health platform connecting clients with verified practitioners across Europe and globally in over 60 languages. We work with over 2,500 vetted therapists and psychiatric professionals, with in-person availability in Berlin, Amsterdam, Barcelona, Lisbon, Vienna, and other major cities, alongside online consultations across the globe. Finding a psychiatrist who practises in your language, has availability, and has experience with your specific presentation can be slow through public systems. Our matching service is built to remove that friction. You complete a short survey, our psychologists combine data-driven insights with human judgement to identify the right practitioners for your situation, and you choose from a shortlist of strong candidates. You can also browse our directory directly if you'd prefer to choose yourself. Get matched with a psychiatrist, or browse all psychiatry practitioners in the directory.
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    It's Complicated is not suitable for acute psychological or medical crises or emergency situations.If you are in a serious crisis and need urgent help, please contact a local emergency service or use one of these resources instead.

    Our therapist network for psychiatry

    Finding the right therapist can make all the difference. Explore 2,500+ carefully selected professionals to find yours.

    Our therapist network for psychiatry

    Finding the right therapist can make all the difference. Explore 2,500+ carefully selected professionals to find yours.
    Get matched
    I think you've succeeded in making a compassionate online platform, and that's energising, especially coming from a country where the waiting lists in therapy are soul-drainingly long.Anonymous client
    I hope there will be more platforms like It's Complicated - humane, humble, honest, and nourishing.Anonymous client
    I've now had 10 sessions with my therapist, and she is amazing. I've worked with several therapists over the last few years, but this is the first time I feel like somebody actually understands me.Anonymous client
    I've learned a lot about myself, my partner, and how we relate to each other. What I really like about It's Complicated is that finding a therapist wasn't as hard as I thought it would be.Anonymous client
    What really sets It's Complicated apart is the care they put into matching you with the right therapist. There are no rushed or random pairings, it's about long-term support and genuine connection.Anonymous client
    I had a really good experience with It's Complicated! As an expat, finding a therapist can feel pretty overwhelming, especially when you don't know where to start. This made it a lot easier.Anonymous client

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    Related approaches

    There's no one-size-fits-all in therapy. If you're exploring psychiatry, these approaches might also be worth a look.
    Clinical psychology
    Clinical psychology
    Psychotherapy
    Psychotherapy
    Psychoanalysis
    Psychoanalysis
    CBT: Cognitive behavioural therapy
    CBT: Cognitive behavioural therapy

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    FAQs about psychiatry

    Amelie Nawrath
    USUALLY RESPONDS WITHIN 12 HOURS

    Amelie Nawrath

    Amelie Nawrath

    Systemic Therapist & Social worker
    Anxiety • Grief & loss • Relationships • Life transitions • Acute stress disorder • Psychiatry • Systemic approach
    USUALLY RESPONDS WITHIN 12 HOURS
    Anxiety • Grief & loss • Relationships • Life transitions • Acute stress disorder • Psychiatry • Systemic approach
    €85 / session85
    Munich
    Online only
    Dr. Fabiano Zamel
    USUALLY RESPONDS WITHIN 4 HOURS

    Dr. Fabiano Zamel

    Dr. Fabiano Zamel

    Psychiatrist & Physician
    Attachment • Depression • Grief & loss • Trauma • Anxiety • PTSD • Dream analysis
    USUALLY RESPONDS WITHIN 4 HOURS
    Attachment • Depression • Grief & loss • Trauma • Anxiety • PTSD • Dream analysis
    €130 / session130
    Campo Bom
    Online only
    Riccardo Zanello
    USUALLY RESPONDS WITHIN 4 HOURS

    Riccardo Zanello

    Riccardo Zanello

    Physician & Psychiatrist
    Bipolar disorder • Depression • OCD • Anxiety • Psychiatry
    USUALLY RESPONDS WITHIN 4 HOURS
    Bipolar disorder • Depression • OCD • Anxiety • Psychiatry
    Milan
    Online only
    Olga Serikova
    USUALLY RESPONDS WITHIN 2 HOURS

    Olga Serikova

    Olga Serikova

    Psychiatrist
    Self-confidence • PTSD • Insomnia & sleep disorders • Stress • Bipolar disorder • ADHD • CBT: Cognitive behavioural therapy
    USUALLY RESPONDS WITHIN 2 HOURS
    Self-confidence • PTSD • Insomnia & sleep disorders • Stress • Bipolar disorder • ADHD • CBT: Cognitive behavioural therapy
    €15 / session15
    Killarney
    Online only

    The blog

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    AI in therapy 2026: A survey of both sides of the roomIt’s Complicated is surveying clients and practitioners across Europe on how AI is showing up in therapy, and what Europe’s new disclosure rules cover.
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    The Philosophical Roots of PsychotherapyPsychotherapy is often treated as a hybrid of psychology and psychiatry, but its roots run deeper: into philosophy.…
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    How Transactional Analysis Helps You Recognise PatternsAutonomy in psychotherapy is not the same as independence. It means understanding yourself clearly, responding to reality rather…
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