About behavioral problems
Tantrums, defiance or aggressive behaviour that are frequent and intense can strain family life. Interventions usually involve the parents, with practical strategies for routines, limits and communication, and work with the child adapted to their age.
Psychologists assess and treat emotional, behavioural and relationship difficulties through psychological therapy. They do not prescribe medication. In many countries clinical practice requires a specific qualification and registration with a licensing body, which Therapy247 checks.
Getting mental health care in Czechia
Public health system · Public health insurance (veřejné zdravotní pojištění)
Care by clinical psychologists contracted with a health insurer is covered by public health insurance and can be accessed directly without a doctor's referral; psychiatric care is also covered. Capacity is limited and many clinical psychologists work without insurer contracts.
How to check that a professional is licensed
- Ministry of Health (specialised training in clinical psychology and psychotherapy). Within healthcare, clinical psychologist and psychotherapist are attested specialisations under Ministry of Health rules; outside healthcare the title psychologist is not regulated. The national register of health workers is not public, so ask to see the attestation.
- Česká lékařská komora (Czech Medical Chamber). Every practising doctor must be a member of the Chamber, which publishes a searchable list of members by name, specialty and district. Search the official register
Insurance and coverage
Since 2026 public insurance (VZP) also covers up to 26 modules per year of digital cognitive behavioural therapy.
Urgent help in Czechia
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 112 · Emergencias
- 116 123 · Linka první psychické pomoci
- 608 902 410 · Modrá linka
Information reviewed in November 2026 · Sources: mzd.gov.cz, lkcr.cz, vzp.cz, is.muni.cz
Signs to look out for
All children test limits and have tantrums at times. It may be worth seeking help when defiance, aggression, intense tantrums, lying, breaking rules or destructive behaviour are frequent, last for months, happen in several settings such as home and school, and cause problems with family life, learning or friendships. Sudden changes in behaviour can also signal stress, anxiety or difficulties elsewhere.
What helps: treatments and professionals
Parent training programmes based on behavioural principles have strong evidence for children’s behaviour problems. Family therapy and cognitive-behavioural approaches for the child or teenager, including emotional regulation and problem-solving skills, also help. Child and adolescent psychologists, clinical psychologists, family therapists and educational psychologists usually lead the work. An assessment can identify contributing factors such as ADHD, learning difficulties or anxiety.
When to seek urgent help
Contact your local emergency services if a child or teenager is seriously hurting themselves or others, has a weapon, is missing, or talks about suicide. Seek urgent help too if you suspect drug use with signs of intoxication. If you feel you might lose control and harm your child, step away safely and seek support immediately; asking for help is responsible.
What you can do in the meantime
Notice and praise specific good behaviour, and spend a little one-to-one time each day doing something your child enjoys. Keep rules few, clear and consistent between adults, with calm, predictable consequences. Avoid shouting and physical punishment, which tend to worsen behaviour. Look after your own stress and sleep, and talk to the school to work together.
What does a psychologist do?
A psychologist spends most of the working day talking with people about what worries them and helping them change it. That includes assessing the difficulty, agreeing goals, and using structured psychological techniques in sessions with adults, teenagers, children, couples or families. Between sessions they prepare materials, write notes, and sometimes coordinate with doctors, schools or other professionals, always with your consent.
When to see a psychologist
It makes sense to see a psychologist when anxiety, low mood, stress, relationship problems, a loss or a difficult change start to affect your sleep, work or relationships, or when you simply want to understand yourself better. If symptoms are very severe, you may need medication, or there are signs of a medical cause, a psychiatrist or your doctor should be involved too.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in Czechia cover psychological care?
Care by clinical psychologists contracted with a health insurer is covered by public health insurance and can be accessed directly without a doctor's referral; psychiatric care is also covered. Capacity is limited and many clinical psychologists work without insurer contracts.
How do I check that a psychologist is licensed in Czechia?
Ministry of Health (specialised training in clinical psychology and psychotherapy): Within healthcare, clinical psychologist and psychotherapist are attested specialisations under Ministry of Health rules; outside healthcare the title psychologist is not regulated. The national register of health workers is not public, so ask to see the attestation.