About self-esteem
Low self-esteem affects how we see ourselves, our relationships and our decisions. Therapy helps identify self-critical thoughts, recognise strengths and build a more realistic and kind relationship with yourself.
Therapist is the everyday word for a professional who offers talking therapy: depending on the country it can be a psychologist, a psychotherapist, a licensed counsellor, a marriage and family therapist or a clinical social worker. Profiles show each therapist’s actual title, training and registration.
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
Everyone doubts themselves sometimes. Low self-esteem may be holding you back when you are constantly self-critical, feel you are not good enough whatever you achieve, compare yourself unfavourably with others, struggle to accept compliments, avoid challenges for fear of failing, find it hard to say no, or feel that others’ opinions define your worth. It often accompanies anxiety or low mood.
What helps: treatments and professionals
Psychologists and psychotherapists can help you identify where your harsh inner voice comes from and develop a kinder, more realistic view of yourself. Cognitive-behavioural therapy (CBT), compassion-focused therapy, acceptance and commitment therapy (ACT) and schema therapy are commonly used. Work on assertiveness and boundaries is often included. If low self-esteem relates to body image or eating, specialised support may be needed.
When to seek urgent help
Low self-esteem alone is rarely an emergency, but it can come with depression. If feelings of worthlessness lead to thoughts of harming yourself or ending your life, contact your local emergency services or go to the nearest emergency department immediately. Seek prompt help too if you are being bullied, harassed or abused, or if you are restricting food or self-harming.
What you can do in the meantime
Notice your inner critic and ask whether you would speak to a friend that way. Write down small achievements and qualities others appreciate in you. Spend time with people who treat you well and reduce exposure to content that makes you compare yourself. Try small challenges, practise saying no in low-stakes situations, and look after your body with rest and movement.
What does a therapist do?
A therapist helps you talk through what is worrying you and find practical ways to feel and cope better. In sessions they listen, ask questions, help you notice patterns in your thoughts, emotions and relationships, and agree goals with you. Depending on their training they may use cognitive-behavioural, humanistic, systemic, psychodynamic or other evidence-based approaches, with individuals, couples, families or groups.
When to see a therapist
It makes sense to look for a therapist when stress, anxiety, low mood, grief, relationship problems, a difficult change or the effects of past experiences start to weigh on your daily life, or when you simply want space to understand yourself better. If symptoms are severe, you may need medication or there are signs of a medical cause, involve your doctor or a psychiatrist as well.
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 therapist 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.