About children
Child psychologists adapt therapy to each age, often using play and drawing, and work closely with parents. Common reasons for consultation include anxiety, fears, behaviour, learning difficulties and family changes. For minors, consent from those with parental responsibility is required.
Social workers support people and families in difficult situations: access to social and health resources, dependency, family conflicts, addictions or social exclusion. They coordinate with public services and other professionals.
Getting mental health care in Germany
Public health system · Gesetzliche Krankenversicherung (GKV)
Psychotherapy by licensed psychotherapists and psychiatric care are covered by statutory health insurance without a GP referral, starting with a psychotherapeutic consultation (Sprechstunde). Appointments can be booked via the 116117 appointment service; waiting times for ongoing therapy are often long. More information
How to check that a professional is licensed
- Landespsychotherapeutenkammern (umbrella body: Bundespsychotherapeutenkammer). Psychotherapist is a protected title requiring a state licence (Approbation); the title psychologist alone does not allow healthcare practice. Statutory-insurance therapists can be found in the 116117 doctor search. Search the official register
- Landesärztekammern (state medical chambers). Psychiatrists are licensed physicians with a specialist qualification registered with their state medical chamber. Search the official register
Typical private fees
- Session with a psychologist
- €100 – €153
Private fee for a 50-minute behavioural therapy session under the official fee schedule (GOÄ 870) at the 2.3 to 3.5 multiplier, 2021 billing table. Sources
Insurance and coverage
Statutory insurance covers approved psychotherapy methods by licensed psychotherapists; private insurance coverage depends on the tariff.
Urgent help in Germany
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 112 · Emergencias
- 0800 111 0 111 · TelefonSeelsorge
Information reviewed in November 2026 · Sources: api.bptk.de, 116117.de
Signs to look out for
Children often show distress through behaviour and the body rather than words. It may be worth consulting a professional when a child has persistent fears or worries, frequent tantrums, sleep or eating changes, regression such as bedwetting again, headaches or stomach aches without a medical cause, withdrawal, school difficulties, or after a difficult event such as a separation, a loss or a move.
What helps: treatments and professionals
Therapy with children usually involves parents closely. Evidence-based approaches include cognitive-behavioural therapy adapted to age, parent training programmes, play-based therapy, family therapy and trauma-focused CBT after difficult experiences. Child and adolescent psychologists, clinical psychologists and family therapists are the main professionals; speech therapists, occupational therapists, educational psychologists or child psychiatrists may be involved depending on needs.
When to seek urgent help
Contact your local emergency services if a child is in danger, has been harmed, may have swallowed something toxic, or talks about wanting to die or hurt themselves, even at a young age. If you suspect abuse or neglect, seek help from child protection services or emergency services. Sudden changes in consciousness, speech or movement need immediate medical attention.
What you can do in the meantime
Keep predictable routines for sleep, meals and play, and limit screens, especially before bed. Spend some unhurried time each day with your child, following their lead in play. Name emotions together and stay calm when they are upset. Explain changes in simple, honest terms appropriate to their age. Look after your own well-being too, since children are sensitive to adult stress.
What does a social worker do?
A social worker supports individuals, families and communities facing social, economic or relational difficulties. Day to day they assess needs, inform people about their rights and available resources, help with applications, coordinate with health, education, housing and legal services, and accompany people through crises. Some offer counselling or family intervention, especially in mental health, child protection, ageing and disability settings.
When to see a social worker
A social worker can help when practical problems add to emotional strain: caring for a dependent relative, financial or housing difficulties, isolation, a separation affecting children, a disability, or navigating services after a diagnosis. They are also key when there is risk of abuse or neglect. For psychological therapy itself, a psychologist or psychotherapist is usually more appropriate.
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 Germany cover psychological care?
Psychotherapy by licensed psychotherapists and psychiatric care are covered by statutory health insurance without a GP referral, starting with a psychotherapeutic consultation (Sprechstunde). Appointments can be booked via the 116117 appointment service; waiting times for ongoing therapy are often long.
How do I check that a social worker is licensed in Germany?
Landespsychotherapeutenkammern (umbrella body: Bundespsychotherapeutenkammer): Psychotherapist is a protected title requiring a state licence (Approbation); the title psychologist alone does not allow healthcare practice. Statutory-insurance therapists can be found in the 116117 doctor search.
How much does a session with a psychologist cost in Germany?
Usually between €100 and €153 per individual session in private practice. Private fee for a 50-minute behavioural therapy session under the official fee schedule (GOÄ 870) at the 2.3 to 3.5 multiplier, 2021 billing table.