About addiction
Addictions to substances or behaviours such as gambling, gaming or the internet involve loss of control and continuing despite harm. Treatment usually combines psychological therapy, relapse prevention and, in some cases, medical care. Professionals with experience in addictions can coordinate with specialised services.
Psychotherapists are professionals trained in one or more models of psychotherapy (psychodynamic, systemic, humanistic, cognitive-behavioural…). The protected title and requirements vary by country; profiles show each professional’s training and registration.
Getting mental health care in Estonia
Public health system · Tervisekassa (Estonian Health Insurance Fund)
Insured people can see a psychiatrist free of charge at a Tervisekassa contract partner, and clinical psychologist visits and psychotherapy are covered with a family doctor's or specialist's referral. Availability of contracted clinical psychologists varies by county and waiting lists can be long. More information
How to check that a professional is licensed
- Eesti Psühholoogide Liit (Estonian Union of Psychologists), occupational qualification register. The general title psychologist is not protected. Clinical psychologists hold a professional qualification certificate (kliiniline psühholoog, tase 7, with specialisations such as clinical psychologist-psychotherapist or neuropsychologist) recorded in the national occupational qualifications register; check the certificate there.
Insurance and coverage
Statutory health insurance covers psychiatric care and referred clinical psychology or psychotherapy at contracted providers; private sessions without referral are paid out of pocket.
Urgent help in Estonia
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 · Emotsionaalse toe ja hingehoiu telefon
- 655 8088 · Eluliin
Information reviewed in November 2026 · Sources: terviseamet.ee, tervisekassa.ee
Signs to look out for
An addiction may be developing when you find it hard to control how much or how often you use a substance or engage in a behaviour such as gambling, gaming, shopping or online use; when you keep going despite problems with health, money, work or relationships; when you need more to get the same effect; or when you feel restless or unwell when you stop.
What helps: treatments and professionals
Effective approaches include cognitive-behavioural therapy (CBT), motivational interviewing, relapse-prevention programmes, contingency management and, for young people, family-based therapy. Psychologists and clinical psychologists with addiction experience, psychiatrists and specialised addiction services usually work together. For some substances, medically supervised treatment is needed. Mutual-help groups can complement professional care for many people.
When to seek urgent help
Contact your local emergency services immediately in case of a suspected overdose, loss of consciousness, difficulty breathing, seizures, chest pain or confusion. Seek urgent help too if there are thoughts of suicide or harming others. Stopping some substances suddenly after heavy use can be dangerous, so talk to a doctor before quitting.
What you can do in the meantime
Be honest with yourself about how often and why you use, and notice the situations, emotions and people that trigger it. Tell someone you trust and consider removing easy access, such as blocking betting apps or limiting cash. Fill your time with activities that do not involve the substance or behaviour. Lapses can happen; they are a signal to seek support, not a failure.
What does a psychotherapist do?
A psychotherapist helps people understand and change emotional, relational and behavioural patterns through a structured therapeutic relationship. Their work is shaped by one or more models, such as cognitive-behavioural, psychodynamic, systemic, humanistic or integrative therapy. They meet individuals, couples, families or groups, usually in regular sessions, and spend time outside sessions on notes, preparation and their own supervision.
When to see a psychotherapist
Psychotherapy suits people who want to work in depth on recurring difficulties: anxiety, low mood, relationship patterns, self-esteem, the effects of past experiences or major life transitions. It can also help when you feel stuck without a clear diagnosis. If you need a formal diagnosis, a specific psychological assessment or medication, a clinical psychologist or psychiatrist may need to be involved.
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 Estonia cover psychological care?
Insured people can see a psychiatrist free of charge at a Tervisekassa contract partner, and clinical psychologist visits and psychotherapy are covered with a family doctor's or specialist's referral. Availability of contracted clinical psychologists varies by county and waiting lists can be long.
How do I check that a psychotherapist is licensed in Estonia?
Eesti Psühholoogide Liit (Estonian Union of Psychologists), occupational qualification register: The general title psychologist is not protected. Clinical psychologists hold a professional qualification certificate (kliiniline psühholoog, tase 7, with specialisations such as clinical psychologist-psychotherapist or neuropsychologist) recorded in the national occupational qualifications register; check the certificate there.