About older adults
Psychological support for older adults addresses loneliness, grief, adapting to retirement or illness, memory concerns and caring for a partner. Many professionals also offer sessions at home or online.
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 Spain
Public health system · Sistema Nacional de Salud (SNS)
Public mental health care is free at the point of use. Access is usually through your family doctor (médico de familia) at the primary care centre, who refers you to a community mental health centre or unit for psychiatry and clinical psychology. Waiting lists for psychological treatment in the public system can be long and vary by region.
How to check that a professional is licensed
- Consejo General de la Psicología de España and the regional Colegios Oficiales de la Psicología. Membership of a Colegio is required to practise. For health care, check that the psychologist is a Psicólogo General Sanitario (official master's degree) or a specialist in Clinical Psychology (PIR route). Search the official register
Typical private fees
- Session with a psychologist
- €40 – €80
Typical private fee per individual psychology session, higher in large cities (2026 press report). Sources
Urgent help in Spain
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
Information reviewed in November 2026 · Sources: infocop.es, sanidad.gob.es, elespanol.com
Signs to look out for
Ageing brings changes, but persistent sadness, loss of interest, anxiety, withdrawal or irritability are not an inevitable part of getting older. It may be worth seeking help after losses such as bereavement, retirement or loss of independence, when loneliness is weighing heavily, or when there are noticeable changes in memory, orientation or behaviour that worry the person or their family.
What helps: treatments and professionals
Psychological therapies such as cognitive-behavioural therapy, problem-solving therapy and reminiscence or life-review therapy are effective for older adults with depression or anxiety. Neuropsychologists assess memory concerns and design cognitive stimulation. Psychologists, psychiatrists with experience in older people, occupational therapists and social workers often work together, and family carers can also receive support and guidance.
When to seek urgent help
Sudden confusion, drowsiness, difficulty speaking, weakness on one side or a fall with injury need immediate medical attention: contact your local emergency services. Seek urgent help too if an older person expresses thoughts of suicide, stops eating or drinking, or if you suspect abuse or neglect. Reviewing medication with a doctor is important when behaviour changes.
What you can do in the meantime
Staying connected matters: regular contact with family, friends, neighbours or community groups helps protect mood. Keep routines with daily activity, walks, meals and sleep, and continue hobbies or learn new ones. Check hearing and vision, since difficulties can increase isolation. Carers should also look after themselves and ask for help, as caring can be exhausting.
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 Spain cover psychological care?
Public mental health care is free at the point of use. Access is usually through your family doctor (médico de familia) at the primary care centre, who refers you to a community mental health centre or unit for psychiatry and clinical psychology. Waiting lists for psychological treatment in the public system can be long and vary by region.
How do I check that a psychologist is licensed in Spain?
Consejo General de la Psicología de España and the regional Colegios Oficiales de la Psicología: Membership of a Colegio is required to practise. For health care, check that the psychologist is a Psicólogo General Sanitario (official master's degree) or a specialist in Clinical Psychology (PIR route).
How much does a session with a psychologist cost in Spain?
Usually between €40 and €80 per individual session in private practice. Typical private fee per individual psychology session, higher in large cities (2026 press report).