About family therapy
Family therapy works with several members together to improve communication, resolve conflicts and support everyone through changes such as separations, illness or adolescence.
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 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
- Organización Médica Colegial (Consejo General de Colegios Oficiales de Médicos) and the provincial Colegios de Médicos. Doctors must be registered with a provincial Colegio de Médicos; check that the doctor holds the specialist title in Psychiatry. 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
Every family goes through tension. Family therapy may help when conflict is constant or very intense, communication has broken down, a child’s difficulties are straining everyone, members feel stuck in the same patterns, or the family is struggling to adapt to a change such as a separation, a new partner, illness, migration, a loss or a child leaving home.
What helps: treatments and professionals
Systemic family therapy looks at relationships and patterns rather than blaming one person. Approaches with evidence include structural and strategic family therapy, family-based treatment for adolescent eating disorders, multisystemic and functional family therapy for behaviour problems, and parent training. Family therapists, psychologists and social workers with systemic training usually lead the work, sometimes alongside individual therapy.
When to seek urgent help
If there is violence at home, a child or adult is being harmed, or someone is afraid for their safety, contact your local emergency services or specialised protection services. Safety comes before family therapy. Seek urgent help too if any family member talks about suicide, has harmed themselves seriously, or is at risk of harming others.
What you can do in the meantime
Set aside calm times to talk, and try to listen to understand rather than to reply. Agree on a few household rules together and keep them consistent. Avoid involving children in adult conflicts. Make room for enjoyable shared moments, even short ones. If tensions run high, take breaks before continuing a discussion. Each person looking after their own well-being also helps the family.
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 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 therapist 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).