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.
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 Iceland
Public health system · Primary health centres (heilsugæsla) and Sjúkratryggingar Íslands (Icelandic Health Insurance)
Primary health centres offer psychological services, and adults can get subsidised sessions with a psychologist contracted to Icelandic Health Insurance with a referral from a health centre (up to 12 sessions; children up to 10). Psychiatric care is provided at Landspítali and by private psychiatrists. More information
How to check that a professional is licensed
- Directorate of Health (Embætti landlæknis). Psychologist is a licensed health profession: using the title and practising requires a licence from the Directorate of Health. Search the official register
- Directorate of Health (Embætti landlæknis). Psychiatrists need a medical licence and a specialist licence in psychiatry from the Directorate of Health.
Insurance and coverage
Icelandic Health Insurance subsidises sessions only with contracted psychologists and with a valid referral (from a health centre for adults; a health centre or diagnostic team for children), up to 12 sessions for adults and 10 for children.
Urgent help in Iceland
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 112 · Emergencias
- 1717 · Hjálparsími Rauða krossins 1717
- 1799 · Píeta – hjálparsími
Information reviewed in November 2026 · Sources: island.is, island.is, island.is
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 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 Iceland cover psychological care?
Primary health centres offer psychological services, and adults can get subsidised sessions with a psychologist contracted to Icelandic Health Insurance with a referral from a health centre (up to 12 sessions; children up to 10). Psychiatric care is provided at Landspítali and by private psychiatrists.
How do I check that a psychotherapist is licensed in Iceland?
Directorate of Health (Embætti landlæknis): Psychologist is a licensed health profession: using the title and practising requires a licence from the Directorate of Health.