About behavioral problems
Tantrums, defiance or aggressive behaviour that are frequent and intense can strain family life. Interventions usually involve the parents, with practical strategies for routines, limits and communication, and work with the child adapted to their age.
Family therapists work with the whole family or several of its members to improve communication, resolve conflicts and go through changes such as separations, losses or a child’s difficulties. They look at relationships rather than at one person alone.
Getting mental health care in Italy
Public health system · Servizio Sanitario Nazionale (SSN)
Public mental health care is provided by local Centri di Salute Mentale (CSM) and consultori, usually with a GP referral and a co-payment (ticket). The means-tested Bonus psicologo contributes up to 50 euros per session.
How to check that a professional is licensed
- Consiglio Nazionale Ordine degli Psicologi (CNOP) and regional Ordini. Practising as a psychologist requires registration in the Albo degli Psicologi; psychotherapists must have an additional annotation after a recognised specialisation. Search the official register
- FNOMCeO and provincial Ordini dei Medici. Psychiatrists are doctors registered with their provincial Ordine; the FNOMCeO portal lets you search registered doctors. Search the official register
Insurance and coverage
The 2025 Bonus psicologo, applied for via INPS, covered up to 1,500 euros depending on ISEE income, paid at a maximum of 50 euros per session to participating psychotherapists.
Urgent help in Italy
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 112 · Emergencias
- 02 2327 2327 · Telefono Amico Italia
- 06 77208977 · Samaritans Onlus
Information reviewed in November 2026 · Sources: tg24.sky.it, psy.it
Signs to look out for
All children test limits and have tantrums at times. It may be worth seeking help when defiance, aggression, intense tantrums, lying, breaking rules or destructive behaviour are frequent, last for months, happen in several settings such as home and school, and cause problems with family life, learning or friendships. Sudden changes in behaviour can also signal stress, anxiety or difficulties elsewhere.
What helps: treatments and professionals
Parent training programmes based on behavioural principles have strong evidence for children’s behaviour problems. Family therapy and cognitive-behavioural approaches for the child or teenager, including emotional regulation and problem-solving skills, also help. Child and adolescent psychologists, clinical psychologists, family therapists and educational psychologists usually lead the work. An assessment can identify contributing factors such as ADHD, learning difficulties or anxiety.
When to seek urgent help
Contact your local emergency services if a child or teenager is seriously hurting themselves or others, has a weapon, is missing, or talks about suicide. Seek urgent help too if you suspect drug use with signs of intoxication. If you feel you might lose control and harm your child, step away safely and seek support immediately; asking for help is responsible.
What you can do in the meantime
Notice and praise specific good behaviour, and spend a little one-to-one time each day doing something your child enjoys. Keep rules few, clear and consistent between adults, with calm, predictable consequences. Avoid shouting and physical punishment, which tend to worsen behaviour. Look after your own stress and sleep, and talk to the school to work together.
What does a family therapist do?
A family therapist works with families as a system, seeing several members together or in different combinations. Day to day they help families improve communication, manage conflict, adapt to changes such as separation, illness, migration or the arrival of a child, and support a member who is struggling. They look at roles, rules and patterns in the relationships rather than blaming one person.
When to see a family therapist
Family therapy makes sense when tension at home is constant, when a child or teenager’s difficulties affect everyone, after a separation or blended-family transition, during a loss or serious illness, or when communication has broken down between generations. If one person has a severe mental health condition, family therapy can complement, not replace, individual treatment. Couple-only problems may suit couples therapy better.
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 Italy cover psychological care?
Public mental health care is provided by local Centri di Salute Mentale (CSM) and consultori, usually with a GP referral and a co-payment (ticket). The means-tested Bonus psicologo contributes up to 50 euros per session.
How do I check that a family therapist is licensed in Italy?
Consiglio Nazionale Ordine degli Psicologi (CNOP) and regional Ordini: Practising as a psychologist requires registration in the Albo degli Psicologi; psychotherapists must have an additional annotation after a recognised specialisation.