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.
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 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
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 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 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 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.