About OCD
OCD (obsessive-compulsive disorder) involves intrusive thoughts that cause distress and repetitive behaviours or mental rituals to reduce it. Cognitive-behavioural therapy with exposure and response prevention is the first-line psychological treatment.
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 Latvia
Public health system · National Health Service (Nacionālais veselības dienests)
State-funded consultations with a psychologist or psychiatrist are generally reached through an electronic referral from your family doctor. Waiting times are long: in late 2025 the average wait was reported at about 69 days for a psychologist and 62 days for a psychiatrist, and state-funded psychotherapy was hard to obtain.
How to check that a professional is licensed
- Health Inspectorate (Veselības inspekcija), Register of Medical Practitioners. Doctors, psychotherapists and clinical and health psychologists working in healthcare are listed in the Health Inspectorate's register, where you can check their right to practise. Search the official register
Urgent help in Latvia
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 112 · Emergencias
- 116123 · Vienotais krīzes tālrunis (Skalbes)
Information reviewed in November 2026 · Sources: ikvd.gov.lv, likumi.lv, lvportals.lv, en.bb.lv
Signs to look out for
Many people have occasional intrusive thoughts or like things a certain way. OCD may be involved when unwanted thoughts, images or urges cause intense distress, and you feel driven to perform rituals, such as checking, washing, counting, seeking reassurance or mentally neutralising, to reduce the anxiety. These rituals take a lot of time, feel hard to resist and interfere with daily life.
What helps: treatments and professionals
Cognitive-behavioural therapy with exposure and response prevention (ERP) is the psychological treatment with the strongest evidence for OCD. It involves gradually facing feared thoughts or situations without performing rituals, at a pace agreed with the therapist. Clinical psychologists and psychologists trained in ERP usually lead treatment. A psychiatrist can assess whether medication may help, particularly when symptoms are severe.
When to seek urgent help
Having an intrusive thought about harm does not mean you want to act on it; this is common in OCD. However, if you feel hopeless, have thoughts of ending your life, or rituals prevent you from eating, drinking or caring for yourself, contact your local emergency services or go to the nearest emergency department. Sudden onset of OCD symptoms in a child should be checked by a doctor.
What you can do in the meantime
Learn from reliable sources how OCD works: trying to push thoughts away or seeking reassurance usually makes them stronger. Try to delay a ritual by a few minutes, or shorten it slightly, and notice that anxiety tends to fall on its own. Ask family members to support you without joining in rituals. Look after sleep and stress, which can intensify symptoms.
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 Latvia cover psychological care?
State-funded consultations with a psychologist or psychiatrist are generally reached through an electronic referral from your family doctor. Waiting times are long: in late 2025 the average wait was reported at about 69 days for a psychologist and 62 days for a psychiatrist, and state-funded psychotherapy was hard to obtain.
How do I check that a psychotherapist is licensed in Latvia?
Health Inspectorate (Veselības inspekcija), Register of Medical Practitioners: Doctors, psychotherapists and clinical and health psychologists working in healthcare are listed in the Health Inspectorate's register, where you can check their right to practise.