About teenagers
Adolescence brings changes in identity, relationships and emotions. Therapy offers a confidential space to talk about anxiety, low mood, self-esteem, relationships or school pressure, with the involvement of the family when appropriate.
Psychologists assess and treat emotional, behavioural and relationship difficulties through psychological therapy. They do not prescribe medication. In many countries clinical practice requires a specific qualification and registration with a licensing body, which Therapy247 checks.
Getting mental health care in North Macedonia
Public health system · Public health system (Ministry of Health and Health Insurance Fund): community mental health centres and hospital psychiatry
Public mental health care is delivered through community mental health centres and hospital-based psychiatric services, with referral between primary, secondary and tertiary care. The national strategy for 2018-2025 aimed to decentralise care and reduce reliance on psychiatric hospitals. According to WHO Mental Health Atlas 2020 data, insurance fully covers mental health services and psychotropic medicines. More information
How to check that a professional is licensed
- Chamber of Psychologists of North Macedonia (Комора на психолози). Only psychologists who hold a general and/or special licence issued by the Chamber may provide psychological services. A general licence requires a year of practice, a professional exam and entry in the Register of Psychologists, and a special licence requires additional specialised training. The Chamber publishes a list of licensed psychologists. Search the official register
Insurance and coverage
According to WHO Mental Health Atlas 2020 data, insurance fully covers mental health services and psychotropic medicines in the public system.
Urgent help in North Macedonia
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 112 · Emergencias
Information reviewed in November 2026 · Sources: who.int, borgenproject.org, komoranapsiholozi.mk, lkm.org.mk
Signs to look out for
Mood swings, wanting more privacy and clashes with parents are part of adolescence. It may be time to seek help when a teenager seems persistently sad, anxious or irritable, withdraws from friends, loses interest in activities, has big changes in sleep or eating, drops in school performance, uses alcohol or drugs, self-harms, or spends most of their time isolated online.
What helps: treatments and professionals
Approaches with good evidence for teenagers include cognitive-behavioural therapy (CBT), interpersonal therapy for depression, dialectical behaviour therapy (DBT) adapted for adolescents when there is self-harm, and family-based therapies. Child and adolescent psychologists, clinical psychologists and family therapists usually lead the work; a child and adolescent psychiatrist may be involved when symptoms are severe or medication is being considered.
When to seek urgent help
Take any talk of suicide or self-harm seriously. If a teenager has a plan, has harmed themselves seriously, has taken an overdose or is in danger, contact your local emergency services or go to the nearest emergency department immediately. Seek urgent help too for signs of severe intoxication, sexual exploitation or online extortion, and do not leave them alone if at risk.
What you can do in the meantime
Keep communication open by listening more than lecturing, and choose relaxed moments, such as car journeys or meals, to talk. Respect their growing independence while keeping clear, agreed limits. Encourage sleep routines, physical activity and time away from screens. Show interest in their friends and activities. If they are reluctant to seek help, offer options and let them have a say in choosing.
What does a psychologist do?
A psychologist spends most of the working day talking with people about what worries them and helping them change it. That includes assessing the difficulty, agreeing goals, and using structured psychological techniques in sessions with adults, teenagers, children, couples or families. Between sessions they prepare materials, write notes, and sometimes coordinate with doctors, schools or other professionals, always with your consent.
When to see a psychologist
It makes sense to see a psychologist when anxiety, low mood, stress, relationship problems, a loss or a difficult change start to affect your sleep, work or relationships, or when you simply want to understand yourself better. If symptoms are very severe, you may need medication, or there are signs of a medical cause, a psychiatrist or your doctor should be involved too.
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 North Macedonia cover psychological care?
Public mental health care is delivered through community mental health centres and hospital-based psychiatric services, with referral between primary, secondary and tertiary care. The national strategy for 2018-2025 aimed to decentralise care and reduce reliance on psychiatric hospitals. According to WHO Mental Health Atlas 2020 data, insurance fully covers mental health services and psychotropic medicines.
How do I check that a psychologist is licensed in North Macedonia?
Chamber of Psychologists of North Macedonia (Комора на психолози): Only psychologists who hold a general and/or special licence issued by the Chamber may provide psychological services. A general licence requires a year of practice, a professional exam and entry in the Register of Psychologists, and a special licence requires additional specialised training. The Chamber publishes a list of licensed psychologists.