About psychologists
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
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 is it different from other professionals?
A psychologist works with talking therapy and psychological assessment but does not prescribe medication. A psychiatrist is a medical doctor who can diagnose, prescribe and monitor medication. Psychotherapist is a broader title that may include psychologists, doctors or other professionals trained in a specific therapy model. A clinical psychologist is a psychologist with additional specialist training in mental health conditions.
What happens in the first session
The first session is mostly a conversation: what brings you here, since when, how it affects your life, and what you would like to change. The psychologist may ask about your history, health and support network, and explain how they work. It helps to bring a short list of concerns, any previous reports, and questions about their approach, confidentiality, session length and fees.
How long does the process take?
Sessions usually last around 50 to 60 minutes, often weekly at first and then every two weeks as things improve. Some focused difficulties can be worked on in a few months, while long-standing or complex problems may take longer. Duration depends on your goals, the approach used, how much you practise between sessions and life circumstances. Your psychologist should review progress with you regularly.
Online or in person?
Online therapy with a psychologist works well for many people with anxiety, low mood, stress or relationship worries, and it helps if you live far away, travel or have a busy schedule. You need a private space and a stable connection. In-person sessions may be preferable for young children, some assessments, situations of risk, or when being at home makes it hard to talk freely.
How to check their qualifications
Psychology is a regulated profession in many countries, so a practising psychologist should be registered with the licensing body or professional college where they work. You can ask for their registration number and check it in the public register when one exists. It is also reasonable to ask about their degree, postgraduate training, the problems they usually treat and whether they receive supervision.
What affects the price?
Fees vary with the psychologist’s experience and specialisation, the city or country, whether sessions are online or in person, and session length. Couples, family or assessment sessions often cost more than individual ones. Some professionals offer packages, sliding scales or a free first contact call. Ask beforehand about cancellation policy, invoices and whether any health insurance or public scheme could cover part of the cost.
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.