About bullying
Bullying at school or online can cause anxiety, isolation, low mood and school refusal. Psychological support helps the child or teenager and the family, and professionals can coordinate with the school. If there is immediate risk, involve the school and, if needed, the authorities.
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 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
Bullying is repeated, intentional harm by others, whether physical, verbal, social exclusion or online. Signs in a child or teenager may include not wanting to go to school, unexplained injuries or damaged belongings, changes in mood or sleep, headaches or stomach aches, dropping grades, losing friends, or becoming anxious after using their phone. Many young people do not tell adults straight away.
What helps: treatments and professionals
Effective responses combine action at school, with whole-school anti-bullying programmes and clear protocols, and emotional support for the young person. Psychologists, child and adolescent psychologists and educational psychologists can help with anxiety, low mood, self-esteem and social skills, often using cognitive-behavioural approaches. Family guidance helps parents respond calmly. Support may also be offered to those who bully.
When to seek urgent help
Contact your local emergency services if a child or teenager has been seriously assaulted, is being threatened with violence, or expresses thoughts of suicide or self-harm, which should always be taken seriously. Seek urgent help too when there is sexual harassment, extortion or sharing of intimate images online, and keep evidence such as screenshots.
What you can do in the meantime
Listen calmly, believe the young person and tell them it is not their fault. Avoid confronting the other child or family directly; instead, document what happened and contact the school to agree on a plan. Help them stay connected to friends and activities outside school. Review privacy settings together for online bullying, and keep checking in regularly.
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 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 psychotherapist 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.