About social workers
Social workers support people and families in difficult situations: access to social and health resources, dependency, family conflicts, addictions or social exclusion. They coordinate with public services and other professionals.
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
- Doctors' Chamber of Macedonia (Лекарска комора на Македонија). The Chamber issues doctors' working licences and publishes a register of doctors and a list of doctors with valid licences. 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 social worker do?
A social worker supports individuals, families and communities facing social, economic or relational difficulties. Day to day they assess needs, inform people about their rights and available resources, help with applications, coordinate with health, education, housing and legal services, and accompany people through crises. Some offer counselling or family intervention, especially in mental health, child protection, ageing and disability settings.
When to see a social worker
A social worker can help when practical problems add to emotional strain: caring for a dependent relative, financial or housing difficulties, isolation, a separation affecting children, a disability, or navigating services after a diagnosis. They are also key when there is risk of abuse or neglect. For psychological therapy itself, a psychologist or psychotherapist is usually more appropriate.
How is it different from other professionals?
A social worker focuses on the person in their social context, connecting them with resources, rights and support networks. A psychologist works mainly on thoughts, emotions and behaviour through therapy. A family therapist works on relationships within the family; some social workers also train as family therapists. In mental health teams, social workers often handle the social side of recovery.
What happens in the first session
The first interview usually covers your current situation, family and support network, housing, income, health and what kind of help you need. The social worker will explain what they can and cannot do, and which services might be involved. Bring identification, relevant reports and documents, and ask about next steps, confidentiality and how to contact them.
How long does the process take?
Support can range from a single guidance appointment to ongoing follow-up over months or longer when situations are complex. The frequency depends on needs and may vary between periods of intense contact during a crisis and occasional check-ins later. Duration depends on the situation, the resources involved, administrative timelines and the person’s or family’s goals.
Online or in person?
Online or phone appointments are useful for information, follow-up, help with online applications and when travel is difficult. However, social work often benefits from in-person contact: home visits, accompanying people to services, assessing living conditions and building trust in difficult situations. Situations of risk to a person usually require face-to-face assessment.
How to check their qualifications
Social work is a regulated profession in many countries. Check that the social worker holds a recognised degree and is registered with the licensing body or professional college of the country where they practise. Ask about their experience in your area, such as ageing, disability, child and family, mental health or migration, and any further training in counselling or mediation.
What affects the price?
Many social workers work in public services or non-profit organisations, where support is often free or low-cost. Private social workers set fees according to experience, the type of service, such as reports, mediation or ongoing follow-up, travel for home visits, and the city. Ask what is included, and check first whether public social services cover your need.
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 social worker 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.