About alcohol addiction
Problematic drinking ranges from regular excess to dependence. Psychological support helps understand the role alcohol plays, set goals (reduction or abstinence) and prevent relapse. Stopping suddenly after heavy drinking can be dangerous: talk to a doctor first.
Clinical psychologists are psychologists with specialist training in assessing, diagnosing and treating mental health problems, from anxiety and depression to more complex conditions. In some countries it is a regulated health specialty; Therapy247 checks the registration.
Getting mental health care in Paraguay
Public health system · Ministerio de Salud Pública y Bienestar Social (MSPBS)
Public mental health care is free. The Hospital Psiquiátrico in Asunción offers emergency care and outpatient appointments, and the Ministry is decentralising psychological and psychiatric care to hospitals and family health units under the Mental Health Law 7018/2022 and the National Mental Health Policy 2024-2030. Demand is high and waiting times are not well documented.
How to check that a professional is licensed
- Ministerio de Salud Pública y Bienestar Social (Dirección de Registro y Control de Profesiones). Law 6293/2019 regulates the practice of psychology: practitioners need a degree in psychology and a current professional registration (registro profesional) issued by the Ministry of Health. Ask for the registration number.
- Ministerio de Salud Pública y Bienestar Social (Dirección de Registro y Control de Profesiones). A professional registration with the Ministry of Health is mandatory to practise medicine; the Ministry offers an online check of a doctor's registration, specialty and validity.
Urgent help in Paraguay
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 911 · Emergencias (911)
- 155 · Línea 155 – Línea de crisis en salud mental (Ministerio de Salud)
Information reviewed in November 2026 · Sources: bacn.gov.py, abc.com.py, paho.org, hoy.com.py
Signs to look out for
Drinking may be becoming a problem when you often drink more than you planned, need alcohol to relax, sleep or face social situations, feel guilty about it, or others express concern. Other signs include memory gaps, missing responsibilities, drinking in the morning, needing more to feel the effect, and feeling shaky, sweaty or anxious when you have not had a drink.
What helps: treatments and professionals
Psychological treatments with good evidence include motivational interviewing, cognitive-behavioural therapy (CBT), relapse prevention and couples or family-based approaches. Psychologists with addiction experience, psychiatrists, family doctors and specialised alcohol services often work together. A doctor can assess whether medically supervised withdrawal or medication to support reducing or stopping is appropriate. Mutual-help groups support many people alongside treatment.
When to seek urgent help
Stopping drinking suddenly after heavy, regular use can cause dangerous withdrawal, so speak to a doctor before stopping. Contact your local emergency services immediately if someone is unconscious, has trouble breathing, has a seizure, is very confused or is seeing things that are not there. Seek urgent help too for thoughts of suicide or when someone is at risk.
What you can do in the meantime
Keep a simple diary of when, where and how much you drink, and notice what triggers it. Set alcohol-free days, avoid keeping alcohol at home, and plan alternatives for difficult moments, such as a walk or a call to someone. Tell people close to you about your goal so they can support you. Reliable health sources explain low-risk guidelines and where to find help.
What does a clinical psychologist do?
A clinical psychologist assesses, diagnoses and treats mental health problems in children, adults or older people. Day to day they conduct clinical interviews, use validated questionnaires and tests, formulate what keeps the problem going, and deliver evidence-based therapies. They often work in hospitals, community mental health teams or private practice, and coordinate with psychiatrists, family doctors and social services.
When to see a clinical psychologist
A clinical psychologist is a good choice for moderate to severe or persistent difficulties: anxiety disorders, depression, obsessive-compulsive problems, trauma, eating disorders, personality difficulties, or when a formal diagnosis or report is needed. If medication may be needed or there is a risk to safety, a psychiatrist should also be involved. For coaching or personal growth, other professionals may fit better.
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 Paraguay cover psychological care?
Public mental health care is free. The Hospital Psiquiátrico in Asunción offers emergency care and outpatient appointments, and the Ministry is decentralising psychological and psychiatric care to hospitals and family health units under the Mental Health Law 7018/2022 and the National Mental Health Policy 2024-2030. Demand is high and waiting times are not well documented.
How do I check that a clinical psychologist is licensed in Paraguay?
Ministerio de Salud Pública y Bienestar Social (Dirección de Registro y Control de Profesiones): Law 6293/2019 regulates the practice of psychology: practitioners need a degree in psychology and a current professional registration (registro profesional) issued by the Ministry of Health. Ask for the registration number.