About addiction
Addictions to substances or behaviours such as gambling, gaming or the internet involve loss of control and continuing despite harm. Treatment usually combines psychological therapy, relapse prevention and, in some cases, medical care. Professionals with experience in addictions can coordinate with specialised services.
Family therapists work with the whole family or several of its members to improve communication, resolve conflicts and go through changes such as separations, losses or a child’s difficulties. They look at relationships rather than at one person alone.
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
An addiction may be developing when you find it hard to control how much or how often you use a substance or engage in a behaviour such as gambling, gaming, shopping or online use; when you keep going despite problems with health, money, work or relationships; when you need more to get the same effect; or when you feel restless or unwell when you stop.
What helps: treatments and professionals
Effective approaches include cognitive-behavioural therapy (CBT), motivational interviewing, relapse-prevention programmes, contingency management and, for young people, family-based therapy. Psychologists and clinical psychologists with addiction experience, psychiatrists and specialised addiction services usually work together. For some substances, medically supervised treatment is needed. Mutual-help groups can complement professional care for many people.
When to seek urgent help
Contact your local emergency services immediately in case of a suspected overdose, loss of consciousness, difficulty breathing, seizures, chest pain or confusion. Seek urgent help too if there are thoughts of suicide or harming others. Stopping some substances suddenly after heavy use can be dangerous, so talk to a doctor before quitting.
What you can do in the meantime
Be honest with yourself about how often and why you use, and notice the situations, emotions and people that trigger it. Tell someone you trust and consider removing easy access, such as blocking betting apps or limiting cash. Fill your time with activities that do not involve the substance or behaviour. Lapses can happen; they are a signal to seek support, not a failure.
What does a family therapist do?
A family therapist works with families as a system, seeing several members together or in different combinations. Day to day they help families improve communication, manage conflict, adapt to changes such as separation, illness, migration or the arrival of a child, and support a member who is struggling. They look at roles, rules and patterns in the relationships rather than blaming one person.
When to see a family therapist
Family therapy makes sense when tension at home is constant, when a child or teenager’s difficulties affect everyone, after a separation or blended-family transition, during a loss or serious illness, or when communication has broken down between generations. If one person has a severe mental health condition, family therapy can complement, not replace, individual treatment. Couple-only problems may suit couples therapy 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 family therapist 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.