About couples therapy
Couples therapy helps partners improve communication, handle conflict, rebuild trust after a crisis or make decisions together, including separation. Sessions are usually joint, sometimes with individual meetings. It is not about deciding who is right but about understanding the patterns between you.
Couples therapists help partners with communication problems, frequent arguments, infidelity, crises or decisions about the future of the relationship. Sessions are usually joint, sometimes combined with individual ones.
Getting mental health care in Uruguay
Public health system · Sistema Nacional Integrado de Salud (SNIS)
Under Ley 19.529 and Decreto 305/011, every SNIS provider (ASSE or the mutualistas) must offer psychological care in three modes: free group interventions for specific groups, psychotherapy with a set co-payment (for example for people aged 15 to 30, health workers, teachers and people after a suicide attempt), and longer treatment with a lower co-payment for severe conditions. Adults can receive up to 48 individual sessions a year depending on the mode. You can refer yourself or be referred by a health professional, and a reception committee decides the type of therapy. More information
How to check that a professional is licensed
- Ministerio de Salud Pública (MSP), Departamento de Habilitación y Control de Profesionales de la Salud. Ley 17.154 requires a licenciatura in psychology from an authorised university, or a revalidated foreign degree, and every psychologist must register their title with the MSP. Ask for the MSP registration; the digital registration certificate carries a QR code for verification.
- Ministerio de Salud Pública (MSP). Health professionals, including medical specialists, must register their degree and postgraduate titles with the MSP to be authorised to practise in Uruguay.
Insurance and coverage
Psychotherapy is covered by SNIS providers for eligible groups, with a co-payment depending on the mode of care.
Urgent help in Uruguay
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
Information reviewed in November 2026 · Sources: gub.uy, impo.com.uy, gub.uy
Signs to look out for
All couples argue. It may be time to seek help when the same arguments repeat without resolution, conversations quickly turn into criticism or silence, you feel lonely within the relationship, affection or sex have faded and that worries you, trust has been broken, or a big change such as a baby, illness or a move has unbalanced things. Considering separation is also a reason to talk.
What helps: treatments and professionals
Couples therapy approaches with good evidence include emotionally focused therapy, integrative behavioural couple therapy, cognitive-behavioural couples therapy and the Gottman method. Couples therapists, psychologists and psychotherapists with couples training usually lead the work, and a sex therapist can help when sexual concerns are central. Therapy can help couples reconnect, or separate with less damage, especially when children are involved.
When to seek urgent help
If there is physical violence, threats, sexual coercion, or you feel afraid of your partner, your safety comes first: contact your local emergency services if you are in immediate danger, and seek specialised support for domestic violence. Couples therapy is not recommended in these situations. Seek urgent help too if anyone has thoughts of suicide or harming others.
What you can do in the meantime
Choose calm moments to talk about difficult topics, rather than in the middle of an argument. Try to describe how you feel and what you need, instead of criticising. Take a break if things escalate and agree to come back to it. Make time for small moments of connection. Reading reliable information on relationships together can also open useful conversations.
What does a couples therapist do?
A couples therapist helps two people understand and improve their relationship. Day to day they work with couples on communication, recurring arguments, trust after infidelity, intimacy, life transitions such as parenthood or retirement, and decisions about continuing or separating. They stay neutral, make room for both perspectives, and teach practical skills to talk, listen and repair after conflict.
When to see a couples therapist
Couples therapy makes sense when arguments repeat without resolution, you feel distant or misunderstood, trust has been damaged, sexual or emotional intimacy has changed, or you face a big decision together. It also helps couples who want to separate respectfully. If there is violence, control or fear in the relationship, couples therapy is not appropriate; individual support and safety come first.
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 Uruguay cover psychological care?
Under Ley 19.529 and Decreto 305/011, every SNIS provider (ASSE or the mutualistas) must offer psychological care in three modes: free group interventions for specific groups, psychotherapy with a set co-payment (for example for people aged 15 to 30, health workers, teachers and people after a suicide attempt), and longer treatment with a lower co-payment for severe conditions. Adults can receive up to 48 individual sessions a year depending on the mode. You can refer yourself or be referred by a health professional, and a reception committee decides the type of therapy.
How do I check that a couples therapist is licensed in Uruguay?
Ministerio de Salud Pública (MSP), Departamento de Habilitación y Control de Profesionales de la Salud: Ley 17.154 requires a licenciatura in psychology from an authorised university, or a revalidated foreign degree, and every psychologist must register their title with the MSP. Ask for the MSP registration; the digital registration certificate carries a QR code for verification.