Calpe, Spain



Understanding Mental Health in Spain

By Joshua Wood, LPC

BlueCross BlueShield Global Solutions
BlueCross BlueShield Global Solutions

Summary: Expats face a lot of stressors living abroad. It's important to know how mental healthcare services work in Spain should you need them.

Moving to a new country can be an exciting adventure, but it also comes with its own set of challenges, including understanding and navigating mental health services. For expats and digital nomads in Spain, this guide will help you understand what to expect from mental health services and the cultural attitudes surrounding mental health.

Finding a Mental Health Care Provider in Spain

Finding an English-speaking mental health care provider in Spain can be a bit challenging, especially outside of major cities like Madrid, Barcelona, and Valencia. However, it is not impossible. Many private practices and international healthcare centers offer services in English. Online directories and expat forums can be helpful resources for finding recommendations.

Mental Health Care Services Compared to English-Speaking Nations

The mental health care services provided in Spain may differ from what you might expect in countries like the United States, the UK, Canada, Australia, New Zealand, or South Africa. While Spain has both public and private healthcare systems, the public system can have longer wait times and may not offer the same range of specialized services. Private healthcare often provides more immediate and specialized care.

Standard of Care for Mental Health in Spain

Cognitive-Behavioral Therapy (CBT) is recognized and used in Spain, but it is not as prevalent as in some English-speaking countries. The standard of care for anxiety, depression, and other mood disorders often includes a combination of psychotherapy and medication. The approach may be more holistic, incorporating elements of psychoanalysis and other therapeutic methods alongside CBT.

Online Mental Health Care Services in Spain

Expats and nomads often favor using online services for convenience and accessibility to therapists in their native language. In Spain, online mental health care services are available, but there can be technological barriers such as unreliable internet connectivity in rural areas. Additionally, not all therapists may be equipped to provide online services, so it is important to inquire about this option when seeking care.

Other Important Considerations for Mental Health Care in Spain

It's important to consider the cultural attitudes towards mental health in Spain. While the stigma around mental health is decreasing, it may still be more prevalent than in some other countries. Confidentiality laws may also differ, so it is crucial to discuss this with your healthcare provider. Additionally, if you are taking medication, be aware that some prescriptions may not be as readily available or may have different brand names.

About the Author

Joshua Wood Joshua Wood, LPC joined Expat Exchange in 2000 and serves as one of its Co-Presidents. He is also one of the Founders of Digital Nomad Exchange. Prior to Expat Exchange, Joshua worked for NBC Cable (MSNBC and CNBC Primetime). Joshua has a BA from Syracuse and a Master's in Clinical and Counseling Psychology from Fairleigh Dickinson University. Mr. Wood is also a licensed counselor and psychotherapist.

Some of Joshua's articles include Pros and Cons of Living in Portugal, 10 Best Places to Live in Ireland and Pros and Cons of Living in Uruguay. Connect with Joshua on LinkedIn.


BlueCross BlueShield Global Solutions
BlueCross BlueShield Global Solutions

BlueCross BlueShield Global Solutions
BlueCross BlueShield Global Solutions

SJB Global
SJB Global

SJB Global is a top-rated financial advisory firm specializing in expat financial advice worldwide, offering retirement planning & tax-efficient solutions with a regressive fee model.
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SJB GlobalSJB Global

SJB Global is a top-rated financial advisory firm specializing in expat financial advice worldwide, offering retirement planning & tax-efficient solutions with a regressive fee model.
Learn More

BlueCross BlueShield Global Solutions
BlueCross BlueShield Global Solutions

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