Directory
How to find an English-speaking therapist here
Prague has by far the largest supply of English-speaking therapists. Brno and Ostrava have smaller but growing scenes, and online therapy has closed most of the geographic gap since 2020.
Who does what in Czechia
- Klinicky psycholog. Clinical psychologist. University degree in psychology, then post-graduate clinical specialisation. Can diagnose and use standardised assessments. Cannot prescribe medication.
- Psychoterapeut. Psychotherapist. Completed accredited long-term training in a specific modality (CBT, psychodynamic, systemic, gestalt, and others). Not all psychotherapists are psychologists by background.
- Psychiatr. Psychiatrist. Medical doctor, can prescribe.
- Koucˇ / lifestyle coach. Unregulated. Not the same as therapy.
Public insurance versus private
Public health insurance (VZP and others) covers a limited number of sessions with contracted clinical psychologists per year. Waiting lists in Prague can stretch to several months, English-speaking availability is thin. Most expats pay privately, 1,500 to 2,500 CZK per 50-minute session in 2026, with a handful of clinics near 3,000 CZK for internationally-credentialled therapists.
What to check before booking
- Training background: a specific psychotherapy school and how many hours of training.
- Ongoing supervision — reputable therapists have it.
- Fluency in English, not just conversational level.
- Whether they offer online sessions if that matters for continuity.
- Their approach to your specific issue: not every therapist works with trauma, addiction, or eating disorders.
The first session
Usually a mutual assessment. You describe why you came, they ask about history, together you decide whether to continue. It is fine to try one to three sessions before committing to longer-term work, and equally fine to switch therapists if the fit is off. Fit predicts outcome more than any particular method.