If you are in crisis or having thoughts of suicide or self-harm, please seek support immediately: Linka první psychické pomoci — 116 123 (free, 24/7); Centrum krizové intervence — 284 016 666 (Prague, 24/7); Emergency — 112. This service is not a crisis intervention service. If you are in immediate danger, call 112 or go to your nearest emergency department.
Mental health difficulties — anxiety, depression, burnout, adjustment to a new country, or persistent patterns of thought and behaviour that are affecting your quality of life — respond best to structured, evidence-based clinical support from a qualified professional.
For expats and international residents in Czech Republic, the barrier to mental health support is frequently linguistic. Finding a therapist or psychiatrist who works in English at a level that allows genuine therapeutic depth is genuinely difficult — particularly outside central Prague.
Our doctors, registered with the Czech Medical Chamber (ČLK), offer confidential mental health assessments in English, Arabic, and Bengali by secure video call — removing the language barrier that prevents many international residents from accessing the mental health support they need.
What This Service Is — And What It Is Not
Understanding which level of mental health support is right for you helps ensure you get the most appropriate care.
This GP-level mental health consultation is appropriate for:
- Initial assessment of anxiety, low mood, depression, and stress
- Screening for common mental health conditions using validated clinical tools
- Assessment of how mental health symptoms interact with physical health
- Clinical recommendations and care planning at the doctor's professional discretion
- Referral for psychology, psychiatry, or other specialist support where indicated
- Guidance on mental health services available in Czech Republic in English
- Review of existing mental health management and ongoing support
This service is not appropriate for:
- Crisis intervention — if you are in crisis, use the resources above
- Psychiatric assessment — if you need a psychiatrist, your doctor coordinates referral
- Psychotherapy or counselling — this is a medical assessment, not a therapy session
- Assessment of psychosis, severe bipolar disorder, or complex psychiatric conditions — these require specialist psychiatric assessment
- Involuntary psychiatric assessment or treatment under Czech law
Not sure which level of support is right for you? Start with this consultation. Your doctor assesses your presentation and advises on the most appropriate next steps — including whether specialist psychology or psychiatry is indicated.
Conditions Commonly Assessed
Anxiety and Stress
- Generalised anxiety disorder
- Social anxiety and performance anxiety
- Health anxiety
- Panic attacks and panic disorder
- Work-related stress and burnout
- Academic stress and exam anxiety
- Adjustment difficulties — new country, new job, relationship changes
- Expat-specific stress — cultural adjustment, isolation, identity concerns
Mood
- Low mood and depression
- Persistent sadness and loss of interest
- Emotional exhaustion and anhedonia
- Postnatal mood changes — low mood and anxiety after childbirth
- Seasonal affective disorder
- Grief and bereavement
Sleep and Behaviour
- Insomnia and sleep disturbance with psychological contributors
- Fatigue with psychological contributors
- Appetite changes and eating patterns related to mood
- Concentration and cognitive difficulties related to anxiety or depression
Trauma and Life Events
- Initial assessment of trauma-related symptoms — with referral to specialist psychological support where indicated
- Adjustment to significant life events — bereavement, relationship breakdown, job loss
- Expat stress and relocation — cultural adjustment, isolation, identity concerns
Ongoing Mental Health Management
- Review of existing mental health conditions managed at GP level
- Mental health assessment in the context of chronic disease management
- ADHD — initial screening and referral for formal assessment where indicated
- Assessment of mental health medication concerns at GP level
What Your Consultation Includes
Confidential clinical assessment
Your doctor conducts a structured and comprehensive mental health assessment — covering your current symptoms, mood, sleep, energy, appetite, concentration, relationships, work or academic pressures, medical history, and any previous mental health support. The conversation is guided, confidential, and non-judgmental.
Validated screening tools
Where appropriate, your doctor uses validated clinical screening tools — including PHQ-9 for depression, GAD-7 for anxiety — ensuring a structured, evidence-based assessment of your current mental health.
Safety assessment
Every mental health consultation includes a structured safety assessment — conducted with sensitivity as a standard component of clinical care. If risk is identified, your doctor advises on the appropriate pathway and ensures you are connected to the right support.
Personalised care plan
Based on the assessment, your doctor advises on the most appropriate next steps — which may include wellbeing and lifestyle recommendations, referral for psychology or psychotherapy, guidance on community services, psychiatric referral where indicated, or clinical recommendations at the doctor's professional discretion.
Navigation support
Navigating the mental health system in Czech Republic as an international resident is genuinely difficult. Your doctor provides clear guidance on what services are available in English, how to access them, and what to expect.
Mental Health Support for Expats
Mental health difficulties are disproportionately common among expats and international residents — driven by isolation, cultural adjustment, language barriers, family separation, and the cumulative stress of building a life in a new country.
Accessing mental health support in Czech Republic as an international resident brings additional challenges — unfamiliarity with the Czech mental health system, absence of a registered GP, language barriers, and cultural differences in how mental health is understood and discussed.
Our doctors offer mental health assessments in English, Arabic, and Bengali — and have experience with the specific mental health challenges faced by international communities in Czech Republic.
A Note on Confidentiality
Everything discussed during your mental health consultation is confidential and protected under Czech and European data protection law.
There are two circumstances in which confidentiality may need to be carefully considered — when there is serious and immediate risk to your life or safety, or when there is risk to the safety of another person. Your doctor discusses confidentiality with you at the start of the consultation.
Mental health consultations are conducted at GP level by doctors registered with the Czech Medical Chamber (ČLK), in accordance with Czech telemedicine regulations under Act No. 372/2011 Coll. and Decree No. 30/2025 Coll. This service is a GP-level medical assessment — it is not a crisis intervention service, a counselling or psychotherapy service, or a psychiatric service. Clinical recommendations and referrals are issued solely at the doctor's professional discretion following full assessment. Involuntary psychiatric assessment or treatment under Czech law cannot be initiated through this service. If you are in crisis or having thoughts of suicide or self-harm, call Linka první psychické pomoci on 116 123 or 112 immediately.
