Mental health support for expats in Spain: resources & tips

Published: August 2025

Moving to a new country can be exciting, but it also brings challenges that can affect your mental health. Many expats in Spain experience periods of loneliness, stress, or anxiety—especially during the first months. The good news is that Spain offers a growing range of mental health resources, both public and private, and there are many ways to get support as a foreigner. Here’s what you need to know about looking after your mental well-being in Spain.

Common mental health challenges for expats

• Loneliness and homesickness
• Culture shock and language barriers
• Stress from bureaucracy or job searches
• Relationship and family pressures
• Adjustment to new routines and environments

Where to find help in Spain

• Public health system: You can access a psychologist or psychiatrist through your local health center (centro de salud), though waiting times can be long.
• Private therapists: Many English-speaking psychologists work in major cities. Try Psicologos Madrid or Therapy in Barcelona.
• Online therapy: Platforms like BetterHelp and Talkspace offer sessions in English and other languages.
• Support groups: Many expat communities run peer support groups, both in person and online (check Facebook or Meetup).
• Emergency help: For urgent mental health support, call 112 or visit the nearest hospital’s emergency department.

Tips for protecting your mental health as an expat

• Stay connected with friends and family back home.
• Join clubs, sports, or volunteering to build a local network.
• Learn Spanish—it helps you feel more in control and less isolated.
• Maintain healthy routines: eat well, sleep enough, and exercise.
• Don’t hesitate to seek professional help—mental health is just as important as physical health.

Useful links

• English-speaking therapists in Madrid
• Therapy in Barcelona
• Spanish public health centers
• BetterHelp – online therapy
• Talkspace – online therapy

FAQ: expat mental health in Spain

Can I see an English-speaking therapist in Spain? Yes, especially in larger cities and online. Check the links above for options. Is mental health care free in Spain? Public health care covers basic mental health services, but waiting times can be long. Private care is faster but paid. How do I find expat support groups? Search Facebook, Meetup, or ask at international schools and expat centers. What should I do in a mental health emergency? Call 112 or go to the nearest hospital emergency room. Are there therapists who speak other languages? Yes, many private therapists offer sessions in English, French, German, and other languages. How can I reduce loneliness as an expat? Get involved in local activities, join clubs, and keep in touch with loved ones. Can I use online therapy from Spain? Absolutely—services like BetterHelp and Talkspace are available to residents in Spain. Is mental health stigmatized in Spain? Attitudes are changing—seeking help is increasingly accepted, especially among younger generations. How do I get a referral for public mental health care? Visit your local health center (centro de salud) and ask for a referral. What if I don’t speak Spanish well? Look for English-speaking professionals or bring a friend to help with translation.

Disclaimer: This article is for informational purposes only. Always contact a professional for specific mental health advice.