Doporučení od lékaře: Jak získat psychoterapii přes primární péči a co vám čeká

When you need mental health support, doporučení od lékaře, formální odporúčení od praktického lékaře nebo psychiatra, které umožňuje získat hrazenou psychoterapii. Also known as odkaz na psychologa, it is often the only way to access affordable therapy in the Czech Republic. Many people think therapy is only for those with severe problems, but the truth is, if you’re feeling overwhelmed, stuck, or just not yourself — a doctor’s referral can open the door to real help, and it’s covered by insurance.

Psychoterapie v primární péči isn’t some hidden system — it’s a bridge between your GP and a licensed psychologist. Your doctor doesn’t need to diagnose you with depression to refer you. If you’ve been tired for months, can’t sleep, feel anxious before work, or keep crying over small things, your GP can and should refer you. You’ll get 10–20 sessions, depending on your needs, and the state pays for them. No private clinic fees. No credit card needed. Just a conversation with your doctor and a referral slip.

But here’s what most people don’t know: not every doctor knows how to do this right. Some still think therapy is only for "crazy people." Others don’t know the process. That’s why you need to be ready. Bring a list of your symptoms. Say clearly: "I think I need help with my mental health and would like a referral to a psychologist." Don’t wait for them to ask. If they hesitate, ask about the national program for mental health in primary care. It’s real. It’s funded. And it’s meant for people like you.

And it’s not just about getting the referral — it’s about what happens next. The psychologist you’re referred to will work with your doctor. They’ll share notes (with your permission) so your treatment is coordinated. If you’re on medication, your GP and psychologist will talk. If you’re struggling with stress at work, they’ll both adjust their approach. This isn’t two separate treatments — it’s one team working for you.

Don’t confuse this with private therapy. Private sessions cost 800–1300 Kč. This one? It’s free at the point of service. You pay nothing. No hidden fees. No upfront payment. Just show up, talk, and get help. And if you need more than 20 sessions? You can apply for an extension. It’s not automatic, but it’s possible — if your therapist says you need it.

Some people worry: "Will my doctor judge me?" The truth? Most GPs are tired of seeing patients with untreated anxiety and depression. They want to help. They’ve seen how therapy changes lives — better sleep, less panic, stronger relationships. They’re not there to label you. They’re there to connect you to the right support.

And if you’ve been told "it’s just stress" or "you’ll get over it" — that’s not enough. Stress can turn into burnout. Burnout can turn into depression. Depression can turn into silence. A referral isn’t a sign of weakness. It’s a sign you’re ready to take back control. And you don’t have to do it alone.

Below, you’ll find real stories and practical guides on how to get this referral, what to expect in your first session, how to handle stalling doctors, and why this system works better than you think — if you know how to use it.