If you are in immediate danger or thinking about harming yourself, get help now. Visit a nearby emergency service, hospital, or mental health clinic. If you are in crisis, these helplines can help:
Crisis numbers in Spain
- Línea 024, the national suicide line: Tel: 024
- Teléfono de la Esperanza, 717 003 717: Tel, mobile: 717 003 717 | Tel, landline: 914 59 00 55
- Teléfono contra el Suicidio: Tel: 911 385 385
- All crisis lines in Spain
This page lists Counsellors in Madrid. 6 in all.
What a counsellor does, and how counselling differs from psychotherapy
Everyone on this page describes their work as counselling. A counsellor listens and helps you find your own solutions to problems.
The training emphasises the conversation itself. Sessions usually stay close to something happening now: a loss, a relationship, work, a decision. That focus is what most often separates counselling from longer psychotherapy.
A counsellor is not a medical doctor and does not prescribe or diagnose. Ask a counsellor what they work with, and for how long.
What this page filters on
These are the only filters: the professional title counsellor.
The Madrid page answers more questions about therapy there.
Paying for therapy in Madrid
What does therapy cost in Madrid?
Our Madrid fee guide puts a session at €70 to €90. Those are examples, not a full survey.
Do affordable options exist in Madrid?
Centro de Salud Mental de Puente de Vallecas. Phone +34 91 477 8946. Care is publicly funded for people with a recognised public health entitlement. The centre serves district residents and other eligible users of Madrid's public health system. You can come by referral or by free choice of centre.
Who registers therapists in Spain?
See the Spain page for the professions that do carry a register there.
What these practitioners record
The areas of focus listed most often here are Anxiety (4), Life Transitions (4) and Relationship Issues (4).
Sessions here are offered in English and Spanish.
Nearby places and related listings
- Female Psychologists in Madrid, one filter on the full Madrid psychologists list
- Psychologists in Madrid
- Madrid: all therapists listed (24)
- Marriage counselling in Madrid
Real choice. Authentic, independent, clinician-led care.
TherapyRoute is a clinician-led directory that champions independent practitioners who answer to you and their professional ethics. We don't take commissions, sell your data, or assign therapists by algorithm. You browse, compare, and choose.
Vincenzo (Enzo) Sinisi, Clinical Psychologist (HPCSA), Psychoanalyst (IPA/SAPA), Group Analyst (IGA)


