If you or your children are not safe, get help now. Visit a nearby emergency service, hospital, or police station immediately. The line listed below is a gender-based-violence line.
Crisis numbers in Spain
- 016, for violence against women, in 53 languages: Tel: 016 | WhatsApp: 600 000 016, which the ministry states takes WhatsApp messages and not calls | Text phone: 900 116 016
- All crisis lines in Spain
This page lists Couples Counsellors in Madrid. 4 in all.
What the counsellors on this page do, and how to choose one
Assessment, diagnosis and medicine sit outside counselling; ask who provides them where you are. Open the profiles below to compare experience, language, fee, and whether they work online. Ask how soon each one can see you.
If you are afraid of your partner, say so to the practitioner before any joint session is booked. Ask to be seen on your own first. The support numbers at the top of this page are for that situation.
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 specialism recorded as Couples and the professional title counsellor.
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.
Lower-fee services in Madrid
- Centros de Apoyo a las Familias (CAF), Ayuntamiento de Madrid in Madrid offers psychological orientation, family mediation and support for couples and families, free to resident families.1
Frequently Asked Questions
Do both of us have to come?
Usually. Partners are almost always seen together2. Couples sessions require safety.
Some practitioners will see one partner alone where the other will not attend. Ask what a practitioner does when one person is unwilling.
Is this for married couples only?
No. Couples counselling is for people in a relationship, married or not, of any gender, living together or not. The same practitioners work with couples deciding whether to separate, and with couples who have already separated and are parenting together. Say which of those describes you at first contact.
Will the therapist say who is right?
No. The work is with what happens between two people rather than with a verdict on either of them. Effective work with couples needs its own theories and methods, drawn from research on relationships. Ask a practitioner how they handle it when you disagree in the room.
Can couples counselling be done online?
Yes, and many practitioners offer it. Couples therapy by video shows few significant differences from face-to-face sessions3. Symptom reduction, engagement and the therapeutic alliance are comparable.
Sitting in the same room at home suits some couples and not others. Ask what a practitioner offers.
Who registers therapists in Spain?
See the Spain page for the professions that do carry a register there.
What these practitioners record
Sessions here are offered in English and Spanish.
Nearby places and related listings
References
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)
