How do I start psychotherapy?

Contact a health centre, occupational health or a private doctor and describe your symptoms. You can also go directly to a private therapist. If Kela's conditions are met, a psychiatrist writes a B-statement, after which you apply to Kela and find a Kela-approved therapist.

How long does the process take?

For Kela therapy, treatment must have lasted at least 3 months after the diagnosis, plus Kela's processing time, which varies. The whole process therefore usually takes several months.

Do I need a referral for psychotherapy?

You don't need a referral for a private psychotherapist. For Kela rehabilitation psychotherapy, however, you need a psychiatrist's B-statement.

What if the therapist doesn't feel right?

It's completely normal to switch therapists. A good therapeutic relationship is essential for successful treatment. You can try a few therapists before finding the right one.

How to find a therapist – A step-by-step guide

Updated 20 April 2026 · Editorial principles and sources

Finding a therapist can feel complicated, but the process is clear. This guide walks you through step by step to the right care.

1. Contact a doctor

The first step is to book an appointment with a doctor. You can go to a health center, occupational healthcare, or a private doctor. Tell the doctor about your symptoms and ask for an assessment of your need for psychotherapy.

2. Get a diagnosis and B-statement

A professional assesses your situation and makes a diagnosis if appropriate. For Kela rehabilitation psychotherapy, treatment must have lasted at least 3 months after the diagnosis, and the B-statement must contain a psychiatrist's assessment. The B-statement is required for Kela rehabilitation psychotherapy.

3. Apply for Kela rehabilitation psychotherapy

Once you have a B-statement, you can apply for Kela rehabilitation psychotherapy (form KU 131). Kela's processing time varies. Kela's support covers part of the cost.

4. Find the right therapist

Now you can search for a therapist. A good therapist is Kela-approved (if you're applying for Kela support), specializes in your issues, and is conveniently located.

What to consider when choosing a therapist?

Specialization – does the therapist have experience with your specific issue?
Therapy type – CBT, psychodynamic, integrative, or other?
Kela approval – if you're applying for Kela rehabilitation psychotherapy
Location and schedule – is there a suitable time and place?
Chemistry – does the therapist feel trustworthy and safe?

Therapy types in brief

The most common psychotherapy types in Finland are:

Cognitive Behavioral Therapy (CBT)Psychodynamic Psychotherapy Integrative Psychotherapy Solution-Focused Brief Therapy Brief Therapy

What if I don't get Kela support?

You can still seek psychotherapy. Alternatives include private psychotherapy, brief therapy, low-threshold services, and therapy covered through health insurance.