Guide from erstmalreden.de
You do not need a diagnosis (A professional assessment by a qualified person. You do not always need a diagnosis before asking for help.) or your whole story for the first contact. You can ask directly for a psychotherapeutic consultation. A short sentence, your contact details, and a request for an appointment are enough to begin.
First contact & finding words
You can contact a psychotherapeutic (A professional for psychotherapy. Medication is usually prescribed by medical doctors, not psychological psychotherapists.) practice yourself. A referral is generally not required for the psychotherapeutic consultation. Ask first for a consultation appointment. This is an initial professional assessment and not yet a promise of an ongoing therapy place.
You can say: “Hello, I am looking for an appointment for a psychotherapeutic consultation (A first assessment appointment in a psychotherapeutic practice in Germany. It does not automatically mean a therapy place is available.). Are you accepting new patients, or do you have a waiting list?” You may read the sentence aloud. You do not have to explain your full situation on the phone.
If the practice accepts written requests, you can write: “Hello, I would like to arrange a psychotherapeutic consultation. I have statutory/private insurance and can be reached at [phone or email]. Please let me know whether an appointment or waiting list is available.” Do not include unnecessary intimate details in an unencrypted message.
Useful details are your name, a safe way to contact you, your insurance status, and the clear request for a consultation. Some practices ask about age, availability, or a very brief description of the strain. You can say that you prefer to discuss details in the protected appointment.
People with German statutory health insurance can also arrange a psychotherapeutic consultation through 116117 (Germany’s medical on-call and appointment service. It is not an emergency number; call 112 in immediate danger.) by phone or online. No referral code is needed for this first consultation. A code may become relevant for certain later appointments. 116117 is not an emergency number; call 112 in immediate danger.
You can follow up once and contact other practices or 116117 at the same time. A rejection usually means that no place is currently available, not that your concern is unimportant. Briefly note when you contacted each practice.
Updated: August 12, 2026 · Sources checked: August 12, 2026
This guide may fit as a next step: What is a psychotherapeutic consultation hour?
Open articleUse the sentence helper or copy one short sentence. First contact does not have to be perfect.
Prepare a sentenceThen reading more is not the priority. Open urgent help or call 112 in Germany if there is immediate danger.
Open urgent helpThis page offers orientation and words for first contact. If you need counseling, therapy, or emergency help, real contact points matter.