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Medical Expenses
Updated Dec 2025

Counselling Psychotherapy Tax Relief

```html If you or a family member has attended counselling or psychotherapy sessions in Ireland, you may be entitled to claim tax relief on these expenses. Many people are unaware that mental health s...

9 December 2025
6 min read

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If you or a family member has attended counselling or psychotherapy sessions in Ireland, you may be entitled to claim tax relief on these expenses. Many people are unaware that mental health services qualify for medical expenses tax relief, potentially putting hundreds of euros back in your pocket each year. With 20% tax relief available on qualifying counselling and psychotherapy costs, understanding how to claim this benefit could make accessing these vital services more affordable.

Understanding Tax Relief for Counselling and Psychotherapy

In Ireland, counselling and psychotherapy expenses are recognized as qualifying medical expenses under Revenue guidelines, provided they meet specific criteria. The Irish government acknowledges the importance of mental health treatment, and as such, allows taxpayers to claim 20% tax relief on these costs through the MED1 form system.

The relief applies when you've paid for counselling or psychotherapy services from appropriately qualified practitioners. This includes sessions with clinical psychologists, psychotherapists, counselling psychologists, and other registered mental health professionals. The key requirement is that the practitioner must be authorized to practice in Ireland and the treatment must be for a recognized therapeutic purpose.

Who Qualifies as an Eligible Practitioner?

Revenue has specific requirements for practitioners whose services qualify for tax relief. Generally, the following professionals' services are eligible:

  • Clinical Psychologists: Registered with the Psychological Society of Ireland (PSI) or CORU
  • Counselling Psychologists: Holding recognized professional accreditation
  • Psychotherapists: Registered with recognized professional bodies such as the Irish Association for Counselling and Psychotherapy (IACP)
  • Psychoanalysts: With appropriate professional registration

It's essential to verify your practitioner's qualifications before claiming, as Revenue may request evidence that the professional is appropriately registered. Most qualified practitioners will readily provide this information and are familiar with patients claiming tax relief.

What Expenses Can You Claim?

The tax relief covers the actual cost of counselling and psychotherapy sessions. This includes:

  • Individual therapy sessions
  • Group therapy sessions
  • Family counselling sessions
  • Couples therapy (when addressing mental health concerns)
  • Online or telephone counselling sessions from qualified practitioners

Similar to other medical expenses tax relief in Ireland, you must have personally incurred these costs and not received reimbursement from health insurance or any other source. If your insurer covers part of the cost, you can only claim relief on the portion you paid yourself.

Practical Examples: Real Savings Calculations

Example 1: Individual Weekly Therapy

Sarah attends weekly psychotherapy sessions with a registered psychotherapist at €75 per session. Over the year, she attends 45 sessions.

Total annual cost: €3,375

Tax relief at 20%: €675

Net cost after relief: €2,700

Example 2: Family Counselling Sessions

The Murphy family attends 20 family counselling sessions with a clinical psychologist at €120 per session to address family dynamics and mental health concerns.

Total annual cost: €2,400

Tax relief at 20%: €480

Net cost after relief: €1,920

Example 3: Multiple Family Members

John claims for himself and his dependent child. He spent €2,800 on his own counselling, and €1,500 on child psychology sessions for his daughter.

Total family expenses: €4,300

Tax relief at 20%: €860

Total refund received: €860

How to Claim Your Counselling Tax Relief

Claiming tax relief on counselling and psychotherapy expenses involves submitting a MED1 form to Revenue. You'll need to gather several important documents:

  • Receipts from your counsellor or psychotherapist showing dates, amounts paid, and the practitioner's details
  • Evidence of the practitioner's professional registration (if requested)
  • Details of any insurance reimbursements received

You can claim for expenses incurred in the current year and up to four previous tax years. This means if you've been attending therapy for several years and haven't claimed before, you could be entitled to a substantial refund. Just like with claiming tax back on dental costs, proper documentation is essential for a successful claim.

Important Considerations and Restrictions

While counselling and psychotherapy qualify for tax relief, there are some important points to remember:

The €125 Threshold: Similar to other medical expenses, there's a threshold to consider. For non-routine health expenses (which includes counselling), you can claim relief on the full amount. This differs from routine expenses like GP visits or prescriptions where a €125 annual threshold applies per person.

Insurance Coverage: If your health insurance covers any portion of your counselling costs, you can only claim relief on what you actually paid out of pocket. Keep records of insurance claim statements alongside your receipts.

Life Coaching vs. Therapy: It's important to distinguish between life coaching or general wellness counselling and therapeutic mental health treatment. Only sessions with qualified mental health professionals for treating psychological conditions qualify for relief.

Claiming for Dependents and Family Members

You can claim tax relief not only for your own counselling expenses but also for qualifying dependents. This includes:

  • Your spouse or civil partner
  • Children under 18 years old
  • Children aged 18-23 in full-time education
  • Other dependents for whom you can claim tax credits

This provision can significantly increase your potential refund, especially if multiple family members are receiving mental health support. Like hospital bills tax back, consolidating family claims can result in substantial savings.

Frequently Asked Questions

Can I claim tax relief on online counselling sessions?

Yes, as long as the service is provided by a qualified and registered mental health professional, online or telephone counselling sessions qualify for tax relief. The same rules apply as for in-person sessions – you need proper receipts and the practitioner must hold appropriate professional credentials.

How far back can I claim for counselling expenses?

You can claim tax relief on counselling expenses for the current tax year and the previous four years. This means in 2025, you can make claims for expenses incurred from 2021 onwards. If you've been attending therapy for several years without claiming, this could result in a significant refund.

What if my health insurance covers part of my therapy costs?

You can only claim tax relief on the net amount you personally paid. If your insurance reimburses €40 per session and you pay €80 per session, you can claim relief on the €40 you paid out of pocket. Always keep documentation showing both the full cost and any insurance reimbursements.

Do I need a doctor's referral for counselling to qualify for tax relief?

No, you don't need a GP referral for counselling or psychotherapy to qualify for tax relief. However, the practitioner must be appropriately qualified and registered with a recognized professional body. Your counsellor or therapist should be able to confirm their registration status.

Can I claim for marriage counselling or relationship therapy?

Yes, if the relationship or marriage counselling is provided by a qualified mental health professional and addresses psychological or mental health issues, it qualifies for tax relief. The key factor is that it must be therapeutic treatment provided by an appropriately registered practitioner rather than general relationship advice.

Maximize Your Counselling Tax Refund with Professional Help

While counselling and psychotherapy expenses clearly qualify for tax relief, navigating the claims process and ensuring you receive the maximum refund can be complex. Many people miss out on hundreds of euros because they're unsure about documentation requirements, calculation of eligible amounts, or don't realize they can claim for previous years.

Filed under:Medical Expenses

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