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About the National Counselling Service

The National Counselling Service (NCS) provides free counselling to some people age 18 or older.

You can access the service if 1 of the following applies, you:

  • experienced childhood abuse or neglect
  • are a former resident of a mother and baby home
  • have a medical card - this is called Counselling in Primary Care (CIPC)

You do not need a medical card if you are a former resident of a mother and baby home or you experienced childhood abuse.

What NCS can help with

We can help with mental health difficulties that affect your daily life, including:

  • depression
  • anxiety, panic and phobias
  • relationship problems
  • bereavement and loss
  • stress
  • physical, emotional or sexual abuse or neglect
  • adverse childhood experiences - for example, living with people who had substance use or mental health issues
  • coping with difficult situations such as injury or illness

What NCS cannot help with

We cannot help with:

  • severe mental health difficulties - this is when you have many symptoms that make daily life extremely difficult
  • addiction issues

Ask your GP about support for these difficulties.

About mental health supports and services

Being ready for counselling

Counselling takes a regular commitment.

To get the most out of counselling, think about if you are ready to:

  • regularly attend appointments
  • talk about yourself and your problems
  • try different solutions or positive coping strategies

How to access NCS

How you access counselling from NCS depends on your situation.

If you have a medical card

You need a referral from your GP to access counselling from NCS.

This service is called counselling in primary care (CIPC).

Accessing counselling if you have a medical card

If you experienced childhood abuse or neglect

You can refer yourself for counselling if you experienced childhood abuse or neglect. You do not need to have a medical card.

Referring yourself for counselling

If you are a former resident of a mother and baby home

You can refer yourself for counselling if you are a former resident of a mother and baby home. You do not need to have a medical card.

Referring yourself for counselling

After we get your referral

When we get your referral, we'll check if:

  • counselling may be helpful for you
  • NCS is the right service for you

To do this, we may:

  • offer you an assessment appointment - where you and your counsellor talk about how counselling may help
  • ask your permission to contact other mental health services for more information - if you are attending other services

If counselling with the NCS is the right service for you, we will offer you a counselling place when it is available.

If counselling is not suitable at the time, we may:

  • refer you back to your GP or primary care team
  • tell you about other services and supports

What happens during counselling

We offer counselling in person, by phone or by video call. In-person appointments are available around the country and usually happen in a primary care centre.

Counselling may involve:

  • talking about your difficulties
  • identifying positive ways of coping
  • making changes
  • developing new skills
  • improving relationships
  • finding other supports that may help you

Page last reviewed: 30 October 2023
Next review due: 30 October 2026