Introduction. Mental health services and access to psychotherapeutic assistance are vital components of comprehensive healthcare systems. However, the implementation and reimbursement of psychotherapy vary significantly across European countries. Understanding these variations is essential for policymakers, healthcare providers, and mental health advocates to ensure equitable and effective mental healthcare services throughout the continent. Methods. This article presents an in-depth analysis of the psychotherapy landscape in several European countries, focusing on eligibility criteria, coverage models, and reimbursement mechanisms. The countries under consideration include Switzerland, Finland, Denmark, Sweden, Norway, Netherlands, Germany, France, Belgium, Austria, Bulgaria, Croatia, Greece, Poland, and Italy. Results. Each country has developed a unique system for delivering mental health services, resulting in diverse approaches to psychotherapy provision. A common trend across many nations is the requirement for psychotherapy to be prescribed or recommended by a qualified medical practitioner, often involving initial free or subsidized sessions with the possibility of extension contingent on evaluation. Eligibility for free or subsidized psychotherapy often depends on factors such as the severity of the condition and specific diagnosis. Challenges related to access, including long waiting lists, are evident in some countries, leading individuals to seek private sessions to overcome delays. The division between public and private practice creates potential fragmentation in mental health care delivery. Conclusion. Access to psychotherapy in Europe is a complex landscape, with each country adopting a unique approach. Ongoing challenges include availability, cost, and recognition of diverse therapeutic approaches. Standardizing mental health services across Europe is crucial to address these challenges and ensure individuals receive the necessary support. Efforts are needed to improve accessibility, affordability, and recognition of various psychotherapeutic modalities to enhance mental healthcare services continent-wide.