San Marino (SM)
A compact, high-income microstate entirely surrounded by Italy, known for low taxes, strong public administration, hilltop heritage, cross-border dependence on Italy and a small but rules-heavy residence system.
Mental Health Resources
Support, crisis lines and therapy access in San Marino.
Mental-health support exists through ISS and private clinicians, but English-speaking supply is limited. Nearby Rimini/Bologna and teletherapy can fill gaps.
Crisis Lines
EU emergency (police, fire, ambulance)
112
Languages: Italian primarily
Available: 24/7
FreeMedical emergency and ambulance
118
Languages: Italian primarily
Available: 24/7
FreeTelefono Amico Italia (emotional support line, accessible from San Marino)
02 2327 2327
Languages: Italian
Available: 09:00–24:00 daily
FreeAccessing Therapy
Through public insurance: ISS pathways through GP/referral and public mental-health services for eligible residents.
Waiting times: Public waits vary; private care in San Marino or Italy can be faster.
- - private therapists in Rimini/Bologna
- - international teletherapy
- - employer EAP
- - insurer provider lists
- - bilingual expat referrals
Online Therapy
Insurance covered: No / partially
Confirm licensing, privacy and reimbursement before relying on online care.
Expat-Specific Challenges
- -small-community privacy concerns
- -Italian language barrier
- -permit and tax stress
- -social isolation
- -cross-border commuting
- -limited specialist choice
For immediate danger call 112/118. Keep medication names and emergency contacts in Italian.