A height- and/or inclination-adjustable head restraint for a vehicle seat includes at least one holding element, a head restraint cushion, a head restraint structure and an inclination-adjustment mechanism that includes at least one latching plate, a toothed profile and an actuating element. The latching plate is arranged on the holding element and, in a locked state of the inclination-adjustment mechanism, engages in a form-fitting and/or frictional manner in the toothed profile, which is arranged on the head restraint structure. The lower end of the head restraint structure is coupled pivotably to the holding element and, upon pivoting of the head restraint about the holding element; in a non-locked state of the inclination-adjustment mechanism, the form-fitting and/or frictional connection between the latching plate and the toothed profile is released and a relative movement is thereby brought about between the latching plate and the toothed profile.