Psychiatric services are available in Nepal but it is one of the least developed branches of medicine in the country.
- Outside of the bigger cities there are no psychiatrists. In some of the larger cities there are well trained private psychiatrists who are very knowledgeable about psychotropic medication, but they tend to be very busy and can spend little time with any particular patient. The usual visit might last 10 or 15 minutes and follow-up might be in a month or 6 weeks. Psychiatrists do not do psychotherapy as a rule and there are few psychotherapists any place in Nepal.
- There are a few psychiatric hospitals in the bigger cities, but they are very basic and most Westerners find hospitalization here unpleasant and difficult.
- Many psychotropic medications are available in Nepal, mostly made in India. When they are available they are much cheaper than in the West. However, some of the newer medications are not available here and the closest place to obtain them may be Bangkok.
Anyone who has experienced significant psychiatric problems should take certain precautions on coming to Nepal. Nepal is a poor country and the level of chaos, inconvenience, and poverty can be a challenge for anyone used to the services and comforts of the West. Travel itself, with the inevitable uncertainties, missed connections, delays, jet lag, etc can be serious stressors. Once in Nepal, especially outside of Kathmandu, people may experience difficulty with such routine challenges as unpredictable schedules, unfamiliar foods, and problems with communication. Many people come to Nepal for Buddhist studies, sometimes with little prior experience, and this can present significant challenges for some. Buddhist study and intense meditation can release very powerful psychological forces. Sometimes this can be destabilizing if undertaken without adequate preparation.
With these things in mind it is advisable to consult with your psychiatrist/therapist before coming to make sure you have enough medication for the trip and to discuss what warning signs you should watch for. It is also a good idea to bring medical records and the telephone numbers of people who might need to be notified and professionals who are familiar with your treatment. If possible travel with people who know you and your situation, and who are willing to help out if needed.
