ADHD assessment and treatment in Kathmandu, Nepal
ADHD (Attention-Deficit/Hyperactivity Disorder) affects children, adolescents and adults, and often goes unrecognised in adults who were never assessed as children, showing up instead as chronic disorganisation, procrastination or underachievement relative to ability. Dr. Kushal Kharel provides ADHD assessment and treatment in Kathmandu — a full clinical evaluation, followed by an individualised plan that may include stimulant or non-stimulant medication, behavioral strategies, or, where testing would clarify the picture further, referral for formal psychometric assessment.
Who this is for
- Parents concerned about a child's inattention, hyperactivity or impulsivity
- Adults who suspect they have ADHD but were never assessed as children
- Adults with chronic disorganisation, procrastination or difficulty finishing tasks
- Students struggling academically despite putting in effort
- Adults or children where ADHD needs to be distinguished from anxiety or a mood disorder
- People who've tried general willpower-based strategies without lasting success
- Families wanting a formal diagnosis before starting medication or requesting school accommodations
Common concerns
Frequently Asked Questions
How is ADHD diagnosed in Kathmandu?
Diagnosis is based on a detailed clinical history of symptoms and their impact across settings (home, school or work), following standard diagnostic criteria. For children, parent and, where useful, school input is included; formal psychometric testing can be added when the picture needs further clarification.
Can adults be diagnosed with ADHD for the first time?
Yes. Many adults were never assessed as children and instead grew up managing ADHD symptoms without a name for them. An adult ADHD assessment looks at both current symptoms and a childhood history consistent with the diagnosis.
Is medication always needed for ADHD?
No. Treatment is individualised and may include stimulant or non-stimulant medication, behavioral strategies, or both, depending on symptom severity, age and personal preference — medication is discussed as one option, not a default.
What's the difference between ADHD and anxiety, since both affect concentration?
Both can cause difficulty concentrating, but the underlying pattern differs — ADHD involves a longstanding, cross-situational pattern of inattention or hyperactivity typically present since childhood, while anxiety-related concentration difficulty is usually tied to worry and can have a later onset. Distinguishing between them, or identifying both together, is part of the assessment.
Are stimulant medications for ADHD available in Nepal?
Yes, though availability of a specific brand can vary by pharmacy; this is discussed as part of treatment planning, alongside non-stimulant alternatives where appropriate.
Is ADHD assessment available online?
An initial consultation can be conducted online, though formal psychometric testing, when needed, requires an in-person visit to the Kalanki clinic in Kathmandu.
Will my child's school be involved in the assessment?
Only with your consent. School input can be useful for a fuller picture of how symptoms affect functioning across settings, and is coordinated with parents rather than sought independently.
Ready to book a consultation?
In-person at the Kalanki clinic in Kathmandu, or online from anywhere.