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Psychiatric care for expatriates living in Nepal

Expatriates living in Nepal — NGO and INGO staff, embassy and diplomatic staff, teachers, volunteers, foreign employees and spouses of Nepali citizens — often face the same mental health conditions seen anywhere, alongside added stress from being away from familiar support systems. Dr. Kushal Kharel provides confidential, English-language psychiatric consultation, in person at the Kalanki clinic in Kathmandu or online, for expatriates who want evidence-based care without a language barrier.

Who this is for

  • NGO, INGO and development sector staff based in Nepal
  • Embassy, diplomatic and international organization staff
  • Foreign teachers, volunteers and researchers
  • Foreign employees of companies operating in Nepal
  • Spouses and family members of Nepali citizens
  • Long-term foreign residents and digital nomads
Consultations are conducted in English and follow the same evidence-based, DSM-5/ICD-11-based diagnostic approach used throughout this practice. If you are only in Nepal short-term, online follow-up can continue after you leave, subject to your home country's prescribing regulations.

Common concerns

Culture shock and adjustment stress
Homesickness and isolation from usual support networks
Work stress and burnout in a new environment
Anxiety, panic attacks and excessive worry
Depression, low motivation and sleep disturbance
Alcohol use and other coping-related concerns
Relationship and family stress while living abroad
Difficulty navigating an unfamiliar healthcare system

Frequently Asked Questions

Can expatriates in Nepal see a psychiatrist in English?

Yes. Dr. Kushal Kharel conducts consultations fully in English for expatriates and other international patients, with no language barrier in discussing symptoms, diagnosis or treatment.

Is psychiatric care in Nepal confidential for foreign nationals?

Yes. All consultations, whether in-person or online, are confidential and handled with the same professional discretion given to any patient, in line with standard medical ethics.

Can I get an online consultation if I'm only in Nepal temporarily?

Yes. Online consultation is available during your time in Nepal and can continue afterward for follow-up, though prescribing rules vary once you're outside Nepal, so this is discussed individually.

Are common psychiatric medications available in Nepal?

Most standard antidepressants, anxiolytics, mood stabilizers and antipsychotics used internationally are available through pharmacies in Kathmandu, though availability of a specific brand can vary.

Do you treat anxiety and depression related to living abroad specifically?

Yes. Adjustment-related anxiety, low mood, sleep disturbance and homesickness are common and treatable, using the same evidence-based approaches used for any presentation of these conditions.

Can my spouse or family member join the consultation?

Yes, with your consent, a spouse or family member can join in person or online, which can be especially helpful when explaining your situation and history in an unfamiliar setting.

Where can foreigners obtain psychiatric care in Nepal?

Foreigners in Nepal — expatriates, tourists and international staff — can get English-language psychiatric care from Dr. Kushal Kharel at his clinic in Kalanki, Kathmandu, or via online consultation, with assessment, diagnosis and prescriptions all conducted in English.

Ready to book a consultation?

In-person at the Kalanki clinic in Kathmandu, or online from anywhere.

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