What couples and family therapy helps with
Common reasons to seek help include repeated arguments, poor communication, loss of trust, intimacy difficulties, parenting differences, in-law conflict, financial stress, migration and separation, grief, illness and caring responsibilities.
One partner's depression, anxiety, ADHD, addiction or trauma can affect the whole relationship. Sometimes the relationship itself is the main source of distress; sometimes a mental health condition needs assessment alongside it.
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Assessment and safety
The first sessions clarify each person's concerns, goals and expectations. Both partners are usually seen together, with individual sessions when useful. For families, the assessment considers the family structure, roles, communication and the needs of children.
Domestic violence, coercive control and fear are screened for directly. Couple sessions are not safe when there is active violence or intimidation; safety planning and individual support take priority.
- Communication and conflict patterns
- Trust, intimacy and emotional needs
- Parenting, family roles and life transitions
- Mental health, substance use and trauma
- Safety, coercion and boundaries
How therapy works
The approach is structured and collaborative, drawing on emotion-focused and CBT-informed methods. Sessions focus on communication skills, understanding recurring cycles, problem-solving and rebuilding connection.
Therapy is not legal mediation or a substitute for a court process. It does not assign blame or promise that a relationship will continue. The aim is to help people understand their options and communicate more clearly.
Access and booking
Appointments are at Mind Wellness Center, Durbar Marg area, Kathmandu. Call +977-9747736624 or use /book-appointment. Telepsychiatry is available for appropriate follow-up and for patients who cannot attend in person. This is not an emergency service.