What can be done online
Online consultation works well for follow-up visits, medication review, discussion of test results, CBT sessions, second opinions based on records, and initial assessment of non-emergency concerns such as mild to moderate anxiety, low mood, sleep problems or stress.
The first session is a full clinical interview. Dr. Shrestha reviews symptoms, history, current medicines, physical health and safety, and agrees on a plan with the patient.
Related: Psychiatry → · Dr. Ruja Shrestha profile → · All conditions →
When in-person care is needed
Some situations need physical examination or a higher level of care: severe agitation, active psychosis, significant suicide risk, severe withdrawal, unexplained physical symptoms, pregnancy-related complications, or a medical condition that cannot be assessed remotely.
If you are in immediate danger, contact local emergency services or go to the nearest emergency department. Online consultation is not an emergency service.
- A private, quiet space and a stable internet connection
- A list of current medicines and prior reports
- A local emergency contact and plan
- A backup phone number in case the video call drops
Prescriptions, privacy and follow-up
Prescribing rules depend on where the patient is located. A prescription issued in Nepal may not be valid abroad, and Dr. Shrestha will explain what can be done and when coordination with a local doctor is needed.
Consultations are confidential and documented. Follow-up is planned at an appropriate interval, and in-person review is recommended when the clinical picture changes or examination becomes necessary.
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.