When to seek assessment
Patterns that may warrant assessment include intense and unstable relationships, fear of abandonment, rapid mood shifts, chronic emptiness, impulsive behaviour, recurrent self-harm, anger outbursts, or a persistently rigid way of relating to others.
These difficulties usually begin in adolescence or early adulthood and affect several areas of life. A personality disorder is not a label for a single crisis or for one difficult relationship; the assessment looks at long-term patterns.
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What the assessment covers
The consultation reviews developmental history, relationships, work or study, emotional regulation, impulsivity, self-harm, trauma, substance use and co-occurring conditions such as depression, anxiety, PTSD or ADHD.
Risk is assessed directly. The aim is to understand the pattern, clarify the diagnosis and agree on a treatment plan that is practical and collaborative.
- Long-term relationship and emotional patterns
- Self-harm, suicide risk and crisis history
- Trauma and co-occurring psychiatric conditions
- Strengths, support network and treatment goals
Treatment that helps
Psychotherapy is the central treatment. Dialectical behaviour therapy (DBT) skills, schema-informed therapy, mentalization-based approaches and supportive psychotherapy may be used. Medication is not a cure for personality disorder but can help with co-occurring depression, anxiety, impulsivity or psychosis.
Treatment is paced and collaborative, with attention to safety, crisis planning and building stable relationships. Family involvement is included when appropriate and with consent.
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.