What women's mental health covers
Common concerns include premenstrual dysphoric disorder, depression or anxiety during pregnancy, postpartum low mood and anxiety, postpartum psychosis, menopause-related mood and sleep changes, and distress related to infertility or pregnancy loss.
Social and cultural pressures, family expectations, work load and past trauma can all contribute. The assessment treats these as part of the clinical picture, not as weakness.
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Assessment and medication review
The consultation reviews the timing of symptoms in relation to the menstrual cycle, pregnancy, childbirth or menopause, as well as sleep, thyroid disease, anaemia, pain and current medicines. Previous psychiatric history and response to treatment are important.
For pregnancy and breastfeeding, the discussion weighs the risks of untreated illness against the risks of medication. Coordination with the obstetrician, paediatrician or treating physician is arranged when needed.
- Cycle, pregnancy and menopause timing
- Sleep, thyroid, anaemia and pain review
- Current medicines and previous treatment response
- Risk-benefit discussion for pregnancy and breastfeeding
Treatment and support
Treatment may include CBT, supportive psychotherapy, medication or a combination. Lifestyle support, sleep, nutrition, family involvement and practical help are part of the plan.
Postpartum psychosis — confusion, hallucinations, delusions or severe mood change in the days to weeks after birth — is a psychiatric emergency and needs immediate assessment. Severe depression with thoughts of self-harm or harming the baby also needs urgent care.
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.