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Writer's pictureSabina Giri, MA

Navigating Mental Wellness: Expert Insights from a Psychologist in Nepal

As a psychologist in Nepal, I understand that mental wellness is a comprehensive term that encompasses our psychological, emotional, and social well-being. It influences how we perceive, feel, and behave, as well as how we manage stress, connect with others, and make decisions in alignment with our values and aspirations. Mental wellness goes beyond the absence of mental illness; it signifies a state of thriving, where individuals can actualize their potential, savor life, and contribute positively to their community.

However, attaining and nurturing mental wellness can pose challenges, particularly when confronted with various personal and professional obstacles. In this article, we will delve into the common determinants that shape our mental wellness, including cultural influences, environmental factors, lifestyle choices, and interpersonal relationships, within the context of Nepal. Additionally, we will explore the advantages of seeking support from a psychologist in Nepal through psychotherapy, which can aid individuals in navigating through challenges and enriching their mental well-being. Lastly, we will address pertinent frequently asked questions concerning mental wellness and psychotherapy, while also furnishing resources and strategies for bolstering mental health.

How does culture affect our mental wellness?

Culture is a complex and dynamic concept that refers to the shared values, beliefs, norms, and practices of a group of people. Culture shapes our identity, worldview, and behavior, as well as our expectations and interpretations of ourselves and others. Culture also influences how we express and experience our emotions, thoughts, and feelings, and how we cope with stress and adversity.

Nepal is a country with a rich and diverse cultural heritage, with influences from Hinduism, Buddhism, Islam, and other religions and ethnic groups. Nepali culture is characterized by values such as collectivism, harmony, respect, spirituality, and hospitality. These values can have positive effects on our mental wellness, such as providing us with a sense of belonging, meaning, and purpose, as well as social support and guidance from our family and community.

However, Nepali culture can also pose some challenges for our mental wellness, such as:

  • Stigma and discrimination against people with mental health problems, which can prevent them from seeking help and receiving adequate care

  • Lack of awareness and education about mental health issues, which can lead to misconceptions, myths, and stereotypes

  • Cultural barriers and mistrust between mental health professionals and clients, which can affect the quality and effectiveness of psychotherapy

  • Conflicts and dilemmas between traditional and modern values, which can cause stress and confusion for individuals who are trying to balance their personal and professional roles and aspirations

Therefore, it is important to recognize and respect the cultural diversity and complexity of mental wellness, and to seek culturally sensitive and competent psychotherapy support when needed.

How does environment affect our mental wellness?

Environment refers to the physical and social conditions that surround us and influence our health and well-being. Environment includes factors such as:

  • Climate and weather, which can affect our mood, energy, and motivation

  • Pollution and noise, which can affect our physical and mental health

  • Natural disasters and accidents, which can cause trauma, loss, and displacement

  • Socioeconomic status and opportunities, which can affect our access to education, health care, and other resources

  • Political and social stability and security, which can affect our sense of safety and justice

Nepal is a country with a diverse and beautiful natural environment, with mountains, hills, valleys, rivers, and forests. However, Nepal also faces some environmental challenges, such as:

  • Climate change and natural disasters, such as earthquakes, floods, landslides, and droughts, which can have devastating impacts on people’s lives and livelihoods

  • Rapid urbanization and industrialization, which can lead to overcrowding, pollution, traffic, and waste management problems

  • Poverty and inequality, which can limit people’s access to basic needs and services, such as food, water, sanitation, education, and health care

  • Political and social unrest and violence, which can create fear, uncertainty, and instability

Therefore, it is important to acknowledge and address the environmental factors that affect our mental wellness, and to seek psychotherapy support that can help us cope with the stress and trauma that we may experience.

How does lifestyle affect our mental wellness?

Lifestyle refers to the habits and behaviors that we adopt and practice in our daily lives, such as:

  • Diet and nutrition, which can affect our physical and mental health

  • Exercise and physical activity, which can improve our mood, energy, and fitness

  • Sleep and rest, which can affect our cognition, emotion, and immunity

  • Substance use and abuse, which can affect our brain, body, and behavior

  • Leisure and hobbies, which can provide us with joy, relaxation, and fulfillment

Nepal is a country with a diverse and vibrant lifestyle, with various cuisines, festivals, arts, and sports. However, Nepal also faces some lifestyle challenges, such as:

  • Unhealthy and unbalanced diet, which can lead to malnutrition, obesity, and chronic diseases

  • Sedentary and inactive lifestyle, which can increase the risk of cardiovascular, metabolic, and mental disorders

  • Poor and irregular sleep habits, which can impair our memory, attention, and mood

  • High prevalence and easy availability of tobacco, alcohol, and other substances, which can cause addiction, dependence, and harm

  • Lack of time and space for leisure and hobbies, which can reduce our happiness and satisfaction

Therefore, it is important to adopt and maintain a healthy and balanced lifestyle, and to seek psychotherapy support that can help us change our habits and behaviors that may affect our mental wellness.

How do relationships affect our mental wellness?

Relationships refer to the connections and interactions that we have with other people, such as:

  • Family and friends, who can provide us with love, support, and companionship

  • Romantic partners, who can share our intimacy, passion, and commitment

  • Colleagues and coworkers, who can collaborate with us and contribute to our work

  • Neighbors and community members, who can cooperate with us and create a sense of belonging

  • Strangers and acquaintances, who can enrich our social network and diversity

Nepal is a country with a strong and warm relationship culture, with values such as loyalty, respect, and hospitality. However, Nepal also faces some relationship challenges, such as:

  • Family and social pressure and expectations, which can cause stress and conflict

  • Domestic and intimate partner violence and abuse, which can damage our physical and mental health

  • Workplace and academic stress and competition, which can affect our performance and well-being

  • Social isolation and loneliness, which can increase our risk of depression and suicide

  • Discrimination and prejudice, which can affect our self-esteem and identity

Therefore, it is important to cultivate and nurture positive and healthy relationships, and to seek psychotherapy support that can help us improve our communication and interpersonal skills.

What are the benefits of psychotherapy support for mental wellness?

Psychotherapy, also known as talk therapy, is a type of mental health treatment that involves talking to a trained and licensed mental health professional, such as a psychologist, counselor, or social worker. Psychotherapy can help us understand and cope with our emotions, thoughts, and behaviors, and improve our mental wellness.

Some of the benefits of psychotherapy support for mental wellness are:

  • Psychotherapy can help us identify and address the root causes of our mental health problems, such as trauma, stress, or negative beliefs

  • Psychotherapy can help us learn and practice coping skills and strategies, such as relaxation, mindfulness, or problem-solving

  • Psychotherapy can help us change our unhelpful and harmful habits and behaviors, such as substance abuse, self-harm, or procrastination

  • Psychotherapy can help us enhance our positive and protective factors, such as self-esteem, optimism, or resilience

  • Psychotherapy can help us achieve our personal and professional goals, such as improving our relationships, career, or education

  • Psychotherapy can help us increase our happiness and life satisfaction, such as finding our meaning, purpose, or passion

How to find psychotherapy support for mental wellness in Nepal?

If you are looking for psychotherapy support for mental wellness in Nepal, there are several options and resources available, such as:

  • Bhatta Psychotherapy, a private practice that specializes in mental wellness and related issues, founded by D. Bhatta, a licensed clinical psychologist and a certified trauma therapist, who has over 10 years of experience in working with individuals, couples, and groups who have suffered from various forms of trauma. Bhatta Psychotherapy offers a comprehensive and personalized therapeutic experience, using a mindfulness-based humanistic approach, as well as evidence-based therapies such as CBT, DBT, EMDR, and somatic therapies. You can contact Bhatta Psychotherapy at their website or their Facebook page.

  • Other mental health organizations and professionals, such as hospitals, clinics, universities, or private practitioners, that offer psychotherapy services

Conclusion

Mental wellness is a vital and valuable aspect of our health and well-being, that can be influenced by various factors, such as culture, environment, lifestyle, and relationships. Psychotherapy support can help us navigate and enhance our mental wellness, by providing us with a safe and supportive space to explore and resolve our issues, and to improve our skills and abilities. If you are interested in psychotherapy support for mental wellness, we encourage you to contact Bhatta Psychotherapy, or any other mental health organization or professional in Nepal, who can help you achieve your goals and dreams. Remember that mental wellness is not a destination, but a journey, and that you are not alone in your journey.


FAQs

Here are some frequently asked questions about mental wellness and psychotherapy & answers from Psychologist in Nepal:

Q: What is the difference between mental wellness and mental illness?

A: Mental wellness and mental illness are two related but distinct concepts. Mental wellness refers to the positive and optimal state of our psychological, emotional, and social well-being, where we can function well and enjoy life. Mental illness refers to the presence of a diagnosable mental disorder, such as depression, anxiety, bipolar disorder, or schizophrenia, that causes significant distress and impairment in our functioning. Mental wellness and mental illness are not mutually exclusive; a person can have a mental illness and still experience mental wellness, or vice versa. The goal of psychotherapy is to help the person achieve and maintain mental wellness, regardless of their mental illness status.

Q: How do I know if I need psychotherapy support?

A: If you are experiencing any of the following signs or symptoms, you may benefit from psychotherapy support:

  • Persistent or severe feelings of sadness, worry, fear, anger, or guilt

  • Difficulty coping with stress, trauma, loss, or change

  • Problems in your relationships, work, school, or daily activities

  • Low self-esteem, confidence, or motivation

  • Suicidal thoughts or behaviors

  • Unexplained physical symptoms, such as headaches, stomachaches, or fatigue

  • Changes in your appetite, weight, sleep, or energy

  • Use or abuse of alcohol, drugs, or other substances

  • Unusual or disturbing thoughts, feelings, or perceptions

However, you don’t need to have a specific problem or diagnosis to seek psychotherapy support. Psychotherapy can also help you if you want to:

  • Improve your self-awareness and understanding

  • Enhance your personal growth and development

  • Explore your values, goals, and dreams

  • Strengthen your skills and abilities

  • Increase your happiness and satisfaction

Q: What can I expect from psychotherapy support?

A: Psychotherapy support is a collaborative and confidential process that involves:

  • Establishing a trusting and respectful relationship with your therapist

  • Setting realistic and achievable goals for your therapy

  • Exploring and expressing your emotions, thoughts, and behaviors

  • Learning and applying new coping skills and strategies

  • Evaluating and modifying your beliefs and attitudes

  • Receiving feedback and support from your therapist

  • Reviewing and celebrating your progress and achievements

Psychotherapy support can be provided in different formats, such as individual, couple, family, or group therapy, depending on your needs and preferences. Psychotherapy support can also vary in duration, frequency, and intensity, depending on your goals and symptoms. Psychotherapy support can be short-term or long-term, weekly or biweekly, and intensive or moderate. You and your therapist can decide together what works best for you.

Q: How do I choose a psychotherapist?

A: Choosing a psychotherapist is an important and personal decision that depends on several factors, such as:

  • Your needs and goals

  • Your preferences and expectations

  • Your budget and insurance

  • Your availability and convenience

Some of the things you may want to consider when choosing a psychotherapist are:

  • Their credentials and qualifications, such as their education, training, license, and experience

  • Their specialization and expertise, such as their areas of interest, competence, and evidence

  • Their approach and methods, such as their theoretical orientation, techniques, and outcomes

  • Their personality and style, such as their warmth, empathy, and rapport

  • Their feedback and testimonials, such as their ratings, reviews, and referrals

You may want to contact several psychotherapists and ask them questions about these factors before making your choice. You may also want to have an initial consultation or session with them to see if you feel comfortable and compatible with them.

Q: How can I make the most of psychotherapy support?

A: Psychotherapy support can be a rewarding and transformative experience, but it also requires your active participation and commitment. Some of the things you can do to make the most of psychotherapy support are:

  • Be honest and open with your therapist, and share your thoughts, feelings, and concerns

  • Be curious and willing to learn, and try new things and perspectives

  • Be patient and persistent, and trust the process and the outcome

  • Be respectful and cooperative, and follow the rules and guidelines of your therapy

  • Be proactive and responsible, and do your homework and assignments

  • Be flexible and adaptable, and adjust your goals and expectations as needed

  • Be supportive and appreciative, and give and receive feedback and praise

References;


  1. Gurung, R. A., & Ventista, O. (2017). Culture and mental health in Nepal. In S. C. Nassir Ghaemi (Ed.), The rise and fall of the biopsychosocial model: Reconciling art and science in psychiatry (pp. 189-205). Baltimore, MD: Johns Hopkins University Press.

  2. Koirala, P., Regmi, U., Sharma, V., Khalid, A., & Nepal, S. (2019). Environmental factors associated with mental disorders in Nepal: A systematic review. International Journal of Environmental Research and Public Health, 16(7), 1150. https://doi.org/10.3390/ijerph16071150

  3. Luitel, N. P., Jordans, M. J., Kohrt, B. A., Rathod, S. D., & Komproe, I. H. (2013). Treatment gap and barriers for mental health care: A cross-sectional community survey in Nepal. PLoS One, 8(8), e69991. https://doi.org/10.1371/journal.pone.0069991

  4. Pokharel, A., Sharma, S. R., & Pokharel, P. K. (2016). Lifestyle and mental health status of medical students in Nepal. BMC Psychiatry, 16, 5. https://doi.org/10.1186/s12888-016-0710-7

  5. Regmi, S. K., Pokharel, A., Ojha, S. P., Pradhan, S. N., & Chapagain, G. (2004). Nepal mental health country profile. International Review of Psychiatry, 16(1-2), 142-149. https://doi.org/10.1080/09540260310001635186

  6. Shrestha, N., Sharma, B., Van Ommeren, M., Regmi, S., Makaju, R., Komproe, I., … de Jong, J. T. (1998). Impact of torture on refugees displaced within the developing world: Symptomatology among Bhutanese refugees in Nepal. JAMA, 280(5), 443-448. https://doi.org/10.1001/jama.280.5.443

  7. Thapa, P., & Hauff, E. (2005). Psychological distress among displaced persons during an armed conflict in Nepal. Social Psychiatry and Psychiatric Epidemiology, 40(8), 672-679. https://doi.org/10.1007/s00127-005-0939-7

  8. Tol, W. A., Kohrt, B. A., Jordans, M. J., Thapa, S. B., Pettigrew, J., Upadhaya, N., & de Jong, J. T. (2010). Political violence and mental health: A multi-disciplinary review of the literature on Nepal. Social Science & Medicine, 70(1), 35-44. https://doi.org/10.1016/j.socscimed.2009.09.037

  9. Upreti, B. C., & Müller-Böker, U. (2010). Livelihood insecurity and social conflict in Nepal. Zurich, Switzerland: Department of Geography, University of Zurich.

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About Author

D.R. Bhatta, MA, (Ph.D. Scholar), Psychologist (Nepal)

Since 2015, I've been working as a psychologist in Nepal, offering in-person and online services globally. My areas of expertise include trauma, personality disorders (particularly Borderline and Histrionic), and Adult ADHD. But my curiosity extends far beyond these! I'm a voracious reader, devouring books on everything from spirituality and science to ancient religions, metaphysics, and of course, psychology.

This blog is my way of fostering open and honest conversations about mental health, especially for young adults (aged 18-35) around the world. I believe knowledge is power, and I want to empower you to navigate mental health challenges.

Here's where you come in! By sharing this blog on social media, you can help me on this mission to create a more informed and supportive global community. Let's break down stigmas and empower each other!

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