Share only if you are comfortable — general information, not personal medical advice.
You already know online therapy with a Nepal-based psychologist can feel culturally familiar when local options abroad are expensive, rushed, or hard to access in Nepali. This guide is different — it walks through the practical steps: picking a time that works across zones, setting up privacy before you click Book, confirming fees, and preparing for your first session without last-minute panic.
Mr. Damber Raj Bhatta and Shrijana Ghimire offer secure video sessions at Bhatta Psychotherapy — same psychologists as in-person Kathmandu care, in English, Nepali, and Hindi. We do not publish session fees online; rates are confirmed before your first full session.
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Step 1 — Know your time zone gap
Kathmandu is UTC+5:45 year-round (no daylight saving). Your city may shift twice a year — always convert on the day you book, not from memory.
US East Coast — often evening US = early morning Nepal; plan sleep, not lunch-break slots
US West Coast — late evening US can mean mid-morning Nepal next calendar day
UK & Europe — overlap shifts with BST/GMT; re-check after clock changes
Canada — same pattern as US zones; Toronto ≠ Vancouver
Australia — Sydney/Melbourne can be 4–5 hours ahead of Nepal; morning AU may be Nepal night
Japan & Gulf — closer to Nepal; more daytime overlap possible
Tip: Add the appointment to your phone calendar in both your local time and Nepal time once. Set two reminders — 24 hours and 1 hour before.
Step 4 — Confirm fees and payment before session one
We do not list NPR amounts on the website. When you schedule — especially from abroad — confirm current fee, payment method (bank transfer, card, or other options the clinic offers), cancellation policy, and whether couples sessions are priced differently. Get this in writing (email or message) so there is no surprise on the day.
Step 5 — Privacy setup (do this before every session)
Room with a door — not kitchen, open office, or car with family nearby
Headphones — reduces echo and stops others overhearing your clinician
Phone on Do Not Disturb; close work Slack/email if WFH
Tell household members you are unavailable — use a neutral label if needed (“work call”)
Stable Wi‑Fi or strong mobile data; sit near router; have phone hotspot as backup
Fully charge laptop/phone; plug in if possible
Professional video link from booking email — not Instagram or Facebook DMs
Confidentiality has limits everywhere — if you disclose imminent risk of harm to yourself or others, or active abuse of a child, psychologists may need to act per ethics and law. Crisis abroad: US 988, UK Samaritans 116 123, Canada 988, Australia 13 11 14. We are not a 24/7 crisis line.
Step 6 — Prepare for the first session
Write 3 topics you want help with — even bullet points reduce first-session anxiety
List current medications and any past therapy (years, what helped, what did not)
Note sleep, appetite, substance use honestly — not for judgment, for safety and planning
If couples: agree you will both be in a private space; no multitasking
Join the video link 2–3 minutes early; test camera and mic once
Video fails sometimes. If disconnect mid-session, rejoin the same link; your psychologist will wait briefly. If you miss entirely, cancellation policy applies — reschedule as soon as possible. Chronic tech issues: switch to phone audio for that session if agreed, or test a different device before next time.
Nepal-based online therapy does not replace local emergency services, psychiatrist prescribing in your country, or legal/immigration advice. Many diaspora clients use us for culturally grounded psychotherapy while keeping a local GP or psychiatrist for medication when needed.
Frequently asked questions
How do I pick a time that works for US evenings and Nepal mornings?
Use a world clock when you request a time. US Eastern evening often maps to early morning Nepal the same calendar day. After the clinic confirms, save the time in both zones.
Can I book couples therapy if my partner is in Kathmandu and I am in London?
Yes — joint video sessions are common. Both need private space and the same confirmed time after DST is accounted for.
Will my employer or family see that I booked therapy?
Booking uses your email/phone for reminders you control. Sessions happen on a private video link — use headphones and a closed room. We do not share client lists with third parties.
Do I pay before or after the first session?
Confirm with the clinic when scheduling — payment timing and method are explained before your first full session. We do not publish fees online.
What if no appointment times match my time zone?
Contact the clinic directly. Diaspora clients often receive early-morning or late-evening Nepal slots added upon request.
Questions before booking? WhatsApp or call — we usually reply within a few minutes during working hours.
