About depression
Persistent sadness, loss of interest, tiredness, sleep changes or difficulty concentrating for weeks can be signs of depression. Psychotherapy is an effective treatment, alone or combined with medication prescribed by a psychiatrist or doctor. If you have thoughts of harming yourself, contact emergency services or a crisis line straight away.
Psychoanalysts work with psychoanalytic or psychodynamic therapy, which explores how past experiences and unconscious patterns shape present feelings and relationships. It is usually a longer, in-depth process. Training and titles vary by country: check each professional’s background.
Getting mental health care in Bhutan
Public health system · Ministry of Health – JDWNRH Department of Psychiatry
Specialist mental health care is provided by the government Department of Psychiatry at Jigme Dorji Wangchuck National Referral Hospital (JDWNRH) in Thimphu. It has psychiatrists, counsellors, occupational and speech therapists, and offers inpatient care, outpatient clinics, counselling and psychotherapy, and teleconsultation for patients in the districts. Outpatient appointments can be booked through the hospital. Outside Thimphu, mental health services remain limited. More information
How to check that a professional is licensed
- Medical and Health Professionals Council (under the Bhutan Qualifications and Professionals Certification Authority, BQPCA). Medical and health professionals in Bhutan are registered with the Medical and Health Professionals Council under BQPCA. Check a practitioner in the online Registry of Practitioners.
- Bhutan Qualifications and Professionals Certification Authority (BQPCA). Counsellors are certified by BQPCA, which took over this role from the Bhutan Board for Certified Counsellors. Ask a counsellor for their certification.
Urgent help in Bhutan
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 112 · Ambulance
Information reviewed in November 2026 · Sources: jdwnrh.gov.bt, thebhutanese.bt, bqpca.education.gov.bt, bbs.bt
Signs to look out for
Everyone has low days, especially after a setback. It is worth seeking help when sadness, emptiness or irritability last most of the day for weeks, when you lose interest in things you used to enjoy, or when you notice changes in sleep, appetite, energy or concentration. Feeling worthless, guilty or that nothing will improve, and withdrawing from people, are also common signs.
What helps: treatments and professionals
Psychotherapy is an effective treatment for depression. Cognitive-behavioural therapy (CBT), behavioural activation, interpersonal therapy and some psychodynamic approaches have good evidence. Psychologists, clinical psychologists and psychotherapists provide therapy; a psychiatrist or family doctor can assess whether medication is appropriate, which is often considered for moderate or severe depression. Combining therapy with medical follow-up is common and can work well.
When to seek urgent help
If you are thinking about suicide, have a plan, or feel you might act on thoughts of harming yourself, contact your local emergency services or go to the nearest emergency department now. If you are worried about someone else, stay with them if it is safe and seek help immediately. Telling someone close to you how you feel is an important first step.
What you can do in the meantime
Small steps matter: try to get up at a similar time each day, go outside, move a little, eat regular meals and do one manageable activity that used to bring you some satisfaction, even if you do not feel like it. Avoid using alcohol to cope. Stay in touch with at least one person you trust, and be patient with yourself while you seek professional support.
What does a psychoanalyst do?
A psychoanalyst works with people who want to explore how early experiences, desires, conflicts and unconscious patterns influence how they feel, relate and choose today. Day to day they listen closely, help connect present difficulties with personal history, and pay attention to dreams, repetitions and the relationship with the analyst. Sessions are usually frequent and the process tends to be long-term.
When to see a psychoanalyst
Psychoanalysis or psychodynamic therapy may suit you if you notice repeating patterns in relationships, a persistent sense of emptiness or dissatisfaction, or want to understand yourself in depth and are open to a longer process. If you need quick relief for a specific symptom, such as panic attacks or a phobia, a structured approach like CBT may be more appropriate first.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in Bhutan cover psychological care?
Specialist mental health care is provided by the government Department of Psychiatry at Jigme Dorji Wangchuck National Referral Hospital (JDWNRH) in Thimphu. It has psychiatrists, counsellors, occupational and speech therapists, and offers inpatient care, outpatient clinics, counselling and psychotherapy, and teleconsultation for patients in the districts. Outpatient appointments can be booked through the hospital. Outside Thimphu, mental health services remain limited.
How do I check that a psychoanalyst is licensed in Bhutan?
Medical and Health Professionals Council (under the Bhutan Qualifications and Professionals Certification Authority, BQPCA): Medical and health professionals in Bhutan are registered with the Medical and Health Professionals Council under BQPCA. Check a practitioner in the online Registry of Practitioners.