About behavioral problems
Tantrums, defiance or aggressive behaviour that are frequent and intense can strain family life. Interventions usually involve the parents, with practical strategies for routines, limits and communication, and work with the child adapted to their age.
Psychotherapists are professionals trained in one or more models of psychotherapy (psychodynamic, systemic, humanistic, cognitive-behavioural…). The protected title and requirements vary by country; profiles show each professional’s training and registration.
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
- 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
All children test limits and have tantrums at times. It may be worth seeking help when defiance, aggression, intense tantrums, lying, breaking rules or destructive behaviour are frequent, last for months, happen in several settings such as home and school, and cause problems with family life, learning or friendships. Sudden changes in behaviour can also signal stress, anxiety or difficulties elsewhere.
What helps: treatments and professionals
Parent training programmes based on behavioural principles have strong evidence for children’s behaviour problems. Family therapy and cognitive-behavioural approaches for the child or teenager, including emotional regulation and problem-solving skills, also help. Child and adolescent psychologists, clinical psychologists, family therapists and educational psychologists usually lead the work. An assessment can identify contributing factors such as ADHD, learning difficulties or anxiety.
When to seek urgent help
Contact your local emergency services if a child or teenager is seriously hurting themselves or others, has a weapon, is missing, or talks about suicide. Seek urgent help too if you suspect drug use with signs of intoxication. If you feel you might lose control and harm your child, step away safely and seek support immediately; asking for help is responsible.
What you can do in the meantime
Notice and praise specific good behaviour, and spend a little one-to-one time each day doing something your child enjoys. Keep rules few, clear and consistent between adults, with calm, predictable consequences. Avoid shouting and physical punishment, which tend to worsen behaviour. Look after your own stress and sleep, and talk to the school to work together.
What does a psychotherapist do?
A psychotherapist helps people understand and change emotional, relational and behavioural patterns through a structured therapeutic relationship. Their work is shaped by one or more models, such as cognitive-behavioural, psychodynamic, systemic, humanistic or integrative therapy. They meet individuals, couples, families or groups, usually in regular sessions, and spend time outside sessions on notes, preparation and their own supervision.
When to see a psychotherapist
Psychotherapy suits people who want to work in depth on recurring difficulties: anxiety, low mood, relationship patterns, self-esteem, the effects of past experiences or major life transitions. It can also help when you feel stuck without a clear diagnosis. If you need a formal diagnosis, a specific psychological assessment or medication, a clinical psychologist or psychiatrist may need to be involved.
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 psychotherapist is licensed in Bhutan?
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.