Abstract Body

COVID-19 pandemic in the last two years has catalysed the growth of telepsychiatry, which otherwise was only being used sporadically in Nepal. We aim to share the experience of telepsychiatry services in hospital setting since the pandemic in Nepal .We have reviewed the published literature using electronic databases (pubmed, google, google scholar) and medical records between June, 2021 to April,2022 of an on-going telepsychiatry service in a tertiary hospital in Kathmandu Valley.

Unfortunately, research is largely limited to viewpoints and editorials. The experience of an on-going telepsychiatry service in the tertiary hospital in Kathmandu Valley (number of consultations= 146) showed that majority of the users were young adults(48.4%), males(51.6%), residing outside the Kathmandu valley(72.6%). Anxiety(23.5%), mood (23.5%)and psychotic disorders(22.2%) were the most common psychiatric diagnoses. SSRI (18.6%), benzodiazepine(18.6%) and antipsychotics (19.3% )were the most commonly prescribed medications. When compared with in person psychiatry services, the patients were more satisfied with the telepsychiatry service for its short waiting time, more time during consultation, easy booking process, and convenience in use and access. However, there are limitations. There is need of adequate dedicated human resources and funds. It is important to provide privacy to the patients. Ensuring safety of medical records, availability of prescribed medications, and providing accessible and comprehensive clinical service remain challenge.

While there are challenges, there are plenty of opportunities for psychiatrists to make a difference in their societies and have professional satisfaction through telepsychiatry services. We call for enhanced collaboration between mental health professionals, government and other stakeholders.