Psychiatry in Thailand

Psychiatry is the branch of medicine that deals with the study, diagnosis, prevention, and treatment of mental, emotional, and behavioral disorders. A medical doctor who specializes in this branch of medicine is called a psychiatrist and they can assess both the physical and mental aspects of all psychological issues. Psychiatrists are trained and qualified to:

• Make a diagnosis and develop a management plan
• Provide urgent care for a sudden mental illness
• Provide advice about lifestyle changes
• Provide advice and second opinions to other doctors and medical professionals
• Help manage a long-term mental health problem
• Work with patients individually, or with the patient and patient’s family, partner, or carers
• Refer patients to other medical professionals
• Admit patients to hospital if required
• Prescribe medications, such as antidepressants, stimulants, and mood stabilizers
• Perform procedures.

There are numerous procedures psychiatrists can use to diagnose and treat patients, these include, but are not limited to:

• Psychometric testing, including personality tests, intelligence tests, and neuropsychological tests
• Physical and laboratory testing, including full physical exams, neurological evaluations, laboratory tests (such as blood and urine tests), and neuroimaging techniques
• Psychotherapy
• Psychosocial interventions
• Electroconvulsive therapy.

Some common reasons why someone might see a psychiatrist include:

• Problem adjusting after major life changes
• Depression that does not go away
• Anxiety, fear, or worry
• Suicidal thinking
• Hurting themselves on purpose
• Thoughts of hurting other people
• Obsessional thinking
• Constant negative thoughts
• Feeling like people want to harm them or are after them
• Feeling jumpy or on edge
• Delusions
• Hallucinations
• Addictive behaviors
• Memory problems
• Violence or emotional outburst
• Conditions that start in childhood, such as intellectual disability, autism, and childhood anxiety.

Examples of the mental health conditions that psychiatrists can diagnose and treat include anxiety disorders, bipolar disorder, attention deficit hyperactivity disorder (ADHD), major depression, post-traumatic stress disorder (PTSD), and schizophrenia.

How Long Should I Stay in Thailand?

Psychiatric treatments are typically performed on an outpatient basis, meaning you should be able to leave the clinic or hospital immediately after the procedure, and leave Thailand the day after. If hospitalization is required, the average hospital stay is around 1 to 2 weeks. Since psychiatric treatment usually requires more than one appointment, you can choose to stay in Thailand for the whole treatment plan or to make multiple trips.

What's the Expected Recovery Time?

Recovery from a mental health problem depends on your specific condition and the type of treatment you underwent. However, there is usually no recovery time needed after the psychiatric treatment itself. You can go back to your normal routine immediately. It is normal to feel overwhelmed or emotionally drained after a treatment session, so you can take a day off of work after your treatment if you need to.

What Aftercare is Required?

If your psychiatrist prescribes medications, make sure to take it as directed. Your psychiatrist may also advise you on making lifestyle changes. You may need to attend regular checkups with your psychiatrist, ranging from once a week to twice a year, depending on your specific condition and its severity. 

What's the Success Rate?

Psychiatry continues to develop and advance. A better understanding of mental, emotional, and behavioral disorders, as well as new technology, have helped psychiatrists to become better at diagnosing, preventing, treating, and managing mental health conditions. The quality of life of people with a mental health condition who go to psychiatrists and stick to their treatment plans have been proven to improve. While there is typically no serious risks to psychiatry treatment, it does have some side effects, such as feeling overwhelmed or emotional after treatment. 

Are there Alternatives?

In some cases, you should be able to see other mental health professionals, such as clinical psychologists and mental health counselors. 

Psychiatry in and around Thailand

About Thailand

Thailand leads the way for Asian countries with over 60 state-of-the-art JCI accredited facilities and consistently voted one of the most popular travel destinations in the world. It's known for its tropical beaches, floating markets, stunning royal palaces, and Buddhist temples. In Bangkok, the capital, an ultramodern cityscape rises with brand new high-rise condominium developments next to quiet canalside communities. According to the Tourism Authority of Thailand, the most popular tourist areas outside of Bangkok are Phuket, Koh Samui, Chiang Mai, Hua Hin and Pattaya, all with great yacht chartering opportunities.

Thailand welcomes hundreds of thousands of medical tourists each year, many of which travel for Psychiatry procedures. Medical Tourists travel from all across the globe, particularly from the local SE Asia region, Australia, United States, Middle East and an increasing amount are traveling from China. An outstanding private healthcare system combined with a hot tropical climate and competitive prices means that Thailand is now the third most popular destination in the world for medical tourism. The most popular procedures tend to be cosmetic surgery (breast augmentations, gender reassignment surgery, and CoolSculpting to name a few), cardiac surgery, orthopedics, and urology.

Popular Parts of Thailand

With a population of just under 70 million people spread across an area of around 500k square km, Thailand’s most popular regions/cities include Bangkok, Phuket, Chiang Mai, Pattaya, Koh Samui, and Hua Hin. The capital city Bangkok is one of the most visited cities in the world, whilst Thailand as a whole receives over 30 million tourists each year, the vast majority of these will enter Thailand through Bangkok. 

As Bangkok is the only urbanized region mentioned, all others are centered around island/beach life, with the exception of Chiang Mai, set in the northern Thailand jungle.

Weather and Climate in Thailand

Known for its truly tropical climate and scorching temperatures, Thailand, in general, is hot and humid all year round. The coastal locations do benefit from the cooling sea breeze, a luxury urban Bangkok is denied. Average temperatures range from 28°C (82°F) up to 35°C (95°F). However, during the Hot Season (March to June), temperatures can top 40°C (104°F).

The infamous Rainy Season tends to start in July and continue through to October; during this time expect heavy rainfall, often amounting to flooding in some areas. It will remain warm to hot but humidity levels will rise and the mosquitos will come out to play!

November to February is often referred to as the Cool Season when less rain is expected and the temperatures tend not to rise above 35°C (95°F).

From a tourist perspective; High Season lasts from November to March and Low Season April to October. But be aware of the Shoulder Seasons of April to June and September to October, when Thailand is less impacted by the Rainy Season and less busy with tourists – these can be the ideal times to visit.

In a nutshell, Thailand is a Shorts and T-shirt Country, you’re never really going to be cold, so pack light; shorts, t-shirts, vests, skirts, singlets, and light dresses. Maybe pack jeans and shoes if you’re planning on going to a swanky roof-top bar in Bangkok or to a temple where flip-flops are not acceptable.

Don’t forget mosquito spray as the little pests can get everywhere; big ones and little ones! Always protect against the sun; high factor sunscreen and UV-protective sunglasses. The usual medications found at home should be available in most pharmacies.

Getting around in Thailand

With the Suvarnabhumi International Airport being serviced by some of the world’s major airlines, tourists can fly into Thailand from almost anywhere in the world, sometimes with a connection along the way. All the popular regions have their own international airports, with the exception of Pattaya, which is just a 90-minute taxi ride from Bangkok. However, arrival destinations are slightly limited outside of Bangkok, but the likes of Emirates and Qatar Airways will fly into Phuket International Airport. The rest, mostly fly in from local countries on budget airlines, including Scoot, SilkAir, AirAsia and Lion Air to name a few.

For domestic flights, the airports are nicely linked in Thailand with flights from as little as $45 USD one way. There are several budget airlines servicing these routes, including Thai Lion Air, AirAsia, Nok Air, Thai Airways, Bangkok Airways, and Thai Smile.

The train allows for even cheaper travel within Thailand and is far more comfortable than spending hours sitting on a bus. Bangkok has the BTS, or Skytrain, which allows for fast transfer from the airport into the city. Given the traffic in central Bangkok, the BTS offers a great alternative to being stuck in traffic jams.

Taxis are great, however, be sure to confirm the price before you begin your journey or better still, insist the ride goes on the meter – that is how you guarantee the cheapest and fairest price. But expect traffic in the city and any built-up areas.

Tourist Visas in Thailand

Whilst Thailand is most welcoming of tourists from all over the world, travelers should check with the Ministry of Foreign Affairs of the Kingdom of Thailand for confirmation. Those with a UK, US, German, Australian, Singaporean passport, for example, do not require a visa when entering and can stay for up to 30 days. Whereas Chinese and Indian passport holders are required to apply for a visa on arrival, which lasts up to 15 days – for more information, click here.

Additional Information

1. The Thai Baht (THB) is the local currency and $1 USD will get you 30-33 THB, or in other words, 1,000 THB is worth approximately $32 USD.
2. ATMs are readily available across Thailand and accept virtually all major bank cards (Visa, Mastercard). Credit card payment is accepted in most established restaurants and outlets, with the more local food vendors, for example, only accepting cash. Tipping is common as service is not included at restaurants, anything around 10% is fine.
3. Thai is the local language but due to the extremely well-established tourism industry in Thailand, English is spoken by most locals who work with tourists, and often signs will have an English translation.
4. Buddhism (95%) is the primary religion throughout Thailand, with a large Muslim population (4%) mostly focused in the south. The Royal Family is deeply revered throughout the country and should never be disrespected, such behavior is severely punished. Pointing with your feet and touching another person’s head is considered extremely rude.
5. There are many public holidays in Thailand, which aren’t always on the same day each year, including Songkran (Thai New Year), which is celebrated in mid-April, Labor Day, and Coronation Day in early May, Asanha Buja in July and Constitution Day in December.