A psychiatrist is a medical doctor who has specialised in mental health, and is the only professional in the team who can prescribe. A psychologist provides therapy; a psychiatrist assesses the medical side and manages medication. Many people benefit from both, working together.
At Rooh Mind Care psychiatric care sits alongside therapy rather than replacing it — which is the point of keeping both under one roof. If you are already in therapy here, your psychiatrist and your psychologist can coordinate, with your consent.
Most people now consult a psychiatrist online — by secure video, from anywhere in India. Our psychiatrist sees clients online only; if you need to be seen in person, we will tell you and help you find in-person care. This page explains how an online consultation works, what Indian telemedicine rules allow a psychiatrist to prescribe remotely, and when you should see someone face to face instead.
When a psychiatric consultation is the right call
- Symptoms that are not shifting with therapy alone — particularly moderate to severe depression or anxiety.
- Medication review — something you are already on is not working, or the side effects are not tolerable.
- Diagnostic clarity — where bipolar disorder, ADHD, OCD or a psychotic illness needs a medical opinion.
- Sleep that has broken down — persistent insomnia, or a reversed sleep cycle.
- Substance use and de-addiction — including safe management of withdrawal.
- Symptoms with a physical dimension — where thyroid, anaemia, medication interactions or another medical cause should be ruled out first.
- Child and adolescent psychiatry — where a young person's presentation needs a medical assessment.
How an online psychiatrist consultation works
- Book a slot from the fees section and pay online. You will receive a confirmation and a secure Google Meet link.
- Join by video from a private, quiet place, on a phone or laptop. Video — not just a phone call — matters: Indian rules require a live video consultation before most psychiatric medicines can be started remotely.[1][2]
- The assessment. The psychiatrist confirms your identity and age, takes a history of your symptoms, past treatment, medical conditions and medication, and asks about risk. This is the same clinical assessment as an in-person appointment.
- A plan. That may be a working diagnosis, a prescription, blood tests to rule out a medical cause, a referral to therapy, or a recommendation to be seen in person. Not every consultation ends in medication.
- Prescription and follow-up. Where medication is appropriate and permitted remotely, you receive a signed digital prescription. A follow-up is scheduled to review how it is working and adjust the dose.
Online prescriptions: what Indian rules allow
Teleconsultation in India is governed by the Telemedicine Practice Guidelines, 2020, issued by the Board of Governors of the Medical Council of India and now part of the professional conduct rules for registered doctors.[1] For psychiatry they are supplemented by the Telepsychiatry Operational Guidelines, 2020, published by NIMHANS with the Indian Psychiatric Society and the Telemedicine Society of India.[2] Together they sort medicines into lists:[3]
| List | What it covers | Can it be prescribed online? |
|---|---|---|
| List O | Over-the-counter medicines | Yes, by any mode — video, audio or text |
| List A | Relatively safe medicines with low potential for misuse — this includes many commonly used antidepressants and other psychiatric medicines | Yes. A live video consultation is required for the first prescription; refills can follow by any mode |
| List B | "Add-on" medicines used to optimise treatment of an existing condition | Only for a patient who has already been seen in person by the doctor |
| Prohibited | Schedule X of the Drugs and Cosmetics Rules, 1945; narcotic drugs and psychotropic substances under the NDPS Act, 1985 | No. These cannot be prescribed in a teleconsultation |
In practice, this means an online psychiatrist in India can start and adjust most antidepressants and many other long-term treatments, but cannot prescribe medicines in Schedule X of the Drugs and Cosmetics Rules, 1945, and narcotic drugs and psychotropic substances listed under the Narcotic Drugs and Psychotropic Substances (NDPS) Act, 1985 remotely. If one of those is clinically needed, an in-person appointment is required. A psychiatrist who prescribes them over a phone or video call is not following the rules.
What an online consultation can’t cover
Online consultations follow India’s Telemedicine Practice Guidelines, 2020. Under them:
- Medicines that cannot be prescribed online. Drugs in Schedule X of the Drugs and Cosmetics Rules, 1945, and narcotic drugs and psychotropic substances listed under the Narcotic Drugs and Psychotropic Substances (NDPS) Act, 1985. If one is clinically needed, you will be asked to see a psychiatrist in person.
- Medicines that need an in-person visit first. “Add-on” medicines (List B of the Guidelines) are only for someone the psychiatrist has already seen in person for the same condition.
- Situations that need in-person or emergency care instead: thoughts of harming yourself or others; severe agitation, confusion or a loss of touch with reality that may need hospital care; anything that needs a physical examination or tests first; and anyone under 18 without a parent or guardian present.
- The psychiatrist decides in each consultation whether online care is appropriate, and may recommend an in-person visit.
In a crisis, call 112 or Tele-MANAS 14416 (free, 24×7).
Is online psychiatry as good as in person?
For most outpatient care, the evidence says yes. A review of key telepsychiatry outcomes found video consultations are reliable for assessment and diagnosis, produce clinical outcomes comparable to face-to-face care, and are well accepted by patients.[4] India's own guidelines were written precisely to make remote psychiatric care routine and safe.[2] Online consultation also removes the practical barriers that stop many people seeing a psychiatrist at all: travel, time off work, and being seen walking into a clinic.
When to see a psychiatrist in person
Our psychiatrist sees clients online only. In these situations an in-person psychiatrist near you is the right choice, and we will help you find one:
- Acute risk — active suicidal thoughts with a plan, severe agitation, or symptoms of psychosis where safety is uncertain. Use emergency services or the helplines below.
- A physical examination is needed — for example, to assess side effects or a possible medical cause.
- A medicine on the prohibited list is clinically indicated, or a List B medicine without a prior in-person visit.
- Reliable video is not possible, or you cannot find a private space to talk.
What the consultation covers
The consultation is 15 minutes and is deliberately focused. It is a medical appointment, not therapy: talking things through over weeks is what a session with one of our psychologists is for. To make good use of it:
- Have a list of current medications and doses, including anything from a physician or over the counter.
- Bring recent blood work if you have it — thyroid, B12, vitamin D and haemoglobin are the usual ones.
- Note when the symptoms started and what makes them better or worse.
- Mention any family history of mental illness you know of.
Follow-up consultations for medication review are usually shorter and less frequent once things are stable.
Who you would see
Dr Mekhala Divakar — Psychiatrist. MBBS (M.V.J. Medical College and Research Hospital, Bengaluru), MD Psychiatry (K.S. Hegde Medical Academy, Nitte). Senior Resident at M.S. Ramaiah Medical College and Hospital, Bengaluru. Trained in child and adolescent psychiatry at NIMHANS, Bengaluru, with experience in community psychiatry, de-addiction and city-wide telepsychiatry. Karnataka Medical Council registration 134015. Consults in English, Hindi, Kannada, Telugu and Malayalam. Full profile →
Fees
15 minutes₹1,000
A medical consultation for diagnosis and medication. It is not therapy.
Pay now or pay later. Book a single session with just ₹2$1. It counts towards your fee, and you pay the rest before your session.
Medication itself is bought separately from a pharmacy and is not included. International fees are shown automatically on the homepage fees section.
Common questions
What is the difference between a psychiatrist and a psychologist?
A psychiatrist is a medical doctor (MBBS, then MD in Psychiatry) who can diagnose medically and prescribe medication. A psychologist is trained in assessment and psychotherapy and does not prescribe. For many conditions the most effective route is both together.
Do I have to take medication if I see a psychiatrist?
No. The consultation is an assessment. If medication is likely to help, the psychiatrist will explain why, what it does, and the side effects, and the decision is yours. Plenty of consultations conclude that therapy alone is the better route.
Can I get a prescription in an online consultation?
Often, yes — Indian telemedicine regulations permit many psychiatric medications, including most antidepressants, to be prescribed after a video consultation. Certain categories require an in-person appointment. Your psychiatrist will tell you directly if that applies.
Can an online psychiatrist prescribe sleeping pills or anti-anxiety tablets?
Not if the medicine is in Schedule X of the Drugs and Cosmetics Rules, 1945, or is a narcotic drug or psychotropic substance listed under the Narcotic Drugs and Psychotropic Substances (NDPS) Act, 1985. Under India’s Telemedicine Practice Guidelines these are on the prohibited list for teleconsultation; if one is clinically needed, you will be asked to see a psychiatrist in person. Many other treatments for sleep and anxiety can be started online.
I live outside India. Can I still consult a psychiatrist here online?
You can have a consultation for assessment, diagnostic opinion and a treatment plan. Whether an Indian prescription can be filled where you live depends on that country's pharmacy rules, and often it cannot — so the psychiatrist may write a summary for a local doctor to prescribe from instead.
Why is the consultation only 15 minutes?
A psychiatric consultation is a focused medical appointment — history, examination of symptoms, and a medication decision. It is a different kind of appointment from a 50-minute therapy session, not a shorter version of one.
Can I see a psychiatrist and a therapist at the same time?
Yes, and it is often the strongest approach. With your consent the two clinicians coordinate so you are not managing two disconnected treatment plans.
References
- Board of Governors in supersession of the Medical Council of India. Telemedicine Practice Guidelines: Enabling Registered Medical Practitioners to Provide Healthcare Using Telemedicine. Ministry of Health and Family Welfare, Government of India; 25 March 2020. mohfw.gov.in
- Math SB, Manjunatha N, Kumar CN, Basavarajappa C, Gangadhar BN. Telepsychiatry Operational Guidelines – 2020. NIMHANS, Bengaluru, with the Indian Psychiatric Society and Telemedicine Society of India; 2020. nimhans.co.in
- Rina K, Padhy SK, Chadda RK. The Telepsychiatry Operational Guidelines 2020 in India: a welcome step. BJPsych International. 2021;18(4):E12. doi:10.1192/bji.2021.20
- Hubley S, Lynch SB, Schneck C, Thomas M, Shore J. Review of key telepsychiatry outcomes. World Journal of Psychiatry. 2016;6(2):269–282. doi:10.5498/wjp.v6.i2.269
Ready when you are
Fees are shown in full before you book — no hidden charges. Psychiatric consultations are online only, by secure video, for clients anywhere in India.