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Psychiatrist in Bangkok?

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I’m looking for a psychiatrist in Bangkok. I already tried/started online talk therapy using one of the big providers but feel like it’s time to add some medication too.

If you can recommend a therapist in Bangkok who’s good, that’s appreciated too. I can’t tell whether the online talk therapy is any good or not because I don’t have a benchmark (I never did it before). I understand it can be hit and miss (but that’s the case even with a local therapist).

PS: if it helps:

Looking for a mild antidepressant that helps improving sleep and works against anxiety and hopelessness. ChatGPT suggests Sertraline or Mirtazapine.

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  • save the frogs
    save the frogs

    There is simple over the counter stuff you can get on iHerb for sleep and anxiety. For the latter, I highly recommend counseling. Do you have suicidal thoughts? I am not convinced that pharmaceutical

  • It is not an "opposite effect". Depression can led to inertia. As depression first begins to lift, some people with suicidal impulses they were previoudly unable to act on, do.

  • For psychiatrist: https://www.bumrungrad.com/en/doctors/Suttiporn-Janenawasin She is in high demand so may be a wait for appointment but well worth it. For therapy: https://psibkktherapy.com/ Or

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For psychiatrist:

https://www.bumrungrad.com/en/doctors/Suttiporn-Janenawasin

She is in high demand so may be a wait for appointment but well worth it.

For therapy:

https://psibkktherapy.com/

Or

https://ncsbkk.com/ncs/

with therapy, the interpersonal chemistry is very important so may take some trial and error to find the right fit. Don't give up.

2 hours ago, Padkrapaonuea said:

I’m looking for a psychiatrist in Bangkok. I already tried/started online talk therapy using one of the big providers but feel like it’s time to add some medication too.

If you can recommend a therapist in Bangkok who’s good, that’s appreciated too. I can’t tell whether the online talk therapy is any good or not because I don’t have a benchmark (I never did it before). I understand it can be hit and miss (but that’s the case even with a local therapist).

PS: if it helps:

Looking for a mild antidepressant that helps improving sleep and works against anxiety and hopelessness. ChatGPT suggests Sertraline or Mirtazapine.

Bangkok Mental Health Hospital, Dr. Apichat Jariyavilas

6 hours ago, Padkrapaonuea said:

sleep and works against anxiety and hopelessness.

There is simple over the counter stuff you can get on iHerb for sleep and anxiety.

For the latter, I highly recommend counseling. Do you have suicidal thoughts? I am not convinced that pharmaceutical drugs are effective, although I am by no means an expert.

But a quick google search shows the perverse and twisted OPPOSITE effect of some of these medications.

image.png

  • Popular Post
3 hours ago, save the frogs said:

There is simple over the counter stuff you can get on iHerb for sleep and anxiety.

For the latter, I highly recommend counseling. Do you have suicidal thoughts? I am not convinced that pharmaceutical drugs are effective, although I am by no means an expert.

But a quick google search shows the perverse and twisted OPPOSITE effect of some of these medications.

image.png

It is not an "opposite effect".

Depression can led to inertia. As depression first begins to lift, some people with suicidal impulses they were previoudly unable to act on, do.

7 hours ago, save the frogs said:

here is simple over the counter stuff you can get on iHerb for sleep and anxiety.

I agree that it's worth adding a supplement or too. They won't move the dial hugely, but they can definitely give you a nudge in the right direction. I strongly recommend L Theanine. It's an amino acid and very safe to take. (Of course, you should do your own research). The exact supplement I take is this one, which I buy from iHerb (but any reputable supplement brand should be fine):

California Gold Nutrition, L-Theanine, Featuring AlphaWave®, 200 mg, 60 Veg Capsules

It's cheap and works well. It won't fix everything, but it sure helps make one feel relaxed without being sedating.

On 1/19/2026 at 11:05 AM, Padkrapaonuea said:

Sertraline or Mirtazapine.

Sertraline helps with anxiety and depression, but can cause insomnia as a side effect, at least for the first weeks/months.

Mirtazapine helps with sleep. A combination of the 2 might be what you are looking for.

On 1/19/2026 at 12:01 PM, Sheryl said:

For psychiatrist:

https://www.bumrungrad.com/en/doctors/Suttiporn-Janenawasin

She is in high demand so may be a wait for appointment but well worth it.

For therapy:

https://psibkktherapy.com/

Or

https://ncsbkk.com/ncs/

with therapy, the interpersonal chemistry is very important so may take some trial and error to find the right fit. Don't give up.

I wouldlike to add BNH and https://www.bnhhospital.com/search-doctor/entry/4198/

I currently meet with psibkktherapy and started at NCS.

Both are good but you need to find the counsellor that fits with you and you can get along with.

NCS is by Sapan Kwai and PSI is near phrom pong.

I would suggest that while you mayneed the meds, you also need to deal with what is causing, and that is where the counsellor fits in.

Best of luck

On 1/19/2026 at 8:19 PM, save the frogs said:

There is simple over the counter stuff you can get on iHerb for sleep and anxiety.

For the latter, I highly recommend counseling. Do you have suicidal thoughts? I am not convinced that pharmaceutical drugs are effective, although I am by no means an expert.

But a quick google search shows the perverse and twisted OPPOSITE effect of some of these medications.

image.png

D

On 1/19/2026 at 8:19 PM, save the frogs said:

There is simple over the counter stuff you can get on iHerb for sleep and anxiety.

For the latter, I highly recommend counseling. Do you have suicidal thoughts? I am not convinced that pharmaceutical drugs are effective, although I am by no means an expert.

But a quick google search shows the perverse and twisted OPPOSITE effect of some of these medications.

image.png

Drugs are mostly placebo. Magnesium and creatine are great for the brain.

https://www.psychiatrypodcast.com/psychiatry-psychotherapy-podcast/episode-238-creatine-mental-health-benefits

8 minutes ago, Harrisfan said:

Drugs are mostly placebo. Magnesium and creatine are great for the brain.

no, drugs are not placebo. they have powerful effects.

sometimes deficiencies can cause issues. so yes lack of magnesium and creatine and other things may be causing issues, but not sure it's enough to resolve all mental health issues.

1 minute ago, save the frogs said:

no, drugs are not placebo. they have powerful effects.

sometimes deficiencies can cause issues. so yes lack of magnesium and creatine and other things may be causing issues, but not sure it's enough to resolve all mental health issues.

The claim that depression drugs are mostly placebos is supported by multiple meta-analyses, particularly those analyzing FDA data. Irving Kirsch and colleagues found that antidepressants show only a minimal clinical advantage over placebos, with about 75% of the improvement attributed to the placebo effect. This difference is often statistically significant but clinically insignificant, especially in mild to moderate depression.

However, the benefit becomes more pronounced in severe depression, where antidepressants appear to offer a meaningful advantage over placebos. A 2024 study confirmed that antidepressants are more effective than placebo for moderate to severe cases, with about 30% improvement in placebo group versus higher rates in the drug group.

26 minutes ago, Harrisfan said:

The claim that depression drugs are mostly placebos is supported by multiple meta-analyses

You came to the table with studies to back up your claims.

Respect.

Anyway, I was alluding to THIS ... I have never tried Prozac, but I had heard this somewhere and AI backs up my claim ...

With Prozac, you may not feel depressed, but it also may blunt positive emotions.

image.png

Just now, save the frogs said:

You came to the table with studies to back up your claims.

Respect.

Anyway, I was alluding to THIS ... I have never tried Prozac, but I had heard this somewhere and AI backs up my claim ...

With Prozac, you may not feel depressed, but it also may blunt positive emotions.

image.png

I tried it twice. Felt nothing. Drugs mainly help severe depression. Older people need to be eating plenty of meat and almonds or take supplements. The brain is an organ that requires plenty of nutrients.

52 minutes ago, Harrisfan said:

The claim that depression drugs are mostly placebos is supported by multiple meta-analyses, particularly those analyzing FDA data. Irving Kirsch and colleagues found that antidepressants show only a minimal clinical advantage over placebos, with about 75% of the improvement attributed to the placebo effect. This difference is often statistically significant but clinically insignificant, especially in mild to moderate depression.

However, the benefit becomes more pronounced in severe depression, where antidepressants appear to offer a meaningful advantage over placebos. A 2024 study confirmed that antidepressants are more effective than placebo for moderate to severe cases, with about 30% improvement in placebo group versus higher rates in the drug group.

A 40% edge over placebos is not consistent with your claim that antidroressrnts are mere plsebos.

Of course, effects are much less if the depresdion is only mild. Antidepressents are not recommended for "mild" depression.

6 minutes ago, Sheryl said:

A 40% edge over placebos is not consistent with your claim that antidroressrnts are mere plsebos.

Of course, effects are much less if the depresdion is only mild. Antidepressents are not recommended for "mild" depression.

Where did you get 40% from?

  • Author
On 1/19/2026 at 5:19 PM, save the frogs said:

There is simple over the counter stuff you can get on iHerb for sleep and anxiety.

On 1/20/2026 at 1:11 AM, mstevens said:

I strongly recommend L Theanine.

On 1/26/2026 at 10:05 AM, save the frogs said:

sometimes deficiencies can cause issues. so yes lack of magnesium and creatine and other things may be causing issues, but not sure it's enough to resolve all mental health issues.

I’ve tried all that. Tested for deficiencies but don’t have any except for Vitamin D3. Started to take supplements but didn’t do much.

Magnesium, L-theanine, L-tryptophan: didn’t do much either.

Sleep hygiene, light therapy, a new bed and mattress, even got a CPAP machine for 30000 Baht: still waking up at night around the same time with my heart beating and physical symptoms of anxiety plus the heavy feeling of hopelessness and worthlessness. Days are naturally a bit better and I’m still functioning but there’s still a depressed mood, demoralization, and lack of energy.

I just feel like this can’t be good for my (mental and physical) health if it keeps going for another 3 years (because it’s been that long), hoping that things get better. Eventually I tink you need to change course of action if what you’ve been doing doesn’t make a difference.

3 hours ago, Padkrapaonuea said:

I’ve tried all that. Tested for deficiencies but don’t have any except for Vitamin D3. Started to take supplements but didn’t do much.

Magnesium, L-theanine, L-tryptophan: didn’t do much either.

Sleep hygiene, light therapy, a new bed and mattress, even got a CPAP machine for 30000 Baht: still waking up at night around the same time with my heart beating and physical symptoms of anxiety plus the heavy feeling of hopelessness and worthlessness. Days are naturally a bit better and I’m still functioning but there’s still a depressed mood, demoralization, and lack of energy.

I just feel like this can’t be good for my (mental and physical) health if it keeps going for another 3 years (because it’s been that long), hoping that things get better. Eventually I tink you need to change course of action if what you’ve been doing doesn’t make a difference.

Yes, you do.

Please disregard those trying to discourage you from getting professional help.

It is ususlly best to start with therapy and let the therapist recommend whether a medicatiom is also necessary and, if so, what type.

Sometimes talk therapy alone will suffice. Sometimes not.

3 hours ago, Padkrapaonuea said:

of hopelessness and worthlessness. Days are naturally a bit better and I’m still functioning but there’s still a depressed mood, demoralization, and lack of energy.

Maybe some pills are needed.

But pills are not going to fix all of that.

Therapy can be helpful - but expensive because it needs to be continued for months and months and not all therapists are good.

You should consider delving into psychology books, esoteric stuff (Ekhart Tolle - The Power of Now ... though I haven't read it, but anything that might help you shift your mindset and learn how to work your mind).

On 1/19/2026 at 5:05 AM, Padkrapaonuea said:

I’m looking for a psychiatrist in Bangkok. I already tried/started online talk therapy using one of the big providers but feel like it’s time to add some medication too.

If you can recommend a therapist in Bangkok who’s good, that’s appreciated too. I can’t tell whether the online talk therapy is any good or not because I don’t have a benchmark (I never did it before). I understand it can be hit and miss (but that’s the case even with a local therapist).

PS: if it helps:

Looking for a mild antidepressant that helps improving sleep and works against anxiety and hopelessness. ChatGPT suggests Sertraline or Mirtazapine.

I sent you already the details of a specialist in Bangkok.

And I strongly advise you not starting with self treatment promoted by AI.

However, a licensed Psychiatrist might recommend Bupropion, Venlafexine or even Methyphenidat......after a good diagnosis, History, Anamnesis.

What can you do by yourself? Ad Hoc?

Try to be active just for a minute or two. Or try to finish a task (not a complicated one), or watching your posture in a mirror.

The Psychiatrist might recommend rTMS, repetitive transcranial magnetic stimulation.

I got best results with some patients.

Important: to break out of the vicious circle of depression and inertia.

  • Author
2 hours ago, newbee2022 said:

Try to be active just for a minute or two. Or try to finish a task (not a complicated one), or watching your posture in a mirror.

(…) to break out of the vicious circle of depression and inertia.

Thanks.

To avoid misunderstandings, I am functional. I get up every day, brush my teeth, make my bed, I do my sports and still enjoy that, I meet people, I cook dinner on some days, I talk with friends over the phone, I work, I travel, I read books and watch TV. But the night time anxiety has been there for too long and the negative thoughts just got worse or more pronounced, and I feel like I should act and not let get worse and worse. This just for context, not trying to argue for or against anything.

7 minutes ago, Padkrapaonuea said:

Thanks.

To avoid misunderstandings, I am functional. I get up every day, brush my teeth, make my bed, I do my sports and still enjoy that, I meet people, I cook dinner on some days, I talk with friends over the phone, I work, I travel, I read books and watch TV. But the night time anxiety has been there for too long and the negative thoughts just got worse or more pronounced, and I feel like I should act and not let get worse and worse. This just for context, not trying to argue for or against anything.

Do you have a girlfriend?

Have you tried St Johns Wart?

Do you eat much meat?

13 hours ago, Padkrapaonuea said:

Thanks.

To avoid misunderstandings, I am functional. I get up every day, brush my teeth, make my bed, I do my sports and still enjoy that, I meet people, I cook dinner on some days, I talk with friends over the phone, I work, I travel, I read books and watch TV. But the night time anxiety has been there for too long and the negative thoughts just got worse or more pronounced, and I feel like I should act and not let get worse and worse. This just for context, not trying to argue for or against anything.

Thanks for clarification. However, there are reasons for this anxiety. Therefore I recommend an experienced specialist as mentioned.

  • Author
On 1/24/2026 at 10:47 AM, kingstonkid said:

NCS is by Sapan Kwai and PSI is near phrom pong.

Is NCS the same one that have a branch at Asoke? “New Counseling Service”

ncsbkk.com

22 hours ago, Padkrapaonuea said:

Is NCS the same one that have a branch at Asoke? “New Counseling Service”

ncsbkk.com

Yes

Honestly you don't need to see a psychiatrist. Doctors in major hospitals deal with this stuff all the time. For example a gasto doc can prescribe you antidepressants. I had some excellent GI doctors at vehthani and Medpark. Maybe not the heavy stuff but certainly stuff to calm you down.

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