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Nepal is facing a unique convergence of political, social, and environmental challenges, leaving a profound impact on the collective mental health of its population. This year’s World Mental Health Day theme, “Access to Services: Mental Health in Catastrophes and Emergencies,” could not be more relevant. The nation has witnessed historic youth mobilization through the GenZ revolution, alongside unprecedented floods and landslides that have caused widespread loss of life, displacement, and disruption. Both events illustrate the urgent need for robust, accessible, and integrated mental health services for all Nepalis.

The burden of suicide in Nepal

Mental health challenges in Nepal have long been a public health concern. According to Nepal Police statistics, in the last fiscal year 2024/25 alone, 7,055 people lost their lives to suicide, averaging roughly 20 deaths per day. On a population scale, this translates to approximately 24 deaths per 100,000 people due to suicide in a single year.

The National Mental Health Survey 2020 further highlights that 6.5 percent of adults and 3.9 percent of adolescents reported having suicidal thoughts, indicating widespread psychological distress across age groups. Suicide is particularly significant among women of reproductive age (15–49 years), where it is identified as the leading cause of death. These alarming statistics underscore the importance of addressing mental health not as an ancillary issue but as a core public health priority.

Nepal has recognized mental health as a fundamental human right. Article 35 of the Constitution guarantees basic health services as a fundamental right, ensuring that all citizens can access health care, including emergency services, without cost. The Public Health Service Act 2075, Section 3, and the Public Health Service Regulations 2077, Rule 3, explicitly include mental health services as part of basic health care, guaranteeing citizens the right to free access. Moreover, the Muluki Criminal Code 2074, Section 185, prohibits encouraging suicide, reinforcing a legal framework to protect vulnerable individuals.

In line with the Sustainable Development Goals, Nepal aims to reduce suicide mortality from 16.5 per 100,000 population to 4.7 per 100,000 by 2030. Achieving this target requires both systemic reforms and community-level interventions that combine prevention, treatment, and psychosocial support.

Political upheaval and mental health: The GenZ revolution

The GenZ revolution represents one of the most significant social movements in Nepal’s recent history. Youth activists, primarily aged 15 to 29, organized protests, awareness campaigns, and digital advocacy to demand accountability, transparency, and systemic change. While the movement energized public discourse and created a sense of agency among young people, it also generated significant psychological strain.

Prolonged participation in protests, exposure to conflict and police action, disrupted daily routines, and the pressure of balancing academic and professional responsibilities created a high-risk environment for stress, anxiety, depression, and trauma. Constant exposure to political tension through social media amplified mental health risks, leading to emotional exhaustion and increased vulnerability to long-term psychological effects.

The experiences of these young activists highlight a broader lesson: political emergencies function as psychological catastrophes. Individuals engaged in social movements often experience emotional distress comparable to those affected by natural disasters. Recognizing and responding to such mental health needs is essential for building a resilient society.

Natural disasters: Floods and landslides

Nepal’s geographic and climatic conditions have made it prone to natural disasters. In early Oct 2025, continuous heavy rainfall caused severe floods and landslides across the country. The affected areas included Ilam, Rautahat, Khotang, and parts of Kathmandu Valley. Over fifty lives were lost, and hundreds of families were displaced, highlighting the devastating human and psychological toll of environmental emergencies.

In Ilam, entire villages were swept away by mudslides. Rautahat and Khotang experienced flash floods that destroyed homes, farmlands, and critical infrastructure. In Kathmandu, waterlogged roads, blocked highways, and submerged bridges severely disrupted mobility and access to essential services. Major highways, including Araniko, BP, and Kanti, were cut off for several days, isolating communities and delaying emergency relief.

These events produced not only immediate physical damage but also long-lasting psychological distress. Families faced the loss of homes and livelihoods, children were separated from schools and routines, and communities experienced uncertainty and fear. Displacement to temporary shelters and constant exposure to danger created conditions conducive to anxiety, post-traumatic stress, depression, and suicidal ideation. The floods served as a stark reminder that natural disasters have profound emotional and mental health implications alongside physical devastation.

Intersecting crises and compounded risks

The intersection of political upheaval and environmental disasters has intensified mental health challenges in Nepal. Youth already experiencing stress from activism were simultaneously facing additional pressures from floods, landslides, and displacement. Disrupted education, interrupted employment, and cumulative stressors have created conditions conducive to long-term psychological disorders.

Emergencies of any kind disrupt daily life, create uncertainty, and reduce access to coping mechanisms. In Nepal, these compounded crises demonstrate how political, social, and environmental factors converge to exacerbate mental health vulnerabilities.

Challenges in mental health service access

Nepal’s mental health infrastructure faces significant limitations. There are fewer than 200 psychiatrists nationwide, and most are concentrated in urban areas, leaving rural and disaster-affected populations underserved. Psychologists, psychiatric nurses, and trained counselors are limited, and community-based psychosocial support programs are often inconsistent due to insufficient resources, staff shortages, and limited integration into emergency response systems.

Stigma further limits service utilization. Despite legal provisions and constitutional guarantees, many individuals avoid seeking help due to fear of social judgment or misunderstanding about mental health. In disaster situations, when access is most critical, these structural and social barriers can leave vulnerable populations without support.

Strategies to strengthen mental health resilience

Addressing Nepal’s mental health challenges requires a holistic and integrated approach across multiple levels. Expanding community-based services is essential, with schools, health posts, and community centers providing accessible mental health support, particularly in rural and disaster-prone areas. Frontline workers, including teachers, health professionals, and volunteers, should be trained in psychological first aid, trauma recognition, and referral systems to ensure timely and appropriate support. Mental health services must also be fully integrated into disaster response plans, guaranteeing that counseling, psychosocial support, and safe spaces are available alongside essential provisions such as food, shelter, and medical care. The use of digital platforms and tele-counseling can further extend reach, connecting isolated communities during floods, landslides, and other emergencies.

At the policy level, the government must prioritize mental health within disaster management frameworks and allocate adequate resources for sustainable, nationwide service delivery. Finally, public awareness campaigns are critical to reduce stigma, educate communities, and promote early intervention, ensuring that individuals seek help promptly and receive the support they need.

Conclusion: Building a resilient Nepal

Nepal in 2025 illustrates the intricate connections between political, social, and environmental crises and mental health outcomes. The experiences of youth during the GenZ revolution, combined with the trauma of floods and landslides, as well as persistent challenges related to suicide, emphasize the urgent need for comprehensive, accessible mental health care.
Mental health is not a secondary concern. It is a fundamental right, a public health priority, and a societal responsibility. 

Strengthening mental health systems, integrating services into disaster response, and ensuring universal access are essential steps toward protecting lives, empowering youth, and building a resilient society.

On this World Mental Health Day, Nepal has an opportunity to act decisively to safeguard mental well-being, honor constitutional and legal rights, and ensure that the mental health of all citizens is treated with the urgency and respect it deserves.

The GenZ uprising of Sept 8-9 has reignited debate over the relevance of Nepal’s federal governance system. Calls are growing to dismantle the provincial structure and empower local levels further. At the same time, a parallel public sentiment questions whether seeking alternatives to federalism is premature. Political and social representatives emerging after the movement have openly presented divergent perspectives on the issue.

Nepal formally adopted a federal system with the 2015 Constitution, which came into full implementation in 2018. While federalism had been sporadically discussed in earlier debates, the Madhes movement and other ethnic-regional agitations following the 2007 Interim Constitution were pivotal in institutionalizing it. Political parties of that era accepted federalism under pressure to pacify unrest and restore stability. It is therefore indisputable that federalism in Nepal was not a spontaneously embraced principle but a system established through struggle.

Against this backdrop, dissatisfaction with the provincial setup, considered the “soul” of federalism, has emerged as a pressing subject for analysis. Why has public support for provinces eroded so rapidly? This question lies at the heart of the ongoing national debate: Why are the provinces neglected?

An ambiguous role

Nepal’s Constitution clearly delineates powers and responsibilities among the federal, provincial and local levels, including both shared and exclusive authorities. Despite these clear provisions and subsequent functional reports further clarifying them, the federal government has failed to sufficiently empower the provinces.

The Constitution restricts provinces from enacting laws that contradict federal legislation. Yet, because the federal parliament has delayed passing or amending necessary laws, provinces were left in a prolonged legal vacuum. Consequently, they began drafting their own legislation. For instance, the Federal Civil Service Act is still pending, whereas provinces have already enacted their civil and local service laws, creating legal inconsistencies that have reached the Constitutional Bench.

Fiscal federalism has similarly suffered. Major taxes and large infrastructure projects remain under federal control, preventing provinces from achieving financial self-reliance and making them dependent on federal grants. This situation has raised questions about the federal government’s genuine commitment to federalism. Administrative disruptions, particularly in personnel adjustment, have compounded the problem. Forced adjustment often met with resistance undermined the provinces’ ability to implement federalism effectively. The failure to stabilize the administrative backbone weakened the system’s overall efficacy.

Provinces’ weaknesses

In the initial phase, provincial governments appeared relatively agile and committed. Small seven-member cabinets functioned despite limited staff and legal gaps. Over time, some of these challenges got resolved, but then the provinces began replicating the federal government’s problematic practices.

Unnecessary expansion of ministries, oversized cabinets, bloated advisory bodies and costly administrative setups increased recurrent expenditures without producing tangible improvements in citizens’ lives. Provincial legislators frequently engaged in party splits and political maneuvering to secure positions and power—further eroding public trust. Corruption and uncontrolled benefits by political personalities amplified public criticism.

Government change in the Center also affected provincial stability. Governments were formed or dissolved at the federal leadership’s signal, weakening provincial autonomy. As a result, provincial administrations—the intended embodiments of federalism, began operating under external influence, failing to establish themselves as credible institutions in the public eye.

Judiciary’s ineffective role

Scholars have long expected the judiciary to guide provinces to become stronger and more capable through clear constitutional interpretation. Judicial decisions significantly shape federal practices, yet courts have failed to safeguard provincial autonomy adequately.

Most of the cases accusing the federal government of unnecessary interference or lack of facilitation have remained unresolved. Decisions, when issued, lack uniformity. For example, cases filed by the Madhesh Province Government over the Sagarnath forest project or staff adjustments have remained unresolved for seven years. Supreme Court rulings on the Gandaki Province government formation have given rise to significant legal disagreements. Differing court orders on writs filed by transferred civil servants further entrenched uncertainty for provincial governments and employees.

Such inconsistencies have reinforced the perception that centralized thinking dominates the judiciary. The courts’ failure to act as constitutional guardians of provincial stability is a major factor impacting public confidence in the federal system.

Irresponsible media

Mainstream media could have played a pivotal role in consolidating federalism. Instead, driven by TRP (Target Rating Point) competition, sensationalism often eclipsed informed reporting.

Positive provincial initiatives such as investments in social sectors, improvements in human development indicators and tourism promotion have received limited attention. In contrast, stories on cabinet reshuffles, ministerial lifestyles and petty scandals got amplified, fostering negative perceptions of the provincial structure.

While corruption has existed historically, media reports often exaggerated its prevalence only after the formation of provincial governments. Pro-federal voices were relegated to minor columns, while anti-federal perspectives dominated front pages. This biased information flow heightened public dissatisfaction and distrust toward provincial governments.

Influence multiplied

In today’s digital age, social media amplifies public discourse alongside traditional media. Activists and influencers compete for followers and views, often overlooking positive provincial initiatives. Single mistakes are sensationalized, analyzed from multiple angles and sometimes mixed with fabricated claims.

This flood of misinformation and malinformation leaves citizens unable to discern fact from fiction. Provincial governance is inherently the most challenging layer of the federal system for public comprehension. While it takes time to demonstrate necessity and effectiveness, various interest groups have exploited this period to magnify weaknesses and advance their agendas. Misleading campaigns have significantly contributed to public neglect of provinces.

Conclusion

Federalism forms the backbone of Nepal’s constitutional, political, and administrative framework. It was introduced not merely for administrative convenience but to ensure inclusive governance that accommodates Nepal’s diverse social, cultural and regional realities. Today’s imperative is not to dismantle provinces but to reform them—creating lean, efficient and results-oriented provincial structures. Through improved, citizen-centric federal practices, provincial governments can regain public confidence and become foundational pillars in building a tolerant society and a prosperous Nepal.

To put it bluntly, Nepal’s disaster management system is a chronic liability for the nation’s economy and development. Year after year, the same pattern repeats: infrastructure buckles under predictable monsoon pressure, commerce grinds to a halt and the government scrambles to provide the bare minimum response. From a commoner’s perspective, this is not just a humanitarian crisis; it’s a fundamental risk to growth, and public trust.

Let’s look at last week’s flood as a case study. Over 120 millimeters of rain in the Kathmandu valley, and what happens? The Bagmati river overflows, settlements get submerged and thousands of travelers get stuck. Major roads, the arteries of trade and mobility, are paralyzed. The cascading impact on businesses, logistics and supply chains is enormous. Missed deliveries, spoiled goods, delayed projects: these translate directly into lost revenue.

The government’s response? Only warnings and temporary road closures. That’s risk mitigation at its most reactive, not proactive. This signals a systemic weakness. If the capital city can’t guarantee basic resilience for its infrastructure, what does that say to entrepreneurs or multinationals considering Nepal as a regional hub? It’s not just embarrassing; it’s a red flag.

What’s truly troubling is that none of this was unforeseen. Meteorological departments both local and international had issued alerts. Risk maps were available. The knowledge was there, but execution was absent. In the private sector, such a disconnect between planning and action would be deemed operational failure. Heads would roll. In the government, it’s business as usual, and that’s a problem.

The root cause isn’t the rain or the rivers or even climate change in isolation; it’s governance. Subpar infrastructure isn’t a quirk of nature; it’s the result of weak regulations, poor enforcement and a culture of shortcuts. When roads collapse or bridges fail, it’s often because substandard materials were used, inspections were skipped or contracts were awarded based on connections rather than competency. This is inefficiency that costs lives but also eats into GDP.

Every broken bridge or flooded market is a direct hit not only to the public purse, but to the broader economy. Taxpayer money gets funneled into rebuilding the same structures year after year, a recurring expense with no strategic return. Meanwhile, the opportunity cost is massive: funds that could go into education, healthcare, technology or even modernizing infrastructure are instead funneled into endless repairs.

And the cycle is disturbingly predictable. Disaster strikes, there’s a flurry of aid, some short-term fixes, and then the urgency fades. Budgets shift elsewhere, reports are filed and forgotten, and nothing really changes before the next crisis. This isn’t just bureaucratic inertia; it’s a structural risk that anyone would flag immediately. You can’t build a future on such shaky ground.

As climate volatility makes weather patterns more extreme and unpredictable, designing for “average conditions” is a recipe for failure. For Nepal to position itself as a viable market, it must engineer infrastructure to withstand not just the probable, but the possible. This means higher upfront costs, yes, but also far greater long-term returns and resilience.

Unplanned construction along rivers and unstable slopes is no longer a public safety issue; it’s a long-term occupational risk. Relocation of vulnerable communities should be done with foresight and dignity, not as a panicked reaction when disaster hits. Every major development project must include a robust climate risk assessment as part of due diligence. To ignore this is, quite literally, to invite future losses.

Accountability remains the missing ingredient. Nepal’s disaster agencies are good at issuing warnings but poor at delivering results. Coordination is weak, resources are stretched and responsibility is diffuse. In the private sector, a failure to deliver on risk management would mean restructuring, tighter oversight and clear consequences. The public sector must adopt a similar approach if it wants to foster sustainable growth and protect both lives and livelihoods.

This endless loop of crisis and neglect is not just unsustainable; it’s a major drag on competitiveness. It normalizes inefficiency, stifles innovation and discourages the kind of long-term planning that underpins successful economies. 

Why do the same roads collapse every year? Why does reconstruction always cost more than prevention? 

These are some of the questions the government must address, without further delay.

Accepting this as normal guarantees the same losses, year after year. If Nepal wants to break the cycle, disaster management must become a strategic priority, not an afterthought. This means investing in maintenance, building up local response capabilities, keeping risk maps updated and ensuring seamless coordination between agencies.

Relief efforts can only do so much; they’re a band-aid on a festering wound. True preparedness, the kind that saves lives and preserves economic stability, starts long before the rain begins to fall. Every failed bridge, every flooded street, every preventable tragedy should be a catalyst for investigation and reform, not just another line item in next year’s budget. Nepal can no longer afford to treat disaster management as a seasonal inconvenience. It’s a catastrophic risk and the cost of inaction is mounting.

The author is an engineer and certified project management professional advocating for enhancing project management practices in Nepal

When thousands of youths marched onto the streets on September 8, many in school dresses, they challenged the traditional power structure using digital platforms. Two things were particularly uncommon in this protest: First, the term “GenZ” and the second, the use of digital platforms. GenZ, often referred to as the first tribe of digital natives, are the demographic cohort after millennials. Analysts describe GenZ as compassionate and thoughtful, yet also anxious in a world of global crises and constant information flow. Second, their reliance on digital tools for communication and mobilization was a defining characteristic during the recent protest.

This decentralized and leaderless protest was a grassroot movement coordinated by GenZ through digital platforms. Platforms like Discord, YouTube and TikTok acted as a central point for information sharing, coordination and collaboration, building consensus and amplifying actions.

As Virginia Matthews once noted, GenZ channels their political power via online identities and digital activism. This holds true in global stage too, movements such as #MeToo and #BlackLivesMatter have shown how digital platforms can amplify voices and turn local frustrations into global advocacy.

Fueled by deep-seated frustration over corruption, inequality and systematic failure, the protest moved beyond the political ideology. It highlighted the ability of digital space to form a common voice, organize and pressure change—faster than conventional politics. It unified young people across cities and even inspired older generations and Nepalis living abroad to offer their support.

Why it matters

The significance of this protest goes beyond the moment of anger and frustration over corruption, inequality and growing influence of a generation in reshaping Nepal’s future.

The oldest members of GenZ are moving through universities, entering the workforce and even stepping into government, just like the previous generation but at a faster pace. They bring entrepreneurial spirit, a comfort with technology and impatience with outdated systems.

Many GenZ are already running digital startups from clothing brands on instagram to gaming companies and e-commerce platforms. For them, digitalization has provided unique opportunities to develop skills, remove social barriers and create sustainable growth. The restriction in the access to the digital world not only limits their potential but also their access to information and social support. The recent protests set a powerful reminder that comprehensive digital education is fundamental for civic participation, economic opportunity and accountable governance.

The protest also exposed how fragile Nepal’s governance system remains. When the public records and digital infrastructure were affected by the protest, it highlighted the vulnerability of paper-based systems. In contrast, data centers and backup availability protected countless documents. For a generation raised online, digitalization is not a luxury or convenience but a necessity, it is more about security, accountability and future stability of the nation.

What the protest revealed?

Education gaps

The protests clearly highlighted that Nepal's GenZ workforce is technologically-driven. This spotlighted the mismatch between GenZ potential and Nepal’s education system. While the jobs like software development, digital marketing and fintech are emerging, most schools place little emphasis on developing these skills. Schools’ curriculum rarely include practical IT training and entrepreneurial skills. If this continues, Nepal risks losing its first generation of digital natives to opportunities abroad. GenZ may be fluent in digital platforms but there is a gap in translating it into the production skills required for Nepal’s digital economy.

Continuing instability

The destruction of the private assets during the GenZ protests highlighted the uncertainty facing entrepreneurs and investors. This widespread fear is rooted in an unstable political-economic environment—most prime-ministers served less than two years in the last decade. This cycle of uncertainty poses a threat to aspiring entrepreneurs to innovate with confidence and ensure support for their products/services. As Nepal aims for graduation from the club of least developed countries in 2026, an unclear and uncertain roadmap threatens to drive both the talent and investment away. The urgency to build stronger and resilient systems to withstand social and political shocks is indeed necessary.

Misinformation and trust

The protest demonstrated how quickly the unverified rumors can spread in times of unrest even as the digital platform helped in forging coordination and sharing verified updates. This highlights the lack of strong foundation in digital literacy, fact-checking mechanisms and responsible online engagement. Without safeguarding, misinformation can distort public understanding and further weaken institutional trust.

Digital readiness

Although the GenZ protest showcased the power of technology to organize and mobilize, it also revealed the uneven digital readiness. The persistent digital divide among urban and rural areas, limited connectivity and uneven digital access among the youth limited the equal participation. Such divides led to an uneven voice among GenZ, these gaps are not only a matter of equality, but also of national progress. Without bridging these gaps, the transformative potential of GenZ to address long-standing issues such as inefficiency, corruption, and inaccessibility might remain limited.

Looking ahead

The GenZ protest revealed the beginning of a digital movement. If nurtured in time, GenZ could lead Nepal’s first true digital transformation. This includes e-government services to make public institutions more transparent, connecting local entrepreneurs with global buyers through digital marketplace and establishment of innovation hubs for young people to design solutions for pressing needs. However, all this depends on today’s choices. Without infrastructure, investment, digital literacy and supportive policies, the movement’s potential will be lost. What is needed is a strong commitment that turns the protest energy into a blueprint for a more open, efficient and inclusive Nepal.

The author is a graduate student in International Cooperation and Development and an EdTech researcher