Services · No. 03

What we offer.

A private outpatient psychiatric practice. Services cover the work of most clinic weeks — from a first consultation through ongoing psychiatric care — alongside one specialty programme for treatment-resistant cases.

Standard care first. Specialty care where it fits.

Dr. Alphonce Nabiswa at Parklands Mindcare Centre

Core psychiatric care.

01 · Consultation

Psychiatric consultation and assessment

An initial 60 to 90 minute appointment with Dr. Nabiswa to understand your history, current symptoms, what you have already tried, and your treatment goals. The outcome is a working diagnosis (or a clear next step toward one) and a plan you understand and consent to.

02 · Pharmacology

Medication management

Evidence-based prescribing of antidepressants, anxiolytics, mood stabilisers, antipsychotics, sleep medication, and pharmacotherapy for addiction, with regular review for response and side effects. Dr. Nabiswa specialises in psychopharmacology and complex regimens.

03 · Review

Ongoing psychiatric care

Follow-up appointments paced to your recovery: weekly in the early weeks where needed, monthly as you stabilise, and longer intervals once you are well. Care is structured but not formulaic.

04 · Lifestyle

Lifestyle and prevention

Sleep, exercise, nutrition, and structure are not optional extras. They are built into every plan, alongside medication and therapy, because the evidence says they matter.

05 · Coordination

Psychotherapy referral

We do not provide weekly talk therapy in-house, but we work with a trusted network of psychologists and counsellors in Nairobi. Where therapy is the right next step, we will refer and stay in coordination with your therapist.

06 · Documentation

Letters, reports, and second opinions

Reports for employers, schools, courts, or insurers, when clinically appropriate. Second opinion consultations for patients already in care elsewhere who want a fresh psychiatric review.

Care for specific populations.

A · Adolescent

Adolescent mental health

Psychiatric assessment and care for teenagers, with parental involvement at the level the young person consents to. Common presentations include depression, anxiety, self-harm, school refusal, ADHD, and early-onset mood disorders.

B · Postpartum

Postpartum mental health

Postpartum depression and anxiety, intrusive thoughts, birth trauma, and postpartum OCD. Treatment plans are built with breastfeeding compatibility and infant safety in mind.

C · Addiction

Addiction and substance use

Outpatient psychiatric support for alcohol and substance use disorders, including pharmacotherapy for cravings and relapse prevention, alongside referral to rehabilitation services where indicated.

D · Sleep

Sleep medicine

Assessment and treatment of insomnia, circadian rhythm problems, and sleep disturbance secondary to depression, anxiety, PTSD, or medication. Sleep hygiene first, pharmacology where it is genuinely needed.

E · Personality

Personality and complex presentations

Psychiatric care for borderline personality and other complex presentations, with realistic goals around stability, safety, and quality of life. We coordinate closely with therapists where DBT or schema work is part of the plan.

F · Trauma

Trauma and PTSD

Assessment and treatment of post-traumatic stress disorder, including pharmacological options and coordination with trauma-focused therapy. Where appropriate, the ketamine programme can be considered as an adjunct.

Specialty programme.

In one paragraph

Kenya's first low-dose ketamine therapy programme for psychiatric conditions, running since 2019. Every session is supervised by an ACLS-certified specialist with continuous critical-care monitoring of heart rate, blood pressure, respiration, and oxygen saturation.

Suitability is decided after a thorough psychiatric and medical workup. We do not offer ketamine to every patient who asks for it.

Our specialty offering, and the one Dr. Nabiswa is best known for. Ketamine therapy is a monitored, low-dose, hospital-grade programme reserved for adults with severe and treatment-resistant conditions where standard care has not worked: treatment-resistant depression, severe anxiety, PTSD, OCD, suicidal ideation, and certain chronic pain syndromes.

It is not the centre of the practice. It is one of the tools we use, and we will tell you honestly whether it is right for you.

Read about the ketamine programme

What we do not offer.

A short, honest list. If you need any of the below, we will help you find the right place rather than improvise.

  • Inpatient psychiatric admission. We are an outpatient practice. For acute admission we refer to Aga Khan University Hospital or another appropriate facility.
  • Long-term weekly psychotherapy in-house. We refer to trusted psychologists and counsellors instead.
  • Emergency psychiatric crisis response outside clinic hours. In an emergency please call your nearest hospital or Kenya's emergency services.
  • Direct billing to insurers. We do not work directly with medical insurance. Pricing is discussed before booking.

Book a first consultation.

A consultation lets us listen properly, review your history, and decide together what care fits, whether that is medication, therapy referral, or specialty treatment.