Building a international therapy practice from India
India has over 18 million Non-Resident Indians (NRIs) spread across 130+ countries. Many face unique mental health challenges - cultural adjustment, family distance, identity conflicts, and the "twice outsiders" phenomenon. Meanwhile, therapy costs in countries like the USA, UK, and Australia can be prohibitive ($150-300/session), making Indian therapists an attractive option.
Where your potential clients are based
Largest Indian diaspora. High therapy costs ($150-250/session). Many NRIs seek Indian therapists for cultural understanding. Time zone: IST + 9.5 to + 13.5 hours
Large Indian expat community. Growing mental health awareness. Good paying clients. Time zone: IST - 1.5 hours
Significant Indian population. NHS wait times are long, driving private therapy demand. Time zone: IST - 5.5 hours
Saudi Arabia, Qatar, Oman, Kuwait, Bahrain. Large Indian workforce. Time zone: Similar to UAE
Growing Indian community. High therapy costs ($180-280 AUD/session). Time zone: IST + 4.5 to + 6 hours
Significant Indian diaspora. Universal healthcare but limited mental health coverage. Time zone: IST - 10.5 to - 13 hours
What you need to manage for NRI clients
Create a fixed schedule that works for both. Early morning (7-9 AM IST) or late evening (9-11 PM IST) for US clients.
Use international payment gateways (Razorpay, PayPal), UPI for UAE, crypto for some clients, or Wise transfers.
Clearly state governing law in your intake forms. Typically defaults to Indian law unless specified otherwise.
Have clear emergency plans. You're not physically present to help in crisis. Know local resources in client's country.
It is the professional's responsibility to clearly communicate the following to NRI clients:
Partner with Indian cultural associations, temples, and community groups abroad.
Active on Instagram, LinkedIn, YouTube. Target NRIs searching for "Indian therapist near me."
Happy NRI clients refer friends. Offer referral discounts. Network with Indian doctors abroad.
Competitive rates compared to Western therapists
| Client Location | Local Rate | Your Rate (INR) | Savings for Client |
|---|---|---|---|
| USA | $150-250 | ₹3,000-5,000 | 70-80% |
| UK | £60-120 | ₹2,500-4,500 | 60-70% |
| UAE | AED 400-800 | ₹2,000-3,500 | 50-60% |
| Australia | $180-280 AUD | ₹3,500-5,500 | 65-75% |
| Canada | $150-200 CAD | ₹3,000-4,500 | 65-75% |
Disclaimer: Pricing is indicative based on market research (2026). Rates vary based on your experience, specialization, and client's paying capacity. Always discuss and confirm fees before starting therapy.
Book a free 30-minute call to create your NRI client acquisition strategy.