Bibhav Acharya, MD
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bibhav.bsky.social
Bibhav Acharya, MD
@bibhav.bsky.social
Professor and Fellowship Director for Global Mental Health, UCSF.
Co-founder: Possible
Alum: Yale, Haverford
Interests: Global Mental Health, social drivers of health, intimate partner violence.
https://profiles.ucsf.edu/bibhav.acharya
As I congratulate Possible on this transition, I hope local accountability will keep the hospital from falling apart again.

My deepest thanks to all the staff, donors, and volunteers, as we celebrate this milestone while continuing our commitment to focus on challenges ignored by local investments.
December 18, 2025 at 7:27 PM
In my testimonial for the milestone annual report, I focus on those neglected but essential programs, and on what matters the most: those in pain—the people receiving care from the hospital—should have the power to make decisions about what the hospital does.
December 18, 2025 at 7:27 PM
Global health now talks of decolonization and self-reliance.

Local leadership is wonderful but beware local elite capture.

Self-reliance is welcome but beware the willful neglect of services like mental health and community health workers (the government won’t fund after transition).
December 18, 2025 at 7:27 PM
Awareness programs were aplenty but if you wanted to actually get treatments, you chose between enduring suffering or selling your life savings for a 30-hour trip to the nearest functioning hospital.
December 18, 2025 at 7:27 PM
Imagine a hospital built and then abandoned.
For 30 years, its only visitors are water buffaloes.

In 2008, our nonprofit, Possible, partnered with the Nepali government to renovate Bayalpata Hospital.

17 years later, it is transitioned back to the government.

A look back at the changes.
December 18, 2025 at 7:27 PM
This paper describes our approach to address a complex situation: husband drinks alcohol and wife cannot leave an abusive relationship

Nurses use motivational interviewing for alcohol use and couple's therapy for communication skills, emotion regulation, & safety.

dx.plos.org/10.1371/jour...
December 3, 2025 at 10:16 PM
When women face violence from a partner, the common advice is to leave. But for many, leaving isn't possible.

We asked: Can we reduce violence and improve mental health by creating a supportive structure within the family?

Sharing our RCT protocol for this innovative approach.
November 19, 2025 at 7:26 PM
Congratulations Sajama Nepali for receiving the Early Career Researcher Presentation Award at the Global Mental Health Summit!

Wonderful when global and local knowledge drive innovation to improve mental health, AND our Possible team member gets recognized.
November 12, 2025 at 5:05 PM
Don't miss talks from our team members covering two NIH-funded intervention studies supported by @ucsfpsych.bsky.social Global Mental Health Summit

-a family-based intervention to reduce intimate partner violence and depression
-address co-occurring depression, anxiety, hypertension, and diabetes
November 10, 2025 at 3:43 PM
2 weeks ago, a journal rejected my submission. It's ok. I'll send it somewhere else.

Yesterday, they sent me a second rejection. Same manuscript.

Should I write back: "I'm sorry to make you feel regret twice."
😄

When it's published elsewhere and I humblebrag, do I count this as two rejections? 😂
October 15, 2025 at 1:54 PM
2/2
September 18, 2025 at 9:59 PM
The US just released its global health strategy. Quick takeaways:
1/1
September 18, 2025 at 9:59 PM
What the Nepal crisis is really about (and what the international media is getting wrong):
September 11, 2025 at 3:05 PM
Good news (pending appeal) for the grants that were terminated!

Looks like NIH can still put grants in limbo (neither terminate nor renew) and there is no clear legal recourse.

jeremymberg.github.io/jeremyberg.g...
June 23, 2025 at 3:43 PM
Looking forward to giving two presentations at the America Nepal Medical Foundation Conference tomorrow:

1. A presentation on MILAP, an innovative family intervention to reduce domestic violence among women who cannot or do not want to leave abusive relationships.
2:50pm

and...
June 14, 2025 at 1:23 AM
Just received a renewal notice for our domestic violence R01 from NIH!

Most years, this non-competitive renewal for year 2 on a 5-year grant would have been a routine procedure but now it feels like a big relief.

Hope they keep going through the backlog and release all grant funding.
March 19, 2025 at 6:44 PM
Imagine facing a severe revenue loss. Who do you protect first?

Do you decide based on seniority? Power? Or just proximity when these tough decisions are made? We don’t want to think about this, but here we are...

🧵👇 (1/n)
February 17, 2025 at 9:00 PM
Making America so great again that you will not believe it!
February 10, 2025 at 7:41 PM
...[T]hose agencies lost vital skills and ended up hiring more outside consultants — some of the very same federal workers who had quit — at a higher cost to taxpayers, "because people who had the most capabilities and most value on the private sector job market were the first to leave."
January 31, 2025 at 6:15 PM
If you're heading to Consortium of Universities for Global Health conference in Atlanta, don't miss this panel on suicide prevention hosted by National Institute of Mental Health (NIMH) where Renasha Ghimire will be presenting community-based work from Possible to reduce suicide risk in Nepal.
January 16, 2025 at 3:15 PM
Me: I should keep my meetings lighthearted so young/junior team members don’t feel intimidated, but feel comfortable sharing their thoughts

My 10 yo (overhearing my zoom meeting): I don’t mean to offend you, Baba, but you kept laughing and making silly comments. Are you that group’s class clown?
December 9, 2024 at 8:08 PM
1/ In 2007, five angry men entered my office, demanding to know why we hired only women for the community health worker job and if we had given preferential treatment to Dalits. We had just hired our first four community health workers, including Satyaa (featured in the short film linked below)...
December 6, 2024 at 3:32 PM
Always wonderful seeing patients, teaching, learning, and taking selfies with the mountains and stupas alongside our
@ucsfhealth.bsky.social Heal Initiative Global Mental Health Fellows Shailesh Prasad Shrestha and Ja'Nelle M. Blocker, and alumni Raj Dangal in rural Nepal.
December 4, 2024 at 7:59 PM
They're hoping we forgot math
November 25, 2024 at 4:06 PM
🚶‍♂️🚶‍♀️You get to experience how much they need to travel when we say, "Take these meds and come back to see me in 2 weeks."

And you get to eat some delicious guavas. 🍈

So glad to be able to do this with our fellows Drs. Ja'Nelle Blocker and Shailesh Shrestha at Dolakha Hospital in Nepal. 🌟
November 20, 2024 at 2:11 PM