Therapy Services Blog Newsletter Careers Internships Team Research WhatsApp Us
🔬 PsychLine Research

Grounding practice in evidence

At PsychLine, the clinic and the lab talk to each other. We study the real experiences of Indian and South Asian communities — not to confirm what we already believe, but to discover what we don't yet know.

4
Active research areas
10+
Peer-reviewed publications
108+
Citations
Areas of Research Interest
🧠
Clinical PsychologyEvidence-based therapeutic practice
🏠
Family & Cultural Context in Indian Mental HealthSystemic and sociocultural factors
🧑‍🎓
Adolescent BehavioursDigital life, peer dynamics & development
💛
Trauma Interventions for the Indian PopulationCulturally grounded approaches
🤖
AI & Mental HealthEthical, accessible technology in care

Current Work

Questions we are asking

Each project starts from a real gap — something we notice in our clinical work that the existing literature hasn't adequately addressed for Indian and South Asian contexts.

Under journal review
01
The Balancing Act: Achieving Reciprocity in Global Health
Niharika Thakkar, Shreya Ravichandran & Sanjana Mitesh Kulkarni · PsychLine & Weill Cornell Medicine, New York

Global health has long operated as a one-way street — resources, knowledge, and expertise flowing from high-income countries (HRS) to lower-resource settings (LRS), with little flowing in return. This paper challenges that assumption head-on.

It examines three things: the structural barriers to true reciprocity (visa restrictions, implicit bias rooted in lingering colonial attitudes, helicopter research, and funding asymmetry); the underappreciated value that LRS settings offer back — from frugal innovations to broader sample diversity and novel public health strategies; and actionable frameworks for genuinely bilateral collaboration in global health research and practice.

The paper argues that reciprocity isn't merely an ethical ideal — it's a practical necessity for better science, more generalisable findings, and sustainable health equity worldwide.

Global HealthHealth EquityReciprocityHRS–LRS PartnershipsImplementation Science
Submission pending
02
Cyberbullying Among Adolescents in India: A Systematic Review
Niharika Thakkar, Sanjana Karnik & Aseess Chadha · PsychLine

India houses the world's largest adolescent population — yet cyberbullying among Indian youth remains one of the most underexamined public health issues in the country. This systematic review changes that.

Screening 1,332 articles across six electronic databases (PsycINFO, Embase, MEDLINE, ERIC, Web of Science, PubMed), 46 studies met full inclusion criteria. The findings are striking: victimisation rates range from 2.7% to 72% — a gap that reveals not just regional variation, but deep methodological inconsistency in how the phenomenon is defined and measured in India.

The review synthesises prevalence, forms (impersonation, denigration, exclusion, organised digital violence), risk factors (age 14–17, female gender, limited parental monitoring, prolonged social media use), and consequences (depression, suicidal ideation, reduced self-esteem). Only one intervention study exists for India — a finding that speaks for itself. The paper calls for culturally validated instruments, longitudinal designs, and evidence-based interventions rooted in India's sociocultural landscape.

CyberbullyingSystematic ReviewIndian AdolescentsDigital Mental HealthIntervention Research
Data analysis in progress
03
What Brings Indian Clients to Therapy — and What Keeps Them There?
Niharika Thakkar, Sanjana Karnik & PsychLine Research Team

Five years of clinical practice. Thousands of de-identified intake forms, progress notes, and case histories — one of the most detailed datasets on therapy-seeking behaviour in India. We're using it to answer the questions that matter most to any practice trying to serve Indian clients well:

  • What presenting complaints bring people to therapy — and how do these differ by city (Tier-1 vs. Tier-2), gender, age, and NRI status?
  • What predicts sustained engagement — and at which session do most clients disengage?
  • Which therapeutic modalities are used, and do they correlate with outcomes?
  • How often do family dynamics (parental pressure, marriage expectations, family conflict) appear — and how does this vary across groups?
  • What are the common reasons for exiting therapy, and what do they reveal about barriers to care in India?

Using a mixed-methods approach — descriptive quantitative analysis paired with NLP analysis of presenting complaints — this study aims to build a richer, more honest picture of the Indian therapy journey than has existed before.

Retrospective StudyIndian DiasporaHelp-SeekingTreatment RetentionMixed MethodsNLP
Exploring
04
AI & the Future of Mental Health in India
PsychLine Research Team

Artificial intelligence is arriving in mental healthcare faster than the evidence can keep up — and this is especially true for South Asian populations, for whom almost no AI mental health research currently exists.

We are building this research stream from the ground up. The questions we're sitting with include:

  • Can NLP on clinical progress notes predict dropout risk or improvement trajectory before the therapist sees it coming?
  • How can AI support — not replace — the therapeutic relationship, especially in a high-stigma, family-oriented context like India?
  • What ethical safeguards must exist when AI is involved in mental health care for vulnerable populations?
  • What does the existing evidence actually say about AI-assisted care for South Asian clients specifically?

This is deliberately early-stage and open-ended. We're committed to asking the right questions before proposing any answers.

Artificial IntelligenceNLP in Mental HealthDigital TherapeuticsEthicsSouth Asian Health

Published Work

From our founder's desk

Dr. Niharika Thakkar's academic work — conducted at Leiden University and in collaboration with international research teams — has built one of the most comprehensive evidence bases on bullying and peer victimisation among adolescents in India, cited over 108 times in the global literature. She has been recognised by USCIS as an Individual of Extraordinary Ability in Implementation and Behavioral Sciences — a designation awarded to fewer than 1% of professionals across any field. She is an Associate Member of the APA, holds Graduate Basis for Chartered Membership with the British Psychological Society (MBPsS), reviews for 10+ journals including BMC Public Health, Psychology of Violence, and Aggressive Behavior, and has presented at 10+ international conferences including the World Congress ESRA.

2026
Lee, L., Tafuro, E., Pakala, S. et al. · Canadian Journal of Anesthesia, 73, 273–281
Peer Reviewed
2026
Thakkar, N., van Geel, M., & Vedder, P. · Edward Elgar Publishing, Cheltenham, UK
Book Chapter
2025
Thakkar, N., van Geel, M., Malda, M., Rippe, R., & Vedder, P. · Journal of Youth and Adolescence, 54, 32–45
Peer Reviewed
2024
2023
Maneiro, L., van Geel, M., Thakkar, N., & Vedder, P. · International Journal of Bullying Prevention
Peer Reviewed
2021
Thakkar, N., van Geel, M., & Vedder, P. · International Journal of Bullying Prevention, 3, 253–269
Peer Reviewed · Open Access
2021
Thakkar, N., van Geel, M., Malda, M., Rippe, R., & Vedder, P. · Aggressive Behavior
Peer Reviewed · Open Access
2021
Thakkar, N. · Doctoral Dissertation, Leiden University — Institute of Education and Child Studies
Doctoral Thesis
2020
Thakkar, N., van Geel, M., Malda, M., Rippe, R., & Vedder, P. · Psychology of Violence, 10(2), 223–231
Peer Reviewed
🎓
Dr. Niharika Thakkar · PhD, Leiden University · 108+ citations · 9 publications
View full Google Scholar profile →

Research as a Service

Need help with your research?

Beyond our own work, PsychLine offers research support to students, clinicians, and organisations. Whether you're navigating a dissertation, designing a study, analysing data, or writing up findings — our team can step in at any stage.

Enquire about our services →
108+Citations in global literature
10+Peer-reviewed publications
10+Journals reviewed for
5+Years of clinical research

The People

Our research associates

Clinicians, academics, and researchers united by a shared commitment to building an evidence base rooted in Indian realities — and in the daily clinical work of our practice.

NT
Dr. Niharika Thakkar
Founder & CEO · PhD, Leiden University
SK
Sanjana Karnik
Research Associate
SR
Shreya Ravichandran
Research Associate
AC
Aseess Chadha
Research Associate
+
We are growing.
Join the team →

Funding Landscape

Pathways to support

We are actively exploring grant opportunities and looking for collaborators who can help us navigate these processes. The most relevant funding bodies for our current stage of work are listed below.

PIECEs Small Grants
₹2.5 – 10L
Early-career researchers & clinicians in India. Exploratory, community mental health focus. 6–18 months.
Mariwala Health Initiative
Variable
Organisations & collectives prioritising underserved groups. EOI-based; access & equity focus.
Harvard T.H. Chan India Seed
~₹17L
Requires Harvard faculty collaboration. Pilot public health research including mental health.
ICMR
Up to ₹2 crore
Requires institutional affiliation. Clinical & public health research. 3-year grants.
DBT / Wellcome Trust India Alliance
₹3.6 – 10 crore
PhD/MD required with Indian host institution. High-rigor biomedical & public health. 5 years.
ANRF
₹5 – 25+ crore
Multi-institutional, innovation-driven, high-impact projects. Requires academic/research position PI.
Join Us
Looking to collaborate?

We're always looking for researchers, institutional partners, and academics who want to join us in building the evidence base for mental health in India. If your questions overlap with ours — or you bring expertise in areas we're exploring — we'd love to have you on board.

Academic Partnerships Clinical Research NLP / Data Science Global Health Grant Collaboration Institutional Affiliation