Employee Assistance Programs (EAPs) and broader organizational psychological-support systems are fast becoming prime people strategy in India's IT sector. In this article, the author surveys EAPs and broader psychological support in terms of design, provision, and integration in India's top IT companies: TCS, Infosys, Wipro, HCL Tech, Tech Mahindra, LTI Mindtree, Mphasis, Persistent Systems, Zoho, and Cognizant. The paper examines enablers and inhibitors of successful EAPs and broader psychological support implementation, and recommendations to HR leaders. The key results show that large Indian IT firms now routinely combine EAP counselling (tele/onsite) with digital wellbeing tools, manager enablement and peer programs – and take up & demonstrable impact are constrained by mental health stigmia, low awareness & comms breakdown, confidentiality concerns, underfunding & prioritisation of spend, lack of synchronization with workforce priorities, lack of integration of HR& wellness strategy, schedule & accessibility constraints, and short term focus. Embedding EAPs in employee life cycle management, learning & development, health & wellness initiatives, occupational health & safety, DEI programmes, digital workplace tools, health insurance & benefits and crisis management plan guarantees materially higher take up & organizational value.