{"id":2299,"date":"2021-02-15T03:02:24","date_gmt":"2021-02-15T03:02:24","guid":{"rendered":"https:\/\/wsi-ad1-ws-digital.alwaysdata.net\/?p=2299"},"modified":"2022-07-30T07:15:26","modified_gmt":"2022-07-30T07:15:26","slug":"covid-expat-mental-health-asiapac","status":"publish","type":"post","link":"https:\/\/www.riskinasia.com\/covid-expat-mental-health-asiapac\/","title":{"rendered":"Covid &#038; Expat Mental Health AsiaPac"},"content":{"rendered":"\n<p>Since 2017, with the suicide of a expatriate lady due to depression in the Emirates, I noticed a health insurers writing about Mental health disorders. Well Being-Depression became a trendy topic through 2018-2019, probably due to increasing psychotherapy costs incurred by the insurer and the business opportunity costs of \u2018failed expatriate assignment\u201d for companies and HR departments. All had a vested interest in sorting out the problem quickly. Corporate Expatriates are 2.5 times more likely to have depression and anxiety than a local. With Covid19 pandemic in 2020, Work From Home WFH, loss of income, separation from family members (sometimes with Covid19 treated relatives) and confinement: not a week without reports and advice on mental health monitoring advice.<\/p>\n\n\n\n<p>As I write, Google APAC report on searches in 2020, reveals all countries in aggregate had +40% searches including \u201cmental health tips\u201d.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What can cause mental illness in expats? #5 MAIN REASONS<\/strong><\/h2>\n\n\n\n<p>According to a Aetna insurance study on thousands of expatriates clients over 2014-2016, for more than 40% of interviewees, the 5 top reasons for mental health disorder being 150% higher compared to their compatriotes at home are:<\/p>\n\n\n\n<p>1- challenges of the new job (63%)<\/p>\n\n\n\n<p>2- no replacement for home country activity (45%)<\/p>\n\n\n\n<p>3- loss of family, friend and home support (40%+)<\/p>\n\n\n\n<p>4- Language and cultural difficulties (40%+)<\/p>\n\n\n\n<p>5- Spouse not finding a job &amp; home tensions (40%-)<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"800\" height=\"279\" src=\"https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/the-top-five-5-pressure-points-for-international-assignees.jpg\" alt=\"The top five pressure points \" class=\"wp-image-2304\" srcset=\"https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/the-top-five-5-pressure-points-for-international-assignees.jpg 800w, https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/the-top-five-5-pressure-points-for-international-assignees-300x105.jpg 300w, https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/the-top-five-5-pressure-points-for-international-assignees-768x268.jpg 768w, https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/the-top-five-5-pressure-points-for-international-assignees-600x209.jpg 600w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>PREPARATION TO EXPATRIATE MENTAL HEALTH FITNESS<\/strong><\/h2>\n\n\n\n<p>One of the costliest elements of expat management is expatriate failure. We look at the usual causes and what HR can do to reduce the chance of expats not completing their assignment.<\/p>\n\n\n\n<p>What employers and HR can do to avoid failed expatriate assignment<\/p>\n\n\n\n<p><a href=\"https:\/\/www.allianzcare.com\/en\/employers\/employer-blogs\/2018\/09\/expat-failure.html\">https:\/\/www.allianzcare.com\/en\/employers\/employer-blogs\/2018\/09\/expat-failure.html<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>SYMPTOMS OF DEPRESSION, ANXIETY, BURN-OUT<\/strong><\/h2>\n\n\n\n<ul><li>Consistent feelings of being sad or down (or the absence of positive feelings) for most of the day, nearly every day, lasting at least a couple of weeks<\/li><li>Feelings of hopelessness or worthlessness<\/li><li>Sleep issues<\/li><li>Changes in energy levels<\/li><li>Unexplained changes in appetite<\/li><li>Unintentional weight loss or gain<\/li><li>Loss of interest or inability to take pleasure in things previously enjoyed<\/li><li>Unexplained physical ailments<\/li><li>Difficulty concentrating or making decisions<\/li><\/ul>\n\n\n\n<p>Source:&nbsp;<a href=\"https:\/\/www.psychiatry.org\/psychiatrists\/practice\/dsm\">American Psychiatric Association12<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>RECOGNIZE YOU HAVE A MENTAL HEALTH DISORDER<\/strong><\/h2>\n\n\n\n<p>There are three barriers:<\/p>\n\n\n\n<p>&nbsp;\u2013the language, the culture and the mental state \u2013 to overcome. Many people give up seeking help at the start, believing it is not available for foreigners or they won\u2019t receive the treatment that would suit them<\/p>\n\n\n\n<p>Language for psychology<\/p>\n\n\n\n<p>Obviously a Swedish expatriate seeking help with complicated mental phenomenon vocabulary to a Malaysian therapist is not efficient at best, dangerous at worse if you are prescribed long-term medicines.<\/p>\n\n\n\n<p>Culture of mental disorder<\/p>\n\n\n\n<ul><li>In developing countries, you may discover the lack, I may say the absence, of specialists like neurologists or rehabilitation specialists (physical and mental) when it comes to mental or brain disorders. Between Neurosurgeons and Psychologists, there is a no-man&#8217;s land.<\/li><li>In some cultures, whether you are crazy and dangerous, therefore your residency should be interned in a psychiatric hospital or an asylum. Or you should seek advice as an outpatient psychotherapist occasionally when your behaviour causes nuisance to your neighborhood.<\/li><li>In the corporate world, mental disorder is associated with mismanagement of your own stress and anxiety. At worse, it is considered by your superiors as a weakness and a serious handicap for higher assignments.<\/li><\/ul>\n\n\n\n<p>The mental state<\/p>\n\n\n\n<p>Depending on how long you had the symptoms and how resilient you are about mental strength. &nbsp;Your resilience can be -natural mental adaptability or through your personal experience\/practice of \u2018battling your monkey mind\u2019 as the buddhist monks call it.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>WHAT CAN YOU DO ABOUT YOUR MENTAL HEALTH PROBLEM?<\/strong><\/h2>\n\n\n\n<p>Once admitted and declared, which is a giant step towards getting back onto your health<\/p>\n\n\n\n<ul><li><em>Seek a connection.<\/em>&nbsp;Attending a language class or joining an activity group is a great way of learning to love something about a new country as well as making friends locally<\/li><li><em>Set some boundaries.<\/em>&nbsp;Don\u2019t compromise on quality time with your family or doing other things that are important to you. Those are your last daily safety net abroad<\/li><li><em>Remember to sleep and exercise.&nbsp;<\/em>Physical activity&nbsp;<a href=\"https:\/\/www.google.com\/url?q=https:\/\/www.apa.org\/monitor\/2011\/12\/exercise.aspx&amp;sa=D&amp;source=editors&amp;ust=1613361416337000&amp;usg=AOvVaw2nsWSJ4BiFj_kT40SfOQ0H\">Physical activity<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/www.google.com\/url?q=https:\/\/nypost.com\/2017\/09\/20\/sleep-deprivation-might-be-the-antidote-for-depression\/&amp;sa=D&amp;source=editors&amp;ust=1613361416338000&amp;usg=AOvVaw1s4spxUYFI9sUGr7tyWEO8\">sleep<\/a>&nbsp;have both been linked to mental wellbeing<\/li><li><em>Ask for advice.<\/em>&nbsp;Join online communities and ask for advice well before you go, and find out about what issues you\u2019re likely to encounter in your chosen destination.&nbsp;&nbsp;<a href=\"https:\/\/www.google.com\/url?q=https:\/\/www.expatforum.com\/&amp;sa=D&amp;source=editors&amp;ust=1613361416338000&amp;usg=AOvVaw3WVQHJQIEzjyyn7mtAqUn-\">Expat Forum<\/a>,&nbsp;<a href=\"https:\/\/www.google.com\/url?q=https:\/\/www.expatexchange.com\/&amp;sa=D&amp;source=editors&amp;ust=1613361416338000&amp;usg=AOvVaw3AZaoqtx4wTIFAPCcKp_f_\">Expat Exchange<\/a>,&nbsp;<a href=\"https:\/\/www.google.com\/url?q=https:\/\/expatpartnersurvival.com\/&amp;sa=D&amp;source=editors&amp;ust=1613361416339000&amp;usg=AOvVaw2xOThqY9xvSQpC0Ka26iiZ\">The Expat Partner\u2019s Survival Guide<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/www.google.com\/url?q=https:\/\/www.mumsnet.com\/&amp;sa=D&amp;source=editors&amp;ust=1613361416339000&amp;usg=AOvVaw3XV6Dn4GALzPXb9pczMxWk\">Mumsnet<\/a>&nbsp;&nbsp; are all great sources of information<\/li><li><em>Treat your mind like your body<\/em>. Find out what help is available locally in case you ever have need of it and time is not readily available. Help can be sourced through the&nbsp;<a href=\"https:\/\/www.google.com\/url?q=https:\/\/internationaltherapistdirectory.com\/&amp;sa=D&amp;source=editors&amp;ust=1613361416340000&amp;usg=AOvVaw2EeKguFjuOYqeTxSsa_F23\">International Therapist Directory<\/a><\/li><li><em>Don\u2019t spend your life online<\/em>. Keep up with friends and family at home as much as possible, but also try going out and making new friends locally<\/li><li><em>Recognise expat depression.<\/em>&nbsp;Being able to act on negative feelings is an essential part of the expat\u2019s toolkit. If you feel depressed and suspect that you may be suffering any mental health issue, seek help at the earliest opportunity<\/li><li><em>Manage your expectations.<\/em>&nbsp;If you\u2019ve experienced mental health issues in the past, make sure you have support in place before you go.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/everyday-habits-for-better-mental-health.jpg\" alt=\"Everyday habits for better mental health\" class=\"wp-image-2308\" srcset=\"https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/everyday-habits-for-better-mental-health.jpg 800w, https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/everyday-habits-for-better-mental-health-300x225.jpg 300w, https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/everyday-habits-for-better-mental-health-768x576.jpg 768w, https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/everyday-habits-for-better-mental-health-600x450.jpg 600w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p><a href=\"https:\/\/www.aetnainternational.com\/en\/about-us\/explore\/workplace-mental-health-support-resource\/everyday-habits-better-mental-health.html\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.aetnainternational.com\/en\/about-us\/explore\/workplace-mental-health-support-resource\/everyday-habits-better-mental-health.html<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>WHEN PREVENTION IS NOT ENOUGH AND MENTAL DISORDER TAKES OVER: FIRST AID &amp; TREATMENT ARE NEEDED<\/strong><\/h2>\n\n\n\n<p>If you are suffering with expat mental health issues such as stress and anxiety while living\/working overseas you may feel that it\u2019s difficult to find the right help and support.<\/p>\n\n\n\n<p>Depending on your country of expatriation, you may have trouble finding appropriate, quality help in small towns and cities, which, combined with their smaller size can make coping with loneliness harder. He also says that many people simply don\u2019t know that there is support available in their host country.<\/p>\n\n\n\n<p>With three barriers \u2013 the language, the culture and the mental state \u2013 to overcome; many people give up seeking help at the start, believing it is not available for foreigners or they won\u2019t receive the treatment that would suit them.<\/p>\n\n\n\n<p>But the truth is that many countries have mental health services available. Many major towns and cities offer counselling and mental health support, and treatment at these centres is often covered by insurance.<\/p>\n\n\n\n<p><strong>A- STATE HOW BAD IS YOUR MENTAL DISORDER?<\/strong><\/p>\n\n\n\n<p>Nobody wants to admit they need to consult a psychotherapist, especially if you are the Can-do pilar manager, the \u2018superman\u2019 sent from abroad to \u2018save the country\u2019.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"800\" height=\"437\" src=\"https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/the-intersection-of-depression-and-anxiety.png\" alt=\"the intersection of depression and anxiety\" class=\"wp-image-2311\" srcset=\"https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/the-intersection-of-depression-and-anxiety.png 800w, https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/the-intersection-of-depression-and-anxiety-300x164.png 300w, https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/the-intersection-of-depression-and-anxiety-768x420.png 768w, https:\/\/www.riskinasia.com\/wp-content\/uploads\/2021\/02\/the-intersection-of-depression-and-anxiety-600x328.png 600w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>To find out if you might be depressed, take this simple 10-question assessment:<\/p>\n\n\n\n<p><a href=\"https:\/\/www.aetna.com\/individuals-families\/mental-emotional-health\/depression-assessment.html\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.aetna.com\/individuals-families\/mental-emotional-health\/depression-assessment.html<\/a><\/p>\n\n\n\n<p>To find out if you might have anxiety, take this simple seven-question assessment:<\/p>\n\n\n\n<p><a href=\"https:\/\/www.aetna.com\/individuals-families\/mental-emotional-health\/anxiety-check.html\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.aetna.com\/individuals-families\/mental-emotional-health\/anxiety-check.html<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>B- Mindfulness-based stress\/anxiety\/depression reduction<\/strong><\/h2>\n\n\n\n<p>It is typically a&nbsp;professional practitioner for one-to-one support. Your practitioner will create a six-week mindfulness plan and help you learn how to put it into practice. The coaching plan comprises one session per week and will be designed to:<\/p>\n\n\n\n<p>\u2022 Fit in with your schedule<\/p>\n\n\n\n<p>\u2022 Help you develop emotional and mental resilience<\/p>\n\n\n\n<p>\u2022 Help you develop your concentration and focus skills<\/p>\n\n\n\n<p>\u2022 Help you improve your sense of well-being<\/p>\n\n\n\n<p>\u2022 Guide you through breathwork<\/p>\n\n\n\n<p>\u2022 Teach you coping mechanisms to manage your stress and live in the present<\/p>\n\n\n\n<p>Note a new type of chatbots apps like Wysa can help you along<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthline.com\/health\/mental-health\/chatbots-reviews\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.healthline.com\/health\/mental-health\/chatbots-reviews<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>C- Therapeutic Counselling<\/strong><\/h2>\n\n\n\n<p>You generally will speak with a clinical therapist who will help you determine the best route for therapy, whether you\u2019d like to work with a counselor in person or on the phone. The support lasts for up to five weeks to help you move forward through your situation. If you want to continue with treatment, the therapist will try to find you a local provider. When you contact us, you will initially speak to a clinician for a 15 &#8211; 45 &#8211; minute conversation. The clinician can then help determine the next best steps for you and find the right health care provider for your needs.<\/p>\n\n\n\n<p>Note the<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>D- Psychotherapist<\/strong><\/h2>\n\n\n\n<p>Depending on the country therapists are available on a permanent basis or not.<\/p>\n\n\n\n<p>Culture and language are very important. But also the fit and confidentiality of the practitioner in a small country\/city may be a block to your expectations. With the widespread use of video conferencing and WFH, neighboring countries like Thailand, Singapore, Hong Kong or even your home country can offer solutions increasingly suitable to avoid a repatriation and a failed assignment.<\/p>\n\n\n\n<p>INTERNATIONAL DIRECTORIES or consult your health insurer assistance service as part of what you pay for is their ability is to connect you to the best possible specialist so you recover health quickly.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-international-therapist-directory wp-block-embed-international-therapist-directory\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"VoR7ADtJ63\"><a href=\"https:\/\/internationaltherapistdirectory.com\/\">A resource for the global expat community<\/a><\/blockquote><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; clip: rect(1px, 1px, 1px, 1px);\" title=\"&#8220;A resource for the global expat community&#8221; &#8212; International Therapist Directory\" src=\"https:\/\/internationaltherapistdirectory.com\/embed\/#?secret=DkYH0b73i2#?secret=VoR7ADtJ63\" data-secret=\"VoR7ADtJ63\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p>The Anxious achiever podcast, by Morra Aarons-Mele Harvard HBR series<\/p>\n\n\n\n<p>The WFH burnout syndrome<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-rich is-provider-spotify wp-block-embed-spotify wp-embed-aspect-21-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Spotify Embed: Bonus: How to Stop Remote Work Burnout\" style=\"border-radius: 12px\" width=\"100%\" height=\"152\" frameborder=\"0\" allowfullscreen allow=\"autoplay; clipboard-write; encrypted-media; fullscreen; picture-in-picture\" loading=\"lazy\" src=\"https:\/\/open.spotify.com\/embed\/episode\/7HdiWM9VEApgk1cexlPu9B?si=Ms5ld0BxQuS6T5qalmWN2w&#038;utm_source=oembed\"><\/iframe>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Since 2017, with the suicide of a expatriate lady due to depression in the Emirates, I noticed a health insurers writing about Mental health disorders.<\/p>\n","protected":false},"author":3,"featured_media":2301,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[147],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Covid &amp; 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