Mental Health Challenges Faced by Overseas Pakistanis: Understanding, Supporting, and Thriving Abroad.

By Anum Khan Updated on may 29, 2025

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Reviewed by Anum Khan

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Introduction:

Moving abroad is a life-changing experience for many Pakistanis seeking better opportunities. While it offers exciting prospects, it also comes with a unique set of mental health challenges that often go unnoticed. From cultural adjustments to identity struggles and family dynamics, overseas Pakistanis face complex issues impacting their psychological well-being.

In this blog, we explore these challenges, provide insights into the root causes, and suggest ways individuals and employers can support mental health. If you want to learn more about how expats can manage mental health, check our detailed guide on expat mental health challenges. Find an experienced Expats mental health psychologist.

Common Mental Health Challenges for Overseas Pakistanis

1. Culture Shock and Adjustment Difficulties

Living in a new country means adjusting to unfamiliar customs, languages, and social norms. Many Pakistanis find themselves feeling isolated or homesick, which can worsen mental health. The stress of navigating foreign healthcare systems and work environments often compounds the problem.

Employers can play a vital role here. According to AXA’s Global Mind Health Report, 80% of non-native workers feel their work environment negatively impacts their mental health. Creating supportive workplaces with access to culturally sensitive mental health care is crucial.

2. Identity and Cultural Challenges: The “Coconut Pakistani” Dilemma

One of the more complex mental health challenges overseas Pakistanis face involves cultural identity and belonging. After settling abroad, many feel alienated not only in their new country but even when they visit Pakistan. This feeling of being an outsider is often captured by the term "coconut Pakistani" — brown on the outside, white on the inside. It describes those who outwardly look Pakistani but feel culturally disconnected or "different" from local Pakistanis.

This alienation can cause deep internal conflict and a sense of not fully belonging anywhere. Such identity struggles contribute significantly to feelings of isolation and impact mental health.

3. Parental Challenges and Cultural Misunderstandings

Parents raising children abroad face unique challenges. Often, Pakistani parents struggle to adapt to the cultural influences shaping their children’s identities. Many parents perceive their children as adopting a “Western” lifestyle that conflicts with traditional values. However, it is important to recognize that much of what is called "Western culture" by Pakistani expats is actually a modeling culture heavily influenced by the fashion industry and media, not the genuine values and traditions of Western societies.

This confusion leads to misunderstanding and conflict between generations. Helping parents and children understand the difference between real Western culture and the fashion-driven culture can ease tensions and improve family mental well-being.

4. Practical and Therapeutic Considerations for Overseas Pakistanis

Therapists working with expatriates must understand these unique pressures, including:

  • Investigating the client’s past experiences with stability and mobility.
  • Clarifying terms and normalizing feelings of anxiety or loss.
  • Addressing practical concerns like medication access and stress management.
  • Exploring challenges of repatriation, competitiveness, and family dependencies.
  • Recognizing limitations of online therapy and adapting approaches accordingly.

5. How Employers Can Support Mental Health for Overseas Pakistani Employees

Mental health challenges among expats directly impact productivity and retention. Employers should:

  • Provide culturally sensitive mental health coverage.
  • Offer access to confidential external consultations and telehealth.
  • Create open environments where employees feel comfortable discussing mental health.

Conclusion

The overseas Pakistani community faces layered mental health challenges — from cultural dislocation and identity struggles like feeling like "coconut Pakistanis," to family dynamics and workplace stress. By understanding these complexities and accessing tailored support, expatriates can build resilience and thrive both personally and professionally.

If you or your loved ones are facing mental health difficulties abroad, seek professional help and explore culturally aware therapy options. Your mental well-being is as important as your financial and professional goals.

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