Understanding and Supporting Immigrant Mental Health
By: Niyatee Sukumaran, Ph.D. | July 18, 2025

Why It Matters and How to Help
Behind every immigration statistic is a human story – often filled with courage, sacrifice, and silent struggle. While the headlines focus on policy debates and border numbers, the emotional reality of immigration is far more complex. According to the American Immigration Council, about 14.3% of the U.S. population is foreign-born individuals who actively contribute to the economy and enrich the nation’s cultural fabric. But migration is not just a physical journey; it’s also an emotional, psychological, and deeply personal one.
In working with immigrants, I recognize that leaving home in search of safety, opportunity, or a better life also means facing profound loss, uncertainty, and the invisible weight of adapting to a new culture. The resilience of immigrant communities is undeniable – but so too is the need for healing, mental health support, and spaces where they can feel truly seen and safe.
In this blog, we’ll explore how we can better support immigrant mental health by fostering environments grounded in understanding, compassion, and care. From acknowledging trauma and cultural dislocation to offering community-based resources and therapeutic support, this article is dedicated to lifting the voices and stories that often go unheard and are unrecognized. This article is a reminder to every immigrant that you are not alone, and your healing matters!
The Emotional Toll on Immigrants in the U.S. Today
Immigrants today face an increasingly hostile landscape shaped by evolving political narratives, systemic barriers, and limited access to care. These challenges deeply impact not only their legal standing but also their emotional and psychological well-being. Below are some of the key issues that continue to heighten stress and vulnerability within immigrant communities:
- Tightening Immigration Policies
Recent proposals and enforcement efforts, such as expanding deportation powers, limits on asylum claims, increased detainment of immigrants in the U.S., visa revocations for international students, and delays in visa processing are fueling fear and uncertainty in immigrant communities.
- Election-Year Rhetoric
During political cycles like 2015-2016 and the 2024-2025, anti-immigrant language in public discourse has surged. This rhetoric doesn’t just affect policy, it actively dehumanizes immigrant communities, perpetuates environments of stress and fear, and fosters social hostility.
- Barriers to Legal Relief
A historic backlog in immigration courts has left countless immigrants in limbo for years. Many are unable to work legally, face prolonged separation from family, and lack a sense of security — all while enduring chronic psychological stress and uncertainty about the future.
- Mental Health Care Remains Out of Reach
Despite the growing need, many immigrants are unable to access mental health care due to language barriers, cost, fear of exposure, and a shortage of culturally competent providers. The health care system often lacks awareness and training on how to support the unique challenges that immigrants face.
- Stigma of Accessing Mental Health Care
Even when resources are available, stigma and fear can keep immigrants from seeking help. Concerns about legal scrutiny, security, uncertainty about a provider’s political stance, and internalized beliefs about therapy can deter immigrants from accessing the support they need, especially during these times of heightened stress.
Creating Pathways to Healing, Belonging, and Resilience
Immigrants are often expected to adapt, persist, and contribute – while quietly carrying the emotional weight of displacement, uncertainty, and systemic barriers. While their resilience is remarkable, no one should have to navigate these challenges alone. Meaningful support starts with everyday actions – through personal connection, cultural awareness, advocacy, and allyship. Whether you’re a friend, colleague, neighbor, or professional, there are tangible ways you can stand with immigrant communities and help create spaces of safety, healing, and belonging. Here’s how you can begin.
1. Make the Effort to Check In
Take the initiative to check in with friends, family, and colleagues who may be impacted by ongoing immigration policies. Present a non-judgmental space to offer support, actively listen, and validate their experiences.
Use active listening and open-ended questions to create meaningful and supportive dialogue:
- Active listening involves more than just hearing words. It means paying attention to non-verbal cues such as body language, tone, and emotional cues.
- Open-ended questions such as “What has this been like for you?” or “How are you coping right now?” allow space for deeper reflection. If someone seems hesitant to share more, respect their boundaries without pushing.
- Reflect emotions back gently, such as “I hear you say you feel overwhelmed – this sounds incredibly difficult,” or “It makes sense that you’d feel afraid, given everything you’re navigating.”
- If appropriate – and only with permission, consider sharing personal stories of allyship. Sometimes knowing they’re not alone can be someone’s emotional lifeline.
2. Expand You Cultural Awareness and Competencies
If you’re not an immigrant, there may be gaps in your understanding of the lived realities and strengths of immigrant communities. Make an effort to read and learn:
- Explore immigrant narratives through books, media, and conversations
- Go beyond your comfort zone – learn about cultural heritage, hobbies, and values
- Be inclusive in work meetings and social gatherings. Share relevant updates or policy changes that might impact them.
For mental health professionals, cultural competence must be an ongoing commitment. This includes:
- Offering materials and resources in the languages your clients speak
- Advocating for equitable pay and recognition for bilingual therapists
- Providing trauma-informed care rooted in cultural humility
- Building trust with immigrant communities through outreach and consistent engagement
3. Advocate for Policy Reform Through a Human Lens
Stay informed about current immigration policies and advocate for reforms that include:
- Clearer, fairer pathways to citizenship
- Protection of DACA recipients
- Humane asylum hearings
Now more than ever, it is critical to recognize that political advocacy is mental health work – because the policies that shape someone’s legal status also affect their sense of security, identity, and development.
4. Practice Active Allyship
As a nation that has benefitted from decades of immigration, we all have a role in challenging anti-immigrant rhetoric and uplifting immigrant voices. Awareness and cultural empathy are powerful tools for change. Support organizations that provide culturally responsive mental health care to immigrant populations.
Remember: Immigrants are not just workers or statistics; they are parents, loved ones, students, dreamers, and survivors who yearn for a better future. They carry invisible traumas and extraordinary resilience. Many continue to rebuild their lives in a country that often greets them with suspicion or silence. As the U.S. continues to navigate its identity and future, how we treat immigrants is a reflection on our collective values. Healing must extend beyond policy and politics and borders — it must be personal, cultural, and compassionate.
Therapy Changes is Here to Support You
At Therapy Changes, we honor the voices and experiences of immigrants and provide a safe, supportive space to process emotions, heal from trauma, and rediscover strength. Our therapists offer culturally informed, individualized care rooted in empathy, understanding, and respect.
You are not alone. Your healing matters.
Contact us today to schedule an appointment with a compassionate member of our team. We look forward to hearing from you.
Authors note: I work with immigrants, and this article is specifically focused on the immigration aspects of their experience. I respect and acknowledge that people differ from one another in many ways including race, ethnicity, nationality, religion, socioeconomic status, education, language, age, gender, gender expression and identity, sexual orientation, ability (intellectual, mental or physical), and learning style.
Photo by Grafi Jeremiah on Unsplash