Expat Mental Health in Singapore

Dan Crittenden

Life as an expat in Singapore comes with privilege and pressure. If mental health depends on the balance between our challenges and resources, then making a life away from home can upset this balance. Research suggests that, on average, expats struggle more with mental health than their domestic peers.


Practically, arrivals must navigate new jobs, homes, schools and spousal employment. Beyond the basics, it takes time to build friendships and support networks, and these need continual refreshing as peers return home. Foreigners must adapt to cultural differences, such as language, local customs and even sense of humour. Expats, new and old, can experience homesickness and a sense of isolation, which can contribute to anxiety and depression. Interestingly, even positive change can generate stress. Follow-ups on lottery winners in the UK, a year after their life-changing wins, showed that over half had developed a stress-induced illness. Our bodies and nervous systems can take time to accommodate the change we have sought.


Expats must tackle new pressures without their usual resources. Friends and family are far away and recreational activities at home may no longer be possible. Inevitably, Covid restrictions on travel and socialising have exacerbated constraints. The emphasis on employment in Singapore’s ‘core’ population has also created visa complications for expat job-seekers, especially for spouses on lower salaries. The inability of a spouse to find work locally can be a key concern for international assignees.


Research from the International Journal of Health & Productivity suggests that US expats are three times more likely to express feelings of being trapped or depressed as their domestic counterparts. Twice as many US expats express feelings of anxiety or nervousness. In the workplace, research from Right Management suggests that companies will judge 40% of international assignments as failures. The ratio is consistent for moves from west-to-east and vice-versa. This may be unsurprising given only one-in- nine movers benefit from ongoing mentorship. Pressures can creep into the family unit too. A survey by Sofres suggests that divorce rates are nearly 50% higher for expat couples. Since the pandemic, a third of expats consider their mental health to have declined, according to William Russell.


Expats in Singapore can find it difficult to raise mental health issues. Research by Aetna International suggests that more than half of respondents in Singapore find it hard to discuss mental health at work, versus around 40% in the UK and US. The good news is that help is available and increasingly encouraged. People are progressively willing to talk about psychological well-being and Covid is forcing this issue. Companies have woken up to the importance of mental health to staff turnover, productivity and the bottom line. Starbucks spends more on employee healthcare than coffee beans! In Singapore, the government has launched a national well-being campaign: “It’s ok to reach out for help”. The NUS is also running series of “k(no)w stigma” events to demystify the topic of mental wellness. In short, key stakeholders for expats in Singapore are aligned on the need to move from a culture of “don’t ask, don’t tell” to “do ask, do tell, let’s talk”.


How can expats reset the balance between their challenges and resources? For many, counselling is a powerful resource. It may be a resource they never considered back at home. It could also be the discovery that helps navigate the challenges of a new life in the Lion City.


If you are interested in expat counselling, please contact us via email, phone or WhatsApp to arrange a consultation with one of our supportive professional therapists.


About the Author: Dan's counselling experience builds on 20 years of international finance experience. He is a coach and mentor to professionals across Asia and has served on various forums to support employee wellness. Dan is a yoga and mindfulness practitioner, mental health advocate and student. He is currently studying for a Master's Degree in Counselling. Read Full Bio >

By Praveen Kaur July 1, 2025
“Girl, if you have five real friends after 60, you’ve made some good choices.” said this voice full of wisdom. I remember that taxi ride very clearly. At that moment, I chuckled and started counting my “close” friends using my fingers, toes and maybe even a few rounds in. That sentence stuck with me for over 20 years. I knew deep down someday I will have to recollect that moment. Friendship is beautiful. It is also layered, unpredictable and at times, bittersweet. It grows, withers, surprises us, quietly fades away and sometimes comes back in new form. This is especially true as we transition through life, careers, motherhood, healing and reinvention, our social circles shift with us. Who you needed yesterday may not be who you need today. If you’ve ever caught yourself wondering “Where did everyone go?” or “Why do I feel closer to someone I just met than people I’ve known for years?”, you are not alone. You’re just evolving. And evolution rarely leaves your social circle untouched. What Is Friendship, Really? By definition, friendship is “a person with whom one has a bond of mutual affection, typically one exclusive of sexual or family relations.” But let’s be real, that doesn’t capture the heart of it. To me, friendship is… A soul who supports you without judgement. A person who calls you out with love and cheers you on even louder. Someone who holds space for your becoming. So I’ll ask you, what’s your definition of friendship? Take a breath. Feel into it. You might find your answer has changed. That’s not wrong. It is honest. There’s no shame in evolving, only alignment with your present truth. When You Change, So Do Your Friendships This part can feel tender: when your inner world shifts, your outer circle often reflects that. Some friends will rise with you and celebrate your growth. Some surprise you by meeting you right where you are. Some will resist your change. And some will quietly fade. It’s not about fault; it’s about alignment. 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Friendships become power plays instead of safe spaces. 🟠 Level 3: Coping Energy "It’s fine. I’ll just adjust to keep the peace." This is the friend who avoids conflict and over-accommodates. It looks harmonious on the outside but often sacrifices authenticity for the sake of connection. 🟡 Level 4: Service Energy "How can I support you through your change?" Here, friendships are built on empathy and care. This friend holds space for your becoming, even if it’s different from their own. 🟢 Level 5: Opportunity Energy "What if this shift brings us closer or introduces new aligned people?" There’s curiosity and collaboration here. You start to see that every change in a friendship opens doors for deeper alignment or necessary redirection. 🔵 Level 6: Flow Energy "I trust the right people will rise with me." At this level, friendships feel effortless, expansive and aligned with your highest values. 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By Lilian Lee-Cutts July 1, 2025
In the course of our adult lives, friendships can shift, drift, and sometimes rupture. In the face of busy, divergent lives and priorities, this is a very natural process, but can be one that causes us confusion, pain, and a great sense of loss. Romantic relationships tend to have a clear beginning, middle, and end and we have the tools from young adulthood to understand the expected transitions. Friendships, however, tend to be more fluid and evolve over time with no set rules of engagement. In addition, each person will have a different perspective on what the friendship means to them, and so it’s no surprise that many people can find themselves struggling with questions like: Why does it feel harder to make friends? Why do I feel disconnected from people I used to feel close to? Is it worth my making an effort in this friendship when I feel I get so little from it? If you have found yourself asking these questions, you are definitely not alone. As a psychotherapist, I frequently encounter the deep pain that can come with friendship challenges in adulthood. Despite societal norms pointing us towards focusing our efforts on romantic or familial relationships during adulthood, our friendships are equally crucial to our emotional wellbeing. They offer companionship, shared experience, and a vital sense of belonging. And yet, they’re often forgotten about in conversations about our mental health. So let’s explore how we, as adults, can navigate our friendships with greaterawareness, compassion, and intent. How to navigate friendships 1. Reflect on your needs Start by asking yourself: What does friendship mean to me now? What feels nourishing and good? Your needs are most likely very different to what they were five years ago, and it is OK to acknowledge that. 2. Practice clear communication It’s not always easy, but expressing how you feel - whether it’s hurt at being left out or asking for more time together – will improve the quality of your friendships. Choose a moment when you both feel relaxed enough to be receptive. 3. Embrace flexibility As life happens around us, some friends can go quiet for months. Babies, burnout - it’s all very real. Whilst this can be confusing or hurtful, a bit of grace and compassion goes a long way and gives the friendship opportunity to evolve to a place of greater understanding and depth. 4. Make the time Adult friendship isn’t sustained by chance. It’s easy to get wrapped up in life’s demands while time continues passing by. It becomes a necessity to be intentional about making time for your friends. Some ways to do this are by scheduling regular check-ins as you would in work. Dedicate some time out of your busy schedule to call or message a friend as often as you can. 5. Recognise your patterns Whether you realise it or not, the way you respond to friendships has a lot to do with your attachment style. For example, a person with a secure attachment style is capable of forming nurturing friendships and working through any conflicts that may arise. However, those with more insecure attachment styles may find it harder to let go of friendships that are no longer working and will tend to take any perceived hurt personally. Final note We also need to recognise that not all friendships are formed - or maintained - on equal footing. If you’re LGBTQ+, neurodivergent, disabled, or from a minoritised background, your social landscape may look very different. You may have spent years finding your people, or building a chosen family to replace what blood ties could not offer. Those friendships carry a different kind of emotional weight and often, a depth that comes from shared survival. Similarly, if you struggle with anxiety, depression, or trauma, then the energy that goes in to maintaining friendships can feel daunting. You might feel the need to disappear for a while, or struggle to reply to messages. That doesn’t make you a bad friend, it makes you human and in need of a self compassion practice. If you are finding adult friendships difficult, and want to speak to Lili: info@counselingperspective.com 
By Aki Tsukui June 2, 2025
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