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Immigration & Trauma Part 2: How Does Immigration Trauma Show Up?

family therapy trauma therapy Apr 27, 2025

As we saw in Part 1 of this series, many forms of trauma can come from the process of immigration. Whether it comes from the immigration process itself or the ongoing challenges of adjusting to a new life, this trauma can affect mental health and well-being long after the move.

Immigration trauma and mental health

For many immigrants, the emotional and psychological weight of migration is turned inward, leaving them feeling different or rejected.

This can lower confidence and lead to harsh self-criticism. Immigrants might censor themselves, afraid their words or actions will mark them as outsiders. Over time, these experiences can leave lasting effects and cause further trauma, adding to a persistent sense of isolation and disconnection.

Like any trauma, the effects of immigration can ripple outward, with causes and symptoms intertwining into a complex cycle.

Racial trauma

One of the hardest parts of immigration is the constant experience of discrimination and oppression.

Racialized immigrants, especially, often have to not only survive and adapt to a new environment, but also anticipate and respond to the microaggressions and overt racism they face. This daily battle to adapt, educate, distract, stay vigilant, and deflect can be exhausting.

This ongoing stress and exhaustion is sometimes called racial battle fatigue. It can leave many immigrants hypervigilant and unable to fully relax in spaces dominated by White, Western norms. The weight of this continuous battle can be overwhelming, and it takes an emotional, mental, and physical toll.

The mental health challenges that come from immigration and racial trauma often look like the symptoms of other types of trauma. Refugees in particular experience higher rates of PTSD, depression, and anxiety than the general population, and research suggests immigrants' mental health can decline the longer they live with these stresses. The mental and emotional burden of immigration and racialized experiences shouldn't be ignored.

Immigration and racial trauma are often complex and chronic. Repeated social, political, or cultural threats over long periods mean that for many immigrants, trauma becomes an ongoing experience. Like other forms of trauma, this can keep the body and nervous system on high alert, leading to a persistent sense of being unsafe.

To survive, many immigrants hide or change their behaviour to fit safely into their new world.

Living in survival mode can lead to many symptoms, including:

  • being unable to rest
  • difficulty managing emotions
  • losing interest in activities you used to enjoy
  • overworking or sacrificing to build a better life

All of these can lead people to neglect their own needs, which can cause burnout. Chronic stress has also been linked to physical health problems like high blood pressure and chronic fatigue.

Chronic stress and neglecting your own care can also lead to symptoms similar to PTSD, like intrusive nightmares or memories, avoidance, hypervigilance, or dissociation. This is sometimes called race-based traumatic stress.

The impact on relationships and family

The trauma of immigration affects not only individuals, but relationships too, especially within families.

A common example is tension between first-generation immigrant caregivers and their children, especially in families from collectivist cultures. Children who adjust quickly to the new culture may feel their caregivers don't respect their independence, and feel misunderstood and restricted.

Caregivers, on the other hand, may feel their children are abandoning them or their heritage, or disrespecting their sacrifices, for example by becoming too Canadian. Language barriers can make this generational tension worse, making communication between caregivers and children even harder.

If these issues aren't addressed, they can lead to deep emotional wounds, including guilt, shame, and resentment. Over time, they can cause estrangement and a breakdown in family relationships, creating another layer of trauma.

Children of immigrants who had to take on adult responsibilities early may also struggle with:

  • asking for help
  • overwhelming guilt
  • setting healthy boundaries
  • anxiety, depression, or perfectionism
  • shame, impostor syndrome, self-criticism, and difficulty with self-compassion

Cultural bereavement: grief and identity

Immigrants can also experience cultural bereavement, the grief of losing parts of their original culture and identity.

This loss isn't just about physical things. Losing parts of our culture can disconnect us from ourselves and our roots, and also from others, even our own family or people from our culture.

When I spoke with someone who was born and raised in Korea, I realized that even though we spoke the same language, our experiences were very different, and that disconnection brought up feelings of grief and shame. No matter how similar we may seem on the surface, the cultural experiences we've lived through shape who we are, and losing them can leave our identity feeling fragmented.

For many, this grief leads to a sense of in-betweenness, where they no longer feel fully connected to either their home country or their new one. Feeling like you belong nowhere can deepen loneliness, rejection, and low self-esteem.

This disconnection can leave people feeling like they constantly have to reshape their self-image to fit in somewhere. Over time, it can affect their sense of identity and leave them feeling misunderstood or invisible.

Intergenerational trauma

The effects of immigration trauma aren't always contained within one generation.

Caregivers who struggled to survive the stress of immigration may unintentionally pass their emotional burdens on to their children.

Whether through emotional outbursts or emotional withdrawal, parents' unresolved trauma can ripple into the next generation's mental health and well-being. This cycle can continue, causing ongoing stress and emotional challenges across generations.

Coming up in this series

Immigration trauma is complex and deeply woven into the experiences of people who have had to adapt to new, and often hostile, environments.

Understanding the signs of this trauma, whether they show up as physical symptoms, emotional struggles, or relationship challenges, is an important step toward healing.

Healing takes time, and it can help to have support from mental health professionals who understand the unique challenges immigrants face. As a community, we can support immigrants by fostering understanding, providing resources, and offering spaces where they can begin to process their experiences and their sense of self.

In the next part of the series, we'll look at mental health care for immigrants.

Trauma Therapy in Alberta

If you've noticed the effects of immigration trauma in your body, thoughts, or relationships, reaching out for support can help.

Trauma therapy offers a space to understand these signals and work through them. A therapist can help you feel more grounded in your new life.

You are not alone in this.


This article is for educational purposes only and is not a substitute for therapy, medical advice, diagnosis, or treatment.

If you or someone you care about is in crisis or at risk of harm, please get help now. Call 911 or go to your nearest emergency department. You can also call or text 988 any time for suicide and crisis support. For more options, see our crisis support page.

About the Author

Jiwon You is a Registered Psychologist specializing in trauma therapy and self-esteem therapy with adults. She is passionate about helping people heal from trauma and self-criticism so they can feel better and live more fulfilling lives. Jiwon offers services in Korean and English.

Therapy Alberta is a free digital mental health library offering psychoeducation and video courses on mental health, therapy and trauma-sensitive care, with a private community in Alberta.

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