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Mental Health in Asian Culture

Words and illustration by Adrian Truong

From a young age, people often labelled me as the “weird” kid. I never understood why I lacked interest in most things, why I was easily distracted, why anger seemed to bubble just beneath the surface, or why I could never find contentment, especially with myself. My parents suspected I might be autistic, given how differently I was compared to other children. They enrolled me in numerous social programs and public speaking workshops, hoping to help me fit in. I’ve lost track of how many I attended. It wasn’t until two years ago that I realised the extent of the challenges I faced as a result of my upbringing. I was diagnosed with minor depression, intermittent explosive disorder (IED), and ADHD.

In many Asian countries, mental health issues are one of the largest health issues facing society today (though they are often stigmatised or simply not addressed). Talking about mental health is even harder in collectivistic cultures, which emphasise familial honour. It might also have physical manifestations, such as chest pains, gastrointestinal issues, and other health problems. However, the sad reality is that patients may undergo this treatment without resolving their mental health issues, dragging out their pain and making recovery even more difficult.

Mental health issues are often seen in many Asian cultures as a sign of personal weakness or failure. I avoided therapy for a long time, fearing that receiving an official diagnosis would disadvantage my job search and hiring prospects. I would even lash out at my partner because I felt ashamed after they suggested I go to therapy, which at the time I viewed as an insult.

This cultural perspective can be deeply harmful, as the focus on family honour and the stigma surrounding mental health often take a serious toll on an individual’s well-being. As a result, many people hesitate to share their struggles, fearing the social judgment and judgement that may follow. However, the belief that mental health should remain private often fuels this reluctance to seek help, causing individuals to suffer in silence and refrain from discussing the issue. Conversations about mental health are often swept under the rug, hence leaving the masses in ignorance about resources; this can lead, in many cases, to prolonged suffering and a lack of open communication. A lack of understanding about mental health could potentially trivialise the suffering of individuals on this spectrum, causing their condition to go unnoticed. A lack of awareness causes us to have a shortage of the kind of support we need. The perspective also extends beyond Asia, which includes Asian communities residing in other nations where mental health resources are more accessible, including Australia and America.

There are many reasons that create mental health complications in Asian societies. Perhaps it’s because we live in a society that is relentlessly competitive — from kindergarten onward the treadmill of school and employment creates high-stakes situations where children are pressured to keep up with studies or professionals get burned out by the demands of their work. Urbanisation and globalisation fuel rapid societal changes, that are transforming life as we know it and leaving many devoid of a compass— unsatisfied with their identities, prospects. Economic Discrepancies: Mental health issues are being amplified by economic factors like poverty and instability, because it is difficult for people to meet their basic needs when they have a concern of financial security. The expectations of culture could trigger extremely high standards, which can lead to feelings of inferiority and anxiety. Moreover, the limited availability of mental health resources (facilities and trained professionals) makes the treatment process even more difficult.

Asia is implementing numerous initiatives to improve mental health awareness and support systems in light of these challenges. Governments are implementing initiatives to enhance public awareness and facilitate access to mental health services. In addition to this, there is an increasing presence of mental health professionals, such as psychologists and counsellors, committed to providing support and treatment, plus various organisations and advocates are diligently striving to eradicate stigma and promote understanding via educational and outreach initiatives. We Asians, who are facing mental health challenges need to understand that our feelings are valid, and acknowledging our struggles is a crucial first step. Seeking help is a sign of strength. Mental health issues are treatable, and reaching out for support is a courageous act. There are qualified professionals and support groups, like Shapes and Sounds, Headspace, and Beyond Blue, ready to assist you on your path to recovery. Prioritising your mental well-being is your right—everyone deserves to take care of their mental health.

The initial step in seeking help is difficult but essential. When I finally decided to get treatment, therapy helped me open my eyes; I learnt more about myself; I matured little by little; and, most importantly, I got closure in knowing that there are other folks out there like me.

Although the stigma surrounding mental health in Asia presents significant challenges, there is hope for a more supportive future, and it starts with us. As awareness grows and people share their experiences, we move closer to a culture that values mental health. If you are struggling, know that help is available, and your mental health matters. By breaking the silence around mental health, we can foster greater understanding and compassion across different cultures.

Remember, whether you seek help from a trusted friend, family member, or mental health professional, you are not alone.

Adrian Truong

Adrian Truong currently resides in Naarm/Melbourne, Australia, and is a digital media designer from Vietnam. He has a background in graphic design, illustration, and character design. Subtly conveying stories visually, he enjoys using negative spaces and creative shapes in his designs. You can find him on Instagram as chuongbaolong, Artstation as Long Truong Bao or his website.

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