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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

  • Suggested Resources

    What Is Substance Abuse Treatment? A Booklet for Families
    Created for family members of people with alcohol abuse or drug abuse problems. Answers questions about substance abuse, its symptoms, different types of treatment, and recovery. Addresses concerns of children of parents with substance use/abuse problems.

    It's Not Your Fault (NACoA) (PDF | 12 KB)
    Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.

    After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
    Aids family members in coping with the aftermath of a relative's suicide attempt. Describes the emergency department treatment process, lists questions to ask about follow-up treatment, and describes how to reduce risk and ensure safety at home.

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    For additional resources, please visit the SAMHSA Store.

Last Updated: 08/30/2022

SAMHSA Behavioral Health Treatment Services Locator

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The Locator is authorized by the 21st Century Cures Act (Public Law 114-255, Section 9006; 42 U.S.C. 290bb-36d). SAMHSA endeavors to keep the Locator current. All information in the Locator is updated annually from facility responses to SAMHSA’s National Substance Use and Mental Health Services Survey (N-SUMHSS). New facilities that have completed an abbreviated survey and met all the qualifications are added monthly. Updates to facility names, addresses, telephone numbers, and services are made weekly for facilities informing SAMHSA of changes. Facilities may request additions or changes to their information by sending an e-mail to [email protected], by calling the BHSIS Project Office at 1-833-888-1553 (Mon-Fri 8-6 ET), or by electronic form submission using the Locator online application form (intended for additions of new facilities).

How to quickly leave the country, where to leave from mobilization, queues at the borders from Russia, information about the shortage of tickets abroad, September 22, 2022 | 74.ru

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Traffic jams have formed on the borders of Russia with other countries. In particular, writes MSK1.RU, huge queues appeared at checkpoints with Finland. We learned about the situation at other checkpoints.

The Nagranitse.ru service records a total of 100 cars at the checkpoint in Brusnichny at 12:57.

The queue at Torfyanovka

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In the telegram chat “On the border.ru” they write that it used to be empty at night, but now they stand on Torfyanovka for several hours. They also discuss the situation at other checkpoints.

- "Cowberry" (Checkpoint "Brusnichnoye". - Note ed. ) towards Finland - we passed both borders in four hours. There were no serious searches, just a lot of cars,” Maria Morozova wrote in the chat.

Brusnichnoye is one of three multilateral automobile checkpoints across the Russian-Finnish border in the Vyborgsky district of the Leningrad region. The point is located on the highway, built back in the 60s of the XX century along the Saimaa Canal for technological needs and connecting Vyborg and Lappeenranta. The checkpoint on the Finnish side of the border is called Nuijamaa.

Reader MSK1.RU also crossed the border in Brusnichny. The man said that from the Russian side, the entire bus passed customs passport control in a little over an hour. They asked: where are you going, when are you returning, how much cash are you carrying.

— Before the Finnish checkpoint, we waited in line for a long time, probably about an hour. At passport control they asked: where are you going, what will you do there, asked to show your hotel reservation and return ticket.

According to the man, the situation there is calm, all passengers of the bus from St. Petersburg successfully crossed the checkpoint. And near the Finnish point, local TV crews are filming a story and interviewing Russians. But there was a line of cars in front of the checkpoint.

Meanwhile, the Finnish Border Guard reported on social networks that on September 21, 4,824 Russian citizens arrived in Suomi through the eastern border. In general, the night from Wednesday to Thursday turned out to be busier than usual at the border. For comparison: a week earlier, also on Wednesday, only 3,133 Russians arrived in the country.

In the Chelyabinsk region on the border between Russia and Kazakhstan near the checkpoint "Bugristoye" cars got stuck in a traffic jam. According to a 74.RU correspondent from the scene, the traffic jam stretched for several kilometers. Numbers of most trucks are Kazakhstani. The line of cars is a little shorter.

Closer to the checkpoint, cars and trucks are already standing together

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— The border itself is open. People are let in groups of 10 people every 40 minutes, 74.RU correspondent Ulyana Zaikova reports. - Cars are also launched in batches of 15 pieces, approximately every 30-40 minutes.

Those who are about to cross the border say that they were stuck in a traffic jam for about 8 hours.

— We are going to Kazakhstan to buy a car, and I am taking my son there, — said the man in the SUV. — He is studying in Germany, a student. I'm afraid that I won't be able to cross the border later.

The press service of the Border Directorate of the Federal Security Service of Russia for the Chelyabinsk region did not answer the calls of journalists, and on the general phone of the department they assured that you can travel to Kazakhstan without restrictions:

- Everything is working as usual, without changes.

But on the border of Kazakhstan and the Tyumen region there are no huge lines of cars leaving the country. This was reported by 72.RU journalist Artur Galiev, who is located in the border village of Ilyinka, Kazan region:

— There are 15–20 cars at the border. People are let through. There are those who come by taxi and walk across the border. At the pass they ask where the person served and when. Nothing else. Mostly there are those who decided to leave because of partial mobilization.

There is no panic and long queue in the Tyumen region on the border with Kazakhstan

A 66.RU reader who crossed the border with Kazakhstan that night noted that there was an impressive queue and there were "a lot of men with sad faces."

Some people report problems with crossing the border with Georgia. In particular, difficulties are reported at the border checkpoint in Lars.

Some go on foot

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— Passed the Russian border yesterday without any problems. Then the border in Georgia. The three of us were let in (me, a friend and her husband), mine was sent to the office and then they gave us a passport with a white paper about the refusal. The reasons were not named. But many were turned around, a young Russian girl was turned around in my presence: just a refusal - that’s all, ”said the girl with the nickname Olala in the Border Control Chat telegram chat.

At the same time, to get to the very border in Upper Lars, people have to stand for several hours.

“Guys... We have been standing since 4 am, there is no light, leave this idea,” Nikolai Belkin wrote in the telegram chat of Upper Lars.

In Buryatia, on the border with Mongolia, there are also huge queues. Videos with them began to appear in various telegram channels.

At the same time, according to RBC with reference to Eagle, the Mongolian Foreign Ministry stated that there are no queues at the Kyakhta (Buryatia)-Altanbulag (Selenginsky aimag) border crossing, the checkpoint is operating normally.

A huge line of men formed at the Vnukovo airport. As noted by the telegram channel Moskvach • Moskva Novosti, eyewitnesses report that they are additionally checked at passport control - they take their passports and summon them for a conversation with border guards.

The line at the border with Finland in Torfyanovka

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“I saw that one young man was taken away from the border control, I think it was for a conversation,” Maria noted to MSK1.RU. Everything else went off without a hitch. As for the number of men, there were not very many at my border control desks, mostly everyone with family and children.

The queue at Vnukovo airport

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When our correspondent arrived at the airport, there were no more queues.

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Subscribe to important news about the special operation in Ukraine

Earlier we told you where you can go from Russia by train or car. Those who are planning to emigrate will be interested in the story about how to move to Georgia, Cyprus, Turkey or Portugal. If you intend to get a Schengen visa, read our detailed instructions on how to do it.

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  • September 22, 2022, 18:04

    In the Chelyabinsk region, on the border with Kazakhstan, cars got stuck in a traffic jam
  • September 22, 2022, 11:46

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Dmitry Tolstosheev

Artur Galiev

Journalist 72.RU

Olga Kozlova

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    How to survive moving to another country: advice from a psychologist

    Yulia Morozova

    psychologist

    Author profile

    Oleg Sokolenko

    asked questions

    Author profile

    Moving to another country is always stressful and losing connections.

    Sometimes this leads to serious consequences. Studies show that emigrants especially often face various kinds of psychological problems and mental disorders.

    We talked about the stages of adaptation to a new life, the typical difficulties of moving and ways to overcome them with the director of the Clever Psychology psychological center and emigration specialist Yulia Morozova.

    - Now many people avoid the word "emigration" and instead say "relocation". Why?

    — To emigrate is not the same as to relocate: these are different concepts, although they are close in meaning. Emigration is when a person moves to another country for economic, political, personal reasons. For a long time, if not forever.

    Relocation is a job-related move. But these concepts are often confused. And often, when a person talks about relocation, he means that he is leaving for another country, but plans to return when circumstances in his home country change. When we say "relocation", we rather mean "I'm leaving for a while. But one day I will be able to return.”

    "Relocation" somewhat reduces the degree of tragedy of irreversibility, which is generally characteristic of Russian emigration. Do you remember the “philosophical ship”, Bunin, Brodsky, Solzhenitsyn, Dovlatov? It seemed to Russian emigrants of the 20th century that life in a foreign country was forever, and they experienced it as a tragedy. Echoes are still heard in the word "emigration", so many Russians are more comfortable talking about relocation or just moving.

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    - Emigrants are more likely to suffer from psychological problems and mental disorders.

    Why?

    - When a person moves to another country, he changes almost his entire life, and in an extremely short time. You need to leave your home and find a new one, quit your job and find a new one, change your social circle. You have to master the everyday, social and legal features of life in another state. And you also need to navigate in a new city, find a school for children, rediscover your favorite, “own” places: cafes, parks, and so on.

    These are all stressors. Even in ordinary life, changing, say, a job is stressful. But if everything is stable in other areas of life, the stress due to a job change is compensated by this stability. An emigrant, on the other hand, changes everything at once, and at first he is constantly in a state of stress. Such long-term, chronic stress leaves a person vulnerable to depression, anxiety disorders, and chronic trauma. Neuroses, panic attacks, social phobia, paranoid episodes may occur.

    It is especially difficult to emigrate when a person has too high standards for himself. Perfectionists want everything around to be perfect, and they constantly demand high results from themselves, and from others too. But in an unfamiliar environment, under stressful conditions, a person inevitably makes mistakes, gets into awkward situations and does not work as efficiently as usual. Perfectionists in such conditions will suffer every day. In the worst case, not just suffer, but flood the experience with alcohol or resort to another self-destructive method to temporarily relieve stress.

    In general, stress-resistant people adapt most easily to moving to another country. And stress resistance strongly depends on how mature a person is as a person: how adequately he sees reality and knows himself, with all his virtues, features and limitations, how much he is able to protect himself and make independent decisions, bear responsibility for them, recognize and correct mistakes, respect others and be fair to them.

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    — What psychological problems are typical for emigrants?

    - As a psychologist, I often encounter low self-esteem - this may be due to lack of knowledge of the language or the inability to find a decent job, with difficulties in relationships with loved ones. Often you have to work with apathy, anxiety, depression, loneliness and post-traumatic stress disorder.

    People who moved in a hurry and without internal consent usually have more psychological problems. And they also appear quickly, immediately after the move. Those who have been preparing for emigration for a long time usually know where they will live in another country and how they will earn money, have savings, learn the language in advance and study the peculiarities of life and culture. All this, to a certain extent, protects their psyche and gives them support. But it does not guarantee disappointment in one's expectations from a new country and life in it.

    Even the most prepared immigrant, at least for the first time after moving, is homesick. But still, homesickness is stronger for those who find it difficult to settle in a new country, for those who feel as if the new environment rejects them. Such an imaginary or real rejection can manifest itself in anything. For example, they slowly open a bank account. Or something hurts, but the person cannot explain to the doctor what hurts and how exactly, because he does not know the language well.

    Similar stressful situations happen to many emigrants. But if there is too much stress, the psyche can not cope well with stress. A person may stop leaving the house and communicate with someone other than relatives in order to avoid unpleasant situations. This exacerbates the feeling of loneliness, isolation, and also prevents them from learning the language, solving everyday problems, and generally adapting.

    Sometimes stress manifests itself somatically: chronic diseases that have not bothered you for a long time again make themselves felt, a person may begin to suffer from migraine, may not sleep well, not eat, or, conversely, eat and sleep too much.

    In such cases, be sure to contact a specialist - a psychotherapist, psychiatrist or clinical psychologist. Such reactions in an unusual situation are normal. We all need help sometimes, especially after major life changes.

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    — How do you adapt to a new country?

    — Almost all emigrants go through the same stages of adaptation.

    The first is a tourist stage, it is also called a honeymoon, when everything around is imbued with a sense of novelty: different weather and architecture, unusual tastes in cafes, meeting new people. Critical perception is reduced. Especially if a person was lucky enough to move to where his friends already live: then the joy of reunion with them is added to the euphoria from a change of scenery. Especially when I managed to make my childhood dream come true and move to exactly the country that I dreamed about from an early age.

    An emigrant's "honeymoon" usually lasts from a few days to two or three months, sometimes longer. But then rose-colored glasses fall off and begins the stage of gradual disappointment. An emigrant is faced with unfamiliar laws and unspoken norms, uncomfortable features of everyday life.

    Memories of the homeland are still fresh, and he inevitably compares the new country with it, usually not in favor of the latter. It turns out that the friendliness of people is not so sincere, at school children are taught incomprehensibly what, and because of such delicious local food, clothes do not fit on you. Or, conversely, you don't like local food.

    The inhabitants of the new country seem hostile or arrogant, boring and closed off. The emigrant thinks that he will never find a common language with them and will not become his own. He feels lonely and nobody needs him. Especially if the social status has decreased during the move, and often it happens.

    /eustress/

    Is it true that all stress is bad?

    For example, at home, a person was a candidate of science and taught at a university, and now he is forced to work at the reception simply because he does not know the language well enough. Sometimes it happens that you need to confirm your diploma and professional qualifications - that is, retrain, and not in your native language. This is an additional shake-up, and a person experiences not only irritation, but also fear, insecurity and his own worthlessness.

    An emigrant sees more and more disadvantages of the country he has moved to. He compares it with memories of a past life in his homeland - and at some point he wants to give up everything and return, even if the objective reasons that pushed him to leave have not disappeared. The same longing for the homeland comes, about which Russian classics who lived abroad wrote - for example, Ivan Bunin, Zinaida Gippius and Dmitry Merezhkovsky.

    This stage of adaptation to emigration is the hardest and longest. A person can be stuck in it for several years or even decades. Some can't stand it and come back - like Marina Tsvetaeva, who returned to the USSR after two years of living in Prague and fifteen years in Paris.

    Emigrants who do not make excessive demands on life in a new country, work with a psychotherapist and integrate into the community, both Russian-speaking and local, go through the stage of disappointment the fastest and easiest. For example, I am the social media administrator of the Russian moms in London community, which unites 15,000 women across the UK. Such communities are a great support: you find out that you are not alone in your emigrant problems, you receive words of consolation, advice and help if you need them.

    The third stage is the adaptation stage. It begins when the emigrant has successfully coped with the disappointment of the imperfections of the new country. A person finds close acquaintances among the local population or in the Russian-speaking community, everyday issues no longer take so much time and effort, there is strength to try something new, to travel. At this moment, emigrants often change the city or district - they find something more suitable for themselves. And they no longer experience such stress from moving. Homesickness also recedes, and the new home seems more and more safe and comfortable.

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    The last stage of adaptation is the stage of biculturalism. The culture of the new country is already becoming almost native to the emigrant. Although he sees not only the advantages, but also the disadvantages of the place where he lives, he does not want to constantly compare it with his homeland.

    Interaction with the local population and government institutions no longer causes fear and comes much easier. If problems do arise, the person worries about them not as much as before. He already knows who to turn to and ask for help.

    Such an adapted emigrant can take part of the culture from his native country, part from a new one, and such a symbiosis begins to take shape in a harmonious picture. Now the emigrant feels like a man of the world - strong and free.

    — Who is easier to adapt to emigration: men or women?

    — At first glance, it is easier for men to adapt. They often move for work, and at least they have this issue resolved. Colleagues, if you're lucky, help with adaptation. Women, on the other hand, often do not know the language and stay at home with small children, which limits their ability to adapt.

    But among my clients, I notice this trend: women with children sometimes find it easier to adapt. Children need to be taken to kindergarten or school, they have to communicate with caregivers, teachers and other parents. Usually it is women who do this, even if they do not sit at home, but work. By caring for children, they quickly make new acquaintances, practice the language, master cultural norms, and eventually adapt.

    Similarly, adaptation is made easier for dog owners. After all, what does it mean to have a dog in a European city? When you walk, every second person will come up, say hello - first of all, of course, with a dog - and ask what breed it is. And this is both language practice and useful networking.

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    Back to women. It is important to say that children in terms of adaptation are an advantage, but not always. Working mothers often have to choose a job so that they can leave early and pick up their child from kindergarten or school. A woman loses a lot in her salary, her social status goes down - and this exacerbates all those emigrant experiences that prevent her from adapting.

    — If emigration is hard, why is it worth moving?

    — Emigration gives us great opportunities in understanding the world and ourselves. Even if it is difficult, even if a person at some point decides to return, it still gives him a great experience. In this respect, emigration is similar to the birth of a child, marriage or divorce. Such large and important events, sometimes joyful, and sometimes sad and difficult, give us a chance to see what was previously hidden by everyday life and a calmly flowing life.

    A learner, reflective person will get through this difficult time and become more self-confident, having overcome many trials and survived. This new experience will teach a lot, change both the life of an emigrant and himself. It is possible to change the profession to a more suitable one, to a business that you like more and in which you can really find yourself.

    /change-yourself-a-little/

    Is it true that people never change?

    In addition, a new country and a new culture may suit a person more than the conditions in which he grew up. He can be comforted by clear rules and a respectful attitude towards any citizen in society. He can enjoy a pleasant climate, delicious food and freedom of expression. When a person is open, he absorbs new culture and traditions, enriching his experience and his personality. He opens up new resources for friendship and romantic relationships. It suddenly turns out that dating and starting a family with a foreigner is quite possible and even a very pleasant thing.

    — How to mentally prepare for emigration?

    — Before moving to another country, it is worth visiting a psychologist at least several times, preferably one who has an idea about the problems of emigrants. Talk to him about the anxieties and doubts associated with emigration, and lack of confidence in yourself, your strengths and skills.

    Find out if moving is really your desire and your goal. Perhaps you are forced to move or emigrate with someone, but you yourself do not really want to. Then emigration can cause internal psychological resistance - doubt, irritation and other negative emotions. It is important to fix the resistance and figure out what this reaction is connected with so that it does not interfere with the move and adaptation.

    After talking to a psychologist about this, make a “plan B”, that is, a plan in case something goes wrong, for example, you can’t find a job or you really want to go home.

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    Relationship problems with family and friends and experiences such as rejection and loneliness should also be discussed with a psychologist. In a foreign country, these topics usually make themselves felt. A person begins to painfully perceive any signs similar to rejection, both real and exaggerated. Let’s say you don’t open a bank account for a long time, you are having some difficulty getting on the waiting list at a medical institution, or you can’t find friends. All this in a stressful situation can cause too strong an emotional reaction - more intense than the occasion deserves.

    In order to take care of your psychological state in emigration, it is important to learn the language of the country you are moving to. If a person cannot keep up a conversation with the locals, he constantly feels insecure and prefers to be silent, not to speak out, not to ask for what is needed, and not to defend himself when necessary.

    Clients tell me they feel dumb and stupid when they cannot enter into a dialogue as easily as in their native language. Yes, and I myself, being an emigrant, experienced this. In such a situation, a person often begins to scold himself, his self-esteem decreases, and his self-image becomes distorted: he sees himself as stupid, insecure and lonely. As a result, it is more difficult for a person to adapt.

    In addition, people form different identities in different languages: after the change of language, the tone of voice, intonation, even gestures also change - and this is normal. Even if we do not ideally know the language, but, nevertheless, we can somehow explain ourselves, we need to do this as often as possible, find opportunities to insert a new word into the conversation or learn a new phrase. Treat yourself not like a strict teacher who scolds for any blot, but like a patient and empathic mother who understands that a curious child is learning a language and has the right to make mistakes and confuse articles.

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    It is advisable not just to learn a language with a tutor, but to look for people in the country where you are moving to like-minded people - for example, from the same professional field. There are also clubs of interest, ranging from ping-pong to literature and art. In such communities, you can improve your language and meet new interesting people.

    And then there are forums, online meetings, language exchange projects like Tandem. Now, by the way, a good social network Locals has appeared. At first, you can chat online, and then, when you have already moved, meet such acquaintances in person - and thanks to this, you are no longer going to an "open field", but to friends or even friends.

    It is also useful to find Russian-speaking communities in advance, which are almost always found in big cities around the world, read what they write there, and chat with people. In this way, you will simultaneously make new acquaintances and receive important, but non-obvious information about a new country for an emigrant - for example, how to surf the Internet, which area of ​​the city is better, or which school to send your child to.

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    And of course, I would also advise you not to move to a completely unfamiliar country, but first go on an exploration. Spend a couple of days as a tourist. Then a couple of months - for example, you can get an internship. It is desirable to communicate with the locals as much as possible. So you will get acquainted with the culture, try on everyday features and understand whether life in this country suits you. It's like with a rented apartment: before concluding a contract, you need to come and see if the water in the toilet is flushed, what is the view from the window and if there is a construction site nearby.

    — What to do if emigration is difficult?

    - First of all, don't demand feats from yourself, slow down your normal pace of life and do as much as you can. Be sure to praise yourself for every step forward: if there was at least one useful thing in a day, you are already done!

    After the move, the strength becomes less, and this is normal: a lot of energy is spent on solving everyday issues, and also on homesickness and worry about relatives and friends who stayed there. Remember that this is just one of the first phases of adaptation. Wait a bit and take care of yourself - for example, set aside time for extra rest in the middle of the day.

    Secondly, do not compare yourself with anyone: neither with those who managed to adapt to a new country faster and easier, nor with those who became successful. All people are different, the pace and possibilities are also different for everyone.

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    Thirdly, allow yourself to be sad and yearn. Leaving your country, your home, your loved ones and friends can be both painful and scary, and sometimes these emotions are joined by a sense of shame and guilt over the decision to emigrate. If you lock these feelings inside yourself and do not pay attention to them, sooner or later joyful, positive emotions will begin to disappear, apathy and depression may begin.

    Perhaps the desire to be sad and longing will not appear immediately.


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