Key points
- Loneliness is about the quality of your connections, not the number. You can be lonely in a full house.
- The WHO Commission on Social Connection reports that one in six people worldwide experience loneliness, with links to depression, anxiety, poorer physical health and earlier death.[1]
- A meta-analysis of 11 studies covering 166,913 immigrants estimated loneliness at 24.7%, though the studies varied widely and none were specific to NRIs.[3]
- Migration does not cause mental illness. But social support, language, employment and education are repeatedly linked to mental health in South Asian migrants.[2]
- Financial or professional success does not protect against loneliness.[7]
Moving abroad changes more than your address
Moving to another country is usually framed in terms of what you gain: career, education, financial security, independence, a different quality of life. The emotional side of the move is less visible, and much less discussed.
Someone can have a good job, a comfortable home and an active social feed and still feel profoundly alone. That combination is common enough that it deserves saying plainly, because people experiencing it often assume they are the only one, and that having a good life abroad disqualifies them from finding it hard.
None of this means everyone abroad is lonely, or that migration causes mental illness. It does not. But a 2025 systematic review of 17 studies of South Asian migrants in industrialised countries found consistent associations between mental health and a set of social factors: social support, language, employment, education, age, gender and marital status. Across those studies the prevalence of anxiety ranged from 20% to 50% and depression from 9% to 47%.[2] Those are wide ranges, and they reflect genuinely different populations, but the direction is consistent.
What loneliness actually means
Loneliness is not the same as being alone. It is the subjective sense that the relationships available to you do not give you the connection, understanding or companionship you need.
Which is why you can feel it while living with a partner, sharing a flat with friends, or speaking to your family every single day.
The distinction worth holding onto is between social isolation, meaning how many connections you have, and loneliness, which is how those connections feel from the inside. They often travel together. They are not the same thing, and the second one is the one that hurts.
The World Health Organization now treats social connection as a public health issue in its own right. Its Commission on Social Connection reported in June 2025 that one in six people worldwide experience loneliness, rising to roughly one in five among adolescents and young adults, and nearly one in four in lower-income countries, and linked it to depression, anxiety, cardiovascular disease and premature death.[1]
Why living abroad can feel lonely
The everyday people are suddenly far away
Many people in India grow up inside a dense web of extended family, neighbours, school friends and informal networks that require no scheduling. Moving abroad removes most of it at once.
You can no longer drop in at a friend's place, have dinner with your parents on a Tuesday, attend a function at two days' notice, or have someone simply turn up when something goes wrong. Video calls preserve the conversation. They do not reproduce proximity.
What that produces is a specific and disorienting feeling: still deeply connected to people in India, while your actual daily life has stopped being part of theirs.
Time zones put you out of sync
When you finish work, your parents are asleep. When the family is at a wedding, you are in a meeting. When something important happens at home, you find out hours later, second-hand.
Individually these are minor. Accumulated over years, they produce a sense of being emotionally out of step with the people who used to be your immediate world.
Cultural adjustment is genuinely tiring
Migration demands continuous adaptation: unfamiliar social rules, workplace norms, humour, directness, what counts as polite.
A systematic review of 21 studies covering 61,885 migrants examined how people adapt, using Berry's four strategies: integration, assimilation, separation and marginalisation. Marginalisation, meaning connected to neither the new culture nor the old one, was associated with the worst depressive symptoms, while integration was associated with the fewest. Marginalisation was also associated with more than three times the likelihood of anxiety symptoms compared with integration.[4]
For many people the hard part is not adapting to the new culture. It is working out how much of the old one they are allowed to keep.
Feeling caught between two places
India stops feeling entirely like home; the new country never quite becomes it either.
Visits back can sharpen this rather than resolve it. Friends have moved on, family dynamics have shifted, careers have progressed without you. Meanwhile the years abroad have changed you in ways that are hard to convey to people who were not there for them. That in-between-ness is real, and it is one of the most common things NRI clients describe.
Why professional success does not prevent it
One of the more misleading assumptions about life abroad is that doing well financially protects you emotionally.
It does not. A 2025 systematic review of 199 US studies found financial strain associated with poorer mental, physical and functional health across a large body of research. Notably, that strain was measured subjectively, by things like difficulty making ends meet and worry about money, rather than by income alone.[7] Connection works similarly: it is not something a salary buys.
So yes, a person can be visibly successful and quietly very lonely. Those are not contradictory states.
Why friendships take longer to build
Adult friendship needs repeated, low-stakes contact, the kind that university, a shared neighbourhood or a long-standing workplace provides almost by accident. As an adult in a new country, you usually have to manufacture it deliberately.
Language, cultural reference points, work schedules and uncertainty about what is normal all slow it down further. Plenty of people mistake that slowness for personal failure. It is closer to arithmetic.
A 2025 meta-analysis of 11 studies covering 166,913 immigrants estimated the prevalence of loneliness at 24.7% (95% CI 19.5–30.7).[3] That figure should be read carefully: the included studies varied substantially, and none were specific to Indians abroad. It indicates that this is common, not that one in four NRIs is lonely.
When loneliness starts affecting mental health
Loneliness is not a psychiatric diagnosis. But sustained disconnection can contribute to real distress, and it interacts with everything else going on.
It is worth paying attention if you notice, over weeks rather than days:
- persistent sadness or emptiness
- loss of interest in things you used to enjoy
- constant worry, or irritability
- sleep or appetite changes
- difficulty concentrating, or reduced motivation
- withdrawing from people, including people you like
- the sense that nobody here really understands you
- thinking repeatedly about going back
- feeling disconnected even in company
None of this automatically means depression or an anxiety disorder. Distinguishing ordinary adjustment from something that needs clinical attention is exactly what an assessment is for, and it is a reasonable thing to ask about rather than decide alone.
How distress can look different in South Asians
Emotional distress is not expressed identically across cultures, and this has practical consequences for being understood by a clinician.
A 2026 systematic scoping review of depression among the South Asian diaspora in English-speaking countries found that commonly reported symptoms included physical pain, heart-related symptoms and repetitive negative thinking, none of which appear in the ICD-11 diagnostic criteria for depressive disorders. Sleep disturbance was also widely reported. The authors concluded that current diagnostic criteria may not capture how depression actually presents in some South Asian populations.[5]
How people explain distress matters too. A 2025 systematic review found South Asian communities in high-income countries draw on psychosocial, spiritual and physical explanations for common mental disorders, and that these explanatory models shape whether and where someone seeks help.[6]
This is the concrete argument for culturally sensitive care. A clinician unfamiliar with these patterns may investigate the chest pain and miss the depression, or read ordinary family interdependence as pathology.
What actually helps
There is no single fix. For many people the useful first move is rebuilding connection deliberately rather than waiting for it to happen:
- building social routines you repeat, rather than one-off meetings
- joining groups organised around a genuine interest, not just networking
- making time for friendship rather than letting work absorb all of it
- keeping meaningful contact with family without living entirely inside it
- building local relationships alongside online ones
- finding culturally familiar community where that helps, and not forcing it where it does not
- letting friendships develop slowly, which is how adult friendships work
It is also worth looking honestly at whether avoidance is maintaining the problem. A very common loop: you feel lonely, socialising feels exhausting, you decline, you feel immediate relief, and you end up more disconnected than before. Therapy can help examine that pattern without treating it as a character flaw. It usually is not one.
When to consider therapy
Consider speaking to a mental health professional when loneliness is persistent, distressing, or getting in the way of how you function.
Therapy offers a confidential space to work on migration-related adjustment, identity, family expectations, homesickness, anxiety and low mood. For people abroad, working with a clinician who already understands South Asian family structures removes the tax of explaining the background before you can get to the problem.
You do not need to wait until it becomes severe. Earlier is generally easier.
If you are struggling to keep yourself safe right now, here is how to get help immediately.
You can build a life abroad without giving up where you came from
Living abroad involves loss as well as opportunity. You miss people, places, routines, food, festivals, and the specific relief of being understood without having to explain yourself first.
Acknowledging that is not a verdict on your decision to leave. It is recognising that adaptation is psychological work, not only logistical work, and nobody warns you about that part.
Wellbeing abroad rarely comes from choosing between the person you were and the place you now live. For most people it comes from building something that can hold both.
If you are struggling to keep yourself safe
If you are having thoughts of suicide or self-harm, please get help now rather than waiting for an appointment.
- If you are in India: call 112, or Tele-MANAS on 14416 or 1-800-891-4416: free, 24×7, multilingual.[8]
- If you are outside India: use your local emergency number or crisis line. Rooh Mind Care works across borders, but our clinicians are registered in India and cannot provide emergency response in another country.
Rooh Mind Care is not an emergency service and does not monitor messages around the clock.
Talking to someone who understands the context
If loneliness, homesickness, anxiety or emotional exhaustion has started affecting your everyday life, a professional assessment can help you understand what you are experiencing and what kind of support may be appropriate.
Related reading: online therapy for NRIs and Indians abroad, couples therapy for NRIs, caring for ageing parents from abroad, individual therapy, culturally sensitive and affirmative care, and understanding depression.
References
- World Health Organization Commission on Social Connection. From loneliness to social connection: charting a path to healthier societies. 30 June 2025. who.int
- Pandey P, Khalesi S, Dulal S, Paudel G, Rawal L. Social determinants of mental health problems among South Asian migrants living in industrialized countries: a systematic review. Journal of Public Health (Oxford). 2025;47(4):e652–e667. doi:10.1093/pubmed/fdaf092. PubMed 40795145
- Salari N, Razavizadeh S, Abdolmaleki A, Zarei H, Daneshkhah A, Mohammadi M. Global prevalence of loneliness in immigrants: a systematic review and meta-analysis. Asian Journal of Psychiatry. 2025;104:104381. doi:10.1016/j.ajp.2025.104381. PubMed 39978964
- Choy B, Arunachalam K, Gupta S, Taylor M, Lee A. Systematic review: acculturation strategies and their impact on the mental health of migrant populations. Public Health in Practice. 2021;2:100069. doi:10.1016/j.puhip.2020.100069. PubMed 36101596
- Rickford R, Ramasawmy M, Francois-Walcott R, Martinez A, Sajid M, Obasoyen O, et al. Understanding depression symptom heterogeneity in South Asian minority groups: systematic scoping review. British Journal of Psychiatry. 2026:1–14. doi:10.1192/bjp.2026.10539. PubMed 41804118
- Jain R, Kakuma R, Singla DR, Andresen K, Bahkali K, Nadkarni A. Explanatory models of common mental disorders among South Asians in high-income countries: a systematic review. Transcultural Psychiatry. 2025;62(2):241–264. doi:10.1177/13634615241296302. PubMed 39784482
- Samuel LJ, Abshire Saylor M, Choe MY, Smith Wright R, Kim B, Nkimbeng M, et al. Financial strain measures and associations with adult health: a systematic literature review. Social Science & Medicine. 2025;364:117531. doi:10.1016/j.socscimed.2024.117531. PubMed 39591796
- Tele-MANAS (Tele Mental Health Assistance and Networking Across States). Ministry of Health and Family Welfare, Government of India. telemanas.mohfw.gov.in


