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22 mai 2024

The Guilt of Leaving Family Behind: Therapy for Expats and Immigrants in BC

Luciana de Abreu Pereira

A clinical counsellor explores the complex trauma of 'transnational guilt' faced by immigrants in British Columbia, offering evidence-based coping strategies and psychological insights.

The departure gate is often the site of a profound emotional fracturing. On one side, there is the promise of a new life in Canada—safety, stability, and opportunity in beautiful British Columbia. On the other side, there is the tear-stained reality of parents, siblings, and cherished community members being left behind in countries facing economic hardship, political instability, or aging populations.

Once you arrive in Vancouver or settle into life in the Fraser Valley, the initial adrenaline of migration wears off. What remains is often a persistent, gnawing heaviness. You find yourself unable to fully enjoy a sunny day at Kitsilano Beach because you know it is raining back home in São Paulo. You feel a spike of anxiety when your phone rings late at night, fearing bad news you are too far away to manage.

This is not merely homesickness. In my practice as a Canadian Certified Counsellor (CCC) in Langley, British Columbia, I frequently work with newcomers and established immigrants who are wrestling with this specific form of emotional distress. It is a complex psychological state known as "transnational guilt," and it is a very real, very heavy burden to carry alone.

If you are struggling with the weight of having sought a better life while leaving loved ones behind, know that your reaction is a normal human response to an abnormal situation. This article will explore the psychological underpinnings of this guilt, offer culturally sensitive insights—particularly for my Portuguese-speaking clients—and provide actionable, evidence-based tools to begin regulating your nervous system.

Understanding Transnational Guilt: More Than Just Sadness

Guilt is a powerful emotion designed to signal when we have violated our own moral code. However, for immigrants and expatriates, this signal can become chronically malfunctioning. You haven't done anything wrong by seeking safety or opportunity, yet your brain interprets the act of leaving as a form of abandonment.

This phenomenon is deeply tied to the process of acculturation—adapting to a new culture while maintaining connection to the old. According to the American Psychological Association (APA), acculturative stress is a significant predictor of mental health challenges among immigrant populations. The tension between building a new life in Canada and fulfilling perceived obligations back home creates a chronic state of psychological friction.

The Conflict of Collectivism vs. Individualism

This friction is often intensified depending on your country of origin. Canada generally operates on an individualistic cultural framework, prioritizing personal autonomy and self-realization. Conversely, many of the clients I see come from collectivist cultures (such as Brazil, Portugal, and many Asian and Latin American nations) where family cohesion, filial piety (duty to parents), and interdependence are paramount values.

When a person raised with collectivist values moves to an individualistic society, the act of pursuing personal success can feel inherently selfish, triggering profound guilt. You may feel you are betraying your roots or failing in your duty to care for aging relatives.

The Psychological Framework: Ambiguous Loss

To heal from this guilt, we must first name the type of grief it entails. It is rarely a straightforward grief. Instead, it is what psychologist Dr. Pauline Boss defined as Ambiguous Loss.

Ambiguous loss is a relational disorder caused by the lack of closure. In the context of immigration, it is the physical absence of loved ones who are still psychologically present in your daily life. They are alive, yet unreachable in the way you need them to be. You cannot simply "move on" because the relationship is ongoing, yet the physical separation prevents the natural comforts of connection.

This state of limbo is highly dysregulating for the human nervous system. It keeps you in a low-level state of "fight-or-flight," constantly scanning for threats back home or attempting to over-function to compensate for the distance.

Common Symptoms of Unresolved Transnational Guilt

In my clinical practice in Langley, I observe how this guilt manifests not just emotionally, but physiologically. It often looks like this:

  • Chronic Anxiety and Vigilance: An obsessive need to check news from back home or constant worry about missing phone calls.
  • Anhedonia (Inability to feel joy): Feeling unworthy of enjoying your new life in BC because others are suffering. "Survivor's guilt."
  • Somatization: Physical symptoms with no clear medical cause, such as chronic headaches, digestive issues, or jaw tension, arising from repressed emotional pain.
  • Financial Overextension: Sending unsustainable amounts of money home ("remittances") as a way to "buy off" the feeling of guilt.
  • Relational Strain in Canada: Being physically present with your partner or children in BC, but emotionally absent because your mind is always "back home."

A Note to My Portuguese-Speaking Community

Para a minha comunidade de língua portuguesa:

As a counsellor holding a Master's in Counselling Psychology who is also bilingual, I understand the nuanced layers of this experience within our cultures. We often carry a deep sense of saudade—a feeling that goes beyond missing; it is a profound, almost physical longing for what is absent.

In many Portuguese and Brazilian family structures, there is an unspoken mandate that children are the future caregivers of their parents. Breaking this cycle by moving to Canada can feel like a fundamental dereliction of duty. In therapy, we must honour these cultural values without letting them crush you. We work to differentiate between abandonment (leaving with no care) and migration (leaving to build capacity, which often eventually helps the family unit).

Moving from Guilt to Groundedness: Evidence-Based Interventions

In my practice, we do not try to "get rid" of the guilt entirely, as it stems from love. Instead, we aim to reduce its intensity so it no longer dictates your life. We use evidence-based modalities aligned with guidance from organizations like the Centre for Addiction and Mental Health (CAMH), which emphasizes culturally competent care that validates the immigrant experience while providing practical tools for coping.

Therapy helps move you from a state of frozen guilt to a state of "both/and": You can feel sad that you are far away and still fully participate in your life in British Columbia.

Here are four actionable techniques you can start using today to regulate your nervous system when the guilt feels overwhelming.

1. The "Physiological Sigh" for Immediate Regulation

When guilt hits, it often triggers an anxiety response: shallow breathing and a racing heart. You need a physiological override switch.

  • The Science: This technique re-balances oxygen and carbon dioxide levels in your bloodstream and engages the parasympathetic nervous system (the "rest and digest" mode).
  • The Practice: Take two quick inhales through your nose (filling your lungs completely), followed by a long, slow exhale through your mouth. Repeat this 2-3 times. You should feel an immediate drop in acute bodily tension.

2. Cognitive Reframing: The Circle of Responsibility

Guilt thrives on the false belief that you are responsible for things outside your control. We need to challenge this cognitively.

  • The Practice: Draw a circle on a piece of paper. Inside the circle, write what you have direct, 100% control over regarding your family back home (e.g., "How often I call," "Sending a specific amount of money monthly," "Expressing my love verbally").
  • Take a deep breath. Outside the circle, write down what you do not control (e.g., "My parents' aging process," "The economy in my home country," "My sibling's life choices," "Whatever happens when I am asleep in Canada").
  • When guilt arises about something outside the circle, gently remind yourself: "That is a tragedy, but it is not my responsibility."

3. Ritualizing Connection vs. Anxious Checking

Random, frantic checking of WhatsApp or news sites keeps your nervous system on high alert. Replace anxious checking with intentional connection.

  • The Practice: Schedule your calls. Instead of texting all day based on anxiety, have a set time (e.g., Sunday morning at 10:00 AM PST) for a meaningful video call. Protect this time. During the week, when you feel the urge to check in out of guilt, remind yourself: "I will connect deeply on Sunday. Right now, I am here."

4. Grounding via Sensory Orientation

Transnational guilt pulls you out of your present reality in BC and transports you emotionally to your home country. You need to literally come back to your senses where you are right now.

  • The Practice: Use the 5-4-3-2-1 technique. Look around your current environment in Langley, Surrey, or wherever you are, and name out loud:
  • 5 things you can see (e.g., "I see the rain on the window," "I see my blue coffee mug").
  • 4 things you can feel on your body (e.g., "I feel the chair beneath me," "I feel the fabric of my sweater").
  • 3 sounds you hear (e.g., "The hum of the fridge," "A car passing outside").
  • 2 things you can smell.
  • 1 thing you can taste.

Frequently Asked Questions (FAQ)

I feel guilty spending money on myself in Canada when my family is struggling back home. How do I deal with this financial guilt?

This is one of the most common stressors I encounter. It is crucial to shift from an "all-or-nothing" mindset to a "sustainable support" mindset. Firstly, recognize that if you burn out financially or emotionally in Canada, you will be of zero help to anyone back home. In therapy, we work on creating a realistic budget that includes a "remittance" line item that is sustainable for you, while also including a line item for your own self-care and enjoyment. Your well-being is the engine that allows you to offer support; neglecting the engine will cause the whole system to fail.

My aging parents are back home and their health is declining. The guilt is paralyzing me. What can therapy do to help when I can't physically be there?

Therapy provides a space to process the profound grief of "distance caregiving." We work on accepting the painful reality of your physical limitations—you cannot be in two places at once. We then focus on defining what "good enough" care looks like from a distance. This might involve coordinating local resources in their home country, focusing on emotional support during calls rather than trying to medically manage them from afar, and processing the preparatory grief that comes with aging parents. It is about shifting from guilt over what you can't do to intentionality about what you can do.

I've been in BC for ten years. Why am I feeling this guilt now more than when I first arrived?

It is very common for guilt to increase over time. Initially, you are in survival mode, focused on securing housing, employment, and navigating a new system. Once you achieve stability in Canada, your brain finally has the safety required to process deeper emotions. Furthermore, as parents age or life events happen back home (weddings, funerals, births) that you miss, the reality of the permanent separation hits deeper. This delayed guilt is not a regression; it is a sign that you are ready to process the deeper layers of your migration experience.

If the weight of leaving family behind is affecting your sleep, your relationships, or your ability to build a life in Canada, you do not have to carry it alone. As a Registered Clinical Counsellor based in Langley, BC, I offer accessible, evidence-based therapy in English and Portuguese to help you navigate life transitions and trauma. Please reach out to schedule a consultation.