Author: Counselling Sweden

  • Working in Sweden: How Expats Handle Work Stress and Feel Seen

    Working in Sweden: How Expats Handle Work Stress and Feel Seen

    Feel invisible working in Sweden? You’re not alone. Here’s how to stay grounded, navigate cultural norms, and reconnect with your sense of self.

    You’ve landed your job, sorted your personnummer, and even mastered the subtle art of queueing in Swedish supermarkets. But at work? Things feel… off. You’re doing your job well — but somehow, they don’t see you. Not invited to fika chats. Not included in the easy banter. And when you speak up, your ideas seem to fall flat or get brushed aside.

    For many expats and foreign-born professionals in Sweden, the workplace can feel like a polite but impenetrable fog. This isn’t just about language — it’s about invisible norms, indirect feedback, unspoken expectations, and a cultural preference for low-key everything. If you’ve ever felt like you’re technically included but not really belonging, you’re not alone.

    Let’s unpack why this happens. Let’s consider what you can do to stay grounded, connected, and confident while working in Sweden in a system that might not see you as clearly as you’d like.

    1. A Culture of Consensus — and What It Doesn’t Say

    Swedish workplaces are known for their “flat hierarchies,” where the boss is more of a facilitator than a dictator, and decisions are made through group consensus. On paper, this sounds wonderfully egalitarian — but in practice, it can leave newcomers confused and out of sync.

    A woman with dreadlocks working on an imac beside a man who is also working in Sweden

    You’re unlikely to be given direct instructions or open praise while working in Sweden. This is not manipulation or coercive control. Feedback tends to be indirect, sometimes cloaked in silence. In meetings, people pause a lot. They speak softly. They leave long gaps. And if you come from a more direct or expressive work culture, you might read this as passive, dismissive, or even cold.

    The result? You might start second-guessing yourself — “Did I say too much?” “Was I too assertive?” “Did I just overstep?”

    This isn’t about doing it wrong — it’s about operating within an unfamiliar social grammar.

    Try this: Instead of trying to match Swedish indirectness, aim for respectful clarity. Express your ideas with warmth and openness, and then invite feedback gently. For example: “I have an idea I’d love your thoughts on…”

    2. When You Feel Like You’re Not Really There

    You might be showing up to work every day — contributing, collaborating, keeping pace — and still feel oddly invisible. It’s a kind of quiet exclusion, not always intentional, but real enough. You’re not being mistreated, but you’re also not quite part of the fabric.

    According to a BBC report, burnout and work stress in Sweden is on the rise. For many navigating expat work stress in Sweden, this sense of being on the outside looking in can build slowly. It’s not about one big moment, but a series of small silences. When they speak over you. When they don’t respond to your suggestions. When you realise you haven’t had a proper chat with anyone in days.

    Swedish work culture prizes independence and understatement. That means Swedes often save social energy for outside work hours, and even then, relationships take time. So if you’re feeling left out, know this: it’s not your fault — and you’re not alone.

    Try this: Don’t interpret distance as disapproval. Instead of withdrawing, consider gently naming what you’re noticing with someone you trust: “I’ve been trying to get to know people, but it’s been tricky. How do you usually build relationships here?”

    This is where therapy or coaching can help — not by fixing you, but by giving you a space to hear yourself think. As a counsellor, I often assist people feeling adrift while working in Sweden. Rumination, or overthinking, can actually create more stress. Whether you’re based in Stockholm or working remotely from elsewhere in Europe, having a sounding board — someone who listens with empathy and helps you make sense of what’s happening — can be a lifeline.

    3. The Social Side of Working in Sweden — And Why Fika Isn’t Just Coffee

    A group of colleagues working in Sweden at a table having fika together

    On the surface, fika is a coffee break — maybe with a cinnamon bun, maybe with some small talk. But beneath that, it’s a social ritual. It’s where Swedes build trust, bond, and — let’s be honest — some of the real decision-making happens.

    But for newcomers, fika can be confusing. You’re not always sure they are inviting you. You might feel like you’re intruding. You might sit down, then realise no one really talks to you.

    Understanding cultural differences in relationships is important. In a culture where emotional energy is often subtle, fika is paradoxically both low-pressure and high-stakes. It can be where you start to feel connected — or more left out than ever.

    Try this: Shift your goal from belonging to simply showing up. You don’t have to perform, just be present. Ask a question. Share something small. Familiarity, not flashiness, builds connection over time.

    In cities like Uppsala or Malmö, where international workers are common but social structures remain tight, these small acts of consistency help you ease into connection, on your own terms.

    4. Staying Grounded When You’re Questioning Your Value

    When your input is overlooked and your social cues don’t land, you may begin to question your value. This is especially true for foreigners working in Sweden who are navigating workplace silence.

    The danger is that you begin to shrink: you stop offering ideas, start editing yourself, and eventually retreat emotionally. It’s a quiet erosion of confidence.

    Try this: Anchor yourself in what you know to be true. Write down your values, your strengths, the things others have appreciated in you. These are reminders of your professional identity — they’re not up for negotiation.

    A group of colleagues working in Sweden sitting around a table while their workmate with red hair stands in the foreground.

    This is often the turning point when people seek therapy or coaching. Through regular conversations, I help clients rediscover their inner reference point. I offer encouragement and reflection, not performance tips. Just a place to reconnect with yourself.

    5. You Don’t Have to Fix Yourself to Fit In

    Sometimes the loudest message isn’t spoken: it’s the quiet pressure to adapt, to adjust, to tone yourself down. But adaptation is not the same as self-erasure.

    When working in Sweden, the ideal of ‘lagom’ — not too much, not too little but ‘normal’ — can feel hard to achieve. But you don’t have to erase your energy or personality to survive here.

    Try this: Think about how you can translate yourself, rather than change yourself. What environments support your confidence? What kinds of interactions give you energy?

    Whether you’re based in a startup in Gothenburg or working freelance from home, your sense of belonging doesn’t have to depend on others’ approval. It can grow from the inside out — with a little support.

    Final Thoughts: Finding Your Place Working in Sweden Without Losing Yourself

    You may have started working in Sweden with curiosity and hope, only to find yourself feeling invisible at your job. You’re not imagining it, and you’re not overreacting. Cultural norms can be subtle but powerful — and they affect how we see ourselves.

    Whether you’re navigating expat work stress in Sweden, trying to understand Swedish work culture, or just needing a safe space to process what’s happening, know this: you don’t have to figure it all out alone.

    I offer online counselling and coaching in English to individuals living across Sweden and Europe. Whether you’re in Malmö, Stockholm, Gothenburg or Uppsala, I’m here to help you reconnect with your confidence, find language for what you’re experiencing, and move forward with clarity.

    Try this: Book a consultation today. Let’s talk about what you’re facing — and explore what might feel possible next.

  • Lonely in Relationship with an Emotionally Unavailable Partner

    Lonely in Relationship with an Emotionally Unavailable Partner

    Moving to a new country to be with your overseas-born partner can be an adventure. But it’s not always possible to foresee the difficulties and challenges ahead. Feeling lonely in relationship with an emotionally unavailable partner often creates a sense of neglect, particularly when dealing with the stress of unfamiliar culture. You might start feeling unloved if the person you thought was the love of your life turns out to be emotionally distant.

    It isn’t easy to manage these emotions while isolated. You can’t control other’s actions but it is possible to prioritise your own emotional well-being and decision making. Professional support can offer a path to recovery, empowerment and renewed motivation while acknowledging the importance of focusing on personal healing.

    Feeling lonely in relationship with an emotionally unavailable partner is common when moving to a new country.

    Understanding Cultural Differences

    Getting used to a new culture means more than just learning the language and customs. The nuances of communication, social norms and how people relate to each other can vary significantly from place to place. In many Latin countries kissing on the cheek is common whereas this isn’t so acceptable in northern Europe. When I first moved to Stockholm, I was surprised to find that people generally introduced themselves. In Australia and in British culture, we tend to wait to be introduced.

    This adjustment process, in addition to not understanding the language, can leave newcomers feeling isolated and misunderstood. Developing cultural competence takes time and patience. This can impact existing intimate relationships. It is not unusual to experience a sense of disconnection after moving overseas to live with a partner in their home country. This is an additional stressor, intensifying feelings of loneliness. But the stress of relocation itself can physically manifest as hair loss, insomnia, body tension, irritability, digestive issues and mood swings. When empathy from a partner isn’t forthcoming, support from a professional coach who understands the cultural landscape can provide insights and strategies for navigating these challenges and managing stress.

    Dealing with Relationship Problems with an Emotionally Unavailable Partner

    Perhaps you only recently became aware of unresolved conflict in your relationship? Relocating to a new country has a way of amplifying existing partner problems. Communication breakdowns, avoidance and differing expectations all contribute to feelings of loneliness and emotional neglect.

    You might have already tried, unsuccessfully, to change your partner’s behaviour. You might have found they are resistant to any requests for change. Or you might actually be experiencing subtle or overt abuse or manipulative behaviour like gaslighting or other forms of coercive control. If you are doubting yourself or feeling confused there isn’t necessarily anything wrong with you. Anger and frustration are ways your body informs you that something is going wrong. Listen to your body and reach out for help.

    Make an appointment to discuss an emotionally unavailable relationship

    Communication breakdowns, avoidance and differing expectations all contribute to feelings of loneliness and emotional neglect

    Regaining trust in yourself is important if you are going to survive a toxic relationship. Counselling offers a safe space to explore these difficulties openly and constructively. You might not be able to influence your partner but you can work on your own assertiveness and boundary-setting within the relationship. If you reach a point where you realise you are feeling lonely in relationship with an emotionally unavailable partner, professional support can assist. Online counselling can support you in marital separation, the grieving process and provide a means to plan the way forward.

    How to expose covert abuse, coercive control and gaslighting

    Cultivating Self-Compassion and Resilience while Feeling Lonely

    An emotionally unavailable partner can trigger feelings of loneliness which can, in turn, erode your trust in yourself. In my work as an English speaking coach and counsellor I’ve met many people who have disclosed low self-esteem. I call it having a bad relationship with yourself. Low mood can cause you to struggle with managing everyday life in a new country. Prioritising your well-being is a better starting place than treating normal human difficulties like a mental health disorder.

    Cognitive-behavioral therapy (CBT) and mindfulness-based practices can be applied to increase awareness and feelings of self-control. Self-compassion is an approach to that builds resilience, increases your ability to cope and fosters healing. If you are self-sabotaging with criticism and behaviour you later regret, there is a way forward that doesn’t involve pulling yourself down.

    If you are self-sabotaging with criticism and behaviour you later regret it could be that you are feeling lonely in relationship with an emotionally unavailable partner.

    The role of a self-compassion coach or counsellor is to encourage you to be a friend, not an enemy, to yourself. Feeling lonely in relationship with an emotionally unavailable partner is not uncommon. You are not alone in what you are experiencing, others have navigated through similar problems and there is much to be gained from their stories. And however overwhelming it may seem, you are also more than the emotional state you happen to be experiencing right now.

    Finding Professional Support and Making Connections in a New Country

    Loneliness evolves from a lack of meaningful connections and support. Cultivating a social network does takes time and sometimes it can feel too hard to begin. You can take smaller steps which are easier. It helps to have encouragement and guidance on the way.

    Feeling abandoned or neglected by an emotionally unavailable partner need not determine your identity. If you have relocated to a new country and would like to talk through the problems in your intimate relationship, send an enquiry today. As an English-speaking Australian therapist I offer online therapy with people not only in Swedish cities like Stockholm and Gothenburg but in cities around the world including Hong Kong, Tokyo, Seoul, Shanghai, Sydney, Buenos Aires and Rio de Janiero. You’re welcome to contact me and take the first step in recovering your motivation and enjoyment of life.

    Book an online counselling appointment

    Loneliness evolves from a lack of meaningful connections and support.
  • How to Expose Covert Abuse, Coercive Control and Gaslighting

    How to Expose Covert Abuse, Coercive Control and Gaslighting

    The red-flags for covert abuse, coercive control and gaslighting in a toxic relationship usually take time to notice. We enter into coupledom in a state of vulnerability, with an open heart, and assuming our partner has the best intentions. When things go wrong, we might blame ourselves or start thinking we are unwell. Then we notice the warning signs in the form of patterns of dominating conduct. Becoming aware of manipulation and controlling behaviour in intimate relationships is the first step in managing and ultimately refusing it. Recovering and healing from the psychological harm inflicted by an abusive ex-partner can be better helped by counselling and other professional support.

    Manipulation through Deception and Abuse Erodes Self-Worth

    As an online therapist for English-speaking expats in Sweden and around the world, I work with many individuals struggling with coercive control and gaslighting. Sometimes clients contact me for couples therapy when they are actually looking for a referee or help in escaping the relationship. Often, in their initial emails, my counselling clients outline problematic behaviour by their spouse, sambo or lover that is clearly inconsistent with the signs of a healthy relationship. I’m referring here to the trust, respectful communication, mutual support, shared decision making and commitment to each other’s growth. Most of us are seeking those when we start sharing a life with someone.

    Examples of controlling behaviour in relationships are abundant. Gaslighting, for example, is a specific type of manipulation that leads a person to self-doubt. It could be via outright deception or ‘crazy-making’ (pathologising). I often hear stories from people who arrive in Sweden from to start a new life only to find themselves pseudo-diagnosed by their partner as depressed, anxious, ‘bipolar’, obsessive compulsive disorder, or ‘ADHD’ or as suffering from borderline personality disorder. The effect on my English speaking clients is to undermine their sense of self and distort their reality. They feel sick, wrong or broken. Covert abuse, consistent coercive control and gaslighting can make a person mentally ill.

    Covert abuse, consistent coercive control and gaslighting can make a person mentally ill.

    Self-Worth and the Adjustment to Swedish Culture

    In other cases the controlling behaviour is more subtle. It might include prioritising friends or family over a partner, consistently making unilateral decisions or demanding particular outcomes without any offers or negotiation (also known as ‘my way or the highway’). Some clients are repeatedly infantilised. Their partners are not prepared to accommodate the time it might take a new immigrant to adjust to Swedish culture. In some cases my clients are being ‘abandoned with care’: made important but worthless at the same time through the provision of limited financial support but a disregard for emotional needs. These are all situations that result in an erosion of self-worth.

    What to do when your partner refuses to attend couples counselling

    More obvious abusive relationships involve the denial of autonomy, or monitoring and surveillance of activity. Name-calling, mockery, put downs and other forms of bullying are further examples. Threatening harm to pets, or children, or even violence to the person themselves might be accompanied by a suggestion that the victim would somehow be responsible for the abuser’s behaviour. These are clear signs of abuse that will have a person living in fear. The turning point for my talk therapy clients in Sweden is often the realisation that they can choose not to live in fear and that everyone has a right to an intimate relationship free of dread, coercive control and gaslighting, even when socially isolated in an unfamiliar country.

    Book online for a Skype, Zoom or phone consultation

    Vulnerability to Coercive Control and Gaslighting for Expats in Sweden

    Abusive and controlling behaviour in expat relationships arises in combination with a number of factors. Moving to a new country can be stressful and the person immigrating often leans into their partner for more support in the initial months and years. There are sometimes massive Swedish cultural differences not always apparent when first arriving. Language and communication difficulties can erode a person’s confidence and lead to further reliance on the native partner. Social isolation and financial dependence can play a part in ceding to a domineering spouse or lover. When one partner starts disregarding or disrespecting the other, it often leads to loneliness within the relationship.

    But these instances don’t explain every situation. What about so called Third Culture Kids (TCKs), adults who spend a good deal of their childhood moving countries with their parents? I assist many TCKs via webcam therapy sessions from Sweden other countries. They also often report symptoms of toxic relationships despite often being adept at adjusting to new countries and cultures and having advanced language skills. So what might be happening for TCKs?

    Third Culture Kids (TCKs) often report symptoms of toxic relationships despite often being adept at adjusting to new countries and cultures.

    The acceptance and tolerance of controlling behaviour often relates back to past relationships. It can evolve due to or childhood experiences or religious trauma. Often my clients realise they have a pattern of abusive relationships that defy transnational migration and transcultural relocation. Interpersonal conflicts re-emerge. The emotional support yearned for is distinctly absent. The awakening to a relationship as controlling is a shock. But moving to a new country represents a new start, a way of leaving a difficult or shameful past behind. Unfortunately it can also mean a replication of the enmeshment or co-dependence that occurred in the family of origin or church along with similar abandonment, isolation, loneliness, and neglect.

    Toxic Relationships: A Pattern from Childhood and Family

    We are usually drawn to people who offer the promise of a missing experience, something we seek in childhood but never receive. Yet the person who attracts us can also be somewhat familiar. Ever heard the expression ‘They married their mother / father’? For those with backgrounds of neglect, abuse or abandonment, where a parent is distant, absent, critical or authoritarian, it can be easy to slip into yet another unsatisfactory and abusive relationship. But if you start to recognise a pattern in your relationships, that they are abusive or mirror somewhat the relationship you had with a parent, it’s important not to give yourself a hard time. Now you can use self-compassion.

    Some clients report a kind of low mood that persists since childhood. They manage go about their lives, appearing somewhat functional, but never feel particularly happy for long. The trauma therapist and Licensed Independent Clinical Social Worker (LICSW) Patrick Teahan refers to this as Refrigerator Buzz Depression. You live with it for so long that it becomes background noise. Processing childhood trauma, and awakening to how bad it is, are integral to recovery but can initially inflame mood disturbances. At the same time, changing one’s life by moving to a new country like Sweden can also bring the realisation that you no longer have to put up with the sadness you have lived with for so long.

    Moving to a new country like Sweden can bring the realisation that you no longer have to put up with the sadness you have lived with for so long.

    Treatment, Healing and Recovery from Coercive Control and Gaslighting in Relationships

    Finding your way out of a controlling relationship involves awareness, accessing support and taking practical action. But it also means trusting yourself. We evolve with emotions for good reason. Noticing your anger, shame, fear or sadness is part of realising that something is wrong. Developing a kinder and less critical relationship with yourself can be the key to accessing a way out.

    The isolation of being in a foreign country like Sweden can cause confusion. If you are struggling to understand how to cope in your relationship, an individual consultation might be better help than couples counselling. For a relationship beyond repair, couples therapy can only involve supporting the relationship to end. An individual session might reveal you have been over-tolerating bad behaviour. You could be in a state of self-blame or toxic shame. You may find it difficult to navigate relationships and deal with coercive control and gaslighting. Getting good with yourself through the encouragement of an English speaking therapist can assist you to manage emotions and develop a course of action. If you are in danger, go to the police.

    Therapy for Managing Controlling Relationships

    Therapy for those experiencing manipulation by their intimate partners can involve:

    • Stress management techniques;
    • Problem solving around boundaries, risk and managing safety;
    • Psychoeducation to understand the signs of coercive control and gaslighting and other forms of covert abuse;
    • Strategies for de-escalating, responding to and eliminating abusive behaviour;
    • Development of a plan around financial independence and social and emotional support;
    • Grief counselling, particularly around the sense of betrayal and emotions that accompany separation.

    Good talk therapy is not simply about venting or offloading your feelings. Being able to talk and be heard are important but an experienced therapist will not only listen, they will assist you to develop your self-agency or your capacity to change your circumstances. They will encourage and support you to take action and reach a turning point. This might involve practising self-compassion, assertiveness or prioritising new habits over fast gratification. In any case, a willingness to take new steps is part of recovery. Even the best psychologist in Stockholm will not be influential if you are not willing to do something yourself about the situation.

    Identifying, dealing with and recovering from a relationship involving coercive control and gaslighting can take time. This is particularly true for those who find themselves isolated in toxic partnerships that resonate with abusive childhood experiences. In the beginning, it can feel overwhelming. But with the right support, it is possible to change your circumstances and recover both a sense of safety and a nurturing relationship with yourself.

    Make an appointment now for therapy online with Ash Rehn

  • How to Reduce Rumination and Stress by Doing More and Thinking Less

    How to Reduce Rumination and Stress by Doing More and Thinking Less

    Ruminating. Catastrophising. Panicking. All describe the breakdown of logical reasoning that happens when we are in such a state of anxiety that our thinking is paralysed. So how is it possible to stop going over and over a source of worry? The answer to reduce rumination isn’t more thinking, it’s more doing.

    Why Can’t I Stop Thinking and Switch Off My Brain?

    The coronavirus has most of the world on edge. It’s limiting our possibilities for movement and making our lives even less predictable challenging us to manage our mental health. And in the social distancing of these new conditions, some find themselves alone and obsessively thinking about the same things over and over, causing them to feel physically sick with worry or having a panic attack. My English speaking clients in this situation plead with me, How can I change my thoughts?

    But the key lies not in changing thoughts but changing activities. When a person’s physical stress response is so high, the logical reasoning part of the brain fails and the survival part of the brain kicks in. This is the legacy of our evolution, an animal instinct to withdraw, like crawling back into a shell for protection. Unfortunately when humans withdraw they stop participating in activities that benefit them such as engaging with others and physical movement.

    Those of us who have been conditioned by work that uses our brains in preference to our whole bodies try to think-through and problem-solve unpleasant feelings instead of addressing them directly through physical means. But the best way to lower the acute stress response is to get physical and use more of the whole body, not just that little part of the brain behind the forehead that is responsible for cognition (thinking, judging and problem solving).

    Book a real time coaching or counselling session for support

    How to Escape the Isolation Chamber and Reduce Rumination

    Ruminating on a problem without the benefit of more information or a different perspective is akin to trying to make a decision from inside an isolation chamber: we have to get out and experience the world through the senses. The way to reduce rumination and ‘catastrophising’ isn’t more thinking, it’s more doing. And specifically doing activities that engage the senses. Not only will doing something physical help you to relax, it will loosen up your thinking and help you gain perspective.

    Exercise is the obvious first go-to. I don’t recommend high-intensity exercise for stress reduction because it can spike the sympathetic nervous system that is responsible for elevating the body’s stress response. But moderate intensity exercise such as brisk walking, light jogging, kicking a ball around, moderate swimming or dancing can help a person to get out of their head and into the body. These activities will help relax the muscles, releasing physical tension. Even in the middle of winter, many Swedes will go out and walk in the brightest part of the day because they know that moving the body and experiencing the world through different senses is key to lowering the stress response.

    The other activities that work well for reducing the stress response are anything that involves hand and eye co-ordination or acts of companionship. Research has indicated that activities involving hand and eye coordination actually repair neural pathways. Sharing time with friends who are experiencing a lower stress response can actually reduce your own anxiety. So what does this look like in practical terms?

    Strategies to Treat Acute Stress Response

    I’m aware that those who have recently moved to Sweden or other foreign countries do not always have much living space or many friends. So hobbies like car restoration, carpentry or bee-keeping might not be possible. Here are some suggestions for activities that don’t require a lot of space or capital outlay and that you can do alone…

    The 5 Fundamentals of Stress Reduction

    Creative activities that engage the hands and eyes will help you relax and also assist with anxiety and depression. For example: painting, drawing, photography, jewelry making, building things with Lego or completing jigsaws, podcasting, making Youtube videos or creative writing. Hobbies like video-gaming, geocaching, collecting antiques, coins, toys or memorabilia, playing chess (even against a computer), learning to program, code or make apps, sewing, knitting, making clothes, cooking, genealogy, learning and playing a musical instrument or learning a language could also take your mind off your worries and reduce rumination. If you only have your work or relationship to think about, is it any surprise that your mind has nowhere else to go?

    Then there are relaxation treatments such as getting a massage, enjoying a floatation tank, playing with pets (your own or someone else’s), walking in nature, colouring-in books or watching comedy videos on a streaming service. Chilling out is a great way to lower stress response.

    And thirdly the companionship of spending time with friends and reaching out to someone you love like a son or daughter or cousin or long-term friend, even if they are in another country, can lead you to feel better. Physically or virtually not being alone is beneficial and it’s amazing how showing interest in someone else can assist you to get out of your head. Try it!

    Creative activities like cooking or playing with Lego can lower stress response, reduce rumination and make you feel stronger and more relaxed.

    Finally, if you are so stressed up that you are unable to exercise or get into a hobby or reach out to a friend or family member, consider consultating a doctor at the Vårdcentral about medication to assist in the first instance. Some people self-medicate with alcohol or recreational drugs but it is better to get professional support to assist you until you are able to take more steps on your own. Any form of medication is only a short-term fix and does not address the cause of anxiety. The use of prescription medication needs to be monitored by a medically qualified person.

    If, after lowering your stress response, you still need to reduce rumination, you can talk to a professional therapist who can guide you through problem-solving strategies.

    To make an appointment for coaching, advice, support or therapy, please contact me.

  • Keep Your Head: Managing Mental Health During Coronavirus in Sweden

    Keep Your Head: Managing Mental Health During Coronavirus in Sweden

    Mental Health has become a buzzword expression around the world since the COVID19 pandemic began. When regulations and public health advice keeps us socially distant, how can go about managing mental health during Coronavirus to keep it together?

    The coronavirus COVID-19 is a source of stress for many English speakers in Sweden. While health authorities in the UK, Australia and San Francisco enact policies such as of ‘lock-down’, containment, quarantine and ‘shelter-in-place’, the Swedish government proceeds with a business-as-usual approach, emphasising personal freedom and relying on the Swedish culture of collective responsibility. Expats and other English speakers immigrants in Stockholm, Gothenburg and Malmo are understandably worried. When your adopted country follows a policy dramatically different to most others and at odds with many scientists it makes sense that you might feel vulnerable.

    Request a counselling appointment over video or phone

    If you are alone, confused and unsure what to do, the first thing is to focus on what is within your control and let go of what isn’t. That’s part of what I call ‘keeping your head’. Everybody has the capacity to lower their own stress response, although knowing this isn’t enough. We start by becoming aware of what is going on in the body and then act to change how we feel. That takes practice but it is your first step in managing mental health during Coronavirus.

    Symptoms of Coronavirus Pandemic Stress

    Both irritability and withdrawal from contact with others are common signs of acute stress and declining mental health. These parallel the ‘fight or flight’ response that has evolved to protect us. You might be experiencing one or the other or both. The usual symptoms of anxiety and depression – difficulties with concentration or memory, restlessness, panic, a sense of hopelessness or doom, sadness and feelings of worthlessness – might also be present. If you take the time, you will notice their corresponding sensations.

    Take a few moments now to sit in silence and notice what is happening in your body. Where do you feel tension? How busy are your thoughts? What sensations do you feel when you pay attention to your breath or your heartbeat? Try this 3 minute STOP technique to ground to the present moment and recover your awareness.

    Forgetfulness, trouble focusing and an inability to solve problems or know what to do are signs that anxiety has affected your cognition. The Acute Stress Response (also known as ‘Fight or Flight’) has another manifestation: Freeze. This is the kind of paralysis of both thought and action we might experience when a stressor starts to shut down cognitive functioning. To the body, it’s the same phenomenon as an animal might experience when suddenly confronted, like a deer that freezes at the realisation it has been seen or the ‘rabbit-in-the-headlights’ response of a beast on a road at night. When a stressor becomes overwhelming, our capacity to reason and use logic drops away and our animal self reacts in self-protection.

    The Importance of Self Care and Managing Mental Health during Coronavirus

    I work with expats and English speakers around the world and have noticed the impact to mental health is similar whether the person is in Birmingham, Bahrain or Beijing. People are on edge with the ongoing changes to public health ‘rules’ as well as the uncertainty about the virus itself. Many are WTF (working from home), whether by choice or obligation, and this is putting pressure on relationships and disrupting well-being routines that were taken for granted. Even those in the ‘open’ cities of Sweden – Stockholm, Gothenburg, Malmo, Uppsala – are struggling emotionally and physically. As much as the government campaigns might try to convince us otherwise, the coronavirus pandemic and ‘social distancing’ divides us, it doesn’t bring us together. We have to work at staying connected, while managing mental health during Coronavirus, and that takes energy.

    The 5 Fundamentals of Well-Being are:

    1. Adequate sleep;
    2. Regular, nutritious meals;
    3. Regular exercise;
    4. A balance between work, rest and play;
    5. The opportunity to talk about problems.

    How many of those can you tick off? Checking in with yourself is just as, if not more, important as connecting with others. To know what you need from others, you first need to have good contact with yourself. If you have noticed things don’t feel right, take some time to listen to your sensations and see if you recognise your emotional state. You might like to try one of these self-compassion exercises. Your body can guide you to what is important right now. Listening to your body is the first step to keeping your head. And if you are struggling with knowing what you need, a conversation with a supportive professional can help.

    To make an appointment or find out more about my services, contact me.

  • What To Do When Your Husband, Wife or Partner Refuses to Go to Couples Counselling

    What To Do When Your Husband, Wife or Partner Refuses to Go to Couples Counselling

    Relationship counselling starts too late for most couples and when one of the partners decides they need help, it’s not unusual for the spouse to be resistant to couples counselling. So what can you do if your partner won’t attend therapy?


    People often delay relationship counselling out of embarrassment or to avoid cost. Some partners will refuse as part of the power-play that is occurring in the relationship. As an English-speaking couples counsellor working in Sweden I found that couples therapy wasn’t always the answer to saving a marriage or other relationship. There are alternatives for dealing with conflict in relationships when couples counselling is not an option.

    1. Find an English-Speaking Therapist and Access Your Own Support

    If you are struggling with convincing your husband, wife, sambo, or särbo to see a couples therapist, there’s no doubt you can use support yourself. You see the signs that something is wrong in the relationship and feel unhappy. You are both arguing too often, sex is non-existent, or you discover your partner is ‘cheating’ on you (being unfaithful). You might be recognising the toxic signs of emotional abuse, criticism, manipulation or even gaslighting. And you might be exhausted from trying to make changes. Your anxiety is a sign there is something wrong. In this situation the best thing you can do for the relationship and for yourself is to seek your own counselling support.

    Expats and others living in Sweden know we’re instructed to always put the life jacket and oxygen mask on ourselves first. Why then do we try to appease our partners or sacrifice our own needs in the hope that our partners see this and change? When change doesn’t happen it can leave us feeling hopeless and depressed. When you’re already struggling with Swedish culture shock, climate or work-issues your relationship or marriage needs to be a place of intimacy and comfort, not one of distress.

    Looking after yourself through getting individual support from a counsellor isn’t ‘selfish’. You can’t help someone from a weak position. Being generous with yourself will refresh you and make it possible to either save the relationship or protect yourself if you need to leave. Being stingy with yourself and denying yourself the care you need is more likely to result in you feeling resentful or regretful in the future.

    Book an Online Appointment with a Counselling Therapist

    2. Encourage Your Partner to Book into Supportive Individual Counselling

    Often, by the time couples agree on counselling, there is already a lot of toxicity in the relationship. It’s hard to come back to a loving relationship when so much hurt is being felt by just one of the partners, let alone both. When one person is resistant to couples counselling, even if that person eventually agrees to attend, it can take some time before they relax enough to trust the therapist and fully participate in the process. You might have more success in encouraging your sambo or spouse to see an individual counsellor instead pressuring them to attend a couples session. Going to relationship counselling together can present too high a threshold for some couples.

    The suggestion your partner attends individual counselling will be more reasonable if you already have your own therapist. If you don’t, your partner might assume you are blaming them instead of seeing it as a shared issue. Be the person you want your partner to be and role model the self-care you would like them to take. When both partners access their own support each individual becomes clearer about their own needs. A couples counselling session will be more successful when and if both partners feel ready to attend.

    Speak with a Therapist from the Comfort of your Home or Office

    3. Can This Relationship Be Saved through Couples Counselling? Is Separation or Divorce Necessary?

    Relationship counselling has just two fundamental purposes:

    • To support the relationship or marriage to grow or…
    • To help the relationship come to an end and assist the couple to separate.

    It’s not the job of the couples therapist to take sides or be a referee and support one individual over the other. If you are hoping this will happen in a couples session, it might be better to find a therapist just for yourself! Likewise, if one of the partners wants to end the relationship and the other doesn’t, couples counselling serves little purpose apart from providing the therapist with an income. In this situation, the relationship needs to end. Give yourself the support you need to transition into independence after separation or divorce.

    If there is violence in the relationship, and especially if children are witnessing violence, there is no question: you and your partner must separate, at least temporarily. If it is your partner who is committing the violence and they won’t leave, contact the police but get out of harm’s way yourself in any case. No argument is worth risking your safety over.

    A couple came to see me in Stockholm asking me to teach them how to ‘fight’ better. I told them it was not something I offered. If they wanted to remain together, I told them I could help them learn to listen to each other and also to be more assertive. There are never two ‘winners’ in a fight and more often it ends in both sides losing. Approaches like the Gottman Method or Marshall Rosenberg’s Non-Violent Communication can be used to train couples to approach each other differently. But these skills rarely work when all the goodwill has been eroded through fighting or toxic silences. This might be time to see a therapist about breaking up.

    If you still feel love for your partner, and you know it is mutual, choosing an English speaking couples counsellor might offer a way back to intimacy and trust. But in any case, even if you are in doubt, don’t wait to get help. If you are experiencing unhappiness in your relationship, make an appointment with your own supportive counsellor or therapist today.