Tag: Stress

  • 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 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.

  • Relationship Counselling: Ending the Blame Game for Better Communication

    Relationship Counselling: Ending the Blame Game for Better Communication

    How often have you been in a situation where your partner has blamed you unfairly or found fault with everything you say? Constant put-downs and negativity mean criticism is thriving in your relationship. Here are some ideas about how to nip them in the bud and start having better communication with your partner.

    First up, let’s talk about language. I prefer not to use terms like ‘critical people’ or ‘blamers’. Anyone can fall into speaking critically of others. Criticism can take the form of always pointing out what is wrong, constant negative comments or picking fights. If it’s coming from your partner, it could be a sign of unhappiness of lack of fulfilment. But don’t take it personally: people who have been taken over by criticism are generally in a bad way!

    Send me a question or enquiry

    Criticism: You Can’t Fight Fire with Fire

    When criticism and negativity becomes obvious, it’s time for action. But you can’t fight fire with fire. Imagine reacting to criticism with criticism… it doesn’t work does it? Most of the time when we are burning up with criticism we aren’t even aware of it. Pointing it out can just fan the flames. We need to be a little more strategic.

    Start by checking your own reactions. To reduce the physical stress response, breathe deeply into your abdomen and relax your muscles as you listen to what your partner has to say. Accepting criticism is like receiving a gift that you don’t need. There’s no need to take offence. Just don’t catch the negativity being offered. If you react to criticism, you have basically engaged with it. And if you react critically, you have lobbed it back. Ever heard the expression ‘someone is going to lose an eye’? Once we are playing the blame-game, we have already lost perspective.

    Non-Violent Communication


    One way of changing your response to criticism is to indicate you have heard what the person has said and you need time to consider it. This way, you keep some distance between yourself and the remark. The idea comes from Non-Violent Communication or NVC, an approach developed in the 1960s that involves awareness, expressing feelings and asking for what you need. I recommend the above book ‘Non-Violent Communication: Practical Skills to Connect and Communicate Skilfully in Every Situation‘ that describes this approach in detail. With practice, anyone can improve their communication but it’s important to be assertive and have boundaries. If you are in a situation of physical danger or abuse, don’t stick around. Get out and get help.

    There are a few simple things you can start doing now to change the existing patterns of your relationship. If this interests you, read on!

    Call or email me now for an appointment

    A repeated scenario I have witnessed in relationships is one partner putting aside their own needs to try to meet the needs of the other. Which of course doesn’t work too well. It usually ends up with the self-sacrificing partner feeling resentful when their own needs aren’t met. But we can’t neglect our own needs!

    Does this sound familiar to you?

    The situation generally worsens when both partners suppress their feelings and ignore their own needs to try to make each other happy. Both can end up feeling trapped and not knowing what to do. At the same time, the solution isn’t just about looking after one’s own needs. When in a relationship, we have to find a way to be with the other person. We have to be aware of our own emotions and look after our own needs but remain conscious and sensitive to the other person’s feelings and needs as well. It’s not easy, but when both people are generous with each other, it tends to expand the sense of the relationship. If both partners are tight and mean towards each other, everything tends to get worse and worse.

    From Blame-Game to Generosity

    If you’ve ever found yourself ‘playing the Blame Game’ with someone, you will know the story. We can get caught in a cycle of blaming the other person or blaming ourselves for a silly mistake or the unpleasant emotions we are experiencing. Non-Violent Communication offers a way forward through taking responsibility for – and expressing – our emotions while empathetically listening to the other person’s feelings and needs. Partners can’t always meet our needs. We sometimes have find ways to meet them ourselves but still communicate them to our partners.

    Finally, there is always the possibility your partner may be right, even if the way they are saying something is not ideal. Working out what to take on board isn’t always easy. I offer confidential appointments in English in Stockholm, online counselling over Skype and through email. Fill out my contact form to make a start on improving communication. To break the ‘blame game’ pattern in your relationship, contact me today through www.ForwardTherapy.se or call me on 08 559 22 636.

  • Anxiety Therapy in Stockholm: Walk and Talk or Talk and Tea… You Choose!

    Anxiety Therapy in Stockholm: Walk and Talk or Talk and Tea… You Choose!

    Treatment for Anxiety is now attracting the same attention given to Depression over recent years. And it’s no wonder. Many people are unaware that Anxiety is affecting their lives and as a result become confused as to how to better approach their symptoms. Talk therapy can offer new ways of responding to Anxiety, and you don’t even have to do it sitting down!

    Expat counselling brings me into contact with a wide range of people and personalities. I meet bankers and barmen, teachers and tradies, researchers, roadies and radio journalists. Some come to Sweden for relationships, some for money and some for recognition. It isn’t easy being an immigrant in Scandinavian culture regardless of how advanced Swedish society seems to be. Relocation, cultural differences and relationships are stressors and how we respond to stress affects how well we adjust and how happy we are.

    When people come to me, they have often already researched their symptoms on the Internet and tried to diagnose themselves. So what is actually a stress response has been interpreted as ADHD, or OCD, or Depression, or Aspergers Syndrome, or Bipolar. These are the most common diagnoses people are concerned about. It is quite common for Depression to be preceded by Anxiety. However misdiagnosing yourself with the help of the Internet can mean using an ineffective treatment for the condition or falling into a sense of hopelessness. Some even come to the conclusion they have a genetic fault or biological deficiency that cannot be fixed.

    I reckon that most people have come to these understandings because we don’t hear enough about Anxiety and how we can respond more effectively to it. Hopefully that is about to change. However this brings another danger: the idea that there is a ‘quick fix’ to Anxiety. My experience is that those suffering from Anxiety are also susceptible to promises about ‘fast results’ or ‘cures’. Taking medication can sometimes help but some drugs are addictive and only worsen the problem. A promise of complete recovery can be much more appealing than the idea that we might have to work at reducing Anxiety or even learn ways to live with it.

    Click Here to Ask a Question or Make an Appointment

    How Can I Reduce Anxiety?

    Firstly, most people with Anxiety know that it can affect how their physiology works including changing the way they breathe, their heart rate and the feeling of control over their body. But not so many have learned that the reverse is true as well: you can lower physical and psychological Anxiety through consciously changing your breathing, using relaxation techniques and getting back in touch with your physical being. It is much easier to read about these methods than put them into practice. So getting the help of a therapist to try them out can make a huge difference. Let’s talk about the acute stress response of flight / fight / freeze and how important it is to drop out of that if your really want to get a handle on Anxiety.

    Mindfulness Book
    Secondly, the practice of Mindfulness. Mindfulness is about being right here, right now. Not in the fear of the future or the regret of the past, but physically present in the moment. It is about focussing attention, without judgement, in calmness and clarity. It is not new but at least 2500 years old and it has stood the test of time. Mindfulness offers you a way of observing your feelings and emotions (including Anxiety) without being pushed around by them. It is highly effective but requires work and practice. This is where the therapist or counsellor can support you by explaining the practices of Mindfulness and helping you monitor your progress. If you are interested in reading about Mindfulness and Stress reduction, I recommend A Mindfulness-Based Stress Reduction Workbook available here on Amazon.

    Thirdly you can work with your thoughts. This is why Cognitive Behaviour Therapy (CBT or KBT in Swedish) has become so popular. It can be effective but so much depends on how the therapy is undertaken, the relationship between you and the therapist and, most importantly, whether you are outside of the stress response enough for your cognitive capacities to function properly. There are other approaches to working with Thoughts as well. Deconstructing ideas and concepts and working out how the thoughts arose in the first place can be a significant aspect to talk therapy. Again it requires a degree of trust is established between you and your counsellor.

    Walking Talk Therapy

    I offer a unique approach to working with Anxiety which I call ‘Walking Talk Therapy‘. Of course, you are always welcome to take a comfortable armchair in my consultation room and chat over a cup of tea (including herbal tea), coffee or glass of water. But if you prefer to walk and talk, we can do that and get some exercise at the same time. It is generally well known that exercise helps alleviate many forms of Depression but it can also be effective for Anxiety. This is at least partly because we are using our whole body when we walk and we can work with the breath in different ways as we walk. These are the most effective means to reduce an acute stress response. It can help us to access a more relaxed sense of ourselves, feel more free and clear our thoughts so we have capacity to think differently.

    We aren’t all the same and some of us respond better to some Anxiety treatments than others. So apart from face to face appointments in my consultation room and Walking Talk Therapy, I also offer therapy for Anxiety over the Internet through Skype webcam, Instant Message and Email Exchange. So it doesn’t matter where you are in Sweden or anywhere else in the world, through web technology we can communicate and work cooperatively to reduce Anxiety and change your response to stress.

    If you are ready to make an appointment or if you want to know more about my availability and fees, contact me now and let’s make a start. There is more information about me and how I work in these pages but if you have any questions I would be happy to answer them directly.

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    I look forward to hearing from you!

    Ash Rehn.