As an Adult TCK, I Was Resistant to Grief Processing. Here’s What Changed My Mind.

I first learned about the Grief Tower model while taking a course on providing care for Third Culture Kids. Some things weren’t new to me. I’m a TCK. I’m married to a TCK. And I raised two TCKs. But some stuff was. 

In the course we learned that global childhoods are ampersand in nature and that we can honor both the good and the hard things that shape our backgrounds. We learned that global kids are twice as likely as monocultural kids to experience harmful risk factors—but that their international upbringing is also full of deliciously unique potential.

We heard how much expat parents love their kids—but also how goodbyes, starting over, losing people, exposure to trauma, and relationship disruptions can stack up during childhood until the body finally says, “This is enough,” and our health topples over, often when we least expect it. 

These things made sense to me. For other TCKs at least. I could picture the faces of kids I knew who had experienced Big T traumas, and I began to understand why that first or second year of college was disastrous for so many, as they suddenly developed risky behaviors and health problems. They must have been going through a lot, and it all caught up.

Part of me wanted to interrupt the instructor with my perspective as a TCK and let all the eager participants know that most of us still love TCK life. But I held my tongue, literally between my teeth. Even when I disagree with someone or don’t like what I’m hearing, I believe in keeping an open mind. 

So I tried to think of these new thoughts, the ones I was resisting, on a personal level. I thought back to my first year of college and remembered the unexpected turn my life took. If my parents hadn’t planned a home assignment for that same year, I don’t know where I would be today. My thoughts about “those” TCKs suddenly turned personal. I’d had some hard things stack up too. But in my fierce love for growing up global, I had brushed them off.

Our class was instructed to make a timeline of some of the harder life experiences that stood out to us. A disquieting malaise settled over me. Were we ever going to get to the good stuff? The adventures of my childhood in Cameroon felt strangely compromised by this exercise. I needed people to know that global childhood is wildly beautiful.

At the same time, I knew these instructors were experts in TCKs, and my single experience didn’t tell the whole TCK story. They were coming at it from a research background, while mine was totally anecdotal. But this exercise still didn’t feel very ampersand-y. It felt more like a betrayal to my entire life. So, do I say something? 

I decided to wait and see if we would get a chance to write about our positive experiences too. My pen was ready to wordify the memories flooding my mind—

My whipping ponytail flying down dirt roads with five friends piled high on my bike. Stirring corn flour into fufu over eucalyptus embers. Joining the beat of goatskin drums and Cameroonian choirs to worship God in the way that became normal to me. Twisting horsehair into birdtraps and roasting our reward with my friends. Huddling around the radio to listen to the BBC chime of news every evening. My family of six devouring Mom’s pancakes made from precious flour and sugar from the capital city. Muddy soccer wars in torrential tropical rains with my high school friends. Learning from the actions of my international school teachers that Jesus doesn’t recoil from our ugly parts, He leans into them. 

These were a massive part of my childhood, and I wouldn’t feel comfortable writing down the bad stuff without also acknowledging the good. It wouldn’t fairly represent me or my experience. And it might just scare my classmates off from the good work of raising their own kids abroad. 

I was forming a model in my head for how the class could better balance the good with the hard. Then came the instruction: “When you’ve drawn your timeline of grief blocks, go ahead and write two emotions you felt under each block.”

I could no longer keep silent. I’d watched some TCKs get stuck there on an unforgiving path of retelling their hardship. So I formed my concern as a question: “Will we go back later and write down some of our childhood highlights? Those are really important to me.”

Her knowing smile told me she’d heard this before. Her look wasn’t patronizing. It was gentle.

“That makes sense. The good stuff is so important to honor. But the reason we focus on grief for this timeline is because the good stuff doesn’t weigh us down. Unprocessed grief does.”

If I’d been struck by lightning, the accuracy of her words couldn’t have cut any faster or truer to my heart.

The good stuff doesn’t weigh us down. 

It’s there. We honor it. We remember it. We celebrate it. But the good stuff is not what caused some of the TCKs I knew in college to suddenly engage in risky behaviors, try drugs for the first time, abuse alcohol, start having nightmares, develop hair loss, become hypervigilant, have health crashes, or harm themselves.

It was the hard stuff that caught up to us. We ignored it because we were so busy focusing on the good stuff. Or we thought we couldn’t do anything about it anyway. Or we had internalized messages that anger and sadness are bad. Or it felt like betrayal to our rich experiences to acknowledge anything remotely negative. Or we simply hadn’t learned how to hold two truths in tension—that life can be both good and hard. 

God was at work beneath my resistance, and the tectonic plates of some un-nameable thing in my core began to shift. I realized that I had learned the ampersand truth in my faith. Wrestling with God through hard seasons, devastating seasons, I’d learned deep in my cells that He could hold all of me, not just the best of me. He could hold my questions, my anger, my unhealth, and my valleys, alongside my gratitude. 

But I’d not applied the same full care to my TCK story. On some level I had acknowledged the hard parts, but I hadn’t honored them with the space they deserved. For my spiritual life, grief and tension felt appropriate. For my global childhood, sitting a bit longer with the hard parts felt like a betrayal to the wonder that it was. 

I began to sink my teeth into deeper truths about the incredible gift of a global childhood, but this time of acknowledging and honoring some of the harder things about globally mobile life truly impacted me.

And I didn’t get stuck. I didn’t negatively or irreversibly polarize my experience. Quite the opposite. This exercise unlocked an even deeper appreciation for my full life—all of me and all that shaped me. 

I began to hold some of the beliefs I’d built up to the light and re-examine whether they were helping me, and whether I wanted to carry them into the next decades of my life. Beliefs like processing the hard parts diminishes the gift, anger is bad, and acknowledging hard stuff betrays someone or something.

My faith already had ampersand depth. Now I was being asked to apply that same depth to something I cherished as positively wonderful — my TCK story. God had already taught me the beauty of holding truths in tension. Now I was inviting Him to show me how to hold this full truth in tension. I was inviting Him to help me honor the goodbye to Cameroon that sucker punched me, the reverse culture shock that bewildered me, the cultural isolation that marked periods of my life. 

This exercise unlocked something else of equal or greater value. The ability to hold all of my family and all that shaped and is still shaping them. My husband. My daughter. My son. 

And this kind of ripple effect started to spread outward to other relationships.

I no longer feel compromised by making space for all of life—not only my own. As I work with expat families and their children, there’s a fuller and newer space for their entire story. We can synthesize the whole story—including the parts that haven’t taken up enough space—whether good or bad. We can talk about the joy of friends and the missing of parents at boarding school. We can talk about the thrill of travel and the hardship of living in a war zone. 

If their story is mostly great, we can acknowledge the hard parts they might have glossed over—the lonely birthday party after a big move or the long, empty nights of a parent disappearing into the overwhelm of their own mind. And if their story is mostly hard, we can honor it and still be curious about the hidden sweet moments that may have been overshadowed for years—their host country nanny picking them ripe mangoes or the tropical sun streaming through banana leaves on a steamy morning. Because either extreme of grief—ignoring it or getting swallowed whole by it—isn’t helpful. 

And now I understand better why some TCKs get stuck. They don’t get stuck because they’ve dared to examine the hard things—they get stuck because they’ve never had enough space to process them. Maybe they’d been rushed past their hardship too many times, told to focus on the adventure, the privilege, the good. Or maybe they weren’t told anything, and the silence was thundering. They never got a chance to catch their breath from those hard stories in the safety of loving arms. As a global community we need to make space for the full TCK story, not just the instaperfect parts we’re comfortable celebrating.

I’m reminded here of God’s tender provision to make a shade plant grow quickly over Jonah as he sat exposed and vulnerable to the sun’s pounding heat, grumbling about God’s grace to Nineveh. Scripture tells us the plant was to ease the discomfort that Jonah faced as he listed his grievances (Jonah 4).

Even though Jonah had just been the recipient of immeasurable grace himself, God didn’t shut his frustration down. He provided shade and a receptive place for Jonah’s reflection. And when Jonah still couldn’t escape his negative mental loop, God allowed the sun to touch him again, sparking an honest and welcomed conversation. 

If God could hold space for Jonah’s fury without rushing him past it, then maybe I could learn to do the same. For myself. For the expat families I work with. For my own kids. I have a living picture of a God who didn’t say, “Get over it, Jonah. Focus on the good,” but made room for the mess. First He offered the comfort of shade, and then He initiated an honest conversation. He didn’t recoil. He stayed present to hold the whole story. It didn’t start with a lecture, but with shade.

In a way, all this grief processing brought me back to the same place I started. I have a more full appreciation of the hard and painful parts, and still I’d like to raise my hand to the whole global classroom and say, “And it was wildly beautiful. All of it. I wouldn’t trade it for the world.”

Hearing the Good and the Hard of Missionary Kid Lives

I have been working in TCK research for over ten years. That includes six large scale surveys (with 200-2000 responses) and over 600 interviews. The data I’m currently analysing comes from TCK Training’s 2024 survey of 1,643 TCKs around the world. It was a long survey covering a lot of topics and I wish I could spend ten hours a day delving into the details! For now, the initial data on missionary kids has a lot to say about their experiences. (The full First Look data drop is available paywall free.) 

In this post I will share with you four key things we learned about missionary kids (MKs) through the research:

  1. Most missionary kids are glad they grew up abroad.
  2. Good things and hard things are often intertwined.
  3. Missionary kids feel a lot of pressure.
  4. Emotional support and mental health are key.

1) Most missionary kids are glad they grew up abroad. 

Throughout my research I have learned many hopeful things about how TCKs perceive their globally mobile childhoods. The vast majority have positive things to say about their experiences, even though they may in the same breath acknowledge that there were also difficulties. In this latest research we learned:

  • 91% of MKs said growing up abroad was a good experience overall.
  • 76% of MKs said it made their family closer.
  • 72% of MKs said it was “the best way to grow up.”

2) Good things and hard things are often intertwined.

Life is rarely black and white. To truly understand the lives of missionary kids, we must hear the nuance in their stories — that there were hard things along with the good things. Even many MKs who had the most difficult experiences of childhood also saw positives in their upbringing.

  • 98% of MKs said, “I can see both good parts and hard parts in my story.”
  • 96% of MKs said, “There were hard times, but it enriched my life.”
  • 83% of MKs said, “I enjoyed my childhood, but I think some things could have been handled better.”
  • And only 7% of MKs said living abroad “ruined my life.”

3) Missionary kids feel a lot of pressure.

When TCK Training asked TCKs about various childhood experiences connected to their parents’ work, we found that missionary kids were much more likely to feel certain pressures when they were children.

  • 69% of MKs felt “pressure to ‘perform’ while visiting our passport country”; they were twice as likely as other TCKs to feel this pressure.
  • 54% of MKs felt “pressure to be ‘perfect’ as my behavior reflected on my parent’s employer.”
  • 27% of MKs said that as children they felt “anxiety as a result of duties assigned to me (i.e. tour guide, translator)”; they were twice as likely as other TCKs to feel this anxiety.

Through my interviews I have also learned that many missionary kids try to hide their stress from their parents, as they do not want to cause additional burden to their parents. They love their parents and recognise the strain they already carry. 

4) Emotional support and mental health are key.

While those of us working to support missionary kids have long seen impacts on their mental health, when the results came in, the numbers were still heavy. 

  • During childhood, 37% of MKs lived with someone who had a serious mental health crisis.
  • 34% of MKs reported experiencing a serious mental health crisis themselves during childhood.
  • 40% of MKs had been diagnosed with a mental illness during their lifetime.
  • 86% of MKs experienced symptoms of at least one mental health concern during their lifetime.

We’re also seeing that missionary kids are less likely to receive diagnoses than other TCKs. For example, while 47% of MKs experienced symptoms of PTSD, only 12% received a diagnosis (which is still nearly double the rate of PTSD diagnosis in the US population). 

Missionary kids are experiencing the impact of not only their own mental health struggles, but the struggles of their parents. One thing I’ve seen over and over through our research and working with thousands of TCKs and their families around the world is that when parents are doing well, they have the energy and capacity to care for their kids better. So not only do the TCKs need access to quality mental health support, but getting the parents this kind of support is crucial!  

There are a range of issues contributing to a lack of mental healthcare for missionary families. Many families lack access to quality mental health services due to a remote location, financial stress, frequent mobility, language access, or a combination of these factors. 

Stigma around mental health can also play a role in preventing MKs (and their parents) reaching out for the support they need. It is important that we talk openly about mental health and the ways we benefit from getting support.

Prevention Matters

The saying “an ounce of prevention is better than a pound of cure” (attributed to Benjamin Franklin) is appropriate here. I believe this data demonstrates the importance of preventive care for MKs and missionary families. My hope and desire is that we support families in such a way that we see rates of mental health concerns drop over time, and MKs flourish — on the field and throughout their lives.

One of the many reasons I love my work at TCK Training is that we believe that international life is a good thing and that it can go hand in hand with a healthy family life. We work to create quality preventive care resources, and we share our research freely because we believe quality research is a critical component of exceptional TCK care. We want caregivers, parents, and supporting churches alike to be equipped to care for TCKs well! 

 

This article expands on data shared in “Key Takeaways for TCKs” in Mission Frontiers, May/June 2025.

Photo by Kasturi Laxmi Mohit on Unsplash

Research and Resources for Improving TCKs’ Mental Health

When my book Misunderstood was published, I was immediately asked if/when I would write another book. At the time I felt I had nothing left to write. I’d put everything into those pages. Yet within a year a new idea started to form: a guidebook for Adult TCKs, showing that they are not alone in their struggles and sharing strategies for moving forward in healthy ways.

Since 2018 I have been doing both qualitative and quantitative research in aid of this project. It has been paused for multiple major medical issues and an incredibly disruptive unplanned pandemic relocation, among other reasons. During that time some wonderful resources for Adult TCKs have been released, which I regularly recommend. (These include Incredible Lives and the Courage to Live Them by Dr Rachel Cason, Belonging Beyond Borders by Megan Norton, and Girl Uprooted by Lena Lee).

Yet the dream of my wide-ranging guidebook persists. I have about 200 hours of interview recordings with 120 Adult TCKs from a variety of backgrounds, plus a survey with data I am starting to analyse. 

The survey was originally intended as a quick effort to guide my research by distinguishing which topics Adult TCKs thought were the most important to talk about. Due to my medical issues, I left it open far longer than originally intended, and it attracted over 800 complete responses. Not only that, but with such a large pool of responses from Adult TCKs of different ages, I learned some really interesting information as well. (You can find the survey information and data analysis here.)

In this post I share a few key things learned about ATCKs’ mental health, plus resources for supporting TCKs and their families.

Unresolved Grief

3 out of every 5 ATCKs said their adult lives were impacted by unresolved grief. Another 1 in 5 said their adult lives were ‘sometimes’ impacted by unresolved grief. 

While this won’t come as a surprise to anyone working with TCKs on a regular basis, it’s still a huge number. 80% of TCKs are impacted as adults by grief they haven’t processed effectively. This underlines the importance of giving TCKs of all ages (from young children through to adults) the tools to express their emotions, feel their feelings, and unstack their grief towers. 

I am so grateful that there are now excellent grief processing resources I can recommend for every age and stage! 

For young children, the picture book My Tower is Tumbling. 

For parents of children from toddlers to teens, the short book The Grief Tower, available in paperback, ebook, and audiobook, and the workshop Unstacking Your TCK’s Grief Tower. 

For both teen and Adult TCKs, Unstacking Sessions with an ATCK coach can be great. 

For Adult TCKs working through this themselves, there’s the short book Unstacking Your Grief Tower (ebook and paperback) and the Unstacking Your Grief Tower Self-Guided Course. 

For parents and caregivers who want to learn to support others, as well as ATCKs themselves, the workshops Grief Tower 101 and 201. 

For anyone at all (TCK or not), What Made That Feel So Hard? (ebook and paperback), which also has a Bible Study guide.

Depression and Anxiety

Half of the ATCKs who took my survey said their adult lives were impacted by depression, and in a separate question half said their adult lives were impacted by anxiety. Another 20% said their adult lives were ‘sometimes’ impacted by depression, and 20% ‘sometimes’ impacted by anxiety. 

This is by no means a scientifically rigorous study, but the fact that so many ATCKs feel that depression and anxiety have played a significant role in their lives should give us pause. Those of us working with TCKs have seen this anecdotally, though it can be hard to know if what you see in your work is true of the wider community or not – which is where large-scale surveys can be helpful. 

TCK Training has a whole section of resources specifically for Adult TCKs, and among the workshops available is one on Understanding Depression as an ATCK and another on Understanding Your Anxiety as an ATCK. 

For caregivers working with TCKs, there is also an annual Counseling TCKs Therapist Training (with 6 CE hours from the NBCC). The next one is coming up soon — on August 28th, 2024!

What do we do with this?

My little tester survey was never intended to be used as much more than a guide to show what needs our attention. These numbers definitely point to the importance of investigating what is happening with the mental health of Adult TCKs.

This is part of why I am so thankful for my work at TCK Training, where I am the Director of Research and International Education. We are currently collecting responses in a wide-ranging survey of Adult TCKs which includes questions about mental health experiences (both screening questions and questions about medical diagnoses) vetted by licensed psychologists and counsellors familiar with TCKs. 

So far there are 1,300 complete responses from ATCKs who are citizens of 85 countries. We would love to hear from even more Adult TCKs, so please check out the survey information to learn more and pass it on to others. The survey closes on August 31st – not much time left!

As with all our research, the analysis of this new research will be freely available with no paywall. You can read findings from our previous research and learn the latest as it appears on our research page. By the end of 2024, we should have more detailed data on the experiences of depression, anxiety, and other mental health conditions in the TCK community. We believe that this data will help us as a community to better support families as they raise children abroad and to better support Adult TCKs as they move forward – no matter what their childhood experiences were.

 

Photo by Nik Shuliahin on Unsplash

Parent Self-Care: Moving Past the Buzzword to Prioritizing Well-being in the Midst of Life Abroad

by Elizabeth Vahey Smith

As much as self-care has become a popular term in recent years, the essence of it has devolved from its intended meaning – doing things, big or small, for our holistic well-being – to being primarily about bubble baths and charcuterie boards. Rest assured, as much as I love a bubble bath and a good charcuterie board, as much as I think a bubble bath and charcuterie board can be good ‘small things’ for our holistic well-being, as much as I wonder how many times I can get away with using bubble baths and charcuterie boards in a single paragraph, I’m not talking about bubble baths and charcuterie boards.

I’m talking about all the important aspects of self-care, from emotional processing, to healthy boundaries, to planting green zone moments. And I’m talking about this because, in our research at TCK Training, we’ve seen that mental illness (including depression and anxiety, as well as other mental illnesses) in TCK parents is high. And this impacts our well-being, our children’s well-being, and our ministry’s well-being.  

You may have gotten the memo. It’s a pretty commonly accepted fact: Life on the Field is Hard. And there are a lot of factors that make it harder, like popular theologies of suffering, expectations on what missionary life should be, and our own pride in how much we can endure. As if that’s not hard enough, life on the field makes good self-care harder to do with a lack of resources, overworked teams, and a shortage of amenities. But wait, there’s more! 

Because we also expect to be able to do it all, we rarely tally up how hard things are, and we often just shame ourselves for having a hard time at all. 

I believe that when you outline your core values, you can find the time and the means to make them happen. Usually when I’m talking to missionary families, they want to have a healthy family and a thriving ministry. I believe that’s possible. But only through following the example of Jesus. Jesus had a thriving ministry of healing the sick and casting out demons, but he had a core objective of preaching and teaching – just like we have a core objective of leading our families in the ways they should go.

In Mark 1:35, Jesus finished a great day of his thriving ministry, woke up, prioritized his own well-being (he went off to an isolated place to pray), and then set up boundaries around how much time he would spend on his thriving ministry (even though there were crowds of people expecting him to resume his work). Being imitators of Christ, let’s follow his example of taking time to prioritize his own well-being.  

Emotional Processing

Oftentimes when talking with TCK parents about the unique struggles their kids face, we hear a lot of surprise. “How is this a unique challenge for TCKs? We also went through these same experiences.” I won’t be addressing that particular question in this article, but I acknowledge that, yes, parents go through many of the same things their children do, which means that, yes, parents need to be emotionally processing their grief, too.

Here’s a unique struggle for TCK parents: while TCKs haven’t always learned how to hold together their big emotions in public spaces, TCK parents have. So you’re in these moments where you’d really love to sit down and have a good cry, but you can’t. Because you’re living in a fishbowl. Because you’re managing everyone else’s emotions. Because you know that it doesn’t fix anything. But there never seems to be a convenient time to have a good cry, so things don’t get processed.

We need to stop waiting for time to process the challenges we’ve faced in our expat life and start making time. Take some time to journal or talk through hard things that have happened and how that impacted you. Print out our free Processing Questions worksheet, and on the back write out the things you really ought to process. You can carve time out of your weekly schedule, or you can double up on tasks. Try laminating our processing questions printable and thinking through the questions while you’re washing dishes or taking a shower. We know that showers are the perfect place to solve the world’s problems. Let’s repurpose them to solve our own.  

Healthy Boundaries

Living on the field usually looks like immersion. You’re there 24 hours a day, with the people you’re trying to serve. There are calls at all hours, and demands for more than you can possibly give. So you die to yourself and pick up your cross and go on and on trying to meet all the needs. At some point you start to wonder how long you can do this because looking at the road ahead or behind you, 10, 20, or 30 years seems a lot longer of a journey than the road to Calvary. You thought you heard that the burden is easy and the yoke is light, but that must be for the people you’re serving. Not for you. So you set your jaw and hoist up the cross and carry on. 

Let me speak the gospel truth for you: Jesus beckons you to him, and his burden is easy and the yoke is light. Laying down your life and picking up the cross? You’re already doing that. There’s nothing you have to do, nothing you have to prove, because Jesus doesn’t measure his love for you in how much you do for him. He says, “Let me teach you . . . and you will find rest for your souls” (Matthew 11:29). Wearing yourself out is not what Jesus has in mind for you. 

Saying “no” is an important spiritual discipline. Think about your values, and and then look at your calendar, your choices, and your life, and decide where you need to put boundaries so you have time for the things you value. 

How many hours will you work? What hours will you not work? How much wiggle room do you put in for emergencies? What defines an emergency? At the end of the day, how do you want your family to perceive you, and what choices do you need to make to present that way?

Green Zone Moments

It’s time to talk about bubble baths and charcuterie boards again! In stressful moments – which happen a lot on the field – our bodies can get into the red zone. These are high stress levels with lots of cortisol (the stress chemical) and adrenaline. These chemicals cue your body to move into survival mode. Fight, flight, freeze, be really irritable with your family members — there are a number of ways that this can show up, but the symptoms reveal the chemical balance in our brains. For holistic well-being, we need to get relief from all those stress chemicals. One strategic way of doing this is through Green Zone moments. 

A Green Zone Moment is a moment that you know you’ll enjoy so much that it will bring you peace and lower your stress chemicals – at least for a bit. Even better, positive anticipation of Green Zone Moments can also help reduce cortisol levels! This means looking forward to a bubble bath or a delicious charcuterie board is good for your mental health. But it doesn’t have to be a bubble bath or charcuterie board. 

What activities bring you joy? It doesn’t have to be practical. Listen, Jesus could have gone into an inner room to pray, but instead Jesus regularly went on a hike alone into the wilderness. Not because it was a practical option, but because, I posit, it was delightful to him. 

It doesn’t even have to be big or different from what you already do. I went through a season where I had a list of 30 tiny luxuries, and I tried to get 10 everyday. From a cup of coffee to snuggling with my kids to taking the time to get music playing. I didn’t add more than a couple of minutes to my day, but I purposely valued the little things I can do or even already do for myself. 

The Why

I think this culture of downplaying our own needs and elevating the needs of others is problematic and leads to burnout more than it leads to healthy communities. I saved “the why” for last because I don’t want to have to say it at all. I don’t want to have to convince you that you’re worth caring for.  I don’t want to have to convince you that your losses deserve to be processed, that your time and energy deserves to have boundaries, that you deserve to have tiny frivolous moments of joy recklessly seasoning your life, that you deserve well-being. 

And I know this culture well. I know how suggestions for making life easier can be dismissed with “I’m fine.” I know how truths can be met with “That seems true for everyone but me.” I know how pervasive it is and how hard it is to combat this world view that our needs don’t matter. 

I think that you should do this for yourself. I think that when the Bible says “love your neighbor as yourself,” it starts with loving yourself. So you should do this for you. But if you can’t: research shows that your mental health has a huge impact on your children’s holistic health. 

The CDC-Kaiser survey of Americans shows 19% of people said they grew up in a home with an adult suffering from mental illness. In our survey, 39% of TCKs (and 39% of MKs) said the same. Additionally, the rate of TCKs reporting mental illness at home went up over time, from 1 in 3 TCKs born before 1960, to half of Gen Z. Mental illness of an adult is considered an Adverse Childhood Experience (ACEs) because the research shows that it has a strong impact on a child’s lifelong well-being. In fact, TCKs who reported this ACE also reported significantly higher rates of abuse and neglect – including 64% reporting emotional abuse and 58% reporting emotional neglect. 

We as parents need to do what it takes to stay mentally well. 

The prescription is to process your grief, protect your time and energy, and plant delightful moments throughout your day, week, and life. When you do these three things, you’ll see the positive impact of these investments in all areas of your life.

Photo by Theme Photos on Unsplash

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Elizabeth Vahey Smith is a TCK mom who spent 5 years in Papua New Guinea as a missionary. Now her family explores the globe full-time as worldschoolers. Elizabeth works remotely as the COO for TCK Training, traveling often for work and always for pleasure. She is the author of The Practice of Processing: Exploring Your Emotions to Chart an Intentional Course. Follow her travels on Instagram @elizabeth.vaheysmith and @neverendingfieldtrip. Learn more about research-based preventive care for TCKs @tcktraining.

How I Fight Anxiety and Serve as a Missionary Anyway

by Abigail Follows

We were home on our first furlough when my husband, Joshua, asked me to drive. I forced a yawn to hide my dismal forebodings.

“I’m a bit tired.”

“I am, too. But it’s not far.”

“I really don’t want to.”

“But you can, Abby.”

“But I can’t!”

I drove us home, angry. Something in me knew my fear wasn’t logical. But the rest of me was sure I was going to drive my whole family into a tree, off a bridge, or into the side of a Dairy Queen.

That night Joshua and I had a heart-to-heart. That’s when I realized I had a giant bully in my life—anxiety, my own personal Goliath. I knew anxiety was keeping me from more than just driving. Fear was affecting everything in my life, including ministry in India.

Over the ten years since that day, I’ve rounded up an arsenal of “smooth stones” that help me stay brave. Here are nine tools I use to fight anxiety and serve as a missionary anyway.

 

1. Avoid Avoiding
For over a year, I avoided driving like the plague. I thought I was more emotionally stable that way. But my “safety bubble” just kept shrinking. I avoided more and more things until I didn’t even want to leave the house.

According to Emma McAdam, who produces Therapy in a Nutshell, avoidance teaches the brain to be anxious. “You think you have to keep running so that it doesn’t catch you,” she writes. [1]  “But I promise if you sit and let it catch you, you’ll find that you can handle it, and that it’s better than running all the time.”

It wasn’t until I stopped avoiding and started facing my fears that I conquered them. That meant leaving the house to drive, shop, and visit people—even when I wanted to hide.

 

2. Check Your Vitamins
Our bodies and minds are complex and connected. Stress and a lack of dietary nutrients can work together to cause anxiety.

Sarah is a nutritionist and former missionary to Chad, Africa. She found herself dealing with anxiety after returning from the field.

“It started after we came back, surprisingly,” she says. “I experienced a lot of anxiety.” Although Sarah ran a nutrition clinic in Chad, at first she didn’t connect nutritional deficiencies to her own experience. “It lasted for a couple of years,” she says. Finally, Sarah began taking a simple multivitamin. Her anxiety improved dramatically.

Stress increases the body’s need for certain nutrients. But the food supply in a country may lack key nutrients that play a part in mental health—iodine, B12, B6, Omega-3, zinc, magnesium, and vitamin D are just a few. Some countries fortify foods like cereal and bread with these and other nutrients. Some don’t. Our whole family tested low on several nutrients after about four years overseas.

Now we take multivitamins. I also take magnesium, a mineral used by the body to calm the stress response, and often found to be depleted in people facing a lot of stress.[2] Talk to your healthcare provider for help determining what supplements you might need.

 

3. Exercise
Exercise was my husband’s first suggestion for fighting fear. At first, my anxious brain was offended. But then I realized he was right—exercise works, and is one way I can practice self-care.

Exercise combats anxiety in many ways.[3] It uses both sides of the body together, which helps the brain communicate with itself. It signals to the amygdala, the part of the brain most involved in anxiety, that you have run away from The Danger. It helps the body use up and burn off stress hormones, and it increases endorphins.

But I haven’t always lived in countries where it’s safe for a woman to go for a jog. As expats, we sometimes have to get creative when weather, space, time, and safety concerns limit exercise opportunities. During the Covid pandemic, my family even used the stairs in our house as “our mountain,” and we gave ourselves a daily stair-climbing challenge.

The number one thing that helped me exercise more is realizing how much better it makes me feel. That was more motivating to me than thinking about how I look or what I “should” do.

 

4. Check Your Circadian Rhythm
Dr. Neil Nedley, MD, has done extensive research on the causes of anxiety and depression. He names an off-balance circadian rhythm as a contributor to both anxiety and depression.[4]

As missionaries, we frequently change time zones. That means we deal with more jet lag than your average person. If you find yourself happier and more alert the later it gets, you might be dealing with a circadian rhythm problem. Some people call this day-night reversal, and it can leave you feeling jumpy, gloomy, and lethargic all at the same time.

Dr. Nedley recommends exposing your eyes to bright light early in the morning, either through a “happy lamp” or light therapy glasses or with the natural morning sunlight. He also recommends avoiding all screens within 1-4 hours of bedtime, since the blue light in screens naturally signals the brain to wake up. Just avoiding screens in the evening has helped me keep my circadian rhythm in a good groove.

 

5. Evaluate Your Relationship with Technology
Take any normal human being and place them far away from friends and family in a totally new environment. Add stress.

Now offer them a way to connect with people, information, and entertainment instantly. Who wouldn’t choose to spend a lot of time on their phone or computer? The problem is, too much technology can be addictive and aggravate anxiety.[5]

Recently, my family came up with a few rules to make sure we have healthy technology boundaries. Among these are no phones before family devotion in the morning and no phones after dinner. We use alternative forms of entertainment and take one day a week as a low-tech day. These simple steps have helped us keep technology in its rightful role as a useful tool instead of a way to escape reality.

 

6. Learn Calming Techniques
Sometimes our bodies get so used to feeling anxious that they signal danger where there is none. Calming techniques are a great tool to lower acute stress—the kind of anxiety that is overwhelming you right this minute.

Calming techniques work by activating the parasympathetic system[6], which regulates the fight-or-flight response. Some techniques include observing your environment, observing the way your own body feels, doing manual tasks such as knitting or washing dishes, playing with your kids, being in nature, and journaling. You can also try “softening your eyes,” which is basically staring at nothing/zoning out.

Slow, deep breathing might seem like something too simple to help, but it’s impossible to breathe in this way and stay scared. Try breathing in for a count of eight, holding it for a count of four, and breathing out for a count of eight. You can even do this through the day when you’re not panicking as a preventative measure.

 

7. Try CBT
Nope, it’s not a supplement. CBT stands for Cognitive Behavioral Therapy.

Sometimes unhelpful thought patterns are behind anxiety. In CBT, unhelpful thoughts, or “cognitive distortions,” are purposefully challenged and replaced with truer, more helpful thoughts.

When I was first language learning, I sometimes felt paralyzed by social anxiety. Years later, I realized that I often told myself that making mistakes is horrible and that I can’t stand feeling embarrassed. These thoughts were so automatic I barely noticed them—I only noticed their emotional effects. Thinking differently can feel awkward, but after purposefully changing my thoughts, my emotions soon followed. I was able to give myself some grace and learn our host culture’s language, one mistake at a time.

A couple of helpful books for changing your thought patterns are SOS: Help for Emotions, and Telling Yourself the Truth. It can also be helpful to work with a counselor trained in CBT.

 

8. Tackle a Specific Stressor
Is there something specific that is triggering anxiety for you? Try keeping an anxiety log, where you journal a few lines every time you feel anxious. Try to record the situations surrounding the anxiety, as well as the specific anxious thoughts you are having.

Once, when I did this exercise, I realized I felt more anxious (surprise!) when my kids bickered. Now that I knew the specific problem I was facing, I made a plan to tackle it. For me, that meant reading a couple of parenting books, talking to other godly moms, praying about it, and thinking creatively about the problem. Just having a plan gave me hope and helped me feel more capable.

 

9. Be Kind To Yourself
Growth takes time. This is true in our walk with Christ, our effectiveness in ministry, and our emotional intelligence. If you want to win the fight against anxiety, expect to lose a few battles along the way. Failure isn’t a sign that you’re doomed—it’s a sign that you’re trying!

One thing that has helped me is remembering I’m not alone. Christ promises to walk with me, and His strength is made perfect in my weakness. Time and again, anxiety tells me I “just can’t do it.” Maybe I can’t, but Christ in me can! I may not even be willing to fight fear some days, but if I’m willing to be willing, Jesus can work with that.

 

Shrinking Giant
The “Goliath” of anxiety has been a recurring character in the story God is writing of my life. But by God’s grace, that Goliath is shrinking, becoming less and less powerful and important. I’ve learned how to support my body and mind, and I’m learning to trust God with my worries and feelings.

Anxiety is still a bossy bully. But I’m learning to obey Jesus, who will be with me even to the ends of the earth.

As you are ministering to others, don’t forget to let Christ give you hope, strength, and courage in your deepest need.

Even if that deepest need is the Goliath of anxiety.

 

Sources:

[1] https://therapynutshell.com/skill-5-how-avoidance-makes-it-worse/
[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7761127/
[3] https://www.health.harvard.edu/blog/can-exercise-help-treat-anxiety-2019102418096
[4] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5103329/
[5] https://centerforanxietydisorders.com/how-much-is-too-much-technology-screen-time-and-your-mental-health/#:~:text=increasing%20screen%20time%20was%20generally,diagnosed%20with%20anxiety%20or%20depression.%E2%80%9D
[6] https://canyonvista.com/activating-parasympathetic-nervous-system/

~~~~~~~~~~~~~

Abigail Follows has lived on three continents and listened to the life stories of friends in three languages. Despite struggling with anxiety, she has served with God’s help as a cross-cultural missionary since 2010. Abigail believes that courage is not the absence of fear but the willingness to face fear. She writes about what God can do through brave obedience in her book, Hidden Song of the Himalayas. Abigail lives wherever God leads with her husband, two energetic children, and cat, Protagonist. You can get to know her at www.abigailfollows.com.

Debriefing Resources

Debriefing

Thanks to the facebook followers of our A Life Overseas page we have a list of debriefing resource links. Please share any resources you have found helpful. We would love to bulk up the list with resources around the globe.

Other names for debriefing include: home assignment, re-entry counseling, member care, and processing for repatriation.

Christian Training Center International at The Inn (Franklin, North Carolina, USA)

Life Impact (various locations around the world)

Link Care Center (various locations around the world)

Mission Training International (Palmer Lake, Colorado, USA)

Missionary Health Institute (Toronto, Ontario, Canada)

The Rest Initiative (Maitland, Florida, USA)

TEAM (various locations around the world)

Thrive, empowering global women (various locations around the world)

TRAIN International (Joplin, Missouri, USA)

The Well Member Care Center (Chiang Mai, Thailand)

ONLINE:

Member Care Radio

Expatriate Connection

BOOKS:

“Re-entry: Making the Transition from Missions to Life at Home” by: Peter Jordan

“Transitions: Making Sense of Life’s Changes” by: William Bridges

“Trauma and Resilience” by: Schaefer and Schaefer

“As Soon As I Fell: A Memoir” by: Kay Bruner

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As stated up top, if you have links to resources that could help in the area of debriefing, counseling for repatriation or re-entry, member care, processing for home assignment, or other related needs those living overseas might have, please share.  Thanks! Be well and take care, my friends.