A Mental Health Guide for International Students in Ontario

By Hareesma Amutha Venkatesan, Registered Psychotherapist (Qualifying), CRPO | Hap Therapy Care Offering ADHD therapy in Ontario via secure video and phone sessions, in Tamil and English.

Nobody Told Me Moving to Canada Would Feel Like This: A Mental Health Guide for International Students in Ontario

You did everything right. You got the offer, sorted the visa, said goodbye to everyone, figured out the flight, found somewhere to live, and showed up. And now you’re here – and it’s nothing like you thought it would be.

Maybe it’s the cold. Maybe it’s the way people are friendly but not quite friends. Maybe it’s being the person in every room who laughs half a second late because the cultural reference didn’t land. Maybe it’s watching your bank account and your energy and your confidence all declining at the same rate.

Whatever it is – it doesn’t mean you made the wrong choice. It means this is genuinely hard. And it’s harder than most people will admit, including you.

What International Students in Canada Are Actually Experiencing

A survey cited by University Affairs found that approximately 55 percent of international students in Canada were at risk of depression, and around 50 percent were at risk of an anxiety disorder. These aren’t fringe statistics. They reflect what happens when you uproot your entire life, remove your support system, add academic and financial pressure, and then expect yourself to thrive.

Sound familiar? The challenges tend to stack in ways that are hard to separate:

 Academic pressure – systems structured differently from what you’re used to, grading expectations that weren’t explained, professors you’re afraid to email

 Financial stress – tuition, cost of living, work permit restrictions, and the weight of knowing how much your family has invested in this

 Immigration anxiety – permit deadlines, visa renewals, the background hum of uncertainty about your status

 Social isolation – connections that stay surface-level, difficulty building friendships in a culture with different social norms

 Cultural identity pressure – feeling like you have to be one version of yourself at university and another on the phone home, and neither feels completely real

And why does nobody talk about this openly?

What makes it harder is the expectation – often internal, sometimes external – that you’re supposed to be fine. You came here by choice. You’re grateful. So you keep that to yourself.

Why University Counselling Services Often Don’t Work for International Students

Most Canadian universities offer some form of student counselling. And yet, international students consistently underuse these services – not because they don’t need them, but because the barriers are real.

• Wait times. A 2024 CMHA report noted that publicly funded therapy wait times in some regions range from 6 to 24 months.

• Cultural fit. A counsellor unfamiliar with immigration stress, family expectations from overseas, or the experience of being a visible minority in a new country may provide support that feels generic at best.

• Stigma around disclosure. For many international students – particularly from South Asian, East Asian, or Middle Eastern backgrounds – seeking mental health support carries cultural weight.

• Fear of records. Some students worry whether accessing mental health support could affect their immigration status or academic standing. For the record: it doesn’t. Therapy is confidential.

This is why private, culturally aware counselling – offered by a therapist who actually understands your context – can make a difference that university services sometimes can’t.

What ‘Culturally Aware’ Counselling Actually Means

It’s a phrase that gets used a lot. It’s worth saying what it actually means in practice.

Culturally aware counselling for international students means a therapist who understands:

• That your mental health cannot be separated from your family obligations, your immigration status, and the pressure to justify the sacrifice your family made

• That homesickness is not just missing a place – it’s missing an entire version of yourself that only exists back there

• That being ‘grateful’ and being ‘struggling’ are not opposites, and that you don’t have to choose between them

• That the loneliness of not belonging isn’t a character flaw – it’s the predictable result of displacement

It means you don’t spend your first three sessions explaining your background. You can start from where you actually are.

A Note for International Students Who Are Also Parents or Caregivers

Some international students are also parents – raising children or teenagers in Ontario while managing their own adjustment. If your teen is also struggling, Hap Therapy Care offers teen counselling in Ontario alongside support for international students – so your family doesn’t have to find multiple different providers.

Signs You Might Benefit From Counselling Right Now

You don’t have to be in crisis to reach out. But if several of the following are true, it’s worth considering:

• You’re more isolated than you expected to be, and it’s not getting better with time

• You’re struggling academically in a way that feels like you can’t concentrate, can’t start things, can’t care

• You’re experiencing anxiety around your visa, your finances, or your future that feels constant rather than occasional

• You’re calling home less because you don’t want to worry your family – and that means you’re carrying it alone

• You feel like two different people depending on where you are, and neither version feels sustainable

These are not signs of weakness. They are signs that you’ve been managing a lot on your own for a long time.

Finding Counselling for International Students in Ontario

At Hap Therapy Care, counselling for international students in Ontario is offered by Hareesma Amutha Venkatesan – a CRPO-registered Psychotherapist (Qualifying) offering sessions in Tamil and English across Ontario. Book a free 15-minute consultation here. You don’t need to have it figured out before you reach out.

What to Do If You’re Struggling Right Now

Sometimes the question isn’t whether therapy might help down the line. It’s what to do when you’re struggling tonight.

If you’re in crisis or experiencing thoughts of self-harm, you don’t have to wait for an appointment. In Ontario, you can call or text 9-8-8 – Canada’s Suicide Crisis Helpline, available 24 hours a day in English and French. Kids Help Phone (1-800-668-6868) supports people up to age 29 and offers text and chat options.

And if what you’re feeling is less crisis and more the slow, grinding weight of not being okay – that’s worth reaching out about too. You don’t have to be at rock bottom before your experience counts.

Frequently Asked Questions About Counselling for International Students in Ontario

Can I access private therapy as an international student in Ontario?

Yes. Any person in Ontario, regardless of immigration status, can access private psychotherapy. You do not need OHIP for private therapy. Some university health plans cover a portion of private therapy costs – check your student insurance plan.

Is what I share with my therapist kept confidential?

Yes. Therapists in Ontario are legally and ethically bound to confidentiality. What you share in sessions is not shared with your university, your employer, or any immigration authority. The only exceptions are situations involving safety.

Will getting mental health support affect my visa or study permit?

No. Accessing mental health support is entirely private and has no bearing on your immigration status, your study permit, or your academic standing.

What if I’m not sure what I need – I just feel off?

That’s enough reason to reach out. A free consultation with a therapist is just a conversation – you don’t need a diagnosis, a specific problem, or certainty about anything. You can show up as you are and see what opens.

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