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Immigrant families

Families who cross borders carry love, worry and hope together. You are learning as you go, and that is enough.

⏱ 4 min read📑 10 sections📚 16 sources✅ Reviewed October 2026

By the numbers

Many families are shaped by migration.

United States

1 in 4U.S.-born children has at least one immigrant parent (APA, 2024).
6 millionU.S. children lived with at least one undocumented parent in 2019 (APA, 2024).

Children

60%of asylum-seeking children in one study at the Texas–Mexico border screened positive for likely post-traumatic stress, compared with 3.9% of U.S. youth in general (APA, 2024).
10+ yearsis how long some migration separations between parents and children last, often starting when children are very young (APA, 2024).

Adoption

40,000+children a year were adopted across borders, between more than 100 countries, in a 2005 estimate (JAMA review).
Mostinternational adoptees are well adjusted, according to a review of more than 25,000 adoptees (JAMA, 2005).
Behind every number is a family finding its way together.

Raising kids in a new culture

No parent gets a manual, especially in a culture you did not grow up in.

Immigrant parents are often raising children in a culture they did not grow up in. You are learning too. Your children may take your culture in their own direction.

The American Psychological Association (APA) notes that warm, responsive parenting helps immigrant children build security and resilience. Secure bonds with parents are linked with fewer mental health problems in immigrant youth.

💗 Your child may not turn out the way you picturedAnd that is okay.
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  • Get curious about who your child is becoming
  • Let them ask questions about home, even hard ones
  • Say sorry when you get it wrong. It teaches them how.
  • Share your story, without making them carry it
⏩ Kids adapt fasterWhen children pick up the new culture before you do.
Read more

Research on Asian and Latino American families found that bigger gaps in how parents and children adapt are linked with more family clashes, which can affect children’s mental health.

Ways to stay close

  • Ask your child to teach you something about their world
  • Keep one shared family ritual each week
  • Listen first before deciding on a rule
  • Explain the “why” behind your values
🗣️ Don’t make kids your interpretersSome jobs are too heavy for children.
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Under U.S. rules, health programs that get federal money from the U.S. Department of Health and Human Services must offer a qualified interpreter, and should not rely on a child to interpret except briefly in an emergency.

A review of 65 studies found that how children felt about translating mattered more than how often they did it.

Ask for a professional interpreter for doctors, legal papers and bad news. Thank your child when they help with smaller things.
🏫 Working with your child’s schoolYou are your child’s best advocate.
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The APA notes that a 1982 U.S. Supreme Court decision, Plyler v. Doe, says public schools from kindergarten to grade 12 must give all children access to education, including children without legal status. Feeling connected to school is linked with fewer mental health problems in immigrant youth.

  • Ask for an interpreter at parent-teacher meetings
  • Ask how the school supports new students and families
  • Get to know one teacher or counselor you trust

Mixed-status families

When family members have different legal statuses, and worry touches everyone.

Many families are “mixed status”: some members are citizens or have papers, and others do not. In 2019, about 6 million U.S. children lived with at least one undocumented parent.

The APA notes that one person’s uncertain status affects everyone in the family, including children who are citizens.

🧒 Children notice more than we thinkWorry can show up in a child’s body and behaviour.
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Children often pick up on adults’ worries about money or papers, even when adults try to hide them.

Signs a child may be worried

  • Clinging to a parent, or not wanting to go to school
  • Headaches or stomach aches
  • Sleep problems or bad dreams
  • Asking a lot of questions about safety
Simple, honest words that fit your child’s age help more than silence. Tell them adults are taking care of the grown-up problems.
📋 A family plan brings calmPlanning ahead can ease fear for everyone.
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  • Choose a trusted adult who could care for your children if needed, and talk with them
  • Keep important papers and copies in one safe place
  • Make sure children know who to call and that they will be looked after
  • Talk with a qualified legal helper about formal ways to name a caregiver
The “My two-country support plan” worksheet in the First-generation immigrants guide has space for this.
⚖️ Trusted legal informationGet advice from people who are allowed to give it.
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U.S. Citizenship and Immigration Services (USCIS) says only licensed attorneys and accredited representatives can give immigration legal advice, and warns that “notarios” are not attorneys in the U.S. The U.S. Department of Justice lists free legal service providers for immigration court.

This app cannot give legal advice. The Immigration & mental health guide has more on living with status fear.

Family separation

Parents and children apart for years, and the feelings on both sides.

Many families are separated by migration. Often a parent moves first, and children stay with grandparents or relatives. The APA notes that these separations can last more than a decade and often start when children are very young.

🏠 Children left behindRaised by relatives while a parent works far away.
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The APA describes how these care arrangements can break down because of more migration, a caregiver’s death or conflict. Some children then travel to join their parents, sometimes alone.

Keeping regular calls, photos and stories going helps a child keep the bond with a parent far away.
🧳 Children who travel aloneUnaccompanied young people carry extra weight.
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The APA notes that young people who migrate alone often face trauma and must cope with a new country while apart from family and friends. They also face the challenge of reuniting with parents they may barely know, and new siblings.

💔 Parents’ guiltLeaving to give your child a better life, and missing their life.
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The APA notes that parents often feel guilt about leaving and about the time apart.

Making a painful choice out of love does not make you a bad parent.
📱 Staying close from far awaySmall, regular contact matters most.
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  • Keep a regular call time your child can count on
  • Read a bedtime story over video
  • Send voice notes, drawings and photos back and forth
  • Thank the caregiver, and keep them in the loop
Having family far away, or not knowing when you will see them, is a kind of ambiguous loss. The Different kinds of loss guide has a section on living with it.

Coming back together

Reunion is a process, not a single day.

Reunion after years apart can be joyful and hard at the same time. Everyone has changed. The APA links hard reunions with family strain, and notes that secure bonds with parents can buffer the effects of trauma and help children settle in their first year.

🌀 Mixed feelings are normalLove, anger, shyness and grief can all show up.
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  • A child may feel loyal to the relative who raised them
  • A child may be angry about being left, even if they understand why
  • A parent may feel hurt if a child seems distant
  • Siblings born in the new country may feel like strangers at first
These feelings don’t mean the reunion has failed. They mean everyone is adjusting.
🐢 Go slowlyTrust is rebuilt one day at a time.
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  • Ask about their life while you were apart, and listen
  • Keep contact with the relatives who raised them
  • Let the child warm up at their own pace
  • Spend short, regular one-on-one time together
🧭 Helping a child settleNew family, new school, new country all at once.
Read more

The APA notes that secure bonds with parents and feeling connected to school help immigrant children adjust.

  • Keep a few familiar foods, music or objects from their old home
  • Keep routines simple and predictable
  • Talk with the school counselor early
  • Watch for signs of stress, like sleep problems or withdrawal
Try the “Our reunion plan” worksheet. The Family dynamics guide has more on reunion after separation.

When children carry hard experiences

Children can carry what happened, even if they don’t talk about it.

In one study of asylum-seeking children at the Texas–Mexico border, 60% screened positive for likely post-traumatic stress, compared with 3.9% of U.S. youth in general. The APA notes that trauma before migrating and how long a child was apart from a parent mattered most.

The National Child Traumatic Stress Network (NCTSN) says refugee children show resilience despite trauma, and that their difficulties do not end on arrival.

👀 What it can look likeChildren show stress in many ways.
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  • Acting younger than their age, like bedwetting or clinginess
  • Anger, tantrums or trouble at school
  • Being very quiet or withdrawn
  • Bad dreams or trouble sleeping
  • Headaches or stomach aches
These are common stress responses, not a diagnosis. A professional can help you understand what your child needs.
🤗 What helps at homeSafety, routine and warmth.
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The APA notes that with emotional support and caring relationships, immigrant children can build new secure bonds.

  • Keep daily routines steady
  • Let them talk or draw about what happened, without pushing
  • Look after your own stress too, because children feel it
  • Tell them often that they are safe and loved
🧑🏽‍⚕️ Getting extra helpSpecialist support for children exists.
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If signs last for weeks or get in the way of school, sleep or play, talk to your child’s doctor or school counselor. Ask for a professional interpreter so you can explain things fully.

If your family fled war, see the War, conflict & displacement guide. The PTSD guide explains how trauma affects children and adults.

Sharing your family story

Telling children where they come from, with pride and without heavy burdens.

Children often want to know why their family moved and what life was like before. The APA notes that learning about their heritage helps young people build a strong identity that protects them against discrimination.

🧒 Fit the story to their ageShare more as they grow.
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  • Young children: where you come from, what you loved there, who is family
  • Older children: why you moved and what was hard, in simple words
  • Teens: more of the full story, if they want it and you are ready
You don’t have to share painful details. It is okay to say “Some parts are hard for me to talk about.”
🌟 Pride, not just painShare the strengths in your story too.
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  • Family members they can look up to
  • Funny or happy memories from home
  • Skills and values your family brought with them
  • The courage it took to start again
👂 Ask about their story tooGrowing up here is its own journey.
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Your child may feel “too foreign” at school and “too American” at home. Asking about their experience shows them it matters.

The Children of immigrants guide explains what many young people go through. Try the “Telling my kids our family story” worksheet.

Keeping culture alive at home

Everyday ways to pass on language, food and traditions.

The 2024 review of immigrant youth found that pride in heritage culture, family warmth and speaking more than one language were linked with less stress. The World Health Organization (WHO) says being part of a community with a shared background protects mental health.

🍲 Culture at homeSmall, everyday ways to keep roots strong.
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  • Celebrate holidays from home, and invite friends
  • Cook family recipes together and tell the stories behind them
  • Keep photos, music and objects from home where kids can see them
  • Set up video calls between grandparents and grandchildren
  • Speak your language at home, even a little each day

The APA describes research in which second-generation Jamaican American teens who connected with their heritage culture had healthier eating habits, partly through traditional home cooking.

🎈 Let kids choose, tooCulture sticks best when it is enjoyed, not forced.
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  • Ask which traditions they love most
  • Blend old and new, like a holiday dish with a twist
  • Let them bring friends to cultural events
  • Praise effort with the language, not perfection
Try the “Keeping our culture alive at home” worksheet.
🏘️ Community helpsYou don’t have to do it alone.
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  • Cultural festivals
  • Heritage-language schools
  • Hometown or regional associations
  • Places of worship and faith groups

The APA notes that belonging in relationships, organisations and cultural groups helps immigrants feel secure and rooted.

Adopted from another country

Belonging to two countries, often before you could choose.

A 2005 review estimated that over 40,000 children a year were adopted across borders, between more than 100 countries. Many lived through hard times before adoption, such as missing medical care, poor nutrition, separation and neglect.

The same review, of more than 25,000 adoptees, found that most international adoptees are well adjusted. They were more likely than non-adopted children to see mental health services, though less likely than children adopted within their own country.

🎎 Connecting to culture of birthParents and friends both play a part.
Read more

A seven-year study of 116 Korean American adoptees found that when parents, and later friends, helped them learn about their heritage, the young people explored and felt more settled in their ethnic identity.

The same study found parents tended to do this less as children became teens, and teens noticed less of it than parents thought they gave.

Ideas for families

  • Adoptee groups, where children meet others like them
  • Food, music, books and holidays from the birth country
  • Friends and mentors who share the child’s heritage
  • Keep talking about it as children grow, not only when they are small
🔎 Identity questions“Where do I come from? Who do I look like?”
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Many international adoptees have questions about their birth country, birth family and ethnicity, especially as teens and adults. When they look different from their adoptive family, others may ask intrusive questions.

Wanting to know your roots is not disloyal to your adoptive family. It is part of knowing yourself.
💬 Talking openly as a familyQuestions are welcome at every age.
Read more
  • Answer questions honestly, in words that fit their age
  • Let them feel sad or curious about their birth family
  • Practise answers to intrusive questions from others together
  • Tell their adoption story often, with warmth
For grief and identity when growing up apart from birth parents, see the Growing up without parents guide.

When and where to get help

Crisis lines, help for children, and local family services.

Reach out to a doctor, counselor or clinical provider if…

  • A child’s sleep, eating, school or play has changed for weeks
  • Family conflict feels constant or unsafe
  • You feel too worn down to care for yourself or your children
  • Someone in the family is using alcohol or drugs to cope
  • Anyone talks about hurting themselves

Crisis support (U.S.)

  • 988 Suicide & Crisis Lifeline: call or text 988. Free interpreters in more than 240 languages. You don’t need insurance or to give payment details.
  • Spanish: text AYUDA to 988 to reach Spanish-speaking counselors
  • Crisis Text Line: text HOME to 741741, or HOLA for Spanish
  • Emergency: call 911
🏫 School and family doctorOften the easiest place to start.
Read more

School counselors and family doctors can help you understand your child’s needs and find support. You can ask for a professional interpreter.

📞 Local family servicesFood, housing, childcare, legal aid and more.
Read more

211 connects people with local community services, including legal aid and counseling. You can call or text 211, or visit 211.org.

🌐 Outside the U.S.Free, confidential helplines in many countries.
Read more

Find A Helpline (findahelpline.com) lists free, confidential crisis lines in many countries. You can search by country and by topic.

For therapist directories you can search by language and culture, see the Immigration & mental health guide.
If you’re in crisis, call or text 988 (U.S.), or text HOME to 741741. If a life is in danger, call 911.
This guide is for learning only. It is not a diagnosis or legal advice, and it does not replace care from a professional.

📝 Worksheets for this guide

Fill these in privately in the app. Your answers stay on your phone.

Telling my kids our family storyFor parents. Share your migration story in a way that fits your child’s age, with pride and without heavy burdens.
Keeping our culture alive at homeA family plan for passing on language, food, stories and traditions, in a way that fits your household.
Our reunion planFor families coming back together after time apart. Plan for a gentle, patient reunion.
🔒 Fill in privately in the Mentally United Wellness App. Free, no ads, no accounts.

Sources

  1. American Psychological Association (APA) (2024). Psychological Science and Immigration Today (APA Presidential Task Force on Immigration and Health)
  2. World Health Organization (WHO) (2025). Refugee and migrant mental health (fact sheet)
  3. National Child Traumatic Stress Network (NCTSN). Refugee Trauma
  4. Lerias, Ziaian, Miller, Arthur, Augoustinos & Pir (peer-reviewed), via PubMed Central (NIH) (2024). The Role of Acculturative Stress on the Mental Health of Immigrant Youth: A Scoping Literature Review (Community Mental Health Journal)
  5. Lui (peer-reviewed, American Psychological Association), via Europe PMC (2015). Intergenerational cultural conflict, mental health, and educational outcomes among Asian and Latino/a Americans: Qualitative and meta-analytic review (Psychological Bulletin)
  6. Shen, Seo, Jiles, Zheng & Wang (peer-reviewed, American Psychological Association) (2022). Language brokering and immigrant-origin youth’s well-being: A meta-analytic review (American Psychologist)
  7. Juffer & van IJzendoorn (peer-reviewed), via Europe PMC (2005). Behavior problems and mental health referrals of international adoptees: a meta-analysis (JAMA)
  8. Hu, Zhou & Lee (peer-reviewed), via PubMed Central (NIH) (2017). Ethnic socialization and ethnic identity development among internationally adopted Korean American adolescents: A seven-year follow-up (Developmental Psychology)
  9. U.S. Code of Federal Regulations, via Legal Information Institute (Cornell Law School). 45 CFR § 92.201 – Meaningful access for individuals with limited English proficiency
  10. U.S. Citizenship and Immigration Services (USCIS). Find Legal Services
  11. U.S. Department of Justice, Executive Office for Immigration Review (EOIR). List of Pro Bono Legal Service Providers
  12. Substance Abuse and Mental Health Services Administration (SAMHSA). 988 Frequently Asked Questions
  13. Crisis Text Line. Text us
  14. 211 (United Way Worldwide). 211: Get connected to local help
  15. U.S. Federal Communications Commission (FCC). Dial 211 for Essential Community Services (consumer guide)
  16. Find A Helpline (ThroughLine). Find A Helpline

This guide is for education and self-care. It is not a diagnosis or a substitute for professional care. Please talk to a counselor or clinical provider about your health. Reviewed October 2026.

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