“…For example, Truman et al (2011) reported that expatriate workers experienced a 50% higher risk for mental health problems, such as internalizing problems (stress, suicide, anxiety, loneliness, and depression), externalizing problems (attention deficit, hyperactivity, conduct and impulse control), and substance misuse disorders, compared to native workers. Expatriate workers may also experience challenges with cognition such as difficulties with understanding relationships, misunderstandings caused by cultural differences, frustration, insomnia, fear of isolation, the uncertainty of the future, concerns over health and security, and decreased well-being (Chen 2019;Doki et al 2018;Gai et al 2011;Vijayakumar and Cunningham 2019). Ward and colleagues (2001) reported that successful cross-cultural adjustment is the culmination of enhanced emotional resilience, effective cognitive restructuring, and the display of appropriate behavioral and social skills.…”