International relocation can bring excitement, relief, grief, loneliness, worry, identity changes and practical pressure. People respond differently, including when a move is chosen and well planned. An online guide cannot determine whether distress relates to adjustment, anxiety, low mood, trauma, physical health, immigration circumstances, relationship strain or another factor. An assessment led conversation can explore what has changed, the support around you and what feels hardest to carry. It may consider sleep, mood, safety, language, work, housing, finances, family contact, cultural belonging, health care and the practical demands of living between places. Therapy cannot provide immigration advice, legal advice, relocation planning, medical treatment or a guarantee that a move will feel easier. CBT based therapy may be considered after assessment where appropriate. It can offer space to explore rumination, self criticism, avoidance, uncertainty, homesickness and the impact of changed routines. It cannot diagnose the cause of distress or decide which country, job, relationship or visa decision is right for a person. Urgent appropriate help is needed if you feel unable to stay safe, have thoughts of suicide or self harm, experience psychosis, a sudden marked change in mental state or acute physical symptoms. If you are outside the UK, use the relevant local emergency, crisis or health service. For related information, see anxiety support at lyceumclinic.co.uk/therapy/anxiety/ and depression support at lyceumclinic.co.uk/therapy/depression/. You can enquire about current arrangements and whether CBT based therapy may be suitable for your circumstances.