Emigration stress: adapting in Italy
The emotional side of moving to Italy: culture shock, loneliness, the language barrier and where to find support - therapists, communities, the SSN.
Author: permesso.love editorial team- updated - how we verify
A lot is written about moving to Italy, and in detail: visas, documents, taxes, housing. But what goes on inside in the first months is somehow not talked about - as if admitting that it is hard means signing a confession of your own weakness. It is not so. Almost everyone who has walked this path ran, at some point, into fatigue, loneliness and the feeling that life has been put on pause. Below is an honest and gentle breakdown of the emotional side of adaptation: what is happening to you, why it is normal and where to look for support. This is not psychological or medical advice - if your condition is severe, see a specialist; in an acute situation call 112.
In brief: community data
- A downturn after euphoria is normal: per the community almost everyone hits fatigue and thoughts of going back a couple of months in; researchers described this as a natural stage of adaptation, not a mistaken move.
- The path runs through stages: euphoria, downturn, getting used to it, confidence, your own life - the time at each varies, but per the community the acute phase is the first months, sometimes the first year.
- Help exists within the SSN: a family doctor (medico di base) refers you to a centro di salute mentale (CSM), and some regions now have a psicologo di base; availability and language depend on the region and ASL, verify the current details on salute.gov.it.
- Russian-speaking psychologists are found online: per the community many specialists work over video from any country, clarify qualifications directly.
- With bureaucracy, rhythm helps: allow twice as much time, break the path into small steps and separate the controllable from other people's delays; in an acute situation call 112.
Why in emigration it often feels like you have run out of strength
The body perceives a move to another country not as an adventure but as a long string of threats. The threats are mostly not real but merely possible - not making it in time with documents, not figuring out the language, not coping financially - but the nervous system barely feels the difference. It reacts as if danger is right there, and keeps you in constant readiness that has nowhere to discharge. Energy accumulates, there is nothing to spend it on, and at some point the body simply pulls the switch: apathy sets in.
Hence the state familiar to many, when a couple of months after arrival you discover that you have strength only for everyday chores, but none left for new people, walks and curiosity about the country. This is not laziness and not character - it is the protective reaction of a tired body to too long a stretch of uncertainty. It is important to tell yourself right away: this happens to almost everyone, and it passes.
By and large there is no time to be homesick - it is all quests here: get one thing, then another, then a third. I do not miss any birch trees and landscapes at all, individual people - yes, but in our time that is no trouble, there is video calling. You miss not a place but specific people of your own.
Culture shock: it is real, not a figure of speech
The phrase "I am in culture shock" sounds frivolous, but behind it stands a quite real state. When the familiar rules of life stop working - a different pace, different norms of communication, a different logic in queues and institutions - a person loses the sense of control, and that is genuinely unsettling. What hits hardest is not the difference between cultures itself but its suddenness: the thing you cannot read about in guidebooks and chats but run into in practice.
An alarming sign that you are stuck in it: you start avoiding going outside, you put off a trip to the shop or any conversation, you do it only out of dire necessity. If you recognize yourself - this is not a reason to reproach yourself but a signal that it is time to bring in support. What helps at this point, from the community's experience:
- Allow twice as much time for new tasks. If at home a task took an hour, here give yourself two. That way the chance of making the deadline is higher - and each item closed restores your faith that you are coping.
- Learn a few simple phrases - "hello", "how are you", "thank you" - and start short conversations with those you cross paths with anyway: neighbors, baristas, the shop assistant. A little small talk removes the sense of being a stranger.
- Separate the controllable from the uncontrollable. Having run into something you were not ready for, draw up a new plan made only of the steps that really depend on you. Let go of the rest.
You will not be a hundred percent ready for such things anyway. I had been preparing myself mentally for the move for many months, before that we had been going to Italy several times a year for years, traveled the whole country - and living here still turned out to be completely different. You need to live through it yourself, everyone has their own start and their own expectations.
Stages of adaptation: a path everyone goes through
Back in the 1970s researchers of intercultural communication described the stages that practically anyone who has moved goes through. The time at each stage varies from person to person, but the sequence itself is recognizable. Most likely you will recognize yourself right now in one of the descriptions - and that is already useful, because it becomes clear what to do next.
- Euphoria. The state of a tourist: everything is new, everything charms, even the differences seem sweet. While there is drive, it is worth exploring the places from which your routine will later take shape - a coffee shop, a park, a convenient store, a quiet corner for work.
- Downturn. A period of confusion: the differences start to irritate, frustration builds up, you are drawn to withdraw, to hide in TV series and the feed. This is where thoughts of going back most often come. What keeps you afloat - a sleep schedule, walks of at least half an hour, a simple plan for the day and the right to rest without guilt. And it is at this stage that it is wisest to reach out for support.
- Getting used to it. The language gradually comes, the prices and the rules of the game become clearer. The first connections appear - so far mostly with "your own" people. It helps to find a replacement for the familiar home rituals and to keep close to those whose adaptation is going more easily.
- Confidence. Interest in the life around you returns, you want new experiences and new acquaintances. It is good to set up a schedule of calls with loved ones who stayed far away - that way the connection does not break.
- Your own life. You remember the past warmly and with gratitude, but without melancholy getting stuck; the differences no longer get in the way and sometimes even help. Plans, goals and the strength for new things appear.
I would figure out in advance what I was afraid of before the move and what was actually worth worrying about. Back then prices and rent were at the top for me, I was moving almost into nowhere. But what I should have worried about was taxes and my circle of contacts. Healthcare and school, on the contrary, are newcomers' main obsession, and those were exactly what was not worth it.
Loneliness and the language barrier
The hardest thing in the first year is often not the documents but the silence around you. The old circle of contacts stayed in the phone, a new one has not yet formed, and the language does not let you make friends easily. Many describe it like this: there is plenty to do, but no one to really talk to. This hits especially hard those who were sociable and active at home.
The good news is that the circle does come together - just more slowly than you would like, and almost always starting with "your own" people. It helps not to wait until the language becomes perfect but to go into the environment already now: conversation clubs, language courses (in the state CPIA they are free), meetups of people who have moved, thematic chats and groups. Meanwhile it is better to practice the language in daily life in small doses, not turning every word into an exam.
Right now I am downright overloaded with studying, I feel it is too much: courses three times a week, plus individual lessons, plus homework - I am a straight-A student, after all, I do everything properly. For next week I simply canceled all the classes, otherwise I will burn out.
The language barrier also bites in practical matters - with a doctor, with an accountant, in an institution - and here you should not play the hero alone. In state healthcare you can get an interpreter for free, and you can realistically choose a family doctor who knows English, sometimes Russian too - more on this in the article Russian-speaking and English-speaking doctors.
The hardest thing at the start is finding your own commercialista to handle your affairs, and here the language barrier is on top of it. Somewhere you get lucky and run into a Russian-speaking one, but if you want to keep the books seriously, it is better to look in a big city where the choice is wider.
When bureaucracy wears you down
Italian documents are a separate source of stress, and not because of the complexity of the papers themselves but because of the unpredictability. The same step goes differently in different questure and comuni, the timelines drag, the answers depend on the specific employee and their mood. The feeling that nothing depends on you wears you down almost more than the running around itself.
What helps not to burn out on this, from the community's experience: break the path into small steps and rejoice at each one closed, allow a reserve of time and accept in advance that some of the delays are not your fault and not your area of responsibility. Blaming yourself for someone else's queue is pointless. We break down the process itself step by step separately - Italian bureaucracy; when you understand the mechanics, there is noticeably less anxiety.
I submitted not at the questura but at the post office, and the deadline there is just eight days - the nerve-racking was considerable. It worked out only at the fourth office in a row, that is a whole story in itself. So allow time with a reserve and do not expect everything to go smoothly the first time.
Tension in the family
A move almost always strains a relationship. Often one partner carries the household, the children and the whole quest with documents, while the other holds on to a job or a status - and the fatigue accumulates unnoticed. Children go through their own thing: they can be scared and hurt to abandon friends and their familiar life, and it is normal that they resist. It is important not to take out the irritation on each other and to remember that the anger is more often addressed to the situation than to the loved one.
What helps is simple: to voice the load out loud and divide it honestly, not to play the hero in silence, to leave at least a little time for yourself and for the couple apart from the endless chores. If you are moving with children, they too need space for their own feelings - not "stop being capricious" but "it is hard for you right now, and that is understandable".
I am preparing to move with my husband, and my eleven-year-old child does not want to go: says he is a person and his opinion matters too, that he does not want to leave. I was at a loss - at his age I could not have imagined defying my mother like that. I understand this will have to be worked through carefully, not by pushing.
Where to look for support
Asking for help is not a weakness but a skill that is precisely what sets people apart from other creatures: we know how to call for help. There are several options, and they do not exclude each other.
Russian-speaking psychologists and telemedicine. Today many specialists work online and accept clients from any country, so language and time zone stop getting in the way. This is often the fastest path if your Italian is not yet enough for a conversation about feelings. Contacts are sought in thematic chats of people who have moved, in professional directories of psychologists and through recommendations. Always clarify qualifications, approach and format directly - and remember that this is not advertising for specific people or services.
Communities and like-minded people. Groups of people who have moved, conversation clubs, local meetups - this is both support and others' experience and simply live communication. Next to those who went through the same thing a little earlier, your own difficulties stop seeming like a catastrophe.
I do not believe that people who spend so much time here helping others with answers cannot cope with their own. It will all work out. We have met all kinds here: someone moved at fifty on their own, someone in their early twenties, families with babies and with graduates - and for everyone it came together in the end. Everyone is the author of their own life.
State healthcare (SSN). In Italy psychiatric and psychological care is part of the state system. The entry point is the family doctor: how to choose one and register is described in the article Medico di base: the family doctor. He can refer you to a territorial mental health center - centro di salute mentale (CSM), and in a number of regions the figure of a psicologo di base (a primary-care psychologist) has appeared. Availability, queues and language depend heavily on the region and the ASL: somewhere the path is short, somewhere you need Italian or an interpreter and the wait is long. Verify the current procedure and your rights to care on salute.gov.it and at your local ASL. In an acute situation
- do not wait for an appointment, call the ambulance at 112.
If you are a psychologist yourself and wondering how to legalize your practice after the move, see the separate profile psychologist in Italy: which permit fits.
Practical anchors for every day
Techniques work only when they are applied regularly, not once "for show". Take two or three points from the list below and literally put them in your calendar as tasks - that is enough to start.
- Routine as a framework. Sleep of 7-8 hours, a walk of at least half an hour a day, do not skip meals. On the downturn the body needs more resources for what used to be done on autopilot, so rest is not a whim.
- Small steps. A plan for the day made of small, clear tasks, including everyday ones. Each item closed is a drop of dopamine and confirmation that you are moving.
- Less chaos around you. Remove unnecessary notifications, cut down the news and the feed if they make anxiety grow. Create a minimal coziness at home, even if the housing is rented - let there be an island of safety.
- Contact with your body and with loved ones. In a moment of anxiety it helps to feel your support: feet on the floor, back in the chair, slow breathing; name out loud everything you see around you to make sure that right now nothing threatens you. Hugs and words of support from loved ones lower the level of stress no worse than any technique.
- Live through the loss, do not deny it. You do not need to convince yourself that everything is wonderful. Sadness for your past life is lived through movement and creativity - sport, walks, texts, drawings, a journal. The question "how much longer will I feel bad" only winds up the sense of guilt, it is better not to ask it.
When it gets easier
It does get easier. For almost everyone. From the community's experience the acute phase is the first months, sometimes the first year - and after that uncertainty stops knocking you off balance, the language picks up, your own circle appears, and the quests with documents turn from a catastrophe into a routine. The comfort that sags at the start returns over time, if you work on it bit by bit.
No one will die of hunger or sleep on the street - it is only about a temporary drop in the level of comfort. And it comes back, if you work on it, or you simply get used to it and your demands even out. A person adapts to anything up to the norm, tested on myself.
And the last thing, the most important. To adapt does not mean to become "one of your own among strangers" or to stop being yourself. It means to fit into a new life while keeping your values. If it does not work out on your own
- there is nothing shameful in that. Then it is wiser to reach a specialist than to stew alone in the questions of "who am I now" and "where is my place here". Let us repeat honestly: this is not psychological or medical advice - if your condition is severe, see a specialist, and in an acute situation call 112.
Related articles
- Medico di base: the family doctor - the entry point into state healthcare and the referral to the CSM.
- Russian-speaking and English-speaking doctors - how to remove the language barrier at an appointment and where to find an understandable specialist.
- Italian bureaucracy - how the process with documents works and why understanding the mechanics lowers anxiety.
- Psychologist in Italy: which permit fits - if you are a practitioner yourself and want to legalize your practice.
Official sources
- Ministry of Health: salute.gov.it - the state SSN healthcare system, psychiatric and psychological care, foreigners' rights to medical care.
- Your local ASL (or ULSS) site - how to access the centro di salute mentale (CSM), whether the region has a psicologo di base, and how to order an interpreter for an appointment.
- In an acute situation - the single emergency number 112.
Frequently asked questions
Is it normal that after a few months in Italy it got worse, not better?
From the community's experience yes, this is a very common scenario. After the first euphoria almost everyone hits a downturn - a period of irritation, fatigue and thoughts of going back. Researchers long ago described this as one of the natural stages of adaptation that practically everyone who has moved goes through, the only difference being its duration. A drop in mood after a wave of delight is, in itself, not a sign that the move was a mistake but an expected stage. This is not psychological or medical advice - if your condition is severe, see a specialist.
Where do I find a Russian-speaking psychologist if my Italian is not enough yet?
According to the community Russian-speaking specialists are most often found online: many psychologists and psychotherapists work over video and accept clients from any country, so language and time zone stop being an obstacle. Contacts are sought in thematic chats of people who have moved, in professional directories and through recommendations. Always clarify qualifications and format directly. This is a guide from experience, not a referral to a specific doctor.
Does the Italian state healthcare system cover the help of a psychologist?
According to the community yes, the state SSN system has psychiatric and psychological care: a family doctor (medico di base) can refer you to a territorial mental health center - centro di salute mentale (CSM), and in a number of regions a so-called psicologo di base has appeared. Availability, queues and language depend heavily on the region and the ASL, often you need Italian or an interpreter. Verify the current procedure on salute.gov.it and at your local ASL. This is not medical advice.
When should you see a specialist instead of coping on your own?
From the community's experience ordinary sadness and fatigue after a move ease over time. The usual reasons not to drag it out and to see a specialist are a persistent depressed state for weeks, insomnia, loss of appetite and interest in everything, a sense of hopelessness or thoughts that there is no point going on. This is no longer about willpower. In an acute situation in Italy you call the ambulance at 112. This is not psychological or medical advice - if your condition is severe, see a specialist.
How can I be less worn down by Italian bureaucracy?
According to the community it helps to allow twice as much time for each document task as seems necessary, and to break the path into small steps instead of trying to close everything at once. Much in the queues and timelines does not depend on you, so it helps to separate what you influence from what you do not, and not to blame yourself for other people's delays. There is a separate guide on the process itself. This is not legal advice.
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