Log in

NEW! Check out Megan Norton's article on TCK Transition to College and mental health is in this month's Foreign Service Journal on pp. 77-88:

Youth Mental Health in the Foreign Service  

If you are in crisis -  please reach out for help

US hotline:

Crisis Text:

International Resources

Resources for FS Youth and their Families

The Guide: Arlington County

  Information provided by Arlington Partnership for Children, Youth and Families (APCYF) is a service   for informational purposes to enhance public access to mental health and substance use resources   both locally and elsewhere.  

FSYF Resource List 

Extensive list of recommendations of mental health care providers from other FS families and mental health resources.  


Office of Medical Services

Regional Medical Officer -Psychiatrist
Child and Family Program Office

Employee Consultation Services

Employee Consultation Services (ECS) offers free, confidential counseling with professional clinical social workers to Department of State employees and family members. They can assist with job stress, marital and relationship problems, parent and child problems, single parent and blended family concerns, school adjustment problems, elderly parent concerns, separation, loss and grief, acute and chronic medical illness, depression, anxiety, and other emotional problems, financial concerns, life transitions, new career/retirement issues, and pre-post departure and reentry concerns. Contact at or 202-634-4874.

FSI Transition Center Courses

Encouraging Resilience in the Foreign Service Child (MQ500)

Work Life 4 You

WorkLife4You (WL4Y) is the Department of State’s 24/7 Employee Assistance Program (EAP) for employees and their family members. WL4Y provides free 24/7 counseling, education, and referral services that help Department of State employees and family members find the programs, providers, information, and resources they need to manage personal and professional responsibilities. Counselors will help determine what services are needed and available and refer to appropriate providers. Call them for 24/7 personalized assistance, read articles and educational guides on their website, order topic related kits, engage in monthly live talk, watch webinars and listen to audios or ask for a free in-person elder care assessment from a qualified Professional Care Manager. In addition, The WL4Y Emergency Backup Dependent Care provides 24/7 access to specialists to arrange care in advance or at the last minute for every member of the family as well as, aging loved ones. Backup care services can only be used for care taking place within the United States and U.S. territories. Department of State, both Civil Service and Foreign Service employees and family members are eligible to use WorkLife4You. For login information, contact FLO at

** Employees of agencies other than the Department of State should check with their headquarters for guidance pertaining to their contracted Employee Assistance Program.

 USAID Staff Care

USAID Staff Care ensures the wellbeing and work-life balance of USAID’s total workforce (all hiring categories) and their dependents through a range of programs and services. USAID has partnered with Federal Occupational Health (FOH) to deliver a secure, confidential Staff Care website that provides a central location to access the Employee Assistance / Employee Resilience Program (EAP/ERP), Wellness, Work-Life, and Child Subsidy Programs. Services are available 24/7. Contact at or 877-988-7243 (877-98USAID).


Promoting Your Child's Emotional Health By Rebecca Grappo, Foreign Service Journal, June 2011

Where is Home? Understanding, Appreciating and Supporting Third Culture Kids

Raising Foreign Service Kids by John Naland, Foreign Service Journal, November 2015

What About Our Kids? By Kim DeBlauw Foreign Service Journal, January - February 2016

Mental Health Support for Foreign Service Children: Parents Weigh In Editorial, Foreign Service Journal, June 2016 


Raising Children Overseas - Dr. Elmore Rigamer

Physiological Aspects and Development Issues for Foreign Service Children – Pre-K & Early ElementaryDr. Elmore Rigamer

Physiological Aspects and Development Issues for Foreign Service Children – Adolescents & Teens - Dr. Elmore Rigamer


Belonging Everywhere and Nowhere: Insights into Counseling the Globally Mobile By Lois Bushong

The Global Nomad's Guide to University Transition By Tina Quick

Here Today, There Tomorrow: A Training Manual for Working with Internationally Mobile Youth 

Safe Passages - How Mobility Affects People and What International Schools Should Do About It By Douglas Ota

Misunderstood: The impact of growing up overseas in the 21st century -  By Tanya Crossman

Raising Global Nomads: Parenting Abroad in an On-Demand World - By Robin Pascoe 

Emotional Resilience and the Expat Child: Practical Storytelling Techniques That Will Strengthen the Global Family-By Julia Simens

Raising Global Teens: A Practical Handbook for Parenting in the 21st Century - By Dr. Anisha Abraham

Raising Up a Generation of Healthy Third Culture Kids: A Practical Guide to Preventive Care- By Lauren Wells 

Childhood and adolescence are critical periods for development and mental health is an important component in overall health and wee-being. While most youths cope with life's challenges, the National Alliance on Mental Health (NAMI) states that one in five teenagers lives with a mental health condition, such as depression or anxiety, which can impair functioning at home, school or in the community. Half of all chronic mental health problems begin by age 14 and 75% by age 24. Effective and timely treatment can help reduce the impact of emotional struggles on an adolescent's life.

It is normal for children and youths to experience various types of emotional distress as they develop and mature. But if problems persist, young people will benefit from professional assistance. Children and adolescents may suffer from depression and anxiety, eating disorders, self-harming behaviors (like cutting on one's skin), suicidal feelings and thoughts, impulsive or risk-taking behaviors, delinquency, and substance abuse. More severe mental health conditions are expressed in mental confusion, dangerous behavior, explosiveness, and extreme swings in mood. Youths exposed to traumatic events - such as violence, abuse, disasters, or accidents - may be especially prone to anxiety, depression, and problems with sleep. Peer relationships and school functioning can be adversely impacted by such exposure.

Children with special educational needs are at higher risk than their peers for mental health conditions. They can be especially prone to depression and anxiety. Support for children with special educational needs should be as focused and routine as for any other health condition.

All children and adolescents benefit from the presence of adults in their lives who are sensitive to their and who can be engaged should the child or teen feel the need. Examples are teachers, guidance counselors, school psychologists, school social workers, clergy, and in the Foreign Service world, a Community Liaison Officer (CLO), the FSMP, the RMO, and the RMO/P. However, there can sometimes be a need for one or more meetings with a mental health professional, such as a psychologist, professional counselor, clinical social worker, or psychiatrist.

There are some particular aspects of Foreign Service life that should be acknowledged as potential stressors and some aspects that can be viewed as very positive and possibly protective.

Third Culture Kids (TCK's) or "globally mobile" youth are those who spend significant parts of their young lives outside of their parent's culture. Whether they spend only a little time or nearly their whole lives as expatriates, TCK's accumulate experiences and develop perspectives that are unique.

The experiences that TCK's have abroad can lead to a sense of confidence in managing complicated situations, like navigating an international airport. TCK's learn to interact with youths from many cultures and thereby develop a strong sense of cultural competence. TCK's learn to adapt to changing circumstances, like laws and cultural norms that vary from country to country. TCK's often develop patience and flexibility due to the unpredictability of life in foreign countries where rain might shut down major roads and the electricity is unreliable or where they may have to wait in long lines for a train ticket or haggle for an item purchased in a marketplace.

The lives of TCK's are enriched by the many places visited and sites seen. Their tastes in music, food, and art are broadened by exposure to art, food and music of different cultures.

TCK's may have more in common with youths from other countries, who are also TCK's, than they do with their U.S. - based peers. It may be for this reason that many children and teens of the Foreign Service report that re-entry into the U.S. to attend school or university is often the most difficult time in their lives.

A limited, but growing body of research about TCK's reveals some common challenges that need to be recognized by parents. These include:

  • The effects of frequent relocations and school changes

  • Loss of friends

  • Difficulties fitting into new cultures and new schools

  • Extended separations from parents who take unaccompanied tours and frequent TDY's

  • Separation from grandparents, uncles, aunts, cousins and their extended families

  • Separations from nannies

  • Exposure to poverty, crime and danger in foreign countries

TCK's truly serve in foreign countries alongside their parents and are exposed to the same opportunities, dangers, and difficulties that come from living abroad. Acknowledging these challenges and the possible impact these have on children, youths and families is important. Helping TCK's themselves learn to recognize, express and work to resolve any problems that accompany this lifestyle is important.


 Foreign Service Youth Foundation (FSYF)

PO Box 50663   Arlington, VA   22205


 © 2014 Foreign Service Youth Foundation

Foreign Service Youth Foundation

P.O. Box 50663

Arlington, VA  22205


© 2022 Copyright Foreign Service Youth Foundation

All Rights Reserved

Powered by Wild Apricot Membership Software