Date of Graduation

Summer 8-3-2027

Document Type

Dissertation

Degree Name

Doctor of Psychology in Clinical Psychology (PsyD)

College/School

School of Nursing and Health Professions

Program

Clinical Psychology (PsyD)

First Advisor

Dellanira Garcia, PhD

Second Advisor

Mankit Li, PsyD

Third Advisor

Stephanie Lin, PsyD

Abstract

This qualitative study used Interpretative Phenomenological Analysis to explore the lived experiences and meaning-making of Chinese immigrants’ attitudes and perceptions of mental disorders and mental health-seeking behaviors in the US. This study also explored the cultural and structural barriers to mental health services in the US. A total of six participants were interviewed in this study, and the interviews were conducted in English and Cantonese. Eligible participants identified as being of Chinese descent who immigrated to the US from Hong Kong or Mainland China and were over the age of 18. IPA analysis revealed seven themes: Cultural Identity, Post-Migration Adjustment and Challenges, Connection to Chinese Culture, Beliefs about Mental Illness, Community’s Beliefs about Mental Illness, and Barriers to Seeking Mental Health Services. This study found that while all participants believed that mental illnesses are common and openly discussed in the US, they encountered structural barriers, such as high cost and lack of culturally responsive and linguistically appropriate providers, psychological and cultural barriers, believing that mental disorders are usually less severe compared to physical illnesses. These barriers collectively contributed to delays in seeking professional mental health services. This study highlighted the importance of the intersecting identities, migration experience, and cultural contexts in shaping Chinese immigrants’ attitudes and perceptions of mental health and help-seeking. The clinical implication of this study suggests that future research and community organizations should take into account differences in acculturation, generational differences, cultural norms, and barriers to care when designing interventions to improve mental health services among the Chinese immigrant populations.

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