Caregiving is deeply relational work. Whether you’re caring for aging parents, chronically ill family members, or loved ones with disability, you carry both visible tasks and invisible emotional burdens. In APIDA communities, these burdens often overlap with cultural expectations of filial piety, sacrifice, and duty.

Many of us grew up hearing explicit or implicit messages like “Work hard, make your family proud, and don’t waste the sacrifices that were made for you.” These messages often come from love, perseverance, and cultural survival. They’re passed down through generations that endured hardship by prioritizing endurance, humility, and achievement.

But over time, these values can turn into overwhelming pressure. You may feel driven to achieve, hesitant to rest, or afraid to disappoint others, while constantly living with a quiet sense of “not enough.”

When clients come to therapy, many wonder whether their cultural background “matters” in the work. The short answer? It absolutely does.

I’m starting a new virtual support group for adults who identify as mixed-race, multiethnic, or multicultural Asian, Pacific Islander, and/or Desi American (APIDA).

It’s something I’ve been thinking about for a long time…

We hear a lot about trauma these days. We talk a lot less about intergenerational trauma, historical trauma and complex post traumatic stress disorder (C-PTSD).