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Top 10 Mental Health Issues in Hong Kong in 2025: Understanding the Struggle

Updated: May 25



Mental health is a pressing concern for societies worldwide, and Hong Kong is no exception. As one of the most densely populated cities, the fast-paced lifestyle combined with unique cultural pressures creates an environment where mental health struggles often go unnoticed. In 2025, we shine a light on the top ten mental health issues affecting the people of Hong Kong, aiming to foster understanding and promote a dialogue on these often-taboo topics.



Mental health in Hong Kong


1. Anxiety Disorders


In 2025, anxiety remains a pervasive issue in Hong Kong. Rapid urbanization, social pressures, and the constant hustle often lead individuals to experience heightened anxiety. This might manifest as panic attacks, excessive worry, or social anxiety. As pressure mounts, it’s essential to recognize anxiety as a valid struggle that can be managed with therapy, mindfulness, and community support.



2. Depression


Depression is another major concern, affecting various demographics, especially youth and older adults. Factors such as academic pressure, job insecurity, and societal expectations contribute to a prevailing sense of hopelessness. In 2025, it’s crucial to encourage open conversations about depression to dismantle the stigma and assure individuals that help is available.


For those with more serious psychological distress, the Clinical Psychological Service of the Social Welfare Department can provide free professional help and advice. Contact a social worker or call the Social Welfare Department hotline at 2343-2255 for assistance.



3. Suicidal Tendencies


Alarmingly, suicidal tendencies are a growing issue in Hong Kong. Various surveys have noted increases in suicidal thoughts among adolescents and even adults. The combination of overwhelming stress, academic pressure, and feelings of isolation exacerbates this issue. Effective mental health initiatives and crisis counseling can serve as crucial support systems.


Seek support here on The Samaritan Befrienders Hong Kong:

Emotional Support is Needed: 24-Hour Emotional Support Hotline 2389 2222

English Emotional Support Hotline : 2389 2223

Here to Hear (Peer Hotline) : 2389 2227 or Whatsapp : 5779 7356



4. Work-Related Stress


Hong Kong’s reputation for its demanding work culture is well-known. Long hours, job instability, and high competition can lead to severe stress. Citizens may find themselves burnt out, impacting not just their work performance but their entire quality of life. Employers must prioritize mental health initiatives and support systems to foster healthier workplaces.



5. Post-Traumatic Stress Disorder (PTSD)


The backdrop of social unrest and political changes in recent years has left many residents grappling with PTSD. Individuals who have experienced traumatic events may find it difficult to cope with daily life. It is vital to promote counseling services to help those healing from trauma, providing them a safe space to process their experiences.


Seek support here on Findahelpline.com.



6. Substance Abuse


Substance use can often be a misguided attempt to cope with life’s pressures. Unfortunately, in 2025, rates of substance abuse in Hong Kong are concerning. It’s critical to understand this as a mental health issue that stems from underlying struggles rather than mere addiction. Accessible addiction support programs can help individuals reclaim their lives.


Seek support here on nd.gov.hk/.



7. Family and Relationship Issues


Family dynamics and relationships can significantly impact mental health. In a culture where familial expectations run deep, conflicts can lead to feelings of inadequacy and anxiety. Professional counseling can offer guidance, helping individuals navigate these relationships with greater understanding and emotional clarity.



8. Loneliness and Social Isolation


Despite being surrounded by millions, individuals in Hong Kong often experience profound loneliness. The urban environment can inhibit genuine connections, especially among the elderly and those living alone. Understanding the effects of social isolation is critical, as communal activities and support networks can alleviate feelings of loneliness.


Find support here on Findahelpline.com.



9. Identity and Cultural Conflicts


Growing up in a multicultural society like Hong Kong, many individuals face identity conflicts. The struggle to balance cultural expectations with personal desires can be overwhelming. Therapy can provide a space to explore these tensions and cultivate a strong sense of self that honors both heritage and individual aspirations.


Seek support here on gov.hk.



10. Lack of Awareness and Accessibility to Mental Health Services


Despite the recognition of mental health issues, there remains a significant lack of awareness and accessibility to mental health services. Many individuals may be unaware of available resources or might hesitate to seek help due to stigma. Education and outreach programs can bridge this gap, promoting mental well-being and the importance of seeking help.




Final Thoughts


Navigating mental health issues in Hong Kong necessitates a collective understanding and compassion. As we acknowledge these challenges, we open the door for healing, support, and connection.


“The greatest weapon against stress is our ability to choose one thought over another.”

William James


If you or someone you know is struggling with mental health issues in Hong Kong, consider seeking out psychotherapy. Therapy can provide tools, resources, and a safe space to explore feelings and challenges.


In a fast-paced city like Hong Kong, ask yourself:

What would it mean to prioritize mental well-being and seek support, not just survive but truly thrive?


By shining a light on these issues, we can begin to foster a more empathetic and supportive community. Let's start the conversation today here!







Sources Top 10 Mental Health Issues in Hong Kong in 2025 :

1. Hong Kong Mental Health Survey Reports (2023)

2. World Health Organization (WHO) Guidelines on Mental Health in Urban Settings

3. Centre for Suicide Research and Prevention, The University of Hong Kong

Picture : South China Morning Post






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