Exploring the socio-political construction of mental health issues of the Tibetan diaspora in India: coping strategies and implications for care
Authors: Mittal Shalini , Anshu Aditya 
Published: September 2024

Introduction
Like many diasporas, the Tibetan diaspora has also had cataclysmic events and migratory movements and wish to return to their exiled homeland one day. In their countries of settlement, they face various challenges as they try to cope with their loss and adapt to a new environment.

Purpose
This study aims to attempt to explore the socio-political construction of the mental health issues and coping strategies of the members from different generations of the Tibetan diaspora in India using the social ecological model as the theoretical framework. This study further aimed to provide suggestions based on findings to inform culturally sensitive care.

Design/methodology/approach
Using the snowball sampling method, 20 Tibetans residing in North India were interviewed about their socio-political experiences. The obtained narratives were analyzed using thematic content analysis framework by Braun and Clarke (2006).

Findings
Findings suggest that several socio-political conditions shape the mental health issues of the Tibetans that are inclusive of the acculturative stress, distress, intergenerational trauma and negative affectivity. A range of coping strategies, including spiritual-religious coping, collective coping and nostalgic coping emerged from the analysis.

Research limitations/implications
This study has few limitations that must be considered to accurately interpret the findings. First, the sample size is small and hence may not be an accurate representation of the entire Tibetan diaspora. Second, the study uses self-reported data that may be subject to personal biases. Third, having been conducted in a specific socio-political context, the findings of this study may not be generalizable to other settings or to the members of the Tibetan diaspora elsewhere.

Practical implications
The findings of the study will help spread awareness about mental health issues within the Tibetan diasporic community. The study will also help the mental health professionals to recognize the need for culturally responsive approaches to care. It also highlights the need to use the benefits of traditional healing practices, spirituality and cultural identity. The findings also will be relevant to developing interventions that are effective at individual, interpersonal, community and societal levels. The tailored interventions should address political issues surrounding the Tibetans, emphasize on their education and support cultural activities that can be essential for identity affirmation of these individuals.

Originality/value
Shifting focus: Instead of viewing mental health solely through a psychological lens, it recognizes the powerful influence of political and social forces on their well-being. Generational lens: It explores how different generations within the diaspora grapple with the complexities of exile and its impact on their mental health. Unveiling coping strategies: It goes beyond the diagnosis, showcasing the diverse coping mechanisms used by Tibetans, including spiritual practices, collective support and even nostalgia.