As women and children gain more freedom, men lose more and more of their social position. As families become financially better off, they also fall into debt. This leads to depression and stress. Laotians are shy to ask for help. It is considered shameful to receive money from the welfare office, use food coupons, buy clothes from Goodwill, or have no shelter.
Public help is considered to be for the elderly, the disabled, and the poorest poor.
There are two Lao Buddhist temples in Seattle where people go to perform religious rituals. People also go to the temples for counseling and advice. Former animists such as the Khmu, Mien and Hmong now go to churches. Community agencies serving Laotians include the Coalition of Lao Mutual Assistance Associations, Asian Counseling and Referral Service, Catholic Community Services, and Refugee Federation Service Center. When in danger, Laotians usually pray for protection to gods, angels or spirits, depending on their beliefs.