Do you take insurance?

At InnerWoven Therapy, we prioritize your healing journey, which is why remain out-of-network with insurance providers. While insurance can provide initial support, it often comes with severe restrictions that can limit the care you receive. We believe that effective therapy flourishes when practitioners have the freedom to tailor treatment to your unique needs without external constraints. To support our community, we accept the Lotus Therapy Fund and offer discounted rates with select therapists, ensuring everyone can access compassionate care.

What are your services?

At InnerWoven Therapy, we offer individual therapy, supervision & consultation, telehealth (virtual) therapy and trainings & workshops.

What are your specialties?

At InnerWoven Therapy, we specialize in Intergenerational Patterns, Adverse Childhood Experiences, Family of Origin Dynamics, Asian-Americans and BIPOC, Depression & Anxiety, Bipolar Disorder, Trauma: Acute Stress Disorder or PTSD, Narcissistic or Borderline Personality Disorder, Pre- and Postpartum Mood Disorders and Life Transitions.

Do you offer Telehealth (virtual) therapy?

Yes, at InnerWoven Therapy, we offer Telehealth therapy services in accordance with PSYPACT regulations. This compact allows us to provide virtual therapy to clients in participating states, ensuring flexible and accessible mental health care. If you're in a PSYPACT state, you can conveniently access our professional services from the comfort of your home.

Immigrants vs. Refugees: Understanding the Difference and Why It Matters

Dec 22

Written By Amy King

Immigrants and refugees are often grouped together, but their migration experiences are fundamentally different. These differences shape mental health, family systems, access to resources, and how individuals and communities begin life in a new country.

Understanding these distinctions is essential for educators, clinicians, policymakers, and anyone working with immigrant and refugee communities.

Why the Difference Between Immigrants and Refugees Matters

Migration is frequently framed as “starting over,” but not all starting points are equal. The circumstances surrounding migration — choice versus survival — profoundly affect a person’s psychological, emotional, and relational well-being.

When we overlook these differences, we risk misunderstanding behaviors, mislabeling trauma responses, and offering support that does not meet people where they are.

Who Is Considered an Immigrant?

An immigrant is typically someone who chooses to relocate to another country, often for:

Employment or economic opportunity
Education
Family reunification
Improved quality of life

While immigration can be stressful and involve loss, many immigrants arrive with:

Time to prepare for the move
Some financial or social resources
Transferable education or job skills
Knowledge of the destination country
Established family or community networks

These factors often provide a more stable starting place, even amid adjustment challenges such as discrimination, identity shifts, and intergenerational stress.

Who Is Considered a Refugee?

A refugee is someone who is forced to flee their home country due to:

War or armed conflict
Political persecution
Religious or ethnic violence
Immediate threats to safety or life

Refugees do not migrate by choice — they migrate to survive.

Many refugees arrive with:

Minimal belongings
Limited or no financial resources
Interrupted education or careers
Family separation or loss
Ongoing uncertainty about safety and stability

The migration journey itself often includes exposure to violence, detention, displacement camps, or prolonged insecurity.

The Psychological Impact of Forced Migration

For refugees, loss often begins before migration and continues long after arrival.

Common experiences include:

Grief for loved ones, homes, and communities
Witnessing or surviving violence
Chronic fear and uncertainty
Loss of professional identity and social status

These experiences shape the nervous system and influence how safety, trust, and belonging are experienced in a new country.

Different Starting Places, Different Needs

Both immigrants and refugees rebuild their lives — but they do not begin from the same baseline.

The conditions of migration affect:

Mental health and emotional regulation
Trust in institutions and systems
Parenting styles and attachment
Cultural identity and belonging
Intergenerational trauma and resilience

Behaviors often labeled as “resistance” or “noncompliance” are frequently adaptive survival responses rooted in lived experience.

Mental Health Considerations for Refugees

Research shows refugees are at increased risk for:

Complex trauma and PTSD
Prolonged or ambiguous grief
Depression and anxiety
Survivor’s guilt
Chronic stress responses

Access to mental health care may be limited by language barriers, cultural stigma, financial constraints, or lack of culturally responsive services.

These challenges are not signs of weakness — they are expected outcomes of prolonged adversity.

Why Trauma-Informed Support Matters

Effective support for refugee communities requires:

Trauma-informed and culturally responsive care
Long-term support rather than crisis-only intervention
Recognition of loss alongside resilience
Systems that prioritize dignity, safety, and stability

Healing is not linear, and recovery takes time when safety has been repeatedly disrupted.

Final Thoughts

Understanding the difference between immigrants and refugees is not about comparison or hierarchy. It is about context, equity, and compassion.

Different migration journeys create different starting places — and those starting places matter when it comes to mental health, family systems, and long-term well-being.

Amy King