The fifth annual Mind Health Report, based on an Ipsos survey of more than 1,400 expats across 16 countries, shows that younger adults are far more likely to report poor mental health than their older peers – and are also driving the adoption of artificial intelligence (AI) and digital tools in managing wellbeing.

According to the findings, nearly three-quarters of 18–24-year-old expats and two-thirds of 25–34-year-olds reported moderate to extremely severe anxiety, stress, or depression. By contrast, only 33% of over-55s reported moderate to severe stress in the past year. Younger expats were also twice as likely as older ones to experience moderate to severe symptoms overall (70% versus 35%).

Digital life emerged as both a help and a hindrance. Over half (51%) of younger expats said social media and digital devices negatively affected their mental health, while 47% cited constant exposure to negative news. Yet 66% said they would use, or already had used, AI virtual therapists, compared with far fewer older expats. Younger adults are also more likely to consult psychiatrists or specialists, while older expats tend to favour GPs.

“The findings reveal a clear generational divide in how expats experience and manage their mental wellbeing,” said Xavier Lestrade, CEO of AXA Health International. “Younger adults are far more open in acknowledging challenges and seeking support, while older generations often report fewer issues and tend to rely on more traditional pathways.”

Virginie Faucon, Global Head of Marketing and Brand at AXA Global Healthcare, added: “Younger expats are driving the use of AI and digital tools … but these work best as a complement – not a replacement – for expert, human-led care.”

The ITIJ team recently spoke to experts about how the industry was adapting to offer inclusive, culturally sensitive services that address the unique needs of a diverse student population.