Mar 05, 2024 | Dr. Attia Altaf

The Cost of Living Crisis: Coping with Financial Anxiety in Pakistan

Pakistani family worried about electricity bills and inflation

"I wake up in the middle of the night thinking about the electricity bill." This is no longer just a complaint; it is a symptom of a national mental health crisis. With inflation soaring, providing for a family in Pakistan has become a source of non-stop adrenaline and fear.

Financial Anxiety is distinct from general anxiety. It is rooted in a very real, tangible threat: survival. However, when your brain stays in "survival mode" 24/7, your ability to actually solve problems decreases.

The Silent Burden on Men

In our culture, men are taught that their only value is as a "provider." When the economy falters, they often suffer in silence, leading to sudden rage outbursts, heart issues, and severe depression.

What Can You Control?

You cannot control the dollar rate. You cannot control the price of petrol. Focusing on these things leads to learned helplessness.

To regain your sanity, you must shrink your focus to what is inside your control:

Reframing "Scarcity Mindset"

When we are scared, we hoard. We stop being generous. We stop connecting. But isolation makes anxiety worse. Even in tough times, sharing a simple meal or tea with neighbors creates a "community safety net" that money cannot buy.

Actionable Tip: The "Worry Window"

If you worry about money all day, you will burn out. Try this:

Set a specific time (e.g., 5:00 PM to 5:30 PM) to look at your bills, calculate your budget, and worry as much as you want. When the time is up, close the notebook. Tell yourself: "I have done the work for today. Worrying more will not print money."

Feeling crushed by the pressure?

Therapy for anxiety and stress management can help you cope with financial pressures in Pakistan. Book a session today.

Book a Stress Management Session

Also Read

→ Stress Therapy & Burnout: A Survival Guide for Professionals → Therapy for Anxiety in Pakistan: Symptoms, Stigma & CBT Help → Cognitive Behavioral Therapy for Anxiety: A Complete Guide → View Stress Therapy & Counseling Services

Frequently Asked Questions

Is financial anxiety a recognised mental health condition?

Financial anxiety is not a standalone DSM diagnosis, but it is a well-recognised and clinically significant presentation of Generalised Anxiety Disorder (GAD) or Adjustment Disorder with anxious mood — both of which are formal mental health conditions. The financial stressors facing Pakistani families (inflation, job insecurity, rising utility bills) have made financial anxiety one of the most common presentations in therapy in recent years.

How does therapy for anxiety help with financial stress?

Therapy for anxiety addresses financial stress by: (1) breaking the "worry spiral" — where anxiety about money prevents you from taking action; (2) challenging catastrophic thoughts ("We will lose everything"); (3) building coping strategies for uncertainty; and (4) improving communication between partners about money, which is a leading cause of marital conflict. CBT is the most evidence-based therapy for anxiety, including financial anxiety.

What is stress therapy and can it help with Pakistan's cost of living crisis?

Stress therapy is professional counseling focused on building resilience and coping strategies for chronic stress. For the cost of living crisis in Pakistan, stress therapy helps you: control your reaction to uncontrollable events, protect your relationships from financial friction, reduce the physical health impact of chronic worry, and regain a sense of agency when external circumstances feel overwhelming.

Can financial stress cause serious mental health conditions?

Yes. Prolonged financial stress is strongly linked to clinical depression, anxiety disorders, and even cardiovascular problems. Men in Pakistan are particularly at risk due to cultural pressure to be the sole provider — they often suffer in silence, leading to sudden emotional breakdowns. Early intervention with stress therapy or counseling can prevent financial anxiety from developing into a more serious mental health condition.