Category: Cover Story

Fifi Kao reports on the current mental health situation and trends in China

To discuss the mental health trends in China, we first need to consider the three basic generation groups in China today and their upbringing trajectories. Over the past 40 years, China has developed so rapidly that the social contexts – political, economic, educational, and more – for these three groups are entirely different. This makes it difficult for me to simply generalize a “mental health trend” for China as a whole. I have categorized them into the 18+, 40+, and 60+ age groups.

Additionally, I have noticed significant economic disparities among China’s provinces and cities, which also lead to distinct differences in mental health needs.

China’s first-tier cities such as Shanghai, Beijing, Guangzhou, and Shenzhen have large populations, each exceeding 20 million people. These cities feature high population density, a large proportion of migrant populations, high urbanization levels, numerous high-paying jobs, and developed industries like finance, technology, and the internet. They boast high GDP, diversified industries, and internationalization. Their infrastructure, including transportation and communication, is advanced, with well-established public services, top-tier schools, and medical institutions. However, housing prices and living costs are high.

Second-tier cities have permanent populations ranging from 10 to 20 million, such as Chengdu, Chongqing, Hangzhou, and Wuhan. These cities experience rapid population growth and economic development, attracting large numbers of people from within the province and surrounding areas. However, the concentration of high-paying jobs and industries is not as strong as in first-tier cities. The cost of living is approximately 30-50% lower than in first-tier cities.

Third-tier and below cities have smaller populations, typically between 1 and 5 million. Population growth is slow, and these cities face issues of population outflow. Their economic structures are less diversified, income levels are lower, and the cost of living is about 10-20% of that in first-tier cities.

For the purposes of this discussion, I will focus on first- and second-tier cities as representatives.

60+ Population
Addressing Loneliness, Cognitive Decline,
and Late-Life Adaptation

In China’s first- and second-tier cities, individuals aged 60 and above were born between the 1940s and 1960s, a time when China was still impoverished and underdeveloped. Their childhoods were marked by material scarcity, which shaped them into hardworking, resilient, and competitive individuals who value collectivism and communal living.

Most of them grew up in traditional Chinese family structures – extended families with four generations under one roof. They typically have two or more siblings, sometimes even four to six, and enjoy frequent family gatherings. They place less emphasis on personal privacy and are willing to share all aspects of family and work life.

As the generation that benefited the most from China’s reform and opening-up policies, the majority of 60+ individuals in first-and second-tier cities enjoy relatively secure retirement pensions. Many purchased their own homes two decades ago when property prices were only a tenth of what they are today, leaving them free of bank debt or loans. Most have one or two children (the one-child policy was implemented from the early 1980s). Community canteens provide healthy daily meals, and community hospitals offer basic health support and social assistance.

As a result, they are less likely to experience social isolation compared to their Western counterparts. On the contrary, as long as they are in relatively good health, they tend to be cheerful and optimistic. In fact, they are arguably the demographic with the best mental health in China today. The material hardships of their childhoods have made them deeply appreciative of their current comfortable lifestyles, and they are willing to approach their later years with a positive attitude.

Key Issues Faced by the 60+ Population:

• Psychological stress due to identity shifts after retirement and declining physical functions.
• Increased loneliness caused by friends or relatives falling ill, the loss of a spouse, or children leaving home (especially in single-child families).
• Widespread concerns about chronic illnesses, cognitive decline, and dementia.

Mental Health Trends for the 60+ Population: Strengthening Social Connections

• Enhancing social connections through community activities, online social platforms, and volunteer work.
• Early intervention for chronic diseases and cognitive decline through exercise, outdoor activities, cognitive training, and healthy lifestyles.
• Retirement planning, group travel, and mindfulness practices such as Buddhist meditation at temples.

40+ Population
The Sandwich Generation Navigating Career Burnout,
with Family Pressure and Health Anxiety

After China’s reform and opening-up in 1978, the economy began to grow rapidly. The 40+ population (those born in the late 1960s to early 1980s) witnessed the country’s transition from a planned economy to a market-influenced economy during their formative years. Their living standards improved significantly, material conditions became better, educational opportunities increased, and they had more career choices and entrepreneurial opportunities.

Since the 40+ generation was not well-off before their age of 10-15, they observed their parents working hard, saving diligently, and living frugally. As a result, most 40+ individuals still hold the values of the previous generation, which are reflected in their emphasis on family, appreciation for their jobs, careful financial planning, and a strong desire to raise successful children.

Family sizes have shrunk for the 40+ generation, and while resources are more concentrated, the connections between family members have weakened. Most 40+ individuals are only children, meaning they lack siblings and must shoulder greater family responsibilities alone – caring for aging parents while raising their own children. This has led to increased family pressure compared to the previous generation.

As only children, the 40+ generation lacks the emotional support of siblings. They grew up accustomed to solitude, value their privacy, and are less inclined to share personal matters with others. Traditional Chinese education emphasizes maturity and endurance, which further discourages them from openly expressing or sharing their emotions.

Following China’s reform and opening-up, Western cultural influences flooded in, and societal values shifted from uniformity to diversity. The 40+ generation grew up under the dual influence of Chinese and foreign cultures, becoming more open-minded and international. Many had the opportunity to study or work abroad. However, they also face cultural identity conflicts, particularly between traditional and modern values, as well as Eastern and Western ideologies.

The rise of consumerism has brought material abundance, but it has also introduced greater economic pressures. Rising housing prices and the burden of mortgages and car loans have become significant sources of stress in their lives. Since 2022, China’s economic downturn has led to job losses or business closures for some in the 40+ demographic.

As the first generation in China to experience the internet, the 40+ population has seen a dramatic shift in how they access information, broadening their horizons. However, they also face challenges such as information overload and internet addiction.

With higher levels of education compared to their parents’ generation, the 40+ population has a more awakened health consciousness and pays closer attention to their health issues.

Key Issues Faced by the 40+ Population:

• Intense workplace competition, lack of novelty and fulfillment in work, imbalance between work and life, and prolonged high-pressure states.
• Fear of being left behind in a rapidly evolving era, leading to mental stress.
• Economic pressures, including rising living costs and financial responsibilities.
• Mental stress from children’s education, parents’ health, and marital relationships.
• Health anxiety, as they become aware of declining physical functions and the onset of chronic illnesses (e.g., fatty liver, hypertension, diabetes).

Mental Health Trends for the 40+ Population: Diversification, Personalization, and Digitalization, Primarily Aimed at Stress Relief

• Embracing solitude to create more personal time. Having grown accustomed to being alone, the 40+ generation finds relaxation in solo activities such as traveling, photography, exercising, binge-watching shows, scrolling through short videos, and gaming.
• Cultivating personal hobbies for further relaxation and stress relief. Examples include spa treatments, gourmet food, daily exercise, challenging new sports, sunbathing and forest walks, music and art therapy, mindfulness meditation, joyful socializing, pet ownership, and contributing to public welfare.
• Setting boundaries by saying “no” to family and colleagues. Avoiding being overwhelmed by traditional moral responsibilities and overcommitting to family or work duties, while neglecting their own inner needs.
• Accepting imperfections and lowering expectations, embracing the reality of aging and the transition into later life.
• Adopting healthy lifestyle habits to improve mental well-being: maintaining a balanced diet, engaging in moderate exercise, ensuring adequate sleep, quitting smoking and limiting alcohol, and learning to manage chronic illnesses.

18+ Population
Living in China’s Most Materially Abundant Era,
Yet Maybe the Most Spiritually Lost Generation

China’s 18+ population (those born in the late 1980s and early 2000s) grew up during a period of rapid economic growth. While material living standards have significantly improved, they also face greater competitive pressures.

China’s education system, from elementary school to university, is highly competitive, with the college entrance exam (Gao Kao) being a particularly intense source of stress. The increasing number of university graduates has led to fierce competition in the job market, with many facing the dilemma of “graduating into unemployment.” Workplace competition is intense, and career development bottlenecks and uncertainties are on the rise.

Most of the 18+ generation are the only one child in their family, bearing higher family expectations. Having grown up overly reliant on the previous two generations, the 18+ population often lacks independent living skills, financial awareness, and clear life goals or future plans. In terms of interpersonal relationships, as the second generation of only children in a collapsed extended family system, they have poor social skills and struggle with handling relationships. As adults, they are prone to workplace conflicts and often resign quickly under pressure after setbacks.

However, housing prices and living costs in first-and second-tier cities have skyrocketed, while wages have largely stagnated.

Rates of non-marriage and divorce are rising. The number of people unwilling to socialize and opting to stay at home is increasing. Many spend over six hours a day on electronic devices, lead sedentary lifestyles, and have irregular eating habits, leading to a rise in chronic illnesses among the young (e.g., obesity, hypertension).

As digital natives, they have been exposed to the internet and social media from a young age, making digital life the norm. Online learning, remote work, and virtual socializing have become commonplace. However, the “perfect life” showcased on social media fosters comparison and feelings of inadequacy, while information overload and fake news create confusion and anxiety. Internet addiction is also a growing issue.

The 18+ generation is more willing to pay for experiences, seeking personalized and unique experiences rather than merely material possessions. They participate in immersive entertainment activities (e.g., script murder games, escape rooms, VR experiences), opt for in-depth travel, cultural experiences, or adventure activities, and attend music festivals, art exhibitions, and cultural markets. They pursue niche cultural experiences (e.g., indie music, independent films, underground culture) that differ from those of previous generations, choose customized products or services (e.g., tailored clothing, jewelry, travel itineraries), and express their personal style through niche brands or handmade goods.

Influenced by both Chinese and foreign cultures, globalization, and cultural diversity, their thinking is more open-minded. However, unlike the previous two generations’ admiration for Western culture, the 18+ generation has a stronger sense of cultural identity with China. They support domestic brands, engage with traditional culture (e.g., Chinese traditional dress, Tea Ceremonies, Calligraphy, Traditional Chinese Medicine), and participate in cultural activities celebrating Chinese trends (e.g., Chinese traditional music festivals, traditional culture exhibitions etc ).

Key Issues Faced by the 18+ Population:

• Loneliness, anxiety, declining self-esteem, depression, and self-doubt.
• Social anxiety, emotional suppression, and difficulty building deep interpersonal relationships.
• Difficulty focusing and maintaining attention.
• Career burnout and uncertainty about the future.
• Economic anxiety and a lack of security about the future.
• Low mood, health anxiety, and physical discomfort further affecting mental state.

Mental Health Trends for the 18+ Population: “Who Am I, and What Is My Purpose in This World?”

• Embracing “homebody culture” and home-centered living: Creating a comfortable home environment with a focus on interior design and smart devices. Enjoying solitude or small-scale social interactions. Staying indoors to binge-watch shows, play games, or watch live streams, while relying on food delivery and online shopping to meet daily needs.
• Choosing to “lie flat” or “resist involution” to counter societal pressures: Adopting minimalism, reducing material desires, and cutting unnecessary consumption. Rejecting excessive competition and seeking inner peace through low-stress lifestyles. Supporting environmental sustainability and participating in second-hand trading or the sharing economy.
• Interest-driven lifestyles: Joining various interest groups or communities (e.g., photography, cycling, script murder games, esports). Learning new skills (e.g., programming, painting, music, cooking) and exploring the world through travel, camping, or hiking.
• Pursuing diversified career development: Taking on multiple jobs or side hustles (e.g., freelancing, part-time work). Building personal brands through social media and seeking career freedom and a sense of achievement.
• Health and fitness craze: Regularly going to the gym or attending yoga and Pilates classes. Focusing on healthy diets, trying vegetarian, light meals, or customized nutrition plans. Using health apps to track exercise, sleep, and dietary data. Relieving stress through spa treatments, aromatherapy, meditation, and mindfulness practices.
• Using social media to showcase life, gain inspiration, and build networks: Participating in online challenges, topic discussions, and virtual community activities.
• Pets as important companions and emotional support: Owning pets and spending on their needs (e.g., food, medical care, grooming). Engaging in pet community activities and sharing pet care experiences.

Using landscapes as the musical score, onsen as the strings,
anime as the lyrics, and cuisine as the rhythm

Japan is a country whose natural landscapes possess a profound healing beauty, rooted in its unique geography, deep cultural traditions, and reverence for nature. From the snowy plains of Hokkaido to the azure coasts of Okinawa, from the majestic silhouette of Mount Fuji to the primeval forests of Yakushima, Japan’s diverse terrain offers not only visual splendor but also spiritual tranquility and solace.

The Japanese people’s sensitivity and appreciation for the changing seasons make nature an integral part of life. The fleeting yet breathtaking cherry blossoms in spring draw crowds who gather under the trees, contemplating the beauty of life’s transience. In autumn, fiery maple leaves set the mountains ablaze, turning every hike into a journey through a living painting. Winter’s serene snowscapes, paired with the rising steam of hot springs, create a uniquely therapeutic experience. This delicate awareness of seasonal shifts transforms nature from mere scenery into a sanctuary for the soul.

Shinto beliefs imbue nature with sacred significance. In Japanese tradition, mountains, forests and waterfalls are seen as dwelling places of the gods. Shrines often nestle within ancient groves, and the path to worship itself becomes a journey of spiritual purification. Places like Nara’s Kasuga Taisha and Kyoto’s Fushimi Inari Taisha seamlessly blend with their natural surroundings, evoking a sense of peace that transcends the mundane.

Hot spring culture is another cornerstone of Japan’s natural healing. The country’s volcanic activity has blessed it with abundant geothermal resources, resulting in countless onsen (hot springs) across the land. From Noboribetsu in Hokkaido to Beppu’s “hell springs” in Kyushu, soaking in the mineral-rich waters while surrounded by forests, ocean views, or snowscapes offers complete relaxation for both body and mind. This tradition of “tōji” (hot spring therapy) is not just physical rejuvenation but a ritual of reconnecting with nature.

The concept of “forest bathing” (shinrin-yoku) originated in Japan and has since gained global recognition. Scientific studies confirm that walking through forests and breathing in phytoncides — natural compounds released by trees — can reduce stress and boost immunity. Regions like Nagano and Aomori have designated forest therapy bases, guiding visitors to engage deeply with nature through all five senses. The bamboo groves of Kyoto and the moss-covered gardens of temples like Saihō-ji (Kokedera) offer such exquisite natural beauty that can transport visitors into a meditative state of calm.

Japanese garden artistry further distills nature into contemplative spaces. Zen rock gardens (karesansui) use raked gravel to mimic flowing rivers and moss to symbolize islands, conveying profound meaning through minimalism. Stroll gardens (kaiyū-shiki teien) are designed with winding paths that reveal shifting vistas, encouraging mindful walking as a form of meditation. These gardens are not just visual feasts, but also sanctuaries for inner reflection.

Ironically, Japan’s frequent natural disasters — earthquakes, typhoons — have deepened its people’s reliance on nature’s healing power. The philosophy of “mono no aware,” an appreciation of impermanence, finds beauty in life’s fragility, such as falling cherry petals or melting snow. This worldview teaches acceptance and serenity in the face of change, offering emotional solace.

Whether walking the ancient Kumano Kodo pilgrimage routes, sitting before the stone garden of Ryoan-ji, or soaking in an ocean-view onsen, Japan’s landscapes have an uncanny ability to soothe the soul. Its nature is not just a geographical gift but the culmination of centuries of cultural harmony with the environment. Here, nature is more than scenery — it is a way of life, a timeless force that heals the heart and mind.

Discovering Japan’s natural wonders

Japan’s breathtaking landscapes offer Chinese travelers an unforgettable journey through some of the most stunning natural and cultural sites. From the sacred deer of Nara Park to Hokkaido’s ever-changing beauty and Kamakura’s cinematic seaside charm, each destination promises unique and awe-inspiring experiences.

Nara Park: where nature meets spirituality

Nestled at the foot of Mount Wakakusa in Japan’s ancient capital, Nara Park is a sprawling sanctuary of history and wildlife. Established in 1888 and later designated a National Scenic Spot, this verdant expanse is home to centuries-old temples, tranquil ponds teeming with turtles and carp, and — most famously — over 1,000 freely roaming sika deer.

These gentle creatures, considered sacred messengers of the gods, allow visitors to interact closely, even accepting specially sold “shika senbei” (deer crackers). However, their friendly nature shouldn’t be mistaken for complete docility — approach with care! The park’s timeless beauty, particularly at dawn when mist softens the landscape, makes it a favorite among photographers. Nearby, the UNESCO-listed Tōdai-ji Temple houses the world’s largest bronze Buddha statue, a testament to Nara’s deep spiritual heritage.

Access is effortless: just a 5-minute walk from Kintetsu Nara Station, making it an easy day trip from Osaka.

Hokkaido: A masterpiece of the seasons

Hokkaido’s untamed wilderness transforms dramatically with the seasons, offering nature’s purest spectacle. Near the town of Biei lies the surreal Blue Pond, its waters shifting between turquoise, emerald, and cobalt due to natural minerals from Shirahige Falls. Initially created to prevent volcanic mudflows, this ethereal pool gained global fame as an Apple Mac wallpaper — yet its true magic lies in person, especially in winter when illuminations dance across its frozen surface.

For a deeper immersion into Hokkaido’s wild heart, the Shiretoko Peninsula — a UNESCO World Heritage site — awaits. From spring to autumn, the Shiretoko Five Lakes reflect the rugged landscape like mirrors, while boat cruises reveal brown bears foraging along the shore and whales breaching in the rich seas. Winter brings another wonder: drift ice tours where visitors clad in dry suits walk atop frozen floes, or eagle-watching cruises to spot majestic Steller’s sea eagles soaring overhead.

Kamakura: A living anime dream

Just south of Tokyo, Kamakura blends history with the nostalgic charm of classic anime. Shichirigahama Beach offers one of Japan’s most iconic views — a golden crescent of sand framing Mount Fuji against endless blue horizons (best photographed on clear mornings). A short stroll leads to Kamakurakōkōmae Station, where the vintage Enoshima Electric Railway rattles past in a scene straight from Slam Dunk, blurring the line between memory and reality.

Hop on the train to Enoshima Island, linked to the mainland by a scenic 400-meter bridge. At its center, the Enoshima Sea Candle lighthouse rewards climbers with panoramic views of Fuji, the Pacific, and the Izu Peninsula — a perfect finale to this coastal fairytale.

The sacred ritual of Japanese onsen

Japan’s onsen are far more than simple hot springs — they are living embodiments of the nation’s profound connections to the earth, to history, and to human wellness. These geothermal sanctuaries, scattered across the volcanic archipelago, offer a restorative experience that transcends ordinary relaxation, blending therapeutic benefits with centuries-old cultural traditions.

The practice of onsen bathing traces its origins to the Nara period over a thousand years ago, when the healing properties of mineral-rich waters were first documented. Historic springs like Kusatsu and Arima have welcomed seekers of rejuvenation since ancient times, preserving rituals that continue today. The bathing ceremony begins with purification — a thorough cleansing in shower areas before entering the waters — demonstrating respect for both tradition and fellow bathers.

Japan’s unique geology, shaped by the collision of the Fuji and Kirishima volcanic belts, has created an extraordinary diversity of therapeutic springs. Volcanic zones produce sulfur-rich waters that alleviate skin conditions and arthritis, while bicarbonate springs leave the skin remarkably soft. Chloride springs offer warmth to those suffering from poor circulation, and iron-infused waters — recognizable by their reddish hue — help combat anemia. Each variety possesses distinct mineral compositions that address specific ailments, forming nature’s own apothecary.

Among Japan’s most revered hot spring destinations is Hokkaido’s Noboribetsu Onsen, where waters cascade from the dramatic Jigokudani, or “Hell Valley.” These mineral-rich flows create nine distinct types of therapeutic baths, including milky sulfur pools renowned for their skin-softening properties. Further south in Gunma Prefecture lies Kusatsu Onsen, an iconic hot spring town where sulfuric vapors perfume the air. At its heart, the Yubatake — a steaming emerald reservoir — receives 55°C waters so acidic they are believed to cure numerous ailments. The geothermal liquid travels through wooden channels, cooling gradually while retaining its potent minerals before reaching the baths of local ryokan. No visit is complete without sampling onsen tamago, eggs slow-cooked in these mineral-rich waters.

In modern life, where stress manifests itself with sleepless nights, stiffened muscles, and weary bodies, onsen offer a primal antidote. Unlike artificial remedies, these waters contain no chemical additives — only the earth’s own minerals, perfected over millennia. As bathers immerse themselves in these natural clinics, a profound awareness emerges: the subtle penetration of healing elements through skin, the synchronization of breath with the hot springs’ rhythm, and the gradual surrender to deep, cellular restoration. Here, in the silent communion between body and geothermal waters, true healing begins — not merely of flesh and bone, but of the spirit itself.

Where anime and reality converge

Japanese works of animation create breathtaking universes that transcend mere entertainment, weaving intricate narratives across genres — from adrenaline-fueled adventures and mind-bending mysteries to soul-soothing slice-of-life tales. Through masterful artistry and vibrant visual poetry, these animated worlds become gateways to profound emotional experiences, blurring the lines between fantasy and our shared human condition.

At its core, anime transforms imaginative concepts into deeply moving stories. Take the gentle melancholy of Natsume’s Book of Friends, where a boy’s encounters with spirits drift across the screen like dappled sunlight through maple leaves, offering urban viewers rare moments of tranquility. Contrast this with Detective Conan’s razor-sharp puzzles that ignite our intellectual curiosity, or Crayon Shin-chan’s uproarious yet tender portrayal of childhood that makes audiences worldwide laugh while hugging their own families tighter. Timeless icons like Sailor Moon continue inspiring generations with her message of courage, while Pikachu’s joyful spark has become a universal language of delight. These creations function like Doraemon’s magical doors — whisking us across emotional spectrums where every laugh and tear feels intimately personal.

Behind this technological marvel lies an enduring reverence for craftsmanship. Legendary creators like Hayao Miyazaki still guide pencils across paper with trembling yet determined hands, each stroke infusing scenes with breathtaking vitality. His hand-drawn worlds — where forest spirits dance in sunbeams and enchanted castles drift through clouds — don’t merely depict beauty; they resurrect our dormant sense of wonder. These animations serve as spiritual bridges, reconnecting modern audiences with the purity we often lose in adulthood, all while preserving Japan’s exquisite artistic traditions.

What makes Japanese anime universally irresistible is its multidimensional storytelling power. Complex narratives intertwine with delicate emotional textures, while meticulous artwork frames boundless imagination. This alchemy reflects Japan’s profound aesthetic philosophy, where characters become vessels for timeless human truths — their struggles and triumphs radiating positive energy that transcends cultures. From a teenager’s coming-of-age to epic battles between cosmic forces, these stories spark introspection while entertaining, creating global fandoms that span continents.

The resulting anime culture has revolutionized modern life itself around the world. Comic conventions have evolved into vibrant crossroads of global exchange, where cosplayers’ breathtaking transformations make fantasy tangible, and “itabags” turn everyday accessories into curated art displays. Limited-edition collaborations between anime franchises and luxury brands redefine consumer aesthetics, while neighborhood convenience stores become treasure troves of collectibles. In today’s neon-lit metropolises, anime no longer represents escape — it’s the dynamic interplay between imagination and reality, where the stories we love reshape how we live, connect, and see the world around us.

The art of Japanese cuisine

Japanese cuisine offers a profound sensory experience that transcends mere eating, blending exquisite flavors with artistic presentation into a cultural revelation. From the pristine simplicity of sushi to the comforting depth of ramen, from the refined elegance of kaiseki to the joyful spontaneity of street food, each dish represents a chapter in Japan’s rich culinary narrative.

Sushi stands as Japan’s most iconic gastronomic ambassador, its very name revealing its essence — a harmonious marriage of “su” (vinegar) and “meshi” (rice). This refers to the delicate balance of seasoned rice paired with fresh seafood, vegetables or egg, creating perfect mouthfuls that range from everyday comfort to haute cuisine. The artistry of sushi manifests in various forms: Nigirizushi features hand-pressed rice topped with premium ingredients, Makizushi presents tightly rolled cylinders of flavor, while Chirashizushi offers a vibrant scattering of toppings over rice. Traditionally accompanied by green tea or nutty genmaicha, sushi also finds perfect harmony with sake — crisp and chilled for summer evenings, gently warmed for winter nights.

Ramen represents Japan’s ultimate comfort food, with four foundational broths forming its culinary compass. The clear salinity of shio, the umami depth of shoyu, the hearty richness of miso, and the creamy indulgence of tonkotsu each tell a different story. Regional variations abound, from Sapporo’s butter-enriched miso ramen to Kagoshima’s complex pork-and-seafood tonkotsu. Ramen culture comes with its own rituals — the enthusiastic slurping of noodles isn’t just permitted but encouraged, as it enhances both flavor and texture while cooling the hot broth.

Kaiseki-ryori embodies the pinnacle of Japanese culinary refinement, tracing its origins to Zen monks who placed warm stones in their robes to stave off hunger. What began as simple sustenance evolved through tea ceremony traditions into an exquisite multi-course meditation on seasonality. Each carefully composed dish balances flavor, texture and visual poetry, served on artisanal tableware that complements the food’s aesthetic. While grilled fish, soup and rice form the foundation, unexpected seasonal vegetables and innovative preparations transform the meal into an edible haiku.

In Japan’s cultural symphony, cuisine provides the essential rhythm – the steady beat that connects landscape’s visual melody, onsen’s restorative pauses, and anime’s imaginative lyrics. Together they create a harmonious composition where tradition and innovation dance in perfect balance, inviting all who visit to taste, see and feel the soul of Japan through its most delicious expressions. Every bite becomes not just nourishment, but a profound connection to many centuries past of culinary wisdom and aesthetic philosophy.

By GWI – Wellness Tourism Initiative

W  ellness Tourism globally is estimated to now be worth $651 billion annually and has a forecasted average annual expenditure growth of 16.6% to 2027. The sector provides sustainable benefits to both local, regional and urban economies as well as improving the visitors mental, physical and emotional wellbeing. The GWI Wellness Tourism Initiative team are excited to share some of this year’s trends for you to consider for your destination or wellness travel offering or business.

TREND 1: Wellness holidays with kids – it’s all about child enrichment

Families are increasingly valuing travel experiences that support their child’s wellbeing via education, personal development, and worldview expansion. This trend goes beyond traditional family vacations aimed solely at entertainment, focusing instead on immersive experiences that offer both fun and learning moments.  Programs include creative and hands-on workshops that focus on local traditions and foods, learning about local biodiversity and marine life conservation as well as personal growth elements that expose children to unexpected situations, teaching them to adapt to new environments and overcome challenges.  Gleneagles Hotel in Scotland offers an entire range of outdoor nature-led activities for children while newcomer, Jayasom’s Family Wellness focus includes family counselling, enrichment activities, virtual reality and outdoor wellbeing excursions including a large hydrotherapy space that families can enter together. Austria’s Reiters Finest Family hosts sustainable family wellness holidays in Bad Tatzmannsdorf. This resort features over 125 hectares of outdoor space plus over 400 animals for farm adventures as well as thermal waters, and a health and longevity centre for families to enjoy together. 

TREND 2: Recovery retreats shift their focus from Sport to Burnout

The rise of “recovery” as a trend among individuals with busy lifestyles reflects a broader shift towards prioritizing wellness and self-care in response to the fast-paced, often stressful nature of modern life. This trend encompasses a range of practices, products, and philosophies aimed at helping people recharge, rejuvenate, and heal from the physical and mental stresses of their daily routines. Technology now plays a significant role in this trend, with wearable devices and apps that monitor stress levels, sleep quality, and physical activity to help optimize your downtime. We are also seeing an increased accessibility to methods like photobiomodulation, hyperbaric chambers and red-light therapy which all contribute to improved cell recovery via increased circulation, reduction in inflammation and enhanced performance of normal cells. Urban wellness social clubs like “Remedy Place” in places like California and NYC provide regular support across a variety of recovery modalities. For wellness travellers, the opportunity is there to spend a whole week recharging at dedicated health resorts such as Chenot Weggis Palace in Switzerland with the top technologies on hand to future proof your health and wellbeing. 

TREND 3: In Search of Calm

Mental wellness as a travel trend has been gaining significant traction over the past few years, reflecting a broader societal shift towards valuing mental health and self-care. This trend encapsulates a range of experiences and destinations designed specifically to promote emotional, psychological, and spiritual well-being. This trend is driven by two perspectives, the modern-day pace of life leading to stress and burn out, and a desire for more authentic experiences that created a deeper connection to self. Wellness retreats that integrate yoga, breathwork, meditation and more intensive therapy retreats are leading the industry and continue to be in demand. Equine Therapy is another unique experience that incorporates horses for emotional healing.  Gwinganna Lifestyle Retreat in Australia and NIHI Sumba in Indonesia both offer experiences and retreats connecting with horses for a transformative journey of healing, self-discovery and therapeutic process. Purpose-crafted activities allow participants to gain profound insights into their emotions, communication styles, and behavioural patterns learning to build trust, assert boundaries, and embrace vulnerability. Rewilding retreats that immerse guests into natural settings continue to be popular across the globe for supporting mental wellbeing. Properties like The Dreaming, in the heart of Wales or AroHa in New Zealand help visitors establish a new connection to nature and to oneself.  A weekend of play, curiosity, healing modalities, nature immersion and ceremony all support spiritual and emotional wellbeing. 

TREND 4: The Growing Exploration of Wellness Travel for Men

While wellness travel historically may have been more commonly associated with women, recent data and trends indicate that more men are recognizing the importance of and investing in their holistic well-being. Millennials and Gen Z are at the forefront, advocating for a more integrated approach to wellness and also destigmatizing mental health issues. The trends show that men are gravitating more towards travel focused on executive health checks, adventure and fitness, but are now also exploring mindfulness, breathwork and meditation retreats to reduce stress and reconnect with themselves. Eleven Experiences, at Deplar Farm in Iceland is an example of an off-grid experience that embodies an adventurous spirit fuelled by a deep connection to extraordinary landscapes of wild tundra of ice, ancient volcanoes and valleys. The experience is complete with Viking saunas and geothermal pools –an experience made exclusively for men. This growing interest is also supported by wellness tourism businesses and destinations developing offerings that appeal to a male demographic, promoting activities and environments where men can feel more comfortable engaging in wellness practices. 

TREND 5: Diagnostic Boom in Wellness Travel  

The rising trend of Diagnostic booms in wellness travel reflects a growing preference for tailored and proactive health approaches among travellers. Many Health and Wellness operators now offer comprehensive diagnostic assessments alongside traditional wellness activities, enhancing the overall visitor experience. At Canyon Ranch in Tucson, Arizona, for example, guests can undergo thorough health evaluations encompassing genetic testing, body composition analysis, and metabolic assessments for a customized wellness journey. Similarly, the new Longevity Spa at Hotel Portrait Milano, provides cutting-edge diagnostics such as DNA testing and Longevity Molecular Profile, complemented by Integrative Wellness solutions and nutrition plans. Another notable example, KEPOS by Goco at Daios Cove in Crete, Greece, features diagnostic services such as Metabolic Biometrics and Epigenetics testing alongside wellness programs and comprehensive spa & wellness offerings. These offerings empower individuals to gain profound insights into their health status and make informed lifestyle choices while indulging in the rejuvenating benefits of travel. As travellers increasingly prioritize preventive healthcare and holistic well-being, the diagnostic booms in wellness travel are set to continue to reshape the tourism industry by seamlessly blending medical expertise with luxury hospitality.

TREND 6: Art and Wellness – The Perfect Pairing  

The emerging trend of Art and Wellness involves a harmonious fusion of creative expression and holistic well-being, offering travellers immersive experiences that nourish both the body and the soul. Destinations and local communities around the world are embracing this trend by integrating art-centric activities and therapies into their wellness offerings. On a global scale, the work of Refik Anadol, a Turkish-American media artist and designer is embedding media arts into architecture worldwide with data and machine intelligence for public art, data sculpture and paintings to create abstract, dream-like environments. The main goal behind these immersive art experiences is to activate as many senses as possible and transport the audience to a simulated reality that would encourage them to step out of their worlds and familiar sensations. In a different realm we see both large Wellness hospitality operators like Como Shambhala Estate in Bali and Miraval in Arizona plus many small artisans and practitioners globally hosting wellness retreats that blend yoga and meditation with artistic workshops encouraging guests to explore their inner creativity as a pathway to self-discovery and relaxation. By integrating art into wellness travel experiences, these destinations provide travellers with enriching opportunities to reconnect with themselves and the world around them, offering a perfect balance of inspiration and rejuvenation. 

TREND 7: Celebrating Cultural Traditions and Healing

Indigenous healing offerings have gained prominence as part of the broader trend towards holistic wellness and the search for authentic, transformative experiences. These experiences draw on the wisdom and practices of indigenous cultures around the world, offering healing techniques that have been developed and passed down through generations. The interest in and drive behind these retreats are linked to an acknowledgement of indigenous healing practices, the holistic approach, and reconnection with the land. Inspirational destinations include Wai Ariki Hot Springs, in Rotorua New Zealand where you can discover the ancient healing methods of the indigenous culture, from the deeply cultural touch of mirri mirri or romi romi massage to the revitalizing power of blessed stones and herbal remedies. Each experience is thoughtfully crafted, incorporating local healers and wellness practitioners, herbal medicine practice and ceremonies that honour the community and the land. As the world becomes increasingly globalized and homogenized, the unique, rooted, and deeply spiritual practices of indigenous cultures offer a powerful counterbalance to other competitive wellness travel offerings.  Asian traditional therapies and medicine are growing in popularity for the wellness traveller across the globe. Traditional Thai, Chinese & Ayurvedic Medicinal offerings encompass rich diagnostic protocols, herbal formulas, and treatment techniques as part of the guest experience.

TREND 8: It’s All About a Good Night’s Sleep

Did you know that 58% of people feel unsatisfied with their sleep based on the Journal of Clinical Sleep Medicine? This has led to sleep tourism now emerging as a trend catering to the growing demand for quality sleep for overall health and well-being. As stress and sleep deprivation become more prevalent, people are seeking ways to improve their sleep. The world-renowned LANS Med Concept combines modern Mayr medicine, traditional naturopathy, the most advanced medical techniques, and is based on the idea that digestive health is critical for wellbeing. The Sleep therapy program begins with a precise diagnosis done with state-of-the-art equipment and a detailed examination of your sleep phases. A dedicated sleep therapist then creates a bespoke sleep program, heavily focused on the gut, relaxation, exercise training, and mental coaching. The RAKxa Integrative wellness retreat in Thailand offers a Thai Deep Sleep & Skin Radiant Therapy, which focuses on enhancing sleep quality and integrating traditional Thai Medicine and CBD oils. At the Longevity Hub By Clinique La Prairie in Bangkok visitors are offered time in the Hyperbaric Oxygen Therapy.  

TREND 9: The Menopause Revolution Hits Wellness Travel

By the end of 2025, according to the North American Menopause society, it’s estimated that approximately 1.1 billion women worldwide will either be experiencing or have already been through menopause. This hormonal transition involves more than 40 different symptoms experienced by women. Women across the globe are now actively engaging in menopause retreats to share and learn from each other and gain support from health and wellbeing experts for their symptoms including brain fog, mood changes, fatigue, joint pain and night sweats, to name just a few.

Large hospitality groups like Six Senses are catering to this segment running a three-day bespoke menopause retreat in Portugal’s Douro Valley. In Australia, the Great Ocean Road Resort has regular Change of Life Retreats providing much-needed time out and wellbeing experiences plus practical information and workshops. At Combe Grove, Bath UK, metabolic health menopause retreats focus on prioritising health, managing symptoms and feeling supported.