China’s middle class is stressed. Can its growing mental health industry lend a helping hand?
- Demand for psychological counselling has increased in China as anxieties mount – and the industry is expanding to meet it
- Worries over economic and social standing are bleeding into interpersonal relationships, professionals say, creating a need for licensed services

In the past few years, psychological counsellor Huang Jing has watched her business thrive.
With any other industry, that would be cause for celebration – China has made private enterprise a priority as it pushes for sustained economic recovery – but a higher demand for mental health services carries other, more troubling implications.
Now, she has expanded to Hangzhou, operating three offices in the Yangtze Delta tech hub.
The rapid growth in businesses like Huang’s, lucrative though it may be, reflects a rise in conditions like anxiety and depression among the public – including the middle class, widely regarded as foundational to China’s economic growth and social progress.
“People cannot help but wonder why the Chinese economy has ground to a halt,” she said. “We’ve seen a sea change in the property market, disillusionment of young people, and, particularly, mountains of pressure from parents: to make money, save money, rigid education [standards] and dim outlooks for their children’s future.”
These phenomena are motivating people to seek psychological therapy and self-help in larger numbers, leading to a tenfold increase in the number of counselling institutions from 2011 to 2020 according to data from Qcc.com, a corporate credit information provider. The number soared by more than 60 per cent year on year in 2022, reaching 30,700.
