Culture Shock in China cs en the author reflects on the different stages of the culture shock she experienced when moving to China. Assumption

Behavioural shifts	Acculturative stress
Psychological disturbances
over sensitivity inactivity fretfulness imbalance	feeling of "I can’t make it!" insomnia exhaustion fits of rage the feeling of helplessness	excessive hand washing and concern about hygiene fear of physical contact with others mental absence excessive fear of to be robbed or hurt.

Tab. 1: Possible symptoms of culture shock.
Consequences of these symptoms can be over reaction with small physical symptoms such as pain or skin irritations, abuse of alcohol or drugs, or also strong feelings of homesickness.
Nearly everybody who spent a certain time in another culture experienced some behaviour changes described above. Most experiences also some the symptoms of acculturative stress. In rare cases the culture shock leads to serious psychological disturbances.