Cultural shock and cultural stress occur when moving to a new culture. Cultural shock is anxiety from losing familiar cultural signs and symbols, while cultural stress is stress from adjusting to a new way of living. Physical symptoms include fatigue and appetite changes, and psychosocial symptoms include loneliness, homesickness, and loss of identity. Greater differences in personality, values, and communication between one's home and host culture lead to greater stress. Cures include accepting the host culture, recognizing cultural stress as normal, taking breaks, and maintaining one's identity despite acculturation. When arriving in Germany, common stresses are the language barrier, adherence to strict cultural etiquette like punctuality, and differences in communication styles which can seem direct or emotionally reserved