The massive outflow of Nepalese as a part of their living strategy is a quite recent phenomenon; scholars have often associated such migration either with the internal conflict that started in 1996 or global economic liberalization towards the end of the century. It was in this decade the six countries of the Gulf Cooperation Council (GCC) and Malaysia became major destinations for migrant workers. Given the nature of acute adversities that Nepali migrant workers like those moving out from developing countries to the developed ones face in these countries, they often experience distress. This study, through sequential mixed method, examined the psychological distress of Nepali migrant returnees from seven major destinations, namely Malaysia, the state of Qatar, the Republic of Korea, the United Arab Emirates, the Kingdom of Bahrain, Israel and Jordan. The findings reveal early return from the destination, visit visa, and less-earning than expenditure as the major causes of distress.