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The battle beneath the skin: Gaza's mental health crisis

The battle beneath the skin: Gaza's mental health patients continue to suffer
5 min read
23 July, 2021
Images of civilian casualties and infrastructure damage dominated the news screens as Gazans attempted to survive Israel's most recent onslaught. Yet, the war has left an indelible, lingering print on Gaza's mental health, with little remedy.

Even prior to the , 27-year-old Mohammed had been suffering from obsessive-compulsive disorder (OCD) and anxiety, conditions he had been diagnosed with in 2018.

"The . At night, the Israeli army used a new strategy, launching 40-50 rockets at a rate of every two to three minutes," he told °®Âþµº.

Over the last three years, Mohammed – who works at a local mini market – had been suffering from OCD irrationally, overthinking thoughts of his mother dying right in front of his eyes, that he would be homeless, that someone would hack his mobile while he was showering and post his nude pictures on the internet, aor that he would shortly be diagnosed with cancer.

So, he resorted to the  "(GCMHP) in 2019.

"A psychiatrist and a psychologist have been helping me since 2019. During 2019 and 2020 they had been , as well as medicine," Mohammed said, "I have made great progress since June 2020."

Psychiatric patients in Gaza suffer from stigma, so they hide their illness.

When Israeli war planes started their airstrikes on Gaza in May this year, .

"Once the war erupted, my mind became again full of obsessions such as Israel would strike our home and my family and I would live in UNRWA schools, my family members would be killed by airstrikes and I would become an orphan," he said. "Whenever I went out of my home to buy something necessary, I would think that I would be targeted. ."

He continues, "Before the war, I used to write my obsessions down on a paper and logically analyse them. Then, I realised they were an illusion and tried to continue my life. I tried to do this many times during the war, but what I found was that almost all of my compulsive ideas were logical as I saw tens of families who did not belong to the ."

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Mohammed was one of the hundreds of .

"The second problem was I could not reach my doctors because GCMHP was closed due to the war. My medicine was about to run out so I went to three local pharmacies to buy it but they refused as I did not have a prescription. Thank goodness! On the last day of the war, I still had two pills left."

As soon as the ceasefire came into effect at 2 am on May 21, Mohammed went to the streets to .

"I was the happiest man in the world when the war ended because I believed my suffering would end," he said. "Now I feel pretty good. My psychiatrist told me that I could recover again quickly as the war-related obsessions will diminish shortly."

Huda (real name withheld) is 37-years-old and has suffered from anxiety since 2019 after she was diagnosed with breast cancer.

 "I have three children and throughout the war, I had been working hard to make them feel safe, despite my anxiety ," Huda said.

". My anxiety reached unprecedented levels during the 11 days to the extent that I just managed to sleep just two to three hours each day," she said, "the worst thing was I, as a mother, could not protect or reassure my children. The only thing I could do for them was to sleep in the same room to die or live with together."

"A mother who has a child in normal conditions faces fears and pressure. There is nothing like Gaza. I am always afraid of wars and worried to lose my kids. The environment here is harsh and we lack the necessities of a decent life. Helplessness and anxiety suffocate me. All I want is no more wars and to live safely," Huda said.

, a psychiatrist, told °®Âþµº that the deteriorating living conditions in Gaza have created a psychologically disturbed generation, causing a flurry of mental illness.

He pointed out that .

"What greatly affected patients was that they could not reach or contact their doctors," Ashour said, "causing many of my patients to relapse. For others, their medicines ran out, so they called me to give them a prescription, but I could not because my clinic was closed due to the war."

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Dr Yehia Khader, the director-general of the Mental Health Department at the health ministry in Gaza, emphasised that psychiatric patients must have a comfortable and safe environment to recover, otherwise, their illness will exacerbate.

"Some patients have relapsed due to the war which caused disorders even to the 'normal' population," he said. "Another reason is some of them could not reach their doctors and others doubled their doses as they could not control their symptoms."

In the coming months, Gaza is going to have more cases of post-traumatic stress disorder, anxiety and depression, Khader concluded.

Ahmed Sammak is a freelance Gaza-based journalist with a bachelor's degree in Media and Mass Communication from Gaza’s Al-Azhar University. Now, he is studying for a Higher Diploma in translation at Gaza’s The Islamic University. Ahmed works as a freelance journalist for Mondoweiss, °®Âþµº, Al-Monitor and Pal-Think Corporation for Strategic Studies.

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