Palestine: The invisible mental health crisis plaguing the West Bank

“I realized that I was breaking”: The West Bank’s invisible mental health crisis

Itab, 9, was injured in a landmine explosion close to Hebron. Her father Nahar says, "[Itab] has nightmares because of the power and shock of the explosion. After the explosion, Itab is not like before. She was laughing and playing before, but now her psychological situation is not ok.”
Palestinian Territories 2019 © Juan Carlos Tomasi
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Doctors Without Borders/Médecins Sans Frontières (MSF) offers mental health consultations in the city of Hebron, in the occupied West Bank, where Palestinian civilians experience frequent abuses: the demolition of their homes, arbitrary detention, and systematic attacks by Israeli settlers with the tacit support of the Israeli army. As well as suffering physical injuries, men, women, and especially children bear significant long-term mental health impacts from these routine occurrences.

Rahaf, 14, has experienced severe psychosomatic symptoms such as insomnia and trembling hands for the past two years following the arrest and detention of her father and three brothers. “We were sleeping, and we woke up to find them standing over our heads,” she says of the Israeli army, who have routinely raided the family home for as long as she can remember. “In one month, they raided the house twice.”

Palestine: The invisible mental health crisis plaguing the West Bank
Rahaf has experienced insomnia and trembling hands for the past two years.
Palestinian Territories 2019 © Juan Carlos Tomasi

Rahaf’s breaking point came when they detained her fourth brother, Hamzeh, while he was at work. “I never thought they would take Hamzeh,” she says. “When they detained him he was at work at the gas station. There was a video recording, and we saw them beating him. We didn’t hear anything about him until they brought him home 60 days later.”

Palestine: The invisible mental health crisis plaguing the West Bank
A child sits on a bike near Hebron.
Palestinian Territories 2019 © Juan Carlos Tomasi

Rahaf’s is a familiar story. Palestinians across the West Bank, and in particular in Hebron, suffer similar experiences every day. Some are persecuted by Israeli settlers seeking to establish ownership over the land, while others receive notice that their homes will be demolished. Some witness the demolitions, while others enter into legal battles that can last years.

Together, these experiences create an environment of constant instability, anxiety, and stress, which can take a serious toll on mental health. Children, in particular, are vulnerable to long-term mental health issues as a result of witnessing or suffering traumatic events. From February to July 2019, MSF reached 8,145 people with mental health services, of whom more than 60 percent were children. Our project continues to expand, seeking to provide services to as many of those affected as possible.

Raghda, a mother of six, is familiar with this toll. She has been fighting a demolition order issued for the house that she shares with two of her children for the past 11 years. She finally sought psychological help from MSF in 2014, when her 12-year-old son was detained by the Israeli military and imprisoned for six months. She breaks down in tears as she recounts this episode, describing the impact that it had on her and her children.

“I am not the kind of person who normally shows sadness, but because of everything I went through, I began to cry in front of them. I was not like this before. When I reached this point, I recognized that I was breaking. I am not an aggressive person who hits children, so I started to break plates and glasses. I felt that I was letting my anger out by breaking these things, instead of hurting my children or myself.”

Palestine: The invisible mental health crisis plaguing the West Bank
For years, Fatima, a mother and grandmother, has been coping with attacks and harassment from nearby settlers, who wish to establish ownership over the land. This has resulted in long-term mental health issues for her entire family.
Palestinian Territories 2019 © Juan Carlos Tomasi

The mental health issues that arise in response to traumatic events like those suffered by Ragha can lead to a prolonged sense of frustration that can lead to the breakdown of families and communities. In Hebron, MSF works to counter the worst impacts of mental health issues connected to the occupation by offering free psychological support by trained mental health workers to those who present with symptoms such as nightmares or trembling.

Palestine: The invisible mental health crisis plaguing the West Bank
MSF psychosocial worker Abu Firas in Hebron.
Palestinian Territories 2019 © Juan Carlos Tomasi

Abu Firas is one of the MSF psychosocial workers in Hebron who supports families showing symptoms of mental health issues. He has worked at the Hebron project with MSF for nearly 20 years:

“You can imagine what the response of a mother or a father might be when they witness the demolition of their house. People suffer from stress, anxiety, sleeping problems; they feel all the time that their lives are threatened, they have no vision of the future, they are always frustrated and hopeless,” he says.

“Our role as psychological social workers is to help people get back to normal and introduce them to the resources they have. Some return to their universities or schools, and some return to work and support their families. For me, this is an achievement.”