The mental toll of war

The mental toll of war

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The Kabul Mental Health Hospital, a green-walled building on the outskirts of the city, is Afghanistan’s only facility for treating mental illness.

It has its work cut out for it. The war in Afghanistan has left many people psychologically damaged by their exposure to incessant conflict, in a country where the public health system has been wrecked by decades of fighting, and the very concept of mental illness is alien to many.

. KABUL, Afghanistan. REUTERS/Adnan Abidi

Ghazia Sadid, a 26-year-old mother, suffered depression for years after a family member was killed in a bomb attack, and she fled her home in fear of more violence.

"I still hear the sounds of explosions. I still remember the fighting, but since I have come here my behaviour has changed," she said, speaking at the Kabul Mental Health Hospital.

"I was totally lost and my life was over. After two years of treatment, now I love my children," she said. "I loved them then too, but in my imagination I had done something wrong."

. KABUL, Afghanistan. REUTERS/Adnan Abidi

Many Afghans are not familiar with the concept of mental illness. Frequently, people suffering psychological disorders, like these patients at the hospital in Kabul, are thought by their families to be under the influence of malign spirits, or showing symptoms of a physical ailment.

But factors that can provoke psychological illness are all around in Afghanistan: fear of suicide bomb attacks, roadside bombs, and the overall level of violence - of which civilians bear the brunt - can lead to anxiety, panic and obsession.

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A patient looks out from his ward at the mental hospital, which has 60 beds for in-patients and another 40 in a separate facility for drug addicts.
. KABUL, Afghanistan. REUTERS/Adnan Abidi

A patient looks out from his ward at the mental hospital, which has 60 beds for in-patients and another 40 in a separate facility for drug addicts.

An employee cleans the corridor of a women's ward.
. KABUL, Afghanistan. REUTERS/Adnan Abidi

An employee cleans the corridor of a women's ward.

A man eats his lunch as he sits beside his son, who is suffering from mental illness. Psychologists working at the Kabul mental hospital say children who have known nothing but fighting since the U.S.-led invasion more than a decade ago are especially vulnerable to mental problems.
. KABUL, Afghanistan. REUTERS/Adnan Abidi

A man eats his lunch as he sits beside his son, who is suffering from mental illness. Psychologists working at the Kabul mental hospital say children who have known nothing but fighting since the U.S.-led invasion more than a decade ago are especially vulnerable to mental problems.

Patients at the hospital receive treatment with drugs, counselling, group therapy and cognitive behavioural therapy.
. KABUL, Afghanistan. REUTERS/Adnan Abidi

Patients at the hospital receive treatment with drugs, counselling, group therapy and cognitive behavioural therapy.

The hospital is run by the government in partnership with U.S.-based nonprofit group the International Medical Corps. The centre gets funding from the European Union.
. KABUL, Afghanistan. REUTERS/Adnan Abidi

The hospital is run by the government in partnership with U.S.-based nonprofit group the International Medical Corps. The centre gets funding from the European Union.

Wrapped in a blanket, a patient huddles outside his ward.
. KABUL, Afghanistan. REUTERS/Adnan Abidi

Wrapped in a blanket, a patient huddles outside his ward.

One patient at the hospital dances in a passageway.
. KABUL, Afghanistan. REUTERS/Adnan Abidi

One patient at the hospital dances in a passageway.

Another patient is seen through a hole in a gate as he sits inside his room.
. KABUL, Afghanistan. REUTERS/Adnan Abidi

Another patient is seen through a hole in a gate as he sits inside his room.