Report reveals scale of mental health crisis among Syrian refugees

Nearly 12 million Syrians are either refugees or internally displaced — more than half of the pre-war population. (Reuters/File)
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Updated 01 March 2021
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Report reveals scale of mental health crisis among Syrian refugees

  • 84% of those surveyed reported experiencing multiple symptoms of PTSD
  • ‘It’s very easy to see the need to fix the tangible damage … but we also need to fix the damage we can’t see,’ expert tells Arab News

LONDON: More than three-quarters of Syrian refugees may be suffering from serious mental health problems caused by their country’s 10-year conflict, according to a new report.

UK charity Syria Relief surveyed hundreds of refugees living in Lebanon, Turkey and Syria’s Idlib province, and found that 84 percent of people had at least seven out of 15 key symptoms of post-traumatic stress disorder (PTSD).

People suffering from PTSD, which is usually caused by witnessing or experiencing traumatic events, experience a range of symptoms including panic attacks and anxiety, and it often comes hand in hand with other mental health problems such as depression.

Despite the sky-high rates of PTSD, Syria Relief said accessing professional medical help is difficult, if not impossible, for many refugees.

Only 15 percent of refugees in Lebanon believe there is some mental health support available, and for internally displaced Syrians in Idlib that figure drops to just 1 percent.

One respondent to the survey, Ahmed, was hit by a government airstrike and trapped inside a destroyed building for 12 hours before being rescued.

“We could only see dust and darkness. We remained trapped under the rubble, in the cold for 12 hours until the Syrian Civil Defence (the White Helmets) freed us,” he said.

“What we saw, it cannot be described. The sound of aircrafts was so terrifying. I am, and I always will be, so scared of that sound, even after a hundred years. My fear has become my obsession,” he added.

“Whilst I received medical help, psychologically no one has taken care of me. I don’t even know if there is any mental health support for people like me, or even for people in a worse mental health condition than me.”

Charles Lawley, the report’s author and head of communications at Syria Relief, told Arab News: “There needs to be a change of attitudes toward mental health. It’s very easy to see the need to fix the tangible damage — broken buildings and bodies — but we also need to fix the damage we can’t see.”

He and the team at Syria Relief have urged the international community to “ensure there is funding to meet the psychosocial needs that are bound to result from people becoming victims of conflict and disaster.”

There is a danger that the mental health effects of the conflict on the millions of Syrian refugees could outlast the war itself, Lawley said. 

“One woman I spoke to witnessed her husband being killed in an airstrike on their home, and four months later lost two of her three children in another airstrike. This was six years ago. How is anyone ever going to come to terms with that without the help of a mental health professional?” he added.

“Some of the people I speak to haven’t been inside Syria or an active conflict zone for five, seven, even 10 years, but the symptoms of the trauma from their experiences aren’t healing.”

Nearly 12 million Syrians are either refugees or internally displaced — more than half of the pre-war population.

The conflict began in 2011 when a pro-democracy protest movement was met with brutal force by the Assad regime.


Israel’s settler movement takes victory lap as a sparse outpost becomes a settlement within a month

Updated 21 January 2026
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Israel’s settler movement takes victory lap as a sparse outpost becomes a settlement within a month

  • Smotrich, who has been in charge of Israeli settlement policy for the past three years, has overseen an aggressive construction and expansion binge aimed at dismantling any remaining hopes of establishing a Palestinian state in the occupied West Bank

YATZIV SETTLEMENT, West Bank: Celebratory music blasting from loudspeakers mixed with the sounds of construction, almost drowning out calls to prayer from a mosque in the Palestinian town across this West Bank valley.
Orthodox Jewish women in colorful head coverings, with babies on their hips, shared platters of fresh vegetables as soldiers encircled the hilltop, keeping guard.
The scene Monday reflected the culmination of Israeli settlers’ long campaign to turn this site, overlooking the Palestinian town of Beit Sahour, into a settlement. Over the years, they fended off plans to build a hospital for Palestinian children on the land, always holding tight to the hope the land would one day become theirs.
That moment is now, they say.
Smotrich goes on settlement spree
After two decades of efforts, it took just a month for their new settlement, called “Yatziv,” to go from an unauthorized outpost of a few mobile homes to a fully recognized settlement. Fittingly, the new settlement’s name means “stable” in Hebrew.
“We are standing stable here in Israel,” Finance Minister and settler leader Bezalel Smotrich told The Associated Press at Monday’s inauguration ceremony. “We’re going to be here forever. We will never establish a Palestinian state here.”
With leaders like Smotrich holding key positions in Israel’s government and establishing close ties with the Trump administration, settlers are feeling the wind at their backs.
Smotrich, who has been in charge of Israeli settlement policy for the past three years, has overseen an aggressive construction and expansion binge aimed at dismantling any remaining hopes of establishing a Palestinian state in the occupied West Bank.
While most of the world considers the settlements illegal, their impact on the ground is clear, with Palestinians saying the ever-expanding construction hems them in and makes it nearly impossible to establish a viable independent state. The Palestinians seek the West Bank, captured by Israel in 1967, as part of a future state.
With Netanyahu and Trump, settlers feel emboldened
Settlers had long set their sights on the hilltop, thanks to its position in a line of settlements surrounding Jerusalem and because they said it was significant to Jewish history. But they put up the boxy prefab homes in November because days earlier, Palestinian attackers had stabbed an Israeli to death at a nearby junction.
The attack created an impetus to justify the settlement, the local settlement council chair, Yaron Rosenthal, told AP. With the election of Israel’s far-right government in late 2022, Trump’s return to office last year and the November attack, conditions were ripe for settlers to make their move, Rosenthal said.
“We understood that there was an opportunity,” he said. “But we didn’t know it would happen so quickly.”
“Now there is the right political constellation for this to happen.”
Smotrich announced approval of the outpost, along with 18 others, on Dec. 21. That capped 20 years of effort, said Nadia Matar, a settler activist.
“Shdema was nearly lost to us,” said Matar, using the name of an Israeli military base at the site. “What prevented that outcome was perseverance.”
Back in 2006, settlers were infuriated upon hearing that Israel’s government was in talks with the US to build a Palestinian children’s hospital on the land, said Hagit Ofran, a director at Peace Now, an anti-settlement watchdog group, especially as the US Agency for International Development was funding a “peace park” at the base of the hill.
The mayor of Beit Sahour urged the US Consulate to pressure Israel to begin hospital construction, while settlers began weekly demonstrations at the site calling on Israel to quash the project, according to consulate files obtained through WikiLeaks.
It was “interesting” that settlers had “no religious, legal, or ... security claim to that land,” wrote consulate staffer Matt Fuller at the time, in an email he shared with the AP. “They just don’t want the Palestinians to have it — and for a hospital no less — a hospital that would mean fewer permits for entry to Jerusalem for treatment.”
The hospital was never built. The site was converted into a military base after the Netanyahu government came to power in 2009. From there, settlers quickly established a foothold by creating makeshift cultural center at the site, putting on lectures, readings and exhibits
Speaking to the AP, Ehud Olmert, the Israeli prime minister at the time the hospital was under discussion, said that was the tipping point.
“Once it is military installation, it is easier than to change its status into a new outpost, a new settlement and so on,” he said.
Olmert said Netanyahu — who has served as prime minister nearly uninterrupted since then — was “committed to entirely different political directions from the ones that I had,” he said. “They didn’t think about cooperation with the Palestinians.”
Palestinians say the land is theirs
The continued legalization of settlements and spiking settler violence — which rose by 27 percent in 2025, according to Israel’s military — have cemented a fearful status quo for West Bank Palestinians.
The land now home to Yatziv was originally owned by Palestinians from Beit Sahour, said the town’s mayor, Elias Isseid.
“These lands have been owned by families from Beit Sahour since ancient times,” he said.
Isseid worries more land loss is to come. Yatziv is the latest in a line of Israeli settlements to pop up around Beit Sahour, all of which are connected by a main highway that runs to Jerusalem without entering Palestinian villages. The new settlement “poses a great danger to our children, our families,” he said.
A bypass road, complete with a new yellow gate, climbs up to Yatziv. The peace park stands empty.