A shy boy named Ismail Abu Shebab,11-year-old taking a break from school, opened his mouth to speak – but the overhead roar of Israeli warplanes made his words nearly inaudible.
As the aircraft came closer, Abu Shebab grew silent.
UpFront – Reality Check: Gaza is still occupied
“I’m ready to talk,” he said after a few moments.
Abu Shebab suffers from post-traumatic stress disorder (PTSD) as a result of Israeli bombing during the 2014 Gaza war.
“We were on the street, and there was an explosion that destroyed a house. I was hurt, and my brother died,” Abu Shebab explained. Shortly afterwards, he began to suffer from a nervous tic, panic attacks and bed-wetting.
PTSD is nothing new for the children of Gaza. Anyone born there in or before 2008 has experienced three Israeli wars, and a 2014 study published in the Arab Journal of Psychology found that 92 percent of Gaza Palestinians between the ages of 13 and 18 showed symptoms of the disorder.
For Abu Shebab and others living in the southern area of the Gaza Strip, the bombing did not stop, even after the end of Israel’s 2014 assault.
Armed groups in the neighbouring Sinai Peninsula launched a new round of fighting in 2011, which intensified after the 2013 military ouster of democratically elected Egyptian President Mohamed Morsi. In response, the Egyptian military under President Abdel Fattah el-Sisi ramped up operations near Rafah, which has included bombings and the flooding of smuggling tunnels.
Like others his age, Abu Shehab likes swimming, and said one of his favourite activities is going to the beach with friends. Abu Shebab showed a picture he drew during a therapy session to deal with his PTSD, a scene of a tranquil home with a toppled Palestinian flag. Suddenly, the thudding sound of Egyptian artillery came from the south.
“The border with Israel is five kilometres away; the Egyptian border is only two kilometres from here,” Anwar Abu Shebab, Ismail’s father and a Palestinian Authority security officer, told. “It’s very difficult. My son has no rest.”
Osama Frima is a clinical psychologist at the Community Mental Health Programme (CMHP) in nearby Khan Younis, where Abu Shebab is being treated. He said there are more than 100 cases of children with PTSD and other mental health issues being treated at his clinic alone.
“The trauma these children have is deep, and it’s getting worse,” Frima explained. “Hearing the Israeli warplanes and the bombs from Egypt renews the feeling of war.”
Treating children with PTSD and other psychological conditions is already difficult, he said, without the complications presented by life in war-torn Gaza.
“It’s an experience they don’t want, and its effects are more powerful than they are,” he told the repoter. “We try to find the good in their lives, to give them the strength to overcome.” The CMHP uses a wide variety of techniques to deal with the anxiety disorder, including behavioural therapy, family counselling and the arts.
In Frima’s opinion, creative activities are the best way to deal with the lack of desire to speak, which is common among young people with PTSD. “Drawing is one of the best ways to communicate with a child. It gives them a way to express themselves without fear,” he said, noting that drawings are also a way of showing the child’s progress with PTSD.
Often, the children first create images depicting death and destruction, but as sessions continue, they morph into tranquil landscapes and familial scenes. However, this does not mean that a peaceful home awaits them, or that their condition has been cured. “They’re under ongoing distress. There’s pressure from the occupation, siege and widespread poverty,” Frima said.
“Everyone in Gaza must struggle to find money, to find food,” said Frima. “There’s pressure from the parents; they lack hope. It’s hard to grow up in a home without hope.”
Source: Al Jazeera