By *Dheera Sujan*
*22 September 2010 15:04*
*

20 years of conflict have left scars on the people of Kashmir. Not just the
scars some carry from bullet wounds and tear gas shells but the invisible
scars of dealing with daily fear, insecurity and often unbearable loss.

*
[image: The mental wards of Srinagar hospitals are full]
*The mental wards of Srinagar hospitals are full*

There are only 20 psychiatrists and a handful of clinical psychologists
working in a region of four million souls. And most of them are based in the
capital, Srinagar. That leaves the vast majority of people in the remote
rural areas, stranded.


Dr Arshid is a psychiatrist with the Government Mental Health College in
Srinagar. He says that there’s little data on the rise of mental health
problems in Kashmir since the conflict, but empirical evidence – what he and
his colleagues have witnessed in recent years – points to a definite
increase.

*
Suicide
**
“Kashmir had the lowest suicide rate in India according to one study” he
says. “It was .01% of the population. In fact we didn’t even have a word for
suicide in the Kashmiri language. But now if you visit any hospital in
Srinagar the doctors will tell you that they’re seeing four, five, six
people a day who have attempted it…and the figures state that for every
seven attempts you see and save, there was one successful suicide.”
*

*
Dirty linen
*
Dr Arshid says that the conflict is directly and indirectly responsible for
the increase in suicide, depression, psychosis and drug abuse. “We used to
have a society where women would go to the river to wash their clothes – and
there they would wash all the dirty linen. They would talk about their
problems in the family and society, and together the women would suggest
solutions and support each other. But now the conflict means that no one
trusts each other anymore.”

   - [image: Dr
Arshid]<http://cdn.radionetherlands.nl/data/files/images/IMG_5576.jpg>
   - *              Dr Arshid*



Dr Muzaffer Khan is clearly tired. He left his house on the outskirts of
Srinagar at 5 a.m. to try to get to the city before the curfew. For three
months now, Kashmir has been shut down because of the curfews enforced by
the security forces, and Dr Khan was worried about the patients he has not
been able to see. It’s late afternoon, but since his dawn breakfast, he’s
not had time to eat. He rushed from his private practice to the drug
addiction clinic where he works and then drove 15 kilometres out of Srinagar
for a group counselling session at the Shehjar boarding house for orphan
boys.

*
Boys home
*
One of the boys at the session was seven-year-old Aurangzeb. He was five
when his father was poisoned by a woman from his village, for being a police
informer. In a small, timid voice, Aurangzeb told the doctor that when he
grew up, he was going to kill the woman who killed his father. But for now,
he settles for just beating up her children every time he visits his family
in the village.

When I ask the doctor to try to guess how many people in Kashmir have mental
issues because of the conflict, he turns his melancholic eyes to me and
answers instantly, “almost all of them.”

“Even you?” I ask. ”Yes, even me, my colleagues, friends, family – we all
have things we’ve seen and experience which come back every time we witness
more violence here.”

*Source URL*: http://www.rnw.nl/article/invisible-scars-kashmir


   - *
   *

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