Afghan women in mental health crisis over bleak future

Dr Amal tells us she received 170 calls for help within two days of the announcement that women would be banned from universities. Now she gets roughly seven to 10 new calls for help every day. Most of her patients are girls and young women.

Trigger warning: Suicide content

In Afghanistan’s deeply patriarchal society, one worn out by four decades of war, the UN estimates that one in two people - most of them women - suffered from psychological distress even before the Taliban takeover in 2021. But experts have told the BBC that things are now worse than ever before because of the Taliban government’s clampdown on women’s freedoms, and the economic crisis in the country.

It’s extremely hard to get people to talk about suicide, but six families have agreed to tell us their stories.

“The Taliban closed universities for women, so I lost my job. I used to be the breadwinner of my family. And now I can’t bear the expenses. That really affected me,” she says. “Because I was forced to stay at home, I was being pressured to get married. All the plans I had for my future were shattered. I felt totally disoriented, with no goals or hope, and that’s why I tried to end my life.”

“The situation is catastrophic and critical. But we are not allowed to record or access suicide statistics. I can definitely say though that you can barely find someone who is not suffering from a mental illness,” says Dr Shaan, a psychiatrist who works at a public hospital in Afghanistan.

“Staying at home without an education or a future, it makes me feels ridiculous. I feel exhausted and indifferent to everything. It’s like nothing matters anymore,” a teenage girl tells us, tears rolling down her face

Psychologist Dr Amal says that while women have been hit harder, men are also affected.

“In Afghanistan, as a man, you are brought up to believe that you should be powerful,” she says. "But right now Afghan men can’t raise their voice. They can’t provide financially for their families. It really affects them.

“And unfortunately, when men have suicidal thoughts, they are more likely to succeed in their attempts than women because of how they plan them.”

In such an environment, we ask, what advice does she give her patients?

“The best way of helping others or yourself is not isolating yourself. You can go and talk to your friends, go and see your neighbours, form a support team for yourself, for instance your mother, father, siblings or friends,” she says.

“I ask them who’s your role model. For instance, if Nelson Mandela is someone you look up to, he spent 26 years in jail, but because of his values, he survived and did something for people. So that’s how I try to give them hope and resilience.”

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Heartbreaking to read about the challenges Afghan women are facing. The impact on mental health, especially with the closure of universities and restrictions on women’s freedoms, is deeply distressing

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