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'We have to care for every soldier, for every civilian': Ukraine faces major mental health challenges as a result of war trauma - The World from PRX
<!DOCTYPE html><html lang="en" class="no-js"><head><meta charSet="utf-8"/><meta name="viewport" content="width=device-width"/><title>'We have to care for every soldier, for every civilian': Ukraine faces major mental health challenges as a result of war trauma - The World from PRX</title><meta name="description" content="After nearly 1,000 days, Russia's war against Ukraine is causing mental health issues for soldiers and civilians, including anxiety, panic attacks and PTSD. Ukraine’s Health Ministry estimates that 15 million people will need psychological support in the future."/><link rel="canonical" href="https://theworld.org/stories/2024/10/29/we-have-to-care-for-every-soldier-for-every-civilian-ukraine-faces-major-mental-health-challenges-as-a-result-of-war-trauma"/><meta property="fb:admins" content="16800048"/><meta property="fb:app_id" content="619002999344013"/><meta property="og:site_name" content="The World from PRX"/><meta property="og:type" content="article"/><meta property="og:title" content="'We have to care for every soldier, for every civilian': Ukraine faces major mental health challenges as a result of war trauma - The World from PRX"/><meta property="og:url" content="https://theworld.org/stories/2024/10/29/we-have-to-care-for-every-soldier-for-every-civilian-ukraine-faces-major-mental-health-challenges-as-a-result-of-war-trauma"/><meta property="og:description" content="After nearly 1,000 days, Russia's war against Ukraine is causing mental health issues for soldiers and civilians, including anxiety, panic attacks and PTSD. Ukraine’s Health Ministry estimates that 15 million people will need psychological support in the future."/><meta property="og:image" content="https://media.pri.org/s3fs-public/uploads/2024/10/LEDE-6.jpg"/><meta property="og:image:width" content="1920"/><meta property="og:image:height" content="1080"/><meta name="twitter:account_id" content="24953039"/><meta name="twitter:card" content="summary_large_image"/><link rel="preload" as="image" imageSrcSet="/_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FLEDE-6.jpg&w=370&q=75 370w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FLEDE-6.jpg&w=600&q=75 600w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FLEDE-6.jpg&w=960&q=75 960w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FLEDE-6.jpg&w=1280&q=75 1280w, 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.wp-block-embed-tiktok iframe{width:100%;height:100%;border:0;}.mui-style-9h7nzz-body .wp-block-embed-tiktok:is(.alignleft, .alignright){width:325px;}@media (min-width:960px){.mui-style-9h7nzz-body :where(.wp-block-image, .wp-block-embed):where(.aligncenter){padding-inline:32px;}.mui-style-9h7nzz-body :is(.media-wysiwyg-align-left, .media-image_on_left, .alignleft){float:left;clear:left;width:33%;-webkit-margin-start:0;margin-inline-start:0;-webkit-margin-end:3rem;margin-inline-end:3rem;margin-block-start:0;margin-block-end:2rem;}@media (min-width:1028px){.mui-style-9h7nzz-body :is(.media-wysiwyg-align-left, .media-image_on_left, .alignleft){-webkit-margin-start:-1rem;margin-inline-start:-1rem;}}.mui-style-9h7nzz-body :is(.media-wysiwyg-align-right, .media-image_on_right, .alignright){float:right;clear:right;width:33%;-webkit-margin-start:3rem;margin-inline-start:3rem;-webkit-margin-end:0;margin-inline-end:0;margin-block-start:0;margin-block-end:2rem;}@media (min-width:1028px){.mui-style-9h7nzz-body :is(.media-wysiwyg-align-right, .media-image_on_right, .alignright){-webkit-margin-end:-1rem;margin-inline-end:-1rem;}}}.mui-style-9h7nzz-body .qa-wrap{padding:0 2rem 0;margin-block-start:2rem;margin-block-end:2rem;padding-block-start:1rem;padding-block-end:1rem;border-inline-star:none;box-shadow:-0.1875rem 0 0 #0072A3;}.mui-style-9h7nzz-body .qa-wrap .qa-question{margin-block-end:1rem;font-weight:bold;padding-block-end:1rem;border-block-end:0.125rem solid #E9E9EC;}.mui-style-9h7nzz-body .qa-wrap p{font-size:1.2rem;}.mui-style-9h7nzz-body .qa-wrap--border-around{border:0.0625rem solid #E9E9EC;border-inline-start:none;}.mui-style-9h7nzz-body .tw-scroll-gallery{--_screen-height:100vh;--_slide--shift--start:0;--_slide--offset--start:var(--_screen-height);--_slide--offset--end:var(--_screen-height);--_backdrop--color:rgba(245, 245, 248, 0.7);--_backdrop--blur:30px;--_backdrop--border-radius--size:48px;--_backdrop--border-radius:var(--_backdrop--border-radius--size, 2rem);--_backdrop--padding-block:48px;--_backdrop--padding-inline:48px;position:relative;clear:both;-webkit-transform:translateX(-50%);-moz-transform:translateX(-50%);-ms-transform:translateX(-50%);transform:translateX(-50%);left:50%;width:var(--_full-width, 100vw);}.mui-style-9h7nzz-body .tw-scroll-gallery[data-transition="stack"] .tw-scroll-gallery-slide:not(:first-of-type){--_slide--shift--start:calc(var(--_screen-height) * -1);}.mui-style-9h7nzz-body .tw-scroll-gallery[data-transition="stack"] .tw-scroll-gallery-slide:not(:last-of-type){--_slide--offset--end:calc(var(--_screen-height) * 2);}@supports (animation-timeline: view()){.mui-style-9h7nzz-body .tw-scroll-gallery[data-transition="fade"] .tw-scroll-gallery-slide:not(:first-of-type){--_slide--shift--start:calc(var(--_screen-height) * -2);--_slide--offset--start:calc(var(--_screen-height) * 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.tw-scroll-gallery-slide{-webkit-backdrop-filter:none;backdrop-filter:none;-webkit-transform:translate3d(0, 0, 0);-moz-transform:translate3d(0, 0, 0);-ms-transform:translate3d(0, 0, 0);transform:translate3d(0, 0, 0);}.mui-style-9h7nzz-body .tw-scroll-gallery[data-transition="fade"] .tw-scroll-gallery-slide:not(:first-of-type){--_slide--shift--start:calc(var(--_screen-height) * -3);--_slide--offset--start:calc(var(--_screen-height) * 3);-webkit-mask-image:linear-gradient(to bottom, transparent, transparent var(--_screen-height), black calc(var(--_screen-height) * 2));mask-image:linear-gradient(to bottom, transparent, transparent var(--_screen-height), black calc(var(--_screen-height) * 2));}.mui-style-9h7nzz-body .tw-scroll-gallery[data-transition="fade"] .tw-scroll-gallery-slide:not(:last-of-type){--_slide--offset--end:calc(var(--_screen-height) * 3);}.mui-style-9h7nzz-body .tw-scroll-gallery[data-transition="fade"] .tw-scroll-gallery-slide--content{-webkit-transform:translate3d(0, 0, 0);-moz-transform:translate3d(0, 0, 0);-ms-transform:translate3d(0, 0, 0);transform:translate3d(0, 0, 0);}}.mui-style-9h7nzz-body .tw-scroll-gallery-slide{position:relative;display:grid;grid-template-rows:var(--_slide--offset--start) min-content var(--_slide--offset--end);grid-template-columns:1fr;justify-items:center;-webkit-align-items:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;margin:0;margin-block-start:var(--_slide--shift--start);-webkit-backdrop-filter:blur(0);backdrop-filter:blur(0);}.mui-style-9h7nzz-body .tw-scroll-gallery-slide >*{grid-column:1/-1;grid-row:2;position:relative;}.mui-style-9h7nzz-body .tw-scroll-gallery-slide[data-content-position="left"]{--_backdrop--border-radius:0 var(--_backdrop--border-radius--size) var(--_backdrop--border-radius--size) 0;justify-items:start;}.mui-style-9h7nzz-body .tw-scroll-gallery-slide[data-content-position="right"]{--_backdrop--border-radius:var(--_backdrop--border-radius--size) 0 0 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.field-display-title{font-size:0.875rem;font-weight:bold;letter-spacing:0.1rem;line-height:1.25rem;font-family:'__Source_Sans_3_fd76fa','__Source_Sans_3_Fallback_fd76fa';text-transform:uppercase;}.mui-style-9h7nzz-body .node-story-act .field-story-act-teaser{color:#535355;font-size:0.9rem;line-height:1.35rem;font-family:'__Source_Sans_3_fd76fa','__Source_Sans_3_Fallback_fd76fa';font-weight:400;}.mui-style-9h7nzz-body .node-story-act .field-story-act-external-link a{font-family:'__Source_Sans_3_fd76fa','__Source_Sans_3_Fallback_fd76fa';font-weight:500;font-size:0.875rem;line-height:1.75;text-transform:uppercase;}.mui-style-9h7nzz-body .node-story-act .field-body{color:#535355;font-size:0.9rem;line-height:1.35rem;font-family:'__Source_Sans_3_fd76fa','__Source_Sans_3_Fallback_fd76fa';font-weight:400;}.mui-style-9h7nzz-body .node-story-act .field-body>*{margin:0;}.mui-style-9h7nzz-body .node-story-act .field-body>*+*{margin-top:1rem;}.mui-style-9h7nzz-body .node-story-act .field-body .newsletter__signup{border-top:2px solid #0072A3;}.mui-style-9h7nzz-body .node-story-act .field-body .newsletter__signup .campaignmonitor-subscribe-form{display:grid;grid-gap:0.5rem;justify-items:center;}.mui-style-9h7nzz-body .node-story-act .field-body .newsletter__signup .campaignmonitor-subscribe-form .form-item{width:100%;}.mui-style-9h7nzz-body .node-story-act .field-body .newsletter__signup .campaignmonitor-subscribe-form .form-item input{width:100%;padding:0.25rem 0.5rem;}.mui-style-9h7nzz-body .node-story-act .field-body .newsletter__signup .campaignmonitor-subscribe-form .form-submit{font-family:'__Source_Sans_3_fd76fa','__Source_Sans_3_Fallback_fd76fa';font-weight:500;font-size:0.875rem;line-height:1.75;text-transform:uppercase;padding:0.5rem 1rem;background-color:#0072A3;color:#fff;cursor:pointer;}.mui-style-9h7nzz-body .node-story-act .field-body .newsletter__signup .campaignmonitor-subscribe-form .form-submit:hover{background-color:#003A57;}.mui-style-9h7nzz-body 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.node-story-act.cta-type-internal-link>.field-story-act-internal-link+.field-story-act-internal-link{margin-top:0.5rem;padding-top:1rem;border-top:1px solid #F5F5F8;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item{display:grid;grid-template-columns:1fr 100px;grid-template-rows:repeat(4, min-content);grid-column-gap:0.5rem;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item .teaser-list__item-title{grid-column:1/-2;margin:0;font-size:inherit;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item .story-list__group-1{grid-column:-2;grid-row:1/-2;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item .story-list__group-1 .field-image{margin:0;padding:0;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item .field-date-published{grid-column:1;margin:0;color:#727276;font-size:0.75rem;font-style:italic;line-height:1.2;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item>.field-updated{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;grid-column:1;color:#727276;font-size:0.75rem;font-style:italic;line-height:1.2;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item>.field-updated .field-updated-label{font-weight:700;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item>.field-updated .field-updated-label::after{content:"\00A0";}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item .story__categories{grid-column:1/-1;margin-top:0.5rem;font-size:0.875rem;line-height:1.4;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item .story__categories .terms-inline{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-box-flex-wrap:wrap;-webkit-flex-wrap:wrap;-ms-flex-wrap:wrap;flex-wrap:wrap;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item .story__categories .terms-inline+.terms-inline{margin-top:0.625rem;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item .story__categories .terms-inline>*+*{margin-left:0.25rem;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item .story__categories .terms-inline .category-label{font-weight:bold;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item .story__categories .terms-inline>span:not(:last-of-type)::after{content:", ";}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item .story__categories .terms-inline>span:last-of-type::before{content:"and ";}@media (min-width:960px) and (max-width:1199.95px){.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item .story-list__group-1{grid-row:1;grid-column:1/-1;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item .teaser-list__item-title{grid-column:1/-1;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item .field-date-published{grid-column:1/-1;}.mui-style-9h7nzz-body .node-story-act.cta-type-internal-link .teaser-list__item>.field-updated{grid-column:1/-1;}}.mui-style-9h7nzz-body .node-story-act.cta-type-meetup-widget form>div{display:grid;grid-gap:0.5rem;}.mui-style-9h7nzz-body .node-story-act.cta-type-meetup-widget .form-item{display:grid;grid-gap:0.5rem;}.mui-style-9h7nzz-body .node-story-act.cta-type-meetup-widget .form-text{width:100%;padding:0.25rem 0.5rem;}.mui-style-9h7nzz-body .node-story-act.cta-type-meetup-widget .form-submit{font-family:'__Source_Sans_3_fd76fa','__Source_Sans_3_Fallback_fd76fa';font-weight:500;font-size:0.875rem;line-height:1.75;text-transform:uppercase;padding:0.5rem 1rem;background-color:#0072A3;color:#fff;cursor:pointer;}.mui-style-9h7nzz-body .node-story-act.cta-type-meetup-widget 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:is(.MuiCardContent-root) p{margin:0;}.mui-style-1t8i9fu-root :is(.MuiCardContent-root) p+p{margin-top:1rem;}.mui-style-1t8i9fu-root :is(.MuiCardContent-root) a:link,.mui-style-1t8i9fu-root :is(.MuiCardContent-root) a:visited{color:#0072A3;font-weight:bold;-webkit-text-decoration:none;text-decoration:none;}.mui-style-1t8i9fu-root :is(.MuiCardContent-root) ul{margin:1em 0 0 16px;padding:0;}.mui-style-1t8i9fu-root :is(.MuiCardContent-root) li{padding:0;margin:0;color:#98989C;}.mui-style-1t8i9fu-root :is(.MuiCardContent-root) li a:link,.mui-style-1t8i9fu-root :is(.MuiCardContent-root) li a:visited{padding:3px 0;width:100%;}.mui-style-1t8i9fu-root :is(.MuiCardContent-root) li a:hover{color:#003A57;-webkit-text-decoration:underline;text-decoration:underline;}.mui-style-1t8i9fu-root :where(.MuiCardActions-root){padding:0;}.mui-style-1t8i9fu-root :where(.MuiCheckbox-root){color:inherit;}.mui-style-1t8i9fu-root 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/_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FLEDE-6.jpg&w=960&q=75 960w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FLEDE-6.jpg&w=1280&q=75 1280w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FLEDE-6.jpg&w=1920&q=75 1920w" src="/_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FLEDE-6.jpg&w=1920&q=75" decoding="async" data-nimg="fill" class="image" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:cover"/></span></div><div class="MuiBox-root mui-style-da22zv-content"><div class="MuiContainer-root MuiContainer-maxWidthLg MuiContainer-fixed mui-style-10u9cmn-header"><div class="MuiBox-root mui-style-1qm1lh"><a class="MuiTypography-root MuiTypography-inherit MuiLink-root MuiLink-underlineNone mui-style-8f57j9-categoryLink-root" href="/categories/conflict-justice/ukraine">Ukraine</a></div><div class="MuiBox-root mui-style-i3pbo"><h1 class="MuiTypography-root MuiTypography-h1 mui-style-oxjp76">‘We have to care for every soldier, for every civilian’: Ukraine faces major mental health challenges as a result of war trauma </h1><div class="MuiTypography-root MuiTypography-body1 mui-style-17rnym1-teaser"><p>After nearly 1,000 days, Russia’s war against Ukraine is causing mental health issues for soldiers and civilians, including anxiety, panic attacks and PTSD. Ukraine’s Health Ministry estimates that 15 million people will need psychological support in the future. </p></div></div><div class="MuiBox-root mui-style-111boms"><div class="MuiBox-root mui-style-16djoje-info"><a class="MuiTypography-root MuiTypography-inherit MuiLink-root MuiLink-underlineNone mui-style-16wvez9-programLink-root" href="/programs/the-world">The World</a><div class="MuiTypography-root MuiTypography-subtitle1 mui-style-1plbpyc-date"><time dateTime="2024-10-29T20:12:18.000Z">October 29, 2024</time></div><ul class="mui-style-fol0bf-byline"><li class="mui-style-lloic3-bylineItem">By<!-- --> <span class="MuiBox-root mui-style-j9gegf-bylinePeople"><span class="MuiBox-root mui-style-1pajl0l-bylinePerson"><a class="MuiTypography-root MuiTypography-inherit MuiLink-root MuiLink-underlineNone mui-style-dg2cgg-bylineLink-root" href="/contributors/emily-johnson">Emily Johnson</a></span><span class="MuiBox-root mui-style-1pajl0l-bylinePerson"><a class="MuiTypography-root MuiTypography-inherit MuiLink-root MuiLink-underlineNone mui-style-dg2cgg-bylineLink-root" href="/contributors/lydia-tomkiw">Lydia Tomkiw</a></span></span></li></ul></div><div class="MuiBox-root mui-style-h2b8up-audio"><div class="MuiBox-root mui-style-d0bi7-root" data-variant="feature" data-size="medium"></div></div></div></div></div></header><div class="MuiContainer-root MuiContainer-maxWidthLg MuiContainer-fixed mui-style-13xjx2g-footer"><span class="MuiTypography-root MuiTypography-caption mui-style-1qqc970-caption"><p>Graves stretch into the distance at the military cemetery in Lviv, Ukraine. Many Ukrainians are suffering from depression and PTSD as the war progresses.</p></span><span class="MuiTypography-root MuiTypography-caption mui-style-9c3gfo-root-credit">Emily Johnson/The World </span></div><div class="MuiContainer-root MuiContainer-maxWidthLg MuiContainer-fixed mui-style-1i0ok2z"><div class="MuiBox-root mui-style-9h7nzz-body"><audio class="mui-style-1orlj4t-root" src="https://dts.podtrac.com/redirect.mp3/dovetail.prxu.org/_/300/b0a3bfc7-b6a3-402e-beac-e169a709e49a/2024_1029_10.mp3" controls="" preload="none"></audio><p>Vanya, a Ukrainian soldier, pulled up his T-shirt to reveal a nasty scar that he got while fighting in the war in Ukraine — he said that he was hit half a millimeter from his heart. </p><p>Vanya is staying at <a href="https://www.lisovapoliana.com.ua/">Lisova Polyana, or Forest Glade</a>, a veterans’ mental health and rehabilitation center in a quiet, wooded area just 30 minutes from downtown Kyiv, Ukraine’s capital. </p><p>(None of the soldiers that The World spoke to for this story are identified by their full names because they are on active duty and in many cases, returning to the front lines.)</p><p>Vanya has been at Forest Glade for four days and said that he was hoping he would be better by now, though he didn’t share the details of his treatment or recovery.</p><figure class="wp-block-image size-large"><img alt="" loading="lazy" width="1024" height="682" decoding="async" data-nimg="1" class="wp-image-648180" style="color:transparent" sizes="(max-width: 600px) 100vw, 1200px" srcSet="/_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-19-1024x682.jpg&w=370&q=75 370w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-19-1024x682.jpg&w=400&q=75 400w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-19-1024x682.jpg&w=568&q=75 568w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-19-1024x682.jpg&w=600&q=75 600w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-19-1024x682.jpg&w=808&q=75 808w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-19-1024x682.jpg&w=960&q=75 960w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-19-1024x682.jpg&w=1280&q=75 1280w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-19-1024x682.jpg&w=1920&q=75 1920w" src="/_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-19-1024x682.jpg&w=1920&q=75"/><figcaption class="wp-element-caption">Soldiers play pool at Lisova Polyana (Forest Glade), a veterans’ mental health and rehabilitation center run by Ukraine’s Ministry of Health.<span class="media-credit">Emily Johnson/The World</span></figcaption></figure><p>He is among the 220 men and women being treated at the center, which is run by the Ministry of Health; it works on “invisible wounds,” including stress disorders, depression, anxiety, PTSD and traumatic brain injuries. They also treat people who were tortured or held in captivity.</p><p>After nearly 1,000 days, Russia’s war against Ukraine is causing mental health issues for soldiers and civilians alike. Ukraine’s Health Ministry estimates that <a href="https://www.aljazeera.com/features/2024/4/11/as-russias-war-rages-ukraines-mental-health-crisis-spirals#:~:text=Ukraine's%20health%20ministry%20estimates%20that,campaign%20called%20How%20are%20you%3F">15 million people will need psychological support </a>in the future — or 40% of the population. </p><p>The Ukrainian government said it’s in the process of developing a <a href="https://www.kmu.gov.ua/en/the-government-priorities/new-veterans-policy">comprehensive new veterans policy</a> that includes psychological care and career support for people transitioning back to civilian life. In the meantime, mental health professionals are scrambling to modernize an outdated system to accommodate the vast needs.</p><p>Kseniia Voznitsyna, the chief doctor at Forest Glade, said that Ukraine has experienced psychologists, but even they may need additional skills training to deal with military trauma.</p><p> “This is happening now with a lot of trainings in Ukraine — this process is happening widely,” she said.</p><figure class="wp-block-image size-large"><img alt="" loading="lazy" width="1024" height="682" decoding="async" data-nimg="1" class="wp-image-648179" style="color:transparent" sizes="(max-width: 600px) 100vw, 1200px" srcSet="/_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-30-1024x682.jpg&w=370&q=75 370w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-30-1024x682.jpg&w=400&q=75 400w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-30-1024x682.jpg&w=568&q=75 568w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-30-1024x682.jpg&w=600&q=75 600w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-30-1024x682.jpg&w=808&q=75 808w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-30-1024x682.jpg&w=960&q=75 960w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-30-1024x682.jpg&w=1280&q=75 1280w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-30-1024x682.jpg&w=1920&q=75 1920w" src="/_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-30-1024x682.jpg&w=1920&q=75"/><figcaption class="wp-element-caption">A large wooden map of Ukraine covers the wall in the office of Forest Glade’s chief doctor, Kseniia Voznitsyna.<span class="media-credit">Emily Johnson/The World</span></figcaption></figure><p>At Forest Glade, she explained, they take an integrative approach: “It’s a bio-psycho-social approach. We have a big team. Psychologists, psychiatrists, neurologists, physical therapists, speech therapists.”</p><p>Clinical case managers work individually with the soldiers, ensuring that they show up for appointments, and they plan excursions for them, Voznitsyna said. Patients receive plenty of complementary methods of treatment, including everything from acupuncture to yoga to art rehabilitation classes.</p><p>Forest Glade has a long waitlist, and patients usually stay for several weeks before returning to military service. </p><figure class="wp-block-image size-large"><img alt="" loading="lazy" width="1024" height="682" decoding="async" data-nimg="1" class="wp-image-648178" style="color:transparent" sizes="(max-width: 600px) 100vw, 1200px" srcSet="/_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-21-1024x682.jpg&w=370&q=75 370w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-21-1024x682.jpg&w=400&q=75 400w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-21-1024x682.jpg&w=568&q=75 568w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-21-1024x682.jpg&w=600&q=75 600w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-21-1024x682.jpg&w=808&q=75 808w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-21-1024x682.jpg&w=960&q=75 960w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-21-1024x682.jpg&w=1280&q=75 1280w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-21-1024x682.jpg&w=1920&q=75 1920w" src="/_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-21-1024x682.jpg&w=1920&q=75"/><figcaption class="wp-element-caption">Vanya receives a haircut, one of the services offered to soldiers and veterans receiving treatment at Forest Glade.<span class="media-credit">Emily Johnson/The World</span></figcaption></figure><p>Soldier Volodymyr, speaking in front of a group of other men in line to get a haircut, referenced the physical therapy, but not the mental health treatment he was receiving at the center. </p><p>“It’s great,” he said. “I was treated here, it’s a little easier on my foot, easier on my back.”</p><p>He could stay longer, he said, but as platoon leader, he was eager to get back to his men in eastern Ukraine.</p><h3 class="wp-block-heading">War trauma ‘is not for one day’</h3><p>For many Ukrainians, seeking out mental health care means overcoming long-held stigmas going back to the Soviet period when political opposition figures were often sent to psych wards. </p><p>“Because Soviets used this as an instrument, this is a huge stigma towards psychiatry,” said Dr. <a href="https://www.mhinnovation.net/orest-suvalo">Orest Suvalo, executive director of the Institute of Mental Health of the Ukrainian Catholic University.</a> “We even still feel it now, after 30 years of Ukrainian independence.”</p><p>Meanwhile, demand is only growing. PTSD isn’t the only consequence of traumatic experiences. Ukrainians are also dealing with depression, substance abuse, loss and anxiety.</p><p>“It’s important to pay attention to the trauma-informed approach to train people and explain to people in many different specialties how to speak with people,” he said. “Because we are predicting that everyone could have some kind of traumatic experience.”</p><p><a href="https://unbroken.org.ua/directions">Dr. Oleh Berezyuk at Unbroken</a>, a national rehabilitation center in Lviv, said that the country’s mental health challenges are multilayered; there is the sheer number of people who need help, plus, the brutal nature of their trauma.</p><figure class="wp-block-image size-large"><img alt="" loading="lazy" width="1024" height="682" decoding="async" data-nimg="1" class="wp-image-648177" style="color:transparent" sizes="(max-width: 600px) 100vw, 1200px" srcSet="/_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-16-1024x682.jpg&w=370&q=75 370w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-16-1024x682.jpg&w=400&q=75 400w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-16-1024x682.jpg&w=568&q=75 568w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-16-1024x682.jpg&w=600&q=75 600w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-16-1024x682.jpg&w=808&q=75 808w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-16-1024x682.jpg&w=960&q=75 960w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-16-1024x682.jpg&w=1280&q=75 1280w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-16-1024x682.jpg&w=1920&q=75 1920w" src="/_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-16-1024x682.jpg&w=1920&q=75"/><figcaption class="wp-element-caption">Memorials to lost soldiers fill Sophia Square in Kyiv. <span class="media-credit">Emily Johnson/The World</span></figcaption></figure><p>“We have to care for every soldier, for every civilian who suffered from the war trauma, which is very important because war trauma, it’s not for one day,” he said. “And you cannot treat it just by one simple intervention. You have to prepare people to live in a different reality.”</p><p>That’s why Unbroken is treating mental and physical trauma together in the general hospital, a successful model that they are recommending to other hospitals, Berezyuk said.</p><p>Others, like Victor Dosenko, a <a href="https://www.researchgate.net/profile/Victor-Dosenko">professor of pathophysiology</a> at the Bogomolets Institute of Physiology in Kyiv, are working specifically on PTSD.</p><p>Dosenko is studying biomarkers and how to detect PTSD. </p><p>“It’s a bad opportunity, but medicine, medical progress moves forward when there are challenges,” said Dosenko, who has also been advocating for a PTSD center in Ukraine.</p><h3 class="wp-block-heading">The importance of preparing a family </h3><p>Veterans need to return to an understanding society where they can find work and medical help, said Tetiana Kril, head of the mental health program and psychological support centers <a href="https://www.razomforukraine.org/razom-with-you/">Razom With You</a>. </p><p>When her husband returned home from fighting in 2017 after Russia’s earlier invasion of eastern Ukraine, “I realized how important it is to prepare a family,” she said. “Because every soldier returns to his family. And today, there are already 3.5 million veterans in Ukraine, and by the end of the war, we expect there will be 5 million.”</p><figure class="wp-block-image size-large"><img alt="" loading="lazy" width="1024" height="682" decoding="async" data-nimg="1" class="wp-image-648182" style="color:transparent" sizes="(max-width: 600px) 100vw, 1200px" srcSet="/_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-28-1024x682.jpg&w=370&q=75 370w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-28-1024x682.jpg&w=400&q=75 400w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-28-1024x682.jpg&w=568&q=75 568w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-28-1024x682.jpg&w=600&q=75 600w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-28-1024x682.jpg&w=808&q=75 808w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-28-1024x682.jpg&w=960&q=75 960w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-28-1024x682.jpg&w=1280&q=75 1280w, /_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-28-1024x682.jpg&w=1920&q=75 1920w" src="/_next/image?url=https%3A%2F%2Fmedia.pri.org%2Fs3fs-public%2Fuploads%2F2024%2F10%2FMental-Health-28-1024x682.jpg&w=1920&q=75"/><figcaption class="wp-element-caption">Kseniia Voznitsyna, the chief doctor at Forest Glade, emerges from an office where the walls are covered in colorful mural tributes to the Ukrainian armed services.<span class="media-credit">Emily Johnson/The World</span></figcaption></figure><p>Yrii Liashuk, who works for Razom for Ukraine, said that when he was discharged from the military last year due to an injury, his family was supportive. His wife became his “personal psychologist,” he said.</p><p>He joined the military in 2012 and had thought it would be his lifelong career. </p><p>He stays busy with a job as a security officer and running a company that makes drones. He believes veteran reintegration will be one of the biggest challenges ahead. </p><p>“Society needs to be prepared for the fact that heroes with unique challenges will live with us,” Liashuk said. “We need to understand this.”</p></div><div class="MuiBox-root mui-style-1t8i9fu-root"><div class="MuiPaper-root MuiPaper-elevation MuiPaper-rounded MuiPaper-elevation0 MuiCard-root mui-style-1cif8be"><div class="MuiCardHeader-root mui-style-faujvq"><div class="MuiCardHeader-content mui-style-11qjisw"><span class="MuiTypography-root MuiTypography-h5 MuiCardHeader-title mui-style-huedis">Sign up for our daily newsletter</span></div></div><div class="MuiCardContent-root mui-style-1qw96cp"><div class="MuiTypography-root MuiTypography-body1 mui-style-78nqug"><div class="field-tw-cta-message"><p>Sign up for The Top of the World, delivered to your inbox every weekday morning.</p></div></div></div><div class="MuiCardActions-root MuiCardActions-spacing mui-style-ny0n9o"><form 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type="application/json">{"props":{"pageProps":{"type":"post--story","id":"cG9zdDo2NDgxMjM=","shareLinks":[{"key":"twitter","link":{"url":"http://twitter.com/share?url=https%3A%2F%2Ftheworld.org%2Fstories%2F2024%2F10%2F29%2Fwe-have-to-care-for-every-soldier-for-every-civilian-ukraine-faces-major-mental-health-challenges-as-a-result-of-war-trauma\u0026text=%E2%80%98We+have+to+care+for+every+soldier%2C+for+every+civilian%E2%80%99%3A+Ukraine+faces+major+mental+health+challenges+as+a+result+of+war+trauma+%C2%A0","title":"Twitter"}},{"key":"facebook","link":{"url":"http://www.facebook.com/sharer.php?u=https%3A%2F%2Ftheworld.org%2Fstories%2F2024%2F10%2F29%2Fwe-have-to-care-for-every-soldier-for-every-civilian-ukraine-faces-major-mental-health-challenges-as-a-result-of-war-trauma","title":"Facebook"}},{"key":"linkedin","link":{"url":"https://www.linkedin.com/shareArticle?mini=1\u0026url=https%3A%2F%2Ftheworld.org%2Fstories%2F2024%2F10%2F29%2Fwe-have-to-care-for-every-soldier-for-every-civilian-ukraine-faces-major-mental-health-challenges-as-a-result-of-war-trauma\u0026title=%E2%80%98We+have+to+care+for+every+soldier%2C+for+every+civilian%E2%80%99%3A+Ukraine+faces+major+mental+health+challenges+as+a+result+of+war+trauma+%C2%A0","title":"LinkedIn"}},{"key":"flipboard","link":{"url":"https://share.flipboard.com/bookmarklet/popout?v=2\u0026url=https%3A%2F%2Ftheworld.org%2Fstories%2F2024%2F10%2F29%2Fwe-have-to-care-for-every-soldier-for-every-civilian-ukraine-faces-major-mental-health-challenges-as-a-result-of-war-trauma\u0026utm_campaign=tools\u0026utm_medium=article-share\u0026utm_source=theworld.org\u0026title=%E2%80%98We+have+to+care+for+every+soldier%2C+for+every+civilian%E2%80%99%3A+Ukraine+faces+major+mental+health+challenges+as+a+result+of+war+trauma+%C2%A0","title":"Flipboard"}},{"key":"whatsapp","link":{"url":"https://api.whatsapp.com/send?text=Check+out+what%27s+on+TheWorld.org%3A+https%3A%2F%2Ftheworld.org%2Fstories%2F2024%2F10%2F29%2Fwe-have-to-care-for-every-soldier-for-every-civilian-ukraine-faces-major-mental-health-challenges-as-a-result-of-war-trauma","title":"WhatsApp"}},{"key":"email","link":{"url":"mailto:?body=Check+out+what%27s+on+TheWorld.org%3A+https%3A%2F%2Ftheworld.org%2Fstories%2F2024%2F10%2F29%2Fwe-have-to-care-for-every-soldier-for-every-civilian-ukraine-faces-major-mental-health-challenges-as-a-result-of-war-trauma\u0026subject=%E2%80%98We+have+to+care+for+every+soldier%2C+for+every+civilian%E2%80%99%3A+Ukraine+faces+major+mental+health+challenges+as+a+result+of+war+trauma+%C2%A0","title":"Email"}}],"data":{"id":"cG9zdDo2NDgxMjM=","link":"https://api.theworld.org/stories/2024/10/29/we-have-to-care-for-every-soldier-for-every-civilian-ukraine-faces-major-mental-health-challenges-as-a-result-of-war-trauma","title":"‘We have to care for every soldier, for every civilian’: Ukraine faces major mental health challenges as a result of war trauma ","excerpt":"\u003cp\u003eAfter nearly 1,000 days, Russia\u0026#8217;s war against Ukraine is causing mental health issues for soldiers and civilians, including anxiety, panic attacks and PTSD. Ukraine’s Health Ministry estimates that 15 million people will need psychological support in the future. \u003c/p\u003e\n","content":"\n\u003cp\u003eVanya, a Ukrainian soldier, pulled up his T-shirt to reveal a nasty scar that he got while fighting in the war in Ukraine — he said that he was hit half a millimeter from his heart.\u0026nbsp;\u003c/p\u003e\n\n\n\n\u003cp\u003eVanya is staying at \u003ca href=\"https://www.lisovapoliana.com.ua/\"\u003eLisova Polyana, or Forest Glade\u003c/a\u003e, a veterans’ mental health and rehabilitation center in a quiet, wooded area just 30 minutes from downtown Kyiv, Ukraine’s capital.\u0026nbsp;\u003c/p\u003e\n\n\n\n\u003cp\u003e(None of the soldiers that The World spoke to for this story are identified by their full names because they are on active duty and in many cases, returning to the front lines.)\u003c/p\u003e\n\n\n\n\u003cp\u003eVanya has been at Forest Glade for four days and said that he was hoping he would be better by now, though he didn’t share the details of his treatment or recovery.\u003c/p\u003e\n\n\n\n\u003cfigure class=\"wp-block-image size-large\"\u003e\u003cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-19-1024x682.jpg\" alt=\"\" class=\"wp-image-648180\" srcset=\"https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-19-1024x682.jpg 1024w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-19-300x200.jpg 300w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-19-768x512.jpg 768w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-19-1536x1024.jpg 1536w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-19.jpg 2000w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" /\u003e\u003cfigcaption class=\"wp-element-caption\"\u003eSoldiers play pool at Lisova Polyana (Forest Glade), a veterans\u0026#8217; mental health and rehabilitation center run by Ukraine\u0026#8217;s Ministry of Health.\u003cspan class=\"media-credit\"\u003eEmily Johnson/The World\u003c/span\u003e\u003c/figcaption\u003e\u003c/figure\u003e\n\n\n\n\u003cp\u003eHe is among the 220 men and women being treated at the center, which is run by the Ministry of Health; it works on “invisible wounds,” including stress disorders, depression, anxiety, PTSD and traumatic brain injuries. They also treat people who were tortured or held in captivity.\u003c/p\u003e\n\n\n\n\u003cp\u003eAfter nearly 1,000 days, Russia\u0026#8217;s war against Ukraine is causing mental health issues for soldiers and civilians alike. Ukraine’s Health Ministry estimates that \u003ca href=\"https://www.aljazeera.com/features/2024/4/11/as-russias-war-rages-ukraines-mental-health-crisis-spirals#:~:text=Ukraine's%20health%20ministry%20estimates%20that,campaign%20called%20How%20are%20you%3F\"\u003e15 million people will need psychological support \u003c/a\u003ein the future — or 40% of the population.\u0026nbsp;\u003c/p\u003e\n\n\n\n\u003cp\u003eThe Ukrainian government said it’s in the process of developing a \u003ca href=\"https://www.kmu.gov.ua/en/the-government-priorities/new-veterans-policy\"\u003ecomprehensive new veterans policy\u003c/a\u003e that includes psychological care and career support for people transitioning back to civilian life. In the meantime, mental health professionals are scrambling to modernize an outdated system to accommodate the vast needs.\u003c/p\u003e\n\n\n\n\u003cp\u003eKseniia Voznitsyna, the chief doctor at Forest Glade, said that Ukraine has experienced psychologists, but even they may need additional skills training to deal with military trauma.\u003c/p\u003e\n\n\n\n\u003cp\u003e\u0026nbsp;“This is happening now with a lot of trainings in Ukraine —\u0026nbsp;this process is happening widely,” she said.\u003c/p\u003e\n\n\n\n\u003cfigure class=\"wp-block-image size-large\"\u003e\u003cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-30-1024x682.jpg\" alt=\"\" class=\"wp-image-648179\" srcset=\"https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-30-1024x682.jpg 1024w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-30-300x200.jpg 300w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-30-768x512.jpg 768w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-30-1536x1024.jpg 1536w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-30.jpg 2000w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" /\u003e\u003cfigcaption class=\"wp-element-caption\"\u003eA large wooden map of Ukraine covers the wall in the office of Forest Glade\u0026#8217;s chief doctor, Kseniia Voznitsyna.\u003cspan class=\"media-credit\"\u003eEmily Johnson/The World\u003c/span\u003e\u003c/figcaption\u003e\u003c/figure\u003e\n\n\n\n\u003cp\u003eAt Forest Glade, she explained, they take an integrative approach: “It\u0026#8217;s a bio-psycho-social approach. We have a big team. Psychologists, psychiatrists, neurologists, physical therapists, speech therapists.”\u003c/p\u003e\n\n\n\n\u003cp\u003eClinical case managers work individually with the soldiers, ensuring that they show up for appointments, and they plan excursions for them, Voznitsyna said. Patients receive plenty of complementary methods of treatment, including everything from acupuncture to yoga to art rehabilitation classes.\u003c/p\u003e\n\n\n\n\u003cp\u003eForest Glade has a long waitlist, and patients usually stay for several weeks before returning to military service.\u0026nbsp;\u003c/p\u003e\n\n\n\n\u003cfigure class=\"wp-block-image size-large\"\u003e\u003cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-21-1024x682.jpg\" alt=\"\" class=\"wp-image-648178\" srcset=\"https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-21-1024x682.jpg 1024w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-21-300x200.jpg 300w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-21-768x512.jpg 768w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-21-1536x1024.jpg 1536w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-21.jpg 2000w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" /\u003e\u003cfigcaption class=\"wp-element-caption\"\u003eVanya receives a haircut, one of the services offered to soldiers and veterans receiving treatment at Forest Glade.\u003cspan class=\"media-credit\"\u003eEmily Johnson/The World\u003c/span\u003e\u003c/figcaption\u003e\u003c/figure\u003e\n\n\n\n\u003cp\u003eSoldier Volodymyr, speaking in front of a group of other men in line to get a haircut, referenced the physical therapy, but not the mental health treatment he was receiving at the center.\u0026nbsp;\u003c/p\u003e\n\n\n\n\u003cp\u003e“It’s great,” he said. “I was treated here, it’s a little easier on my foot, easier on my back.”\u003c/p\u003e\n\n\n\n\u003cp\u003eHe could stay longer, he said, but as platoon leader, he was eager to get back to his men in eastern Ukraine.\u003c/p\u003e\n\n\n\n\u003ch3 class=\"wp-block-heading\"\u003eWar trauma ‘is not for one day’\u003c/h3\u003e\n\n\n\n\u003cp\u003eFor many Ukrainians, seeking out mental health care means overcoming long-held stigmas going back to the Soviet period when political opposition figures were often sent to psych wards.\u0026nbsp;\u003c/p\u003e\n\n\n\n\u003cp\u003e“Because Soviets used this as an instrument, this is a huge stigma towards psychiatry,” said Dr. \u003ca href=\"https://www.mhinnovation.net/orest-suvalo\"\u003eOrest Suvalo, executive director of the Institute of Mental Health of the Ukrainian Catholic University.\u003c/a\u003e “We even still feel it now, after 30 years of Ukrainian independence.”\u003c/p\u003e\n\n\n\n\u003cp\u003eMeanwhile, demand is only growing. PTSD isn’t the only consequence of traumatic experiences. Ukrainians are also dealing with depression, substance abuse, loss and anxiety.\u003c/p\u003e\n\n\n\n\u003cp\u003e“It’s important to pay attention to the trauma-informed approach to train people and explain to people in many different specialties how to speak with people,” he said. “Because we are predicting that everyone could have some kind of traumatic experience.”\u003c/p\u003e\n\n\n\n\u003cp\u003e\u003ca href=\"https://unbroken.org.ua/directions\"\u003eDr.\u0026nbsp; Oleh Berezyuk at Unbroken\u003c/a\u003e, a national rehabilitation center in Lviv, said that the country’s mental health challenges are multilayered; there is the sheer number of people who need help, plus, the brutal nature of their trauma.\u003c/p\u003e\n\n\n\n\u003cfigure class=\"wp-block-image size-large\"\u003e\u003cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-16-1024x682.jpg\" alt=\"\" class=\"wp-image-648177\" srcset=\"https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-16-1024x682.jpg 1024w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-16-300x200.jpg 300w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-16-768x512.jpg 768w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-16-1536x1024.jpg 1536w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-16.jpg 2000w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" /\u003e\u003cfigcaption class=\"wp-element-caption\"\u003eMemorials to lost soldiers fill Sophia Square in Kyiv.\u0026nbsp;\u003cspan class=\"media-credit\"\u003eEmily Johnson/The World\u003c/span\u003e\u003c/figcaption\u003e\u003c/figure\u003e\n\n\n\n\u003cp\u003e“We have to care for every soldier, for every civilian who suffered from the war trauma, which is very important because war trauma, it\u0026#8217;s not for one day,” he said. “And you cannot treat it just by one simple intervention. You have to prepare people to live in a different reality.”\u003c/p\u003e\n\n\n\n\u003cp\u003eThat’s why Unbroken is\u0026nbsp;treating mental and physical trauma together in the general hospital, a successful model that they are recommending to other hospitals, Berezyuk said.\u003c/p\u003e\n\n\n\n\u003cp\u003eOthers, like Victor Dosenko, a \u003ca href=\"https://www.researchgate.net/profile/Victor-Dosenko\"\u003eprofessor of pathophysiology\u003c/a\u003e at the Bogomolets Institute of Physiology in Kyiv, are working specifically on PTSD.\u003c/p\u003e\n\n\n\n\u003cp\u003eDosenko is studying biomarkers and how to detect PTSD.\u0026nbsp;\u003c/p\u003e\n\n\n\n\u003cp\u003e“It’s a bad opportunity, but medicine, medical progress moves forward when there are challenges,” said Dosenko, who has also been advocating for a PTSD center in Ukraine.\u003c/p\u003e\n\n\n\n\u003ch3 class=\"wp-block-heading\"\u003eThe importance of preparing a family\u0026nbsp;\u003c/h3\u003e\n\n\n\n\u003cp\u003eVeterans need to return to an understanding society where they can find work and medical help, said Tetiana Kril, head of the mental health program and psychological support centers \u003ca href=\"https://www.razomforukraine.org/razom-with-you/\"\u003eRazom With You\u003c/a\u003e.\u0026nbsp;\u003c/p\u003e\n\n\n\n\u003cp\u003eWhen her husband returned home from fighting in 2017 after Russia’s earlier invasion of eastern Ukraine, “I realized how important it is to prepare a family,” she said. “Because every soldier returns to his family. And today, there are already 3.5 million veterans in Ukraine, and by the end of the war, we expect there will be 5 million.”\u003c/p\u003e\n\n\n\n\u003cfigure class=\"wp-block-image size-large\"\u003e\u003cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-28-1024x682.jpg\" alt=\"\" class=\"wp-image-648182\" srcset=\"https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-28-1024x682.jpg 1024w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-28-300x200.jpg 300w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-28-768x512.jpg 768w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-28-1536x1024.jpg 1536w, https://media.pri.org/s3fs-public/uploads/2024/10/Mental-Health-28.jpg 2000w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" /\u003e\u003cfigcaption class=\"wp-element-caption\"\u003eKseniia Voznitsyna, the chief doctor at Forest Glade, emerges from an office where the walls are covered in colorful mural tributes to the Ukrainian armed services.\u003cspan class=\"media-credit\"\u003eEmily Johnson/The World\u003c/span\u003e\u003c/figcaption\u003e\u003c/figure\u003e\n\n\n\n\u003cp\u003eYrii Liashuk, who works for Razom for Ukraine, said that when he was discharged from the military last year due to an injury, his family was supportive. His wife became his “personal psychologist,” he said.\u003c/p\u003e\n\n\n\n\u003cp\u003eHe joined the military in 2012 and had thought it would be his lifelong career.\u0026nbsp;\u003c/p\u003e\n\n\n\n\u003cp\u003eHe stays busy with a job as a security officer and running a company that makes drones. He believes veteran reintegration will be one of the biggest challenges ahead.\u0026nbsp;\u003c/p\u003e\n\n\n\n\u003cp\u003e“Society needs to be prepared for the fact that heroes with unique challenges will live with us,” Liashuk said. “We need to understand this.”\u003c/p\u003e\n","date":"2024-10-29T15:12:18","featuredImage":{"node":{"id":"cG9zdDo2NDgxNzY=","sourceUrl":"https://media.pri.org/s3fs-public/uploads/2024/10/LEDE-6.jpg","mediaItemUrl":"https://media.pri.org/s3fs-public/uploads/2024/10/LEDE-6.jpg","altText":"","mediaDetails":{"width":1920,"height":1080,"__typename":"MediaDetails"},"imageFields":{"mediaCredit":"Emily Johnson/The World ","mediaCreditUrl":null,"__typename":"MediaItem_Imagefields"},"__typename":"MediaItem","caption":"\u003cp\u003eGraves stretch into the distance at the military cemetery in Lviv, Ukraine. Many Ukrainians are suffering from depression and PTSD as the war progresses.\u003c/p\u003e\n"},"__typename":"NodeWithFeaturedImageToMediaItemConnectionEdge"},"additionalDates":{"broadcastDate":"2024-10-29","updatedDate":null,"__typename":"Post_Additionaldates"},"additionalMedia":{"audio":{"id":"cG9zdDo2NDgzNDU=","sourceUrl":null,"mediaItemUrl":"https://dts.podtrac.com/redirect.mp3/dovetail.prxu.org/_/300/b0a3bfc7-b6a3-402e-beac-e169a709e49a/2024_1029_10.mp3","__typename":"MediaItem"},"__typename":"Post_Additionalmedia"},"presentation":{"format":"feature_full","__typename":"Post_Presentation"},"contributors":{"nodes":[{"id":"dGVybToxNTY2MQ==","name":"Emily Johnson","link":"https://api.theworld.org/contributors/emily-johnson","__typename":"Contributor"},{"id":"dGVybToxOTU4Nw==","name":"Lydia Tomkiw","link":"https://api.theworld.org/contributors/lydia-tomkiw","__typename":"Contributor"}],"__typename":"PostToContributorConnection"},"storyFormats":{"nodes":[{"name":"Show Package","__typename":"StoryFormat"},{"name":"Story","__typename":"StoryFormat"}],"__typename":"PostToStoryFormatConnection"},"resourceDevelopmentTags":{"nodes":[{"name":"Global Security (Carnegie)","__typename":"ResourceDevelopmentTag"}],"__typename":"PostToResourceDevelopmentTagConnection"},"programs":{"nodes":[{"id":"dGVybToxMjI3MA==","name":"The World","link":"https://api.theworld.org/programs/the-world","__typename":"Program"}],"__typename":"PostToProgramConnection"},"categories":{"nodes":[{"id":"dGVybToxMzk2MTc=","name":"Conflict \u0026 Justice","link":"https://api.theworld.org/categories/conflict-justice","__typename":"Category"},{"id":"dGVybToxMzk2MTQ=","name":"Health \u0026 Medicine","link":"https://api.theworld.org/categories/health-medicine","__typename":"Category"},{"id":"dGVybToxMzk2NzE=","name":"Lifestyle","link":"https://api.theworld.org/categories/lifestyle-belief/lifestyle","__typename":"Category"},{"id":"dGVybToxMzk2MjA=","name":"Lifestyle \u0026 Belief","link":"https://api.theworld.org/categories/lifestyle-belief","__typename":"Category"},{"id":"dGVybToxMzk2NzQ=","name":"Medicine","link":"https://api.theworld.org/categories/health-medicine/medicine","__typename":"Category"},{"id":"dGVybToxMzk2NzU=","name":"Science","link":"https://api.theworld.org/categories/science-technology/science","__typename":"Category"},{"id":"dGVybToxNDAwNDg=","name":"Ukraine","link":"https://api.theworld.org/categories/conflict-justice/ukraine","__typename":"Category"}],"__typename":"PostToCategoryConnection"},"primaryCategory":{"id":"dGVybToxNDAwNDg=","name":"Ukraine","link":"https://api.theworld.org/categories/conflict-justice/ukraine","posts":{"nodes":[{"id":"cG9zdDo2NTI2MDM=","title":"‘The dream of living in Ukraine feels utopian’: One man’s escape from war-torn Ukraine ","excerpt":"\u003cp\u003eNext week marks a somber anniversary: three years since Russia’s full-scale invasion of Ukraine, leading to the deadliest war in Europe since World War II. For many of the millions of displaced Ukrainians, the path to safety was a treacherous one. 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