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Edition: U.S. Article Comments (0) Slideshow Save Email Print Reprints Most Popular Most Shared U.S. posts 19th straight monthly budget deficit 12 May 2010 China school killer erupted after lease row | Video 6:37am EDT UPDATE 1-Once saved, Michael Lynche exits "American Idol" 1:09am EDT Woods expects full recovery from neck pain 12 May 2010 WRAPUP 3-BP tries new oil leak fixes, tar balls wash ashore 9:46am EDT Once saved, Michael Lynche exits "American Idol" 1:12am EDT Playboy raises the bar with 3-D centerfold 11 May 2010 April foreclosures ebb, suggesting high plateau 10:22am EDT Red shirt military adviser wounded in Thai capital 10:22am EDT SAP pays dear for game-changing Sybase deal 9:14am EDT U.S. posts 19th straight monthly budget deficit 12 May 2010 Red shirt military adviser wounded in Thai capital 10:22am EDT SAP pays dear for game-changing Sybase deal 9:14am EDT China scientists find use for cigarette butts 3:21am EDT Memo to boss: 11-hour days are bad for the heart 11 May 2010 Even teddy bears need a holiday...in Finland 12 May 2010 WRAPUP 4-Kerry unveils US climate bill, Obama supports it 12 May 2010 UPDATE 2-New UK government gives itelf five percent pay cut 9:02am EDT Los Angeles to boycott Arizona over immigration law 12 May 2010 U.S. reverses stance on treaty to regulate arms trade 14 Oct 2009 Pakistan psychologists issue conflict health warning Michael Georgy PESHAWAR, Pakistan Thu May 13, 2010 8:27am EDT Related News Pakistan to come under more U.S. pressure Mon, May 10 2010 Q+A: Will the New York bomb bid strain Pakistan-U.S. ties? Fri, May 7 2010 U.S. seeks Pakistan ties to talkative bomb suspect Thu, May 6 2010 Pakistan militant camps turn out hardened warriors Thu, May 6 2010 Which Pakistani group inspired Times Square suspect? Thu, May 6 2010 < 1 / 3 > View Full Size PESHAWAR, Pakistan (Reuters) - Rifaat Ramzan lay in a hospital bed with a blank stare, still traumatized weeks after losing his best friend, Noman, to a suicide bomber. World | Health | Lifestyle "He had just told me how it is good to dream and we will achieve our dreams," said Ramzan, who began sleeping with a gun under his pillow, fearful he too will be killed in Pakistan's relentless violence. "This man came and asked Noman if he could get a lift on his motorcycle to the police station. When they got there the man blew himself up. Noman and nine other people were killed." In the conflict between Taliban insurgents and Pakistan's army, thousands have been killed in bombings of everything from military and police facilities to crowded street markets; even a volleyball match was attacked. Countless others have been wounded. But the psychological toll often goes unnoticed, even though underfunded and understaffed hospitals are treating a sharply rising number of people who can't cope with bloodshed. "This is alarming us," said psychologist Najam Younes. Some people are too depressed to function. Others are gripped by anxiety attacks, paranoia and post traumatic stress disorder. Flashbacks are common. It doesn't take much to destabilize minds. Even headlines of smaller attacks that flash across news channels are enough to send people to psychiatrists seeking pills to calm them or help them sleep at night. Luckily for Pakistanis, the stigma attached to mental illness has eased, making it easier for them to seek psychiatric care, psychologists say. But the problem is that people caught up in the violence -- mostly living in the epicenter of the conflict in the northwest -- have no access to psychological care facilities. So they must take long, expensive journeys to cities like Peshawar for treatment. Those who can afford it often don't get the attention they need because there are too few doctors, who are often overworked and cannot provide therapy, only medicine. Peshawar's Sarhad Psychiatric Hospital, located on the same complex of a prison where militants awaiting trial and other hard core criminals are held, is one example. It is the only proper mental health facility in the northwest. In the hospital courtyard, patients dulled by medicine sit on a cement floor in rows, quietly staring at each other. Some look lost. Others are suspicious. "Long live Pakistan", is scribbled on a wall behind them beside a drawing of a flower. In a grim, tiny kitchen nearby, a cook slops stew into a huge pot beside steel bowls. Senior consultant Muhammad Tariq sometimes treats 100 patients a day. He is also the region's main forensic psychologist, so he must spend time in court. Scant funding at the state hospital means he has no computer to manage files. "There is only so much I can do," he said. Tariq says 10-15 new patients suffering mentally from the violence arrive every day. Many have lost their homes and livelihood. Still, those are not the worst cases. Handling people rattled by bloodshed who already have mental illnesses is far more challenging. They are the most vulnerable. Muhammad Ikhtiar was lucky enough to have an Islamic charity pay for his schizophrenic son's medicines. Fighting distressed his son Muhammad's fragile mind. "Sometimes he is scared of the Taliban and the army. Other times he is convinced he is the commander of the Taliban and the army," said Ikhtiar, a serious, elderly man with a white beard. Ikhtiar's problems don't end there. Taliban militants would often hide in his maize fields, so government forces made him cut down the crop, he said. Now he has to find ways of making a living while caring for his son. Doctors say the patients need family support. But because of the fighting, it's too dangerous for them to head home. Muhammad Iqbal, a sturdy man wearing a traditional flat wool chitrali hat, suffers from bipolar disorder. His moods often swing from depression to elation. Doctors hope stabilizers will make him realize it's too risky to return to his four children in North Waziristan, which is infested with al Qaeda and Taliban militants. "Right now he has no idea what is happening," said the hospital's Tariq. "He thinks he will return to a peaceful village with a nice forest." (Editing by Chris Allbritton) World Health Lifestyle Add a Comment *We welcome comments that advance the story directly or with relevant tangential information. 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Views expressed in the comments do not represent those of Reuters. © Copyright 2010 Thomson Reuters Editorial Editions: Africa Arabic Argentina Brazil Canada China France Germany India Italy Japan Latin America Mexico Russia Spain United Kingdom United States Reuters Contact Us Advertise With Us Help Journalism Handbook Archive Site Index Video Index Analyst Research Mobile Newsletters RSS Podcasts Widgets Your View Labs Thomson Reuters Copyright Disclaimer Privacy Professional Products Professional Products Support Financial Products About Thomson Reuters Careers Online Products Acquisitions Monthly Buyouts Venture Capital Journal International Financing Review Project Finance International PEhub.com PE Week Thomson Reuters is the world's largest international multimedia news agency, providing investing news, world news, business news, technology news, headline news, small business news, news alerts, personal finance, stock market, and mutual funds information available on Reuters.com, video, mobile, and interactive television platforms. 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