The unspoken wounds: Kashmir’s mental health crisis

By: Dr. Musawir Mohsin Parsa (PT)

For more than three decades, Kashmir has lived through cycles of conflict, uncertainty, and disruption. While physical injuries and economic losses are visible and often reported, the psychological toll on the population remains largely unseen. Mental health in Kashmir has quietly become one of the most serious public health challenges in the region, touching nearly every home in some way.

Studies and clinical reports over the years have shown high levels of anxiety, depression, and post-traumatic stress among people in the valley. Even for those not directly exposed to violence, daily life often carries a weight of uncertainty — sudden closures, loss of livelihood, and restrictions on movement have all become part of lived experience. Psychologists describe this as a form of collective trauma that accumulates over time and is passed from one generation to the next through memories and shared fears.

The youth have been particularly affected. Many have grown up in an environment where normal routines — attending school, planning a future, socialising freely — are frequently interrupted. This instability has led to growing stress, frustration, and feelings of hopelessness among young people. Teachers and counsellors report rising cases of anxiety, anger, and withdrawal among students. Yet most educational institutions still lack qualified counsellors, and where they exist, the numbers are far too few to meet the need.

Stigma remains another major barrier. Emotional distress is often described through cultural terms like “tension” or “nervous weakness” rather than as a medical issue. Seeking help from a psychiatrist or counsellor is still seen by many as a sign of weakness or as something reserved for “serious” cases. This hesitation delays treatment and deepens suffering. The silence surrounding mental health can be as damaging as the condition itself.

At the same time, the region faces a shortage of mental health professionals. Psychiatric hospitals are overburdened and often focus on acute cases, leaving little room for long-term counselling or rehabilitation. Rural areas, where stress and trauma are equally prevalent, have even fewer services. Many people simply have no access to regular mental health support.

The emotional impact of prolonged stress extends beyond individuals. It affects families and communities. Communication often breaks down under pressure, leading to tension and conflict within households. Women, in particular, play an unacknowledged role in absorbing family stress, often at the cost of their own wellbeing. Caregivers of those with mental health conditions experience burnout but rarely receive support themselves.

Addressing this growing crisis requires both policy attention and social awareness. Mental health services must be expanded beyond hospitals into schools, colleges, and primary health centres. Community-based initiatives — such as youth clubs, peer support groups, and awareness programs — can help people share experiences and seek help without fear of judgment. Public education campaigns are equally important to reduce stigma and encourage early intervention.

Technology offers another opportunity. Tele-counselling and mobile mental health services can make professional help accessible even in remote areas. Training doctors, nurses, and other frontline workers to recognise signs of psychological trauma can also make the health system more responsive.

The people of Kashmir have shown extraordinary resilience over the years, but resilience should not be mistaken for the absence of pain. Beneath the surface calm lies a deep emotional fatigue that needs collective understanding and care. Acknowledging the mental health burden is not a sign of weakness — it is an act of responsibility.

If ignored, today’s silent trauma risks becoming tomorrow’s inherited suffering. Healing Kashmir’s unseen wounds begins with the simple act of listening — and responding with empathy, awareness, and action.

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