This personal reflection on my daily interactions with an Afghan woman, Bibi Hawa, aims to describe how I witnessed her psychological distress, partly manifested as chest pain, and her resilience to this distress in a particular Afghan socio-cultural and political context. My reflections shed light on the importance of finding a space in which resilience can be built.

Drug addiction is a problem in many countries, affecting many lives, damaging the addicted individual and affecting their families and communities. In underdeveloped countries, such as Afghanistan, there are often no appropriate systems for rehabilitating drug addicted people. Most hospitals tend to use detoxification as the main treatment programme, and there remains a large gap between demand and treatment services. In this case study, the author discusses the possibilities for dealing with the various causes of substance abuse and recommends solutions.

This personal reflection examines the author’s experience while conducting qualitative research on the traumatic life events and coping among the female workers in Kabul University’s dormitory for female students. It also describes the experiences of one of the study’s participants, a woman who suffered from severe domestic violence and enacted various ways of active coping.

This short case history describes the counselling process with an adolescent girl in Afghanistan. It illustrates the lack of sexual education for children and adolescents in Afghan society and reaffirms that listening is the most important part of counselling. Listening includes showing that you believe the client, being careful with questions and giving the client the feeling that she does not have to justify herself.

Girls living in juvenile rehabilitation centres, especially as a consequence of escaping from home or sexual contact, can be difficult to engage in counselling sessions. Often, this can be related to the idea that help seeking from a psychologist or counsellor is equivalent to being labelled as ‘crazy’. Added to that is the belief that family secrets must stay at home, so girls feel uncomfortable speaking about their problems. As a result, counsellors’ attempts may lead to failure. This personal reflection shows the author’s first experiences working with clients.

In Afghanistan, most families strongly believe that their female members should stay at home concern themselves with housework. In general, women are anything but encouraged to get an education and/or have a professional career. This personal reflection shows that Afghani women, with support, can develop their competences and enjoy life.

There are several factors that can lead to social anxiety disorder (fear of being judged or rejected), such as genetics, environmental factors, learned experiences, deficits in social skills, cognitive factors and/or culture. Considering all these factors, there are many people prone to develop social anxiety disorder in Afghanistan. In a recent study conducted at Herat University, it was shown that many students suffer from social anxiety disorder.

Afghanistan continues to face extraordinary challenges after almost 40 years of continuous armed conflict. Despite these difficulties, many Afghans have been working tirelessly to protect, rebuild, develop and maintain their national institutions. One such effort was the National Strategy for a Mentally Healthy Afghanistan [Government of Islamic Republic of Afghanistan (GOIRA), & Ministry of Public Health (MoPH), 2009], which recognised the impact of conflict on mental health and psychosocial wellbeing.

Family and sexual violence are common and widespread in Papua New Guinea, especially against women. The author describes her reflections about reviewing the psychosocial support mode of intervention according to the needs of survivors of family violence at the Family Support Centre within Tari Hospital in the southern highlands of the Hela Province, while working as a psychologist supervisor from 2011 to 2012. It draws on a feedback exercise with survivors, intended to ask about their satisfaction with services and the reasons for not returning for follow-up counselling sessions.

The following field report is based on lessons learned from the adaptation and utilisation of the Psychological First Aid for Child Practitioners (Save the Children, 2013) materials in Japan. Psychological first aid (PFA) is a set of skills and competencies that help reduce the initial distress of children and caregivers due to accidents, natural disasters, conflicts or other critical incidents. The manual was developed by Save the Children based on Psychological First Aid: A Guide for Field Workers (World Health Organization, War Trauma Foundation and World Vision International, 2011).