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(en) Italy, Sicilia Libertaria #462 - Nour's Diary: I Heal, I Break, I Hold On, I Collapse (ca, de, it, pt, tr)[machine translation]

Date Mon, 27 Oct 2025 07:06:30 +0200


"How do you keep going? How can you keep helping others when you yourself are suffering? Have you ever completely fallen apart? Can you still move forward?" ---- These are the questions I hear over and over again from journalists, friends, colleagues abroad, and even strangers online. And, honestly, I ask them of myself as well. ---- For more than 21 months, I have lived through an unrelenting war in Gaza. I am a mental health professional; but here, that title is far from enough. In Gaza, we do not have the privilege of being just one thing. I am a therapist, yes. But I am also a woman enduring loss. I am a mother trying to protect her children. I am a daughter mourning loved ones. I am a healthcare worker exhausted by war, a broken soul carrying the pain of others. I am a witness to unspeakable crimes. I care for the wounded while bearing my own wounds. I am all these roles at once, inseparably intertwined. I heal, I break, I hold on, I fall apart.

Since the start of this war, I have lived a triple life. I try to help heal a community drowning in trauma, even as I grieve my loved ones, even as I rise from the rubble after each new bombardment. I try to keep my voice alive, to continue bearing witness, even as fear grips my throat with its claws every day. Today, as I write this, I am living through some of the darkest days of the war. I will not be ashamed to say: I am hungry; and my hunger is no accident. It is the result of blockade, of policies, of deliberate deprivation - but the shame is not mine. It belongs to a world that preaches humanity and human rights while Gaza is bombed, starved, and silenced.

Who am I now? Am I still a "therapist"? Or am I also a victim, a refugee, a grieving daughter, a fearful mother, a humanitarian clinging to hope with bare hands?

I have learned to teach my children patience with hunger.

Since we began working in refugee camps, we have never practiced under normal conditions. Hospitals bombed, medical teams killed or arrested, clinics evacuated, roads made impassable. And yet we persist; not only out of professional duty but from a deeper moral sense. We kiss our children goodbye each morning, terrified it could be the last time. Then we begin the day's sessions - in tents, in corners of shelters, or among ruins.

My sense of self has changed; all of our lives have changed. I have lost everything I once considered normal. I have learned to cry while moving forward, to bury my dead in my heart and keep serving the living. I have learned to dodge death, to carry anxiety for 21 endless months, to pray for friends trapped under rubble. But I have also learned resilience. I have discovered a strength I didn't know I had. Is it because there were no other options? Perhaps. But more surely, it is because faith in God and in the dignity of our people is a force that carries us through the unimaginable.

I have learned to survive in a place unfit for life. To ration water for days. To go without basic necessities. To teach my children to endure hunger. A friend told us that her son - like most children these days - once complained of hunger. But when he saw the pain on her face, he immediately apologized, tears in his eyes: "I'm sorry, Mama, I'm not hungry. Please don't be sad." He was just trying to protect her from pain by denying his own. No child should ever feel guilty or have to apologize for hunger.

What does neutrality mean in the face of atrocities?

Every day I sit with people shattered by loss. Yet I am no stranger to their stories. I live this war too. I suffer the same pain, bear the same wounds. A 15-year-old boy once told me he wished he had died with his family. My heart broke with him. A mother confessed she could no longer feed her children. She whispered: "I can't do it anymore." Quietly I thought: "Neither can I."

This is what we call "compassion fatigue" - when endless witnessing of suffering begins to erode the soul. When you feel you have nothing left to give, but you keep showing up anyway. It is akin to "burnout," the chronic emotional exhaustion of those working in environments steeped in pain, danger, and scarcity.

We do not counsel from quiet offices. We try to plant hope in overcrowded tents and bombed-out schools. Children talk about missiles the way others talk about breakfast: casually, as if it were routine. And yet, even amid this horror, mental health workers are still asked to remain neutral. But what does neutrality mean in the face of atrocity? Am I supposed to pat children on the shoulder and say "it will be okay" when I know they will never forget the smell of blood? How can I speak of safety to those who now see danger in every sound, every shadow, every color?

The truth is, sometimes we don't speak at all. In some sessions, silence is all we have. But presence can be enough. To be there, to bear witness, to sit with someone in their pain without having to fix it - even that can be healing. The smile of a child after days of crying, a woman finally able to rest after a panic storm, the gratitude of an elderly man after being truly heard: these are the moments that help us keep going.

What warms my heart is how we hold each other

We are not alone in this grief. Around me are colleagues whose strength humbles me daily. Each carries a story of unimaginable loss, yet they keep going. A dear colleague, a gentle and caring doctor, lost his entire family at once. Despite his profound pain and suffering, he returned to work and to care for those around him. Even in his grief, he lifted us and reminded us why we continue. Another colleague lost his daughter. Another, her husband. And all of us, each one, have lost everything we once had: our homes, our streets, our memories, our loved ones. And yet we are here; tired, grieving, hungry; driven by something greater than pain: a deep, quiet love for our people. We pour what remains of our hearts into our work.

Sometimes circumstances force us to evacuate a clinic, and a heavy guilt sets in because we know how much people depend on us. But this guilt is not weakness: it is the measure of our love. This pain is the fuel that keeps us going.

What warms my heart is how we embrace each other. How we check on each other in the middle of chaos. How we cry together when one of us is lost. How we share our exhaustion, our pain, our helplessness, and still somehow plant hope in each other. "This will end," we say. "God will return what was taken from us." We remind the most desperate among us: "One day, we will look back and say: we survived." We have carried each other.

I look at my colleagues and see "courage wrapped in pain." We hold each other up, we remind one another that this will end, that justice will come, that our people deserve life. So how do we go on? Perhaps the better question is: how could we not?

To stop would be to let darkness win. We may be exhausted, but we are not broken. Not yet. Because Gaza is not only a land of pain and rubble; it is a land of fierce resilience, a place where humanity insists on shining even through the deepest horror. We are still here. And together we will heal.

As the poet Elia Abu Madi reminds us: "To despair, I believe, is a betrayal - of those who lived with hope or died still dreaming."

Nour Z. Jarada
Mental Health Manager
Doctors of the World - Gaza

https://www.sicilialibertaria.it/
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