War Piles Yet More Trauma on Lebanon's Exhausted People

'People just can't anymore,' said Rami Bou Khalil, head of psychiatry at Beirut's Hotel Dieu hospital - AFP
'People just can't anymore,' said Rami Bou Khalil, head of psychiatry at Beirut's Hotel Dieu hospital - AFP
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War Piles Yet More Trauma on Lebanon's Exhausted People

'People just can't anymore,' said Rami Bou Khalil, head of psychiatry at Beirut's Hotel Dieu hospital - AFP
'People just can't anymore,' said Rami Bou Khalil, head of psychiatry at Beirut's Hotel Dieu hospital - AFP

Ask a Lebanese person how they are, and you're likely to be met with a heavy pause or a pained smile. Years of crisis have drained them, and now Israeli air strikes are pushing many to breaking point.

Cartoonist Bernard Hage, who draws under the name Art of Boo, summed it up a few weeks ago with a layer cake.

These layers are "Financial Collapse", "Pandemic", the 2020 "Beirut Port Explosion", "Political Deadlock" and "Mass Depression".

"War" is now the cherry on top.

Carine Nakhle, a supervisor at suicide helpline Embrace, says the trauma is never-ending.

"The Lebanese population is not OK," she said, AFP reported.

The hotline's some 120 operators take shifts around the clock all week to field calls from people in distress.

Calls have increased to some 50 a day since Israel increased its airstrikes against Lebanon on September 23.

The callers are "people who are in shock, people who are panicking", Nakhle said.

"Many of them have been calling us from areas where they are being bombed or from shelters."

Israel's bombardment of Lebanon, mostly in the south and in Beirut's southern suburbs, has killed more than 1,100 people and displaced upwards of a million in less than two weeks.

Tens of thousands have found refuge in central Beirut, whose streets now throng with homeless people and where the traffic is even more swollen than usual.

- 'Huge injustice' -

Every night, airstrikes on the southern suburbs force people to flee their homes, as huge blasts rattle windows and spew clouds of debris skywards.

Ringing out across Beirut, the explosions awaken terrible memories: of the massive 2020 Beirut port blast that decimated large parts of the city; of the last war between Israel and Hezbollah in 2006; and of the 1975-1990 civil war.

This latest affliction comes on the back of years of the worst financial crisis in Lebanon's history that has plunged much of its middle class into poverty.

Rita Barotta, 45, lives near the relatively quiet Christian-majority town of Jounieh north of Beirut.

She says she cannot hear the airstrikes, but also that she no longer has the words "to describe what is happening" to Lebanon.

"I no longer know what being me 15 days ago looked like," said the university lecturer in communications, who has thrown herself into helping the displaced.

"Eating, sleeping, looking after my plants -- none of that's left. I'm another me. The only thing that exists now for me is how I can help."

Networking on her phone, Barotta spends her days trying to find shelter or medicine for those in need.

"If I stop for even five minutes, I feel totally empty," she said.

Barotta almost lost her mother in the Beirut port explosion, and says that keeping busy is the only way for her not to feel "overwhelmed and petrified".

"What is happening today is not just a new trauma, it's a sense of huge injustice. Why are we being put through all this?"

- 'Just can't anymore' -

A 2022 study before the war by Lebanese non-governmental organization IDRAAC found that at least a third of Lebanese battled with mental health problems.

Rami Bou Khalil, head of psychiatry at Beirut's Hotel Dieu hospital, said all Lebanese were struggling in one way or another.

"Lebanese have a great capacity for resilience," he said, citing support from family, community and religion.

"But there is this accumulation of stress that is making the glass overflow."

"For years, we have been drawing on our physical, psychological and financial resources. People just can't anymore," he said.

He said he worries because some people who should be hospitalized cannot afford it, and others are relapsing "because they can no longer take a hit".

Many more people were relying on sleeping pills.

"People want to sleep," he said, and swallowing pills is easier when you have neither the time nor the money to be treated.

Nakhle, from Embrace, said many people sought help from non-governmental organizations as they could not afford the $100 consultation fee for a therapist at a private clinic.

At the charity's health centre, the waiting list for an appointment is four to five months long.



The Truth between Two Wars: July 2006 and October 2023

Lebanese former Prime Minister Fuad Siniora. (Getty Images)
Lebanese former Prime Minister Fuad Siniora. (Getty Images)
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The Truth between Two Wars: July 2006 and October 2023

Lebanese former Prime Minister Fuad Siniora. (Getty Images)
Lebanese former Prime Minister Fuad Siniora. (Getty Images)

The dangerous plight Lebanon endured in 2006 and currently enduring since October 8, 2023, share several similarities and vast differences.

The moment the Israeli enemy carried out its aggression against Lebanon in July 2006 – under the pretext of retaliating to a Hezbollah military operation and kidnapping of two Israeli soldiers – I called cabinet to meet to discuss the danger of the assault and its consequences. We discussed measures that should be taken to protect national security and civilians in areas that were being targeted to prevent the South from being emptied of its people.

I clearly stated that the government was taken by surprise by Hezbollah’s operation. We were unaware of it and did not adopt it. We condemned the Israeli aggression against Lebanon, its sovereignty and people, and urged the need to file an urgent complaint at the United Nations Security Council and demand a ceasefire.

- Distance between the state and party -

The government effectively established a clear distance between the Lebanese state and Hezbollah, allowing it to address the Arab and international communities to help Lebanon and strengthen its perseverance. This also enabled and allowed it to assume its role as the victim – a role Israel had tried to play since that morning of July 12, 2023.

I made sure that the Lebanese state, with all of its elements and means, would be responsible for everything: tackling the outcomes of what happened and what would happen, that it would assume its responsibilities in taking all measures and decisions to protect Lebanon and its people, and that it would provide all the means for their perseverance and protect the displaced Lebanese.

Since that day, the government Serial turned into a tireless national workshop, while members of government formed a united team to defend Lebanon and ensure the functioning of state institutions to allow daily life to continue. Civil society was also entrusted with playing its role in defending Lebanon.

On the external front, and with the cooperation of Lebanon’s foreign minister, daily contacts were intensified with senior world officials, such as the UN secretary-general, heads of fraternal Arab states and friendly influential countries that could impact world decisions. A ceasefire was our primary demand at the Security Council.

At the time, the Israeli enemy continued its war on Lebanon. It targeted vital facilities, destroyed bridges, roads, schools and infrastructure in villages and towns. The government, meanwhile, worked tirelessly in bringing together the world and international organizations to condemn the assault against Lebanon.

- Seven-point plan -

Along with the cabinet and effective role of the president, I presented to world leaders and the Security Council solutions to end the war against Lebanon. The government adopted a seven-point plan that I proposed at the Rome conference. The plan was adopted by the Security Council as part of its international resolution for a ceasefire.

The Security Council issued resolution 1701 and the war ended. The displaced returned to their homes and villages starting August 14, 2006. The reconstruction plan of infrastructure and destroyed and damaged buildings was carried out with the highest level of competence, credibility, efficiency and speed in due to the generous aid offered by Arab states, especially the Gulf, and friendly countries. Lebanon could rely on these countries after the trust that the government consolidated and built with all brothers and friends.

And so, Lebanon rose again and prospered. It went on to resume its natural Arab and international role. From 2007 and 2010, Lebanon achieved the highest growth rate in its history and over a four-year period. It achieved a major surplus in its balance of payments and a very positive surplus in its foreign currency reserves in the Central Bank. It also achieved a major relative drop in its public debt.

- Unity of arenas without foundation -

In contrast, what happened on October 8, 2023, was a result of Hezbollah’s vision of the “unity of arenas”. It took its actions alone and at its own responsibility without informing or the knowledge of the legitimate authorities in Lebanon. It opened the southern Lebanese front with occupied Palestine without also taking into consideration the very dire circumstances that Lebanon has been and still continues to endure.

The very next day I issued a statement stressing that Lebanon will not and cannot be dragged into such a military battle. I listed five fundamental reasons: the national and political crisis caused by the vacuum in the presidency, failure to form a responsible government, the stifling economic crisis, the Syrian refugee crisis and Lebanon’s loss of close ties with its Arab fold and loss of the Arab and international safety net that protected it in 2006. Added to that is the majority of the Lebanese people’s lack of sympathy or support of Hezbollah’s military operation.

Now, resolution 1701 has not been implemented as it should, and the UN and Security Council have not played their role in ensuring the implementation of all international resolutions related to Lebanon and the Palestinian cause. Israel has proven that it does not want just and lasting peace in the region. It does not recognize international law, international legitimacy or human rights. It has been running rampant in genocide, killing, and destruction in Gaza and the West Bank. Now, it has its sights on Lebanon where it is killing civilians and displacing the people, destroying homes and infrastructure and abusing modern technology.

- Nation searches for heroes -

Now, we are where we are, facing obstacles to outlets that can help Lebanon out of this Israeli aggression. I believe that certain officials in Lebanon can play a major national role in the absence of a president. I believe these figures are Nabih Berri, the parliament speaker, and Najib Mikati, the caretaker prime minister. They must intensify their efforts and earn this heroic role. All dutiful officials must save Lebanon and take the initiative to help it through adopting the following six points:

First, national duty demands that all Lebanese people come together and act according to a unified basis and national fraternity. The entire Lebanese population condemns this barbaric Israeli aggression that is targeting the whole of Lebanon and its structure, which cannot tolerate the idea of no victor and no vanquished.

Second, solutions in Lebanon can only be reached through unifying national proposals that are based on the full implementation of the Taif Accord and Lebanese constitution. They should adhere to the state and its authority. The state is independent and it alone is responsible for protecting the nation and its sovereignty and its people and their security and stability.

Third, the Israeli aggression is targeting the whole of Lebanon and all the Lebanese people. No one wants this attack and sees in it an opportunity to back their political position. So, efforts should be focused on supporting the state and allowing it to take control and assume responsibility, bringing together the people so that their sole concern would be saving Lebanon and helping it out of this dangerous crisis that is threatening their nation, their unity and their fate.

Fourth, the Security Council must issue a resolution for an immediate ceasefire in Lebanon. It must assume its responsibilities in preserving international peace and security through obligating all parties to fully and immediately implement resolution 1701 and respect all relevant resolutions.

Fifth, Speaker Berri must call parliament to convene to discuss the dangers that are looming around the Lebanese state and people. The parliament must ensure the preservation of the Lebanese entity, respect the constitution, and preserve Lebanon’s unity and territorial integrity. Berri must call for the election of a new president without delay.

The president must be able to unite all the people and form a responsible government that would assume the responsibility in implementing resolution 1701 in full. It must work on reviving the state and restoring its sovereignty. It must bolster the role of the Lebanese state in maintaining the country’s independence and freedom.

Sixth, efforts must be exerted with all Arab brothers and the Arab League, as well as all friendly countries and institutions, to offer the necessary and immediate aid to the displaced. The safe return of the displaced must be ensured and the necessary funds for reconstruction must be secured.

This new plight has demonstrated that Lebanon has not learned from the lessons of 2006. It has become exposed in every aspect before the Israeli enemy, which has taken advantage of its superior firepower, air force, technology, intelligence and unlimited support from the international community to kill and destroy. The enemy is still hoping to sow division and strife between the Lebanese people. God willing, this will not happen. The enemy has not shied away from committing massacres and assassinations, the last of which was the killing of Hezbollah Secretary-General Hassan Nasrallah.

Today, the whole of Lebanon is facing a test. Will the UN and Security Council champion what is right? Will the Lebanese people rally together to defend Lebanon and their right for a dignified and safe life, and teach Israel a lesson in rights, humanity and respect for human rights?

*Fuad Siniora is a Lebanese former prime minister.