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Surviving a mental health breakdown in Afghanistan

Rahima had a breakdown after being badly treated by her husband. Thanks to counselling, she's made a full recovery.

11 Sep 2026

Woman in a green dress and white head covering working with fabric on a table, with another person operating a sewing machine in the background.

Rahima and her two apprentices in her shop after recovering from a mental health breakdown and learning business skills. Credit: Tearfund partner

Ten years ago, when she was 16, Rahima from Afghanistan was told by her father that she was to be married. To a man she’d never met. After the wedding, she found herself living within a large household much bigger than her own.

The extended family included her husband’s brother-in-law and sister. Because the couple had young children to look after, it was decided that Rahima should do all the household chores. She spent her days cooking, washing, and cleaning for her new relatives.

Rahima fell out of favour with the older members of the family. They objected to how she behaved and often reprimanded her. This left Rahima feeling useless and alone. Her childhood dreams of getting an education were stolen from her by this demanding and unsympathetic family.

Rahima had very little money of her own. On top of her seemingly endless chores, she somehow found time to create handmade woven goods. One day, her new mother-in-law scolded her, telling her to, ‘Use less water!’ This was the last straw for Rahima; she could no longer stand the insults.

The episode triggered an overwhelming fear of contamination. Rahima started displaying symptoms of obsessive-compulsive disorder. More and more she was overcome by the feeling that everything was unclean.

‘Rahima could not suppress her emotions or hold back tears. She had suffered extensive psychological and physical harm.’
Rahima’s counsellor who helped her to recover, Afghanistan

Thankfully, her husband, after training as an apprentice with his brother-in-law, was able to open his own shop. Although it didn’t stop Rahima’s anxiety, it did bring them a more stable income. Until disaster struck.

A devastating fire broke out, which burnt his shop to the ground. All the stock – their entire investment – was destroyed. Rahima’s father was a security guard in the market where the shop was located. Her husband became suspicious, believing Rahima’s father had deliberately started the fire. Or that he hadn’t acted to stop it. This false belief started to tear Rahima’s marriage apart.

As revenge on her father, Rahima’s husband married a second wife. By now, Rahima had two children of her own to care for. For their sake, she stuck with her husband. She felt trapped. The tension built until her husband decided to divorce her, despite Rahima carrying their third child.

After the separation, Rahima was not allowed to see her children. This was devastating, and she started to experience memory problems as well as anxiety and compulsive behaviour. She felt her mind slipping away. When she prayed, Rahima would lose her place and repeat the same phrases many times. The suffering she endured had left her broken, and Rahima lost all motivation for life.

Rahima’s story is not uncommon in Afghanistan. Decades of war, deep poverty, and crushing restrictions have the country facing a massive, often invisible, crisis. Half of the population are suffering from mental health issues, and women and young people are hit hardest.

Getting support and treatment is not easy. Mental health clinics and trained professionals are rare, particularly in remote areas. Deep social stigma means people often suffer alone. Families can’t afford medicine, and people suffering find it hard to find jobs, leading to regular relapses.

Rahima finds the support she needs to rebuild her life

But, just as she reached rock bottom, Rahima found the help she desperately needed. A neighbour who had been through similar problems told her about the community mental health centre that had helped her.

Rahima started attending counselling sessions at the Tearfund-supported Mental Health Inclusion Project in Jebrael. ‘I listened carefully to the counsellor's words and tried to implement her advice correctly,’ she says. ‘By doing this, I gradually started to feel better day by day. A positive feeling, which I call hope, began to grow within me.’

The counselling effectively treated the anxiety and forgetfulness, using cognitive therapy, stress management and physical activities. The sessions provided a supportive environment where Rahima could talk through her feelings.

‘Rahima could not suppress her emotions or hold back tears,’ her counsellor says. ‘She had suffered extensive psychological and physical harm under immense pressure from multiple problems and deep sorrow.

'Even though Rahima faced many challenges and obstacles, she showed perseverance, which was truly admirable. She attended counselling sessions regularly. She listened carefully to the guidance given and tried her best to apply it in her life.

‘She consistently showed a readiness to cooperate with the counsellor to improve her personal situation, putting in every effort to achieve this. She actively participated in her treatment and recovery process.’

‘‘I am proud of myself for being an active person with my own business. There is no longer any sign of anxiety or forgetfulness in me.’
Rahima, Afghanistan

‘My illness slowly improved, and signs of health appeared in me,’ Rahima says. ‘I no longer became impatient with the slightest movement or sound. My motivation and enthusiasm for continuing life and enjoying it increased significantly. Gradually, I began to notice a change: I was no longer forgetting little things. The constant distraction started to fade. It felt like my memory was finally getting back to normal.’

Young person in a white headscarf and green top diligently sewing dark red fabric on an industrial machine. A large spool of red thread sits on the table, and a blue banner with a repeating 'DA' logo is in the background.

Rahima learnt tailoring skills, earns enough to support herself and has plans to expand and develop her business. Credit: Tearfund partner

Rahima learns new skills and starts a successful business

Rahima enrolled in a vocational course to learn tailoring skills and, after completing the six-month course, was given a tailoring toolkit. She also took part in workshops about how to start up and promote a small business.

After completing the training course, Rahima started a small business and now earns an average of 7,000 Afs [£80] a month. She runs a clothing production business in Jebrael and has five apprentices.

Jebrael is a district of Herat city where women and men work side by side, equally contributing to personal and community development. This region is renowned for its handmade goods, including high-quality carpets, shoes and clothes.

‘All signs and evidence show that Rahima has fully regained her health,’ says her counsellor. ‘She takes part in social activities, has become a business owner, and has financial independence.'

'I am proud of myself for being an active person with my own business,’ Rahima says. ‘There is no longer any sign of anxiety or forgetfulness in me. I plan to work on my abilities and learn more skills in the future.’

Please pray

    • That Rahima's business will continue to be a success and that her mental health will continue to improve.
    • For her five apprentices, that they will develop their tailoring skills under Rahima’s guidance.
    • For the Tearfund-supported Mental Health Inclusion Project, that it would be able to support more women with mental health problems to achieve a full recovery.
    • For the huge mental health crisis in Afghanistan, that more counselling will be available so that people don’t have to suffer alone.

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