For at least the first few sessions with men who have survived horrific violence during the Boko Haram insurgency in Nigeria’s north-east, therapist Kingsley Nworah knows to expect lots of long silences and scepticism.
After he helps the group establish trust, he typically then witnesses a deluge of emotions and often tears from the men as they begin to “face demons”, says Mr Nworah of the International Committee for the Red Cross.
He stresses that far too few from among the more than 2m Nigerians who fled their homes as the Islamist extremist group raped, kidnapped and murdered its way across the region have access to this type of support.
About half of those who endured the war are probably suffering from trauma and its side effects such as depression, say mental health specialists. If this problem is left untreated it will “threaten the future of the country,” says Lateef Sheikh, medical director of a psychiatric hospital in the northern city of Kaduna, where some survivors have been treated.