How the Arab world can tackle the invisible mental-health pandemic

Experts say there are many ways to maintain a good mental balance during the uncertain times of COVID-19. (Shutterstock/File Photo)
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Updated 02 April 2021
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How the Arab world can tackle the invisible mental-health pandemic

  • Egyptian-Canadian Ally Salama wants a culture of mental wellness that speaks to the Middle Eastern mindset
  • With no let-up in COVID-19 cases in many countries, people are understandably feeling overwhelmed and anxious

DUBAI: Of the Arab world’s many problems exacerbated by the coronavirus pandemic, mental health is easily among the most insidious.

Fortunately, one young Arab has made it his life’s mission to help lead the conversation in the region and address the latent stigma surrounding feelings of depression and anxiety.

The story begins a few years ago when Ally Salama, a 24-year-old Egyptian athlete, moved to Toronto, Canada, to pursue a university degree in entrepreneurship and innovation.

Following a blissful childhood spent in Cairo and Dubai, Salama says, the move led to a dramatic change in his cultural surroundings, which left him feeling isolated and alone.

“I made my first friend four and a half years after attending my first day of university,” he told Arab News.

“It was very hard. We’re very culturally intelligent, but I didn’t want to let go of my values. I could neither mix nor mingle. As a result, I lost my identity and my mind in a year and a half. I felt completely different physically, mentally and psychologically. It caused a lot of issues for me in university.”

Depression quickly set in. He recalls not being able to get out of bed or managing to take care of his basic psychological needs.




The estimated annual global economic cost of mental health disorders stands at $2.5 trillion. (Shutterstock/File Photo)

“Smoking and drinking weren’t my thing, which is what created the biggest gap in university life,” he said.

After reluctantly seeking help from his university counsellor, Salama found the tools he needed to cope, and has since sought to help others.

“It takes a lot for a man to admit that,” Salama said. “It’s very difficult, and I’m here to make that awareness very visible. I didn’t have someone who’d been through this to tell me it was OK. That’s when I realized there are so many people who feel like me but who don’t have the courage to go through with it.”

His healing journey changed the way he views human strength — no longer in terms of physical fitness alone, but rather as a combination of physical and mental.

So when a university project came along about entrepreneurial problem solving, he used the opportunity to launch an online platform called Break the Silence Egypt.

Overnight, 180 people anonymously submitted testimonies revealing their deepest and darkest feelings, in English and Arabic. “It made me realize this is bigger than me,” Salama said. “Mental health is an issue.”




A man wearing a facemask walks past a mural painted as part of the Cities of Hope festival in Manchester and highlighting the effects of mental health as the number of cases of the novel coronavirus COVID-19 rises in 2020. (AFP/File Photo)

Upon graduating in 2019, he did a short stint as a banker in Canada before realizing he was sitting on the wrong side of the desk.

In parallel, he developed a mental health magazine for the Middle East called EMPWR. The first issue came out in March 2019, during his final year of university.

In July that year, Salama’s mentor Dr. Nasser Loza, president-elect of the World Federation for Mental Health and a World Health Organization consultant, recommended him to speak at a UN workshop in Sharm El-Sheikh on the role of media in destigmatizing mental-health issues.

“I spoke about people’s perceptions and why the media’s work hinders people’s quality of life,” Salama recalled.

“That experience changed my life. Depression and mental illnesses aren’t rational — you don’t even want to get better. It’s irrational.”

Mental HealthIn Numbers

* $2.5 trillion - Estimated annual global economic cost of mental health disorders.

* 38% - Percentage of Arabs who know someone suffering from mental-health issues. 

* 56% - Percentage of Arabs who say quality mental-health care is difficult to access. 

* 48% - Percentage of Arabs who say seeking mental-health care is viewed negatively in their country. 

Source: Arab Youth Survey 2020, WHO

It was only a matter of time before EMPWR became a leading mental-health magazine in the region, from its base in Canada.

“The biggest issue with Arabs is that no matter how much they read online (about psychological issues), it’s not culturally relevant to our relationships, our marriages, our cultures, our homes and our thoughts,” Salama said.

“A big thing about success in psychological support is having a rapport with the person in front of you and understanding where they’re coming from. I understood because of my experience.”

Soon the project expanded into podcasting with the launch of Empathy Always Wins. “Podcasting is quite educational — 70 percent of listeners have a higher education degree,” Salama said.

“We got New York Times bestselling authors, the world’s No. 1 squash player, and businessmen who people really respect, to speak.”

With over 100,000 downloads last year and a rank in Harvard’s top seven social initiatives in 2019, the podcast’s success led Salama to launch the Art of Podcasting School with Microsoft for Start-Ups.

He describes his podcast as an all-inclusive, uninhibited exploration of personal vulnerabilities, with the aim of making the ability to share and understand one another’s feelings a sign of strength.

“Empathy is the key winning component for every man and woman,” he said. “Empathy always wins in life.”




Bayda Othman, a psychologist from the NGO Premiere Urgence, consults a patient at the mental health centre of the Bajet Kandala camp for displaced Yazidis near Dohuk, 430 kilometres (260 miles) northwest of the Iraqi capital, by the border with Syria, on November 18, 2020. (AFP/File Photo)

Although the magazine’s content is English-only right now, Salama plans to launch an Arabic version soon. And there certainly seems to be an appetite for the subject.

When he began posting on his Instagram account in Arabic as well as English, he saw his following jump from 5,000 to 73,000 in just six months.

“There’s a need for faces to be vulnerable — people connect with people, not with logos,” he said, describing the positive role of influencers and ambassadors like himself. “This is how you get the message across. People need to be vulnerable to lead.”

Today, Salama is working closely with schools, universities and corporations to help them kick-start programs around mental health.

So far, 40 schools in Canada have benefited, along with Microsoft, the Capital Club and Heriot-Watt University in Dubai.

“It’s about awareness and empowering other people to seek that help,” Salama said. “I’m just an enabler. But it’s my biggest passion when I speak to young children. The more shame, guilt and burden we carry, the more psychologically disturbed, distressed and traumatic we live our lives.”

Now he wants to bring the same message to the Middle East, where he believes millions can benefit from his experience. He wants every Arab home to be discussing mental health and wellbeing.

For younger Arabs, he feels the time has come to tackle such issues, especially as life has become increasingly unsettled in the wake of the pandemic.




With no let-up in COVID-19 infections in many countries, a steady uptick in distressing news and statistics, and unprecedented challenges at home and in the workplace, it is only natural that people are feeling overwhelmed. (Shutterstock/File Photo)

“Whether you like it or not, you won’t feel at peace at any point because we’re being bombarded, which can cause stress,” Salama said.

With no let-up in COVID-19 infections in many countries, a steady uptick in distressing news and statistics, and unprecedented challenges at home and in the workplace, it is only natural that people are feeling overwhelmed, anxious and stressed.

Experts say there are many ways to maintain a good mental balance during these uncertain times.

Among them are the benefits of establishing a good routine, focusing on the things you can control such as exercise and healthy eating, keeping living spaces tidy and limiting news consumption.

“People are feeling so alone, especially during COVID-19, more than ever,” Salama said. For him, taking good care of one’s mental health is the same as stretching before a workout to prevent physical injury.

“We don’t wait until we get injured in sports to warm up,” he said. “We warm up so we perform at our best.”

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Twitter: @CalineMalek


Israel says Iran fired cluster bomb-bearing missile

Updated 16 sec ago
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Israel says Iran fired cluster bomb-bearing missile

  • Israeli military officials provided no further details

Iran fired at least one missile at Israel that scattered small bombs with the aim of increasing civilian casualties, the Israeli military said on Thursday, the first reported use of cluster munitions in the seven-day-old war.
Israeli military officials provided no further details.
Israeli news reports quoted the Israeli military as saying the missile’s warhead split open at an altitude of about 4 miles and released around 20 submunitions in a radius of around 5 miles  over central Israel.
One of the small munitions struck a home in the central Israeli town of Azor, causing some damage, Times of Israel military correspondent Emanuel Fabian reported. There were no reports of casualties from the bomb.
Cluster bombs are controversial because they indiscriminately scatter submunitions, some of which can fail to explode and kill or injure long after a conflict ends.
The Israeli military released a graphic as a public warning of the dangers of unexploded ordnance.
“The terror regime seeks to harm civilians and even used weapons with wide dispersal in order to maximize the scope of the damage,” Israel’s military spokesperson, Brig. Gen. Effie Defrin, told a briefing.
Iran’s mission to the United Nations and Israel’s embassy in Washington did not immediately respond to requests for comment.
“They are egregious weapons with their wide-area destruction, especially if used in a civilian populated area and could add to the unexploded ordnance left over from conflicts,” said Daryl Kimball, executive director of the Arms Control Association advocacy group.
Noting that Iranian missiles can be imprecise, he said that Tehran should know that cluster munitions “are going to hit civilian targets rather than military targets.”
Iran and Israel declined to join a 2008 international ban on the production, stockpiling, transfer and use of cluster bombs that has been signed by 111 countries and 12 other entities. After extensive debate, the US in 2023 supplied Ukraine with cluster munitions for use against Russian occupation forces. Kyiv says Russian troops also have fired them. The three countries declined to join the Convention Against Cluster Munitions.


UK and Bahrain sign defense pact and £2bn investment deal

Updated 6 min 47 sec ago
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UK and Bahrain sign defense pact and £2bn investment deal

  • The agreements were signed during an official visit to London by Crown Prince Salman bin Hamad, who held talks with British Prime Minister Keir Starmer at Downing Street
  • The leaders express concern about the escalation of hostilities between Israel and Iran, and repeat prior calls for an immediate ceasefire agreement in Gaza

LONDON: Bahrain and the UK finalized two major agreements on Thursday during an official trip to London by Crown Prince Salman bin Hamad Al-Khalifa.

During a visit to No. 10 Downing Street for talks with British Prime Minister Keir Starmer, the prince and his host oversaw the signing of a Strategic Investment and Collaboration Partnership, SIP2 for short, said to represent a renewed framework for two-way investment between their countries.

The agreement will enable £2 billion ($2.7 billion) of investment by Bahrain’s private sector in key UK sectors including financial services, technology, manufacturing and decarbonization, officials said. It was signed by Bahrain’s finance minister, Sheikh Salman bin Khalifa Al-Khalifa, and the British chancellor of the exchequer, Rachel Reeves.

The second deal was a Defense Cooperation Accord which, according to officials, aims to enhance interoperability and joint training between the nations’ armed forces, building on the foundations of an already strong naval partnership. It was signed by defense ministers, Lt. Gen. Abdullah Al-Nuaimi and John Healey.

During his discussions with Starmer, Prince Salman reaffirmed the strength of relations between their countries, which he said continues to grow under the leaderships of King Hamad and King Charles, the Bahrain News Agency reported.

The leaders reviewed progress on a proposed UK-Gulf Cooperation Council free trade agreement, and the crown prince welcomed the UK’s decision to fully participate in the Comprehensive Security Integration and Prosperity Agreement, following a joint invitation in December from founding signatories Bahrain and the US.

Regional and wider international developments featured prominently in the discussions between Prince Salman and Starmer, who both expressed concern about the recent escalation of hostilities between Israel and Iran. They agreed on the urgent need to deescalate the conflict, ease tensions and resume dialogue.

They also reiterated previous calls for an immediate ceasefire agreement in Gaza, unimpeded humanitarian access to the territory, and the release of all hostages still held by Hamas.

Starmer congratulated Bahrain on its recent election as a nonpermanent member of the UN Security Council for a two-year term beginning in January 2026, and both leaders agreed to work closely to bolster their diplomatic efforts in the run-up to that.


Iran appoints new Revolutionary Guards intelligence chief

Updated 8 min 24 sec ago
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Iran appoints new Revolutionary Guards intelligence chief

  • He replaces Mohammed Kazemi

TEHRAN: Iran appointed a new chief of intelligence at its Revolutionary Guards on Thursday, the official Irna news agency said, after his predecessor was killed in an Israeli strike last week.
Major General Mohammad Pakpour, the commander of Iran’s Islamic Revolutionary Guards Corps , appointed Brig. Gen. Majid Khadami as the new head of its intelligence division, Irna said.
He replaces Mohammed Kazemi, who was killed on Sunday alongside two other Revolutionary Guards officers — Hassan Mohaghegh and Mohsen Bagheri — in an Israeli strike.
Pakpour had himself been recently appointed after Israel killed his predecessor Hossein Salami in a strike on June 13.
“During the years that our martyred commanders Kazemi and Mohaqeq led the IRGC Intelligence, we witnessed significant growth in all aspects of intelligence within the IRGC,” said Pakpour.
Israel launched air strikes on nuclear and military sites in Iran last week, claiming that its arch enemy was on the verge of developing a nuclear weapon, which Iran denies.
Israel killed several top Iranian officials, prompting a counter-attack by Iran, which on Thursday hit an Israeli hospital.
Upon his appointment by Iran’s supreme leader Ali Khamenei last Friday, Pakpour threatened to open “the gates of hell” in retaliation for Israel’s attacks.
Top Israeli figures have openly talked about killing Khamenei.
 


Australia closes Iran embassy citing deteriorating security environment

Updated 49 min 32 sec ago
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Australia closes Iran embassy citing deteriorating security environment

SYDNEY: Australia has suspended operations at its embassy in Tehran due to the deteriorating security environment in Iran and has directed the departure of all Australian officials, Foreign Minister Penny Wong said on Friday.
Australia’s ambassador to Iran will remain in the region to support the government’s response to the crisis, Wong said.
“We are continuing planning to support Australians seeking to depart Iran, and we remain in close contact with other partner countries,” Wong said in a statement.


Israeli scientists reel after Iranian missile strikes premier research institute

Updated 53 min 37 sec ago
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Israeli scientists reel after Iranian missile strikes premier research institute

  • “It’s a moral victory” for Iran, said Oren Schuldiner

REHOVOT, Israel: For years, Israel has targeted Iranian nuclear scientists, hoping to choke progress on Iran’s nuclear program by striking at the brains behind it.
Now, with Iran and Israel in an open-ended direct conflict, scientists in Israel have found themselves in the crosshairs after an Iranian missile struck a premier research institute known for its work in life sciences and physics, among other fields.
While no one was killed in the strike on the Weizmann Institute of Science early Sunday, it caused heavy damage to multiple labs on campus, snuffing out years of scientific research and sending a chilling message to Israeli scientists that they and their expertise are now targets in the escalating conflict with Iran.
“It’s a moral victory” for Iran, said Oren Schuldiner, a professor in the department of molecular cell biology and the department of molecular neuroscience whose lab was obliterated in the strike. “They managed to harm the crown jewel of science in Israel.”
Iranian scientists were a prime target in a long shadow war
During years of a shadow war between Israel and Iran that preceded the current conflict, Israel repeatedly targeted Iranian nuclear scientists with the aim of setting back Iran’s nuclear program.
Israel continued that tactic with its initial blow against Iran days ago, killing multiple nuclear scientists, along with top generals, as well as striking nuclear facilities and ballistic missile infrastructure.
For its part, Iran has been accused of targeting at least one Weizmann scientist before. Last year, Israeli authorities said they busted an Iranian spy ring that devised a plot to follow and assassinate an Israeli nuclear scientist who worked and lived at the institute.
Citing an indictment, Israeli media said the suspects, Palestinians from east Jerusalem, gathered information about the scientist and photographed the exterior of the Weizmann Institute but were arrested before they could proceed.
With Iran’s intelligence penetration into Israel far less successful than Israel’s, those plots have not been seen through, making this week’s strike on Weizmann that much more jarring.
“The Weizmann Institute has been in Iran’s sights,” said Yoel Guzansky, an Iran expert and senior researcher at the Institute for National Security Studies, a Tel Aviv think tank. He stressed that he did not know for certain whether Iran intended to strike the institute but believed it did.
While it is a multidisciplinary research institute, Weizmann, like other Israeli universities, has ties to Israel’s defense establishment, including collaborations with industry leaders like Elbit Systems, which is why it may have been targeted.
But Guzansky said the institute primarily symbolizes “Israeli scientific progress” and the strike against it shows Iran’s thinking: “You harm our scientists, so we are also harming  scientific cadre.”
Damage to the institute and labs ‘literally decimated’
Weizmann, founded in 1934 and later renamed after Israel’s first president, ranks among the world’s top research institutes. Its scientists and researchers publish hundreds of studies each year. One Nobel laureate in chemistry and three Turing Award laureates have been associated with the institute, which built the first computer in Israel in 1954.
Two buildings were hit in the strike, including one housing life sciences labs and a second that was empty and under construction but meant for chemistry study, according to the institute. Dozens of other buildings were damaged.
The campus has been closed since the strike, although media were allowed to visit Thursday. Large piles of rock, twisted metal and other debris were strewn on campus. There were shattered windows, collapsed ceiling panels and charred walls.
A photo shared on X by one professor showed flames rising near a heavily damaged structure with debris scattered on the ground nearby.
“Several buildings were hit quite hard, meaning that some labs were literally decimated, really leaving nothing,” said Sarel Fleishman, a professor of biochemics who said he has visited the site since the strike.
Life’s work of many researchers is gone
Many of those labs focus on the life sciences, whose projects are especially sensitive to physical damage, Fleishman said. The labs were studying areas like tissue generation, developmental biology or cancer, with much of their work now halted or severely set back by the damage.
“This was the life’s work of many people,” he said, noting that years’ or even decades’ worth of research was destroyed.
For Schuldiner, the damage means the lab he has worked at for 16 years “is entirely gone. No trace. There is nothing to save.”
In that once gleaming lab, he kept thousands of genetically modified flies used for research into the development of the human nervous system, which helped provide insights into autism and schizophrenia, he said.
The lab housed equipment like sophisticated microscopes. Researchers from Israel and abroad joined hands in the study effort.
“All of our studies have stopped,” he said, estimating it would take years to rebuild and get the science work back on track. “It’s very significant damage to the science that we can create and to the contribution we can make to the world.”