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The names of Jihan Khudher’s missing ancestors ociates and fiancé are tattooed aloft her aerial body. Aback she was a bound of the Islamic Accompaniment in Iraq, she hoped the arrangement – advised by some in Islam – would serve as a absorber from her captors’ abuse. Now, she is a refugee in Canada, and the tattoos admonish her of a ancestors that was burst afar by the active group’s aggression in the Middle East.
Pography by Kiana Hayeri/The Globe and Mail
Jihan Khudher doesn’t bethink the aboriginal time it happened. She remembers the annual before. She’d aloof been d by the man who captivated her captive. Afresh he larboard the room, locking the aperture abaft him. The abutting affair she remembers took abode some alien time later. She awoke in a medical clinic. Anybody about her batten Arabic, not her built-in language. Her defacer stood beside her. He would not explain to her what happened – cogent her alone that she had been brought there because she was tired. He took her from the dispensary and aback to the architecture breadth she had been imprisoned.
That was three years ago. Aback then, these episodes she can’t bethink aculate happening.
When they come, she loses alertness and falls. Her anatomy writhes, her aback arches, her arch twists berserk from ancillary to side. She sometimes bites her beard and crosses her accoutrements in advanced of her face – arch her doctors to accept she may be reliving a . The episodes are physically draining; base to experience; alarming to watch. To the green observer, they attending like a admirable mal seizure. But clashing epileptic seizures, there is no aberant academician action active these spells, appropriately no medication or anaplasty that can ane them or abatement their frequency.
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Known as pseudoseizures, Jihan’s episodes are agnate to epileptic seizures in affection but absolutely altered in source. They are triggered by astute cerel stress. In that way, they action some mercy: For a minute, two, 10, 30, about abounding annual or hours they last, she is acquainted of nothing. She is absolutely dissociated from the world, briefly reprieved from her present and past.
Psychiatrist Rita Watterson, right, pays a home appointment to ysis on Jihan.
Jihan, who is 29 and lives in Calgary, accustomed in Canada as a refugee in the summer of 2017, as allotment of the federal government’s Victims of Daesh resettlement program. She and her ancestors were apprenticed from their home in arctic Iraq during a barbarous attack of murder, kidnap and abduction by ISIS that began in 2014 and targeted Yazidis, a predominantly Kurdish religious minority. Distinct by their acceptance rather than ethnicity or language, the Yazidis accept been accountable to as abounding as 74 attempted genocides over 800 years. About 1,200 Yazidis accept appear to Canada aback the ISIS advance began, active mainly in Toronto, Winnipeg, Calgary and London, Ont. But as Canada tries to actualize a safe amplitude for survivors, cases like Jihan’s accession questions about how able our health-care arrangement is to amut them.
Since accession from Iraq afterwards 18 months in and addition 11 months in a refugee camp, Jihan has been apparent consistently by doctors in Calgary who accept likened her action to an astute anatomy of post-traumatic accent disorder. Her academic ysis is about-face ataxia with pseudoseizures, or ytic non-epileptic seizures (PNES). It’s advised rare, but the awfully aerial blow amid Yazidi refugees has acquired affair amid Canadian medical and resettlement staff. PNES usually occurs in about 2 to 33 per 100,000 bodies a year. But in Calgary, for example, 6 out of 300 Yazidis accept been diagnosed with the disorder.
And the action is proving perplexingly difficult to treat. Recommended approaches such as psycherapy and cerel behavioural ysis (CBT) haven’t been able with Jihan or abounding added patients. Antidepressants, beddy-bye aids and anti-anxiety medications haven’t decreased the abundance of her seizures. ts at added medical and resettlement centres accept amorphous experimenting with non-traditional therapies for patients like Jihan, but so far, with bound success. Some accept alike concluded up gluttonous counselling themselves to cope with commissioned trauma, brought on by the appalling acceptance they apprehend in the action of caring for Yazidi refugees.
In the evening, Jihan and her sister Munifa practise the English alphabet.
Jihan’s affliction aggregation is now apprehensive what abroad they can do to help, and accept articular what they accept is a ytical basic to her approaching success: The reunification of her burst family. Jihan, who grew up in a seven-member family, accustomed in Canada with alone one sister. A federal government action that alone allows for spouses and audience to accompany acknowledged refugee claimants in Canada agency that her additional sister charge administer alone and achievement to be chosen. But afterwards admission to added of her family, Jihan may never thrive, say ociates of her affliction aggregation who altercate that abounding added Yazidi refugees face the aforementioned plight – and should be accustomed appropriate ysis by Canadian clearing officials.
Annalee Coakley, medical administrator for Calgary’s Mosaic Refugee Bloom Clinic, describes the Yazidis as “very altered from added refugee communities.” Anecdotic her aboriginal affair with a Yazidi family, she says, “I’ve never apparent families in astute ache like that. They were accepting agitation breathing, they were