Age: 20 years
Sex: male
Marital Status: married
Education: secondary school
Occupation: Tailor

Ahmad complained of exhaustion, problems in concentration, and some sleep difficulties. The patient's complains started 3 weeks earlier. He used to be an active participant in the new uprising. He participated in the clashes at Beit Hanoon checkpoint (Eretz) and at Al Shuhada junction near the Israeli settlement of Nizarem. He had seen 2 people near him killed during the clashes. Both were shot in the head. He still keeps on recalling the view of their bloody faces, which distresses him very much. In addition the patient participated in helping evacuate injured people. Also, he was injured by a rubber bullet. Since then, the patient feels very weak, irritable, easily looses his temper, and has sleep disturbances such as nightmares that awaken him many times at night. He lost his concentration to a degree that he is not able to work anymore. In addition, he can't help recalling the view of the two martyrs. He now avoids going to clash areas or watching TV programs reminding him of these traumas.

Diagnosis:
At time of visit: Acute Stress Disorder

Management:
Psycho-education and counseling

Follow Up: On the follow up Ahmad did not come to the clinic after the first session. The therapist visited him at home and discovered that he could not afford coming to the clinic. He was followed up at home till partial remission occurred after 3 months.