Four Years of War. We Are Still There.

Four years. That is how long Ukraine has been at war. Four years of sirens, of shelters, of waiting for news from the front that sometimes never comes. Four years of losses that pile up so fast that many people have stopped counting — because counting would mean breaking down completely, and they cannot afford to break down. There are children to feed. There is a life to hold together.

But the body keeps the score. And in Ukraine today, the score is devastating.

According to the International Rescue Committee, 15 million people in Ukraine currently need psychological support. Sixty percent of those seeking help are battling anxiety so severe it stops them from functioning. One in five is struggling with depression. By early 2026, more than 1.4 million Ukrainians had been registered as veterans — triple the 2022 figure — many of them returning home wounded, displaced, and carrying invisible trauma that the healthcare system is nowhere near equipped to absorb. And still, stigma continues to prevent many men from coming forward for psychological support, while most of those seeking help are women, often carrying the weight of the entire family alone.

500 people who decided to ask for help

In the middle of all this, something quiet and powerful has been happening through your support.

Over the past six months, we have reached more than 500 people with severe mental health needs — people whose lives had been fractured by the war in ways that go far beyond what a doctor can see on an X-ray. Soldiers who came back from the front and could no longer sleep in a bed. Mothers who lost sons and kept setting the table for them out of habit. Elderly people who survived two world wars' worth of trauma compressed into four years, alone, in apartments that had lost their windows to a blast.

They came. And we were there.

One of them was a woman in her fifties from the Kharkiv region. She had lived through a bombardment that destroyed the building next to hers. She was not physically injured. But for months afterward, she could not leave her apartment. She could not shower without panicking. She told our psychologist: "I feel like I am still inside that moment. Like it never ended." After several months of trauma-focused support, she started going outside again. Small steps. But hers.

Why this work cannot wait

The cumulative impact of the war, worsened by a particularly harsh winter and the absence of any real prospect of relief, continues to erode families' ability to cope and carry on with daily life. The mental health system in Ukraine was already stretched before the full-scale invasion. Now it is overwhelmed. One in four Ukrainians reports a decrease in access to medical services since 2022, and 35% have postponed care they need because they simply cannot afford it.

The people we are serving do not have the luxury of waiting for the system to catch up. They need support now. And the longer untreated trauma is left to grow, the harder it becomes to heal.

The road ahead

In the second half of 2026 we will keep expanding our reach — because 500 people, as significant as each one of them is, are a drop in an ocean of need. We will keep training local mental health workers, keep running group support spaces, keep making sure that the people who find the courage to ask for help find someone ready to listen.

Ukraine is a country that has refused, again and again, to give up. The least we can do is refuse to give up on its people.

Project Report – Mi z Ukrayiny! / Psychosocial Support in Ukraine

March 2026

Three years of war. Millions of invisible wounds.

Since Russia's full-scale invasion began in February 2022, Ukraine has been living through one of the largest humanitarian crises in Europe since World War II. But behind the visible destruction — bombed cities, displaced families, destroyed hospitals — lies another crisis that is harder to see: the collapse of mental health across an entire nation. The World Health Organization estimates that 1 in 4 Ukrainians is at risk of developing a mental illness as a direct result of the war, and that between 1 and 2 million people will need specialized mental health services. Today, only a fraction of them can access any help at all.

This is where your donations are making a difference. Through the Mi z Ukrayiny! project, COOPERA is working to close that gap — not by replacing Ukrainian professionals, but by strengthening them. Our approach focuses on training local psychologists in evidence-based trauma and psychosocial support methods, equipping them to reach communities that remain underserved. Ukrainian mental health professionals are among the most committed people we have ever worked with. They are treating patients while managing their own grief, their own fear, their own losses. Investing in them means investing in Ukraine's long-term resilience.

The scale of need is staggering — and well-documented. Research published in The Lancet found that more than 50% of non-displaced Ukrainians already met clinical criteria for PTSD after the first year of the invasion, rising to over 62% among refugees abroad. Studies on Ukrainian soldiers show that nearly 46% have been diagnosed with PTSD and 34% with major depression. Meanwhile, documented attacks on healthcare infrastructure increased by nearly 50% between 2024 and 2025, further reducing an already overwhelmed system. Only 10% of internally displaced people with mental health conditions have received any professional support.

Marta is 41 years old and lives in Kharkiv. In the spring of 2024, a missile strike hit her neighbourhood while she was at home with her daughter. The building across the street collapsed. She pulled her daughter under the table, covered her with her own body, and waited. They survived — but Marta stopped sleeping. For months, every loud sound sent her back to that moment. She couldn't take her daughter to school. She couldn't be alone. "I knew I wasn't crazy," she told one of our psychologists. "I just didn't know how to live anymore." After eight sessions of trauma-focused support with one of the psychologists trained through Mi z Ukrayiny!, Marta describes herself as "slowly returning." She still flinches at loud noises. But she takes her daughter to school now. That is what recovery looks like in wartime Ukraine.

Thanks to you, we are part of the response. To date, Mi z Ukrayiny! has trained 25 Ukrainian psychologists in evidence-based trauma care and reached more than 68,900 people with psychosocial support. Your donations are helping us reach a population that has shown extraordinary resilience in the face of relentless trauma — and that deserves equally extraordinary care.

— Thank you.

Links:

• https://www.instagram.com/p/DTQWg4ZDR5-/?img_index=1
• https://www.instagram.com/p/DJ4aM94NYKo/