1. Invisible people, invisible wounds and trauma Dr Fragiskos Gonidakis MD Transcultural Psychiatry Outpatient Clinic, 1 st Psychiatric Department, Athens University, Medical School, Eginition Hospital

2. * Before immigration * During immigration * After immigration

3. Before immigration

4. What forces someone to abandon his/her house? Life threatening situations Life threatening situations War War Civil conflicts Civil conflicts Domestic violence Domestic violence Poverty Poverty Psychological difficulties Psychological difficulties

5. During immigration

6. The wounding journey Grief for what is lost Grief for what is lost Hope for what lies in the future Hope for what lies in the future Fear of survival Fear of survival The journey The journey Exploitation Exploitation Violence (sexual & physical) Violence (sexual & physical) Uncertainty Uncertainty Death Death

7. After immigration

8. Unemployment Unemployment ''I work 12 hours, paid for 8 hours, get insurance for 4 hours'' ''I work 12 hours, paid for 8 hours, get insurance for 4 hours'' Poverty Poverty ''I need to send 50 Euros to my family every month to support them but the hallucinations do not let me work'' The invisible people

9. Poor accommodation Poor accommodation '' I stay with other people, I can not sleep at night, I can not relax'' Lack of health insurance Lack of health insurance '' I am sorry, I stopped the medicine because I did not had the money to buy it, can you prescribe a cheaper one?'' The invisible people

10. Illegality Illegality '' I know that you told me to walk outside the apartment but I am afraid that the police might arrest me'' The invisible people

11. Emotions and Disorders Anger Anger Resentment Resentment Guilt Guilt Frustration Frustration Anxiety Anxiety Sorrow Sorrow Despair Despair PTSDDepressionAnxietyInsomniaSomatoform

12. Emotions and Adjustment Relief Relief Hope Hope Optimism Optimism Safe Safe Fulfilment Fulfilment Camaraderie Camaraderie IntegrationAssimilationAcculturation

13. The brave invincible people