A displaced Palestinian in central Gaza looks out to sea at dawn on Thursday following news of the ceasefire deal. AFP
A displaced Palestinian in central Gaza looks out to sea at dawn on Thursday following news of the ceasefire deal. AFP
A displaced Palestinian in central Gaza looks out to sea at dawn on Thursday following news of the ceasefire deal. AFP
A displaced Palestinian in central Gaza looks out to sea at dawn on Thursday following news of the ceasefire deal. AFP

Truce or no truce? Two years of uncertainty leave Gazans too traumatised to hope


Fatima Al Mahmoud
  • English
  • Arabic

Salma Altaweel's daughter, Julia, refuses to believe a ceasefire can hold in Gaza.

The seven-year-old woke up on Thursday to news of an initial agreement to end the war. But the young girl, who has been displaced more than 10 times and sleeps in an overcrowded tent in the south, cannot help but expect the worst.

“I woke her to tell her the war was over, and she said she didn't believe me,” Ms Altaweel, who works with the Norwegian Refugee Council in Gaza, told The National. “She no longer trusts that the war can truly end because of the many times previous ceasefires have failed.”

Many Palestinians have reacted to the news with distrust and disbelief – an indication of Gaza's dire mental health crisis. Residents of the enclave live in a state of continuous traumatic stress, a vicious loop in which “trauma has become their reality”, according to mental health experts.

Unlike post-traumatic stress disorder (PTSD), which involves flashbacks, continuous traumatic stress manifests as chronic hyperarousal, emotional exhaustion and a collapse of future orientation, according to Dr Wael Al Momani, a psychiatrist from Jordan. “People are not just reacting to past traumatic events – they are bracing for the next,” he told The National.

For more than two years, residents have desperately waited for respite from death, destruction and displacement, only for their hopes to come crashing down with every wave of renewed and intensified Israeli violence.

Rasha Farhat, 49, recalls sleeping properly for the first time since the war began after Israel and Hamas reached a ceasefire deal in January. The journalist had left the Gaza Strip for Egypt with her children before the truce came into effect, but her husband stayed behind.

“It felt like the end of the war, we were crying tears of joy, but our happiness was short-lived,” she told The National. The ceasefire collapsed on March 18, when Israel launched overnight air strikes across Gaza, killing more than 400 people. “It shocked us, we didn't expect war to resume this violently,” Ms Farhat said. “And since then, it's been getting worse.”

A report by UN experts last month found that Israel was committing genocide in Gaza. The scale of devastation inflicted by the Israeli military has led Ms Farhat to lose all hope in new ceasefire talks.

In August, Hamas agreed to an Egyptian-Qatari proposal for a 60-day Gaza truce. Officials involved in the talks told The National at the time that a “positive announcement” could come soon. But the Israeli Prime Minister Benjamin Netanyahu sidestepped the proposal and launched a massive ground offensive in Gaza city, defying international condemnation.

This cycle of ceasefire negotiations and their collapse has taken a profound toll on the people of Gaza, Dr Al Momani said. “Each glimmer of hope followed by renewed violence reinforces a sense of betrayal and helplessness. For many, the anticipation of peace becomes a source of anxiety rather than relief.”

Palestinians celebrate the news of the peace deal outside Al Aqsa Martyrs' Hospital in Deir Al Balah, central Gaza. AFP
Palestinians celebrate the news of the peace deal outside Al Aqsa Martyrs' Hospital in Deir Al Balah, central Gaza. AFP

Patients he saw in Gaza presented with hypervigilance, sleep disturbances and emotional numbing – all “symptoms that reflect a population living in a prolonged state of anticipatory grief and existential dread”.

Footage circulating on social media shows jubilant celebrations in Gaza following US President Donald Trump's announcement on Wednesday that Hamas and Israel had agreed on the first phase of the ceasefire plan, which involves the release of all hostages remaining in Gaza and the retreat of Israeli troops to an agreed-upon line.

But many Gazans are in a “default survival mode”, unable to process or grasp the possibility of an end to the violence, say experts.

Dr Joseph El Khoury, a consultant psychiatrist in Dubai, describes it as an “emotional protective shield” in which Palestinians “don't even want to think that things will improve, because they just want to survive”.

“I don't have hope,” Ms Farhat told The National. “I can't afford to have hope, but I really wish I'm wrong this time, and something happens to stop this genocide.”

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Our family matters legal consultant

Name: Hassan Mohsen Elhais

Position: legal consultant with Al Rowaad Advocates and Legal Consultants.

Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

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Our family matters legal consultant

Name: Hassan Mohsen Elhais

Position: legal consultant with Al Rowaad Advocates and Legal Consultants.

Updated: October 10, 2025, 4:29 AM