PESHAWAR – Twelve-year-old Aalyan, a sixth-grade student from Peshawar, is suffering from severe psychological trauma after losing his mother in a house fire, a tragedy that has left deep emotional scars. What began as shock and silence has now developed into clinical depression, worsening his mental and physical health. Aalyan has lost his appetite and has become visibly weak. His family has taken him to a private hospital in Peshawar, where he is receiving treatment.
“Aalyan is no longer the same child,” says his aunt Sidra Jabeen. “We first went to a government hospital, but there was little improvement. He has been in therapy for three months now, but it is not affordable for everyone.” Aalyan is undergoing behavioural therapy and psychological counselling costing around Rs33,000 per month, which many families cannot afford.
A Wider Crisis
Experts say Aalyan’s case reflects a wider crisis, with hundreds of children across Khyber-Pakhtunkhwa and the tribal districts facing rising mental health issues due to lack of timely diagnosis, facilities, and trained specialists.
Alarming Data from National Commission
A report by the National Commission on Child Rights reveals a steady rise in mental health issues among children aged five to 17 across Pakistan, with depression and anxiety topping the list. The report highlights that K-P has the highest proportion of affected children in this age group.
According to the data, depression rates among children stand at 5.3 per cent in K-P — higher than Punjab (2.7 per cent), Sindh (3.2 per cent), and Balochistan (4.4 per cent). Similarly, anxiety prevalence in K-P is reported at 7 per cent, compared to 5.2 per cent in Balochistan, 4 per cent in Sindh, and 3.7 per cent in Punjab.
Expert Insights
Dr Qazi Shahbaz, a clinical psychologist at Lady Reading Hospital, Peshawar, says children often appear frivolous, but many silently struggle with emotional and psychological issues.
“Mental health is as important as physical health, shaping how children think, feel, and behave. Neglect can lead to long-term consequences. Anxiety, depression, behavioural disorders, and ADHD are common and can be triggered by bullying, academic pressure, family conflict, poverty, abuse, or trauma. Children rarely express distress in words,” noted Dr Shahbaz.
Virtual Autism on the Rise
Beyond depression, autism is also emerging as a growing concern in K-P, with experts warning of increasing cases of “virtual autism” among children aged two to six due to excessive screen exposure. Alarmingly, the province lacks dedicated government autism specialists. Major hospitals, including Lady Reading Hospital, Hayatabad Medical Complex, and Khyber Teaching Hospital, do not have specialised autism centres, while only a limited facility in Hayatabad provides basic services.
A Father’s Struggle
Ali Zaman, a resident of Peshawar, shared his struggle in diagnosing his three-and-a-half-year-old son. “We were first told he could not hear, but later tests confirmed autism. We lost two years due to the lack of specialised doctors,” he said.
The Importance of Early Intervention
Ismat Paray, a speech therapist associated with the University of Peshawar’s Department of Psychology, stresses the importance of early intervention. “Our goal should go beyond treating severe cases,” she says, stressing the need for safe and supportive environments for children. She highlights the role of parents and teachers in spotting early warning signs, adding that even small behavioural changes should not be ignored.
Call for Systemic Change
Paray also calls for school-based awareness, anti-bullying efforts, and better teacher training. At the societal level, she urges reducing stigma around mental health and improving access to affordable care. Experts agree that healthy routines — such as proper sleep, nutrition, physical activity, and emotional support — are key to prevention.
Analysis: A Silent Epidemic
The rising rates of depression and anxiety among children in Khyber-Pakhtunkhwa represent a silent epidemic. The province’s rates — 5.3% for depression and 7% for anxiety — are significantly higher than other provinces. Yet, the healthcare system is ill-equipped to respond.
The lack of dedicated autism specialists in major hospitals, the absence of specialised centres, and the high cost of private therapy (Rs33,000 per month) mean that only the wealthy can access care. For families like Aalyan’s, the financial burden is crushing.
The emergence of “virtual autism” due to excessive screen exposure is a new and growing concern. The lack of public awareness and early intervention programmes exacerbates the problem.
The National Commission on Child Rights’ report should serve as a wake-up call. The KP government must prioritise child mental health: train specialists, establish dedicated centres, subsidise treatment, and launch awareness campaigns.
The children of KP cannot afford to wait.
