Disasters are known to change people’s lives, both victims and their carers. Rescue and relief workers are also significantly affected by the psychological consequences of disasters. To assess the psychological impact of 8th Oct 2005 earthquake of Pakistan on the health care providers who worked in the affected areas. A group of health care providers who worked in the disaster affected areas for 6 months, belonging to the Armed Forces were approached through the heads of their organizations after a lapse of this time period. Since there is a central computerized record of all the personnel who worked in the relief work, it was relatively easy to track down the participants who provided relief work in earthquake of Oct 2005. The participants were initially contacted on phone and then subsequently interviewed and asked to make responses to a battery of psychological instruments and questionnaires, designed to measure different psychosocial distresses and disorders at 10 years post-earthquake. The data collected was compared with an age and gender matched controls. The results showed General Health Questionnaire – 28 (GHQ-28) ‘Caseness’ in 79.3% of the cases, Impact of Events Scale (IES) measured psychological distress in 27.1% of the cases, Compassion Fatigue Questionnaire (CFQ) established emotional fatigue in 75% of cases and 68.3% of controls and poor Social Support was established in 15.2% of the exposed group. Moreover, the difference amongst the scores of Exposed Group and the Controls were statistically significant (p=0.04). The GHQ-28 positive cases showed high scores on IES (33.3% scored above the cut-off score) and CFQ (77.7% reported emotional fatigue) and poor scores on SSQ (17.8% reported unsatisfactory social support). Caregivers and relief workers are at risk of developing psychological distress and compassion fatigue in disaster situations. Inadequate logistics and more than 20 days of stay in the affected areas are associated with increased risk of traumatization that is palpable even after a period of 10 years. Adequate disaster management planning is necessary to facilitate performance of the relief workers and prevention of secondary traumatization

Objective: To determine the psychosocial correlates of behavioural problems in children with ADHD. Moreover to determine gender differences in psychosocial correlates of behavioural problems in children with ADHD.
Methods: Total 300 children with ADHD including 150 males and 150 females children were selected in different cities of Pakistan. Purposive sampling technique was applied for collection of data. Multidimensional Scale of Perceived Social Support, WHO Quality of Life Scale and Strengths and Difficulties Questionnaire were used. Descriptive statistics, Pearson correlation and independent sample t-test were applied for hypotheses testing. SPSS software version 20 was used for data analysis.
Results: Results revealed that social support and quality of life were negatively related with behavioural problems among children with ADHD. Gender differences revealed that male ADHD children were higher on behavioural problems as compared to female that were higher on social quality of life.
Conclusion: The study concludes that social support and quality of life have negative association with behavioural problems among children with ADHD. By providing better social support and quality of life mental health of ADHD children can be increased and behavioural problems can be reduced in them.

Objective: To demonstrate the efficacy of EMDR in complex multiple psychological trauma after failed drug treatment from selective serotonin reuptake inhibitor (SSRI) in a diagnosed case of post traumatic stress disorder (PTSD). Material and method: Single participant of this case study, a sitting session judge of judicial governmental scaffold reported to this mental health tertiary care facility at his own accord with features of intense anxiety, depression, maladjustment issues and posttraumatic stress for a duration of several months. As a partial responder to full trial of SSRI he was enrolled for EMDR therapy to address his symptoms of intense anxiety, panic attacks, being overwhelmingly fearful, depressed, low self-esteem, inappropriate feelings of guilt, flashbacks, avoidance, nightmares, hyper-arousal and inability to perform as a judicial head in active war stricken area of northern Pakistan. Complete psychiatric evaluation was carried out and after the discontinuation of SSRIs he was scored on Impact of Event Scale (IES). He fulfilled the diagnostic criteria for PTSD as evaluated by the English version of the PTSD module of the Structured Clinical Interview for DSM-IV administered once before commencement of EMDR. Safe place of the client was established and 8 staged protocol of EMDR was started with him. Multiple EMDR sessions were conducted. Result: The case presented in this paper had multiple psychological trauma forms and failed drug treatment and yet it was observed that EMDR provided marked improvement in all the domains of his deficits and this was at a prompt speed as compared to cognitive behavioural therapy (CBT) which usually takes longer duration of therapy to achieve similar results. Conclusion: EMDR provides marked improvement in all domains of complex mental trauma and traumatic memories. Improvement attained was prompt and enduring as compared to other forms of established therapies and drug treatment indicating permanent changes happening at neurobiological levels of brain.