For victims in Syria, the earthquake is another crisis amid a devastating 12-year civil war. Children and families who were recovering from PTSD and ongoing trauma from the scars of war are back in survival mode, Dr. Alexandra Chen, a trauma psychologist treating earthquake victims, told CNN. “For people who have slowly begun to recover and regain a sense of normalcy and rebuilt their lives over the last decade, this has been terrifying and destabilizing for both children and adults,” said Chen. “Some are still in denial while others are experiencing hallucinations.” The United Nations estimates over 30,000 lives have been lost in the Syrian civil war. People were already struggling to rebuild their lives, while thousands fled the country seeking refuge in nearby countries. While a semblance of routine had been established before, Chen says the situation has now changed.