Folded paper tanks.

“I’m not a psychologist who can easily forget.”

After four years of war, Ukrainian children’s mental health needs are more urgent than ever.

“Childhood cannot be put on pause.” For Viktoria, a child and family psychologist, these words sum up the daily reality for children growing up in a country at war.  

Ukraine is once again in the middle of a long, bitter winter. Temperatures regularly fall to minus 20 degrees. Russia is destroying or damaging homes, power stations and energy systems, leaving families without warmth or reliable electricity. Winter presses in on daily life and it presses hardest on children. 

But the deepest damage is not always visible. Four years into the full-scale war, it is reshaping childhood itself. It affects how children sleep, how they learn and fundamentally, whether they feel safe.  

Portrait of Ukrainian women with black curly hair wearing glasses.

Viktoria trains and supports War Child’s local partners to deliver our joint programmes in Ukraine. As a psychologist, she also works with children living through prolonged stress and trauma and with the adults supporting them. 

“One basic technique is listening. When we listen, the child can open up,” Viktoria explains. “Psychology offers many tools to listen to children - whether toys or art therapy elements - but you don’t need a degree to listen. All you need is humanity and a genuine desire for the child to share.” 

But war builds walls around children. “For children who experience violence - and we say war is the ultimate form of violence - the ‘three no’s’ mechanism comes into play. Don’t trust, don’t talk, don’t feel.” 

Behind those walls are children trying to survive experiences they do not yet have the words for. “So, to reach children, you need a lot of love, sensitivity, and patience just to be there for them,” Viktoria says. “That’s why this is so key in my work with children.” 

As children grow older, the effects of war often change shape. “Kids either shut down or become overly aggressive. I’ve noticed that teens and older children now want to protect adults more.” 

Often, parents are carrying their own heavy burden, Viktoria says. “What’s most frightening is when adults themselves experience the trauma and consequences of loss. This affects adults as they try to meet urgent needs, survive, and organise life at home when a spouse is gone.” 

Instead of being cared for, many children begin to carry the emotional weight of their families. “They stop sharing what’s bothering them with parents or guardians because mom and dad already have so many problems - so why add to them?” 

“That’s why it’s important for the people close to the child to work together - grandparents, siblings, neighbours, and the wider community in which the child lives. Our work isn’t just about working directly with children - it’s about the wider circle. By supporting community members, parents, and caregivers, we’re also helping children.” 

Oleksiy, Vice President of the All-Ukrainian Foundation for the Protection of Children's Rights,  War Child’s local partner, sees this every day. 

“A girl comes to our space with her mother,” he recalls. “Lately, she has been attending classes [mental health and wellbeing sessions], but her condition has worsened instead of improving.” 

“The girl’s father came home [from the frontline] injured and is now disabled. He is depressed, unable to give her the attention he used to, and the girl has autism... She was used to her father playing with her, but now he’s disabled - lying in bed all day, smoking, drinking beer due to depression - and doesn’t engage with her.” 

With this understanding, the response changed. 

“Our psychologist noticed this. They’ve developed a separate programme and want to involve the father,” Oleksiy says. “They helped the mother connect with social services and arranged appropriate social support for the father so he could join a veterans’ support group.” 

“This is exactly why we do community mapping,” he explains. “The goal is to take a comprehensive approach to support this child, whose condition [mental health] has been deteriorating.” 

Male and female adult reading a book.
WCUK

For Viktoria, the work is deeply personal, and it does not end when the day does. “I’m not a psychologist who can easily close a session and forget what happened. Although, very often, the night rockets crush that drive. I won’t hide that.” 

“What makes me happy and proud is that not everyone has left, and those who have left are still helping. I still hear Ukrainian spoken, and people are coming together. That’s a reason to get up in the morning and do something meaningful.” 

“Peace is something more than just the absence of war. It’s about people living well together. It’s about having the chance to be yourself and the freedom to express your nation and culture.” 

Four years on and Ukrainian children are still living without peace. In homes with children, poverty is rising. Families are struggling to meet even their most basic needs: food, heat, safety. 

Today, around 3.3 million people have been forced from their home within Ukraine, including more than half a million children. It is also estimated that in 2026, 2.2 million children inside Ukraine will need support

Behind each number is a child trying to sleep, learn, feel safe in a world shaped by war.