Olha Podvalna was the guest speaker at the Minneapolis Rotary Club’s June 5, 2026 meeting. She is a psychotherapist from the Ukraine, and her topic was “Dealing with Uncertainty: Challenges of clinical practice in an active war zone.” She focused on the difficulties of providing psychological support, while working in a war zone, to those living in the on-going war in Ukraine. She has been in private practice for 1 1/2 years, providing telehealth and also volunteering; in addition, she spent 1 year doing clinical work remotely while in Portugal.
Her presentation included many before and after photos--what various places, rural and urban, looked like before Russian bombing and the destruction after Russian missile strikes. Her own home town, 10 miles from the border with Russia, has been attacked. She queried: what do residents think and feel when their town suffers destruction? She described the conflicting thoughts residents have when they hear an air raid siren. Do you run to shelter or do you try to carry on your life activities? Are you worried about injuries or death for yourself, your loved ones, or your neighbors if you choose the latter? All of this leads to great amounts of stress and anxiety, especially when one has been woken several times in the night by air raid sirens and is thus sleep deprived.
She also spoke of how therapists also need to recognize that they themselves are under many of the same stresses as the clients they are seeking to help. This can be especially challenging, regardless of whether the therapist is working remotely (e.g., from another country) or is in the country. This led to a short discussion of clients preferring therapists who are in the same situation as themselves: those who have fled Ukraine wanting a therapist who also has fled and thus may have a better understanding of their issues and stresses, or those who have remaining in Ukraine and wanting a therapists who also has remained and know the trials of staying in the country.
Olha’s presentation concluded with a description of night curfew--dark, no lights, emptiness. But in one town, the residents built a small outdoor structure, with light and color, to bring joy and beauty to the residents of the nearby apartment buildings. Yet there is always the worry; will this attract a bomb?