It’s evident that hacking and state surveillance have been used by the state apparatus and non-state actors to blackmail WHRDs to refrain from activism. In the GCHR survey, a Syrian WHRD who lives in Turkey experienced such an incident and was blackmailed into releasing intimate pictures of herself with her husband in public; a condition that would endanger her reputation and credibility: “Because of my activism, I suffered from hacking of my account and was blackmailed, which traumatised me despite resorting to the legal system, and even after the blackmailing ended. I no longer use online social media most of the time, or I use fake identities [if I must].” Chronic stressors and burnout of WHRDs can be triggered by their civil society work as well as by the stressors mentioned above. For instance, WHRDs who support survivors of gender-based violence, while working with limited or no resources, face a likelihood of secondary trauma and burnout. Many activists, like the rest of the women in the region, face compounded responsibilities. They must balance immense public work with traditional familial caregiving duties. Such pressure may lead to severe stress, anxiety, and depression. Psychological Consequences of Repression and Activism Studies have documented a high prevalence of mental health burden among Arab women in general. There are frequent reports of anxiety and depression, especially in a context of conflict. Many WHRDs have suffered from Post-Traumatic Stress Disorder (PTSD) from direct exposure to violence, detention, or torture. Some reported to GCHR nightmares and panic episodes after enduring prison times and torture. Due to fear, exhaustion, and social stigma, WHRDs may also develop diminished self-worth, fear, and withdrawal from public discourse. For instance, after a wide campaign in 2018 of silencing women’s rights activists in Saudi Arabia, many resorted to silence and isolation. In fact, other WHRDs escaped to other countries, and many reported deterioration of mental health due to the stress of living instability and concerns from transnational repression. One of the most brilliant WHRDs escaped to another country shortly after the crackdown started. She has developed serious delusions of being constantly surveilled by state officials that severely affected her life and wellbeing and ended her activism. She survived several car accidents and was forcibly admitted to mental hospitals to receive care. To date, she remains without real support in exile as her family back home decided to cut ties for fear of being targeted by the authorities. In Yemen, WHRDs paid the price twice for being human rights activists and women. The survey shows that a Yemeni WHRD expressed pressure endured by her family when she was faced by a problem due her activism: “I always had my family’s support, but when I was faced with a problem, they started pressuring me not to pursue my work or human rights activities by preventing me from travelling or leaving home.” 7

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