WARSAW, Poland — Months after Russian forces occupied southern Ukraine’s Kherson province last year, they started paying visits to the home of a Ukrainian woman and her Russian husband. They smashed their refrigerator and demanded possession of their car. One day, they seized the wife and her teenage daughter, put pillowcases over their heads and led them away.
The woman was locked up for days, her legs beaten with a hammer. The men accused her of revealing Russian soldiers’ locations. They subjected her to electric shocks and bore down on her feet with the heels of their military boots until two of her toes broke. She heard screams nearby and feared they came from her daughter.
More than once, with a bag on her head and her hands tied, a weapon was pointed at her head. She’d feel the muzzle at her temple, and a man started counting.
One. Two. Two and a half.
Then, a shot fired to the floor.
“Although at that moment, it seemed to me that it would be better in my head,” she told The Associated Press, recounting the torture that lasted five days, counted by the sliver of sunlight from a tiny window in the room. “The only thing that kept me strong was the awareness that my child was somewhere around.”
The Russian officials eventually released the woman and her daughter, she said, and she made her way home. She took a long shower and packed a bag, and the two fled the occupied area — first to Russian-occupied Crimea and then to mainland Russia, from where they crossed by land into Latvia and finally Poland.
Her body was still bruised, and she could barely walk. But in December in Warsaw, she reunited with a son. And she and her daughter joined the refugees who have fled their homes since Russia launched its full-scale invasion of Ukraine.

Petr David Josek, AP file photo
Refugees fleeing conflict in neighboring Ukraine arrive Feb. 27, 2022, in Przemysl, Poland.
Nearly a year has passed since the Feb. 24, 2022, invasion sent millions fleeing across Ukraine’s border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. Crowds of terrified, exhausted people boarded trains and waited for days at border crossings.
Across Europe, about 8 million refugees have been recorded, according to U.N. estimates based on data from national governments, and nearly 5 million of those have applied for temporary protection. Experts say those numbers are fluid — some people apply in more than one country — but they agree it’s the largest movement of refugees in Europe since World War II. Unlike refugees from recent conflicts in the Middle East and Africa, the Ukrainians were largely met with an outpouring of sympathy and help.
Yet while the Ukrainian refugees have found safety, they have not found peace.
They suffer from trauma and loss — uprooted from their lives, separated from relatives, fearing for loved ones stuck in Russian-occupied areas or fighting on the frontline. Children are separated from fathers, grandparents, pets. Others have no family or homes to return to.
The woman from Kherson spoke to the AP this month at a Warsaw counseling center run in partnership with UNICEF. She insisted on anonymity; she fears for the safety of her husband and other relatives in Russian-occupied areas.
She doesn’t like to talk about herself. But she has a goal: For the world to see what Russian troops are doing.
“Even now, I am afraid,” she said, wiping her eyes with her pastel-color nails and fiddling over a tissue. “Do you understand?”
She is among the refugees seeking trauma treatment, most often from Ukrainian psychologists who themselves fled home and struggle with their own grief and loss. No agency has definitive numbers on refugees in treatment, but experts say the psychological toll of the conflict is vast, with rates of anxiety and depression skyrocketing.
At the Warsaw center, psychologists describe treating crying children, teenagers separated from everything they know, mothers unknowingly transferring trauma to their kids.
One patient, a boy from Mariupol, was used as a human shield. His hair has already begun to turn gray. The home of the counselor who treats him was destroyed by a Russian bomb.
Refugee mental health is a priority for aid organizations large and small, even as they work to meet needs for housing, work and education.
Anastasiia Gudkova, a Ukrainian providing psychological support to refugees at a Norwegian Refugee Council reception center in Warsaw, said the most traumatized people she meets come from Mariupol, Kherson and other occupied territories. Those who flee bombing in Kyiv, Kharkiv and Zaporizhzhia also arrive terrified.
But there’s pain for those even from relatively safer areas in western Ukraine, she said: “All Ukrainians, regardless of their location, are under a lot of stress.”
According to the U.N. refugee agency, 90% of the Ukrainians who have sought refuge abroad are women, children and the elderly.
The psychologists see women struggle to put on a brave face for children, trying to survive in countries where they often don’t speak the language. Many women with higher education have taken jobs cleaning other people’s homes or working in restaurant kitchens.
The luckiest ones are able to keep doing their old jobs remotely from exile or are beginning to envision new lives.
Last January, Anastasia Lasna was planning to open her own bakery in Mykolaiv after finding success with providing other businesses with her vegan foods and healthy desserts. Today she is running a food pantry of the Jewish Community Center in Krakow, which has helped some 200,000 Ukrainian refugees, and integrating herself into the southern Polish city’s growing Jewish community.
She has Israeli citizenship, but doesn’t want to live in another conflict-scarred land. Joined now in Krakow by her husband and her 6-year-old daughter, she cannot imagine returning to her former home.
“There is no future there,” she said.
-
Ukrainian refugees safe, but not at peace, after year of war
Markus Schreiber
FILE - Refugees wait in a crowd for transportation after fleeing from the Ukraine and arriving at the border crossing in Medyka, Poland, March 7, 2022. (AP Photo/Markus Schreiber, File)
Markus Schreiber
FILE - Refugees wait in a crowd for transportation after fleeing from the Ukraine and arriving at the border crossing in Medyka, Poland, March 7, 2022. (AP Photo/Markus Schreiber, File)
-
Ukrainian refugees safe, but not at peace, after year of war
Sergei Grits
FILE - Refugees wait in a line after fleeing the war from neighbouring Ukraine at the border crossing in Medyka, southeastern Poland, April 7, 2022. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Sergei Grits, File)
Sergei Grits
FILE - Refugees wait in a line after fleeing the war from neighbouring Ukraine at the border crossing in Medyka, southeastern Poland, April 7, 2022. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Sergei Grits, File)
-
-
Ukrainian refugees safe, but not at peace, after year of war
Bernat Armangue
FILE - Displaced Ukrainians onboard a Poland bound train in Lviv, western Ukraine, Sunday, March 13, 2022. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Bernat Armangue, File)
Bernat Armangue
FILE - Displaced Ukrainians onboard a Poland bound train in Lviv, western Ukraine, Sunday, March 13, 2022. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Bernat Armangue, File)
-
Ukrainian refugees safe, but not at peace, after year of war
Petr David Josek
FILE - Refugees fleeing conflict in neighboring Ukraine arrive to in Przemysl, Poland, Feb. 27, 2022. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Petr David Josek, File)
Petr David Josek
FILE - Refugees fleeing conflict in neighboring Ukraine arrive to in Przemysl, Poland, Feb. 27, 2022. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Petr David Josek, File)
-
-
Ukrainian refugees safe, but not at peace, after year of war
Visar Kryeziu
FILE - Ukrainian volunteer Oleksandr Osetynskyi, 44 holds a Ukrainian flag and directs hundreds of refugees after fleeing from the Ukraine and arriving at the border crossing in Medyka, Poland, Monday, March 7, 2022. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Visar Kryeziu, File)
Visar Kryeziu
FILE - Ukrainian volunteer Oleksandr Osetynskyi, 44 holds a Ukrainian flag and directs hundreds of refugees after fleeing from the Ukraine and arriving at the border crossing in Medyka, Poland, Monday, March 7, 2022. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Visar Kryeziu, File)
-
Ukrainian refugees safe, but not at peace, after year of war
Michal Dyjuk
Ukrainian refugee hangs up the towel at a refugee center in Nadarzyn, near Warsaw, Poland, Tuesday, Feb. 14, 2023. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Michal Dyjuk)
Michal Dyjuk
Ukrainian refugee hangs up the towel at a refugee center in Nadarzyn, near Warsaw, Poland, Tuesday, Feb. 14, 2023. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Michal Dyjuk)
-
-
Ukrainian refugees safe, but not at peace, after year of war
Michal Dyjuk
Maryna Ptashnyk, a Ukrainian refugee, reacts during an interview with The Associated Press at a flat in Warsaw, Poland, Wednesday, Feb. 1, 2023. Ptashnyk a woman from the Carpathian mountains now lives alone with their 3-year-old daughter, Polina, in a small suburban Warsaw apartment as her husband serves in a Ukrainian artillery unit. (AP Photo/Michal Dyjuk)
Michal Dyjuk
Maryna Ptashnyk, a Ukrainian refugee, reacts during an interview with The Associated Press at a flat in Warsaw, Poland, Wednesday, Feb. 1, 2023. Ptashnyk a woman from the Carpathian mountains now lives alone with their 3-year-old daughter, Polina, in a small suburban Warsaw apartment as her husband serves in a Ukrainian artillery unit. (AP Photo/Michal Dyjuk)
-
Ukrainian refugees safe, but not at peace, after year of war
Michal Dyjuk
Anastasia Lasna, a Ukrainian refugee from Mykolaiv, gestures as she talks inside a distribution center at the Jewish Community Center in Krakow, Poland, Saturday, Jan. 28, 2023. Last January, Anastasia Lasna was planning to open her own bakery in Mykolaiv, Ukraine, after finding success with providing other businesses with her vegan foods and healthy deserts. Today she is running a food pantry of the Jewish Community Center in Krakow, which has helped some 200,000 Ukrainian refugees, and integrating herself into the southern Polish city's growing Jewish community. (AP Photo/Michal Dyjuk)
Michal Dyjuk
Anastasia Lasna, a Ukrainian refugee from Mykolaiv, gestures as she talks inside a distribution center at the Jewish Community Center in Krakow, Poland, Saturday, Jan. 28, 2023. Last January, Anastasia Lasna was planning to open her own bakery in Mykolaiv, Ukraine, after finding success with providing other businesses with her vegan foods and healthy deserts. Today she is running a food pantry of the Jewish Community Center in Krakow, which has helped some 200,000 Ukrainian refugees, and integrating herself into the southern Polish city's growing Jewish community. (AP Photo/Michal Dyjuk)
-
-
Ukrainian refugees safe, but not at peace, after year of war
Michal Dyjuk
Anastasia Lasna, a Ukrainian refugee from Mykolaiv, shows a picture of her daughter during an interview with The Associated Press at the Jewish Community Center in Krakow, Poland, Saturday, Jan. 28, 2023. (AP Photo/Michal Dyjuk)
Michal Dyjuk
Anastasia Lasna, a Ukrainian refugee from Mykolaiv, shows a picture of her daughter during an interview with The Associated Press at the Jewish Community Center in Krakow, Poland, Saturday, Jan. 28, 2023. (AP Photo/Michal Dyjuk)
-
Ukrainian refugees safe, but not at peace, after year of war
Michal Dyjuk
Ukrainian children attend classes at the Polish Center for International Aid Foundation educational facility in Warsaw, Poland, Friday, Feb. 3, 2023. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Michal Dyjuk)
Michal Dyjuk
Ukrainian children attend classes at the Polish Center for International Aid Foundation educational facility in Warsaw, Poland, Friday, Feb. 3, 2023. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Michal Dyjuk)
-
-
Ukrainian refugees safe, but not at peace, after year of war
Michal Dyjuk
Ukrainian refugees rest at a refugee center in Nadarzyn, near Warsaw, Poland, Tuesday, Feb. 14, 2023. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Michal Dyjuk)
Michal Dyjuk
Ukrainian refugees rest at a refugee center in Nadarzyn, near Warsaw, Poland, Tuesday, Feb. 14, 2023. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Michal Dyjuk)
-
Ukrainian refugees safe, but not at peace, after year of war
Michal Dyjuk
A young Ukrainian girl reflects in a window as she plays at a counselling center run in sponsorship with UNICEF to support refugees in Warsaw, Poland, Thursday, Feb. 2, 2023. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. At the Warsaw center, psychologists describe treating crying children, teenagers separated from everything they know, mothers unknowingly transferring trauma to their kids. (AP Photo/Michal Dyjuk)
Michal Dyjuk
A young Ukrainian girl reflects in a window as she plays at a counselling center run in sponsorship with UNICEF to support refugees in Warsaw, Poland, Thursday, Feb. 2, 2023. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. At the Warsaw center, psychologists describe treating crying children, teenagers separated from everything they know, mothers unknowingly transferring trauma to their kids. (AP Photo/Michal Dyjuk)
-
-
Ukrainian refugees safe, but not at peace, after year of war
Michal Dyjuk
A woman from Ukraine poses for a picture at counselling center run in sponsorship with UNICEF to support refugees in Warsaw, Poland, Thursday, Feb. 2, 2023. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. At the Warsaw center, psychologists describe treating crying children, teenagers separated from everything they know, mothers unknowingly transferring trauma to their kids. (AP Photo/Michal Dyjuk)
Michal Dyjuk
A woman from Ukraine poses for a picture at counselling center run in sponsorship with UNICEF to support refugees in Warsaw, Poland, Thursday, Feb. 2, 2023. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. At the Warsaw center, psychologists describe treating crying children, teenagers separated from everything they know, mothers unknowingly transferring trauma to their kids. (AP Photo/Michal Dyjuk)
-
Ukrainian refugees safe, but not at peace, after year of war
Michal Dyjuk
A woman from Kherson, center, who insisted on anonymity speaks to AP correspondent Vanessa Gera, right, and a translator during an interview with The Associated Press at a counselling center run in sponsorship with UNICEF to support refugees in Warsaw, Poland, Thursday, Feb. 2, 2023. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. At the Warsaw center, psychologists describe treating crying children, teenagers separated from everything they know, mothers unknowingly transferring trauma to their kids. (AP Photo/Michal Dyjuk)
Michal Dyjuk
A woman from Kherson, center, who insisted on anonymity speaks to AP correspondent Vanessa Gera, right, and a translator during an interview with The Associated Press at a counselling center run in sponsorship with UNICEF to support refugees in Warsaw, Poland, Thursday, Feb. 2, 2023. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. At the Warsaw center, psychologists describe treating crying children, teenagers separated from everything they know, mothers unknowingly transferring trauma to their kids. (AP Photo/Michal Dyjuk)
-
-
Ukrainian refugees safe, but not at peace, after year of war
Czarek Sokolowski
FILE - Refugees from Ukraine arrive at the railway station in Przemysl, Poland, Feb. 27, 2022. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Czarek Sokolowski, File)
Czarek Sokolowski
FILE - Refugees from Ukraine arrive at the railway station in Przemysl, Poland, Feb. 27, 2022. Nearly a year has passed since the Feb. 24, 2022, invasion sent millions of people fleeing across Ukraine's border into neighboring Poland, Slovakia, Hungary, Moldova and Romania. (AP Photo/Czarek Sokolowski, File)
-
Ukrainian refugees safe, but not at peace, after year of war
Bernat Armangue
FILE - A girl catches snowflakes on her tongue as she waits with others to board a train to Poland, at Lviv railway station in Ukraine, Feb. 27, 2022, in Lviv, west Ukraine. (AP Photo/Bernat Armangue, File)
Bernat Armangue
FILE - A girl catches snowflakes on her tongue as she waits with others to board a train to Poland, at Lviv railway station in Ukraine, Feb. 27, 2022, in Lviv, west Ukraine. (AP Photo/Bernat Armangue, File)