But at night, back at a home set deep in a lush valley, past spiraling roads and wild olive trees, it is her own pain she struggles with.

Her husband is an opium addict who has relapsed six times. Her three children — the oldest is 12 — are malnourished, their childhood shaped by bitterness toward their father.

In Afghanistan, it is only fitting that the therapist herself is overwhelmed.

The mental burden of the violence continues to weigh down every sector of Afghan society as the war and Western presence here continue into their 14th year, and the country’s nearly perpetual conflicts move into a fourth decade. Beyond that, the stress of upheaval and economic desperation has exacerbated already rampant problems with domestic abuse and drug addiction, with women often bearing the brunt.

“For us, it has become a vicious cycle of repeated traumatic experiences over years and years,” said Dr. Suraya Dalil, a former Afghan minister of health. “It’s been too much, not only on individuals, but also on the society, which is just waiting for a spark to let out the anger.”

No recent figures are available, but surveys conducted nearly 10 years ago found that symptoms of depression, anxiety and post-traumatic stress disorder were widespread, and officials say the situation has probably gotten worse. One study published with the National Institutes of Health in the United States found that 62 percent of Afghan respondents had experienced at least four traumatic events in the preceding 10 years, with women reporting an even higher rate.