PESHAWAR: Death threats, bombings and getting attacked is part of the job for many Pakistani journalists, but they say one of the biggest barriers to seeking counselling to help cope is the stigma that they need it, and others in the business talking about it.

Pakistan is plagued by a Taliban insurgency, deadly criminal gangs, extra-judicial executions and rising sectarian killings.

Immersion in the extreme violence and daily threats mean many Pakistani journalists suffer from post traumatic stress disorder, health professionals said this week, during the opening of the country's first trauma centre for journalists.

The centre is supposed to help address Pakistan's massive shortfall of trained counsellors and help journalists deal with the psychological fallout of reporting bombings, militancy and drone strikes. Many of the problems that plague journalists also trouble front-line security forces, bomb technicians and civilians, but only few receive help.

Pakistan has only 450 practising clinical psychologists for the 180 million citizens, industry professionals said. But many journalists say the fear of exposure by cutthroat colleagues keeps those in the industry from seeking help. The competition for jobs is intense, and the country's largest journalist union is split into feuding factions.

“The major challenge is your colleagues ...They speak against you,” said Jamshed Baghwan, a television journalist for Express News. His family home has been attacked three times but he doesn't need counselling, he said.

That's why the new German-funded Competence and Trauma Centre for Journalists, nestled amid the rose gardens and brick university buildings in Khyber Pakhtunkhwa's capital, says it keeps patient confidentiality absolute.

Dr Erum Irshad, head of Peshawar University's psychology department, said that 14 out of 20 journalists who participated in a pilot study suffered from severe stress(no larger study exists). Seven journalists had already sought help, she said.

Journalists at the opening told Reuters stories of being kidnapped by the Taliban, wading through hundreds of body parts at mass bombings, or witnessing decapitations. But all said they would be reluctant to seek help.

Journalists who sought help privately say many counsellors are not equipped to deal with their daily exposure to violence.

One journalist told Reuters that he saw three private psychologists and a psychiatrist after suffering severe panic attacks caused by death threats and violence he had witnessed. Their advice: pray more.

“This is a very neglected field,” said Professor Syed Haroon Ahmed, head of the Pakistan Association for Mental Health. “People are not dying, so it is not a priority.”