Three years after the October 7 attacks, survivors like Keith Siegel continue to grapple with profound trauma. Siegel spent 484 days in Hamas captivity in Gaza, meticulously etching every detail into his memory. Now free, he describes living a dual existence: physically present but mentally trapped in Gaza. His story exemplifies the enduring psychological scars borne by survivors of the deadliest day in Israel's history.
The Enduring Trauma of October 7 Survivors
For many survivors, the trauma of October 7, 2023, remains as vivid as the day it occurred. Keith Siegel, taken captive along with his wife Aviva, recalls reciting every place he was held, the dates he was moved, and every humiliation he endured or witnessed. His goal was to store intelligence that could help Israeli forces free other hostages. Now, those memories refuse to loosen their grip. "I'm living a kind of dual life," he said in an interview in Tel Aviv. "I'm here for some of the time, and I'm in Gaza some of time. It's very challenging to convey in words what it was like."
The Scale of the Attack
On that day, Hamas militants broke across the border, launching a wave of attacks on kibbutzim, border towns, military bases, and music festivals. Israel's security forces were caught by surprise. By the time they regained control, 1,209 people had been killed, the majority civilians, including 36 children, according to records kept by the Israeli newspaper Haaretz. The cemetery at Nir Oz contains two lines of fresh headstones, marking lives that all ended on that same date. A shared plot for a family of five—a mother, father, and their three children—stands as a stark reminder of the tragedy.
Mental Health Challenges Facing Survivors
Survivors of the October 7 attacks face a range of mental health challenges, including post-traumatic stress disorder (PTSD), anxiety, depression, and survivor's guilt. The trauma is compounded by the prolonged captivity many endured. For those who were taken hostage, the psychological impact is particularly severe. They often experience a sense of lost time, identity confusion, and difficulty reintegrating into normal life.
Common Psychological Effects
- PTSD: Flashbacks, nightmares, and severe anxiety are common.
- Depression: Persistent sadness and hopelessness.
- Survivor's Guilt: Feeling guilty for surviving when others did not.
- Dissociation: Feeling detached from oneself or reality.
- Sleep Disorders: Insomnia or disrupted sleep patterns.
Paths to Healing and Support
Healing from such profound trauma is a long and difficult journey. Many survivors rely on a combination of therapy, community support, and personal resilience. In Israel, organizations like the Israel Trauma Coalition and NATAL provide specialized care for terror victims. Family and community play a crucial role in the recovery process. Keith Siegel's wife, Aviva, also taken captive, has been a source of strength for him. However, the road is far from easy. "All I want to do is cry," one survivor confessed, capturing the overwhelming grief that lingers.

Comparing Trauma Responses
Trauma manifests differently in each individual. The table below outlines common responses among survivors of the October 7 attacks compared to other traumatic events.
| Trauma Response | October 7 Survivors | General Trauma Survivors |
|---|---|---|
| PTSD Prevalence | High (estimated 30-50%) | Varies (7-20%) |
| Prolonged Grief | Very common | Common |
| Survivor's Guilt | Extremely common | Common |
| Reintegration Challenges | Severe | Moderate |
FAQ
How many people were taken hostage on October 7?
According to Israeli authorities, 251 people were taken captive to Gaza on October 7, 2023.
What is the death toll from the October 7 attacks?
Records kept by Haaretz indicate that 1,209 people were killed, the majority civilians, including 36 children.

What kind of support is available for survivors?
Survivors can access mental health services through organizations like the Israel Trauma Coalition, NATAL, and various government programs. Community support and family involvement are also crucial.
As the third anniversary passes, the trauma of October 7 remains a daily reality for survivors. Their stories of resilience and pain serve as a reminder of the human cost of conflict and the long road to healing.