Iman Farajallah has been checking WhatsApp for updates from thousands of miles away, expecting news of more death.

A psychologist who works with refugee populations in the San Francisco Bay Area, she’s been tracking the day-to-day safety of several of her siblings and her 85-year-old father in her native Gaza. The region has experienced days of bombardment by Israeli Defense Forces after Hamas militants killed more than 1,300 people in Israel. Farajallah’s family members have been moving from home to home in hopes of escaping the danger zone and the bombings, but her father is immobilized.

Because her family is not safe, she said she and many others engulfed in the Middle East conflict from afar can’t pause to contemplate their mental health.