As well refugees are in fear of having to deal with embarrassment and the problem alone. Refugee believes by remaining quiet it can help reduce trauma and avoid discussion of their trauma effect. For an example, it stated here “Refugees expressed fears that make it difficult for them to discuss mental health symptoms, including the fear of showing emotions and being seen as insane or ‘‘crazy,’’ the fear of alienation from the community, the fear of being taken to the hospital, the fear that they can’t be treated, the fear of losing housing or jobs, and a fear of spies in the community or lack of trust in confidentiality” (Shannon, Wieling, Simmelink-McCleary, & Becher, 2015). In that case, refugee believes if by remaining quiet can decrease the chance of being labeled ‘crazy’ and fear of losing safety, it is best to not express trauma effect from warfare and political issue. However, refugees are not aware the high risk of struggling with mental due to experiencing violent trauma effect. As Isok Kim and Wooksoo Kim stated "...refugees are considered to be at greater risk for various behavioral health problems, primarily because of traumatic events associated with ongoing war and ethno-political conflict, life-threatening situations faced while escaping from their homelands, and subsequently harrowing experiences endured while surviving in refugee camps as well as lack of resources" (Kim & Kim,