Samoa is experiencing a new wave of people suffering from mental disorders or displaying anti-social behavior following the September 29 tsunami.
Homes, businesses and resorts were destroyed on Upolu's south coast by the destructive waves, leaving the area's residents homeless and many without jobs.
The national hospital's clinical manager, Dr Lemalu Limbo Fiu, says while acute psychological disorders have decreased in recent weeks, health staff are now seeing a steady stream of patients with mental health problems.
"There are more and more people going into the district hospitals, people have been assessed with depression, having a low mood, some people getting aggressive and there's an increase in young people taking alcohol and engaging in violent episodes."
Dr Lemalu Limbo Fiu says psychologists are counselling these patients, and are training teachers and priests on how to deal with the problem.
Non-governmental organisations are also involved in giving help to those affected.