Impact of Combined Psychotherapy and Physiotherapy Group Treatment Program for Survivors of Torture

Inclusion Criteria: * Age equal to or greater than 18 years * Incarcerated in the reformatory where research is conducted * Native speaker of Sorani, a Kurdish language * History of torture is reported and documented during the psychotherapy intake * Presents with symptoms consistent with post-traumatic stress disorder, anxiety, and/or depression evident by a total score of greater than or equal to 1.75 on Hopkins Symptoms Checklist-25 and/or by a total score greater than or equal to 2.5 on the Harvard Trauma Questionnaire Part 4 * Presents with symptoms consistent with centralized pain evident by a score of greater than or equal to 40 on the Central Sensitization Inventory Part A. Exclusion Criteria: * Reports he will not remain in the current reformatory for at least 6 months from the onset of the study * Is unable to make the time commitment required to participate * Presents with symptoms consistent with a psychiatric condition which makes participation in the study unsafe for himself or others, based on the evaluation by the treating psychotherapist * Presents with a high risk to self or others which makes participation in the study unsafe for himself or others, based on evaluation by the treating psychotherapist * Participation is deemed unsafe due to a severe medical condition previously diagnosed by a medical doctor and/or signs/symptoms consistent with a possible medical condition based on the evaluation by the treating physiotherapist, 6.) reports previously receiving treatment by Wchan * Current substance abuse reported by participant or identified by treating psychotherapist * Currently receiving mental health services and/or physiotherapy services from other organization * Reports unresolvable conflict with participant/s enrolled in the study.