'Casualty' star Osi Okerafor: 'Matthew's PTSD is triggered!'

Osi Okerafor plays Matthew Afolami in Casualty
Osi Okerafor plays Matthew Afolami in 'Casualty'. (Image credit: BBC)

Casualty's Matthew Afolami has been struggling with his feelings ever since he failed to save former lover, Fenisha, after she was involved in a train crash on her wedding day. 

This week, when a bloodied teenage girl runs into his car, Matthew has flashbacks to an intense event from his past, as actor Osi Okerafor reveals… 

Running late for work, Matthew gets a shock when a bloodied teenage girl, Farrah, runs out into the path of his car…

"Matthew's PTSD is triggered by this incident. These flashbacks are connected with his time as a field doctor. He’s lost patients in environments with insufficient equipment and he doesn’t want to lose anyone else. These memories are sparked the minute Farrah runs into his car."

Osi Okerafor plays Matthew Afolami in Casualty

Matthew's frozen to the spot when Farrah runs out in front of his car. (Image credit: BBC)

And what causes Matthew’s flashbacks when, later, he freezes while trying to save a patient?

"Because Matthew was one of the people operating on Fenisha and he lost her, anyone who’s important to someone else, Matthew really doesn’t want them to die. He’ll go to the ends of the earth to make sure they survive."

Osi Okerafor plays Matthew Afolami in Casualty

Matthew's lost patients working out in the field... he's not losing another one! (Image credit: BBC)

Matthew doesn’t want to let on to colleague Stevie (Elinor Lawless) that he’s struggling, though, does he?

"No. Matthew’s very professional, and always wants to give his best at work, so any past trauma or damage, he tries this absolute best to keep that covered. In this episode, some holes are exposed and he doesn’t quite know how to address that."

Elinor Lawless plays Stevie Nash in Casualty

Stevie is worried about Matthew and wants to know if she can help. (Image credit: BBC)

Also, in this episode, Matthew is welcomed as a permanent member of the ED by Dylan, and enjoys winding him up. What’s it like acting out those scenes with William Beck, who plays him?

"Before I joined Casualty, whenever I watched it on TV, I thought William was great. So, I wouldn’t say I was starstruck but I really admired what he was doing, so when I then had some scenes with him, I’d be like: ‘Oh, that’s Will, that’s HIM!’ He’s hilarious but deadpan and in rehearsals, he’ll make stuff up and will have everyone laughing. He’s a consummate professional and it’s great to work with him."

What do you think brings Stevie and Matthew together in this episode?

"Stevie and Matthew really see something in each other; like a secret suffering, which brings them together and offers some solace. There’s a mutual understanding and they come together as way to cope with their own problems and issues, with someone who really knows where you’re coming from. They’re baring each other’s wounds and allowing someone else to see that."


Matthew and Stevie get closer. But is he over his lost love Fenisha? (Image credit: BBC)

Is Matthew ready to move on from Fenisha?

"This is Matthew’s first step away from Fenisha. He really loved her but she was there one minute and gone the next. He hasn’t really grieved for her, so there are a lot of unresolved feelings there."

Casualty continues Saturdays at 9.30pm on BBC1.

Victoria Wilson
Feature Writer for What’s on TV, TV Times, TV & Satellite Week and WhatToWatch.com

With over 20 years’ experience writing about TV and film, Vicky currently writes features for What’s on TV, TV Times, TV & Satellite Week magazines plus news and watching guides for WhatToWatch.com, a job which involves chatting to a whole host of famous faces. Our Vicky LOVES light entertainment, with Strictly Come Dancing, Britain’s Got Talent and The Voice UK among her fave shows. Basically, if it’s got a shiny floor, she’s all over it! When she’s not watching TV, you might find Vicky in therapy… retail therapy that is!