Returning home from deployment can be challenging in many ways for service members. They are adjusting to a new routine, but they may also be wrestling with strong feelings from their experiences while deployed. While some combat and operational stress reactions are common and usually heal with time, other reactions may require professional attention. By recognizing the warning signs and knowing how to get help, you and your service member can become more resilient in the face of reintegration and reunion challenges.
Signs that service members may need help: Understanding the signs and symptoms of serious mental and behavioral health issues — like post-traumatic stress, combat and operational stress, depression, and substance abuse — can help at-risk service members access the support they need, which is readily available to them through a number of resources.
Combat and Operational Stress
Combat and operational stress may be present for a service member as a result of the daily stressors associated with deployment or a traumatic event. Regardless of the severity or the cause, seeking professional support as early as possible can help speed up the recovery process. Common symptoms of stress reactions, illnesses and injuries include:
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- Anxiety, irritability and excessive fear or worry
- Difficulty maintaining mental focus and performing daily activities
- Difficulty sleeping, recurrent nightmares and troubling memories or flashbacks
- Uncharacteristic panic attacks and outbursts of rage
- Changes in personality, behavior and unusual concern for beliefs or moral values
- Withdrawal from social or recreational activities
- Physical illness (e.g., headaches, stomach pains, back problems)
- Serious suicidal or homicidal thoughts
Read Understanding and Dealing With Combat Stress and PTSD to learn more.
Post-traumatic stress
Post-traumatic stress can happen when an individual experiences or witnesses a traumatic event, such as military combat, terrorist incidents or serious incidents. Although the symptoms of post-traumatic stress are normal reactions to trauma, they may be an indication of a disorder if they do not improve with time. Post-traumatic stress can be treated successfully, so it’s important to know the common symptoms and seek professional help if needed. Signs of post-traumatic stress may include:
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- Repeatedly thinking about an event
- Avoiding reminders of the trauma
- Extreme mood instability
- Being constantly alert or on guard
- Feelings of depression, hopelessness and numbness
- Difficulty with personal relationships
- Difficulty concentrating and making decisions
- Distorted negative beliefs and expectations of oneself or the world
Read Understanding and Dealing With Combat Stress and PTSD to learn more.
Depression and Suicide Prevention
Depression can happen to anyone — resulting in feelings that impact a person’s mood and daily activities. Service members feeling completely overwhelmed during reunion can happen. Understanding the warning signs can help you intervene and get them the help that they need. Signs to be aware of include:
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- A range of emotions and changes in personality, including repeated and intense feelings of sadness, anxiety, hopelessness or pessimism
- A loss of interest in life or hobbies
- Prolonged periods of crying or sleeping
- Substance abuse or withdrawal from friends and family
- Displays of emotional distress in online activity
- Excessive feelings of guilt, shame or a sense of failure
- Physical symptoms like weight loss or weight gain, decreased energy, headaches, digestive issues or back pain
- Talking about dying or seeking information about death
Read this Suicide Prevention MilLife Guide to learn more.
Substance Abuse
Substance abuse is the excessive use of any mood-altering substance, to include (but not limited to) alcohol, legal and/or illegal drugs. It can be triggered by a number of factors, including separation from family, trauma or daily stressors. Key indicators of substance abuse include:
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- Decreased energy, loss of appetite and inattention to personal hygiene or dress
- Irritability, agitation, mood swings, anxiety or depression
- Difficulty concentrating, memory lapses or blackouts
- Financial difficulties, trouble with the law or poor work performance
- Relationship problems, including physical abuse and domestic violence
- Denial of a substance abuse problem and spending more time doing activities involving alcohol and drugs
Read this Substance Abuse and Addiction MilLife Guide to learn more.
Where to Get Help
If you or someone you know is dealing with behavioral or mental health issues, it’s important to seek help. There are a variety of mental health resources and services available including:
- 988 Lifeline: By simply dialing 988, this lifeline offers 24-hour, toll-free, confidential support for a wide range of issue from mental health, any form of emotional distress, drug of alcohol use or abuse or just a caring ear to talk to. The 988 Lifeline ensure you are never alone.
- Military Crisis Line: By dialing 988 + 1, callers can connect with 24/7 mental health support tailored to veterans and service members. You can also initiate an online chat by sending a text to 838255.
- Military treatment facility or TRICARE-provided counseling: Locate military treatment facilities and covered services in the civilian community with the TRICARE Mental Health website or using the TRICARE medical facility locator.
- Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury: Access information and resources on psychological health issues and traumatic brain injuries.
- Installation-related services: Find information for chaplains, Military and Family Support Centers and other programs and services at an installation near you using the MilitaryINSTALLATIONS website.
- Your health care provider: Talk to your doctor for advice and resources.
- Self-Assessments: If you are trying to decide whether or not to seek professional help, try these free, anonymous mental health screenings for service members and families.