During military service, service members are often exposed to violence, threats to personal safety, and other traumatic events. These experiences can significantly impact the mental health of active duty service members and veterans. According to the National Alliance for Mental Health, approximately 1 in 4 active duty service members show symptoms of a mental health condition.
This makes it even more important to understand the benefits of therapy for veterans and the mental health concerns that service members may be facing. Increased awareness of veterans and mental health care can make it easier for people to access the care they need.
When people serve in the military, they’re separated from family members, friends, and other forms of social support, often for extended periods. Military service also requires people to work in stressful or traumatic environments, facing combat stress and other factors. As a result, service members face many risks, including the risk of physical harm.
In addition to the challenges faced during service, post-traumatic stress disorder can make it difficult for veterans to transition to civilian life. Relationship struggles, social exclusion, personality disorder, and homelessness are all problems encountered by veterans, and these issues severely impact mental health.
Military service is a sacrifice that puts many people at increased risk for a variety of physical and mental health conditions. One study found that nearly 25% of non-deployed, active-duty military members show symptoms consistent with a serious mental health condition. Within that group, 11% had symptoms of multiple conditions.
Military service can take a toll on health and well-being, which is why military mental health concerns are so prevalent and must be better addressed.
“Rates of depression, suicide, and addiction continue to be of increased concern for military veterans. Often, these diagnoses were triggered by service-connected trauma. If you are a veteran and are having thoughts of suicide, please reach out to the Crisis Line by calling or texting 9-8-8 and selecting Option 1 for military members and veterans.”
– Talkspace therapist Ashley Ertel, LCSW, BCD, C-DBT
While several conditions affect veterans, research shows that the following are particularly common.
Post-traumatic stress disorder (PTSD) rates are significantly higher in veterans than in the general populace. While approximately 6.8% of adults are diagnosed with PTSD, reports show that about 12.9% of veterans receive a PTSD diagnosis. In a study from 2014, 87% of veterans reported exposure to at least one traumatic event. If you know a veteran struggling with PTSD, or helping veterans is something you’re passionate about, learn how to help veterans with PTSD.
Approximately 23% of active service members and veterans have depression, making it the most common mental health condition among military members. Tragically, suicide rates are high among veterans with depression (particularly depression in men) and other mental health symptoms. According to the U.S. Department of Veteran Affairs, the suicide rate for veterans is 57% higher than for civilians.
Many veterans struggle with addiction, and more than 1 in 10 have a substance use disorder. 65% of veterans seeking addiction treatment report alcohol as the primary substance they abuse. Some veterans have injuries that leave them with severe pain, increasing their risk of opioid addiction.
From 2000 to 2017, the Department of Defense reported over 375,000 traumatic brain injuries (TBIs) among members of the armed forces. These injuries can lead to many complications, including mental health issues. The National Health Institute reports that up to 1 in 5 people experience mental health symptoms after a TBI.
Although military mental health issues are common, many people never seek treatment. One study found that more than 60% of military members don’t get help for mental health concerns. The stigma surrounding mental health issues can keep service members from getting the care that they need.
Many active-duty service members fear that mental health treatment could harm their careers. In addition, military members may feel that asking for help is a sign of weakness. Unfortunately, veterans face similar stigmas, and studies indicate that most veterans who struggle with mental health never seek treatment. According to research conducted by the Wounded Warrior Project, 34.8% of veterans struggle accessing mental health care within the VA system, despite approximately 75% of veterans suffering from PTSD.
Although there are many issues surrounding veterans and mental health, resources are available to veterans who are ready to seek treatment. These resources include:
The Veterans Crisis Line is an emergency hotline that provides veterans with 24/7 support. They can call, text, or chat online to connect with a qualified care provider. Responders can connect veterans with local resources and support.
“Military members and veterans are at risk of developing mental health conditions just like their civilian counterparts; however, the stigma for seeking help within this population continues to remain higher than in the civilian population. Seeking help is a sign of strength, and I encourage all military members, veterans, and their families to utilize the many available resources — most at no cost to the member–when in need.”
– Talkspace therapist Ashley Ertel, LCSW, BCD, C-DBT
Vet Centers are counseling centers located across the United States. These centers offer professional counseling and other services designed to help veterans transition to civilian life. Many staff members at Vet Centers are also veterans and can provide guidance and support.
The VA’s Solid Start program works to support military personnel as they transition to civilian life. Solid Start representatives help veterans manage stress and connect them with resources to help them during this adjustment period.
The National Center for Post-Traumatic Stress Disorder is a research and educational center focused on traumatic stress and PTSD. While the center strives to help all people with PTSD, there is a focus on the needs of veterans. The center seeks to help people understand PTSD better and get the help they need.
The Veterans Affairs Polytrauma System of Care is a network of rehabilitation programs that help veterans suffering from traumatic brain injuries and polytrauma. These programs offer various services, including case management, care plans, rehabilitation treatments, and psychosocial support.
The risk of mental health issues and PTSD in veterans is significant. On average, there are 17 veteran suicides each day, which is why it’s critical for veterans to seek treatment. No matter what kind of military mental health concerns you’re struggling with, therapy can help. Talkspace provides online therapy for veterans and can help you get the support you need. We partner with major healthcare plans across the country like Cigna, Optum, Aetna, Medicare, TRICARE, and more.
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Talkspace articles are written by experienced mental health-wellness contributors; they are grounded in scientific research and evidence-based practices. Articles are extensively reviewed by our team of clinical experts (therapists and psychiatrists of various specialties) to ensure content is accurate and on par with current industry standards.
Our goal at Talkspace is to provide the most up-to-date, valuable, and objective information on mental health-related topics in order to help readers make informed decisions.
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Sometimes it feels as if your bereavement will never end. You feel as if youd give anything to have the pain go away; to have the long lonely hours between nightfall and dawn pass without heartache. You are not the only grieving person who has longed for some measure of relief.In the novel, My Sisters Keeper, author Jodi Picoult wrote, There should be a statute of limitations on grief. A rule book that says it is all right to wake up crying, but only for a month. That after 42 days you will no longer turn with your heart racing, certain you have heard her call out your name.No such rule book exists. Grief counselors and therapists tell us that the length of time it takes anyone to grieve the loss of someone they held dear to them is dependent on the situation, how attached you were to the deceased, how they died, your age and gender. So many variables exist and theres absolutely no way to predict how long it will take for you to adapt to your loss.The Difference Between Normal and Complicated GriefResearch findings have led experts to come up with many differing categories of grief experience ranging from normal to complicated. Normal (or uncomplicated) grief has no timeline and encompasses a range of feelings and behaviors common after loss such as bodily distress, guilt, hostility, preoccupation with the image of the deceased, and the inability to function as one had before the loss. All are normal and present us with profound, and seemingly endless, challenges. Yet, Katherine Walsh says, Over the course of time, with average social supportmost individuals will gradually experience a diminishment of these feelings, behaviors, and sensations. So, how can you know if your bereavement is no longer within the range of normal? Ms. Walsh goes on to say, While there is no definitive time period by which this happens, if an individual or members of a family continue to experience distress intensely or for a prolonged periodor even unexpectedly years after a lossthey may benefit from treatment for complicated grief.A Useful Model for Assessment: Wordens Four Tasks of MourningThere are certain tasks that, when achieved during your bereavement, can successfully allow you to emerge on the other side of loss as a better, stronger, and more resilient individual. James Worden proposed these four tasks: To accept the reality of the loss To process the pain of grief To adjust to a world without the deceased To find an enduring connection with the deceased in the midst of embarking on a new life Instead of focusing on your bodily discomforts, feelings, and common behaviors, this model allows you to better see where you may be stuck or stalled in the adaptive process. Fortunately, Worden also gives us a list of indicators advising that "any one of these clues in and of itself may not be sufficient" for a diagnosis of complicated grief. "However," he continues, "any of theseshould be taken seriously, and the diagnosis of complicated grief should be considered when they appear."12 Clues... 12 InsightsWhile grief educators and theorists tell us that a diagnosis of complicated grief should not even be attempted until after the first anniversary of the death, if any one of the following symptomatic clues exists for longer than six months, you may want to consider grief counseling or grief therapy: You cannot speak of the deceased without experiencing intense and fresh grief long after the loss. A relatively minor event triggers an intense grief reaction. Your conversations with others are littered with references to loss. In other words, loss is an ever-present motif in your world view. You have issues related to your loved one's possessions. Keeping everything the same as before their death could indicate trouble just as tossing out everything right away can also be a clue to disordered mourning. (You also need to factor in your cultural and religious background) You have developed physical symptoms similar to those of the deceased before their death. Sometimes these symptoms recur annually, on the anniversary of the death, or on holidays. An increased susceptibility to illness or the development of a chronic physical complaint can also be an indicator. If you have made radical changes to your lifestyle, or excluded friends, family members, or even activities associated with the deceased, it may indicate unresolved grief. A long history of depression, often marked by guilt or low self-esteem, can reveal disordered mourning. The opposite is also true: a person experiencing a false sense of happiness or elation could be experiencing unresolved grief. A compulsion to imitate the deceased, in personality or behavior, can be a sign of complicated mourning. Having self-destructive impulses or exhibiting self-destructive behaviors can be significant. These can range from substance abuse, engaging in self-harm, developing eating disorders and suicidal tendencies. A sense of unexplained sadness occurring at a certain time each year (holidays, anniversaries, or birthdays) can also be a clue to unresolved grief. Developing a strong fear about dying, especially when it relates to the illness that took the life of your loved one, is an important clue. If you have avoided visiting your loved one's grave or if you are still unwilling to discuss the circumstances of their death, this could indicate complications in your bereavement. There are many types of complicated grief; it can be delayed, masked, exaggerated, or chronic. Self-diagnosis is without purpose. A year after the death, if you feel your grief symptoms worsening, we advise that you seek a referral from your family physician for professional grief counseling or therapy.Sources: Walsh, Katherine, Grief and Loss: Theories and Skills for the Helping Professions, 2nd Edition, 2012 Worden, James, Grief Counseling & Grief Therapy: A Handbook for the Mental Health Practitioner, 4th Edition, 2009
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Online Mental Health TherapyMental health support from anywhere, available fast Talkspace provides mental health support privately and conveniently online. Receive live video therapy appointments from a highly qualified licensed therapist covered by your Medicare or Medicare Advantage plan with little wait. Individual therapy, psychiatry, or couples counseling covered by your private insurance plan is also readily available.Talkspace provides:A private space to discuss relationships, retirement, grief, health conditions, financial concerns, life changes, and anything thats on your mindLive one-on-one therapy sessions from your computer or phoneTreatment for over 150 mental health conditions including anxiety, stress, grief, depression, OCD, BPD, and moreMessaging therapy allows you to share with your therapist 24/7 and receive feedback and advice, and is proven to be as effective as traditional therapy..Connect with a therapist within daysTalkspace will match you with a therapist who is licensed in your state and should be a good fit for your needs. Start communicating with your therapist in 1-2 days.Receive care on your scheduleTalkspace removes all the scheduling hassles so you can get mental health support anytime, anywhere. Send your therapist text, voice, or video messages through the secure Talkspace platform and hear back daily, 5 days / weekStart your care journey with Talkspace today, visit www.talkspace.com
Online Mental Health TherapyMental health support from anywhere, available fast Talkspace provides mental health support privately and conveniently online. Receive live video therapy appointments from a highly qualified licensed therapist covered by your Medicare or Medicare Advantage plan with little wait. Individual therapy, psychiatry, or couples counseling covered by your private insurance plan is also readily available.Talkspace provides:A private space to discuss relationships, retirement, grief, health conditions, financial concerns, life changes, and anything thats on your mindLive one-on-one therapy sessions from your computer or phoneTreatment for over 150 mental health conditions including anxiety, stress, grief, depression, OCD, BPD, and moreMessaging therapy allows you to share with your therapist 24/7 and receive feedback and advice, and is proven to be as effective as traditional therapy..Connect with a therapist within daysTalkspace will match you with a therapist who is licensed in your state and should be a good fit for your needs. Start communicating with your therapist in 1-2 days.Receive care on your scheduleTalkspace removes all the scheduling hassles so you can get mental health support anytime, anywhere. Send your therapist text, voice, or video messages through the secure Talkspace platform and hear back daily, 5 days / weekStart your care journey with Talkspace today, visit www.talkspace.com