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Mental Health

DHCC is committed to providing healthcare providers with sound clinical guidance on healthcare programs, practices and services to ensure highest quality care is given to our service men and women. Our goal in this section is to provide information on mental health related concerns based on evidence-based clinical practices including strategies on prevention and guidance on intervention. Further, we want to assist service members by providing patient education materials that will aid them in the recovery process as they seek to improve their over-all health and well-being. Below, we list programs and services that deal with posttraumatic stress (PTSD), combat trauma, military sexual trauma (MST) and other mental health issues and treatment centers that offers individual and family psychotherapy; and group and gender specific therapy treatments. We also provide other resources that may be helpful in understanding the trauma and treatment options.

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Resiliency
  • Army Resilience Training (Formerly Battlemind Training, Resilience Training reflects a strength-based, positive psychology approach to Warrior behavioral health. It is designed for Warriors, Leaders, Spouses, Families and behavioral health providers. Training and information is targeted to all phases of the Warrior deployment cycle, Warrior life cycle and Warrior support system.)
  • Provider Resiliency Training
  • Military Personnel and Their Families

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Common Stressors to the Deployment Cycle

Pre-Deployment (from notification to departure)

  • Anger and protest
  • Emotional detachment
  • Family stress
  • Marital disagreements

Deployment (from departure to return)

  • Emotional destabilization and disorganization
  • Sadness, depression, disorientation, anxiety, loneliness
  • Sleep disturbances
  • Health complaints
  • Financial problems
  • Some find the midpoint of deployment as the time of greatest stress
  • Fear for safety of deployed service member

Reunion

  • Apprehension over redefined roles and power dynamics

Post-Deployment

  • Honeymoon period
  • Resentment over loss of independence
  • Insecurity about place in reconfigured system
  • Service member may have difficulty disengaging from combat mission orientation
  • Domestic violence

Source:
  US Army Public Health Command (USAPHC), Soldier Combat Stress Reaction: A Pocket Guide for Spouse and Loved Ones, Jan 07

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Soldier Combat Stress Reaction

Common Reactions
Many of the reactions listed below are normal for people who experience high stress situations.  It is not uncommon for most Soldiers to experience some or all of the following reactions: 

Physical

  • Trouble falling asleep
  • Oversleeping 
  • Waking up in the middle of the night 
  • Difficulty with sexual and non sexual intimacy
  • Fatigue 
  • Feeling jumping
  • Being easily startled 

Emotional

  • Feeling overwhelmed
  • Depression  
  • Irritability 
  • Feeling numb 
  • Difficulty readjusting to family routines
  • Difficulty reconnecting with family
  • Discomfort being around other people or in crowds  
  • Frustration 
  • Guilt
  • Crying

Cognitive

  • Difficult with memory
  • Loss of interest/motivation 
  • Concentration problems 
  • Difficult talking about deployment experiences
  • Loss of trust 

Source:  US Army Public Health Command (USAPHC), Combat/Operational Stress Control Page

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Other Resources
DoD Websites VA Websites Other Websites

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www.PDHealth.mil is the Official Web site of the DoD Deployment Health Clinical Center
Located at Walter Reed National Military Medical Center, Bethesda, MD (MRMC)