Center for American Military Music Opportunities (CAMMO’s) Voices of Service #VOS consists of veterans and active duty service members. Ron Henry, Christal Rheams, Jason Hanna, and Caleb Green.

Organizations Helping PTSD Veterans

Post-traumatic stress disorder (PTSD) can sometimes occur when an individual experiences a traumatic event like combat, military sexual trauma, violence, and terrorism. It is normal for most people to have a stress reaction after a traumatic experience. But, if the reaction doesn’t dissipate or begins to disrupt daily life, then you may have PTSD. According to the National Center for PTSD, eight out of every 100 veterans have PTSD.

If you or a fellow comrade is struggling with PTSD, here are nine organizations that can help in no particular order:

National Center for PTSD

A part of the U.S. Department of Veterans Affairs, the National Center for PTSD provides resources and information to improve patient care through research, education, and training in the diagnosis of PTSD.

Military OneSource

This organization provides free, confidential, non-medical counseling 24/7 to veterans coping with PTSD. Counselors can refer service members to services in their local community or provide support via face-to-face, online, or phone consultations.

National Alliance on Mental Illness

This website provides veterans with a comprehensive list of resources. They provides the answers to questions many are afraid to ask such as: Who should I tell? How will asking for treatment affect my career? What are the dangers of not disclosing?

PTSD United

Their mission is to “empower and provide support for anyone affected by post-traumatic stress.” PTSD United offers an anonymous support network for veterans to connect with others who have experienced trauma. Individuals will learn about available resources to cope with PTSD, heal through shared interaction, and grow as individuals.

Give an Hour

This organization has developed a national network of professional volunteers capable of delivering mental health care to veterans, service members, and their families. They work with various government, corporate, and non-profit partners at the local, state, and national levels. Give an Hour provides a range of mental health services to local communities throughout the nation.

BraveHeart: Welcome Back Veterans Southeast Initiative

A collaboration between Emory University and the Atlanta Braves, the BraveHeart: Welcome Back Initiative is based in the southeastern United States. They provide healthcare resources and specialists for service members and veterans returning from Operation Iraqi Freedom and Operation Enduring Freedom.

PTSD Foundation of America

The PTSD Foundation of America is a non-profit dedicated to mentoring both combat veterans and their families experiencing PTSD. They offer counseling and peer mentoring, both individually and in a group setting. The organization also works to raise awareness of the needs of military families coping with PTSD through community awareness.

National Suicide Prevention Lifeline

If you or someone you know is at-risk for suicide, this organization provides 24/7 free, confidential support to those in distress. It also offers resources for loved ones such as a checklist of warning signs and risk factors.

National Resource Directory

A partnership among the U.S. Department of Defense, Department of Labor, and Department of Veterans Affairs, this website pools information from federal, state, and local levels. They provide a comprehensive resource for veterans, military, and their families on everything from PTSD services to caregiver support.

Suffering from PTSD can be a lonely and isolating experience. The first step to getting well and learning how to manage your symptoms is to ask for help. There is absolutely no shame in admitting that you may not be able to cope by yourself. Know that you are not alone and use these resources to contact professionals who are ready to help.

Kristen Baker-Geczy is a communications specialist, active duty military spouse, and former MWR marketing coordinator. She was also deployed to Southwest Asia as an Air Force contractor.

PTSD in Military Veterans

For all too many, returning from military service means coping with symptoms of PTSD. But you’re not alone and there are many things you can do to start feeling better.

Understanding PTSD in veterans

Are you having a hard time readjusting to life out of the military? Or do you constantly feel on edge, emotionally numb and disconnected, or close to panicking or exploding? For all too many veterans, these are common experiences—lingering symptoms of post-traumatic stress disorder (PTSD). It’s hard living with untreated PTSD and, with long V.A. wait times, it’s easy to get discouraged. But you can feel better, and you can start today, even while you’re waiting for professional treatment.

What causes PTSD?

Post-traumatic stress disorder (PTSD), sometimes known as shell shock or combat stress, occurs after you experience severe trauma or a life-threatening event. It’s normal for your mind and body to be in shock after such an event, but this normal response becomes PTSD when your nervous system gets “stuck.”

Your nervous system has two automatic or reflexive ways of responding to stressful events:

Mobilization, or fight-or-flight, occurs when you need to defend yourself or survive the danger of a combat situation. Your heart pounds faster, your blood pressure rises, and your muscles tighten, increasing your strength and reaction speed. Once the danger has passed, your nervous system calms your body, lowering your heart rate and blood pressure, and winding back down to its normal balance.

Immobilization occurs when you’ve experienced too much stress in a situation and even though the danger has passed, you find yourself “stuck.” Your nervous system is unable to return to its normal state of balance and you’re unable to move on from the event. This is PTSD.

Recovering from PTSD involves transitioning out of the mental and emotional war zone you’re still living in and helping your nervous system become “unstuck.”

Symptoms of PTSD in veterans

While you can develop symptoms of PTSD in the hours or days following a traumatic event, sometimes symptoms don’t surface for months or even years after you return from deployment. While PTSD develops differently in each veteran, there are four symptom clusters:

1. Recurrent, intrusive reminders of the traumatic event, including distressing thoughts, nightmares, and flashbacks where you feel like the event is happening again. You may experience extreme emotional and physical reactions to reminders of the trauma such as panic attacks, uncontrollable shaking, and heart palpitations.
2. Extreme avoidance of things that remind you of the traumatic event, including people, places, thoughts, or situations you associate with the bad memories. This includes withdrawing from friends and family and losing interest in everyday activities.
3. Negative changes in your thoughts and mood, such as exaggerated negative beliefs about yourself or the world and persistent feelings of fear, guilt, or shame. You may notice a diminished ability to experience positive emotions.
4. Being on guard all the time, jumpy, and emotionally reactive, as indicated by irritability, anger, reckless behavior, difficulty sleeping, trouble concentrating, and hypervigilance.

PTSD in veterans recovery step 1: Get moving

Getting regular exercise has always been key for veterans with PTSD. As well as helping to burn off adrenaline, exercise can release endorphins and improve your mood. And by really focusing on your body and how it feels as you exercise, you can even help your nervous system become “unstuck” and move out of the immobilization stress response.

Exercise that is rhythmic and engages both your arms and legs—such as running, swimming, basketball, or even dancing—works well if, instead of continuing to focus on your thoughts as you move, you focus on how your body feels.

Try to notice the sensation of your feet hitting the ground, for example, or the rhythm of your breathing, or the feeling of the wind on your skin. Many veterans with PTSD find that sports such as rock climbing, boxing, weight training, and martial arts make it easier to focus on your body movements—after all, if you don’t, you could injure yourself. Whatever exercise you choose, try to work out for 30 minutes or more each day—or if it’s easier, three 10-minute spurts of exercise are just as beneficial.

Step 2: Self-regulate your nervous system

PTSD can leave you feeling vulnerable and helpless. But you have more control over your nervous system than you may realize. When you feel agitated, anxious, or out of control, these tips can help you change your arousal system and calm yourself.

Mindful breathing. To quickly calm yourself in any situation, simply take 60 breaths, focusing your attention on each ‘out’ breath.

Sensory input. Just as loud noises, certain smells, or the feel of sand in your clothes can instantly transport you back to the combat zone, so too can sensory input quickly calm you. Everyone responds a little differently, so experiment to find what works best for you. Think back to your time on deployment: what brought you comfort at the end of the day? Perhaps it was looking at photos of your family? Or listening to a favorite song, or smelling a certain brand of soap? Or maybe petting an animal quickly makes you feel calm?

Reconnect emotionally. By reconnecting to uncomfortable emotions without becoming overwhelmed, you can make a huge difference in your ability to manage stress, balance your moods, and take back control of your life. See our Emotional Intelligence Toolkit.

Step 3: Connect with others

Connecting with others face to face doesn’t have to include a lot of talking. For any veteran with PTSD, it’s important to find someone who will listen without judging when you want to talk, or just hang out with you when you don’t. That person may be your significant other, a family member, one of your buddies from the service, or a civilian friend. Or try:

Volunteering your time or reaching out to someone in need. This is a great way to both connect to others and reclaim your sense of power.

Joining a PTSD support group. Connecting with other veterans facing similar problems can help you feel less isolated and provide useful tips on how to cope with symptoms and work towards recovery.

Connecting with civilians

You may feel like the civilians in your life can’t understand you since they haven’t been in the service or seen what you have. But people don’t have to have gone through the exact same experiences to relate to painful emotions and be able to offer support. What matters is that the person you’re turning to cares about you, is a good listener, and a source of comfort.

You don’t have to talk about your combat experiences. If you’re not ready to open up about the details of what happened, that’s perfectly okay. You can talk about how you feel without going into a blow-by-blow account of events.

Tell the other person what you need or how they can help. That could be just sitting with you, listening, or doing something practical. Comfort comes from someone else understanding your emotional experience.

People who care about you want to help. Listening is not a burden for them but a welcome opportunity to provide support.

Step 4: Take care of your body

The symptoms of PTSD in veterans, such as insomnia, anger, concentration problems, and jumpiness, can be hard on your body and eventually take a toll on your overall health. That’s why it’s so important to take care of yourself.

You may be drawn to activities and behaviors that pump up adrenaline, whether it’s caffeine, drugs, violent video games, driving recklessly, or daredevil sports. After being in a combat zone, that’s what feels normal. But if you recognize these urges for what they are, you can make better choices that will calm and protect your body—and your mind.

Take time to relax. Relaxation techniques such as massage, meditation, or yoga can reduce stress, ease the symptoms of anxiety and depression, help you sleep better, and increase feelings of peace and well-being.

Find safe ways to blow off steam. Pound on a punching bag, pummel a pillow, go for a hard run, sing along to loud music, or find a secluded place to scream at the top of your lungs.

Support your body with a healthy diet. Omega-3s play a vital role in emotional health so incorporate foods such as fatty fish, flaxseed, and walnuts into your diet. Limit processed and fried food, sugars, and refined carbs which can exacerbate mood swings and energy fluctuations.

Get plenty of sleep. Sleep deprivation exacerbates anger, irritability, and moodiness. Aim for 7 to 9 hours of quality sleep each night. Develop a relaxing bedtime ritual (listen to calming music, take a hot shower, or read something light and entertaining), turn off screens at least one hour before bedtime, and make your bedroom as dark and quiet as possible.

Avoid alcohol and drugs (including nicotine). It can be tempting to turn to drugs and alcohol to numb painful memories and get to sleep. But substance abuse can make the symptoms of PTSD worse. The same applies to cigarettes. If possible, stop smoking and seek help for drinking and drug problems.

Step 5: Deal with flashbacks, nightmares, and intrusive thoughts

For veterans with PTSD, flashbacks usually involve visual and auditory memories of combat. It feels as if it’s happening all over again so it’s vital to reassure yourself that the experience is not occurring in the present. Trauma specialists call this “dual awareness.”

Dual awareness is the recognition that there is a difference between your “experiencing self” and your “observing self.” On the one hand, there is your internal emotional reality: you feel as if the trauma is currently happening. On the other hand, you can look to your external environment and recognize that you’re safe. You’re aware that despite what you’re experiencing, the trauma happened in the past. It is not happening now.

State to yourself (out loud or in your head) the reality that while you feel as if the trauma is currently happening, you can look around and recognize that you’re safe.

Use a simple script when you awaken from a nightmare or start to experience a flashback: “I feel [panicked, overwhelmed, etc.] because I’m remembering [traumatic event], but as I look around I can see that the event isn’t happening right now and I’m not in danger.”

Describe what you see when you look around (name the place where you are, the current date, and three things you see when you look around).

Try tapping your arms to bring you back to the present.

Tips for grounding yourself during a flashback:

Step 6: Work through survivor’s guilt

Feelings of guilt are very common among veterans with PTSD. You may have seen people injured or killed, often your friends and comrades. In the heat of the moment, you don’t have time to fully process these events as they happen. But later—often when you’ve returned home—these experiences come back to haunt you. You may ask yourself questions such as:

• Why didn’t I get hurt?
• Why did I survive when others didn’t?
• Could I have done something differently to save them?

You may end up blaming yourself for what happened and believing that your actions (or inability to act) led to someone else’s death. You may feel like others deserved to live more than you—that you’re the one who should have died. This is survivor’s guilt.

Recovering from survivor’s guilt

Healing doesn’t mean that you’ll forget what happened or those who died. And it doesn’t mean you’ll have no regrets. What it does mean is that you’ll view your role more realistically.

• Is the amount of responsibility you’re assuming reasonable?
• Could you really have prevented or stopped what happened?
• Are you judging your decisions based on complete information about the event, or just your emotions?
• Did you do your best at the time, under challenging circumstances?
• Do you truly believe that if you had died, someone else would have survived?

Honestly assessing your responsibility and role can free you to move on and grieve your losses. Even if you continue to feel some guilt, instead of punishing yourself, you can redirect your energy into honoring those you lost and finding ways to keep their memory alive. For example, you could volunteer for a cause that’s connected in some way to one of the friends you lost. The goal is to put your guilt to positive use and thus transform a tragedy, even in a small way, into something worthwhile.

Step 7: Seek professional treatment

Professional treatment for PTSD can help you confront what happened to you and learn to accept it as a part of your past. When working with an experienced therapist or doctor, treatment may involve:

Cognitive-behavioral therapy (CBT) or counseling. This involves gradually “exposing” yourself to thoughts and feelings that remind you of the event. Therapy also involves identifying distorted and irrational thoughts about the event—and replacing them with more balanced picture.

Medication, such as antidepressants. While medication may help you feel less sad, worried, or on edge, it doesn’t treat the causes of PTSD.

Eye Movement Desensitization and Reprocessing (EMDR). This incorporates elements of CBT with eye movements or other rhythmic, left-right stimulation such as hand taps or sounds. These can help your nervous system become “unstuck” and move on from the traumatic event.

Helping a veteran with PTSD

When a loved one returns from military service with PTSD, it can take a heavy toll on your relationship and family life. You may have to take on a bigger share of household tasks, deal with the frustration of a loved one who won’t open up, or even deal with anger or other disturbing behavior.

Don’t take the symptoms of PTSD personally. If your loved one seems distant, irritable, angry, or closed off, remember that this may not have anything to do with you or your relationship.

Don’t pressure your loved one into talking. Many veterans with PTSD find it difficult to talk about their experiences. Never try to force your loved one to open up but let them know that you’re there if they want to talk. It’s your understanding that provides comfort, not anything you say.

Be patient and understanding. Feeling better takes time so be patient with the pace of recovery. Offer support but don’t try to direct your loved one.

Try to anticipate and prepare for PTSD triggers such as certain sounds, sights, or smells. If you are aware of what causes an upsetting reaction, you’ll be in a better position to help your loved one calm down.

Take care of yourself. Letting your loved one’s PTSD dominate your life while ignoring your own needs is a surefire recipe for burnout. Make time for yourself and learn to manage stress. The more calm, relaxed, and focused you are, the better you’ll be able to help your loved one.