Helping Military Teams Manage Acute Stress When It Matters Most

Combat and operational stress reactions (COSRs) are psychobiological reactions that may stem from combat stressors, such as personal injury, witnessing death or killing of combatants, or operational stressors, such as long work hours in extreme temperatures, dangerous work conditions, or non-combat related injuries.

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Obsessive compulsive disorder (OCD) and posttraumatic stress disorder (PTSD) rank among the most debilitating, distressing, difficult and expensive-to-treat mental health conditions. While the two conditions were once considered to be unrelated, accumulating evidence indicates they often co-occur.

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For many, the news from Afghanistan—the rapid withdrawal of the US, the Taliban’s assumption of control, and the scenes of desperation at the airport in Kabul—is deeply disturbing. For service members who served in Afghanistan, these images may be particularly jarring. How do service members reconcile their sacrifice and the sacrifice of their families with questions like “Was it worth it?” and “What was the point?”

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Written exposure therapy, also called written narrative exposure therapy, is a brief trauma-focused treatment for PTSD which may readily be adapted for use during the current telehealth environment.

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