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December 9, 2024

Combat PTSD: Challenges, Symptoms, and Healing Approaches

Understand the symptoms, the journey from trauma to healing, and the challenges veterans with PTSD face. Learn how therapies like CPT and EMDR and self-care can aid recovery, alongside a strong support system for those experiencing recurring memories, emotional distress, and relationship strains due to combat exposure.

Lashauna Cutts, LCSW
Combat PTSD: Challenges, Symptoms, and Healing Approaches

Combat Post-Traumatic Stress Disorder (PTSD) is a mental health condition that affects individuals who have experienced or witnessed traumatic events leading to death or serious injury during combat or war. It is crucial to understand the impact of combat PTSD on individuals and the challenges they face in order to provide appropriate support and treatment. Combat PTSD can have severe consequences on mental health, relationships, and overall well-being, but healing is possible with the right treatment.


Individuals with combat PTSD often experience recurring memories, nightmares, and flashbacks of traumatic events. These intrusive thoughts can lead to emotional distress, anxiety, and even physical symptoms such as increased heart rate and sweating, leading to avoidance of trauma-related stimuli. It is essential to recognize that combat PTSD is a valid and debilitating condition that requires understanding and support from both professionals and society.

Challenges Faced by Individuals with Combat PTSD

Combat PTSD presents numerous challenges for individuals attempting to lead a normal life. One of the significant challenges is the reintegration into civilian life. Returning from a war zone to a civilian environment can be overwhelming, as individuals may struggle to adjust to the routines and expectations of day-to-day life. This transition can result in feelings of isolation, alienation, and a sense of not belonging.

Another challenge faced by individuals with combat PTSD is the stigma associated with mental health conditions. Many individuals feel ashamed or embarrassed to seek help due to the fear of being judged or labeled as weak. This stigma often prevents them from accessing the necessary support and treatment they need to recover.

Furthermore, individuals with combat PTSD may experience difficulties in maintaining relationships with family, friends, and colleagues. Their symptoms, which also include hypervigilance, irritability, and emotional numbness, can strain relationships and lead to misunderstandings. It is crucial for loved ones and society as a whole to be educated and understand the challenges faced by individuals with combat PTSD.

Symptoms of Combat PTSD

Combat PTSD manifests through a wide range of symptoms that can significantly impact an individual's daily life. These symptoms can be categorized into four main clusters: intrusive thoughts and memories, avoidance, negative changes in thinking and mood, and changes in physical and emotional reactions.

Intrusive symptoms are when individuals relive the traumatic event(s) through flashbacks, nightmares, and distressing recollections of traumatic thoughts .These symptoms can be triggered by reminders of the traumatic experience, such as loud noises or certain smells.

Avoidance symptoms involve efforts to avoid people, places, or activities that remind individuals of the traumatic event. This can lead to social withdrawal, isolation, and a decrease in participation in once-enjoyed activities.

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Negative changes in thinking and mood can include feelings of guilt, shame, and self-blame. Individuals may also experience a loss of interest in previously enjoyable activities, as well as difficulties in maintaining positive relationships.

Changes in physical and emotional reactions may manifest as increased irritability, hypervigilance, exaggerated startle response, and problems with concentration and sleep.

Difference between Combat Stress and Combat Related PTSD

Combat stress and combat-related PTSD are two distinct conditions often confused with each other. Combat stress,also known as battle fatigue,refers to the typical psychological and emotional reactions to the stressors of war. It is a common and expected response to the challenges and dangers faced in combat situations. Combat stress typically resolves on its own once individuals are removed from the stressful environment and given time to rest and recover. Symptoms often disappear after a service member is home for a few months or even weeks.

On the other hand, combat-related PTSD is a diagnosable mental health condition that results from exposure to traumatic events during combat. While combat stress may share some symptoms with combat-related PTSD, the latter is characterized by more severe and persistent symptoms that significantly impact an individual's daily functioning.

It is important to differentiate between combat stress and combat-related PTSD to ensure individuals receive appropriate support and intervention based on the severity and duration of their symptoms.

Therapy Options for Combat PTSD

Various therapy options are available to help individuals with combat PTSD manage and recover from their symptoms. The most effective approach is Cognitive Processing Therapy (CPT), a type of cognitive-behavioral therapy that aims to help individuals identify and challenge negative thoughts and beliefs related to their traumatic experiences.

CPT involves structured sessions with a therapist during which individuals learn to recognize and reframe their thoughts. By challenging distorted beliefs and developing a more balanced perspective, individuals can reduce the intensity of their PTSD symptoms and improve their overall well-being.

Other therapy options for combat PTSD include Eye Movement Desensitization and Reprocessing (EMDR), which focuses on processing traumatic memories through guided eye movements, and Prolonged Exposure, which gradually exposes individuals to the traumatic event in a safe and controlled environment.

How Does CPT Help in Treating Combat PTSD?

Cognitive Processing Therapy (CPT) has shown promising results in the treatment of combat PTSD. By targeting distorted thoughts and beliefs associated with traumatic experiences, CPT helps individuals gain a new understanding of their trauma and develop healthier coping strategies.

CPT involves several specific techniques, such as writing a detailed account of the traumatic event, identifying and challenging negative thoughts related to the event, and exploring the impact of the trauma on personal beliefs and values. Through these techniques, individuals can gradually process their traumatic experiences, reduce avoidance behaviors, and improve their overall quality of life.

CPT is typically conducted over a period of 12 sessions, but the duration can vary depending on individual needs. It is important for individuals considering CPT to work with a qualified therapist who specializes in trauma and PTSD to ensure the best possible outcomes.

Self-Care Strategies for Combat PTSD

In addition to therapy, self-care strategies can play a vital role in managing combat PTSD symptoms. Engaging in activities that promote relaxation and stress reduction, such as meditation, deep breathing exercises, and yoga, can help individuals regulate their emotions and reduce anxiety.

Maintaining a healthy lifestyle through regular exercise, balanced nutrition, and sufficient sleep is also crucial for managing combat PTSD. Physical activity not only improves overall well-being but also releases endorphins, which can have a positive impact on mood and mental health.

Building a strong support network is another essential self-care strategy. Surrounding oneself with understanding and supportive individuals can provide a sense of belonging and reduce feelings of isolation. Seeking support from fellow veterans, support groups, or online communities can be particularly beneficial.

Support Systems for Individuals with Combat PTSD

Creating a supportive environment for individuals with combat PTSD is crucial for their recovery and well-being. Loved ones, friends, and colleagues can play a significant role in providing support and understanding.

Educating oneself about combat PTSD and its symptoms is the first step in offering meaningful support. By understanding the challenges faced by individuals with combat PTSD, loved ones can better empathize and provide appropriate assistance.

Active listening and open communication are key components of support. Providing a safe space for individuals to express their feelings and experiences can be immensely healing. Avoiding judgment and offering validation can make a significant difference in their recovery journey.

Encouraging individuals to seek professional help and accompanying them to therapy sessions can also be a valuable form of support. Assisting with practical matters, such as finding resources and treatment options, can alleviate some of the burdens faced by individuals with combat PTSD.

If you're navigating the complexities of Combat PTSD, support and relief await you at Nema. Focusing on Cognitive Processing Therapy (CPT), Cognitive Behavioral Therapy (CBT), and more, our team is equipped to offer a range of effective therapeutic approaches tailored to the unique challenges faced by combat veterans. Schedule a free consultation here to see how we can assist you in your healing journey.

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