When one thinks about substance use or addiction in the military, one’s mind may automatically go to alcohol. Although the prevalence of alcohol use and abuse can be considerable, we would be remiss to overlook the historical use and current trends in use of two other legally and socially sanctioned substances within our military population: tobacco and caffeine.
A study of non-treatment-seeking infantry soldiers who had been deployed to Afghanistan or Iraq Tobin, et al (2014) found that 44.0% reported chronic pain (pain for more than 90 days). Of those chronic pain suffers, 48.3% reported symptoms for over one year. Additionally, 15.1% of this non-treatment-seeking sample was using opioids. The comparable rates of civilian chronic pain and opioid use at the time of this study were 26.0% and 4.0%. Alarmingly, 44.1% of soldiers reporting opioid use also reported mild to no pain in the past month and 5.6% reported no pain (Tobin, et al, 2014).
Beginning to Heal is a book by Ellen Bass and Laura Davis which focuses on the ways one can recover from childhood sexual abuse. This book is based on the book called The Courage to Heal.
The June 2019 issue of the Journal of Traumatic Stress (JTS) was devoted to Moral Injury (MI). As a clinical psychologist working at a military training hospital where nearly all patients are Warfighters, I was curious about current recommendations regarding the accepted definition of MI, what measure to use, and how to treat it.
When addressing moral injury, there is a need to help patients learn to compartmentalize their experiences. But it doesn’t stop there. Patients then need to be able to step back and see all the pieces of themselves in order to move forward.