Fighting a different battle: A veteran psychiatrist’s call to end military mental health stigma

Dr. James Polo Avatar
A soldier at sunset
U.S. Army photo

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As we honor the sacrifice and bravery of our veterans this National Veterans and Military Families Month, it is crucial to remember that the battles they face do not always end when they return home. While the visible scars of conflict are often recognized, the invisible wounds—those affecting the mental health of our service members—demand our urgent attention and care.

The Unseen Battle

As a former Army doctor who served during Desert Storm and Bosnia conflicts, I found that the unique demands and stressors of military life were things I, too, shared with my patients. The stress of separation from family, engaging in combat, the demands of deployment, and the loss of comrades became part of our shared experience. 

But the psychological pressures our military personnel face don’t end once the battle is over or with retirement. According to reports from the U.S. Department of Veterans Affairs, significant percentages of veterans suffer from mental health issues such as PTSD (Post-Traumatic Stress Disorder), depression, and anxiety. These conditions can be debilitating and, if left unmanaged, can lead to tragic outcomes including substance abuse and suicide. Editor’s note: If you or someone you love is struggling with your mental health, dial 988 today to get the help you deserve.

Breaking the Stigma

One of the most formidable barriers to addressing mental health concerns is the stigma attached to seeking help. In a culture that frequently values strength and stoicism, admitting psychological distress can be perceived as a sign of weakness. This misconception prevents many veterans from seeking the support they desperately need.

My duty to serve as an Army doctor became more critical after Desert Storm when deployments to dangerous areas and physical injuries became a reality. The importance and need for behavioral health support skyrocketed, but many still did not seek help when they needed it.

Promoting open conversations about mental health is crucial for dismantling this stigma. Leadership within the military, policymakers, and community members all play an important role in fostering an environment where discussing mental health is normalized and encouraged. On a day dedicated to our veterans, we must amplify the message that seeking help is a sign of strength and resilience.

The Need for Comprehensive Support Systems

Maxwell AFB, Ala. – SrA Devin A. Blazekovich is the Mental Health Non Commissioned Officer in Charge overseeing other technicians perform mental health intakes, Alcohol and Drug abuse intakes, and follow up care. In the clinic, Blazekovich provides the initial paperwork to patients, which include documents that pertain to confidentiality, Privacy Act, and Mental Health Clinic policies at the 42nd Medical Group on Maxwell AFB. (US Air Force photo by Cassandra Cornwell/Released)

To truly honor our veterans, it is imperative to provide comprehensive support systems that address their mental health needs. This means:

  1. Enhanced Access to Mental Health Care: The importance of readily available mental health services cannot be overstated. Streamlining access to these services and ensuring they are inclusive and sensitive to the unique experiences of military personnel is key. This includes expanding telehealth options to reach those in remote locations.
  2. Training and Resources for Mental Health Providers: Medical professionals who serve veterans need specialized training to understand the military culture and the specific mental health challenges faced by service members. This equips them to offer more effective and nuanced care.
  3. Peer Support Programs: Veterans often find solace in speaking with those who truly understand their experiences. Establishing robust peer support programs can provide a platform for shared understanding and encouragement.
  4. Family and Community Engagement: The support of family and community is vital in the healing process. Programs aimed at educating and involving families in mental health care can significantly enhance recovery outcomes.

Commitment to Our Veterans: Today and Every Day

This National Veterans and Military Families Month, as we pay tribute to the courage and dedication of our military personnel, we must also recognize our ongoing responsibility to support their mental health. It is not enough to merely celebrate their heroic acts; we must also commit to ensuring their well-being long after their service has ended.

By breaking down the stigma, providing accessible and comprehensive care, and fostering a culture of openness and understanding, we honor not only their past sacrifices but also their future health and happiness. The invisible wounds of war are as real as any physical injury, and addressing them is an essential part of our pledge to truly support our veterans.