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  • Writer's pictureJerzy Grzebieluch, MD

Unseen Battle Scars: Exploring Mental Health Issues Faced by Veterans of the Global War on Terror


The Global War on Terror (GWOT) has brought profound changes to the landscape of modern warfare. As service members return from deployments in Iraq, Afghanistan, and other theaters of operation, they often carry with them not only physical injuries but also the unseen wounds of war – mental health issues that can significantly impact their well-being.

In this blog post, I delve into the complex and multifaceted mental health challenges faced by veterans of the Global War on Terror, exploring the factors contributing to these issues and the crucial importance of addressing and supporting the mental health of those who have served.

The Invisible Toll: Mental Health Issues

1. Post-Traumatic Stress Disorder (PTSD):

  • One of the most widely recognized mental health issues faced by GWOT veterans is PTSD.

  • Exposure to combat, witnessing traumatic events, and the constant threat of danger contribute to the development of PTSD.

  • Symptoms may include intrusive memories, nightmares, hypervigilance, and emotional numbness.

2. Depression and Anxiety:

  • The chronic stress of deployment, multiple deployments, and exposure to life-threatening situations can lead to depression and anxiety disorders.

  • Veterans may experience persistent feelings of sadness, hopelessness, and heightened anxiety that affect their daily functioning.

3. Traumatic Brain Injury (TBI):

  • TBI is a common result of exposure to explosions and blasts during combat.

  • TBI can lead to cognitive impairments, memory problems, and mood disturbances, contributing to mental health challenges.

4. Substance Abuse and Addiction:

  • Coping with the psychological toll of war may lead some veterans to turn to substances as a way to self-medicate.

  • Substance abuse can exacerbate existing mental health issues and contribute to a cycle of addiction.

5. Challenges in Transitioning to Civilian Life:

  • Reintegrating into civilian life can be a significant source of stress for veterans.

  • Adjusting to a new routine, finding employment, and reconnecting with family can be overwhelming, leading to mental health struggles.

6. Suicidal Ideation and Suicide Rates:

  • The mental health challenges faced by GWOT veterans contribute to higher rates of suicidal ideation.

  • The veteran community has experienced alarmingly high suicide rates, highlighting the urgent need for mental health intervention and support.

A US Army Veteran

Factors Contributing to Mental Health Challenges

1. Combat Exposure:

  • Direct exposure to combat situations, including witnessing or participating in intense and life-threatening events, is a primary contributor to mental health challenges.

2. Multiple Deployments:

  • Many GWOT veterans have experienced multiple deployments, leading to prolonged periods of separation from family and exposure to repeated traumatic events.

3. Lack of Mental Health Resources:

  • Inadequate mental health resources within the military, both during deployment and upon return, can hinder timely intervention and support.

4. Stigma Surrounding Mental Health:

  • Persistent stigma within the military culture may discourage veterans from seeking help for mental health issues, fearing repercussions on their careers.

5. Difficulty Accessing Civilian Services:

  • Transitioning veterans may face challenges in accessing mental health services in civilian communities, contributing to delayed or insufficient care.

Support and Interventions

1. Mental Health Screening and Assessment:

  • Implementing routine mental health screening during and after deployment to identify issues early.

  • Conducting thorough assessments to identify specific mental health needs and tailor interventions accordingly.

2. Increased Mental Health Resources:

  • Allocating more resources to mental health services within the military to address the demand for counseling, therapy, and psychiatric support.

3. Reducing Stigma:

  • Implementing awareness campaigns and educational programs to reduce the stigma surrounding mental health in the military.

  • Encouraging open conversations about mental health and the importance of seeking help.

4. Community Support Programs:

  • Developing and enhancing community support programs that facilitate the transition of veterans to civilian life.

  • Providing employment assistance, educational opportunities, and social support networks.

5. Family Support and Education:

  • Recognizing the crucial role of families in the mental health of veterans.

  • Providing education and support for families to understand and cope with the mental health challenges faced by their loved ones.

6. Innovative Therapeutic Approaches:

  • Exploring and implementing innovative therapeutic approaches such as equine therapy, art therapy, and mindfulness practices to complement traditional treatments.


The mental health challenges faced by veterans of the Global War on Terror are both complex and pervasive. As the invisible toll of war continues to impact the lives of those who have served, it is imperative that society, policymakers, and healthcare professionals come together to address these issues comprehensively.

By understanding the multifaceted nature of mental health challenges among GWOT veterans, we can work towards implementing effective strategies for prevention, intervention, and support. This includes addressing the stigma surrounding mental health, increasing access to resources, and fostering a culture that encourages open dialogue about the psychological toll of military service.

Ultimately, honoring the service of our veterans extends beyond expressing gratitude for their sacrifices on the battlefield. It involves a commitment to ensuring that they receive the care and support needed to navigate the often challenging journey of healing from the invisible wounds of war. In doing so, we not only fulfill a moral obligation to those who have served but also contribute to building a more compassionate and understanding society.


Dr. Jerzy Grzebieluch is a board-certified psychiatrist providing evaluations and treatment to child, adolescent, and adult patients. He's currently accepting new patients covered by TRICARE insurance. A primary care manager referral is not required to book your appointment.

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