A Veteran’s Struggle With Invisible Wounds

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David I. Deyhimy, M.D., FASAM, Medical Director at Destiny Recovery Center

David I. Deyhimy

M.D. , FASAM

Dr. Deyhimy is a board-certified addiction medicine and anesthesiology physician with over 20 years of experience treating substance use disorders. He specializes in evidence-based addiction care, Medication Assisted Treatment (MAT), and harm-reduction approaches that improve patient engagement, reduce cravings, and support long-term recovery.

As a veteran, you have likely gone through experiences most people cannot even imagine. Your service was commendable, and you made tremendous sacrifices, yet its aftereffects may remain invisible to others. Many veterans struggle with post-traumatic stress disorder (PTSD), traumatic brain injury (TBI), or depression, as invisible wounds from service aren’t visible immediately. These conditions can commonly influence the onset of substance use disorder (SUD).

Post-Traumatic Stress Disorder

PTSD is an invisible wound that impacts many veterans’ struggles. It may result from exposure to trauma such as combat, sexual assault, or other life-threatening situations. When individuals are exposed to highly traumatic experiences, their bodies may have a difficult time differentiating dangerous situations from safe situations. 

The symptoms of PTSD often include flashbacks, nightmares, anxiety attacks, or avoidance of certain situations or activities. These symptoms disrupt daily life and can make it hard for veterans to work, maintain relationships, or even leave their homes.

Traumatic Brain Injury

TBI is another invisible injury, typically sustained from blast waves of explosions or other head trauma. Common symptoms of TBI may include headaches, dizziness, concentration issues, and memory loss. These symptoms also cause a large disruption in one’s ability to carry out daily tasks and engage in recovery services. The effect on the brain can be permanent and may cause these individuals to make adjustments to carry out their everyday life.

Depression

Developing depression is another silent wound of military life. This condition can stem from various sources, including trauma during military service, difficulties transitioning back into civilian life after deployment, and combat itself. 

Being in the military often leads to situations filled with high emotions. Depression is a common aftereffect of these situations and can quickly become persistent. The symptoms of depression often include feelings of sadness or hopelessness, decreased interest in activities that were once enjoyed, changes to appetite or sleep patterns, or difficulties concentrating.

Impact of Invisible Wounds

Though invisible wounds among veterans are prevalent, many remain reluctant to seek assistance for various reasons related to these wounds. Some of these reasons include stigmatization, fear of judgment, and questions about the effectiveness of treatment. Seeking help should not be seen as a weakness. Destiny Recovery Center is here to help you move past these invisible wounds and provide you with the assistance you need to move forward.

Healing Invisible Wounds

Various approaches can be used to help heal invisible wounds. Overcoming the effects of these wounds is essential in recovery, as these wounds tend to play a large part in the onset of addiction.

Cognitive-Behavioral Therapy

The practice of cognitive-behavioral therapy (CBT) has proven highly successful in treating PTSD in veterans. CBT helps veterans recognize and modify negative thought patterns and behaviors as well as develop coping skills to manage symptoms more effectively. When addiction arises, this therapeutic approach can be used to analyze how individuals fell into the cycle of addiction and what underlying thoughts are affecting their abilities to recover from this disorder. 

Eye Movement Desensitization and Reprocessing

Another great therapeutic method to help heal invisible wounds is eye movement desensitization and reprocessing (EMDR). This practice utilizes eye movements or bilateral stimulation techniques such as tapping to help individuals process traumatizing memories or emotions more easily. When these traumatic memories re-arise in this dream-like state, you can alter the body’s natural response to the trigger.

Traumatic Brain Injury Treatments

Treatment options for TBI typically involve medication, cognitive rehabilitation, and lifestyle modifications. Lifestyle modifications may include improving sleep habits or decreasing stress levels to relieve symptoms. Cognitive rehabilitation helps enhance memory recall, concentration, and problem-solving capabilities. Medication may assist in alleviating symptoms temporarily to assist you while other therapeutic approaches take effect.

Talk Therapy

The approaches to help overcome depression can vary greatly depending on individual needs. Talk therapy is a basic practice that allows individuals to discuss their feelings in a safe and confidential environment to help further discover aspects of themselves and their condition. This practice is often utilized during individual therapy and group therapy to help clients understand their current emotional state. 

Recovering From Invisible Wounds

Recovery from invisible wounds may not always follow a linear course. There will likely be setbacks and challenges along the way. Destiny Recovery Center is here to support you through these setbacks and help you achieve long-term success in overcoming your SUD. Other veterans are experiencing invisible wounds as well, so you are not alone in this journey. Connecting with other veterans may help you feel supported through this journey. 

As a veteran, it can be challenging to manage invisible wounds on your own. Remember that help is out there and available to you. You may have to find which treatment approach best fits your needs through trial and error. With the assistance of our staff and your willingness to seek help, we can help you to overcome any obstacle that is preventing you from living the life that you deserve.

If you are a veteran struggling with invisible wounds, remember that seeking help is a sign of strength, not weakness. There are many resources available to you and therapeutic approaches that can be utilized to assist you through your recovery journey. Don’t be afraid to reach out and ask for help. You may have the opportunity to connect with other veterans who have experienced similar invisible wounds. This external support may be what you need to help push you forward and heal from your past traumatic experiences. To learn more about the invisible wounds veterans face and how to overcome them, reach out to Destiny Recovery Center today at (909) 413-4304.

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