Many Veterans know that just because you’re off the battlefield doesn’t mean the battle is over. While the pressures of combat may end when you return home, new pressures can set in. Lingering trauma, high expectations, and a feeling that others don’t understand your experiences can haunt military Veterans returning to civilian life. It can be easy to slip into unhealthy coping mechanisms, such as alcohol abuse. But hope for Veterans does exist. If you or a loved one is a military Veteran struggling with substance abuse, know that there is help out there. There are several programs that offer substance abuse treatment for military Veterans.
<h2>TRICARE for Veterans</h2>
TRICARE is a health insurance program for American military service members, active-duty personnel, Veterans, and their families. Like private health insurance plans, TRICARE may not cover all substance abuse services. It’s important to <a href="https://www.tricare.mil/">check with your TRICARE provider</a> to determine what addiction treatment services are covered.

TRICARE for Veterans <a href="https://www.tricare.mil/CoveredServices/IsItCovered/SubstanceUseDisorderTreatment">may cover most hallmarks of addiction treatment</a>, such as:
<ul>
 	<li>Inpatient treatment.</li>
 	<li>Residential rehab.</li>
 	<li>Medication-assisted treatment (MAT).</li>
 	<li>Certain opioid treatment programs.</li>
</ul>
Coverage may not apply to treatment and therapies that are not medically informed, such as çaversion therapy. It’s also important to realize that TRICARE for Veterans may only apply to in-network facilities. Even then, there may be additional costs not covered by TRICARE insurance. Many facilities offer a variety of payment options and scholarships to help pay for treatment.
<h2>VA MISSION Act and Community Care Providers</h2>
Another way for military Veterans to access substance abuse treatment is through the <a href="https://missionact.va.gov/">VA MISSION Act</a> and community care providers.

The VA MISSION Act helps expand access to healthcare services Veterans. It does this by allowing military Veterans to receive healthcare through traditional VA facilities and through non-VA medical providers called <a href="https://www.va.gov/COMMUNITYCARE/programs/veterans/VCP/index.asp">community care providers</a>. If a given VA facility doesn’t have the services you need on offer, or if your VA rehabilitation center is too far to provide regular treatment, you may be able to receive help through a community care provider.
<h2>Termination of Veterans Choice Program</h2>
The Veterans Choice Program previously helped connect Veterans with community care providers. The program <a href="https://www.va.gov/COMMUNITYCARE/programs/veterans/VCP/index.asp">expired in June of 2019</a>. If you were part of the Veterans Choice Program, the Veterans Association <a href="https://www.va.gov/COMMUNITYCARE/programs/veterans/General_Care.asp">(VA) recommends</a> reaching out to the VA care team or staff member to determine your eligibility for community care.
<h2>How to Help Veterans</h2>
How to help Veterans depends a lot on what a Veteran is going through, and what relationship you have with them. There is a stigma against asking for help in the military, so a Veteran may be unwilling to seek treatment on their own. This stigma will need to be overcome by both Veterans and their loved ones before healing can happen.
<h2>How Veterans Can Help Themselves</h2>
Admitting that you struggle with alcohols and/or drugs can be the most difficult part of the healing process, but it can be doubly so for Veterans. While medically informed substance abuse treatment remains the most successful way to treat alcoholism and drug use, there are other steps you can take if you feel you are not ready.

There are many hotlines available for Veterans seeking help. While most are intended for moments of crisis, others are open to those seeking help for substance abuse, regardless of whether the situation is life-threatening. There are some hotlines specifically for Veterans who are concerned about their substance abuse.

Further, there are groups for Veterans who are dealing with crises or substance abuse. Connecting with one of these groups or support networks can be a good way to overcome the stigma against asking for help.
<h3>Mental Health Help for Veterans</h3>
<blockquote>If you or a loved one is a Veteran in a moment of crisis, please call <a href="tel:+1-888-902-8387">1-800-273-8255</a>.</blockquote>
Suicide is an alarmingly common occurrence amongst the Veteran population. Veterans suffer from higher rates of PTSD, depression, traumatic brain injury (TBI), and substance abuse and addiction. All of these conditions can lead to moments of crisis, suicidal thoughts, and suicide. For Veterans who are in a moment of crisis or having suicidal thoughts, it’s important to know that there is help out there. There are several Veterans suicide prevention hotlines available to <a href="https://www.veteranscrisisline.net/">offer a helping hand</a>.
<h2>Veterans Alcoholics Anonymous and Narcotics Anonymous</h2>
Sometimes the best way to confront crises is to connect with people who have walked the same path as you. This is where recovery groups such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) may be helpful. Anonymous groups provide a judgement-free venue for those who struggle with addiction to share their stories.

Anonymity can be an appealing setting for Veterans who may be nervous about sharing their struggles with substance to close friends and family members. The group also helps let Veterans know they aren’t alone. Locating a Veterans’ AA or NA group could be an important first step in your journey to recovery.
<h2>How Loved Ones Can Help Veterans</h2>
While loved ones can certainly help Veterans, it’s important to remember that this may not always go smoothly. Due to the stigma against military Veterans asking for help, Veterans may be unwilling to reach out or accept help. PTSD and depression can deepen this stigma.

One of the first steps a loved one can take to help a Veteran would be to learn about their struggles. <a href="https://www.ptsd.va.gov/family/how_family_member.asp">Information about PTSD</a> can help a civilian understand what their Veteran loved ones are experiencing. There is also value in learning about substance abuse treatment programs and treatment for co-occurring mental health disorders. It may also be helpful to let your loved one know that there are several hotlines ready to answer their calls in time of crisis.

Regardless of how you approach helping a military Veteran, it’s equally as important to take care of yourself. Addiction and PTSD affects the entire family and can cause significant stress. Keeping up a healthy lifestyle and coping mechanisms is essential for taking care of yourself, and by proxy your Veteran loved one.
<h2>How to Choose a Suitable Veteran Rehabilitation Center</h2>
Finding the right Veteran rehabilitation center can appear a daunting task. Military Veterans already face a unique set of co-occurring mental health disorders, such as substance abuse and PTSD, that limit the available treatment options. Further complicating matters is that each individual will likely have different specialized needs, whether medical, emotional, or physical. Additionally, there are thousands of rehabilitation centers in the country, and each offers different treatment tracks.

Luckily, there are some key tips to help you find the right Veterans rehabilitation center.

One thing to look for would be if the facility has a Veteran substance abuse program. While these treatment tracks may vary in methods and quality, their presence shows that the facility understands Veterans have unique struggles with addiction. Community care providers that are connected to the VA through the MISSION Act may be a good place to <a href="https://www.findtreatment.gov/">start the search</a>.

Another group of facilities to keep an eye out for would be those that offer evidence-based treatment approaches and treatment for co-occurring mental health disorders. Cognitive behavioral therapy (CBT) and trauma-focused counseling approaches remain strong options for Veterans struggling with substance abuse. Studies reinforce that evidence-based treatment tracks can help patients understand their drive to drink and foster new, healthier ways to cope with stress.

It’s also important to remember that many <a href="https://www.va.gov/directory/guide/SUD.asp">VA medical centers offer treatment for substance abuse disorder and mental health disorders</a>. While there may be barriers to getting treatment from a VA rehabilitation program, they remain an option for those associated with the military. For insurance and payment reasons, it may also be worth researching whether a facility can be accessed as a community care provider.
<h2>How to File a VA Disability Claim</h2>
Regardless of what insurance you have, the question of cost for a Veteran substance abuse program will come up eventually. Payment processes may vary depending on your insurance. The VA may be able to <a href="https://www.va.gov/disability/how-to-file-claim/when-to-file/">help you cover some of the cost</a> for a Veteran rehabilitation center. To see if the VA can help, consider filing a VA disability claim. Once you have your VA rehabilitation claim and supporting evidence prepared, you can <a href="https://www.va.gov/disability/how-to-file-claim/">file online at the VA’s website</a>.
<h2>About American Addiction Centers</h2>
American Addiction Centers (AAC) offers medical treatment and believable hope for Veterans. We recognize that Veterans face a unique set of challenges when seeking addiction treatment; AAC’s facilities are equipped to treat individuals with PTSD and other co-occurring mental health disorders.

AAC's Veteran services are available at all AAC facilities. Dedicated, robust treatment for Veterans is available at our 4 VA Centers of Excellence in The Rally Point: AAC program. This program is offered at:
<ul>
 	<li><a href="https://deserthopetreatment.com/las-vegas-program/veteran-program/" target="_blank" rel="noopener">Desert Hope Treatment Center</a></li>
 	<li><a href="https://greenhousetreatment.com/addiction-treatment-services-dallas/veteran-program/" target="_blank" rel="noopener">Greenhouse Treatment Center</a></li>
 	<li><a href="https://oxfordtreatment.com/addiction-treatment-ms/veteran-program/" target="_blank" rel="noopener">Oxford Treatment Center</a></li>
 	<li><a href="https://riveroakstreatment.com/addiction-recovery-tampa/veteran-program/" target="_blank" rel="noopener">River Oaks Treatment Center</a></li>
</ul>
The Rally Point: AAC blends AAC’s medically informed, patient-centric approach to treatment with therapies that address co-occurring disorders that may affect military Veterans. Many of the staff involved in our programs for Veterans or come from military families. This helps them connect with the veterans receiving treatment and help them move towards a life in recovery.

No Veteran should have to suffer in silence. There are several methods to help you find peace and start your life in recovery.

Hope for Veterans

Active-duty and Veteran military members struggle with substance use disorders, just like the general population. With combat deployments, the stereotypical drinking culture, and chronic pain from injuries incurred on missions, it’s no surprise service members also face issues with addiction.<sup>1</sup> In fact, about 11% of military Veterans meet criteria for a substance use disorder.<sup>2</sup>

Continue reading on to learn more about:
<ul>
 	<li>Substance abuse in active-duty military members, including information on specific military branches.</li>
 	<li>Substances commonly abused by Veterans, such as alcohol, prescription pills, and illicit drugs.</li>
 	<li>Symptoms of substance abuse.</li>
 	<li>The impacts of substance abuse on Veterans.</li>
 	<li>Help and resources for Veterans needing treatment.</li>
</ul>
<h2>Substance Abuse in Active-Duty Military Members</h2>
Although there is a zero-tolerance policy for substance use in the military, active-duty service members still battle addiction. This policy, unfortunately, just deters military personnel from seeking treatment. Some common substances abused in the military include:<sup>3</sup>
<ul>
 	<li>Alcohol.</li>
 	<li>Illicit drugs.</li>
 	<li>Opioids and other prescription medications.</li>
 	<li>Tobacco.</li>
</ul>
Alcohol is the most commonly abused drug among active-duty military members. It’s difficult to determine if this prevalence is due to the culture of the military, a higher percentage of young, male service members, or exposure to combat and trauma.

Regardless of the possible reasons, research identifies 5.4% of military personnel as heavy drinkers, compared to the general population at 6.7%. Although, binge drinking is more common among the military compared to civilians, 30% vs. 24.7%, respectively.<sup>3</sup>

It’s also not uncommon for military members to be prescribed opioid pain medication following an injury in combat. Sadly, due to the addictive nature of the substance, service members frequently ask for prescription refills to continue managing the pain. This is so common that in 2009, military physicians wrote almost 3.8 million pain medication prescriptions, which is more than 4 times the number of prescriptions written in 2001.<sup>3</sup>
<h2>Branches of the Military</h2>
No one branch of the military is immune to substance use disorders—the Navy, Army, Marine Corps, Air Force, and Coast Guard all experience varying degrees of substance abuse. Research from the RAND Corporation in 2015 looked at substance abuse across all branches of the military and found:<sup>4</sup>
<ul>
 	<li>The Marine Corps has the highest rates of binge drinking, heavy drinking, and hazardous drinking among all other military branches. The Navy followed second.</li>
 	<li>The Army has the highest rates of prescription pain reliever misuse.</li>
 	<li>The Marine Corps has the largest percentage of cigarette smokers.</li>
</ul>
<h2>Common Substances of Abuse Among Veterans</h2>
Given that so many military members misuse substances when on active duty, it’s not a surprise that Veterans continue to abuse drugs and alcohol after transitioning to civilian life.

As previously noted with active-duty military, common substances of abuse among Veterans include alcohol, prescription drugs, and illicit drugs. A number of factors can contribute to the development of a substance use disorder in Veterans including:<sup>2</sup>
<ul>
 	<li>Combat exposure.</li>
 	<li>Deployment.</li>
 	<li>Difficulties surrounding the reintegration into civilian life.</li>
</ul>
<h3>Alcoholism</h3>
Alcohol is the most abused drug by Veterans. In fact, Veterans report more frequent alcohol use and heavier use of alcohol in a 1-month period than civilians do.<sup>2</sup>

There is also a positive correlation between alcohol use and combat exposure: Higher levels of combat exposure are present in Veterans with problematic alcohol use. Alcoholism in Veterans may, in some case, lead to domestic violence, declining physical and mental health, and even death.<sup>2</sup>
<h3>Prescription Drugs</h3>
Opioid pain medication is being prescribed to Veterans at alarming rates to treat physical injuries and illnesses, like migraines and chronic pain.

In 2009, 24% of Veterans were being prescribed opiates. The presence of a co-occurring mental health condition like PTSD (a mental health disorder that can result from witnessing or experiencing a traumatic event<sup>5</sup>) increases the likelihood of Veterans receiving an opioid prescription.<sup>2</sup> The number of Veterans addicted to painkillers, unfortunately, does not come as a surprise, as with opioids are one of the most addicting prescription drug available.<sup>2</sup>
<h3>Illicit Drugs</h3>
Marijuana is the primary illicit drug used by Veterans, although rates of marijuana use have decreased over the years.<sup>2</sup> In fact, studies show that Veterans have lower rates of illicit drug use overall, compared to non-Veterans.<sup>6</sup> Despite these lower rates, it is still important to recognize Veterans and substance use disorders, especially those that may be progressing.

Studies have found a connection between Veteran opioid use and subsequent heroin use. Specifically, researchers found a strong association between Veterans using prescription opioids for non-medical purposes (such as prescriptions not in the Veteran’s name or the use of opioids for the sole purpose of the feelings it causes in the body) and later heroin use.<sup>7</sup>
<h2>Symptoms of Veteran Substance Abuse and Addiction</h2>
The Diagnostic and Statistical Manual of Mental Disorders (<em>DSM-5</em>), identifies the following common symptoms of substance abuse:<sup>8</sup>
<ul>
 	<li>Taking the drug in larger amounts or over a longer period of time than intended.</li>
 	<li>A strong desire or unsuccessful efforts to control or cut down on drug use.</li>
 	<li>A significant amount of time spent in activities necessary to obtain the drug, use the drug, or recover from its effects.</li>
 	<li>Craving or a strong desire or urge to use the drug.</li>
 	<li>Recurrent drug use resulting in failure to fulfill major role obligations at work, school, or home.</li>
 	<li>Continued drug use despite having persistent or recurrent social or interpersonal problems caused or worsened by the effects of the drug.</li>
 	<li>Important social, occupational, or recreational activities are given up or reduced because of the drug use.</li>
 	<li>Recurrent drug use in situations in which it is physically hazardous.</li>
 	<li>Drug use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely caused or worsened by drug use.</li>
 	<li>Tolerance, or need for increased amounts of the drug to achieve a desired effect or intoxication.</li>
 	<li>Withdrawal.</li>
</ul>
<h2>Impacts of Veteran Substance Abuse</h2>
In addition to substance use disorder, Veterans are also at an increased risk for:<sup>2</sup>
<ul>
 	<li>Other medical problems.</li>
 	<li>Psychiatric disorders.</li>
 	<li>Impairment at work or home.</li>
 	<li>Increased rates of suicidal thoughts and attempts.</li>
 	<li>Homelessness.</li>
</ul>
Approximately 70% of homeless Veterans have a substance abuse problem, making access to treatment even more difficult.<sup>9</sup>

Stressors associated with military service, in combination with substance abuse, specifically alcohol, increase the risk of domestic violence in the home.<sup>2, 10</sup> If you or someone you love might be suffering from intimate partner violence, visit the <a href="https://www.womenshealth.va.gov/WOMENSHEALTH/outreachmaterials/abuseandviolence/intimatepartnerviolence.asp">VA for more information and help</a>.

Research shows that Veterans who use drugs and alcohol to cope with military-related diseases, such as chronic pain, depression, or PTSD, are more likely to develop a substance use disorder and are at a significantly greater risk of suicide.<sup>5</sup>
<h2>Addiction Treatment for Veterans</h2>
Substance abuse and mental health concerns will not just disappear on their own: They require treatment and asking for help is one of the bravest things you can do. Fortunately, Veterans seeking treatment for substance abuse and mental health disorders have a variety of options, including the U.S. Department of Veteran Affairs (VA).<sup>11</sup> From services within the VA to therapy and medications, there is hope.<sup>2 </sup>
<h2>The Department of Veterans Affairs (VA)</h2>
The Department of Veterans Affairs (VA) is a government agency offering tools, benefits, resources, and information to military Veterans. The VA offers a variety of services for both mental health and substance abuse needs. Some of their services include:<sup>12</sup>
<ul>
 	<li><a href="https://www.va.gov/health-care/health-needs-conditions/substance-use-problems/">Substance abuse treatment</a>, such as:
<ul>
 	<li>Counseling.</li>
 	<li>Detox.</li>
 	<li>Medication assisted treatment, or MAT (such as buprenorphine or methadone).</li>
 	<li>Residential care.</li>
</ul>
</li>
 	<li>Mental health treatment, such as:
<ul>
 	<li><a href="https://www.va.gov/health-care/health-needs-conditions/mental-health/ptsd/">PTSD treatment</a>, including individual and group therapy.</li>
 	<li><a href="https://www.va.gov/health-care/health-needs-conditions/mental-health/depression/">Depression treatment</a>, including medication and therapy.</li>
</ul>
</li>
</ul>
You can use the <a href="https://www.va.gov/directory/guide/SUD.asp">VA’s online locator tool</a> to find substance abuse programs. Alternatively, Veterans are also free to choose treatment options outside of the VA.

American Addiction Centers has specialized treatment programs designed specifically for Veterans. While all AAC facilities offer Veterans and first responder services, four of our facilities in TX, NV, MS and FL offer a dedicated, robust treatment program called The Rally Point: AAC.

You’ve been brave your entire career in the military, or your loved one has. We know that if you’re brave now, you can get the treatment you need and get on a path toward recovery.

Take initiative today to find the treatment you or your loved one deserve.
<h2>About American Addiction Centers</h2>
AAC’s Veteran services are available at all AAC facilities. Our dedicated, robust Veteran program, The Rally Point: AAC is offered at our 4 VA Centers of Excellence:
<ul>
 	<li><a href="https://deserthopetreatment.com/las-vegas-program/veteran-program/" target="_blank" rel="noopener">Desert Hope Treatment Center</a></li>
 	<li><a href="https://greenhousetreatment.com/addiction-treatment-services-dallas/veteran-program/" target="_blank" rel="noopener">Greenhouse Treatment Center</a></li>
 	<li><a href="https://oxfordtreatment.com/addiction-treatment-ms/veteran-program/" target="_blank" rel="noopener">Oxford Treatment Center</a></li>
 	<li><a href="https://riveroakstreatment.com/addiction-recovery-tampa/veteran-program/" target="_blank" rel="noopener">River Oaks Treatment Center</a></li>
</ul>
The Rally Point: AAC blends AAC’s medically informed, patient-centric approach to treatment with therapies that address co-occurring disorders that may affect military Veterans. Many of the staff involved in our programs for Veterans or come from military families. This helps them connect with the Veterans receiving treatment and help them move towards a life in recovery.

No Veteran should have to suffer in silence. There are several methods to help you find peace and start your life in recovery.

[accordion title="References"]
<ol>
 	<li>National Institute on Drug Abuse. (2019). <a href="https://www.drugabuse.gov/related-topics/military-life-substance-use"><em>Military life and substance use.</em></a></li>
 	<li>Teeters, B. J., Lancaster, L. C., Brown, G. D., &amp; Back, E. S. (2017). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5587184/">Substance use disorders in military veterans: prevalence and treatment challenges</a><u>.</u> <em>Substance Abuse Rehabilitation, 8, 69-77.</em></li>
 	<li>National Institute on Drug Abuse. (2019). <a href="https://www.drugabuse.gov/publications/drugfacts/substance-use-military-life"><em>General risk of substance use disorders.</em></a></li>
 	<li>Meadows, O. S., Engel, C. C., Collins, L. R., Beckman, L. R., Cefalu, M., Hawes-Dawson, J., …, Williams, M. K. (2018). <a href="https://www.rand.org/pubs/research_briefs/RB9955z7.html">2015 Health related behaviors survey: substance use among U.S. active-duty service members</a><u>. </u><em>RAND National Security Research Division. </em></li>
 	<li>Olenick, M., Flowers, M., &amp; Diaz, V. J. (2015). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4671760/">US veterans and their unique issues: enhancing health care professional awareness</a>. <em>Advances in Medical Education and Practice, 6, 635-639. </em></li>
 	<li>Pemberton, R. M., Forman-Hoffman, L. V., Lipari, N. R., Ashley, S. O., Heller, C. D., Williams, R. M. (2016). <a href="https://www.samhsa.gov/data/sites/default/files/NSDUH-DR-VeteranTrends-2016/NSDUH-DR-VeteranTrends-2016.pdf"><em>Prevalence of past year substance use and mental illness by veteran status in a nationally representative sample.</em></a></li>
 	<li>Banerjee, G., Edelman, J. E., Barry, T. D., Becker, C. W., Cerda, M., Crystal, S., … Marshall, D. L. B. (2016). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5056813/">Non-medical use of prescription opioids is associated with heroin initiation among U.S. veterans: a prospective cohort study.</a> <em>Addiction, 111(11), 2021-2031. </em></li>
 	<li>Substance Abuse Mental Health Services Administration (SAMHSA). (2014). <a href="https://www.samhsa.gov/data/sites/default/files/spot121-homeless-veterans-2014.pdf"><em>Twenty-one percent of veterans in substance abuse treatment were homeless.</em></a></li>
 	<li>Glerisch, J. M., Shapiro, A., Grant, N. N., King, H. A., McDuffle J. R., &amp; Williams, W. J. (2013). <a href="https://www.ncbi.nlm.nih.gov/pubmed/25232637"><em>Intimate partner violence: Prevalence among U.S. military veterans and active duty servicemembers and a review of intervention approaches.</em></a> Washington, D.C.: Department of Veterans Affairs (US).</li>
 	<li>National Veterans Foundation. (2016). <em><a href="https://nvf.org/veteran-substance-abuse-statistics/">What statistics show about veteran substance abuse and why proper treatment is important.</a></em></li>
 	<li>U.S Department of Veterans Affairs. (2019). <a href="https://www.va.gov/health-care/health-needs-conditions/substance-use-problems/"><em>Substance use treatment for veterans.</em></a></li>
</ol>
[/accordion]

Veterans and Substance Use Disorders

It’s often difficult for caregivers and family members of Veterans to understand why their loved one has feelings of loneliness, detachment, and despair, and how that can impact their own life. This is why it’s so important to understand the role of a Veteran caregiver, and the extent that being a caregiver affects their lives and the lives of those around them. <sup>1</sup>

As of 2016, approximately 18.5 million Veterans were living in the United States.<sup>2</sup><sup> </sup>Approximately 1 out of every 10 Veterans deal with substance use disorders.<sup>3 </sup>This means that there are millions of friends and family of Veterans working to support their loved ones.
<h2>Are You a Caregiver?</h2>
You may be a caregiver of a Veteran currently, though you may or may not define yourself as such. Being a caregiver is a diverse role, and can involve:
<ul>
 	<li>Providing extensive care to a Veteran, such as assisting with bathing, and feeding him or her, or changing feeding tubes or bandages daily.</li>
 	<li>Reminding your loved one to take his or her medicine or taking them to appointments.</li>
</ul>
You might be a relative who is a caregiver, such as a son, or wife of a Veteran who need care. However, friends and neighbors of Veteran may step in to handle these types of tasks in a Veteran’s care, too.<sup>4</sup>
<h2>Issues that Impact Veterans Caregivers and Families</h2>
In some cases, choosing to take on the role of a Veteran caregiver is no easy task. Understanding how to care for Veterans and help them navigate through their issues is often complex and can lead to frustration in both the Veteran and those who act as their caregivers.

The caregiver may be confused as to why their loved one isn’t happy to be home again, or why he or she feels so sad or angry all the time. Caregivers may also feel guilty that they are not as happy to see the veteran return home as they thought they would be.

When a Veteran is struggling with post-traumatic stress disorder (PTSD), depression, or substance abuse, a caregiver may also experience frustration and anger of their own.

For example, many Veterans are working hard to manage symptoms that are associated with post-traumatic stress disorder (PTSD), however, their substance use disorder creates another layer of concern. PTSD and substance use disorder are prevalent among Veterans, and this is something that family members and their caregivers should be aware of.<sup>5</sup>
<h3>Codependency Issues Among Veteran Families</h3>
A person is considered codependent when they live to fulfill the needs of others and make their own needs secondary to that of another person.  There are several patterns of behavior associated with codependent people, where they:<sup>6</sup>
<ul>
 	<li>Cannot say no.</li>
 	<li>Always put others first.</li>
 	<li>Deny their own needs.</li>
 	<li>Have problems trusting others.</li>
 	<li>Struggle with self-doubt.</li>
 	<li>Find it difficult to express feelings.</li>
</ul>
Codependency issues can lead to involvement in negative relationships, find it very hard to not be in a relationship, and depression.
<h2>How to Help Veterans and their Families</h2>
Many of the things Veterans or their families experience are through no fault of their own and they should not feel embarrassed or ashamed about asking for help. There are several programs offered through the VA to help Veterans and their caregivers deal with the issues they face.
<h2>Substance Abuse and Mental Health Treatment for Veterans</h2>
The stress of caregiving can become overwhelming when a Veteran has PTSD or a substance use disorder. Luckily, Veterans Affairs (VA) offers several resources for Veterans and their caregivers.

The VA recognizes that Veterans are multifaceted and so are their needs, and therefore has assistance programs to address Veterans, their family members, and caregivers, no matter their circumstances. There are programs available to assist Veterans by gender, sexual orientation. The organization also has resources for those who are transitioning from military to civilian life.<sup>7</sup>

The VA offers a number of mental health and substance abuse treatment programs. Sometimes, however, the VA may struggle to offer services to all the Veterans in need at any given time.

Some Veterans need treatment who do not live near a VA facility, nor does the VA always have the exact providers needed for a specific type of treatment. Therefore, the VA created the <a href="https://www.va.gov/communitycare/programs/veterans/index.asp">Community Care Providers</a> program, which allows private providers to contract with the VA to provide care to Veterans when care is not readily available with the VA. Veterans work through the VA to access this care with the Community Care Providers network.

American Addiction Centers (AAC) is a community care provider which offers services tailored to the needs of Veterans across our entire network, with dedicated, robust treatment tracks at facilities in NV, TX, MS, and FL.
<h2>VA Caregiver Resources</h2>
The VA offers numerous types of treatment and supportive services for Veteran families. These include:
<ul>
 	<li><a href="https://www.caregiver.va.gov/support/New_CSC_Page.asp">VA Caregiver Support</a>, which offers a state-by-state listing of VA programs to support caregivers.</li>
 	<li><a href="https://www.caregiver.va.gov/Care_Caregivers.asp">A listing of classes</a> and peer support for caregivers.</li>
 	<li><a href="https://www.va.gov/health-care/family-caregiver-benefits/comprehensive-assistance/">Programs</a> designed to help offset the costs of caring for a Veteran.</li>
</ul>
All of these programs for family members of Veterans can help caregivers to get more support, both emotional and financial, and help to ease the stress of caregiving.
<h2>Why Self Care is Important</h2>
Without taking care of yourself, you are much more likely to end up suffering from many of the outcomes associated with burnout:<sup>8</sup>
<ul>
 	<li>Sleep disorders.</li>
 	<li>Irritability.</li>
 	<li>Social isolation.</li>
 	<li>Headaches.</li>
 	<li>Weight gain.</li>
 	<li>Numerous physical aches and pains.</li>
 	<li>Weakened immune system.</li>
 	<li>Stomach problems.</li>
</ul>
Coping with stress in healthy ways can alleviate some or even all of these potential outcomes, which can, in turn, allow you to better care for the Veteran in your life, and of yourself.
<h2>About American Addiction Centers</h2>
American Addiction Centers (AAC) offers medical treatment and believable hope for Veterans. We recognize that Veterans face a unique set of challenges when seeking addiction treatment; AAC’s facilities are equipped to treat individuals with PTSD and other co-occurring mental health disorders.

AAC’s Veteran services are available at all AAC facilities. Our dedicated, robust Veteran program, The Rally Point: AAC is offered at our 4 VA Centers of Excellence:
<ul>
 	<li><a href="https://deserthopetreatment.com/las-vegas-program/veteran-program/" target="_blank" rel="noopener">Desert Hope Treatment Center</a></li>
 	<li><a href="https://greenhousetreatment.com/addiction-treatment-services-dallas/veteran-program/" target="_blank" rel="noopener">Greenhouse Treatment Center</a></li>
 	<li><a href="https://oxfordtreatment.com/addiction-treatment-ms/veteran-program/" target="_blank" rel="noopener">Oxford Treatment Center</a></li>
 	<li><a href="https://riveroakstreatment.com/addiction-recovery-tampa/veteran-program/" target="_blank" rel="noopener">River Oaks Treatment Center</a></li>
</ul>
The Rally Point: AAC blends AAC’s medically informed, patient-centric approach to treatment with therapies that address co-occurring disorders that may affect military Veterans. Many of the staff involved in our programs for Veterans or come from military families. This helps them connect with the Veterans receiving treatment and help them move towards a life in recovery.

No Veteran should have to suffer in silence. There are several methods to help you find peace and start your life in recovery.

[accordion title="References"]
<ol>
 	<li>National Center for PTSD. (2014) <a href="https://www.ptsd.va.gov/family/effect_families.asp"><em>Effects of PTSD on Family.</em></a></li>
 	<li>The United States Census Bureau<em>. (</em>2017). <a href="https://www.census.gov/newsroom/facts-for-features/2017/veterans-day.html?CID=CBSM+FFF."><em>Veterans Day</em></a><em>.</em></li>
 	<li>National Institute on Drug Abuse. (2013). <a href="https://www.drugabuse.gov/publications/drugfacts/substance-use-military-life"><em>Substance Use and Military Life</em></a><em>.</em></li>
 	<li>U.S. Department of Veterans Affairs. (2014). <a href="https://www.caregiver.va.gov/"><em>Support for Caregivers</em></a></li>
 	<li>U.S. Department of Veterans Affairs. (2014). <a href="https://www.ptsd.va.gov/professional/treat/cooccurring/tx_sud_va.asp"><em>Treatment of Co-Occurring PTSD and Substance Use Disorder in VA.</em></a></li>
 	<li>FITNYC.edu. <a href="https://www.fitnyc.edu/files/pdfs/EAP_Codependency.pdf"><em>Codependency: Caring until it hurts.</em></a></li>
 	<li>National Center for PTSD. (2014). <a href="http://www.ptsd.va.gov/professional/treat/cooccurring/sleep_problems_vets.asp"><em>Sleep Problems in Veterans with PTSD</em></a><em>. </em></li>
 	<li>U.S. Department of Veterans Affairs. (2014). <a href="https://www.mentalhealth.va.gov/information_for.asp"><em>“I </em></a><a href="https://www.mentalhealth.va.gov/information_for.asp"><em>Am a</em></a><a href="https://www.mentalhealth.va.gov/information_for.asp"><em>......”</em></a></li>
 	<li>Wei, M (2018). <a href="https://www.health.harvard.edu/blog/self-care-for-the-caregiver-2018101715003"><em>Self-care for the caregiver.</em></a> Harvard Medical School Health Publishing.</li>
</ol>
[/accordion]

Veteran Family Support

Transitioning from a service member to a civilian can be a journey that is fraught with challenges. Issues Veterans face today include physical and mental health struggles, employment and financial struggles, and Veteran homelessness. Some may even face thoughts of suicide. To top it off, stigmas surrounding mental health, suicide, and asking for help can keep Veterans from getting treatment.
<h2>The Transition from Military to Civilian Life</h2>
The return to civilian life proves challenging for many Veterans. Between 27% and 44% of Veterans say that the transition from military to civilian life was difficult for them.<sup>1 </sup>A study conducted by the Pew Research Center found various factors that correlate with the perceived difficulty of transitioning from military to civilian life.

Common struggles for Veterans returning home from war that make transitioning more difficult include:<sup>1</sup>
<ul>
 	<li>Experiencing some kind of traumatic event.</li>
 	<li>Being injured in the line of duty.</li>
 	<li>Serving in the armed forces after 9/11.</li>
 	<li>Serving after 9/11 and being married.</li>
 	<li>Experiencing combat.</li>
 	<li>Death of a fellow service member.</li>
</ul>
Protective factors that tend to ease the transition to civilian life include:<sup>1</sup>
<ul>
 	<li>Having religious or spiritual beliefs.</li>
 	<li>Being an officer.</li>
 	<li>Having a college degree.</li>
 	<li>Clearly understanding your mission during your service.</li>
</ul>
The VA has responded to these transitional difficulties by creating the VA Transitional Assistance Program (TAP) to ease Veterans' struggles after war. TAP provides education and assistance to service members who are leaving the service 1 year before their service end date or 2 years before retirement.<sup>2 </sup>If you are an active-duty service member, you can access the virtual curriculum in your Joint Knowledge Online (JKO) account using your CAC card.<sup>2</sup>
<h2>Veteran Physical and Mental Health Struggles</h2>
Veterans face many physical and mental health impairments that lead to increased struggles when transitioning to life as a civilian. Post-traumatic stress disorder (PTSD), depression, anxiety, and substance use disorders are common mental health issues among service members and Veterans.

It’s estimated that between 19% and 44% of Veterans will be diagnosed with one of these disorders upon returning from combat, representing significantly higher rates those reported in the general civilian population.<sup>3</sup>

Physical and mental health impairments affect a Veteran's ability to function normally and can increase the likelihood that they will have a difficult time transitioning to life as a civilian.
<h3>Stigma’s Effects on Veteran Health</h3>
Help is available to Veterans for physical and mental health issues; however, the Veteran must be willing to utilize the resources that are available, and research shows that the military mental health stigma and Veteran stigmas around seeking help prevent many service members and Veterans from ever seeking that help.<sup>3</sup>

Stigmas about mental health, such as that those with mental health illnesses are “weak,” are associated with reduced treatment-seeking among the Veteran population. Those Veterans who perceived public stigma, meaning they thought others would view them negatively, are significantly less likely to reach out to mental health services available to them.<sup>3 </sup>

While stigmas surrounding mental health certainly do exist, Veterans may perceive the problem as worse than it is in reality. Interestingly, a large majority of Veterans who believed others would view them as weak for seeking mental health treatment said they would not view others in the same way.<sup> 3</sup>
<h2>Employment Struggles</h2>
For many service members, discharging from the military means facing the reality of unemployment. Post 9/11, female 25- to 34-year-old Veterans are at the highest risk for unemployment.<sup>4 </sup>According to one study, between 4.5% and 7.9% of Veterans in these groups were unemployed in 2017.<sup>4</sup>

Physical and mental health issues aside, barriers to Veterans finding gainful employment include non-transferable skills and discharge status.<sup>4 </sup>Some of the training a service member receives while in the military can translate directly into a civilian job, however other service members may find that their training is not easily applied to the civilian world.<sup>4 </sup>Training that does not transfer may mean that the transitioning member will find themselves back in school or vocational training, which requires money and time.<sup>4</sup>

Veterans who do suffer from mental health issues may also face stigmas that hamper their ability to enter or stay in the workforce.

If you are a Veteran who discharged under any status other than honorable you could have a very difficult time finding employment <em>and</em> you may be unable to receive any VA benefits.<sup>4 </sup>While not guaranteed, the VA does have a process for changing Veterans' discharge status. Find DD form 149, complete it and follow the instructions to appeal.

For Veterans who have been honorably discharged, <a href="https://www.va.gov/careers-employment/veteran-resources/">the VA offers numerous employment resources</a> to help you look for work as a civilian.
<h2>Financial Insecurity</h2>
One study found that service members with mental health issues often have co-occurring financial issues that may be related to increased spending on drugs or alcohol to self-medicate, poor money management skills, or finding and maintaining employment.<sup>5</sup>

To see how financially prepared you are to transition from military to civilian life follow, you can complete the Consumer Financial Protection Bureau’s <a href="https://www.consumerfinance.gov/consumer-tools/financial-well-being/">interactive quiz</a> to determine your financial well-being.
<h2>Veteran Homelessness</h2>
The United States Interagency Council on Homelessness found that approximately 9% of individuals experiencing homelessness in the U.S are Veterans.<sup>6 </sup>An estimated 38% of those Veterans live without shelter either in cars or on the streets.<sup>6</sup>

Each Veteran who connects with the VA for services is screened for their risk of homelessness.<sup>6</sup> Experiences and situations that place a Veteran at higher risk of homelessness include:<sup>6</sup>
<ul>
 	<li>Trauma.</li>
 	<li>Unemployment.</li>
 	<li>Poverty or financial and economic hardship.</li>
 	<li>Relationship problems including violence in the relationship.</li>
 	<li>Family or social estrangement.</li>
 	<li>Mental health or substance abuse issues.</li>
</ul>
Veterans experiencing homelessness may also face additional stigmas. The common but false belief that people without homes choose that lifestyle can lead to a lack of compassion on the part of society and can result in fewer innovative solutions to the problem of homelessness.<sup>10 </sup>

There is also a tendency for society to refer to individuals without shelter as “the homeless,” which defines an individual by their lack of a home. Homelessness is not an identity but rather a situation that a person goes through which may very well be temporary. Acknowledging that fact can give hope to Veterans who are currently without homes. That same shift in perspective from homelessness as an identity to homelessness as a temporary situation can prompt society to take action to help those in need.<sup>10</sup>

The VA is one organization taking action to address the problem of homelessness for Veterans. VA programs targeting this issue housed 124,709 Veterans in either housing or temporary and emergent shelter.<sup>6 </sup>The VA works with local agencies such as soup kitchens and homeless shelters to find Veterans who need employment assistance, treatment for mental health or substance abuse issues, and/or shelter.<sup>8 </sup>

A Veteran who requires services should visit their nearest <a href="https://www.va.gov/find-locations/">VA Medical Center</a> or <a href="https://www.va.gov/HOMELESS/Crrc.asp">Community Resource and Referral Center</a> or Call 1-877-4AID-VET to view resources available to them.
<h2>Veteran Suicide Risk</h2>
Research on Veteran suicide has found that service members who attempt suicide do so primarily to end severe emotional suffering and pain.<sup>9 </sup>The research also indicates that:
<ul>
 	<li>Service members commit suicide at the rate of approximately one per day.<sup>9</sup></li>
 	<li>Divorced and/or separated service members commit suicide at a rate that is 24% higher than their single or married counterparts.<sup>9</sup></li>
 	<li>Service members with co-occurring disorders (mental health issues are 23 times more likely to attempt suicide.<sup>10</sup></li>
</ul>
If you or someone you love is a Veteran and are dealing with feelings of sadness or despair, are withdrawing from the people you love, and feel hopeless that things will change, pick up the phone now and call <a href="tel:+1-888-902-8387">1-800-273-8255</a> to speak to a crisis intervention specialist. Stigmas surrounding mental health, addiction, homelessness, and other issues you may be facing may make you feel alone, but remember that every single person struggles with something, and the real strength is in asking for help when you need it.  You are not alone.

There are treatment programs and resources through the VA and through private treatment centers who cater to the needs of Veterans. American Addiction Centers runs two treatment programs in <a href="https://www.recoveryfirst.org/program-overview-hollywood/veteran-program/">Hollywood, Florida</a> and <a href="https://deserthopetreatment.com/las-vegas-program/salute-to-recovery/">Las Vegas, Nevada</a> that are approved community care providers with the VA. This means that qualifying Veterans can receive treatment for addiction and mental health disorders in a Veterans-specific program at the same rate they would pay at a VA treatment facility. Help is available and just waiting for you to reach out.
<h2>About American Addiction Centers</h2>
AAC's Veteran services are available at all AAC facilities. Our dedicated, robust Veteran program, The Rally Point: AAC is offered at our 4 VA Centers of Excellence:
<ul>
 	<li><a href="https://deserthopetreatment.com/las-vegas-program/veteran-program/" target="_blank" rel="noopener">Desert Hope Treatment Center</a></li>
 	<li><a href="https://greenhousetreatment.com/addiction-treatment-services-dallas/veteran-program/" target="_blank" rel="noopener">Greenhouse Treatment Center</a></li>
 	<li><a href="https://oxfordtreatment.com/addiction-treatment-ms/veteran-program/" target="_blank" rel="noopener">Oxford Treatment Center</a></li>
 	<li><a href="https://riveroakstreatment.com/addiction-recovery-tampa/veteran-program/" target="_blank" rel="noopener">River Oaks Treatment Center</a></li>
</ul>
The Rally Point: AAC blends AAC’s medically informed, patient-centric approach to treatment with therapies that address co-occurring disorders that may affect military Veterans. Many of the staff involved in our programs for Veterans or come from military families. This helps them connect with the Veterans receiving treatment and help them move towards a life in recovery.

No Veteran should have to suffer in silence. There are several methods to help you find peace and start your life in recovery.

[accordion title="References"]
<ol>
 	<li>Morin, R. (2011, December 8). <a href="https://www.pewsocialtrends.org/2011/12/08/the-difficult-transition-from-military-to-civilian-life/"><em>The difficult transition from military to civilian life.</em></a></li>
 	<li>U.S Department of Veterans Affairs. (2020). <a href="https://www.benefits.va.gov/transition/tap.asp"><em>Transition and economic development: Your VA transition assistance program (TAP).</em></a></li>
 	<li>Kulesza, M., Pedersen, E., Corrigan, P., &amp; Marshall, G. (2015). Help-seeking stigma and mental health treatment seeking among young adult veterans. <em>Military Behavioral Health</em>, <em>3</em>(4), 230–239. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4672863/">https://doi.org/10.1080/21635781.2015.1055866</a></li>
 	<li>National Conference of State Legislatures. (2018, July 17)<em>. </em><a href="https://www.ncsl.org/research/labor-and-employment/barriers-to-work-veterans-and-military-spouses.aspx"><em>Barriers to work: Veterans and military spouses.</em></a></li>
 	<li>Elbogen, E.B., Johnson, S.C., Wagner, H.R., Newton, V.M., &amp; Beckham, J.C. (2012). Financial well-being and post-deployment adjustment among Iraq and Afghanistan war veterans. <em>Military Medicine</em>, <em>177</em>(6), 669–675. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390745/">https://doi.org/10.7205/milmed-d-11-00388</a></li>
 	<li>United States Interagency Council on Homelessness. (2018). <a href="https://www.usich.gov/resources/uploads/asset_library/Homelessness_in_America._Focus_on_Veterans.pdf"><em>Homelessness in America: Focus on veterans. </em></a></li>
 	<li><em>Kamelhar, B. (2019). The Stigma Associated with Homelessness and How It Leads to Ineffective Solutions Both In and Out of the Courtroom. Georgetown Journal on Poverty Law and Policy. </em></li>
 	<li>U.S. Department of Veterans Affairs. (2020). <a href="https://www.va.gov/homeless/index.asp"><em>Homeless veterans.</em></a></li>
 	<li>Military Suicide Research Consortium. (n.d.). <a href="https://msrc.fsu.edu/news/study-reveals-top-reason-behind-soldiers-suicides"><em>MSRC news details: Study reveals top reason behind soldiers' suicides.</em></a></li>
 	<li>Substance Abuse and Mental Health Services Administration. (2018). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt23251/6_Veteran_2020_01_14_508.pdf"><em>2018 National survey on drug use and health: Veterans.</em></a></li>
</ol>
[/accordion]

Veterans’ Struggles After Military Service

Mental illness can arise due to both genetic factors and stressful life events.<sup>1</sup> Within this context, it would make sense that veterans, who are often exposed to combat and other dangerous and stress situations, would experience high rates of mental illness, including post-traumatic stress disorder (PTSD), anxiety, depression, and substance abuse.

In this article, you will learn more about:
<ul>
 	<li>PTSD and anxiety in military Veterans.</li>
 	<li>Retired service members’ struggle with depression.</li>
 	<li>Co-occurring substance abuse and other mental health disorders.</li>
 	<li>Substance abuse treatment and mental health assistance for Veterans.</li>
</ul>
<h2>Veteran Depression</h2>
Depression is one of the most common mental health disorders among Veterans.<sup>2</sup> According to National Alliance on Mental Illness, it also “carries the heaviest burden of disability.”<sup>1</sup> Symptoms of depression include:<sup>1</sup>
<ul>
 	<li>Feelings of sadness or despair.</li>
 	<li>A loss of energy and interest in things you used to enjoy.</li>
 	<li>Withdrawal from activities and loved ones, which leads to a feeling of isolation and loneliness.</li>
 	<li>Feeling hopeless and/or helpless that things will change.</li>
 	<li>Thoughts of self-harm or suicide.</li>
</ul>
In 2008, the VA estimated that:<sup>1</sup>
<ul>
 	<li>1 in 3 Veterans experienced some symptoms of depression.</li>
 	<li>1 in 5 Veterans had serious symptoms.</li>
 	<li>1 in 8 Veterans have been diagnosed with major depressive disorder (MDD) and required therapy and medication services.</li>
</ul>
A 2018 study conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA) concluded that more than 14,000 Veterans experienced severe impairment in their daily functioning that was directly caused by an MDD.<sup>3</sup>
<h2>PTSD in Military Veterans</h2>
PTSD, also called “shell shock” during WWI and “combat fatigue” in WWII, is a mental health disorder that occurs when a person is exposed to a traumatic event and experiences distressing symptoms related to that exposure for longer than 1 month.<sup>4 </sup>PTSD in military Veterans can be linked to traumatic events including but not limited to:
<ul>
 	<li>Exposure to combat including roadside bombs, IEDs, traumatic injuries sustained, and multiple tours of duty.<sup>5</sup></li>
 	<li>Natural disasters.<sup>4</sup></li>
 	<li>Molestation, rape, or violent assault.<sup> 4</sup></li>
 	<li>Serious accidents where life or physical integrity was threatened.<sup> 4</sup></li>
 	<li>Terrorist acts.<sup>4</sup></li>
</ul>
Symptoms experienced by those who have PTSD include:<sup>4</sup>
<ul>
 	<li>Intrusive thoughts and feelings that relate to the experienced traumatic event and include flashbacks and nightmares.</li>
 	<li>Avoidance of people, places, and things that may remind the person about the traumatic event, including avoiding talking about the event.</li>
 	<li>Negative thoughts and feelings such as fear, guilt, shame, anger, detachment from loved ones, and cognitive distortions such as “it should have been me” or “I didn't deserve to live.”</li>
 	<li>Emotional arousal or reactivity such as increased irritability, angry outbursts, self-destructive tendencies, increased startle response, and disrupted sleep and concentration.</li>
</ul>
PTSD is a common mental health diagnosis in Veterans. Studies estimate the prevalence of Veterans with a current diagnosis of PTSD is anywhere from 9-15%.<sup>2,6</sup> Most notable was that among Veterans who were diagnosed with depression, 33.2% of them also had a PTSD diagnosis.<sup>2</sup>

The purveyors of this same survey were surprised to find that the rate of mortality and emergency room visits among those diagnosed with PTSD was lower than those diagnosed with other mental health disorders. After a PTSD diagnosis, however, the number of visits a Veteran made to healthcare professionals increased, leading the researchers to conclude that great contact with the medical system may result in lower mortality.<sup>2</sup>
<h2>Anxiety After Military Service</h2>
Anxiety disorders are characterized by excessive worry or fear that causes distress.<sup>7</sup> Symptoms of anxiety disorder include:<sup>7</sup>
<ul>
 	<li>Experiencing excessive fear of or anxiety that is out of proportion to the situation or is not typically considered age-appropriate, e.g., an adult experiencing a debilitating fear of the dark.</li>
 	<li>Feelings of muscle tension related to fear or anxiety.</li>
 	<li>Avoidance of people, places, or things that may trigger these feelings.</li>
 	<li>Impaired functioning related to fear and/or anxiety.</li>
</ul>
Anxiety disorders are the most commonly diagnosed disorders among the general population.<sup>7</sup> Approximately 3% of adults experience symptoms of generalized anxiety disorder every year.<sup>8</sup> Rates of anxiety are typically higher for military Veterans,<sup>8</sup> with studies placing estimates around 5-12%.<sup>2, 9</sup>

Unfortunately, there is a lack of research regarding anxiety disorders in Veterans, as it has historically been associated with PTSD.<sup>10</sup> However, a study conducted in 2013 found that as many as 40% of Veterans who have been diagnosed with PTSD could also be diagnosed with generalized anxiety disorder.<sup>10</sup>
<h2>Veterans and Co-Occurring Disorders</h2>
Co-occurring disorders, also referred to as dual diagnoses, occur when someone has more than one mental health disorder, such as a substance abuse disorder and PTSD. In a large study of Veterans receiving primary VA care that screens for and detects mental illness, substance use disorder co-occurred for more than 20% of those with depression, PTSD, anxiety disorder, and serious mental illnesses (e.g., schizophrenia, bipolar disorder).<sup>2</sup>

The presence of a substance use disorder was also associated with increased odds (44%) of an emergency room visit as well as increased odds (77%) of 1-year mortality.<sup>2</sup>

Research from 2018 shows the following statistics regarding Veterans with substance use disorder and another co-occurring mental health disorder:<sup>3</sup>
<ul>
 	<li>In 2018, 3.7 million Veterans had a mental health disorder and/or SUD.</li>
 	<li>Alcohol (28-34%), marijuana (20-23%), and opiates (6-8%) were the most widely abused drugs in 2018.</li>
 	<li>1 in 4 used illicit drugs that year.</li>
 	<li>4 in 5 abused alcohol in 2018.</li>
 	<li>1 in 13 abused both illicit drugs and alcohol in 2018.</li>
</ul>
Veterans who have a co-occurring mental health disorder in addition to a substance use disorder are also at risk of increased suicide.<sup>3</sup> Compared to their counterparts without a substance use disorder, these Veterans are:<sup>3</sup>
<ul>
 	<li>8 times more likely to consider suicide.</li>
 	<li>11 times more likely to formulate a plan to attempt suicide.</li>
 	<li>23 times more likely to attempt suicide.</li>
</ul>
The correlation between the increased risk of suicide and co-occurring disorders in Veterans highlights the urgent need for treatment for Veterans' mental health issues.
<h2>Substance Abuse Treatment and Mental Health Assistance for Veterans</h2>
In 2018, SAMHSA found that:<sup>3</sup>
<ul>
 	<li>89.4% of Veterans with a SUD did not seek treatment.</li>
 	<li>53.5% of Veterans with any mental illness received no treatment.</li>
 	<li>28.8% of Veterans with serious mental illnesses did not seek treatment.</li>
</ul>
There is a strong correlation between Veterans and mental health, as well as a large percentage of Veterans dealing with mental health issues who aren’t seeking treatment. Veterans need to know that help is available at little to no cost.

Veterans seeking treatment have the following resources available to them through the VA system:
<ul>
 	<li>Make an appointment with your primary care provider, who can refer you to a mental health professional and may be able to initiate medication for the interim.</li>
 	<li>Find a local Vet Center where you can walk in with your DD214 and talk to a therapist without an appointment and regardless of your eligibility status. <a href="https://www.va.gov/find-locations/">Find a Vet Center near you.</a></li>
 	<li>Go to your local VA and speak to a Local Recovery Coordinator. These LRC's can connect you to local resources and they operate education and discussion groups with other Veterans.</li>
 	<li>Determine your eligibility with the VA and make an appointment to see a mental health professional for therapy and/or medication.</li>
 	<li>Look outside the military for a community care provider, like American Addiction Centers.</li>
</ul>
Veterans who don’t want to go through the VA can utilize the following free resources:
<ul>
 	<li><a href="http://nami.org/">National Alliance on Mental Illness </a></li>
 	<li><a href="https://www.dbsalliance.org/">The Depression and Bipolar Alliance </a></li>
 	<li><a href="https://aa.org/">Alcoholics Anonymous</a></li>
 	<li><a href="https://www.na.org/">Narcotics Anonymous</a></li>
</ul>
If you or a loved one are a Veteran and believe you may be dealing with one of these mental health disorders, contact one of these resources today to begin your journey toward health and wellness. While it may seem hopeless right now, all of these illnesses can be treated with therapy and/or medication. Help is available.
<h2>About American Addiction Centers</h2>
AAC’s Veteran services are available at all AAC facilities. Our dedicated, robust Veteran program, The Rally Point: AAC is offered at our 4 VA Centers of Excellence:
<ul>
 	<li><a href="https://deserthopetreatment.com/las-vegas-program/veteran-program/" target="_blank" rel="noopener">Desert Hope Treatment Center</a></li>
 	<li><a href="https://greenhousetreatment.com/addiction-treatment-services-dallas/veteran-program/" target="_blank" rel="noopener">Greenhouse Treatment Center</a></li>
 	<li><a href="https://oxfordtreatment.com/addiction-treatment-ms/veteran-program/" target="_blank" rel="noopener">Oxford Treatment Center</a></li>
 	<li><a href="https://riveroakstreatment.com/addiction-recovery-tampa/veteran-program/" target="_blank" rel="noopener">River Oaks Treatment Center</a></li>
</ul>
The Rally Point: AAC blends AAC’s medically informed, patient-centric approach to treatment with therapies that address co-occurring disorders that may affect military Veterans. Many of the staff involved in our programs for Veterans or come from military families. This helps them connect with the Veterans receiving treatment and help them move towards a life in recovery.

No Veteran should have to suffer in silence. There are several methods to help you find peace and start your life in recovery.

[accordion title="References"]
<ol>
 	<li><sub>U.S. Department of Veterans Affairs. (n.d.). <a href="https://www.research.va.gov/topics/depression.cfm"><em>VA research on depression.</em></a></sub></li>
 	<li><sub>Trivedi, R.B., Post, E.P, [...] Nelson, K. (2015). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4638236/">Prevalence, comorbidity, and prognosis of mental health among US veterans</a>. <em>American Journal of Public Health 105(12), 2564-2569.</em></sub></li>
 	<li><sub>Substance Abuse and Mental Health Services Administration. (2018). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt23251/6_Veteran_2020_01_14_508.pdf"><em>2018 National survey on drug use and health: Veterans</em>.</a></sub></li>
 	<li><sub>American Psychiatric Association. (2020). <em>What is post-traumatic stress disorder?</em></sub></li>
 	<li><sub>Seal, K.H., Bertenthal, D., Miner, C.R., Sen, S. &amp; Marmar, C. (2007). Bringing the war back home: Mental health disorders among 103 788 US veterans returning from Iraq and Afghanistan seen at department of veterans affairs facilities. <em>Arch Intern Med 167(5): 476-482. </em></sub></li>
 	<li><sub>Gradus, J.L. (n.d. ). <a href="https://www.ptsd.va.gov/professional/treat/essentials/epidemiology.asp"><em>Epidemiology of PTSD</em></a>.</sub></li>
 	<li><sub>American Psychiatric Association. (2017). <em>What are anxiety disorders?</em></sub></li>
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Veterans' Mental Health Issues

Laura Close is a Senior Web Content Editor at American Addiction Centers and an addiction content expert at VeteranAddiction.org. She has a bachelor’s degree in English and has nearly a decade in professional editing experience that includes working as a web editor for online magazines as well as major online publishers.