It's June 30th, the last day of National PTSD Awareness Month. It's also exactly one month out from the trauma anniversary that has, historically, been very challenging for me to cope with. It's with this in mind that I'm writing this blog post. I wanted to bring a little bit of tongue-in-cheek humor to a serious subject and help to inform loved ones of how pending anniversaries can impact the daily lives of our veterans. I also wanted to present how I cope with my PTSD anniversary in a way that would be immediately familiar and identifiable to anyone who has served in a combat zone. So, here goes...
Pre-Deployment Processing (PDP):
When soldiers are getting ready to deploy, they go through an exhaustive review of their readiness from physical fitness to ensuring all shots and vaccinations are updated to drawing weapons and equipment to updating their life-insurance beneficiaries and their wills. It is a focused and direct approach that ensures that each soldier is fully-equipped to confront the challenges they will face when deployed. When I am preparing for the emotional and physical buildup that stems from a pending anniversary, I take stock in much the same way - to ensure that I know the status of my resources and to shore up any weaknesses in my coping mechanism. I take stock of how well I've been sleeping. If I haven't been sleeping well recently, I make a point to go to bed earlier to try to compensate for this. If I haven't been active and exercising, I make a point of increasing my activity levels - it helps you sleep better and it has been proven that exercise improves your mood. I start paying particular attention to events that could potentially trigger my PTSD (the Fourth of July, for example) during the month leading up to and immediately following the anniversary. I do what I can to prepare my family for what could be a bumpy ride. Marshalling and evaluating the readiness of your resources is key to a 'successful deployment', whether into a combat zone or in preparation to confront and cope with your PTSD triggers. In the past, I have tried convincing myself that I don't have to do this and that believing that the anniversary won't impact me would see me through - Epic Fail. Don't fall victim to the Five P's (Piss Poor Proper Prior Planning).
Battle Damage Assessment (BDA):
After a battle, a unit goes through what is called a Battle Damage Assessment to evaluate the readiness of their troops and equipment. This is a critical process - after the BDA is complete, it allows the unit commander to redeploy his resources in the most effective way possible, given the readiness and condition of his assets. It is much the same after something has triggered your PTSD. It is vital that you evaluate how much of your emotional reserve has been depleted by coping with the trigger and fighting to regain control. It is also very important that you evaluate your physical condition. There is almost always a strong adrenalin response when I am triggered and it can disrupt my sleep and my physical energy reserves can become dangerously depleted. After I have re-stabilized, post-trigger, I perform a BDA so that I can redeploy my coping resources more effectively. Sometimes that means taking naps to catch up on lost sleep. Sometimes that means making sure I have time to decompress built into my day. Sometimes it just means staying in for a day to recover. I do whatever I have to do to ensure that my resources last as long as possible.
Make no mistake: Effectively coping with anniversaries is like fighting a campaign with each trigger event being an individual battle. Winning or losing an individual battle may not win or lose you the campaign, but without proper planning and resource allocation, you will lose out to attrition and loss of morale. Don't try to ignore the warning signs - you'll get blindsided. It would be like a convoy not sending out scout vehicles and being surprised when they get decimated by a near ambush with intersecting fields of fire...
Calling in Reinforcements:
Sometimes you will find yourself in a situation where you know you're about to be overrun. In the past, I have let my pride get in the way of asking for help and have paid dearly for it. Reinforcements are not unlimited so it is imperative that you know what reinforcements you have access to and how often.
After-Action Review (AAR):
After every campaign, commanding officers get their officers and their NCO cadres together to evaluate the performance of the unit over the course of the campaign, to better identify recurring weaknesses in strategy or to identify resources that were more rapidly depleted than planned and accounted for. This is a high level review that allows commander to respond and react to lessons learned and properly account for them in future deployments. It's important to do the same with PTSD after the anniversary has passed. Once things have returned to the status-quo, it's important to take a look at what you did right and where there's adjustments that need to be made. It's important to talk to your friends and family and get feedback, should it be necessary. If you don't incorporate lessons learned in preparation of the next anniversary, you're not doing yourself any favors. As a commander, if you knew that deploying your troops differently in response to a threat would save lives, you'd want to know it. Treat coping with your anniversary the same way.
So there you have it. I hope you find this helpful and humorous at the same time. If you have any questions or feedback, don't hesitate to comment on this!!
Pre-Deployment Processing (PDP):
When soldiers are getting ready to deploy, they go through an exhaustive review of their readiness from physical fitness to ensuring all shots and vaccinations are updated to drawing weapons and equipment to updating their life-insurance beneficiaries and their wills. It is a focused and direct approach that ensures that each soldier is fully-equipped to confront the challenges they will face when deployed. When I am preparing for the emotional and physical buildup that stems from a pending anniversary, I take stock in much the same way - to ensure that I know the status of my resources and to shore up any weaknesses in my coping mechanism. I take stock of how well I've been sleeping. If I haven't been sleeping well recently, I make a point to go to bed earlier to try to compensate for this. If I haven't been active and exercising, I make a point of increasing my activity levels - it helps you sleep better and it has been proven that exercise improves your mood. I start paying particular attention to events that could potentially trigger my PTSD (the Fourth of July, for example) during the month leading up to and immediately following the anniversary. I do what I can to prepare my family for what could be a bumpy ride. Marshalling and evaluating the readiness of your resources is key to a 'successful deployment', whether into a combat zone or in preparation to confront and cope with your PTSD triggers. In the past, I have tried convincing myself that I don't have to do this and that believing that the anniversary won't impact me would see me through - Epic Fail. Don't fall victim to the Five P's (Piss Poor Proper Prior Planning).
Battle Damage Assessment (BDA):
After a battle, a unit goes through what is called a Battle Damage Assessment to evaluate the readiness of their troops and equipment. This is a critical process - after the BDA is complete, it allows the unit commander to redeploy his resources in the most effective way possible, given the readiness and condition of his assets. It is much the same after something has triggered your PTSD. It is vital that you evaluate how much of your emotional reserve has been depleted by coping with the trigger and fighting to regain control. It is also very important that you evaluate your physical condition. There is almost always a strong adrenalin response when I am triggered and it can disrupt my sleep and my physical energy reserves can become dangerously depleted. After I have re-stabilized, post-trigger, I perform a BDA so that I can redeploy my coping resources more effectively. Sometimes that means taking naps to catch up on lost sleep. Sometimes that means making sure I have time to decompress built into my day. Sometimes it just means staying in for a day to recover. I do whatever I have to do to ensure that my resources last as long as possible.
Make no mistake: Effectively coping with anniversaries is like fighting a campaign with each trigger event being an individual battle. Winning or losing an individual battle may not win or lose you the campaign, but without proper planning and resource allocation, you will lose out to attrition and loss of morale. Don't try to ignore the warning signs - you'll get blindsided. It would be like a convoy not sending out scout vehicles and being surprised when they get decimated by a near ambush with intersecting fields of fire...
Calling in Reinforcements:
Sometimes you will find yourself in a situation where you know you're about to be overrun. In the past, I have let my pride get in the way of asking for help and have paid dearly for it. Reinforcements are not unlimited so it is imperative that you know what reinforcements you have access to and how often.
- The Airstrike: Sometimes you can tell that you are being encircled and all you need is someone to blow you a hole in enemy lines so that you can get your people out. Calling in a targeted airstrike can do just that. Air strikes are ideal for situations where you need overwhelming superiority for a short amount of time, just to get yourself out of a bad situation. Since its use is of short duration, it has the opportunity to return to base and refuel and rearm fairly regularly. My wife is my Airstrike. When I tell her I feel the walls closing in, she takes my daughter out for an afternoon or down to her parents for the day, removing all distractions and external stressors from my environment so that I can focus on getting through that moment.
- The Quick Response Force (QRF): Sometimes you know that you are vastly outnumbered and you find yourself facing a determined enemy and in a situation that you can't easily extricate yourself from. You've tried utilizing an airstrike but it had about as much impact on the opposition as a squirt gun on a hornet's nest. The QRF is perfect for this scenario - it can roll in, assess the situation and reinforce your lines where they are weakest, while also bringing substantial firepower to bear. They are better equipped for longer deployments in the field but need more time to repair and resupply after they leave the field. My family is my QRF. Sometimes I need the love, support, and help of my whole family to get through really bad patches. This seemed to happen more often when I didn't plan ahead and prepare myself for what I knew was coming, but should the need arise for sustained reinforcement, I know I can count on my family to 'take the ball' and give me the time and space I need to muddle through.
After-Action Review (AAR):
After every campaign, commanding officers get their officers and their NCO cadres together to evaluate the performance of the unit over the course of the campaign, to better identify recurring weaknesses in strategy or to identify resources that were more rapidly depleted than planned and accounted for. This is a high level review that allows commander to respond and react to lessons learned and properly account for them in future deployments. It's important to do the same with PTSD after the anniversary has passed. Once things have returned to the status-quo, it's important to take a look at what you did right and where there's adjustments that need to be made. It's important to talk to your friends and family and get feedback, should it be necessary. If you don't incorporate lessons learned in preparation of the next anniversary, you're not doing yourself any favors. As a commander, if you knew that deploying your troops differently in response to a threat would save lives, you'd want to know it. Treat coping with your anniversary the same way.
So there you have it. I hope you find this helpful and humorous at the same time. If you have any questions or feedback, don't hesitate to comment on this!!
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