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Six Tips for Having Supportive Conversations with Veterans


Six Tips for Having Supportive Conversations with Veterans

November 7, 2022

Veterans returning to civilian life often struggle to communicate with civilians about their experience as active military members, leaving them feeling isolated and disconnected. At the same time, civilians eager to engage with veterans may worry about saying the wrong thing, triggering past trauma, or otherwise having an unhelpful conversation.

In our Veteran’s Day speaker series event, Femi Olukaya, a therapist and military veteran, and Teressa Carter, a social worker with experience serving and treating active duty service members, sat down to discuss this issue, among several others. 


Take a deeper dive into their advice and explore six tips civilians can use to have healthy, supportive, and productive conversations with veterans about their experiences in the military below.

#1 Ask Them What They Want You to Know

As Carter points out, an easy way to avoid pressuring veterans to discuss issues they aren’t ready to discuss is to ask them what they want you to know. That way, you’ll only hear what they feel comfortable revealing and believe it would be most helpful for you to know.

# 2 Be Accepting

Military culture often discourages vulnerability. That’s why when a veteran decides to open up about their military experiences, it’s vital that you meet them with love and acceptance.

Aside from a culturally ingrained aversion to vulnerability, veterans are often reluctant to reveal what they’ve gone through because they fear judgment from civilians. Olukoya notes that:

When [veterans] say certain things, they don’t want to scare civilians with what they’ve seen, how they’ve lived, and how they think. So, they have to find a safe space where they can actually express themselves without being judged.


As a result, civilians must create an emotionally safe space for the veteran to speak in. Make it clear that you’ll be compassionate, empathetic, and understanding.

#3 Be Prepared to Discuss Trauma

Veterans may talk about the trauma they experienced as active military members. Civilians looking to engage with military members and learn about their experience must be prepared for this. As Carter points out:

You don’t ever want to knock on their door of trauma and open it if you’re not ready to receive and help them with it. So, while you’re inviting somebody to share their traumatic experience to feed your curiosity, you could be opening a deep wound for them. Are you going to be able to be there to heal it for them once you do?

Of course, civilians don’t need to be trained experts in handling trauma, but they must be prepared to discuss it in a sensitive, compassionate way.

#4 Don’t Minimize Their Experiences or Reactions

When hearing someone talk about a painful experience, you may feel tempted to encourage them to see things in a more optimistic light. While done with good intentions, this strategy is often counter-productive. From the veteran’s perspective, it can feel as though you are minimizing their problems or that you feel they are overreacting.

Instead of dismissing their feelings, validate them. Often, all someone in pain is looking for is a compassionate recognition of their suffering.

#5 Be Sincere

Sincerity is critical to having impactful conversations that help soldiers feel connected, heard, and valued. As a result, it’s important that when civilians ask veterans questions or express their gratitude, they do so sincerely. Veterans can often sense when a civilian’s attempt to engage with them is driven by a sense of obligation rather than genuine interest.

Olukoya points out that the phrase “thank you for your service” is a common example of an interaction that feels inauthentic.

I feel like 70 percent of veterans hate that statement because it feels like such a generic textbook thing to say whenever you meet somebody that’s served, so it turns into something that’s not even sincere.

Instead, he recommends saying, “I appreciate your sacrifice,” which he feels helps veterans feel “seen.”

One way to show sincerity during conversations is by listening actively (i.e., asking meaningful questions that show you are attentive and engaged). However, it is important to balance active listening by letting veterans tell their stories at their own pace and without excessive interruptions.

#6 Remain Mindful of What You Can’t Understand:

When a veteran is opening up about their experiences, Carter suggests it’s best to avoid the phrase “I understand.” But why is this true? Part of the answer is that, as a civilian, complete understanding isn’t possible. Some of their experiences are so drastically different from anything a civilian may have encountered that there is simply no way to truly comprehend what things were like for them or how they feel. As a result, it’s best to be mindful of your gaps in knowledge and understanding and avoid implying that you can really know what active military service was like for them.

If you feel you need to see a mental health professional or could use help deciding which service is right for you, please give us a call at 805-204-2502 or fill out an appointment request here. We have a wide variety of providers, including therapists, psychiatrists, nurse practitioners, and nutritional therapists, who can see you in as little as one day via teletherapy. If you feel a veteran is experiencing a crisis, please call the national suicide hotline (988).

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Provider’s Perspective: Veteran Mental Health and the Invisible Wounds of War


Provider's Perspective: Veteran Mental Health and the Invisible Wounds of War

November 4, 2022
Teressa Carter – LCSW

This post was written by Teressa Carter, a therapist at Heading Health with extensive experience serving and treating active-duty service members and their families

 

In celebrating Veteran’s Day, I am honored to create a space to salute all who have served, and the sacrifices made by members of the U.S. armed forces and their families to preserve our freedom. This day is very personal for me as my family, and I celebrate the service and sacrifice of both my maternal and paternal grandfather, as well as my father, who all served in the United States Army. My six-year-old son is reminded that his father is a hero, having served in the United States Marine Corps. Aside from my familial connections to the military, I have had the privilege and the honor of providing mental health services to active-duty service members and their families of all branches.

A Military Mental Health Crisis

Veteran’s Day allows us to explore and assess how we can better support our veterans, especially when navigating their mental health. Recent research suggests 11 to 20 percent of veterans experience post-traumatic stress disorder (PTSD) in a given year. Suicide rates of military service members and veterans are also at an all-time high, with deaths by suicide having increased by 25% during 2020.

 

Despite the prevalence of mental health needs, veterans often struggle to find and stick with care. One study found that among the veterans with mental health needs, 55 percent did not seek treatment from Veterans Affairs. Some of the more commonly cited reasons for avoiding or not continuing with treatment include:

 

Given all of this, it’s vital that veterans have the tools to receive and stick with effective care and that clinicians know how to reach out and provide support to service members in need.

Advice for Veterans in Need of Mental Health Care

If you are a Veteran in need of mental health treatment, you are not alone, and great support is out there. I strongly encourage veterans to reach out to someone, whether your medical provider, your VA liaison, family, or friends, who can support and assist them in finding the right mental health treatment for their needs. Here are some other tips:

 

  • Look for clinicians that have either military experience or experience training to treat military-related issues.
  • The VA or Military OneSource are great resources for finding treatment options.
  • Prepare for your first intake. There will be a lot of information gathering. This is also where you have the opportunity to interview the therapist to make sure this is a good fit for you and that you feel comfortable.
  • Remember, mental health treatment is a process and should not be rushed. Prepare for this by viewing your treatment as a journey.
  • Share your feelings, hesitations, limitations, and boundaries with your therapist.
  • Always remember that getting help is a sign of strength and resilience.

Tips For Therapists Treating Veterans

There are several steps mental health professionals can take to ensure they are effectively reaching out to veterans in need and providing them with adequate care. 

Market Your Services to Veterans

The civilian mental health community should ensure they are marketing services to the veteran population. Here are some suggestions.

 

  • Add any military experience or previous work with the veteran population or armed services to your professional online profile.
  • Highlight if you have specialized training to treat conditions prevalent among veterans, such as PTSD, anxiety, depression, and addiction-related issues.
  • Advertise your services to agencies that cater to the veteran community, such as your local Veterans Affairs office, TRICARE, or Military OneSource. Make your services known and available through the base coordinator that assists Active-Duty service members transitioning to veteran status.
Build Rapport

In my career working with active-duty service members and veterans, I found building an initial rapport centered around trust, understanding, and respect was an absolute must. Here are 10 simple strategies I use to build rapport and develop a strong relationship with service members and veterans.

 

  1. Always thank the service members for their sacrifices.
  2. Share your background and personal experience with the military.
  3. Be honest about where your gaps in knowledge or understanding of the military lifestyle are.
  4. Emphasize your willingness to learn.
  5. Be curious. Inquire about their branch of service, rank, years of sacrifice, and duty stations.
  6. Explain that you are trying to obtain a deeper understanding of their unique service and experience.
  7. Create a safe space. Make sure your clinical area is quiet, private, and free from sudden noises or distractions that could trigger PTSD symptoms. Invite your veteran clients to share as much or as little of their military experience as they are comfortable disclosing.
  8. Allow veterans to speak freely and at their own pace.
  9. Never say, “I understand.” This could trigger the veteran client to be upset if you do not have military experience, especially direct combat experience.
  10. Refrain from using a lot of clinical jargon and acronyms. Veterans are used to clear, concise, and direct communication because of their military experience. Too much clinical jargon may create space for miscommunication and confusion.
Utilize Available Resources

An important aspect of providing mental health treatment to veterans is to have a working knowledge of available resources in the community and helping clients get connected to them. Here are some resources that may be helpful:

 

Address Family Needs 

Mental health providers will also need to address family needs when working with veterans, as families have also served and sacrificed. Additionally, the family is transitioning with their service members. For example, families may be transferring medical, educational, and social services from on-base providers to civilian providers. As a result, they must adapt to new doctors and mental health providers. They may also be moving to new homes in new neighborhoods, meaning the children will be transferring schools and making new friends. Adjusting to these changes can be challenging and added support can be helpful.  

Conclusion

As we gather to celebrate this upcoming holiday, please take a moment to acknowledge and honor the sacrifices of our veterans and active-duty service members. Please be an advocate in your community, workspace, and even your organization for increased support and resources for the veteran community. When you see a veteran, thank them for their sacrifice. Thank you to all who have served and the families that served along with them. 

 

If you know a veteran who may be experiencing mental health issues, please help them get care. You can do this by enrolling in their local VA and requesting mental health services. If you feel a veteran is experiencing a crisis, please call the national suicide hotline (988).

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Want to find out if Heading is right for you? 

Complete our consultation form and an intake specialist will get in touch.


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