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Here at Fort Leavenworth, and elsewhere...

...the strain of eight years of combat with no immediate end in sight manifests itself in many ways, quick anger chief among them.  I've seen officers struggling to keep their tempers in check in briefings, exercises, and experiments - in ways that are noticeable, and occur more often than previously.

I watched a Major simply detonate on a security guard at the Lewis and Clark building who was simply doing his job and not with any overbearing overtone, either. 

It's not manly to keep it bottled up.  And it's not helpful to just tell your fellow soldiers to man-up and soldier on, either.

Get help.  *That's* the manly thing to do.  And encourage your peers to, and when in charge, take care of your subordinates.  There's a difference between coddling and helping.  We need to find that balance.

'Real Warrior' Helps Others Get Help
By Jim Garamone
American Forces Press Service

WASHINGTON, Nov. 19, 2009 - Sheri Hall could tell something was wrong with her husband, Army Maj. Jeff Hall, at the hangar during his welcome home ceremony. "His eyes were dead," she said.

It should have been a joyous time. The major was returning from his second deployment to Iraq at the end of 2005. He had been with a military training team with the 3rd Infantry Division.

He went from Fort Stewart, Ga., to the Joint Readiness Training Center at Fort Polk, La.

But he was having problems. One boss told him he exhibited "visceral anger."

"I do know I was trying to correct a lot of deficiencies physically," he said. "I've had nightmares. I was distant from my family, and I had thoughts of killing myself."

But he coped, letting the anger build up for two and a half years. "I went through 28 rotations at the JRTC, and I finally said, 'I can't do this any more,'" he said.

Hall expected "the hammer" from his boss, he said. Instead, his boss got him the help he needed. He was accepted for a three-week treatment program at the Deployment Health Clinical Center at Walter Reed Army Medical Center here.

As part of the treatment, doctors checked Hall out thoroughly. They discovered old injuries from his airborne days and a new back injury he incurred in Iraq charging through what he called "the only oak door in Baghdad." They started a regimen to help him deal with the pain of these injuries, which, he said, "helped with everything else."

The program had group therapy in the morning followed by one-on-one sessions with a therapist. He asked, and the other soldiers in the group agreed, for Sheri to be involved.

"It was kind of a cry of desperation on my part," he said. "I was trying to hang on to my family, even though I thought I'd already lost them."

Including Sheri led to what the major said was the best part of the one-on-one sessions, when the therapist told him to "shut the hell up and listen to my wife," he said. "I had just tuned her out," he added.

People have to want to get better, Hall said. "You learn coping mechanisms, and I learned I wasn't alone in the process."

He also learned his reactions to the stress of combat were normal. "They keep telling you it's a normal reaction to abnormal things," he said. "They made this very clear."

The Halls have two teenage daughters. "They knew something was going on," Sheri said. "It was not the father they knew." She said she tried to shelter the girls as much as possible, "but kids are really smart, and they knew a lot more than they let on."

Following the treatment at the clinic, the Halls went back to Fort Polk, and Jeff eased back into work. "I was able to function again at the JRTC," he said.

With the help they got at the clinic they are better able to deal with the depression and anger, Sheri said. "We also started having more fun together," she said. The two are high school sweethearts from Oklahoma.

After he got help, Hall reached out to the soldiers he commanded in Iraq to get them help, too. Some have gone through the Walter Reed clinic. Others were worried that getting help "would ruin their careers and cause them to lose their security clearances," Hall said.

Then representatives from the "Real Warrior" program contacted him. The program aims to take the stigma away from receiving mental health treatment by encouraging servicemembers to seek treatment. It involves a series of public service announcements by servicemembers describing what they have gone through and how they got the help they needed.

"I wanted to help guys who want to keep their career, but don't know how to," Hall said. "I'm here to say there is a way to do it."

Sheri also is featured in the ads, and she wants families to know what is available.

"I want to help him get his message out, but I also want to see that families are taken care of," she said. "We suffer through [post-traumatic stress disorder], too."

Hall is now with the 1st Infantry Division at Fort Riley, Kan.



12 Comments

That is just fantastic! 

Several things lately have had me thinking about how the Marines have dealt with mental health issues in recent years, and it's so great to see the Army stepping up with a strong, high-profile campaign, too.
 
"would ruin their careers and cause them to lose their security clearances," Question: Doesn't it? I know the doctors want the visits to be confidential, but don't the forms pointedly ask "Have you been treated for mental illness?" "have you at any time in your past been treated for depression, anxiety or seen a mental health professional?" If yes, please explain the circumstances. List the professional. Attach additional sheets if necessary. "Are you currently being treated for depression, anxiety, PTSD, hypochondria, faith in GAIA, beief in the tooth fairy, et.c, etc., etc." (Made that one up I think. It has been a long time.) (been away from all things secure for decades) But, when I had a clearance, that was the whispered truth. See a shrink, lose your clearance. I don't know if that was a truth or not, but there sure appeared to be a lot of "friend of a friend knew someone who lost their clearance and was escorted out" after seeing a counselor. Just wondering.... (And the answer is: "NO" despite the online email moniker. I may be crazy but I ain't totally stupid... even when posting questions like that in the comments section on a blog. Heh.)
 
Joe - yes, the questions are still there.  But there always has been, I think, a more nuanced understanding than the binary proposition.

Context matters, as does the particular problem and whether or not there is progress.  The problem, of course, is sorting out the Major Hasan's from the Major Hall's.

But in reality - who's judgement is most suspect - the guy who won't seek help, or the guy who does?

 
Joe - welcome to the "Great Hall Echo" at Castle Argghhh!

No need to apologize, it happens to everybody, and in truth, it's pretty much never the commenter's fault.

It's server gremlins that are apparently unkillable.
 
JoeC,

The plural of anecdote is...blah, blah. In my personal experience only (20+ yrs. of varied clearance levels),  shrinkage is not a clearance killer. Perhaps in the Cold War days of the 600 ship Navy, when Sailors were expendable, this was true but no longer. Add to that the stated intentions of the service chiefs that careers will not be affected for those who ask for help and I think we can lay that old sea story to rest.

r/

Chris

 
Joe-
Yes, and no.

My brother went through a mental rough spot a few years ago that nearly got him kicked out of the Air Force.  Saying it was a "mental rough spot" is putting it mildly, but one of the things that made it worse was losing his clearance.  He lost his clearance to do his job, because his personal life was in shambles and he couldn't handle it.  It made things worse for him, knowing that his work life was also now in shambles.  We all understood they didn't want someone as distracted and angry working on airplanes, but it was hard to take none the less.  However... he fought back, and has even been promoted since then.

When you talk to senior officers about the mental health issues faced by their soldiers, *most* are more concerned with getting them the help they need rather than kicking them to the curb.  The attitude seems to be "get the help they need to return them to duty- both at work, and on the homefront."  It still takes a lot of courage to be honest and speak up, but the military is much more open and understanding about mental illness than ever before, imho.
 
Y'all are behind the times.  Responding to the problem of folks returning from a combat zone and not getting the mental health counseling they needed, DoD changed its clearance adjudication rules, and also got the Office of Personnel Management to change its rules and the SF-86, Questionnaire for National Security Positions.  The relevant question has been changed to read:

Mental health counseling in and of itself is not a reason to revoke or deny a clearance.  In the last seven years, have you consulted with a mental heath care professional regarding an emotional or mental health condition or were you hospitalized for such a condition?  Answer "no" if the counseling was for any of the following reasons and was not court-ordered:  (1) strictly marital, family, grief not related to violence by you; or (2) strictly related to adjustments from service in a military combat environment.
 
The question was still in there when I did my last update, three years ago.  Be interesting to see if it's there in seven years when I do my (hopefully last) update.

Of course, if the lottery tickets ever come in, I've *done* my last update.
 
Even in my day (92-97) the key to the clearance was "honesty".  Hell, you could pretty much have robbed a bank, but so long as you fessed up to it, completely and truthfully (and convinced them you never ever would do it again), you got/kept the clearance.  The big thing they were looking for is "are you hiding something".  If you answered a single question dishonestly (i.e. you didn't just 'forget' but actively lied about it) no more clearance.  If you were up front about it, they didn't worry about you.  The reason?  You can't be blackmailed by something that's not a secret.

I knew a guy who hit a bad patch and were in some pretty heavy debt.  He went to command and was up front about it.  "Sir, I'm in over my head and need help."  That guy kept his clearance.  The dude who bounced checks and LIED about it?  Yanked.  I'm almost certain that if you seek counselling for PTSD, and tell the TRUTH about it on your paperwork, you'll keep the clearance.  They'll only worry about you if they think you've got something to hide.  Because THOSE are the guys who are at risk of being blackmailed.
 
I've always thought of mental health issues in the military as a low order leadership issue. If an NCO, SNCO or company grade officer identifies someone in need of such help, then it is their duty as leaders to whatever it takes to ensure that someone gets that help, even if it means grabbing them by the collar and "leading" them to the help.

Same goes for the leaders. Self awareness is a necessary leadership trait. A leader who doesn't keep up with his own self-inventory aint a good leader. A leader who can't take care of himself can't take care of his men either.

The usual order of importance is:
Mission First
Your Personnel Second
Yourself Last

But it's more of a loop than a simple hierarchy.

If your men are going over the edge into darkness, you can't accomplish the mission. If you're not walking the walk on keeping yourself away from that edge, you can't keep your men from it and therefore, can't accomplish the mission.
 
But it's more of a loop than a simple hierarchy.

Reminds me of something said at the Leadership panel at the veterans conference I attended:  Something along the lines of the idea that Man & Mission could not both be first (nor could you always have one over the other), but that leadership was a string of decision points wherein you have to temporarily put one over the other according to the current needs.  I thought that was a good explanation...

 
Arkay is correct...  last time i saw the questionnaire was in '08, and it had been appropriately modified, and S-2 / Security Managers were very well synched up on it.