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According to the U.S. Department of Veterans Affairs, post-traumatic stress disorder (PTSD) affects anywhere from 11 to 30% of veterans, depending on the conflict they were involved with. For example, 11 to 20% of veterans who participated in Iraqi Freedom and Enduring Freedom have been diagnosed with PTSD compared to 30% of Vietnam veterans.
But these statistics only tell part of the story. First, they link PTSD to combat, but non-combat PTSD is very common in veterans. They also fail to represent those who may not even realize that they have PTSDâor those who suspect they have it but fail to seek a diagnosis and treatment.

So the question for you is, could you be suffering from PTSD without knowing it or getting the help that you need? If so, youâre not alone. Too often, veterans suffer in silence in the abyss of PTSD.
5 Reasons Why You May be Missing the Signs of PTSD
You didnât experience combat.
And because of that, you assume you could not have PTSD, regardless of your mental health symptoms.
The truth is, anyone who has experiencedâor witnessedâa traumatic event, also referred to as a âstressor,â is at risk for PTSD. Combat can certainly create stressors, but it is far from the only circumstance that can trigger PTSD.
Other stressors may include being sexually assaulted or harassed, being hazed or physically assaulted, losing a fellow military member to suicide, experiencing a car or aircraft crash, etc.
There are many triggers for PTSD for military members, and whether they occur in or out of combat, they can be equally debilitating. The VA recognizes both combat and non-combat PTSD and will regard the impact of the condition equally.
You donât want to be âweak.â
The virtues of strength and bravery are highly valued in the militaryâand rightly so. Theyâre critical in battle. But cultural prejudices and stereotypes have skewed those virtues into something they were never intended to be: a tough guy (or gal) who masks whatâs happening inside.
Is it weak to ask for help that you need? Is it weak to proactively identify a limitation and strive to move beyond it? How is it more respectable to save your buddy from danger on the battlefield than to save yourself and your loved ones from the detrimental effects of your PTSD?
The stigma surrounding mental health conditions is illogical and unproductive and could be keeping you from recognizing and getting help and VA benefits for your PTSD.

You didnât have symptoms after the traumatic event.
While many people develop PTSD symptoms within three months of the stressor, others may not develop them for years. One study showed that some World War II veterans did not manifest PTSD for 30 years after their combat trauma.
Itâs very common for service members to leave the military without significant PTSD symptoms, only to develop them months or years later. Doctors donât know exactly why this happens.
However, they have observed that in some cases, a stressor later in life (job loss, death in the family, etc.) can trigger PTSD from a prior traumatic event.
You canât identify a stressor.
Weâve established that a defining feature of PTSD is that it was triggered by a stressor. But what if you canât identify a stressor? You might find yourself experiencing all kinds of symptoms but not being able to put your finger on exactly whatâs going on.
Maybe itâs the people around you. Maybe itâs your job. Maybe youâre just stressed out. Maybe you have anxiety. Maybe you have obsessive-compulsive disorder (OCD). Maybe you have a borderline personality disorder.
PTSD can look like a lot of other mental health conditions, including depression, social anxiety, and OCD. But while PTSD shares symptoms with these conditions, it is a distinct diagnosis that developed in reaction to a traumatic event or stressor.
Without a clear stressor, veterans may cast around for other diagnoses and continue to live under the heavy burden of PTSD.
Remember that the stressor does not need to be a cataclysmic event. Witnessing someone elseâs trauma, having major surgery, and fearing imminent dangerâeven if the danger never crystallizesâcould cause PTSD.
Everyone is different, and what triggers trauma in one person may not in another. But just because someone else wasnât affected by an event doesnât mean that the event wasnât traumatizing to you in a very real and damaging way.
Itâs also important to know that just because you canât remember a trauma doesnât mean that it didnât happen. The brain is an incredibly resourceful tool, and itâs hardwired to protect itself.
In the wake of a traumatic event, it may dissociateâor detachâfrom reality as a protective measure, failing to register that event or situation altogether. But that doesnât mean that your mental health isnât still reeling from the event.

Youâre masking the symptoms.
Inside, youâre broken, but the world expects you to carry on, so you figure out ways to mask or drown out the symptoms. Itâs very common for people with PTSD to cope by drinking. Consider these statistics from the Department of Veteran Affairs:
- Men with PTSD are 2 times more likely to abuse alcohol.
- 60 to 80% of Vietnam veterans in treatment for PTSD struggle with alcohol abuse.
Thereâs coping, and thereâs negative coping. Drinking to drown out your PTSD symptoms is negative coping. And alcohol isnât the only way to numb the pain. Itâs common for people to turn to other addictions, including gaming, overwork, overeating, etc., to ânegative copeâ with their PTSD.
Know the common symptoms of PTSD, which are not limited to but may include:
- Intrusive memories (flashbacks, nightmares, severe emotional or physical reactions to something that reminds you of a traumatic event)
- Negative thoughts about yourself or the future
- Difficulty in preserving close relationships with family and friends
- Feeling detached from the people around you
- Irritability and anger
- Strong feelings of guilt or shame
- Loss of interest in the activities that once excited you
- Feeling emotionally flat or numb
- Shutting out memories of the traumatic event
- Feeling like you are always on guard against imminent danger
- Reckless behaviors (drinking too much, driving too fast)
- Difficulty sleeping
- Difficulty focusing
If you think you have PTSD, itâs time to get the help that you deserve and are legally entitled to. Depending on the severity of your condition, you may be entitled to a PTSD VA rating of up to 100%.
Start by seeing your doctor (either a VA or private doctor) to get a diagnosis for your treatment. This may require some uncomfortable conversations, but donât whitewash what youâre going through.
Present all of the evidence supporting your PTSD claim, and be willing to talk frankly about your symptoms and how they are affecting you and the people around you.
You should also request an Independent Medical Opinion (IMO) or a Nexus letter connecting your condition to your time in the military.
Your physicianâs wording should show that there is at least a 50% chance that your condition was caused by an in-service stressor. In other words, itâs âas least as likely as not that your condition was caused by your service.â
At VA Claims Insider, we know that it takes courage to seek help for your PTSD, but we also know that you owe it to yourself and those around you to get that help.

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Infographic
Post-traumatic disorder is common in veterans who took part in the war. Unlike what most people think, it is just as common with veterans who did not join in combat. Then, there are also people who do not realize they have PTSD because they choose to ignore those signs or do not want to seem weak. Letâs understand why veterans prefer to suffer in silence instead of seeking diagnosis and treatment for their PTSD.