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Supporting Veterans and Their Mental Health: A National Responsibility

Veterans have served their country with dedication and, upon returning to civilian life, often face numerous challenges that require our support and understanding. Many veterans experience significant mental health issues, including post-traumatic stress disorder (PTSD), depression, anxiety, and substance use disorders. These challenges can hinder their ability to reintegrate into civilian life and maintain relationships, employment, and a healthy lifestyle. Recognizing the mental health needs of veterans and implementing effective support strategies is crucial for honoring their service and supporting their well-being.

The Mental Health Landscape for Veterans

Veterans are at a higher risk of mental health issues compared to the general population. A report from the U.S. Department of Veterans Affairs (VA) indicated that approximately 11-20% of veterans who served in Iraq and Afghanistan suffer from PTSD in any given year, and the prevalence is even higher among those who served in the Vietnam War (U.S. Department of Veterans Affairs, 2022). Additionally, veterans are at an increased risk for depression, anxiety, and substance abuse issues, with research suggesting that over 25% of veterans experience symptoms related to depression and other mood disorders (Hoge et al., 2004).

A primary cause of these mental health challenges is the exposure to trauma and high-stress situations during service. Repeated exposure to combat, violence, and injury can leave lasting psychological scars that are difficult to heal. This stress may also exacerbate pre-existing mental health issues, making it even more difficult for veterans to transition back to civilian life.

Barriers to Mental Health Care for Veterans

While the VA and other organizations offer resources for veterans, barriers to accessing mental health care persist. According to the RAND Corporation, veterans may face significant obstacles, such as long wait times for appointments, stigma surrounding mental health, and a lack of providers who understand military culture (Tanielian et al., 2018). This stigma can prevent veterans from seeking help, as they may feel that mental health challenges are a sign of weakness or that others will not understand their experiences.

Rural veterans often face additional obstacles due to the lack of nearby mental health resources. Research has shown that nearly a quarter of all veterans live in rural areas, where specialized mental health services may be limited (Weeks et al., 2008). Telemedicine and virtual counseling have helped bridge some of these gaps, but there remains a need for more accessible, culturally informed care tailored to the unique needs of veterans.

Strategies for Supporting Veterans’ Mental Health

  1. Increasing Access to Mental Health Services:
    Expanding mental health resources specifically tailored for veterans is essential. The VA and other organizations are implementing initiatives to reduce wait times, increase the availability of telehealth services, and provide alternative therapies, such as art therapy, music therapy, and mindfulness practices (U.S. Department of Veterans Affairs, 2022). Community-based programs can also provide veterans with accessible care, particularly in rural areas.
  2. Building a Community of Support:
    Peer support programs can be highly effective for veterans, as they allow veterans to connect with others who have had similar experiences. Programs like the Veterans Crisis Line and the VA’s Peer Support program connect veterans with trained peers, who provide support, understanding, and guidance. Research suggests that peer support reduces PTSD symptoms and increases veterans’ willingness to seek help (Resnick et al., 2012).
  3. Reducing Stigma through Public Awareness:
    Public awareness campaigns can play a crucial role in reducing stigma around veterans’ mental health issues. Campaigns should focus on educating both veterans and the general public about the commonality of mental health challenges, emphasizing that seeking help is a sign of strength. The VA’s “Make the Connection” campaign is an example of an initiative aimed at reducing stigma and encouraging veterans to pursue mental health treatment (U.S. Department of Veterans Affairs, 2022).
  4. Encouraging Family Involvement and Support:
    Family members can be a crucial source of support for veterans dealing with mental health issues. Programs that educate family members about PTSD, depression, and other mental health conditions can equip them to support their loved ones effectively. Involving families in therapy sessions can also create a support network that extends beyond formal mental health services, which may improve outcomes for veterans (Monson et al., 2006).
  5. Employment and Reintegration Support:
    Meaningful employment can significantly impact veterans’ mental health and quality of life. Programs like the VA’s Vocational Rehabilitation and Employment services provide veterans with job training, career counseling, and job placement assistance, helping veterans reintegrate into civilian life (U.S. Department of Veterans Affairs, 2022). Research shows that veterans who find stable employment report higher levels of satisfaction and mental well-being (Resnik et al., 2012).

A Call to Action

Supporting veterans’ mental health is not only a moral duty but also a way to ensure the well-being of individuals who have made profound sacrifices. By addressing the barriers veterans face in accessing mental health care, expanding peer support networks, reducing stigma, and providing employment and family support, society can help veterans lead healthier and more fulfilling lives. Moreover, these actions honor their service by providing the respect, care, and compassion they deserve.

We must continue to advocate for policies that support veterans’ mental health, fund research into effective treatments, and raise public awareness about the unique challenges veterans face. Providing veterans with the resources and support they need to thrive is one of the most meaningful ways we can repay them for their service and dedication to our country.

This article has been written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years of experience in the social work field and is based in London Kentucky through Southeast Kentucky Behavioral Health, LLC. Mr. Collier may be reached by phone at (606) 657–0532 extension 101 or by email at john@sekybh.com.

References

Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351(1), 13-22.

Monson, C. M., Schnurr, P. P., Stevens, S. P., & Guthrie, K. A. (2006). Cognitive-behavioral conjoint therapy for PTSD: Pilot results from a community sample. Journal of Traumatic Stress, 19(3), 289-299.

Resnick, S. G., & Rosenheck, R. A. (2012). Integrating peer-provided services: A quasi-experimental study of recovery orientation, confidence, and empowerment. Psychiatric Services, 63(6), 541-547.

Tanielian, T., Jaycox, L. H., & RAND Corporation. (2008). Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery. RAND Corporation.

U.S. Department of Veterans Affairs. (2022). PTSD: National Center for PTSD. https://www.ptsd.va.gov

Do I Act “Entitled”? A Teenager’s Perspective

In today’s world, the concept of “entitlement” is often associated with young people. But what does it really mean to be “entitled”? At its core, entitlement is a sense of deserving special treatment or privileges without necessarily earning them (Twenge & Campbell, 2009). While entitlement isn’t inherently bad, when unchecked, it can lead to negative behaviors and strained relationships. This article aims to help you, as a teenager, understand entitlement from your perspective and how it might impact your life.

 What is Entitlement?

Entitlement is a mindset where people believe they deserve certain rights or privileges without putting in effort or showing gratitude. It’s like expecting a reward without doing the work or expecting things to go your way just because you want them to. Psychologists Dr. Jean Twenge and Dr. W. Keith Campbell define it as “a stable and pervasive sense that one deserves more and is entitled to more than others” (Twenge & Campbell, 2009). This can sometimes show up as expecting praise for things that should be standard or demanding special treatment in different situations.

 Signs of Entitlement in Teenagers

According to psychologists, entitlement can sometimes develop naturally during teenage years as you seek more independence and explore self-identity (APA, 2013). Here are some common signs of entitlement to reflect on:

  1. Expecting Praise for Basic Responsibilities  If you often expect praise for everyday responsibilities, like finishing your homework or chores, this might be a sign of entitlement. While appreciation is important, basic responsibilities are usually expected without special recognition.
  2. Demanding Special Treatment  Entitlement can show up when you believe you should be treated differently just because of who you are. For instance, if you often feel frustrated when others don’t give you special privileges, it may be worth reflecting on why you feel that way.
  3. Ignoring Others’ Needs  Entitlement can lead to a focus on one’s own needs while overlooking others. If you frequently expect your family or friends to go out of their way for you, without offering support in return, it might be a sign of an entitled attitude.
  4. 4. Struggling with Criticism or Rejection  Those with entitled mindsets often have a hard time handling criticism or rejection. If you find yourself getting overly defensive or hurt when people offer constructive feedback, it could be a sign of entitlement.

 Why Does Entitlement Happen?

Entitlement can sometimes be a byproduct of wanting to feel special or unique. During adolescence, as you figure out who you are, it’s normal to crave validation. However, the rise of social media can add pressure to appear “successful” or “popular,” which sometimes fuels entitled thinking (Kross & Verduyn, 2018). Additionally, cultural factors, like messages in media, often promote self-focus and immediate gratification, which can also impact how entitled we feel.

Family environment and upbringing also play a role. For example, when parents give constant praise without boundaries or shield children from any failure, it can lead to entitlement (Twenge & Campbell, 2009). This isn’t to say praise is harmful, but balance is key.

 The Downsides of Entitlement

While a small amount of entitlement can build confidence, too much can create challenges. Research shows that entitled attitudes are linked to difficulty in relationships, dissatisfaction with life, and even increased mental health struggles, like depression and anxiety (Grubbs & Exline, 2016). When we expect too much from others, we risk pushing people away and experiencing disappointment when things don’t go our way.

Entitlement can also hinder personal growth. By always expecting others to meet your needs, you may miss out on learning resilience, empathy, and problem-solving skills, which are essential for navigating adulthood.

 How to Recognize and Reduce Entitlement

1. Practice Gratitude  One of the simplest ways to combat entitlement is to cultivate gratitude. Instead of focusing on what you lack or what you deserve, take time each day to recognize things you’re grateful for. Research shows that practicing gratitude can increase happiness and reduce feelings of entitlement (Emmons & McCullough, 2003).

2. Work on Self-Awareness     Reflect on your actions and motives. Ask yourself, “Am I doing this because I feel I deserve special treatment, or am I genuinely interested in contributing?” By becoming more aware of your thoughts and actions, you can shift toward a more balanced perspective.

3. Learn to Accept Criticism  Learning to accept constructive criticism is a valuable skill that helps build resilience. Instead of feeling hurt or defensive, try to see criticism as an opportunity to grow and improve.

4. Build Empathy     Practice thinking about others’ perspectives and needs. Ask yourself how your actions impact others. Empathy helps build meaningful relationships and reduces entitlement by reminding you that others have their own needs and challenges.

5. Develop a Growth Mindset  Dr. Carol Dweck’s research on growth mindset suggests that people who focus on growth over fixed achievements are more likely to be successful and satisfied in life (Dweck, 2006). By focusing on effort and improvement rather than expecting outcomes, you can shift away from entitlement.

Recognizing entitlement can be challenging, especially when society often reinforces a “me-first” mentality. However, by practicing gratitude, empathy, and self-awareness, you can avoid the pitfalls of entitlement and develop stronger, healthier relationships with those around you. Remember, the path to true confidence and self-worth doesn’t come from expecting special treatment but from treating others and yourself with respect and understanding.

This article has been written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years of experience in the social work field and is based in London Kentucky through Southeast Kentucky Behavioral Health, LLC. Mr. Collier may be reached by phone at (606) 657–0532 extension 101 or by email at john@sekybh.com.

 References

  • American Psychological Association. (2013). Developing Adolescents: A Reference for Professionals. American Psychological Association.
  • Dweck, C. S. (2006). Mindset: The New Psychology of Success. Random House.
  • Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology, 84(2), 377-389.
  • Grubbs, J. B., & Exline, J. J. (2016). Trait entitlement as an emotion regulation strategy: A longitudinal study of its effects on perceived stress, depressive symptoms, and self-esteem. Journal of Research in Personality, 61, 27-34.
  • Kross, E., & Verduyn, P. (2018). Social media and well-being: Pitfalls, progress, and next steps. Trends in Cognitive Sciences, 22(7), 558-560.
  • Twenge, J. M., & Campbell, W. K. (2009). The Narcissism Epidemic: Living in the Age of Entitlement. Free Press.
Does my teenager act “Entitled”? Understanding and Addressing Entitlement

Parents often encounter behavior in their teenagers that feels entitled—expecting special treatment, assuming privileges without effort, or displaying frustration when things don’t go their way. These behaviors can be confusing and frustrating, especially when parents aim to raise respectful, independent, and resilient young adults. Understanding what “entitlement” truly means, why it arises during adolescence, and how to address it can help parents navigate this challenging aspect of development.

1. Defining Entitlement in Teenagers

Entitlement is generally defined as an expectation of special treatment or privileges without reciprocal effort, responsibility, or appreciation. An “entitled” teenager may assume that their needs should come first, express frustration when they don’t get what they want, or expect rewards for minimal effort. This mindset can lead to struggles in relationships, academic settings, and future work environments if not addressed (Twenge & Campbell, 2009).

However, it’s important to distinguish normal adolescent self-focus from true entitlement. Adolescence is a time when teens are naturally centered on themselves as they explore their identities and seek independence. This phase of self-centeredness doesn’t always equal entitlement but can appear that way if certain behaviors aren’t balanced with empathy, responsibility, and appreciation.

2. Why Does Entitlement Develop in Teenagers?

Several factors contribute to the development of entitlement in teenagers, including societal influences, parenting styles, and the natural developmental processes of adolescence. Recognizing these influences can help parents understand the root causes and address entitlement more effectively.

A. Brain Development and the Adolescent Mindset

During the teenage years, the brain undergoes significant changes, particularly in areas responsible for impulse control and emotional regulation. This makes teens more focused on their immediate needs and desires, which can amplify entitled behaviors (Blakemore, 2018). Teens’ developing brains make it harder for them to weigh long-term consequences, so they may seek instant gratification and resist responsibility or hard work (Siegel, 2013).

B. Influence of Consumer Culture and Social Media

Teenagers are constantly exposed to social media and advertising that promotes instant gratification, materialism, and a “have-it-all” mentality. These messages can reinforce a sense of entitlement by suggesting that everyone deserves the latest trend, special treatment, or success without much effort (APA, 2019). Social media can also create unrealistic comparisons, making teens feel entitled to lifestyles or privileges similar to those they see online (Pew Research Center, 2018).

C. Parenting Styles and Overprotection

Overly permissive or “helicopter” parenting can unintentionally foster entitlement. When parents shield teens from responsibility or clear obstacles in their path, teens may begin to assume that life should always go smoothly and that they deserve special accommodations (Lythcott-Haims, 2015). While parental support is vital, balancing it with appropriate expectations and responsibilities is key to avoiding entitled attitudes.

3. Signs of Entitlement in Teenagers

Recognizing entitlement in teens can sometimes be tricky, as it may overlap with normal adolescent behaviors. However, certain patterns can indicate entitlement:

  • Lack of Appreciation: They rarely express gratitude or acknowledge the efforts others make on their behalf.
  • Avoiding Responsibilities: They expect privileges without putting in the required effort or fulfilling responsibilities, like household chores or academic work.
  • Resistance to “No”: They struggle to handle denial, setbacks, or limitations, often reacting with frustration or defiance.
  • Sense of Deserving Special Treatment: They expect special accommodations or assume they should receive rewards for minimal effort (Twenge & Campbell, 2009).

These behaviors can often lead to frustration and conflict within the family, as well as difficulties in other social settings, if left unchecked.

4. Addressing and Reducing Entitlement in Teens

Addressing entitlement doesn’t mean stripping teens of their independence or denying them privileges. Instead, it involves setting healthy boundaries, encouraging gratitude, and fostering resilience. Here are some practical strategies:

A. Teach Responsibility Through Consequences

It’s essential to allow teens to experience the natural consequences of their actions. When they make a mistake or avoid responsibilities, allow them to feel the results rather than rescuing them. This helps them understand that privileges and rewards are earned, not automatically granted (Kobliner, 2017).

B. Encourage Empathy and Perspective-Taking

Help your teen understand how their actions impact others by encouraging empathy. Discuss scenarios where they consider others’ perspectives, whether it’s the effort parents put into providing for them or the responsibilities their peers manage. Empathy-building exercises can shift their focus from self-centered expectations to a more balanced view of relationships and responsibilities (Gottman & DeClaire, 1998).

C. Model and Encourage Gratitude

Practicing gratitude has been shown to reduce entitlement and promote well-being. Encourage your teen to regularly acknowledge things they’re thankful for, whether through a gratitude journal or family discussions. When teens recognize what they have, they’re less likely to expect special treatment (Emmons, 2007).

D. Promote a “Growth Mindset”

Carol Dweck’s concept of a “growth mindset” encourages teens to value effort, learning, and resilience rather than expecting instant success or rewards. Emphasize the importance of persistence and improvement rather than immediate outcomes. This helps teens shift their focus from entitlement to personal growth and responsibility (Dweck, 2006).

E. Set Boundaries Around Privileges

Provide structure around privileges by connecting them to responsibilities. For instance, allow certain privileges only when chores, schoolwork, or other tasks are completed. Explain that privileges are not guaranteed but are earned through responsible behavior. This creates a sense of accountability and helps teens see the link between effort and reward (Kobliner, 2017).

5. Understanding Entitlement as a Phase, Not a Personality

It’s important to remember that entitlement in teens is often a temporary phase rather than a permanent personality trait. As teens grow and gain real-world experiences, many naturally outgrow entitlement, developing a greater sense of empathy, gratitude, and responsibility. With consistent guidance, you can support this growth and help them develop into resilient, respectful adults (Siegel, 2013).

Conclusion: Fostering Respect and Responsibility in Place of Entitlement

Navigating entitlement in teenagers can be challenging, but it’s possible to guide them toward a healthier outlook with understanding and the right strategies. By teaching responsibility, modeling gratitude, and promoting empathy, parents can help teens balance their needs with an appreciation for others. Recognizing that entitlement is often a developmental phase can help parents approach the issue with patience, knowing that with guidance, their teen can grow into a more self-aware and considerate young adult.

This article has been written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years of experience in the social work field and is based in London Kentucky through Southeast Kentucky Behavioral Health, LLC. Mr. Collier may be reached by phone at (606) 657–0532 extension 101 or by email at john@sekybh.com.

References

  • American Psychological Association. (2019). The Effects of Social Media on Children and Adolescents. APA.
  • Blakemore, S. J. (2018). Inventing Ourselves: The Secret Life of the Teenage Brain. PublicAffairs.
  • Dweck, C. S. (2006). Mindset: The New Psychology of Success. Random House.
  • Emmons, R. A. (2007). Thanks! How Practicing Gratitude Can Make You Happier. Houghton Mifflin.
  • Gottman, J., & DeClaire, J. (1998). Raising an Emotionally Intelligent Child. Simon & Schuster.
  • Kobliner, B. (2017). Make Your Kid a Money Genius (Even If You’re Not). Simon & Schuster.
  • Lythcott-Haims, J. (2015). How to Raise an Adult: Break Free of the Overparenting Trap and Prepare Your Kid for Success. Henry Holt and Company.
  • Pew Research Center. (2018). Teens, Social Media & Technology 2018. Pew Research Center.
  • Siegel, D. J. (2013). Brainstorm: The Power and Purpose of the Teenage Brain. TarcherPerigee.
  • Twenge, J. M., & Campbell, W. K. (2009). The Narcissism Epidemic: Living in the Age of Entitlement. Free Press.