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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

Post-Traumatic Stress Disorder in Soldiers: Understanding, Effects, and Treatment

Post-Traumatic Stress Disorder (PTSD) is a mental health condition that has long affected soldiers and military personnel, often impacting their lives in profound ways. According to the U.S. Department of Veterans Affairs, up to 20% of veterans who served in Iraq and Afghanistan experience PTSD, underscoring the prevalence of this condition among soldiers who endure the harsh realities of combat and warfare. This article explores the causes, symptoms, and effects of PTSD in soldiers, examines various treatment options, and discusses emerging approaches to care.

Causes of PTSD in Soldiers

PTSD is generally triggered by exposure to traumatic events. For soldiers, combat is a primary source of trauma, involving life-threatening situations, witnessing injury or death, and enduring extreme physical and emotional stress. Studies have found that prolonged and repeated exposure to combat conditions increases the risk of PTSD, particularly if soldiers are subjected to high levels of intensity and frequency of traumatic events (American Psychological Association, 2020). Further risk factors include military rank, training, and support systems, with enlisted personnel and those lacking robust support networks being more vulnerable (Gradus, 2023).

The severity of PTSD symptoms often varies based on the intensity and nature of the traumatic events experienced. For instance, individuals who encounter close combat situations or who witness the death of comrades are more likely to develop severe PTSD symptoms (Hoge et al., 2004).

Symptoms of PTSD in Soldiers

PTSD symptoms are generally grouped into four categories:

  1. Intrusive Thoughts: Soldiers with PTSD often experience unwanted, distressing memories or flashbacks of traumatic events, causing them to relive the traumatic moment repeatedly.
  2. Avoidance: Avoiding situations, people, or places that remind the individual of the trauma is a common coping mechanism. Soldiers might withdraw from social settings or avoid seeking help.
  3. Negative Changes in Thought and Mood: Symptoms may include persistent negative emotions, distorted beliefs about oneself or others, and a feeling of detachment from family and friends.
  4. Hyperarousal and Reactivity: PTSD often causes soldiers to experience heightened anxiety, irritability, or hypervigilance. They may have difficulty sleeping and feel constantly on edge (National Institute of Mental Health, 2021).

In military contexts, PTSD can lead to significant challenges in social and family relationships, making reintegration into civilian life difficult. Soldiers may experience guilt over actions taken or not taken in combat, known as moral injury, which exacerbates the symptoms of PTSD (Litz et al., 2009).

Effects of PTSD on Soldiers’ Lives

PTSD can have a severe impact on veterans’ physical, mental, and emotional well-being, with potential long-term consequences that affect not only the individual but also their families and communities. Some of the major effects include:

  • Depression and Anxiety: Soldiers with PTSD often experience comorbid depression and anxiety, which can further complicate their recovery. The stress and trauma they face in combat environments have lasting effects that increase susceptibility to these conditions.
  • Substance Abuse: To cope with symptoms, many veterans turn to alcohol or drugs, which often results in dependency issues. Research has shown that PTSD and substance use disorders are closely linked in military populations, with soldiers attempting to self-medicate to alleviate PTSD symptoms (Seal et al., 2011).
  • Suicidal Ideation and Attempts: PTSD is a significant risk factor for suicide among veterans, with some studies indicating that the risk of suicide is higher among those with PTSD than the general population (Kang et al., 2015).
  • Difficulties in Employment and Social Reintegration: Veterans with PTSD may struggle to find and maintain stable employment due to symptoms such as hyperarousal, anxiety, and avoidance, impacting their social and economic well-being. Reintegration challenges, compounded by stigmatization of mental health issues, further isolate veterans from support systems that could aid in their recovery.

Treatment Options for PTSD in Soldiers

A wide range of treatment options is available for soldiers with PTSD. The goal of these treatments is not only to alleviate symptoms but to enable veterans to lead fulfilling lives after service. Treatments can be broadly categorized into:

  1. Psychotherapy: Psychotherapy, particularly Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR), are among the most effective treatments for PTSD. CBT helps patients process and alter their trauma-related thoughts and behaviors, while EMDR helps in processing traumatic memories by stimulating the brain’s natural healing process (Watkins et al., 2018).
  2. Pharmacotherapy: Antidepressants like selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed for PTSD, as they help manage symptoms of anxiety and depression. Medication, however, is often used alongside psychotherapy rather than as a standalone treatment (VA/DoD Clinical Practice Guideline, 2017).
  3. Group Therapy and Support Groups: These provide veterans with a community that understands their experiences, fostering a support system that can help them cope with the effects of trauma. Research indicates that group therapy is particularly beneficial for soldiers, as it promotes shared understanding and mutual support (Browne et al., 2016).
  4. Emerging Treatments: New therapies, such as virtual reality exposure therapy (VRET) and MDMA-assisted psychotherapy, have shown promising results. VRET immerses patients in a controlled, simulated environment to help them confront and process traumatic experiences. MDMA-assisted therapy, under clinical investigation, has demonstrated significant reductions in PTSD symptoms in early trials (Mithoefer et al., 2018).

Challenges in Addressing PTSD in Military Contexts

Despite available treatments, several challenges remain in addressing PTSD among soldiers. A significant barrier is stigma—many military personnel fear seeking help for PTSD due to concerns about appearing weak or unfit for duty. Additionally, the military structure can sometimes be resistant to mental health care initiatives, emphasizing resilience and self-reliance over seeking assistance. Efforts are ongoing to destigmatize PTSD and encourage open discussions about mental health in military settings (Hoge et al., 2004).

Accessibility of mental health services is another issue. Many veterans live in rural areas with limited access to specialized PTSD treatments. Telemedicine has been identified as a potential solution, offering remote therapy sessions that improve access for veterans in underserved areas (Rosen et al., 2017).

Conclusion

PTSD remains a significant mental health concern for soldiers, with far-reaching impacts on individuals, families, and communities. The military context poses unique challenges for both the onset and treatment of PTSD, underscoring the need for continued research, awareness, and innovation in treatment options. By addressing stigma and improving access to mental health care, society can better support veterans in managing PTSD and lead them toward healthier, more fulfilling lives post-service.

This article was written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years of experience in the Social Work field. He currently serves as the Executive Director and Outpatient provider for Southeast Kentucky Behavioral Health based out of London Kentucky. He may be reached at (606) 657-0532 extension 101 or by email at john@sekybh.com

References

  • American Psychological Association. (2020). PTSD and the Military. Retrieved from APA.org.
  • Gradus, J. (2023). PTSD in Military Veterans. VA National Center for PTSD. Retrieved from PTSD.va.gov.
  • Hoge, C. W., et al. (2004). Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care. The New England Journal of Medicine, 351(1), 13-22.
  • Kang, H. K., et al. (2015). Association of PTSD with increased suicide risk among veterans. Journal of Military Medicine, 180(9), 982-989.
  • Litz, B. T., et al. (2009). Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review, 29(8), 695-706.
  • Mithoefer, M. C., et al. (2018). MDMA-assisted psychotherapy for PTSD: A breakthrough therapy. Journal of Psychopharmacology, 32(1), 4-12.
  • National Institute of Mental Health. (2021). Post-Traumatic Stress Disorder. Retrieved from NIMH.nih.gov.
  • Rosen, C. S., et al. (2017). Telemedicine for PTSD: A review of clinical evidence and practice. Telemedicine and e-Health, 23(3), 192-202.
  • Seal, K. H., et al. (2011). Substance use disorders in Iraq and Afghanistan veterans. Journal of Addiction Medicine, 5(1), 5-10.
  • VA/DoD Clinical Practice Guideline. (2017). Management of Post-Traumatic Stress Disorder and Acute Stress Reaction. Department of Veterans Affairs.
Can Someone Change Their Love Language?

The concept of love languages was introduced by Dr. Gary Chapman in his 1992 book “The Five Love Languages: How to Express Heartfelt Commitment to Your Mate.” Chapman’s theory posits that people express and experience love in one of five primary ways: Words of Affirmation, Acts of Service, Receiving Gifts, Quality Time, and Physical Touch. These love languages help individuals and couples better understand each other’s emotional needs. A common question that arises is whether love languages are static or if they can change over time. In fact, research and anecdotal evidence suggest that a person’s love language can shift due to a variety of factors.

Understanding Love Languages

Chapman’s theory emphasizes that every individual has a primary love language—one that resonates the most in making them feel loved and appreciated. However, it’s important to recognize that love languages are not rigid personality traits but dynamic preferences that can evolve. According to Dr. Chapman, love languages are shaped by upbringing, cultural influences, and past experiences, but they are also adaptable as we navigate through life changes.

Can Love Languages Change?

Several factors can lead to shifts in a person’s love language over time:

  1. Life Transitions and Circumstances
    Major life events such as marriage, parenthood, career changes, or even personal crises can lead to a shift in how individuals prioritize love languages. For instance, someone whose primary love language used to be Words of Affirmation may find themselves valuing Acts of Service after becoming a parent. The practical help offered by a partner during stressful periods may feel like the most profound expression of love. Research suggests that significant life events and environmental contexts can shift what people value most in relationships (Neff & Karney, 2009).
  2. Changes in Relationship Dynamics
    As relationships evolve, partners may learn to express love in new ways or find new ways of feeling loved. A study by Horan & Booth-Butterfield (2013) found that partners in long-term relationships tend to adapt their communication styles and emotional expressions over time. In such cases, love languages can shift in response to changing relationship dynamics. For example, a person who previously valued Receiving Gifts may, over time, begin to prioritize Quality Time if the relationship has grown emotionally distant.
  3. Personal Growth and Emotional Maturity
    Emotional and psychological development can also influence a person’s love language. People evolve, and their emotional needs do too. An individual who has gone through therapy, for instance, may become more comfortable with Physical Touch after working through issues related to intimacy. Similarly, someone who has gained confidence or self-assurance might find that they now crave Words of Affirmation less than before. Research on emotional intelligence highlights that as people become more emotionally mature, their ways of connecting with others evolve (Schutte et al., 2001).

Adaptability and Communication in Relationships

It’s essential to note that just because a person’s love language may change doesn’t mean that love languages are irrelevant or overly fluid. The primary purpose of love languages is to enhance communication in relationships, and as such, being attuned to these shifts is crucial. When individuals notice their love language or their partner’s has changed, open communication is key to ensuring that both partners feel supported and loved.

According to Chapman (2010), couples should regularly check in with one another about their emotional needs, as this allows them to adapt and accommodate shifts in love languages. It’s not uncommon for couples to experience a shift in the ways they express love, especially as they mature and face new challenges together.

Conclusion

While a person’s love language may feel like an integral part of their identity, it’s clear that love languages can change over time. Whether influenced by life circumstances, relationship dynamics, or personal growth, individuals may find their emotional needs evolving. This is a natural part of human development. The key to sustaining healthy relationships lies in the ability to recognize and adapt to these changes through ongoing communication and mutual understanding.

This article has been written by John S. Collier, MSW, LCSW. John has over 25 years experience in the Social Work Field. He currently serves as the Executive Director and Provider within Southeast Kentucky Behavioral Health based out of London Kentucky. He may be reached at (606) 657-0532 extension 101 or by email at john@sekybh.com.

References

Chapman, G. (1992). The Five Love Languages: How to Express Heartfelt Commitment to Your Mate. Northfield Publishing.
Chapman, G. (2010). The Five Love Languages: The Secret to Love That Lasts. Northfield Publishing.
Horan, S. M., & Booth-Butterfield, M. (2013). Understanding the Communicative Aspects of Love: Interpersonal Communication in Romantic Relationships. Communication Quarterly, 61(5), 552-567.
Neff, L. A., & Karney, B. R. (2009). Stress and Reappraisal of Marital Interactions. Journal of Personality and Social Psychology, 97(3), 561–576.
Schutte, N. S., Malouff, J. M., Simunek, M., McKenley, J., & Hollander, S. (2001). Characteristic Emotional Intelligence and Emotional Well-Being. Cognition & Emotion, 16(6), 769-785.

Did you Lose Yourself in your Marriage?

Marriage is often seen as a union of two individuals who merge their lives, goals, and values. While this partnership requires compromise, trust, and mutual support, there is a risk of losing one’s personal identity in the process. Losing oneself in a marriage refers to the tendency to prioritize the relationship at the expense of individual identity, interests, and personal development. While the idea of “becoming one” is often romanticized, losing oneself in a marriage can have significant negative consequences for both personal well-being and the relationship itself.

The Concept of Losing Yourself in Marriage

To lose oneself in a marriage means that an individual’s personal identity becomes submerged in the identity of the couple. This can manifest in giving up personal hobbies, values, friendships, or ambitions for the sake of maintaining the relationship. While compromise is an essential part of any marriage, consistently abandoning one’s personal interests and values can lead to feelings of disconnection, resentment, and dissatisfaction over time (Aron & Aron, 2001).

Researchers have explored the psychological phenomenon of “relationship enmeshment,” which occurs when boundaries between partners become blurred, and one partner’s identity is overtaken by the couple’s shared identity (Cramer, 2003). While it’s normal for couples to grow together and make sacrifices for one another, maintaining individual autonomy is equally important for long-term happiness and mental health.

Negative Consequences of Losing Yourself in Marriage

Losing oneself in a marriage can result in several adverse effects, both on an individual level and within the relationship itself.

  1. Loss of Personal Fulfillment: When a person consistently prioritizes their spouse’s needs and interests over their own, they may begin to lose touch with the things that once brought them personal joy and satisfaction (Miller, 2019). Over time, this can lead to feelings of emptiness, as the individual may feel they have lost their sense of purpose outside the marriage.
  2. Emotional Burnout and Resentment: Constantly putting the relationship above one’s own needs can lead to emotional exhaustion. This can result in feelings of resentment towards the spouse, as the individual may feel that they have sacrificed too much for the relationship (Waller & McLanahan, 2005). This, in turn, can create tension within the marriage, as unresolved feelings of resentment and burnout may lead to conflict.
  3. Imbalanced Power Dynamics: In cases where one partner continually prioritizes the other, an imbalanced power dynamic can emerge. The partner who has lost themselves may feel powerless or dependent on their spouse, while the other partner may unknowingly become the dominant figure in the relationship (Anderson & Chen, 2002). This imbalance can create long-term strain on the relationship, as both partners may struggle to navigate the power dynamic.
  4. Increased Risk of Codependency: Losing oneself in a marriage can also contribute to codependency, a situation where one partner becomes overly reliant on the other for emotional support and self-worth. Codependency can limit personal growth, independence, and self-sufficiency, making the individual feel trapped within the relationship (Hendrick & Hendrick, 2006). This can further erode the quality of the marriage, as both partners may struggle with the limitations that codependency imposes.

Why It’s Important to Maintain Individuality in Marriage

Maintaining individuality within a marriage is not only beneficial for personal well-being but also for the health of the relationship. When both partners have their own identities, interests, and friendships, they are more likely to experience personal fulfillment, which can positively impact the marriage. Here are a few reasons why individuality is crucial:

  1. Promotes Personal Growth: Maintaining one’s own hobbies, ambitions, and social connections outside of the marriage allows for continued personal growth. When individuals have space to grow independently, they bring new perspectives and experiences back to the relationship, enriching the partnership as a whole (Aron & Aron, 2001).
  2. Encourages Healthy Boundaries: Healthy marriages thrive on mutual respect and understanding. Setting and maintaining personal boundaries can help ensure that both partners feel valued and respected in the relationship. This allows for a balance of independence and togetherness, preventing the suffocation that often comes with losing oneself in the marriage (Cramer, 2003).
  3. Fosters Emotional Stability: When individuals maintain a sense of self outside of the relationship, they are less likely to become emotionally dependent on their spouse. This fosters emotional stability, as each partner feels confident and secure in their own identity (Sprecher & Felmlee, 1992). Emotional stability contributes to a healthier and more balanced relationship dynamic, where both partners support each other’s individual growth.

How to Prevent Losing Yourself in Marriage

To avoid losing oneself in marriage, it is essential to establish and maintain boundaries, communicate openly with your partner, and prioritize self-care. Here are some practical steps to ensure a healthy balance between individuality and partnership:

  1. Prioritize Personal Hobbies and Interests: It is important to continue pursuing personal hobbies and interests, even after getting married. Engaging in activities that bring personal fulfillment allows individuals to maintain a sense of self (Waller & McLanahan, 2005). Additionally, this can help prevent feelings of boredom or stagnation within the marriage.
  2. Foster Open Communication: Having honest conversations with your partner about personal needs, boundaries, and concerns is essential. Open communication helps prevent misunderstandings and ensures that both partners feel heard and respected (Hendrick & Hendrick, 2006).
  3. Maintain Relationships Outside of the Marriage: Cultivating friendships and maintaining relationships with family members outside the marriage is vital. These connections provide emotional support and offer different perspectives, helping to prevent isolation within the marriage (Miller, 2019).
  4. Reflect on Personal Goals: Take time to regularly reflect on personal goals, values, and aspirations. This helps ensure that personal ambitions are not lost in the pursuit of relationship harmony (Aron & Aron, 2001).

Conclusion

While marriage is a deeply rewarding partnership, it is important to avoid losing oneself in the relationship. Maintaining individuality, setting healthy boundaries, and fostering open communication can help ensure that both partners thrive both individually and as a couple. By balancing personal growth with marital commitment, individuals can experience greater fulfillment, emotional stability, and long-term relationship satisfaction.

This article has been written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years in the social work field. He currently serves as the executive director and provider within Southeast Kentucky Behavioral Health based out of London Kentucky. He may be reached at 6066570532 or by email at john@sekybh.com.

References

Anderson, S. M., & Chen, S. (2002). The relational self: An interpersonal social-cognitive theory. Psychological Review, 109(4), 619–645. https://doi.org/10.1037/0033-295X.109.4.619

Aron, A., & Aron, E. N. (2001). Self-expansion model of motivation and cognition in close relationships and beyond. Handbook of Motivation and Cognition Within Close Relationships, 63–84.

Cramer, D. (2003). Perceived respect for privacy, need for independence, and personal well-being in close relationships. Journal of Social and Personal Relationships, 20(2), 253–271. https://doi.org/10.1177/0265407503020002005

Hendrick, S. S., & Hendrick, C. (2006). Close relationships: A sourcebook. Sage Publications.

Miller, K. (2019). Boundaries in relationships: The key to maintaining intimacy and trust. Healthy Connections Press.

Sprecher, S., & Felmlee, D. (1992). The influence of self-disclosure on liking: Separate meta-analyses for men and women. Psychological Bulletin, 112(3), 487-492.

Waller, M. R., & McLanahan, S. (2005). “His” and “Her” marriage expectations: Determinants and consequences. Journal of Marriage and Family, 67(1), 53-67.

Do You Miss the Way It Was or Do You Miss the Way It Should Have Been?

Feelings of nostalgia and regret are common in life’s journey, especially when reflecting on relationships, past experiences, or significant life changes. Yet, a subtle but important question often arises when people reflect on their past: Do you miss the way it was, or do you miss the way it should have been? This question speaks to the tension between remembering actual past events and yearning for an idealized version of what those experiences could have been. Examining this distinction can help us understand ourselves better, find closure, and learn to move forward in healthier ways.

1. Nostalgia and the Idealization of the Past

Nostalgia is a complex emotion that involves a yearning for the past. While it can evoke warm, comforting feelings, it can also distort memories. Psychologists describe nostalgia as bittersweet because it often involves idealizing the past, focusing on positive memories while downplaying the negative ones (Wildschut et al., 2006). People often miss “the way it was” because nostalgia smooths over the rough edges of reality, leaving only memories of joy, comfort, or connection.

However, nostalgia doesn’t always provide an accurate reflection of past events. A study published in Memory found that nostalgic memories tend to be colored by emotion, leading people to remember the past as more positive than it may have been (Sedikides & Wildschut, 2018). This idealization can sometimes cause individuals to miss the way things “were” without fully acknowledging the challenges or flaws in those past experiences.

On the other hand, some people find themselves missing not what actually happened, but what could have happened. This feeling stems from regret and the recognition that certain situations didn’t unfold as hoped. In this case, they are mourning the loss of an imagined future—a version of events that, in their minds, should have been different or better.

2. Regret and the Longing for What Could Have Been

Regret is a powerful emotion that arises when people feel they have lost out on an opportunity or failed to achieve a desired outcome. Unlike nostalgia, which tends to idealize the past, regret focuses on the gap between reality and expectation. In relationships, careers, or personal decisions, people often feel regret when they realize that things didn’t turn out as they had envisioned.

Research published in Social Psychological and Personality Science indicates that people experience more intense regret over inactions than actions. In other words, people are more likely to regret the things they didn’t do, the words they didn’t say, or the opportunities they didn’t take (Gilovich & Medvec, 1995). This leads to a feeling of missing “the way it should have been”—an alternate reality where different choices led to better outcomes.

This type of regret can be particularly painful because it involves a sense of lost potential. When people think about missed opportunities or paths not taken, they often create a mental image of an idealized version of their lives—one where they made the right choices, found happiness, or achieved success. However, these idealized scenarios are often based on an assumption that everything would have worked out perfectly, which may not be a realistic view.

3. The Role of Expectations in Shaping Our Perceptions

Expectations play a central role in determining whether we miss “the way it was” or “the way it should have been.” When expectations are high, and reality falls short, regret is more likely to surface. Psychologist Daniel Kahneman’s prospect theory suggests that people are more sensitive to losses than to gains. As a result, when reality doesn’t meet our expectations, it feels like a loss, even if the outcome wasn’t inherently negative (Kahneman & Tversky, 1979).

For example, in relationships, people may mourn what “should have been” if they expected certain outcomes—such as lifelong commitment, emotional support, or mutual understanding—that were never realized. When these expectations go unmet, it can lead to feelings of disappointment, regret, and even bitterness. People may find themselves asking “what if?” and dwelling on the possibility that things could have been better if only certain events had played out differently.

Conversely, when expectations are low, people are more likely to look back on the past with nostalgia, finding comfort in the way things were. This is because their expectations were already aligned with reality, allowing them to accept the past as it was without feeling like something better was lost.

4. Grieving Unlived Lives

One of the most difficult aspects of missing “the way it should have been” is grieving the life or relationship that never existed. This concept is related to ambiguous loss, a term coined by psychologist Pauline Boss. Ambiguous loss refers to a type of grief where the object of loss is unclear or unresolved (Boss, 1999). In the context of regret, people may grieve not only for relationships or opportunities that ended but also for the potential that those situations held.

This type of grief can be complex because it involves mourning for something that was never real. People may find themselves dwelling on questions like, “What if I had married someone else?” or “What if I had pursued a different career?” These thoughts can prevent closure because they keep the individual tied to a hypothetical scenario rather than accepting reality.

In these cases, it’s essential to acknowledge the grief associated with unrealized potential, but also to recognize that these imagined lives are just that—imagined. Acceptance and self-compassion are critical in moving forward from this type of loss (Neff, 2003).

5. Moving Forward: Embracing Acceptance and Growth

Whether someone is missing “the way it was” or “the way it should have been,” learning to let go and embrace acceptance is key to moving forward. Acceptance doesn’t mean denying emotions like regret or nostalgia, but rather acknowledging them without letting them control one’s life.

Practicing self-compassion can help individuals cope with regret and missed opportunities. According to researcher Kristin Neff, self-compassion involves treating yourself with kindness, recognizing your common humanity, and being mindful of your feelings without judgment (Neff, 2003). By cultivating self-compassion, individuals can begin to release unrealistic expectations and move forward with a greater sense of peace.

Similarly, mindfulness can be a powerful tool in preventing the mind from becoming trapped in the past. A study published in Psychological Science found that mindfulness practices help individuals stay focused on the present moment, reducing rumination on past regrets or missed opportunities (Kabat-Zinn, 2003).

Conclusion

The question of whether we miss “the way it was” or “the way it should have been” speaks to the complexity of human emotions and memory. Nostalgia and regret are two sides of the same coin, each reflecting a different way of engaging with the past. While nostalgia often idealizes the past, regret fixates on the gap between expectations and reality. By understanding these emotional responses, we can gain insight into our inner world and learn to move forward with greater acceptance, self-compassion, and emotional resilience.

References

  • Boss, P. (1999). Ambiguous Loss: Learning to Live with Unresolved Grief. Harvard University Press.
  • Gilovich, T., & Medvec, V. H. (1995). The Experience of Regret: What, When, and Why. Psychological Review, 102(2), 379-395.
  • Kahneman, D., & Tversky, A. (1979). Prospect Theory: An Analysis of Decision under Risk. Econometrica, 47(2), 263-291.
  • Kabat-Zinn, J. (2003). Mindfulness-Based Interventions in Context: Past, Present, and Future. Clinical Psychology: Science and Practice, 10(2), 144-156.
  • Neff, K. D. (2003). The Development and Validation of a Scale to Measure Self-Compassion. Self and Identity, 2(3), 223-250.
  • Sedikides, C., & Wildschut, T. (2018). Finding Meaning in Nostalgia. Review of General Psychology, 22(1), 48-61.
  • Wildschut, T., Sedikides, C., Arndt, J., & Routledge, C. (2006). Nostalgia: Content, Triggers, Functions. Journal of Personality and Social Psychology, 91(5), 975-993.

Why Your Marriage Should Be a Priority Over Your Children

In the modern world, many parents feel a constant pressure to focus all their time and energy on their children. While raising healthy, well-adjusted children is undoubtedly important, prioritizing your marriage is equally crucial. A strong marital relationship creates a stable foundation for your family, benefits your children in the long run, and contributes to personal fulfillment. This article explores why it’s essential to put your marriage first, supported by research and expert insights.

1. A Strong Marriage Provides a Stable Foundation for the Family

A healthy and stable marriage is the cornerstone of a thriving family. When parents have a strong, supportive relationship, they create an environment of emotional security for their children. Children benefit from witnessing a loving, respectful partnership because it models healthy relationship dynamics that they will carry into their own lives.

Research published in The Journal of Marriage and Family found that children whose parents maintain a strong relationship experience fewer behavioral and emotional problems (Amato, 2005). A stable marital bond creates a sense of safety and security, enabling children to feel more grounded. In contrast, when a marriage is neglected or becomes strained, children are more likely to experience anxiety, insecurity, and emotional instability.

By prioritizing your marriage, you’re investing in the well-being of the entire family unit.

2. Children Benefit from Witnessing Healthy Relationships

Children learn how to navigate relationships by observing their parents. By demonstrating love, respect, and teamwork in your marriage, you provide your children with a positive model for future relationships. This sets them up to build healthy partnerships later in life.

Dr. John Gottman, a renowned relationship researcher, emphasizes that children who observe their parents resolving conflicts with respect and cooperation tend to develop better problem-solving skills in their own relationships (Gottman & Silver, 1999). When your children see that you prioritize time together, communicate openly, and demonstrate affection, they learn valuable lessons about what it means to have a supportive, loving relationship.

Moreover, prioritizing your marriage helps create a positive family culture, where your children feel comfortable and learn important emotional skills like empathy, compromise, and communication.

3. Maintaining a Happy Marriage Helps Prevent Parental Burnout

Parenting is demanding, and when the focus is entirely on children, parents can experience burnout. This can lead to stress, exhaustion, and even resentment, which ultimately affects both the marriage and the parent-child relationship. By making your marriage a priority, you ensure that you and your partner maintain a strong emotional connection, which helps buffer the stress of parenting.

A study published in Family Relations found that when parents prioritize their relationship, they report greater personal well-being, less stress, and more satisfaction in both their marriage and their role as parents (Kluwer, 2010). This improved well-being translates into more energy and patience for parenting, allowing you to be more present and engaged with your children.

Taking time to nurture your marriage—whether through regular date nights, shared hobbies, or simply having uninterrupted conversations—helps you recharge emotionally and prevents burnout, making you a better partner and parent.

4. Prioritizing Your Marriage Promotes Long-Term Family Stability

Children grow up and eventually leave the home, but your marriage is meant to last a lifetime. Prioritizing your marriage not only enhances your connection in the present but also ensures that you have a strong partnership when the children are grown and out of the house.

Dr. Gary Chapman, author of The Five Love Languages, argues that parents who maintain a strong marital bond throughout the child-rearing years are more likely to experience long-term satisfaction in their marriage once their children become independent (Chapman, 1995). When couples neglect their marriage in favor of focusing exclusively on their children, they often find themselves disconnected once the children leave, leading to what’s commonly known as “empty nest syndrome.”

By keeping your marriage strong, you’re building a relationship that can thrive beyond the parenting years, allowing you and your partner to enjoy life together for many years to come.

5. A Strong Marriage Teaches Children That Relationships Take Work

When children see that you prioritize your marriage, they learn that relationships require effort, commitment, and time. They come to understand that maintaining a healthy marriage involves not only love and affection but also patience, communication, and mutual support. This is an important lesson for children as they grow and develop their own understanding of relationships.

A study in The Journal of Family Psychology found that children who grow up in homes where parents invest time in their marriage are more likely to have successful relationships as adults (Cui & Fincham, 2010). These children are better equipped to handle conflicts, express their emotions, and communicate effectively with their future partners.

By making your marriage a priority, you’re giving your children a powerful example of how to cultivate a loving, respectful relationship, which they can carry with them into adulthood.

Conclusion

While it may seem counterintuitive to put your marriage before your children, doing so creates a strong, stable foundation for your family. A happy, healthy marriage benefits your children by providing them with emotional security, modeling positive relationship dynamics, and teaching them important life skills. Moreover, by prioritizing your relationship, you prevent parental burnout, enhance long-term family stability, and ensure that your partnership will thrive even after the children leave the nest.

Balancing the demands of marriage and parenting can be challenging, but making your relationship a priority benefits everyone in the family, including your children. Ultimately, the best gift you can give your children is the example of a loving, committed partnership.

This article was written by John S. Collier, MSW, LCSW. John has over 25 years experience in the social work. John currently serves as the executive Director and provider within Southeast Kentucky Behavioral Health based out of London Kentucky. He may be reached at 606-657-0532 extension 101 or by email john@sekybh.com

References

• Amato, P. R. (2005). The Impact of Family Formation Change on the Cognitive, Social, and Emotional Well-Being of the Next Generation. The Journal of Marriage and Family, 67(4), 911-926.

• Chapman, G. (1995). The Five Love Languages: How to Express Heartfelt Commitment to Your Mate. Northfield Publishing.

• Cui, M., & Fincham, F. D. (2010). The Differential Effects of Parental Divorce and Marital Conflict on Young Adult Romantic Relationships. Journal of Family Psychology, 24(4), 456-465.

• Gottman, J. M., & Silver, N. (1999). The Seven Principles for Making Marriage Work. New York: Three Rivers Press.

• Kluwer, E. S. (2010). From Partnership to Parenthood: A Review of Marital Change Across the Transition to Parenthood. Family Relations, 59(5), 639-652.

What Does It Mean to Be Supportive of Your Wife?

Supporting your wife goes beyond just providing financial security or help with household chores; it is about being emotionally, mentally, and physically present in her life. Being supportive involves understanding her needs, respecting her individuality, and being an active participant in her personal growth. Here’s an exploration of what it truly means to be supportive of your wife.

1. Emotional Support

Emotional support is one of the most critical aspects of a healthy relationship. It means being there for your wife when she faces challenges or emotional distress, and offering empathy and understanding without judgment. According to Dr. John Gottman, an expert on marriage and relationships, emotional validation and active listening help strengthen the emotional bond between partners. When your wife shares her feelings, it’s essential to listen attentively, acknowledge her emotions, and validate her perspective. Even if you don’t have all the answers, your presence and understanding provide immense comfort.

2. Encouraging Her Personal Goals

A supportive partner is one who encourages their spouse’s personal development and goals. This means recognizing that your wife has aspirations—whether in her career, education, or hobbies—and showing genuine interest in those pursuits. Research has shown that couples who support each other’s ambitions tend to have stronger relationships. According to a study published in The Journal of Personality and Social Psychology, when partners actively engage in each other’s goals, they experience a greater sense of personal growth and satisfaction in their relationship (Feeney & Collins, 2015).

Supporting your wife’s goals involves more than just verbal encouragement. It can mean rearranging schedules to help her pursue education or a career, taking on additional household duties during busy periods, or simply being her biggest cheerleader when she embarks on new ventures.

3. Physical Presence and Shared Responsibilities

Being physically present in your wife’s life means taking an active role in shared responsibilities, from parenting to household chores. In modern partnerships, egalitarian relationships, where both partners share responsibilities equally, are increasingly important. Research conducted by Pew Research Center found that sharing household chores is one of the top factors contributing to a successful marriage (Pew, 2016). Helping with daily tasks not only eases your wife’s burden but also shows that you recognize her efforts and value teamwork in the relationship.

This presence also includes making time for activities that are important to her, such as family events or her personal hobbies, as well as supporting her needs for rest and self-care.

4. Respecting Her Individuality

Being supportive also means respecting your wife as an individual with her own identity, desires, and boundaries. This involves maintaining healthy communication, where both partners express their opinions and desires openly. In a supportive relationship, partners allow each other the freedom to explore their interests and have time apart without feeling threatened. According to clinical psychologist Dr. Harriet Lerner, it is crucial for both partners to maintain their individuality while building a shared life together (Lerner, 2017).

Recognizing that your wife is more than just a wife or mother, but also a unique person with dreams, fears, and interests, will strengthen your relationship by fostering mutual respect and trust.

5. Offering Unconditional Love

Support also means offering unconditional love, even during tough times. This can mean standing by your wife through moments of insecurity, hardship, or failure. Demonstrating your love regardless of circumstances creates a solid foundation of trust. Research by psychologist Dr. Sue Johnson, the founder of Emotionally Focused Therapy, highlights the importance of creating an emotionally secure bond through consistent affection, reassurance, and emotional safety (Johnson, 2008).

In essence, being supportive of your wife requires a combination of emotional, physical, and practical efforts. It means standing by her in times of difficulty, encouraging her growth and individuality, sharing responsibilities, and loving her unconditionally. When both partners are committed to supporting one another, the relationship becomes a partnership based on mutual respect, trust, and love.

This article has been written by John S. Collier, MSW, LCSW. Mr. Colllier has over 15 years in the social work field. He currently serves as director and provider through Southeaat Kentucky Behavioral Health based out of London Kentucky. He may be reached at 606-657-0532 extension 101 or by email at john@sekybh.com.

References

• Feeney, B. C., & Collins, N. L. (2015). A new look at social support: A theoretical perspective on thriving through relationships. Journal of Personality and Social Psychology, 108(1), 123-145.

• Gottman, J. M., & Silver, N. (1999). The Seven Principles for Making Marriage Work. New York: Three Rivers Press.

• Johnson, S. M. (2008). Hold Me Tight: Seven Conversations for a Lifetime of Love. Little, Brown Spark.

• Lerner, H. (2017). The Dance of Anger: A Woman’s Guide to Changing the Patterns of Intimate Relationships. HarperCollins Publishers.

• Pew Research Center (2016). Americans see different expectations for men and women. Pew Research Center Social & Demographic Trends. Retrieved from Pew Research Center.

Job Opportunity: Community Access Specialist

Program: Supports for Community Living Division

Apply now

Location: London/Corbin and Richmond/Lexington

Reports To: Executive Director or Designee

Job Summary:

The Community Access Specialist supports individuals with intellectual and developmental disabilities participating in the Kentucky Supports for Community Living (SCL) waiver program, in accordance with the Kentucky Administrative Regulation (KAR) 907 KAR 12:010. This position is responsible for assisting individuals in accessing community resources, services, and activities that promote independence, inclusion, and meaningful community engagement.

Key Responsibilities:

1. Community Integration and Advocacy:

• Assist individuals in identifying and participating in community activities, services, and opportunities that align with their personal goals and interests.

• Promote inclusion by advocating for reasonable accommodations and modifications to ensure equal access to community resources and services.

• Develop relationships with community organizations, employers, and other service providers to create opportunities for the individuals served.

• Ensure that services are provided in natural community settings, as defined by 907 KAR 12:010, Section 2.

2. Person-Centered Planning:

• Collaborate with individuals, their families, and their support teams to create and implement individualized service plans (ISPs) that reflect the person’s goals for community involvement.

• Facilitate skill development in areas that enhance the individual’s ability to live more independently and participate fully in community life.

3. Service Documentation and Compliance:

• Maintain accurate and timely documentation of services provided in accordance with Medicaid and SCL waiver program requirements, including 907 KAR 1:145, which governs record-keeping and compliance.

• Participate in audits, reviews, and quality improvement initiatives to ensure adherence to state regulations and program guidelines.

• Ensure services provided are in line with 907 KAR 12:010, which outlines service definitions and provider qualifications.

4. Collaboration and Teamwork:

• Work collaboratively with case managers, direct support professionals, healthcare providers, and other stakeholders to ensure seamless service delivery.

• Participate in interdisciplinary team meetings, as needed, to discuss service progress, address barriers, and update individualized service plans.

• Provide training and support to individuals and their support teams on accessing and navigating community resources.

5. Resource Coordination:

• Assist in identifying community resources, including educational, employment, recreational, and social opportunities, that meet the individual’s needs and preferences.

• Coordinate transportation and other logistical needs to support community participation.

• Facilitate access to additional waiver services, as appropriate, ensuring compliance with 907 KAR 12:010.

Qualifications:

• Education: Bachelor’s degree in Social Work, Psychology, Human Services, or a related field preferred.

• Experience: Minimum of 1 year of experience working with individuals with intellectual or developmental disabilities. Knowledge of Medicaid waiver programs, specifically the SCL waiver, is preferred.

• Certifications: CPR/First Aid certification is required. Completion of relevant SCL waiver training is required within the first 90 days of employment.

• Skills:

• Strong understanding of community resources and service systems within Kentucky.

• Ability to work effectively within a person-centered framework.

• Strong interpersonal, organizational, and advocacy skills.

• Familiarity with Kentucky Administrative Regulations related to Medicaid, particularly 907 KAR 12:010.

Work Conditions:

• The position requires frequent travel within the community, including home visits, attending community activities, and networking with local resources.

• Ability to work flexible hours, including evenings or weekends, to support individuals’ community participation as needed.

References:

• Kentucky Administrative Regulations (KAR), including but not limited to:

• 907 KAR 12:010 – Supports for Community Living Waiver: Service Definitions and Provider Qualifications

• 907 KAR 1:145 – Medicaid Services: Record-Keeping and Documentation Requirements

This job description is intended to provide a general overview of the position and is not an exhaustive list of duties or requirements.

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Navigating the Transition: How Men Can Use Ways to Cope with Adjusting to Life After Retirement

Retirement marks a significant milestone in a man’s life, signaling the end of a long and fulfilling career and the beginning of a new chapter filled with opportunities for leisure, personal growth, and exploration. While retirement can bring about a sense of freedom and relaxation, it can also present challenges as men adjust to a life without the structure and routine of work. Just as Ways helps drivers navigate unfamiliar roads, men can utilize strategies and tools to help them navigate the transition to retirement successfully. Each topic in this article will spark a new article each week in this series on men “Navigating the Transition”

1.  Set New Goals and Priorities: 

Similar to setting a destination in Waze, men should establish new goals and priorities for their retirement years. Whether it’s pursuing a long-held passion, traveling to new destinations, or spending more time with family and friends, having clear goals can provide a sense of direction and purpose in retirement.

2.  Create a Routine

Retirement can disrupt the daily routine that many men are accustomed to during their working years. Establishing a new routine can help create structure and stability in retirement. Setting aside time for exercise, hobbies, social activities, and relaxation can help men adjust to their new lifestyle and maintain a sense of balance.

3.  Stay Socially Connected:

Social connections play a crucial role in mental and emotional well-being. Just as Ways provides real-time updates and traffic information, staying connected with friends, family, and community groups can help men navigate the social landscape of retirement. Joining clubs, volunteering, or participating in group activities can provide opportunities for social interaction and support.

4.  Explore New Opportunities:

Retirement offers a unique opportunity for men to explore new interests and experiences. Just as Ways suggests alternative routes, men should be open to trying new things and stepping outside their comfort zone. Whether it’s learning a new skill, volunteering for a cause they are passionate about, or embarking on a new adventure, embracing new opportunities can enrich their retirement years.

5.  Manage Finances Wisely:

Financial planning is essential for a smooth transition into retirement. Men should review their financial situation, create a budget, and make informed decisions about their retirement savings and investments. Seeking guidance from a financial advisor can help men navigate the financial aspects of retirement and ensure their financial security in the years ahead.

6.  Prioritize Self-Care:

Taking care of one’s physical and mental health is crucial during the retirement years. Just as Ways helps drivers reach their destination safely, men should prioritize self-care activities such as exercise, proper nutrition, adequate sleep, and stress management. Engaging in activities that promote well-being can help men maintain their health and vitality in retirement.

Adjusting to life after retirement is a significant transition for men that requires careful planning, adaptability, and a willingness to embrace new experiences. By utilizing strategies and tools like Ways to navigate the challenges of retirement, men can successfully transition into this new phase of life with confidence and purpose. Retirement is not the end of the road but a new beginning—a time to explore, grow, and enjoy the journey ahead.

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.

Sources:

  1. Ryan, R. (2019). Retirement reinvention: Make your next act your best act. McGraw-Hill Education.
  2. Zelinski, E. J. (2019). How to retire happy, wild, and free: Retirement wisdom that you won’t get from your financial advisor. Ten Speed Press.
  1. Journal of Aging & Social Policy. (n.d.). Retrieved from https://www.tandfonline.com/journal/wasp20
  2. The Gerontologist. (n.d.). Retrieved from https://academic.oup.com/gerontologist
  1. AARP. (n.d.). Retrieved from https://www.aarp.org
  2. National Institute on Aging. (n.d.). Retrieved from https://www.nia.nih.gov
  1. Society of Behavioral Medicine. (n.d.). Retrieved from https://www.sbm.org
  2. American Psychological Association. (n.d.). Retrieved from https://www.apa.org
  1. Employee Benefit Research Institute. (2022). The retirement transition: Insights and strategies. Retrieved from https://www.ebri.org
  2. Psychology Today. (2023). Adjusting to retirement: Psychological perspectives. Retrieved from https://www.psychologytoday.com
  3. U.S. Department of Health & Human Services. (n.d.). Retrieved from https://www.hhs.gov