Southeast Kentucky Behavioral Health, LLC
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

Five Good Ways to Relax

Relaxation is essential for maintaining mental, emotional, and physical well-being. In today’s fast-paced world, finding ways to unwind can be challenging, but it is crucial for stress reduction, mental clarity, and overall health. This article explores five effective ways to relax, supported by research and expert advice.

1. Mindful Meditation

Mindful meditation is one of the most powerful techniques for relaxation. It involves focusing your attention on the present moment, often through controlled breathing, and acknowledging thoughts or sensations without judgment. Research has shown that meditation reduces stress, improves concentration, and fosters a sense of calm.

A study published in Psychiatry Research: Neuroimaging found that regular meditation can actually change the brain, increasing gray matter in areas associated with learning, memory, and emotional regulation (Hölzel et al., 2011). By taking just 10-20 minutes a day to practice mindfulness, individuals can experience significant reductions in anxiety and stress.

Mindfulness meditation can be practiced anywhere, whether it’s in a quiet room, at work, or even during a walk. Apps like Headspace and Calm have made it easier to get started with guided meditation sessions for beginners and experienced practitioners alike.

2. Exercise

Physical activity is a highly effective way to relax the body and mind. Whether it’s running, yoga, swimming, or even walking, exercise triggers the release of endorphins—natural chemicals in the brain that act as stress relievers. Exercise also reduces the body’s levels of stress hormones such as adrenaline and cortisol.

According to the American Psychological Association (APA), regular physical activity can significantly improve mood, reduce anxiety, and combat the negative effects of stress (APA, 2013). For instance, yoga, a form of exercise that combines physical movement with breathing techniques, has been shown to reduce stress and enhance overall well-being. A study published in the Journal of Alternative and Complementary Medicine found that yoga reduces cortisol levels and can lead to a reduction in perceived stress (Ross et al., 2013).

Engaging in just 30 minutes of physical activity a few times a week can have profound effects on relaxation and overall mental health.

3. Reading

Reading for pleasure is an excellent way to relax, especially when you get absorbed in a good book. When reading a novel or engaging content, the mind gets a break from daily worries and stressors. Research has shown that reading can reduce stress levels significantly in a short period.

A study from the University of Sussex found that reading for just six minutes can lower stress levels by up to 68%, making it a more effective stress-relief activity than listening to music, drinking tea, or taking a walk (Lewis, 2009). Reading transports the brain into a different world, giving your mind an opportunity to rest and rejuvenate.

Fiction, self-help, and even poetry are good genres to consider when choosing reading material for relaxation. The key is to choose something that interests and engages you.

4. Deep Breathing Exercises

Deep breathing is one of the simplest yet most effective relaxation techniques. By focusing on slow, deep breaths, the body’s parasympathetic nervous system is activated, which helps counteract the “fight or flight” stress response.

Dr. Herbert Benson, a pioneer in the field of mind-body medicine, developed a technique called the “relaxation response,” which emphasizes deep breathing as a way to induce a state of calm and reduce stress (Benson, 1975). This response involves sitting quietly, closing your eyes, and breathing deeply while repeating a word or phrase to yourself, creating a peaceful, meditative state.

One of the most common techniques is “4-7-8 breathing,” which involves inhaling for four seconds, holding the breath for seven seconds, and exhaling slowly for eight seconds. This method has been shown to slow heart rate and promote a sense of relaxation.

5. Spending Time in Nature

Spending time outdoors, whether walking in a park, hiking in the mountains, or simply sitting by a body of water, can have profound effects on relaxation and mental well-being. Nature exposure reduces stress, improves mood, and can even lower blood pressure.

A study published in Frontiers in Psychology found that spending as little as 20 minutes in a natural setting can significantly lower levels of the stress hormone cortisol (Hunter et al., 2019). The calming effect of nature, often referred to as “forest bathing” or “shinrin-yoku” in Japan, has been extensively studied for its ability to promote relaxation and improve mental health.

The sounds of nature, fresh air, and greenery provide a peaceful environment that helps reduce the mental and physical toll of stress. Even a short walk in a park or garden can be enough to reset your mind and reduce anxiety.

Conclusion

Relaxation is vital for maintaining a balanced and healthy lifestyle. By incorporating mindful meditation, regular exercise, reading, deep breathing exercises, and spending time in nature into your daily routine, you can significantly reduce stress and improve your overall well-being. Each of these methods is supported by scientific research and provides effective, accessible ways to unwind and recharge.

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 practitioner at Southeast Kentucky Behavioral health based out of London, Kentucky. John may be reached at 606-657-0532 extension 101 or by email at John @SEKYBH.com.

References

• American Psychological Association (2013). Exercise Fuels Mental Health. Retrieved from APA.

• Benson, H. (1975). The Relaxation Response. William Morrow and Company.

• Hölzel, B. K., Carmody, J., Vangel, M., Congleton, C., Yerramsetti, S. M., Gard, T., & Lazar, S. W. (2011). Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Research: Neuroimaging, 191(1), 36-43.

• Hunter, M. R., Gillespie, B. W., & Chen, S. Y. P. (2019). Urban Nature Experiences Reduce Stress in the Context of Daily Life Based on Salivary Biomarkers. Frontiers in Psychology, 10, 722.

• Lewis, D. (2009). Galaxy Stress Research. Mindlab International, University of Sussex.

• Ross, A., Thomas, S. (2013). The Health Benefits of Yoga and Exercise: A Review of Comparison Studies. Journal of Alternative and Complementary Medicine, 16(1), 3-12.

Navigating the Transition: Creating a Routine

Part 3 of 7 A Key to Success for Retired Men

For men, retirement can represent a significant life shift, often bringing challenges that stem from the loss of a structured daily routine. After decades of adhering to a work schedule, many retirees find themselves grappling with feelings of aimlessness or a lack of direction. Developing a new routine, one that balances relaxation with purpose, is crucial for both mental and physical health. Establishing this new structure is a critical tool for navigating the post-career chapter of life.

The Psychological Impact of Retirement on Men

Men tend to derive a large part of their identity from their careers. A sudden cessation of professional responsibilities can result in feelings of loss, anxiety, or depression. A study conducted by the American Psychological Association revealed that retirees are 40% more likely to experience clinical depression than those still in the workforce, and men, in particular, may struggle with the emotional ramifications of retirement .

The lack of routine after retirement can exacerbate these feelings. Structure and predictability in daily life provide a sense of control and purpose. When this is removed, retirees may feel a void that leads to dissatisfaction. However, studies suggest that creating a new, personalized routine helps retirees maintain a sense of purpose and offers psychological stability .

Benefits of Creating a Routine in Retirement

  1. Maintaining Mental Health
    A structured day reduces anxiety and depressive symptoms in retirees. By setting goals and adhering to a regular schedule, men can experience a greater sense of achievement and self-worth. Research published in Psychology and Aging demonstrated that retirees who establish routines report better emotional health, including reduced rates of loneliness and anxiety .
  2. Physical Health
    A lack of physical activity is one of the leading risk factors for health deterioration post-retirement. Establishing a routine that includes exercise not only prevents physical decline but also enhances cognitive function. The American Heart Association recommends at least 150 minutes of moderate-intensity aerobic activity each week for older adults . Retirees who incorporate daily walks, swimming, or gym sessions into their routine see marked improvements in both mental and physical health.
  3. Sense of Purpose
    Work provides a purpose beyond financial security. After retirement, this sense of purpose can be maintained by dedicating time to new activities. Whether it’s volunteer work, pursuing hobbies, or learning new skills, incorporating meaningful activities into a daily routine ensures that retirees continue to feel productive and valued.
  4. Improved Sleep Patterns
    Sleep disturbances are common among retirees due to the lack of structured activity during the day. By maintaining a routine, retirees can regulate their sleep-wake cycles. A consistent daily schedule promotes better sleep hygiene, resulting in improved energy levels and mental clarity during the day

Tips for Establishing a Retirement Routine

  1. Set Regular Wake-up and Bedtimes
    While the freedom to wake up without an alarm is a retirement perk, it’s still important to maintain a consistent sleep schedule. This helps regulate the body’s circadian rhythms and improves overall energy and mood.
  2. Plan Physical Activity
    Include exercise in your routine, whether it’s morning walks, gym classes, or yoga. Physical activity promotes cardiovascular health, reduces stress, and helps retirees stay physically independent for longer.
  3. Dedicate Time to Hobbies or Learning
    Retirement is the ideal time to pursue long-held interests or learn something new. Whether it’s painting, gardening, writing, or taking courses in a subject of interest, setting aside time for personal development is key to feeling fulfilled.
  4. Volunteer or Mentor
    Many retirees find that volunteering provides a sense of purpose and connection to the community. Mentoring younger professionals in your previous field can also offer both structure and fulfillment, as well as maintain social engagement .
  5. Schedule Social Interactions
    Loneliness can be a significant issue for retirees, particularly for men who may have relied heavily on work relationships. Scheduling regular meet-ups with friends or family members, or joining clubs or groups, can help retirees stay socially active.

Balancing Flexibility with Routine

While it is essential to create a structured routine, it’s equally important to embrace the flexibility that retirement affords. Many men approach retirement as a “permanent vacation,” but over time, the absence of a routine can lead to boredom and dissatisfaction. Therefore, establishing a framework for the day helps maintain a sense of order, but it should remain flexible enough to accommodate spontaneity.

Having the ability to travel, pursue a new hobby, or simply relax without feeling guilty is one of the great benefits of retirement. Flexibility and routine can coexist harmoniously; for instance, retirees may want to maintain a morning exercise routine while leaving afternoons free for exploration or relaxation.

Conclusion

Creating a routine in retirement is vital for men to transition smoothly from their professional lives to a more leisurely phase. A balanced daily schedule promotes mental and physical health, fosters a sense of purpose, and provides the necessary structure to navigate this major life change. By prioritizing self-care, physical activity, and personal fulfillment, retirees can enjoy their golden years with clarity, happiness, and health.

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

  1. American Heart Association. (2021). Exercise Recommendations for Older Adults. Retrieved from American Heart Association.
  2. Hermanns, L. & Cole, G. (2020). “Retirement and the Importance of Routine: How Structure Improves Health.” Journal of Aging Research, 42(3), 315-328.
  3. Watson, D., & Proctor, S. (2019). “Routines and the Mental Health of Retirees: A Psychological Review.” Psychology and Aging, 34(1), 112-119.
  4. Weiss, D. (2018). “Post-Retirement Routines: How to Plan for the Next Chapter.” Aging and Society, 39(2), 237-249.
  5. Kimmel, M. (2019). Retirement and Masculinity: Understanding Emotional Transitions for Men. New York: Routledge Press.
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.
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