PTSD and Moral Injury: Distinct Yet Intersecting Challenges

Post Traumatic Stress Disorder (PTSD) and Moral Injury (MI) can occur together. However, they are two separate and distinct challenges. Understanding the distinction between between the two is essential to promote integration and healing. 

PTSD is a mental health condition triggered by traumatic events. PTSD is diagnosed by symptoms such as re-experiencing traumatic memories, avoidance, negative thoughts and mood and hyper-arousal. Their are several evidenced treatments for PTSD such as Eye Movement Desensitization Reprocessing (EMDR) therapy and Cognitive Behavioral Therapy (CBT). 

In contrast, MI arises from actions that contradict one's moral or ethical beliefs. These actions lead to profound inner conflict and emotional distress. To date, no specific therapies have been researched specifically for treatment of MI. However, many have found relief from sharing their stories in a safe, supportive and unbiased setting, utilizing therapies such as Cognitive Processing Therapy or Cognitive Therapy that have been adapted to treat the specific issues of those with MI. 

The symptoms of PTSD and moral injury can often mimic or intersect with each other, making it challenging to differentiate between the two. However, recognizing these differences is essential.

By understanding that moral injury is about grappling with ethical and emotional turmoil rather than a mental health disorder, more targeted support can be offered and one can navigate their complex experiences, promoting more effective healing. Supporting those with PTSD and/or MI requires addressing all facets of one's experiences, both the visible scars and the deeper moral wounds.

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All articles are for informational purposes only.  Always consult with a licensed mental health professional if you feel you or someone close to you has experienced trauma.