How to Address and Heal from Combat PTSD Triggers


Combat Post-Traumatic Stress Disorder (PTSD), also referred to as the "invisible wounds of war," can linger in a person's life, causing turmoil long after their military service has ended.

This condition, often characterized by distressing symptoms like flashbacks, nightmares, and debilitating anxiety, can feel like a relentless battle off the field.

In this article, we explore this complex and crucial issue, offering understanding and guidance for those affected, as well as their loved ones.

Through exploring various coping mechanisms, therapeutic interventions, lifestyle changes, and the power of a robust support network, our goal is to equip you with effective strategies that can bolster your journey toward recovery and resilience.

Whether you're wrestling with these invisible wounds yourself or walking alongside someone who is, the path to healing begins here. 

Strategies to Address Combat PTSD Triggers

A. Mindfulness and Grounding Techniques

Mindfulness involves focusing on the present moment without judgment, which can help you stay centered during stressful situations.

For example, you might practice mindfulness through a daily meditation routine, where you sit quietly for a few minutes, focusing on your breath and allowing thoughts to come and go without judgment.

Grounding techniques, on the other hand, are strategies used to keep your mind connected to the present reality, helping you avoid getting lost in traumatic memories.

An example of a grounding technique could be the '5-4-3-2-1' coping strategy, which involves identifying five things you can see, four things you can touch, three things you can hear, two things you can smell, and one thing you can taste. 

B. Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is another fundamental strategy in addressing Combat PTSD triggers.

CBT is a form of psychological treatment designed to aid individuals in identifying and modifying thought processes that result in damaging behaviors or emotional discomfort.

For example, a veteran with PTSD might have recurring thoughts that danger is everywhere, leading to hyper-vigilance and anxiety.

In CBT, the therapist would work with the veteran to challenge these thoughts, assess their validity, and replace them with more accurate and less distressing thoughts, such as recognizing that while danger was a part of their past experience, it's not a constant in their current environment.

C. Eye Movement Desensitization and Reprocessing (EMDR)

This is a unique, evidence-based therapy that has shown effectiveness in treating Combat PTSD.

EMDR works by having the patient recall traumatic experiences while the therapist guides their eye movements.

For example, a veteran might be asked to think about a distressing memory from combat while following the therapist's finger as it moves back and forth.

This process is thought to stimulate the brain's natural adaptive information processing mechanisms, helping the individual to reprocess the traumatic memory in a less distressing way.

Over time, EMDR can reduce the emotional impact of PTSD triggers, helping individuals respond to them with less fear and anxiety.

D. Prolonged Exposure Therapy (PE)

In PE, individuals are asked to vividly recount their traumatic experiences in a safe and controlled environment.

The goal is to reduce the power these memories hold by facing them head-on, rather than hiding from them.

As time passes, this repeated exposure can help reduce the individual's fear response, making PTSD triggers less potent and more manageable.

While it may sound challenging, PE has been shown to be highly effective in reducing symptoms of PTSD and improving quality of life.

E. Stress Inoculation Training (SIT)

SIT involves teaching individuals various coping skills to manage and reduce their reactions to stressors.

For instance, a veteran might learn deep breathing exercises, progressive muscle relaxation, or positive self-talk strategies.

The idea is to "inoculate" the individual against stress by providing them with tools to handle it before it escalates.

By equipping individuals with a toolkit of stress management strategies, SIT empowers them to take control of their response to stress, offering a proactive approach to managing PTSD symptoms.

Building a Support Network

Building a strong support network is an integral part of managing and overcoming challenges, including those related to mental health.

Social support not only provides a sense of belonging but also offers practical help and emotional comfort during tough times.

To build a robust support network, one can start by reaching out to family members, friends, colleagues, and others who understand their experiences.

Professional help, such as therapists and counselors, also plays a crucial role in this network.

Additionally, joining support groups and veteran communities can be immensely helpful.

These groups offer a platform to share experiences, learn from others going through similar situations, and receive encouragement.

Lifestyle Adjustments to Help Manage Triggers

  • Regular Exercise: Physical activity can help reduce stress and improve mood, making it easier to manage triggers.

  • Balanced Diet: Consuming a diet rich in fruits, vegetables, lean protein, and whole grains can support overall health.

  • Adequate Sleep: Ensuring you get enough rest each night can help keep your mind and body resilient against triggers.

  • Mindfulness Practices: Techniques such as meditation, yoga, or deep breathing exercises can help you stay grounded and calm in the face of triggers.

  • Limit Alcohol and Avoid Illicit Substances: These substances can exacerbate mental health issues and make it harder to manage triggers.

  • Time Management: Effective time management can reduce stress and make it easier to handle potential triggers.

  • Seek Professional Help: Therapists and counselors can provide strategies and tools to help manage triggers effectively.

  • Join Support Groups: Sharing experiences and coping strategies with others who are dealing with similar issues can be very helpful.

  • Regular Self-Care: Engage in activities that you enjoy and that help you relax and recharge. Self-care is crucial in maintaining mental health and managing triggers.


We have discussed multiple strategies to help manage triggers, including building a strong support network and making lifestyle adjustments.

Regular exercise, a balanced diet, adequate sleep, and mindfulness practices are all crucial for maintaining mental health.

Professional help and support groups can provide further assistance and a sense of community.

While the journey towards healing may be challenging, it's important to remember that you are not alone.

These strategies are tools to aid you on this path, but the strength and resilience within you are what truly propel you forward.


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July 17th, 2024

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