Self-medication & Military Sexual Trauma (MST) survivors
/Self-medication among military sexual trauma (MST) survivors should be a significant concern, as it often exacerbates their physical and mental health issues long after they leave the military. Survivors often use substances like alcohol, prescription drugs, or illicit drugs to numb the emotional pain and distress caused by in service sexual trauma. Yet, the fear of stigma, retribution, or disbelief within the military community, during and after service may lead survivors to avoid formal mental health treatment and instead self-medicate. Similarly, the chronic lack of awareness of MST and inadequate access to appropriate and specialist sexual trauma focussed mental health services can push survivors toward self-medication as a more accessible option.
Substance use can exacerbate symptoms of anxiety and depression, leading to a worsening of mental health. There is a also a heightened risk of suicidal ideation and attempts among those who self-medicate to cope with MST. Long-term substance abuse can lead to serious health issues, including liver disease, cardiovascular problems, and neurological damage. Misuse of substances, particularly prescription drugs and opioids, increases the risk of accidental overdose and death. Substance abuse can impair cognitive and physical performance, affecting the serving survivor’s ability to carry out their duties effectively. It can also lead to strained relationships with family, friends, and colleagues, resulting in social isolation.
Illicit drug use and prescription drug misuse can lead to legal issues, including arrest and charges and violations of military conduct rules related to substance use can result in disciplinary action, including discharge from service. So what can we do to help MST survivors self medicating in the absence of dedicated sexual trauma support ?
First of all, I believe there is a pressing need to raise awareness and implement a MST specific evaluation of both civilian and military mental health services and substance abuse programs to ensure they meet the needs of MST survivors. We should also establish independent oversight bodies to review MST cases and the effectiveness of support services.
By addressing the root causes and providing comprehensive support during and after military service it should be possible to help reduce the reliance on self-medication among MST survivors and improve their overall well-being and recovery outcomes. Dedicated services specifically tailored to the needs of MST survivors are, in my opinion, long overdue.
Tony Wright CEO Forward Assist
